Disparities in Access to Health Care Among Middle-Aged and Older Adults with Disabilities

Disability is increasing among middle-aged adults and, reversing earlier trends, increasing among older adults as well. Disability is experienced disproportionately by Black and lower socioeconomic status (SES) individuals. We used Medical Expenditure Panel Survey data to examine health care disparities in access to health care for middle-aged (31 to 64 years of age) and older (65+ years of age) adults with disabilities by race and ethnicity, education, and income (n = 13,174). Using logistic regression, we examined three measures of potential (e.g., usual source of care), and three measures of realized (e.g., counseling related to smoking) access. Middle-aged and older minority individuals with disabilities had lower relative risks of having usual sources of care and higher relative risks of having suboptimal usual sources of care (e.g., a place rather than a person) than White adults with disabilities. There were SES effects observed for middle-aged adults with disabilities across most measures that were, for certain measures, more pronounced than SES effects among older adults with disabilities. These findings are important, since health resources (e.g., a usual source of care) may mediate relations among disability, morbidity, and mortality. Policy actions that may mitigate the disparities we observed include financial incentives to support access to an optimal usual source of care and mechanisms to foster behavioral interventions related to smoking and exercise. Ensuring that these actions address the specific concerns of individuals with disabilities, such as physical accessibility and provider cultural competency, is essential.     

Correlates of violent and nonviolent victimization in a sample of public high school students

This study investigates the extent to which student reports of violent and nonviolent victimization in public high schools is associated the presence of hate-related words or symbols, the availability of hard and soft drugs, and the presence of gangs. Data from the 1999 School Crime Supplement of the National Crime Victimization Survey were used for this analysis. In the final multinomial logistic regression model, the presence of hate-related words, the availability of hard drugs, and a gang presence were significantly associated with reports of violent victimization. The availability of soft drugs was significantly associated with nonviolent victimization. Findings held across gender, race/ethnicity, and urbanicity of the school's location with younger students more likely to be both violently and nonviolently victimized than older students. Implications for primary and secondary interventions aimed at school climate and the reduction of correlates of victimization are discussed.     

Adolescent Violent Behavior

SUMMARY

The focus of this study was on the association between family characteristics (e.g., family structure, family cohesion), race/ethnicity and their relationship to violent behaviors in adolescents. Family characteristics represent one piece of a larger ecological model that includes individual, peer, school, and neighborhood/community factors. The current study uses data from the National Study of Adolescent Health (Wave 1). Add Health was a longitudinal study of adolescents in grades 7 through 12. The survey gathered information about the respondent's health and health-related behaviors, emotional well being, and family and school environment. The variables of interest in this study are all self-reported measures of violent behavior: (1) being in a serious physical fight, (2) seriously injuring someone, (3) pulling a knife or gun on someone, and (4) shooting or stabbing someone. Differences between those who reported being involved in violent behaviors are related, at least in part, to family cohesion, family structure, gender, and race/ethnicity. Family cohesion served as a protective factor in all four models of violent behavior regardless of racial/ethnic group. Attention needs to be focused not only on the other domains involved in this ecological model (e.g., individual, family, peer, school, and neighborhood/community) but also on the possible interactive effects of variables both within and across these domains. Future interventions need to focus their efforts on the multiple dimensions of youth violence as well as give consideration to a multi-pronged approach in addressing the needs of youth at risk for violent behaviors.     

Putting youth violent victimization into context: sex, race/ethnicity, and community differences among a multisite sample of youths

The increased risk of violent victimization for adolescents relative to other age groups has recently become a major public health concern. The current study uses data from a multisite study of eighth grade youths attending public schools in 11 cities to determine the extent and nature of youth general and serious violent victimization among both sexes and five racial/ethnic groups in 11 diverse communities. This study explores differences in sex, race/ethnicity, and community independently and explores interactions between sex and community and race/ethnicity and community. Our findings suggest important differences in victimization prevalence and individual victimization rates by sex and community of residence. Racial differences were found to be closely tied to community. Policy implications resulting from our findings are discussed.     

Out of the shadows: Shedding light on intimate partner homicide among Latina women

Intimate partner homicide (IPH) victimization is typically associated with prior domestic violence. Latina women are disproportionately vulnerable to domestic violence and intimate partner femicide. Latino cultural values related to devotion to family and gender role conformance may shape Latinas' experiences of domestic violence and IPH. Display/endorsement of these values, as well as intersections of race/ethnicity, class, gender, and immigration status may exacerbate Latinas' IPH risk. A small and outdated body of IPH literature exists that examines IPH among Latinas but, fails to bridge the gap between factors influencing Latinas' experiences of domestic violence (e.g., cultural values, intersectionality, and immigration status) and IPH. This paper reviews literature that examines IPH among Latinas and provides suggestions for future research, including utilization of an intersectional approach to studying IPH among this understudied ethnic group.     

Examining Discrimination,Ethnic‐Racial Identity Status,and Youth Public Regard Among Black,Latino, and White Adolescents

How positively adolescents believe others feel about their ethnic‐racial group (i.e., public regard) is an important part of their ethnic‐racial identity (ERI), which is likely informed by contextual and individual factors. Using cluster analyses to generate ERI statuses among Black, Latino, and White adolescents (n = 1,378), we found that associations between peer versus adult discrimination and public regard varied across ERI status and ethnic‐racial group. However, among all adolescents, an achieved ERI (i.e., having explored ethnicity‐race and having a clear sense about its personal meaning) buffered the negative association between adult discrimination and public regard, but not between peer discrimination and public regard. Implications for understanding the interplay between contextual and individual factors for public regard are discussed.     

Life in the Corporation: A Multi-Method Study of the Experiences of Male and Female Asian,Black, Hispanic and White Employees

Organizational experiences of male and female Asian, Black, Hispanic and White managers in a Fortune 500 company were examined using both qualitative and quantitative methods. Oral histories were conducted to identify the antecedents to advancement within this organization. We used focus groups to expand our understanding of these antecedents and to determine differences among the racial/ethnic groups according to gender. Data from a follow-up survey of 1,645 employees were subjected to MANCOVA to determine race/ethnicity and gender effects, controlling for the effect of organizational tenure. Main effects for race/ethnicity were found on three measures and main effects for gender were found on eight measures. Follow-up size-of-effect tests (eta squared) revealed that the strength of the relationship was strong for two significant gender findings and one significant race finding.     

Structural antecedents of aggravated assault: exploratory assessment of female and male victimization

This article examines whether the social structural factors predicting violence against women are different from those predicting violence against men. Using sex-specific, aggravated assault rates from Florida counties (n = 60), this regression analysis tests three principal explanations of violent victimization: routine activities, social disorganization, and gender inequality. Although initially some difference in the predictive factors for male and female aggravated assault rates emerged, a test of the equality of regression coefficients revealed no "real" significant differences. Despite this finding, it remains important to assess the influence of societal factors on rates of violent victimization. The national trend indicates that male violent victimization is declining and female violent victimization is relatively stable. It is important to understand why this is the case.     

Gender,Race, and Perceived Environmental Risk: The “White Male” Effect in Cancer Alley,LA

Research on risk perceptions are replete with race- and gender-specific hypotheses attempting to account for attitudinal variation. However, race and gender differences may mask more notable patterns across subgroups, patterns that lie at the intersection of race and gender. Recent national studies suggest that being a White male leads to lower risk perceptions and greater willingness to accept risks. This article extends this research by examining the “White male” effect in a chronically polluted context, an area where industrial pollution is palpable and well-documented. Data are drawn from a survey of a population living in “Cancer Alley,” a stretch of the Mississippi River from Baton Rouge to New Orleans. We find that women more than men and Blacks more than Whites perceive environmental risks as serious. Further, evidence suggests that these differences are mostly due to the relatively extreme perceptions of risk accepting White males and risk adverse Black females. After controlling for select variables in hierarchical multiple regression analyses, being a White male or Black female still has a statistically significant impact on risk perceptions.     

Adolescent Sexual Debut: A Multi-System Perspective of Ethnic and Racial Differences

Data from the 1997 cohort of the National Longitudinal Survey of Youth were used to assess the association between family, self, proximate extra-familial, and distal extra-familial system factors and abstinence/virginity and age of first sexual intercourse by ethnicity and race (N = 1,854). Findings show how and in what circumstances measures associated with these four factors vary for Black, White, and Hispanic youth. Findings point to the robustness of class and gender for each ethnic-racial group on timing of sexual initiation and of delinquency and negative peer relations on abstinence among Black and White youth and of religious affiliation among Hispanic youth.     

The impact of child, family, and child protective services factors on reports of child sexual abuse recurrence

This study identified selected child factors (e.g., age, gender, race/ethnicity, disabilities, prior victimization, and relationship to perpetrator of abuse), family risk factors (e.g., substance abuse, domestic violence, inadequate housing, and financial problems), and services provided by child protective services that likely increased reports of child sexual abuse recurrence by type of reporter. Survival analysis was conducted using the National Child Abuse and Neglect Data System data set of 2002-2004. Child disability, being a prior victim, having a perpetrator as a caregiver, family financial problems, and receiving family supportive services increased the likelihood for reports of child sexual abuse by mandated reporters. Being Hispanic, having a disability, having a perpetrator as a caregiver, financial problems, and receiving family preservation services statistically decreased the likelihood for reports of child sexual abuse recurrence.     

THE EFFECT OF FEAR OF SEXUAL VICTIMIZATION ON ADOLESCENT FEAR OF CRIME

The author examines the effect of fear of sexual victimization on fear of crime among adolescents. Criminologists have indicated that gender is one of the strongest predictors of fear of crime: Women are more fearful than men. Some authors (Warr 1984, and Ferraro 1995, among others) have suggested that this differential fear among women can mostly be attributed to their inordinate fear of sexual victimization. This relationship, however, has only been examined among adults. Using a sample of 725 adolescents, the effect of fear of sexual victimization and other demographic and contextual variables on fear of criminal victimization is examined. Results indicate that fear of sexual victimization is the best predictor of fear of nonsexual victimization, whereas the effects of other variables are contingent on race and gender. The reasons for this finding, as well as the implications for social policies, are discussed.     

Female-perpetrated intimate partner violence and romantic attachment style in a college student sample

The frequency, severity, and reciprocity of female-perpetrated intimate partner violence and its consequences (i.e., injuries) were investigated in a college sample of women (N = 457). Participants were classified into one of the following four groups on the basis of self-reported physical assault perpetration and victimization against their relationship partners: nonviolent, perpetrator-only, victim-only, and bidirectionally violent. Results showed that females in the bidirectionally violent group had a reportedly higher occurrence (although not always statistically significant) of perpetration and victimization than those in the perpetrator-only and victim-only groups. Additionally, a similar degree of reciprocity was indicated by females in bidirectionally violent relationships in terms of violence severity and the occurrence of injury. Adult romantic attachment style was also examined among a subset of females (N = 328), and bidirectionally violent females were found to have the highest reported levels of attachment anxiety. Further, females high in attachment anxiety and low in attachment avoidance were more likely to report perpetrating violence than females high in both styles. Implications for prevention are discussed.     

PREDICTORS OF FEAR OF CRIMINAL VICTIMIZATION AT SCHOOL AMONG ADOLESCENTS

Adolescent crime at school, as well as adolescent fear of crime at school, have increasingly become serious social problems. Although many studies have been conducted examining the predictors of fear of crime among adults in various settings, fear of criminal victimization among adolescents at school has been practically ignored. Using a representative sample of 742 high school students from a southeastern state, this study examined the predictors of adolescent fear of crime at school in an attempt to determine whether they are similar to predictors of adult fear of crime. Results indicate that, although the predictors of fear among adolescents are, in many cases, similar to those of adults, there are important differences. As expected, youths with lower levels of perceived safety at school and youths who perceive their neighborhoods as exhibiting signs of incivility were more likely to be fearful of criminal victimization at school. Interestingly, however, there were important differences between adolescents and adults regarding the effects of race, gender, and victimization experience and fear of crime. The results from this study indicate that the effects of race and victimization experience on fear of crime vary by gender: Namely, Black males were more fearful than White males, and female victims of crime were more fearful than females who had not been victimized by crime. This study suggests that the phenomena that underlie fear of crime among adults are somewhat different than those of adolescents.     

“I was discriminated against because I was seen as PRC-Chinese”: The negotiation between ethnicity and nationalism among Taiwanese migrants in Australia

Research on race and ethnicity has focused on conditions under which solidarity will be developed to consolidate collective benefits. For example, facing racial discrimination can bring large-scale affiliations (e.g., people of color, Latinos, or Asians) to fight against racial injustice. Focusing on the negotiation and struggle between ethnicity and nationalism among Taiwanese migrants in Australia—a politicizing context associated with a prior definition of Chinese category, despite inherent differences within it, this article shows the complexity of ethnicity when ethnic identity/solidarity intersects with nationalism and racial discrimination. I argue that Taiwanese migrants attach specific meanings to the ethnic (Chinese) category and constantly connect to and shift its boundaries in different contexts. Meanwhile, they also make a distinction between racial discrimination from white Australians and political hostility from PRC-Chinese. This article proposes a procedural and contextual understanding of ethnic identity, solidarity, nationalism, and boundary making/unmaking within the Chinese category as it is enacted in Taiwanese migrants' everyday lives. It also examines situational variability in the salience of ethnic identifications, racialization of the ethnic category, and people's interpretation of ethnic and national identity when facing racial discrimination.     

Victimization experiences of lesbian, gay, and bisexual individuals: a meta-analysis

This meta-analysis quantitatively compiled the results of studies from 1992 to 2009 to determine the prevalence and types of victimization experienced by lesbian, gay, and bisexual (LGB) individuals. Based on the results of three searches, 386 studies were retrieved and coded. Comparisons were made across all LGB individuals (138 studies), between LGB and heterosexual individuals (65 studies), and between LGB females and males (53 studies), with over 500,000 participants. Multiple types of victimization were coded, including discrimination, physical assault, and school victimization. Findings revealed that for LGB individuals, reports of victimization experiences were substantial (e.g., 55% experienced verbal harassment, and 41% experienced discrimination) and some types have increased since a 1992 review, while others have decreased. LGB individuals experienced greater rates of victimization than heterosexual individuals (range: d = .04–.58). LGB males experienced some types of victimization more than LGB females (e.g., weapon assault and being robbed) but, overall, the gender differences were small. It can be concluded that LGB individuals still experience a substantial amount of victimization. Implications for research methods are discussed, including recommendations for sampling and measurement of victimization.

[Supplementary materials are available for this article. Go to the publisher's online edition of Journal of Sex Research for the following free supplemental resource(s): Supplementary Tables. These tables are referred to in the text of this article as “Table S1,” “Table S2,” etc.]     

The effects of a high-risk environment on the sexual victimization of homeless and runaway youth

Based on the structural-choice theory of victimization, the current study examines the effects of a high-risk environment on the sexual victimization of 311 homeless and runaway youth. Results from logistic regression revealed that survival sex, gender, and physical appearance were significantly associated with sexual victimization. Results from a series of interactions also revealed that the effects of deviant behaviors on sexual victimization varied by gender and age. Although males and females engaged in similar activities, young women were more likely to be victims of sexual assault. These findings suggest that engaging in high-risk behaviors predispose some people to greater risks but it is the combination of these behaviors with gender and/or age that determines who will become victimized.     

Father's Incarceration and Youth Delinquency and Depression: Examining Differences by Race and Ethnicity

This article examines associations between biological father's incarceration and internalizing and externalizing outcomes of depression and serious delinquency, across White, Black, and Hispanic subsamples of youth in the National Longitudinal Study of Adolescent Health. Among respondents whose father was first incarcerated during childhood or adolescence, father's incarceration is found to be associated with increased depression and delinquency. On the whole, results indicate that associations between father's incarceration and depression and delinquency do not vary by race and ethnicity or gender. One exception is among Hispanic respondents, for whom having a biological father incarcerated is associated with an even higher propensity of delinquency than among White and Black respondents with incarcerated fathers.     

NEIGHBORHOOD CONTEXT AND THE GENDER GAP IN ADOLESCENT VIOLENT CRIME

Although researchers consistently demonstrate that females engage in less criminal behavior than males across the life course, research on the variability of the gender gap across contexts is sparse. To address this issue, we examine the gender gap in self-reported violent crime among adolescents across neighborhoods. Multilevel models using data from the Project of Human Development in Chicago Neighborhoods (PHDCN) indicate that the gender gap in violent crime decreases as levels of neighborhood disadvantage increase. Further, the narrowing of the gender gap is explained by gender differences in peer influence on violent offending. Neighborhood disadvantage increases exposure to peer violence for both sexes, but peer violence has a stronger impact on violent offending for females than for males, producing the reduction in the gender gap at higher levels of disadvantage. We also find that the gender difference in the relationship between peer violence and offending is explained, in part, by (1) the tendency for females to have more intimate friendships than males, and (2) the moderating effect of peer intimacy on the relationship between peer violence and self-reported violent behavior.     

GENDER AND PROSOCIAL VALUES DURING ADOLESCENCE: A Research Note

To date, relatively little is known about the prosocial values of adolescents. Research has shown that females attach more importance to certain prosocial values than males do in late adolescence but has not considered whether this gender difference is evident across stages of adolescence and whether it varies by race. We examine values that focus on doing things for others, using data from a nationwide survey of 12- to 17-year-olds. We find that girls place more importance on these prosocial values than boys at younger ages. However, we also find important patterns in this gender difference across racial groups as well as across age. White boys appear to attach less importance to prosocial values than other race and gender groups. Furthermore, the gender gap in prosocial values is larger at older ages, with older adolescent boys placing less importance on prosocial values than younger ones.