Does Higher Socioeconomic Status Increase Contact Between Minorities and Whites? An Examination of Interracial Romantic Relationships Among Adolescents*

Objectives. We examine how socioeconomic status of white, black, Hispanic, and Asian adolescents affects their likelihood of dating across racial lines and the racial characteristics of their romantic partners. Methods. We analyze data nationally representative sample of adolescents in 1994–1995 using logistic regression models. Results. Socioeconomic status has little effect on whether adolescents choose an interracial partner except in the case of Hispanics. However, higher socioeconomic status blacks and Asians who interracially date are more likely to have white partners than their SES counterparts. Conclusion. Although social class does not increase the odds of interracial contact, it does increase contact with whites compared to other groups for blacks and Asians.     

Access to Healthcare Among Working‐Aged Hispanic Adults in the United States*

Objectives. The purpose of this research is to examine differences in access to and sources of healthcare for working‐aged adults among major Hispanic subpopulations of the United States. Nativity, duration in the United States, citizenship, and sociodemographic factors are considered as key predictors of access to and sources of care. Methods. Using pooled National Health Interview Surveys from 1999–2001, logistic and multinomial logistic regression models are estimated that compare Mexican Americans, Puerto Ricans, Cuban Americans, and other Hispanics with non‐Hispanic blacks and non‐Hispanic whites. Results. Mexican Americans, Puerto Ricans, and other Hispanics display significantly less access to care than non‐Hispanics whites, with immigrant status and socioeconomic status variables accounting for some, but not all, of the differences. For sources of care, Mexican‐American, Puerto Rican, and other Hispanic adults were all much more likely than non‐Hispanic whites to report clinics or emergency rooms as their source of regular care. Conclusions. There are wide differences in access to and sources of care across racial and ethnic groups in the United States. Mexican‐American adults, regardless if born in Mexico or the United States, appear to be most in need of access to regular and high‐quality care. Naturalization may be an especially important factor in greater access to regular and high‐quality care for Hispanic immigrants.     

Health and distress in social workers: Results of a national survey

Abstract

This study investigated the physical and emotional health status of professional social workers as well as their levels of distress. The results of this national survey of 668 randomly selected NASW‐member social workers indicated that while most were healthy and satisfied with work and relationships, 17% experienced distress, defined as substance abuse, emotional problems, and/or physical illness. The distressed social workers were more likely to experience difficulties in many areas of their lives, including dissatisfaction with work and low self‐esteem. Some of the social workers reported seeking help for personal/ emotional problems, but very few sought help for alcohol/other drug problems.     

Importation,SES-selective acculturation,and the weaker SES-health gradients of Mexican immigrants in the United States

Previous studies find U.S. immigrants have weaker socioeconomic gradients in health relative to non-Hispanic Whites and their U.S.-born co-ethnics. Several explanations have been advanced but few have been tested empirically. We use data from the Mexican Family Life Survey and the U.S. National Health Interview Survey, including longitudinal data in the former measuring socioeconomic status (SES) and health previous to emigration, to test if (1) immigrants “import” their gradients from the sending country, or if (2) they may be changing as a result of SES-graded acculturation among Mexican migrant men in two health indicators: obesity and current smoking. We find evidence consistent with the first hypothesis: the gradients of migrants measured prior to coming to the U.S. are not statistically different from those of nonmigrants, as the gradients of each are relatively weak. Although the gradients for obesity and smoking appear to weaken with time spent in the U.S., the differences are not significant, suggesting little support for the selective acculturation hypothesis.     

Health insurance coverage of Hispanic adults: An assessment of subgroup difference and the impact of immigration

This research explores the health insurance coverage of various Hispanic subgroups in comparison to non-Hispanic whites and blacks. The impact of immigration status is also considered as we hypothesize that nativity, duration, and naturalization tap a possible process of structural acculturation that increases access to insurance coverage for Hispanic groups. We find that the immigration variables impact the type of insurance reported. However, race/ethnic disparities continue to exist, with the various Hispanic subgroups more likely to report miscellaneous government health insurance or no health insurance coverage as compared to non-Hispanic whites.     

Hispanic Hospice Patients’ Experiences of End-Stage Restlessness

ABSTRACT

End-stage restlessness, or terminal agitation, is experienced by some patients during their final days and is characterized by physical, emotional, or spiritual distress, agitation or anxiety. End-stage restlessness negatively affects the patient’s death experience and can be distressing to the family and care team. Using the 2007 National Home and Hospice Care survey, this study examined factors associated with experiencing end-stage restlessness among non-Hispanic white and Hispanic hospice patients deceased at time of discharge. Results showed that being Hispanic/Latino, experiencing dyspnea, pain, and receiving palliative sedation treatment were risk factors for experiencing end-stage restlessness. The association between pain and restlessness was stronger for Hispanics compared with non-Hispanic whites. The Hispanic population remains underrepresented and little is known about the patient-centered experiences of Hispanic hospice users. Findings indicated that dying Hispanic patients continue to experience pain and other negative symptoms, even when hospice care is in place. Thus, it is important that social workers provide education to interdisciplinary team members about culturally competent practices, and advocate for a patient-centered approach to care.     

Race/Ethnic Differences in Nonspecific Psychological Distress: Evidence from the National Health Interview Survey*

Objective. This article documents the patterns of white‐nonwhite differences in nonspecific psychological distress and explores how acculturation characteristics, social class, marital status, and chronic illness mediate or moderate these differences for eight racial/ethnic populations in the United States. Methods. We analyze data from a five‐year pool of the National Health Interview Survey (NHIS) collected between 1997 and 2001 (N=162,032) and employ multivariate regression techniques to explore level of psychological distress of various ethnic groups relative to non‐Hispanic whites. Results. Nonwhite populations exhibit variable base‐line differences in psychological distress compared to non‐Hispanic whites; however, adjusted estimates show that African Americans and Mexicans have lower levels of distress while distress scores for “other Hispanics,” Asians, and Cubans exhibit statistically similar levels. The highest distress occurs for Puerto Ricans. Interaction models reveal chronic sources of stress (e.g., poverty, chronic illness, nonmarriage) are even more taxing on psychological health of high‐risk groups or have weaker relationships to stress for other groups. Conclusions. This study reveals the need for capturing ethnic variation in studies of mental health. Social class, acculturation, marital status, and chronic illness cannot fully explain white‐nonwhite differences in psychological distress.     

Reactions to research participation in vulnerable subgroups

This paper describes the extent to which vulnerable individuals (defined by economic, social, psychological, physical health, and child maltreatment status) react to research participation. As part of an ongoing longitudinal study, participants (N=896) completed a lengthy and intrusive in-person interview and provided a small amount of blood through finger pricks. At the end of the interview, participants were asked eight questions about their reactions to the research experience. Vulnerable individuals in general agreed more strongly about having an emotional reaction, but were not less willing to continue to participate. In addition, psychologically vulnerable individuals more strongly agreed they would continue to participate, were treated with respect and dignity, and found their participation meaningful. Compared to whites, nonwhites reported stronger agreement about the meaningfulness of the research and the belief that their responses would be kept private. Like others, individuals vulnerable by virtue of their prisoner status or homelessness (past or current) agreed more strongly about having an emotional reaction to the interview, but otherwise did not differ in their reactions. These results suggest that researchers and institutional review boards should not be deterred from conducting research on sensitive topics with potentially vulnerable populations.     

Reactions to Research Participation in Vulnerable Subgroups

This paper describes the extent to which vulnerable individuals (defined by economic, social, psychological, physical health, and child maltreatment status) react to research participation. As part of an ongoing longitudinal study, participants (N = 896) completed a lengthy and intrusive in-person interview and provided a small amount of blood through finger pricks. At the end of the interview, participants were asked eight questions about their reactions to the research experience. Vulnerable individuals in general agreed more strongly about having an emotional reaction, but were not less willing to continue to participate. In addition, psychologically vulnerable individuals more strongly agreed they would continue to participate, were treated with respect and dignity, and found their participation meaningful. Compared to whites, nonwhites reported stronger agreement about the meaningfulness of the research and the belief that their responses would be kept private. Like others, individuals vulnerable by virtue of their prisoner status or homelessness (past or current) agreed more strongly about having an emotional reaction to the interview, but otherwise did not differ in their reactions. These results suggest that researchers and institutional review boards should not be deterred from conducting research on sensitive topics with potentially vulnerable populations.     

A Retrospective,Empirical Study of Grief-Related Beliefs in a Veterans Affairs Medical Center

This article reports on the findings of a retrospective, empirical study that explores and describes grief-related beliefs of a convenience sample of 312 persons in a Veterans hospital. These beliefs may facilitate bereaved individuals’ emotional regulation and adaptive responses to loss conceptualized in the dual process model. The study addresses the question: Do gender, employment status, and loss burden contribute to differences in grief-related beliefs? The findings reveal significant gender differences, and also that grief-related beliefs are reality rather than myth-oriented. Study limitations and implications for social work practice in bereavement care and hospice settings are discussed.     

Explaining individual level support for organ procurement policy

The demand for human organs for transplantation – both from live and deceased donors – has become a public health issue in the United States, as thousands of Americans die each year due to the lack of a needed transplant. The current policy basis for organ procurement is voluntarism as federal organ procurement policy, based on the 1984 National Organ Transplant Act (NOTA), prohibits the exchange of human organs for “valuable consideration.” While an increasing number of policy analysts, including some ethicists, have advocated for financial incentives to induce more donations, a variety of factors – such as the legislative status quo, ongoing ethical concerns, and uncertain public support – have resulted in little use of financial incentives. We argue that a better understanding of public opinion is an important prerequisite for any move toward the use of financial incentives. Consequently, we develop and test a model to explain individual level attitudes toward legalizing and regulating the sale of human organs for transplant. We find that political ideology, gender, age and geographic region are important predictors of support.     

Elder Abuse in Turkey and Associated Risk Factors

Abstract

Elder abuse is one of the most important problems encountered by the elderly. Health, economical and psychological dimensions of the experience of aging also pose risk for elder abuse. This study aims to determine the abuse to which elder people are exposed based upon their own evaluations and to investigate the risk factors associated with elder abuse. This is a cross-sectional study among quantitative designs. Population of the study comprises 309 outpatient elders over the age of 65 referring to Ayd?n Do?an Geriatrics Clinic of Ankara University, Turkey. Collected data were analyzed by chi-square test and logistic regression. In total, 70.9% of the elderly participating in this study experienced abuse more than once. Majority of the participants were victims of emotional abuse (64.1%), followed by neglect and abandonment (26.9%) and economic abuse (12.6%). There was significant relation between sex, marital status, health status of the elderly and being abused (p?p?相似文献   

Left Out: Trust and Social Capital Among Migrant Seasonal Farmworkers*

Objectives. We analyze the levels of trust and social capital among an understudied group: migrant seasonal farmworkers (MSFW). MSFWs of today are likely to become the “Hispanics” of tomorrow, which means that understanding what affects the development of social capital of this group is critical to understanding how these individuals are incorporated—or not—into the U.S. polity. Methods. We utilize logistic regression analysis and ordered logit analysis to analyze a data set of 555 MSFWs and comments from four focus groups in Idaho. Results. We find that MSFWs have lower levels of generalized trust than do Hispanics nationally. We also find that MSFWs have low levels of trust toward whites and Mexican Americans. Conclusions. We argue that an ethnic community's subgroups must be incorporated into our analysis of social capital, especially when these individuals are likely to become U.S. permanent residents or citizens.     

The impact of ethnicity on attitudes toward health care reform in New Mexico

Latinos tend to have significantly lower levels of access to general and top quality medical care than do non-Latino whites, and although disparities in access to health care have diminished for all other minority groups over time, they have widened for Latinos. Given these trends, current attempts to provide universal health care at both the national and state levels across the United States have large implications for the health status of Latinos. The objective of this analysis is to determine whether Latinos have different attitudes regarding health reform than non-Latino whites. Our data are from a statewide random digit dialing telephone survey of New Mexico residents, age 18 and older, conducted in the Fall of 2007. With a Latino population of 44% and ongoing health care reform efforts by the state legislature, New Mexico is an ideal location for this analysis. After controlling for a host of individual level factors, our findings suggest that while Latinos are less likely to identify health care as a salient state issue relative to the economy and crime, they are more likely than non-Latino whites to believe affordable health care programs are important. Finally, Latinos view employers, more than government or individuals, to be responsible for expanding health care coverage.     

Understanding Mexican‐American Marriage Patterns Using a Life‐Course Approach*

Objective. Guided by a life‐course framework that incorporates the interconnection between marriage, migration, and other transitions, we critically examine the familism explanation for the earlier age at marriage among Mexican Americans. Methods. We compare the marriage patterns of Mexican immigrants derived from the National Survey of Family Growth (NSFG) to those of women living in Mexico derived from the Mexican Census. We then use data from the NSFG to estimate proportional hazard models of marriage using fixed variables such as parent's education and time‐varying variables such as school enrollment. Results. Analyses show that the Mexican immigrant population marries earlier than Mexicans who do not migrate to the United States. In addition, the U.S.‐born Mexican population has lower marriage rates than whites once family background characteristics associated with early marriage are controlled and Anglos are no less likely than Mexican Americans to marry in response to a pregnancy. Conclusion. We find reason to doubt that ethnic differentials are driven by a strong attachment to marriage, female chastity, and the “traditional” family. Although cultural factors may play an important role, researchers need to more carefully specify the aspects of Mexican culture that might encourage marriage and how these factors interrelate with economic and demographic constraints.     

Adolescent Weight and Depressive Symptoms: For Whom is Weight a Burden?*

Objective. Adolescent weight and depressive symptoms are serious population health concerns in their own right and as they relate to each other. This study asks whether relationships between weight and depressive symptoms vary by sex and race/ethnicity because both shape experiences of weight and psychological distress. Methods. Results are based on multivariate analyses of National Longitudinal Study of Adolescent Health (Add Health) data. Results. There are no associations between adolescent girls' weight and depressive symptoms, but these associations vary considerably among boys. Underweight is associated with depressive symptoms among all boys and subpopulations of white and Hispanic boys. Among Hispanic boys, those who are overweight (vs. normal weight) have a lower probability of reporting depressive symptoms. Finally, among normal weight boys, Hispanics and blacks are more likely to report depressive symptoms than whites. Conclusions. Findings are a reminder that understanding population health issues sometimes requires a focus on subpopulations, not simply the population as a whole.     

Eating habits and physical activity in dieter and non-dieter youth: A gender analysis of English and Spanish adolescents

A high prevalence of youth is overweight or obese, and a frequent lack of monitoring of their weight control strategies is observed. Consequently, this paper compares the eating habits and physical activities of male and female dieters and non-dieters. Data are obtained from the large cross-national WHO collaborative study “Health Behavior in School-aged Children 2010”. The current sample consists of 9,444 students aged 11, 13 and 15 years from England and Spain. Participants are asked about dieting, vigorous and moderate-to-vigorous physical activity, breakfast frequency and fruit, vegetable, sweet and soft drink consumption. A logistic regression is used to examine the differences between dieters and non-dieters with regard to the aforementioned eating and physical activity habits. Differences between genders, countries, and those associated with BMI (body mass index) are also considered. The results suggest that the reality of weight control differs from the major health promotion recommendations during adolescence.     

Residential Patterns of Black Immigrants and Native‐Born Blacks in the United States*

Objective. Although high levels of black‐white residential segregation have long been observed, relatively little is known about the residential patterns of black immigrants. This analysis examines the role of nativity and Hispanic ethnicity for the residential patterns of blacks in the United States. Methods. This article uses data from the 2000 Census to calculate dissimilarity indexes and conduct regression analyses. Results. We find differences in the extent of segregation of blacks from whites, with Hispanic blacks and non‐Hispanic black immigrants exhibiting higher levels of segregation from whites than U.S.‐born non‐Hispanic blacks. Conclusions. The strength of nativity and socioeconomic status provides some support for spatial assimilation theory. Metropolitan context also plays a role in explaining residential patterns: one reason foreign and Hispanic blacks are very segregated from whites is that they tend to reside in metropolitan areas where black‐white segregation has generally been high. Despite the role of these factors, race itself remains of great importance in explaining residential patterns, as segregation from whites is high among all black subgroups.     

Gender and Emotion: Beyond Stereotypes

Stereotypes about gender and emotional expression tend to be imprecise and misleading. They fail to acknowledge situational, individual, and cultural variations in males' and females' emotional expressiveness. They also tend to generalize across emotional intensity and frequency, as well as across different modalities of emotional expression, e.g. verbal vs. behavioral modalities. Moreover, they tend to exaggerate the extent of gender differences in emotional expression. I argue that when gender differences in emotional expression do occur, they can be traced to social processes such as dissimilar gender roles, status and power imbalances, and differing socialization histories of males and females. These processes may predispose some males and females to express emotions differently in some cultures and in some contexts. To support this argument, I present data from two studies, one showing that the amount of time fathers spend with their children relates to the gender stereotypic nature of their children's emotional expressiveness; and the other showing that gender differences in emotional expressiveness are culturally specific in a sample of Asian international, Asian‐American, and European-American college students. Finally, I note the potentially destructive limitations imposed by stereotypes on males' and females' interpersonal functioning as well as on their mental and physical health.