The Role of Sex-Related Alcohol Expectancies in Alcohol-Involved Consensual and Nonconsensual Sex Among Women of Asian/Pacific Islander and Women of European Race/Ethnicity

Alcohol-involved sexual experiences, including incapacitated sexual assault and alcohol-involved sex, are major public health concerns among college women. Further, racial/ethnic diversity among college students is increasing, particularly with regard to increases in college students of Asian/Pacific Islander (API) race/ethnicity. Of relevance, evidence suggests differences in sexual assault rates across ethnicities and cultures; however, no known study to date has examined differences by ethnicity and first language in expectancies and experiences specifically surrounding alcohol and sex. The current study sought to examine differences in incapacitated sexual assault, alcohol-involved sex, and heavy episodic drinking, as well as differences in sex-related alcohol expectancies among native English-speaking college women of European (EU) race/ethnicity, native English-speaking women of API race/ethnicity, and non–native English-speaking women of API race/ethnicity (NNES-API). EU reported higher frequency of heavy episodic drinking, alcohol-involved sex, and incapacitated sexual assault compared to API and NNES-API. In addition, API reported more frequent alcohol-involved sex and incapacitated sexual assault compared to NNES-API, in part due to API’s stronger endorsement of sexual disinhibition–related alcohol expectancies (indirect effects: β = ?.04, p = .04, and β = ?.07, p = .04, respectively). Findings highlight the important role of expectancies in acculturation and influence on actual alcohol-involved sex and sexual assault.     

Frequency and Types of Partner Violence Among Mexican American College Women

Objective and Participants: The authors studied the prevalence of partner violence, by type, among Mexican American college women aged 18 to 35 years (N = 149; response rate = 85%). Results: Twelve percent of women who reported a dating partner in the past year were physically or sexually assaulted, 12.1% were stalked, and 9.1% scored as psychologically abused. Among those experiencing partner violence, almost half experienced stalking and 89% reported psychological abuse. Few women (25%) who experienced physical violence believed violence was a problem in their relationship. Conclusions: Partner violence was prevalent in this population, and participants experienced many forms of violence. Because few women experiencing physical violence report that violence is a problem in their relationship, interventions must address perceptions of violence and its impact on women's mental and physical health in college populations.     

Paving the Way for A Normal Life: A Qualitative Study of Coping Strategies Among Iranian Divorced Women

Regarding the devastating aftermath of divorce among Iranian divorced women, which is mainly affected by sociocultural factors, this qualitative study was conducted to explore their applied strategies in reorganizing their lives. Data collection started through deep unstructured interviews followed by semistructured interviews with 18 divorced women who were chosen by purposive sampling from mental health clinics, social work centers, or available cases. Gathered data were analyzed using the qualitative content analysis method. Two main themes—behaviors of self-preservation and abstinence and struggling for balance—emerged. Subcategories were concealing the divorce, feminine self-restriction, avoidance behaviors, replacement of losses, seeking support, role development, handling the tensions, and defending oneself against the divorce failure. This study provides comprehensive knowledge of how Iranian divorced women reregulate their lives and also highlights their unique and culture-based coping strategies. Therefore, it provides specialists with a context-specific foundation for mental health care and enables them to intervene more effectively.     

A Qualitative Model of Long-Term Recovery for American Indian Women

SUMMARY

A developmental model of Indian women's long-term recovery is proposed based on American Indian thought about health and healing and life histories of six urban Indian women in recovery for three to 12 years. The qualitative analysis identified four components of the recovery process including positive discontinuity, expanding the circle, reclaiming the mother, and developing new continuity. These components are supported by narrative analysis from the lives of a Yakama woman (Washington Plateau), a Nez Perce woman (Idaho), two Black-feet women (Montana), and two Ojibway women (North Dakota).     

A Qualitative Analysis of Cultural and Social Vulnerabilities to HIV Infection Among Gay,Lesbian, and Bisexual Asian Youth

Abstract

The study reported here was undertaken to investigate cultural and social barriers that may increase HIV risk among gay, lesbian, and bisexual Asian youth. Interviews and focus groups were used to collect the data because they are well suited for this type of exploratory research. A total of 15 gay, lesbian, and bisexual Asian youth (7 females and 8 males) were recruited. Most of the participants (n = 11) self-identified as lesbian or gay. The mean age was 20.7, ranging from 17 to 24. Twelve participated in one of three focus groups while the remaining three were interviewed. Categories and themes identified include: (1) the lack of sex education at home, (2) homophobia in Asian families, (3) unresponsive health and social service providers, (4) lack of social support, (5) negative stereotypes, (6) ideal standards of beauty, and (7) negative perceptions of safer sex practices among Asian lesbian and bisexual women. HIV prevention strategies are suggested based on the recommendations and needs of our participants.     

Parent‐to‐Child Aggression Among Asian American Parents: Culture,Context, and Vulnerability

We examined correlates of lifetime parent‐to‐child aggression in a representative sample of 1,293 Asian American parents. Correlates examined included nativity, indicators of acculturation, socioeconomic status, family climate, and stressors associated with minority status. Results revealed that Asian Americans of Chinese descent and those who immigrated as youth were more likely to report minor parental aggression; ethnicity and nativity were not associated with severe aggression. Indices of acculturation did not predict risk, but minority status stressors (perceived discrimination, low social standing) predicted risk of both minor and severe aggression. Affective climate differed markedly in families with minor versus severe aggression. Parental aggression in Asian American families may not be cultural per se, but stress associated with immigrant family context may heighten vulnerability.     

Reporting Rape in a National Sample of College Women

Abstract

Background: Studies indicate that a small percentage of rapes are reported to law enforcement officials. Research also suggests that rapes perpetrated by a stranger are more likely to be reported and that rapes involving drugs and/or alcohol are less likely to be reported. College women represent a unique and understudied population with regard to reporting rape. Methods: In the current study, the authors interviewed a national sample of 2,000 college women about rape experiences in 2006. Results: Only 11.5% of college women in the sample reported their most recent/only rape experience to authorities, with only 2.7% of rapes involving drugs and/or alcohol reported. Minority status (ie, nonwhite race) was associated with lower likelihood of reporting, whereas sustaining injuries during the rape was associated with increased likelihood of reporting. Discussion: Reporting, particularly for rapes involving drugs and alcohol, is low among college women. Implications for policy are discussed.     

The Eating Disorders NOS Diagnostic Profile Among College Women

Abstract

The authors examined a proposed profile of eating-related behaviors, associated features, developmental issues, and help-seeking behavior among college women, using an eating disorder response program. The most common symptom scenario was a pattern of regular binge eating, together with daily exercise and occasional purging. The most common associated features were distressing or dysfunctional overconcern about body image and self-esteem, usually with day-to-day stress and intermittent depression. The women who fit this pattern also presented developmental issues of perfectionism, conflictual relationships with parents, and struggles for independence; and they tended to be ambivalent about seeking services. Implications for practice, including the need to develop a framework for eating disorder responses on campus that includes preventive programs and developmental interventions to target emerging and moderate concerns are discussed; limitations and the preliminary nature of the findings are explicated.     

Sexual Life of Women with Multiple Sclerosis: A Qualitative Study

Objectives: To define the thoughts, emotions, experiences and perceptions of women with multiple sclerosis (MS) and to determine sexual, physical, and emotional effects of MS on patients. Methods: Twenty-one women were included into this qualitatively designed study. Results: Three baseline themes were defined as “uncertainty” arising from complaints due to numbness in extremities and loss of sense, balance or vision, “alterations in sexual life,” and “inability” as a result of deformities in marital status and gender role. Conclusion: Healthcare providers should evaluate MS patients meticulously as to sexual life and refer such patients to appropriate health centers.     

Body Appreciation and Contraceptive Use Among College Women: A Brief Report

Research suggests that body image and sexual behaviors are related, with poor body image associated with risky behaviors and positive body image related to protective behaviors. However, few studies explore the relationships between positive body image and contraceptive use. Accordingly, the current study investigated the relationship between body appreciation and barrier and hormonal contraceptive use among college women (N = 399). Body appreciation was significantly related to male condom use and to the use of both male condoms and a hormonal contraceptive. These findings are promising as dual contraceptive use is the best way to prevent unintended pregnancy and sexually transmitted infections (STIs).     

Cultural Identity and Acculturation Preferences Among South Asian Adolescents in Britain: An Exploratory Study

The study reported in this article is part of a wider research project on the adaptation of South Asians in Britain. It examines and compares the acculturation attitudes and cultural identity of Indian and Pakistani second‐generation adolescents Indian (Punjabi Sikh and Gujarati Hindu) and Pakistani (Muslim) in Britain. The research project integrates a social psychological approach to ethnic identity, Berry’s (Cross‐cultural Perspectives. Nebraska Symposium on Motivation, 1990) acculturation strategy and stress models, and Phinney’s (Journal of Early Adolescence, 9 , 1989:34) model of ethnic identification. There were 240 adolescents, aged 13–18 years, with an even split between the genders. Results from this study suggested that the majority of Indian youth adopted integration strategies as opposed to Pakistani Muslims who adopted a separation strategy. Cultural identity is a term used to include both ethnic and national identities. Ethnic identity scores were high for Indian and Pakistani adolescents. National identity was more important for Indian adolescents but ethnic identity was more important than national identity for all groups. Perceived discrimination was related to acculturation strategies.     

Single Asian American Women as a Result of Divorce

This article reveals findings of an exploratory study of the psychological and social experiences following divorce among Asian American women. In depth interviews were conducted with 50 women who were divorced within the last five years residing in the San Francisco Bay Area. The article focuses on neglecting dimensions of the adjustment problems among divorced Asian American women by mvestigating the perceptions, thoughts, and feelings over a broad range of questions. The study findings suggest that the newly divorced are significantly more depressed. This increased depression is affected by greater economic problems, lower perceived standard of living and lesser availability of close confiding relationships. Despite its increases, divorce remains an event that brings economic and emotional hardship to these women: The greater depressive effect reflects their worsened life conditions. These divorced Asian American women face complex problems of emotional, personal and social adjustment requiring further attention by researchers.     

Cultural Barriers and Familial Resources for Negotiation of Engineering Careers Among Young Women: Relational Dialectics Theory in an Asian Perspective

The study takes a critical approach to understanding how girls/women discursively navigate engineering career discourses with their families by using the lens of relational dialectics theory 2.0. In particular, the study examines 28 interviews of Asian women engineers to explore the ways in which cultural meanings of engineering careers influence families’ messages towards girls in choosing their future careers. Contrapuntal analysis shows that competing culturally circulating discourses intersect with familial material/discursive resources through which girls make sense of the support and barriers they experience from parents and other family members regarding their engineering careers. Findings have considerable implications for the role of culture in familial understanding of engineering careers and how families contribute towards sustaining young women in engineering from an Asian perspective.     

Consuming Orientalism: Images of Asian/American Women in Multicultural Advertising

Past research has analyzed the gendered constructs of American consumption practices that underlie marketed images in the print media. This article re-considers the cultural constructs of multicultural advertisement strategies in the new global era. Based on an analysis of three advertisement campaigns, our contention is that the normalcy and positionality of White males in the U.S. society rely on the racialized and gendered representations of Asian/American women as the Other. It is argued that the emerging global culture has been packaged, commodified and marketed by multi-national corporations in a manner that widens their range of cultural repertoires but resurrects traditional hierarchies of American Orientalism.     

How Rumination Affects Marital Conflict in Iranian Women: A Qualitative Study

Rumination can cause numerous problems for an individual. Previous studies have indicated that the tendency of women toward rumination is greater than that of men. Therefore, the aim of this study was to investigate how rumination might affect marital conflict in Iranian women. This qualitative study has a thematic analysis design. Using purposeful sampling, women were recruited to be interviewed using a semistructured manual, and the sampling continued until it reached saturation (N = 63). Analysis of the data showed that findings could be grouped into 5 themes: insecure attachment style, deteriorating behaviors, deactivation, uncertainty about the relationship, and negative emotions. The finding of this research is that when marital conflicts are not solved, insecure attachment styles are activated, possibly resulting in rumination. As a result, rumination will exacerbate the negative emotions and marital relationship quality.     

The Role of Hawaiian Elders in Substance Abuse Treatment Among Asian/Pacific Islander Women

SUMMARY

The elders of a culture are often the designated transmitters of long-standing values and ways that define the unique essence of a people. Küpuna (elders) teachings are especially important to Native Hawaiians who have experienced the cumulative effects of cultural imperialism, which has taken their lands, discouraged use of their language and cultural ways, damaged their identity as a people and destroyed their sovereignty.

Modern day cultural imperialism, which universalizes the dominant group's experience and culture, renders minority groups as invisible while marginalizing them (Young, 1990). The chronic stress of this insidious form of oppression can translate into physical, mental health problems which lead to decreased life expectancy (McEwen, 1998; Schulkin, Gold & McEwen, 1998). Statistics on Hawaiians and other Asian/Pacific Islanders in Hawaiì indicate these groups have high rates of health problems and increasing rates of substance abuse (Office of Hawaiian Affairs, 1998).

This article describes the roles and Hawaiian practices of küpuna who acted as facilitators in the healing of Asian/Pacific Islander pregnant and postpartum women who participated in a culturally based substance abuse treatment program (CBSATP). The findings of a qualitative study, which examined the effectiveness of küpuna in these roles and their implications for practice are discussed.     

Context Matters: Differential Effects of Discrimination by Environmental Context on Depressive Symptoms Among College Students of Color

Clinical Social Work Journal - Experiences with more subtle racism – which have been called microaggressions – have a host of negative effects on health, mental health, educational...     

Social Context of Smoking Hookah Among College Students: Scale Development and Validation

Abstract

Objective: To develop an instrument that measures the social context of hookah use among college students. Participants: A pool of 50 potential items, based on 44 in-depth interviews with regular college hookah smokers, was administered to a sample of 274 hookah users between October and December 2011. Methods: Participants were approached in hookah bars and asked to complete the survey. Results: A principle components analysis revealed 3 reliable factors: social facilitation, family/cultural influence, and alternative to smoking cigarettes and drinking. These were examined across different categories of hookah use: Weekly hookah users were more likely to smoke in a context of social facilitation than the other 2 groups. Similar effects were observed for family/cultural influence. Asians were more likely to smoke in a context of family and cultural influence than non-Asians. Conclusions: This scale has potential for identifying situation-specific contexts of hookah use that may help in designing effective interventions for college students.