Ethnic and cultural differences in knowledge about HIV and AIDS: a study of 150 young women from Sweden, Chile and Ecuador

This article illustrates the differences in knowledge about HIV and AIDS and attitudes among 150 young women from three different countries (Sweden, Chile and Ecuador). In each country, 50 consecutive women, visiting a family planning clinic answered 23 structured questions. The questionnaire was translated into Spanish. The aim of this study was to evaluate the influence of age, education, ethnicity and religion on young women's knowledge of HIV and AIDS. This study shows that ethnicity is the most important independent variable influencing the level of knowledge (stepwise logistic regression). Also, in Chile and Ecuador, less than 10% of the women in the study required that their partner use a condom. In Sweden the use of condoms is often combined with another contraceptive, yet more than two thirds of the women in Sweden were unprotected from a sexually transmitted disease during coitus.     

Texting among United States young adults: An exploratory study on texting and its use within families

The current study examines general text messaging tendencies, patterns of and reasons for texting family members, and the impact of texting on familial relationships among a young U.S. adult sample. Participants were recruited through Facebook; they then completed an online questionnaire. Data from 127 young adults (men: 38; women: 87; unidentified: 2) are analyzed and compared by gender. Findings suggest that young adults text at high rates per month. Participants generally report a prompt response to texts and their ability to honestly express feelings within these messages. Results also suggest participants text family members for a variety of reasons, such as to convey information, plan activities, and engage in general conversation. Distinct gender differences, however, are evident regarding who men and women text as well as texting's effects on familial relationships. Overall, these findings expand researchers’ understanding of texting in general and its impact within the family.     

Group Work with the Bedouin Population of the Negev

The Bedouin living in the Negev desert, in the south of Israel, are undergoing a rapid and dramatic process of sedenterization. In 1986 a group of social work students surveyed the needs of one of the tribes who were transferred from pastoralism to a new urban settlement when a military airport was built on their old settlement area following the Camp David Peace Treaty. The survey showed a variety of urgent needs, particularly among adolescents about to finish their high school studies. We report here on group interventions with these young men and women, led by Bedouin students, aimed at helping them reach decisions about their future. The groups used the opportunity to discuss and share with others their feelings about marriage, career choice and planning their future, though there were clear differences between the dynamics and the content of the male and female groups. We discuss the reasons for these differences, as well as the extent to which the groups were thus able to fulfill the safety valve role of traditional social networks which, because of the turmoil created by the physical and social changes undergone by the community, were unable to fulfill their, roles as in the past. We argue that the group formed a stable social resource in a confused environment, characterized by tension between the individual and the society, and an important point of contact on the boundary between the Bedouin and the surrounding society.     

Social work practice toward enhancing competence in family planning

Competence in family planning possessing the ability to limit conception so that children are produced by choice. More attention must be directed toward family planning by social workers because of its importance in family welfare. They should help clients know that family planning might help in preventing family problems and promoting family health. The workers should determine whether their clients use or have ever used family planning, and who takes responsibility for it. Discussion of the physiology of the various methods can help alleviate many unwanted fears. The subject of family planning is also important in dealing with adolescent groups. As social work practice incorporates family planning as an integral part of its profession, it will become more effective.     

Comparative Impacts of Alternatives to Adolescent Placement

The impacts of day treatment and family treatment as alternatives to adolescent placement are assessed in a longitudinal, quasi-experimental study. The development of the day treatment and family treatment programs greatly reduced the number of adolescent placements by a public county welfare agency. Substantial cost savings were associated with family treatment. Post-intervention delinquency rates, relative to pre-intervention rates, were lowest for adolescents initially served in out-of-home placement as opposed to alternatives. School performance among youth receiving all three types of service was poor and differences in school performance were small. Telephone follow-up interviewing suggested that parents of family treatment clients found services somewhat less helpful than did parents in the other programs.     

Well‐being among employed and non‐employed caregiving women in Taiwan

Chou Y‐C, Kröger T, Chiao C, Pu C‐Y. Well‐being among employed and non‐employed caregiving women in Taiwan This study addressed various groups of non‐employed/employed and non‐caring/caring women in Taiwan. Data from the 2006 National Taiwanese Women Survey (at age 16–64, n= 6,017) were analysed to determine whether there are differences in terms of well‐being, as measured by self‐rated health and family life satisfaction, between women who work and/or care and between different carer groups. Other factors associated with well‐being of carers of young children (n= 1,697) were also analysed. The results showed that non‐employed carers of disabled adults stood out as the most disadvantaged group. However, the importance of work has been replaced by support among carers of young children. This study suggests that unpaid carers, particularly carers of disabled adults who are non‐employed, ought to be supported by policies. To improve carers' well‐being, care–work reconciliation among working‐age women needs to be included in the future care scheme in Taiwan.     

Homeless young people,families and change: family support as a facilitator to exiting homelessness

The families of homeless young people are most often portrayed as a precipitating factor in their homelessness. However, recent studies, particularly those taking a longitudinal approach, have drawn attention to the enabling role of family members and their positive influence on the housing trajectories of homeless youth. Drawing on selected findings from an ongoing longitudinal qualitative study of homeless young people in Dublin, Ireland, this paper aims to build on this relatively fertile area of research. We demonstrate the supportive role of the families of young people who experience homelessness (often as a consequence of difficult family environments) and specifically examine how family re‐engagement is negotiated and achieved. The findings highlight a number of dimensions of transition and change. Prominent among these is the importance of renewed trust and communication. Young people and their parents also had to accept responsibility for areas of life that previously served to undermine their relationships and were implicated in the circumstances surrounding a young person's premature home‐leaving. Tensions and resistances on the part of young people are highlighted, demonstrating the adaptive mechanisms at work as they attempt to re‐engage with family members. The implications of the findings for social work intervention with homeless youth are discussed.     

Psychosocial Well-Being of Young People Who Participated in a Support Group Following the Loss of a Parent to Cancer

Despite the evidence of unmet support needs among young people who have lost a parent to cancer, only a few support group initiatives have been reported. This observational prospective study explored the psychosocial well-being of young people who participated in support groups at a Swedish specialist palliative care setting. On three occasions, 29 participants, aged 16–28 years, answered questionnaires covering characteristics of the participants, circumstances of the losses, psychosocial well-being of the young people, and their own assessment of the support groups. The support groups attracted mostly young women who were often unprepared for the loss. The living arrangements differed between younger and older participants; however, the loss-related variables did not differ. Significant positive changes were found regarding a sense of meaning in their future life and life satisfaction. The helpfulness of the group was assessed as high/very high and the group brought a valuable fellowship with others in a similar situation. Universality and beneficial interactions were reported and strengthened psychosocial well-being developed over time. This change, according to the young people themselves, may be attributed to the group support. The findings are useful for planning interventions to support young people in bereavement in order to enhance their psychosocial well-being.     

“They Kill People Over Nothing”: An Exploratory Study of Latina Immigrant Trauma

Abstract

This article presents findings from an exploratory, mixed methods study to: (1) Ascertain whether Latina immigrant clients of a healthcare clinic for uninsured patients suffer a higher rate of PTSD compared to the citizen population at large and (2) Explore whether factors unique to immigrants, such as surviving human smuggling, would predict PTSD. Two validated instruments were deployed with clients who agreed to be screened (n?=?62). Ten percent of U.S. women are expected to develop PTSD in a lifetime, a total tripled by immigrant women in this study. Women who scored high on the PTSD CheckList for Civilians (PCL-C) reported victimization from sexual assault, robberies and loss of friend/family member to violence, though no single assault predicted PTSD. Qualitative data, however, revealed that violence in countries of origin influenced decisions to immigrate. Among the avenues for future research identified by this study are (1) exploration of methods for linking Latina immigrants to mental health services, (2) determining the effects of smuggling violence on immigrants, and (3) Evaluate additive effects of multiple traumas.     

Contraceptive self-efficacy: a primary prevention strategy

This paper discusses the development, implementation, and qualitative evaluation of an intervention designed to improve contraceptive self-efficacy (CSE) in a population at high risk for pregnancy. In a previous study, a relationship was found between CSE and a measure of contraceptive use for sexually active young women attending a family planning clinic. Here, the concept of CSE is further developed to identify contraceptive and sexual issues for adolescent males, for adolescents who show little or no motivation to obtain or use contraceptives, and for those adolescents who would plan to carry a pregnancy to term if they were to become pregnant. Implications are drawn for developing primary prevention programs.     

Advance Care Planning in the Delivery of Adult Protective Services

ABSTRACT

In ensuring the safety and protection of older adults from abuse and exploitation, adult protective services (APS) workers face a variety of situations involving serious illness and end-of-life conditions. Many older adults encountered in APS will present with one or more chronic conditions that may warrant discussion of advance care planning with clients and their families. This study surveyed APS workers (n = 508) in 21 states regarding encounters with end-of-life situations and the practice of future care planning. Results revealed that three-fourths of APS workers encounter clients with serious illnesses and about two-thirds do discuss planning in advance for care. More than one-half of the respondents indicated client incapacity and refusal to address future care needs as barriers to discussing planning in advance for care. Recommendations to enhance advance care planning among APS workers are discussed.     

Substance‐dependent women becoming mothers: breaking the cycle of adverse childhood experiences

Parenting may be particularly challenging for substance‐dependent mothers who have grown up with parents who themselves had substance use disorders (SUDs). The aim of this study was to explore how substance‐dependent mothers describe their childhood experiences with substance‐abusing parents and the association between these earlier experiences and their own role as caregivers. Using purposeful sampling, mothers admitted for 1 year to a family ward at a substance abuse clinic were approached. Through in‐depth, qualitative interviews, nine substance‐dependent mothers described their lives in the form of present, past and future tense. The findings indicate that substance‐dependent women, who have experienced SUDs in their families of origin, face several major challenges when they become mothers. Some describe having lived their whole lives ‘on the edge of society'. This makes their rehabilitation process more complex. All mothers work to abstain from substances, process traumatic experiences and integrate their family into society. They need help to build supportive social networks and to establish a safe and predictable family environment for themselves and their children. The therapeutic implications of these findings will be discussed.     

Pathway planning with unaccompanied young people leaving care: Biographical narratives of past,present, and future.

This article presents findings from a qualitative study with Unaccompanied Young People (UYP) who have sought asylum alone in the UK without a parent or guardian. The findings explore how UYP create biographical narratives of their past, present, and future as they prepare to leave care, suggesting that UYP who have settled immigration status create coherent biographical narratives that reconcile the past with a positive imagined future. Themes of return and reciprocity emerged in their narratives as they developed aspirations to reunite with their families and return support received in the past by succeeding in education and careers. Unaccompanied young people who did not have settled status struggled to create biographical narratives and could not imagine the future or the past. These findings have significant implications for pathway planning with UYP, suggesting the need to recognise the interconnected nature of the past, present, and future as well as the role of families and education in future plans. Pathway planning for UYP with uncertain immigration status can be complex as young people struggle to maintain a biographical narrative. Further research is necessary to support young people and professionals with these challenges.     

Social inclusion in research: reflecting on a research project involving young mothers in care

This article considers social inclusion in research by reflecting upon a project involving young mothers in care, which used grounded theory methodology (GTM) to theorise their situations and emphasise their voice, a key issue in inclusion, and yielded mixed outcomes. GTM dealt poorly with inclusivity and was supplemented by a feminist orientation. This also failed young mothers. They were included by sitting on an Advisory Com-mittee, being paid an honorarium and assisting in disseminating results. These efforts were unable to overturn power dynamics that privileged researchers' ownership of the findings, and enabled them to benefit from doing research and their rela-tionship with funders. The attempt to change policies and practices that served clients badly was thwarted by an election that brought in a régime with different goals. The young women authored their own stories and spoke authoritatively of their experiences. However, inclusion was not fully secured in and by the research process. Their positioning as research subjects curtailed their potential in this regard.     

A comparison of state support for young people leaving care in Norway and Sweden: Differences within comparable welfare systems

The aim of this article is to account for and discuss support to young care leavers within the comparable welfare regimes of Norway and Sweden and to explore key differences between these 2 countries. This model implies that children and young people are included and entitled to support through being family members, not as independent actors in their own right. This makes young care leaver's transition from care to adulthood problematic—as they often do not have access to family support, they may be positioned in a vacuum where they are clients neither entitled to support from the child welfare system nor supported by their families of origin. In Norway, legislators and policymakers have agreed that care leavers need particular attention and targeted support, whereas in Sweden, there has been no such agreement. However, the Norwegian system of giving leaving care services is not strong enough to provide transition support to all care leavers, even if the legislation gives stronger protection than in Sweden. The article discusses the need for targeted measures of support for a successful care‐leaving process.     

Drawing out strengths and building capacity in social work with troubled young women

This paper compares the experiences of a group of marginalized young women with two groups that remained socially engaged. Drawing from a qualitative study of young women aged between 13 and 15 years, we identify four areas (understandings and experiences of well‐being, use of space, making wishes, and emotional and household labour) that illuminated the ways in which marginalized young women articulated their experiences differently from those young women who were still engaged in mainstream social life. Drawing on Ungar's work we consider the ways in which marginalized behaviours, which are typically interpreted as socially disruptive and troubled, can also be read as efforts by young women to create a consistent set of social meanings in their lives and to cement reliable relationships around them. Rather than wholly negative, we suggest that these socially disruptive and troubled behaviours should be understood as having health‐enhancing qualities, given the wider contextual challenges the young women faced, and as being the best choices they could make given their circumstances. Social work and support that assists young women on the margins needs to actively engage with these health‐enhancing qualities and to come to a sensitized understanding of the way in which these young women understand their interpersonal worlds.     

The bumpy road to ‘becoming’: capturing the stories that teenage mothers told about their journey into motherhood

Understanding the experience of women who become mothers during their teenage years is central to ensuring that the support that is offered is appropriate to meet their needs. This paper reports on a small part of a larger ethnographic study that captured the lived experience of young mothers who were between the ages of 16 and 19 years that potentially typifies and illuminates the experiences of young women who become mothers in their teenage years. By collecting data from narrative interviews as well as participant and non‐participant observations over an extended period of time it was possible to identify how the young women experienced a range of difficulties as they made their transition into motherhood. Drawing on the findings, this paper argues that this transition for teenage mothers can be significantly different from the experience of older mothers, and it identifies the importance of appropriate support to mediate the challenges that they face. Understanding the young women's journey to ‘becoming’ is critical when planning services because if their experience of support is negative, it can lead to increased levels of maternal stress and reluctance to engage with support services.     

Attitudes To Marriage Among Young Tertiary–Educated Women

This study explores the attitudes to marriage and child-bearing held by women graduates born 1957–62. It is argued that this is a group of women for whom economic and cultural pressures to enter marriage are low, due to changes in social structures and the availability of a feminist philosophy that provides an alternative value system to patriarchy. With extrinsic pressures to marry so reduced, what factors determine the marriage and family decisions that they make? Interviews with a small sample of these women provide some strong pointers. Marriage at an appropriate age and to an appropriate partner was seen as providing substantially more benefits than costs. Delaying marriage until personal identity had been achieved was considered very important, with independent living, work and overseas travel contributing to identity formation. Supportiveness and egalitarianism were considered crucial qualities in a spouse, and those who were married had tended to marry men who were as or more ambitious for their wives than for themselves. An overall attitude of entitlement-with-organisation emerged. The increase in socioeconomic differences among women-in-their-own-right is discussed.     

Natural family planning in Mauritius,Indian Ocean: utilization patterns and continuance predictors

Factors associated with discontinuation from an island-wide natural family planning program in Mauritius were examined in 2 stratified random samples of 300 (1976) and 350 (1980) acceptors. The data were gathered through records, educator observations, and field interviews with the 1980 sample. Comparison between those served by the Action Familiale program and characteristics of the Mauritius population as a whole suggests that the natural family planning program serves a somewhat better educated group of couples who have more employment security and smaller families than the general population. Acceptors selected the natural family planning method for reasons such as a desire to have a child according to a plan or to space children (29%), avoidance of the side effects of artificial contraception (21%), or as a result of a recommendation by a friend, relative, or professional (25%). 74% of acceptors in the 1980 sample expressed satisfaction with the method and indicated that their spouse shared this satisfaction. After 3.5-4.5 years of follow-up, 57% of acceptors in the 1976 sample had discontinued use of natural family planning. 9 variables in 4 categories--Administrative, Psychological-Motivational, Educator-Acceptor Relationship, and Family--were predictive of discontinuation. The major factors differentiating discontinuers from continuers were: 1) discontinuers had previously registered at Action Familiale and dropped out; 2) discontinuers placed more emphasis on spacing than on preventing pregnancies; 3) discontinuers discussed fewer topics with their educators; 4) discontinuers and their husbands seemed less interested in the natural method; 5) discontinuers had less family support for natural family planning; 6) educators experienced greater difficulty in teaching discontinuers; 7) discontinuers demonstrated less understanding of the symptothermal method; and 8) educators made fewer preregistration visits to the homes of discontinuers.