“Apparently I've Got Low Self‐Esteem”: Schoolgirls' Perspectives On a School‐Based Public Health Intervention

This article focuses on a psycho‐educational programme, DISA, currently practised in the Swedish schools to prevent girls from developing depressive symptoms. We draw on group interviews with schoolgirls to explore how they describe DISA and how an understanding of the programme is constructed through their arguments. We demonstrate how the girls' version of DISA highlights a contradiction in the intervention that is traceable to the theoretical underpinnings of the programme and the mix of traditions — treatment and prevention — that constitute the intervention. We discuss problematic aspects of DISA and outline implications for policy practice.     

Sexual Orientation–Based Depression and Suicidality Health Disparities: The Protective Role of School‐Based Health Centers

This study's purpose was to examine whether school‐based health centers (SBHCs) support mental health indicators among sexual minority youth (SMY). Data came from the 2015 Oregon Healthy Teens Survey with 13,608 11th graders in 137 public high schools in Oregon. Regression results revealed significant SBHC by SMY status interactions indicating relative reductions in likelihood of depressive episodes (30%), suicidal ideation (34%), and suicide attempts (43%) among SMY in schools with SBHCs. SMY students in SBHC schools reported lower likelihood of a past‐year depressive episode, suicidal ideation, and suicide attempt versus those attending non‐SBHC schools. Conversely, no differences in these outcomes were observed for non‐SMY by SBHC status. SBHCs may help reduce mental health disparities among SMY, a marginalized, underserved population.     

Steps in the Right Direction,Against the Odds,An Evaluation of a Community‐Based Programme Aiming to Reduce Inactivity and Improve Health and Morale in Overweight and Obese School‐Age Children

The study describes an evaluation of a 48‐week physical activity and nutritional education programme for overweight/obese school‐age children using quantitative and qualitative methods. The majority of participants were obese or severely obese when enrolled, and while some improvements in body mass index, self‐esteem and engagement in a range of physical activities were noted, difficulties in evaluating a complex community‐based intervention were highlighted. Children, parents and health professionals described a range of benefits from attending the programme but more intensive services are likely to be needed for the most seriously obese children and for those families resisting intervention.     

School‐to‐Work Transition of Career and Technical Education Graduates

This study analyzed the career development of career and technical education (CTE) high school graduates during their school‐to‐work transition, specifically their adaptability in the face of barriers. Forty graduates (22 men, 18 women) from working‐class backgrounds participated in baseline surveys at graduation and phenomenological interviews 1 year postgraduation. Primary themes were job loss altered career plans, whereas relevant jobs propelled career development; limited access to college constrained options, whereas college experience expanded options; graduates experienced the loss of education‐related support, and CTE served as a backup plan. Teachers and school counselors emphasized organizational barriers including limited staffing for upper level math courses and inconsistent workplace partnerships.     

Career Compromise Types Among University Graduates During the School‐to‐Work Transition

Because of high youth unemployment caused by structural conditions, South Korean university graduates must compromise their employment preferences and instead accept whatever work is available. In this study, we classified the types of compromises using latent profile analysis to examine various factors involved in the career compromise of 472 recent university graduates during their school‐to‐work transition. We identified four types of compromise patterns with distinct characteristics and discovered that the university graduates who did not compromise their interest and aptitude in their job selection showed a higher level of commitment to their career compared with those who compromised. Results suggest that individuals who do not compromise their interests and aptitudes are more likely to have successful and fulfilling long‐term careers.     

Working with Families: Messages for Policy and Practice from an Evaluation of a School‐based Project

In 2002 the authors evaluated a family support project known as Working with Families managed by the Children's Society and located in a primary school on a large, mainly white council estate in Rochdale. Our reflections on some of the issues which emerged in relation to basing family support services in a school setting seem timely in the light of the apparent growth in such services as a result of investment by the Children's Fund, and the proposals in the Green Paper, Every Child Matters, (Department for Education and Skills, 2003a) that schools should play a key role in the delivery of support services. Our experience of one such project is offered as a contribution to ongoing policy and practice developments. We highlight the strengths and difficulties of delivering support services from school settings and we offer some thoughts on whether integrated services which tackle children's needs can be delivered from schools.     

Nativity and Self‐Assessed Health among Pre‐Retirement Age Hispanics and Non‐Hispanic Whites1

Economic, social and familial resources are known to influence subjective health assessments. We examine the salience of nativity in determining how these resources influence self‐assessed health using a large, nationwide sample of Hispanic and non‐Hispanic white adults. The results indicate that while education, accumulated assets and marital status benefit the physical and emotional health of the native and foreign‐born, family resources and income are significant only for the native‐born. English language proficiency is a significant protective factor for both groups and is especially protective for immigrants. These surprising findings call into question previous studies stressing the positive role of the family in maintaining immigrant health.     

On School‐to‐Work Transition,Career Development Theories,and Cultural Validity

The authors respond to Duane Brown's (2000) claims about the deficiencies of person‐environment, social learning, developmental, and social cognitive theories as templates for studying and promoting the work transition of racial/ethnic minority students. They (a) suggest that the degree to which theories are generalizable across cultures and subcultures is an empirical question, not a matter to be decided by fiat; (b) counsel against the assumption that cultures exert uniform effects on the career behavior of their members; (c) consider certain mischaracterizations of the career theories; and (d) entertain the possibility that work transition may be studied from the perspective of both generic and culture‐specific career theories.     

Realistic Major Previews in the School‐to‐College Transition of Italian High School Students

Industrial/organizational researchers have reported that realistic job previews diminish prospective workers' expectations but promote the satisfaction and persistence of those who ultimately accept a job assignment. The authors applied this strategy to the context of school‐to‐college transition; 354 Italian high school students were provided with a 2‐hour lecture designed to simulate exposure to a college major of their choice. Students showed moderate pre‐post increases in subject matter knowledge but reported small decreases in interests and outcome expectations (but not self‐efficacy) related to the academic major to which they were exposed.     

Rural High School Youth's Access to and Use of School‐to‐Work Programs

Rural youth face numerous barriers that may limit career exposure. School‐to‐work (STW) programs are one tool used to increase exposure and facilitate connections between school and work. Using a nationally representative data set, the authors investigated whether rurality relates to the availability of STW programs and rural youth's program use. Results indicate that most schools provide school‐based services (e.g., career plans/career majors), but few schools offer work‐based services (e.g., internships). Rural schools were more likely to offer vocational–technical prep programs and job shadowing but were less likely to offer school‐based enterprise. After controlling for program availability, the authors found that rural students were less likely to take part in job shadowing and community service. Conclusions are offered for career development research, policy, and practice.     

Navigating the Transition to Multi‐Ethnic Urban High Schools: Changing Ethnic Congruence and Adolescents' School‐Related Affect

This short‐term longitudinal study investigated 918 students' school‐related affect across the transition to high school. The study focused specifically on the moderating effect of change in student ethnic congruence from middle to high school. Results indicate that students experiencing more ethnic incongruence from middle to high school, in particular African American and male students, reported declining feelings of school belonging over time. Moreover, students experiencing ethnic incongruence also had increasing worries about their academic success. These results suggest that the changing school demographics from middle school to high school may negatively impact students' school‐related affect, especially if they move to high schools which include fewer students who are ethnically similar to themselves.     

Reading Sociology into Scholarship on School‐Based Sex Education: Structure and Culture

School‐based sex education (SBSE) represents an attempt on the part of institutions to interrupt and correct the sexual socialization of young people. In this examination of scholarship on SBSE, I provide an overview of the field of academic approaches to SBSE and argue for the application of a variety of sociological frameworks to future studies. Much of the extant sociological literature on SBSE tends to focus on the implications that political rhetoric has for policy and funding, curricula, and stakeholder perspectives. In this paper, I will discuss this literature vis‐a‐vis the structural level (e.g. policy, law, funding). Further, because both structure and interaction are embedded in cultural contexts, I will discuss the role of culture as treated in the literature. I will then discuss the scholarly criticisms of SBSE contained in the literature as opportunities for sociological article of SBSE.     

Reading Sociology into Scholarship on School‐Based Sex Education: Interaction and Culture

School‐based sex education (SBSE), an institutional attempt to interrupt and correct the sexual socialization of young people, operates at the levels of structure, interaction, and culture. At the structural level SBSE has been found to endorse a particular set of cultural messages about sex and sexuality that reinforce patterns of inequality. This is often the case regardless of program type (e.g., abstinence versus comprehensive). However, there is little empirical focus on the actual classroom practices and other social interactions that constitute SBSE in the United States. In this paper, I will provide an overview of the field of SBSE research, reading the findings at the interactional level. In particular, I will review findings on curricula, stakeholder perspectives, and effects in a discussion of the importance of both interaction and culture in SBSE practices. Finally, I will use criticisms raised in existing SBSE scholarship to pose opportunities for sociological research into the topic.     

Healthcare Use in the Heartland: How Health Care Selection Varies Between Rural,Retirement‐Age Migrants and Long‐Term Residents

One increasingly important problem affecting rural health care selection is the tendency of older residents to bypass local health care providers. This research investigates how the effects of community characteristics and attachment on health care bypass behavior vary between rural retirement‐age migrants and retirement‐age long‐term residents. Non‐health‐related behaviors, such as purchasing goods and services outside one's community during a health care trip, that is, “outshopping,” could influence bypass if individuals combine trips for their medical care with other consumer needs. Basing our work on the outshopping theory, we argue that bypass behavior is one facet of consumer consumption patterns for both rural retirement‐age migrants and long‐term residents. In addition, dissatisfaction with local health care and services like shopping can “push” rural residents to bypass local health care and travel greater distances for primary health care. We further contend that strong community attachment has an opposite “pull” effect that can help to negate the push of outshopping and reduce the likelihood of bypass. Our results reveal retirement‐age migrants are significantly more likely to bypass local primary health care providers than retirement‐age long‐term residents. Furthermore, our analysis bridges the rural health care and retirement community development literature to suggest that outshopping theory can now be applied to rural primary health care bypass behavior.     

Gambling and the Health of the Public: Adopting a Public Health Perspective

During the last decade there has been an unprecedented expansion of legalized gambling throughout North America. Three primary forces appear to be motivating this growth: (1) the desire of governments to identify new sources of revenue without invoking new or higher taxes; (2) tourism entrepreneurs developing new destinations for entertainment and leisure; and (3) the rise of new technologies and forms of gambling (e.g., video lottery terminals, powerball mega-lotteries, and computer offshore gambling). Associated with this phenomenon, there has been an increase in the prevalence of problem and pathological gambling among the general adult population, as well as a sustained high level of gambling-related problems among youth. To date there has been little dialogue within the public health sector in particular, or among health care practitioners in general, about the potential health impact of gambling or gambling-related problems. This article encourages the adoption of a public health perspective towards gambling. More specifically, this discussion has four primary objectives:1. Create awareness among health professionals about gambling, its rapid expansion and its relationship with the health care system;2. Place gambling within a public health framework by examining it from several perspectives, including population health, human ecology and addictive behaviors;3. Outline the major public health issues about how gambling can affect individuals, families and communities;4. Propose an agenda for strengthening policy, prevention and treatment practices through greater public health involvement, using the framework of The Ottawa Charter for Health Promotion as a guide.By understanding gambling and its potential impacts on the public's health, policy makers and health practitioners can minimize gambling's negative impacts and appreciate its potential benefits.     

GotFlu Channel: An Online Syndromic Surveillance Tool Supporting College Health Practice and Public Health Work

Abstract

Objective: Develop a tool to ease the burden of H1N1 influenza on a campus clinic by promoting self-care, generating medical notes, and identifying vulnerable students. Participants: Students at Brock University, a mid-sized urban campus; Brock's Student Health Services; and Niagara Public Health. Methods: Students accessed a controlled portal of Brock's Web site and self-identified onset/offset of influenza-like symptoms. Daily sign-in numbers were monitored and nonidentifiable aggregate data transferred to the local public health unit. Results: There was concordance among the number of college students signing in, local school absenteeism rates, and local rates of laboratory-confirmed influenza. Many visits to the campus health clinic were averted, 1,432 students used the tool. Conclusion: The online, real-time surveillance tool was effective in monitoring influenza activity on campus, providing timely health advice, decreasing unnecessary visits to the campus medical clinic, and assisting local public health in surveillance activities.     

Negotiating Informed Consent with Children in School‐Based Research: A Critical Review

The methods literature on research with children recognises the challenges of negotiating informed consent with this group. Special ‘child‐friendly’ techniques are advocated to overcome these challenges. We argue that, upon closer inspection, research with children foregrounds more fundamental problems with informed consent that are not easily resolved. Drawing from three ethical texts commonly consulted in our own research fields, we highlight problems of information, understanding, authority, capacity and voluntarity. We conclude that informed consent is more problematic than is generally admitted, and that researchers would benefit from more openly acknowledging its limitations.     

Health Information-Seeking in the Digital Age

Abstract

Objective: The authors examined the sources of health information among first-year university students and whether the predictors of information-seeking varied by information source. Participants: First-year students in a required course at a midwestern public university were eligible to participate, and 82% (n = 1,060) completed the study. Methods: Students completed a survey questionnaire regarding information-seeking behaviors and Internet uses in domains including health. The authors used regression analyses to examine predictors of source-specific health information-seeking. Results: Young women are much more likely than young men to seek health information. The characteristics associated with looking online for health information are different than those for using other information sources, and students who look online for health information also report greater use of other information sources. Conclusions: Although the Internet is an important source of health information for students, health professionals should be aware that not all students equally utilize this resource.     

The College Health Advisor and the College Age Adoptee

Abstract

Eating disorders are among the most common psychopathologies on college campuses. Research on ethnic differences in eating disorder symptoms and prevalence has resulted in conflicting conclusions. Some studies find that particular ethnic groups have a higher prevalence of a symptom; others find that members of that ethnic group have a lower prevalence of the same symptom. The authors explored the role of body mass index (BMI), one potential confound. They used a reliable measure of eating disorder symptoms to assess differences between Hispanic, Asian, and non-Hispanic White college women from two separate samples. After controlling for BMI, ethnic differences in eating disorder symptoms of concern about weight and shape disappeared, but differences in restrained eating remained. Inconsistent findings in the ethnic-difference literature on eating disorders may result from systematic group differences in BMI. Implications for college health programs, counseling, and case finding are discussed.