Barriers to Managing Coronary Artery Disease Among Older Women

Numerous barriers to managing coronary artery disease (CAD) among older women are reported in the literature; however, few studies adjust for demographic and health status differences. A survey assessing barriers and other factors was distributed to a stratified random sampling of older women with CAD. Factor analysis and multiple logistic regression procedures were used to estimate the impact of these issues on receiving a CAD-related office visit. The most problematic barriers included denial and low health literacy. Efforts to promote patient awareness of heart health and better communication between patients and clinicians may alleviate these barriers.     

Impoverished Clientele and Influential Institutions: Perspectives on Neighborhood Poverty near Harvard Yard

The role of institutions in the social reproduction of the economic status quo is not a new discovery in sociological literature. However, this literature rarely highlights how the catalysts of poverty are transparent in public institutions like schools, social services, police, or renowned universities such as Harvard. Drawing upon historical archival research, decennial census information, and ethnographic studies from the 1990s and early 2000s in Cambridge, Massachusetts we contribute to the discussions about urban poverty. We argue that there are structural factors other than the widely discussed spread of socio-geopolitical isolation or racial dynamics that prevent poor residents from bridging social distances and experiencing upward mobility. Those dynamics are specifically visible in cases such as Cambridge where the consequences of economic shifts and racial dynamics were not as dire as in other cities, but the exclusionary practices are still present. We implicate systematic ‘exclusionary closure,’ as defined by Max Weber and employed by Loïc Wacquant, operating in influential institutions. Following Wacquant’s lead, we argue that institutional practices and policies have played a large role in creating and maintaining urban marginality and pockets of poverty in Cambridge. Institutions like these, considered foundational to social and intellectual advancement, may be key players in the perpetuation of urban poverty.     

Clicking Toward Better Grades: The Use of Student Response Systems in Social Work Education

Faculty members at universities are increasingly shifting their pedagogical focus from traditional lectures to active learning by integrating academic technology such as clickers (i.e., student response systems) into classrooms. However, few studies have examined the effect of clickers on learning outcomes such as test grades, and even fewer studies have evaluated this technology in social work education. This study examined the effect of clickers on learning outcomes in an undergraduate social work course. Findings indicated that frequency of clicker use significantly contributed to increased test scores after controlling for important covariates, suggesting that clickers may be an effective tool in actively engaging social work students and promoting learning. Instructors guidelines for integrating technology into future social work courses are discussed.     

Social Enterprise in the United States and Europe: Understanding and Learning from the Differences

Since the 1980s both the United States and Europe have experienced a simultaneous expansion in social enterprise. However, little has been written comparing and contrasting American and European conceptions of social enterprise resulting in difficulty communicating on the topic and missed opportunities to learn and build on foreign experience. To address this need, this paper compares and contrasts American and European social enterprise through an extensive review of literature from the two regions and discussions with social enterprise researchers on both sides of the Atlantic. It outlines the definitions of social enterprise used by American and European academics and practitioners, identifies historical factors promoting and shaping different conceptions of social enterprise, and highlights the differing institutional and legal environments in which it operates. It concludes by identifying what Americans and Europeans can learn from each others’ experience with social enterprise.

Bidirectional Associations Between Parental Responsiveness and Executive Function During Early Childhood

In this study, we examined bidirectional associations between parental responsiveness and executive function (EF) processes in socioeconomically disadvantaged preschoolers. Participants were 534 3‐ to 5‐year‐old children (71 percent Hispanic/Latino; 28 percent African American; 1 percent European American) attending Head Start programs. At Time 1 (T1) and 6.5 months later at Time 2 (T2), parents and children participated in a videotaped free play session and children completed delay inhibition (gift delay‐wrap, gift delay‐bow) and conflict EF (bear/dragon, dimensional change card sort) tasks. Parental warm acceptance, contingent responsiveness, and verbal scaffolding were coded from the free play videos and aggregated to create a parental responsiveness latent variable. A cross‐lagged panel structural equation model indicated that higher T1 parental responsiveness significantly predicted more positive gain in delay inhibition and conflict EF from T1 to T2. Higher T1 delay inhibition, but not T1 conflict EF, significantly predicted more positive change in parental responsiveness from T1 to T2. These associations were not explained by several possible confounding variables, including children's age, gender, race/ethnicity, and verbal ability. Findings suggest that parental responsiveness may support EF development in disadvantaged children, with reciprocal effects of delay inhibition on parental responsiveness.     

Unit training to increase support for military personnel with mental health problems

The present study examined the effectiveness of training designed to increase support toward military personnel with mental health problems. Soldiers from two Battalions (N?=?349) were randomly assigned by squad to receive the training (n?=?179) or to a survey-only control group (n?=?170). Soldiers completed survey assessments at baseline and three months later. Soldiers also completed an implicit association test assessing attitudes toward mental health treatment at the three-month follow-up. Results revealed that soldiers in the training condition reported an increase in supportive behaviours toward soldiers with mental health problems three months following the training, whereas there was no increase in soldiers assigned to the control group. Soldiers in the training condition were also marginally more likely to increase their own treatment seeking in the three months following the training. Discussion focuses on the importance of unit member support for military personnel with mental health problems and the implications for employees in other occupations characterised by the expectation for resilience.     

Institutional,Subcultural, and Individual Determinants of Same-Sex Sexual Contact Among College Women

While the collegiate hookup literature identifies the prevalence and conditions under which women engage in same-sex sexual behaviors, less is understood about the macro- and mesolevel features of universities predictive of women’s engagement in these behaviors. How do predictors of same-sex contact differ for women who report engagement in nongenital versus genital sexual acts? Using the Online College Social Life Survey (OCSLS), this study examined 5,069 women from 21 U.S. colleges and universities who reported at least one same-sex encounter in their lifetime to empirically evaluate how same-sex sexual histories are predicted by university structure and membership in student subcultures. Results find subcultural participation to have a regulative effect on what types of sexual behaviors women engaged in with other women. While Greek-affiliated women were significantly more likely to have engaged in solely nongenital sexual behavior, women in team-based athletics were more likely to report a genital sexual history with women. This study’s focus on women’s sexual behaviors as opposed to sexual identity affirms the influence of institutional contexts, subcultural dynamics, and their variability across U.S. campuses in producing the conditions and opportunities for varied forms of sexual interactions among college women.     

A Comparative Analysis of the Global Emergence of Social Enterprise

This article compares the emerging concept, practice, and context of social enterprise across seven regions and countries of the world. Broadly defined as the use of market-based approaches to address social issues, social enterprise provides a “business” source of revenue for civil society organizations. However, within these broad parameters, world regions have come to identify different concepts and contexts with the social enterprise movement in their areas. Largely lacking in the social enterprise literature are explanations of what these regional differences are, and whether and how socioeconomic context may play a role in these variations. Drawing on social origins theory, recent social enterprise comparative research, and socioeconomic data, this article examines the different factors shaping social enterprise in seven regions and countries. It finds that variations in socioeconomic contexts appear to account for international differences in social enterprise. These findings have practical implications for the development and transfer of social enterprise internationally.     

What is Most Important: Social Factors, Health Selection, and Adolescent Educational Achievement

This paper explores the relative importance of social factors and health measures in predicting educational achievement in early and late adolescence using population-based administrative data. The sample was made up of 41,943 children born in Manitoba, Canada between 1982 and 1989 and remaining in the province until age 18. Multilevel modeling nests each individual (level 1) within a family (level 2) residing within a neighborhood (level 3). Most important in predicting adolescent achievement were a broad socioeconomic status index (and a narrower measure of household income), being on social assistance, mother’s age at first birth, gender, residential mobility, the presence of ADHD/Conduct disorders, and measures of family functioning (child taken into care or offered protection services and family structure history). Family size, birth order, and newborn characteristics (birthweight, APGAR, gestational age) were statistically significant but of little importance in explaining the outcomes. Both examining regression coefficients and systematically omitting variables showed social factors (often emphasized by epidemiologists) to have markedly greater effects than the combination of health measures (often stressed by economists) in predicting achievement. However, mental health in childhood is identified as among the important predictors. Record linkage across population datasets from health, education, and family services ministries allowed: tracking health and educational attainment at different times in a child’s life, following a large number of cases across childhood, considerable sensitivity testing, controlling for unmeasured family and neighborhood effects, generating an extensive list of predictors, estimating effect sizes, and comparing Manitoba results with those of well-known American studies.