Does community violence exposure predict trauma symptoms in a sample of maltreated youth in foster care?

Previous studies find that childhood exposure to family and community violence is associated with trauma symptoms. Few studies, however, have explored whether community violence exposure (CVE) predicts trauma symptoms after controlling for the effects associated with family violence exposure (FVE). In the current study, CVE and FVE were examined in a sample of 179 youth with a recent history of maltreatment. CVE was associated with trauma symptoms after controlling for FVE, but FVE was not associated with trauma symptoms after controlling for CVE. In addition, negative coping strategies (e.g., self-harm, interpersonal aggression) partially mediated the association between CVE and trauma symptoms. These findings are discussed in terms of their implications for interventions aimed at addressing the needs of children exposed to violence.     

The Israeli-Palestinian conflict: Meta-analysis of exposure and outcome relations for children of the region

This meta-analysis of 20 studies (including a total of 26,302 children) examined effects of political violence exposure for Jewish Israeli, Arab Israeli and Palestinian youth from 12 years of research in the Middle East conflict. The meta-analysis found a small relation between exposure and all symptoms examined, namely posttraumatic, behavioral and emotional symptoms, among all children. The relation between exposure and posttraumatic or emotional symptoms was significantly higher than that between exposure and behavioral symptoms. The relation between proximity to exposure and symptoms was significantly stronger than that for direct exposure, which was significantly stronger than that for media exposure. Implications of these findings extend beyond the geographic borders of this particular conflict. Millions of children worldwide are affected by armed conflict, war and terrorism and understanding the toll on children is of theoretical, clinical and practical import.     

A gulf of difference: disputes over Gulf War-related illnesses.

The social discovery of Gulf War-related illnesses, like other occupational and environmental disease, is firmly rooted in ongoing disputes over causation. Pressure from veterans groups, as well as intra-governmental disputes, have driven innovative research directions and challenged the dominant epidemiological paradigm. This dominant epidemiological paradigm was originally a position that viewed stress as the primary causal factor. In the emerging dominant epidemiological paradigm, researchers view veterans' symptoms as similar to other multi-symptom diseases and conditions, but with a firmer respect for the reality of those symptoms. In addition, some researchers pursue interactions between stress and physical exposure. We examine the evolution of the DEP to demonstrate that in many disease disputes, an affected population challenges government and science decision-making, and even ways of knowing, in an attempt to negotiate a disease definition and etiology that results in better treatment and prevention. After considerable research effort, only limited evidence has been found for environmental causation, and even many researchers sympathetic to veterans are doubtful that much more will be found. We analyze the social discovery and ongoing contestation of these illnesses, and the consequent effects on health and public policy. For extension to other disease disputes, we provide an overall model of disease discovery and contestation, examining the key forces of government, science, and citizens.     

The effects of exposure to physical environmental stressors on African American children: A review and research agenda

Although exposure to physical environmental stressors poses risks for all human beings, African Americans, and particularly African American children, are disproportionately exposed to such stressors. This paper primarily reviews representative literature on the impact of various physical environmental stressors upon African American children. Future research directions and recommendations for environmental intervention at the community, legislative and governmental levels are discussed.     

Do Secondary Trauma Symptoms in Spouses of Combat-Exposed National Guard Soldiers Mediate Impacts of Soldiers’ Trauma Exposure on Their Children?

This exploratory study examines the associated effects of combat exposure on Soldiers assigned to a Midwestern Army National Guard unit. It also explores the secondary and mediating effects of combat exposure on Soldier’s spouses and children. The correlations of combat exposure with trauma symptoms, substance abuse, domestic violence and secondary trauma symptoms among family members are identified. Survey results suggest that immediate family members of combat-exposed Soldiers with high levels of post traumatic stress disorder (PTSD) are at risk for developing secondary traumatic stress. Secondary trauma symptoms in these spouses are a risk-increasing mediating variable between trauma symptoms in combat-exposed Soldiers and secondary trauma symptoms in their children. Results from this investigation emphasize the need for further inquiry into this topic. They further highlight the need for preventive and treatment efforts targeted toward all family members and relationships in order to lessen the effects of combat exposure.     

Association between repetitive work and occupational cold exposure

Occupational cold exposure is an important risk factor that increases stress at work and can induce many health effects like diseases and symptoms related to cold, including work-related musculoskeletal disorders. The methodological procedures were performed to measure these environmental variables as recommended by the ISO 7726/85. For the analysis of repetitiveness was used the OCRA checklist and evaluation of musculoskeletal morbidity conducted by the Nordic Musculoskeletal Questionnaire. So the objective of this study was to investigate the correlation between cold environmental variables and prevalence of musculoskeletal morbidity in the repetitive work. Was found association between work in cutting and boning sector (occupational cold and repetitive work) and the presence of musculoskeletal morbidity, with a significance of 99%.     

Out‐of‐Home Placement of Children Exposed to Violence

There is growing concern about the increasing number of children in the USA who are exposed to community violence and the need to remove some of them from their families. This study examines risk factors for out‐of‐home placement among a large pool of children and adolescents who were referred for general clinical assessment following exposure to violence and/or psychological trauma in their communities or homes. Children with greater familial and environmental support and children exposed to incidents involving a non‐parental personal threat were associated with a significantly lower risk of out‐of‐home placement. A greater likelihood of being placed out of home was associated with older age (adolescents), history of mental health service use, involvement with law enforcement agencies, higher clinical ratings of depression or impaired thought processes, lower clinical functioning and greater exposure to traumatic events. Evidence of maltreatment and a threat to life was associated with 13.6 times greater likelihood of being placed out of the home. This study raises an important issue in respect to the children's past use of mental health service and current symptoms. It is not just the risk of violence but also evidence of psychiatric problem that trigger out‐of‐home placement. Further studies are needed to assess the quality and effectiveness of mental health services provided to children exposed to violence. © 2007 The Author(s). Journal compilation © 2007 National Children's Bureau.     

A proposed model representing the relationships between user characteristics, computer exposure and musculoskeletal symptoms in children

Children's computer exposure is rapidly growing. Several studies have suggested children using computers may be at risk of developing musculoskeletal symptoms. General models and theories relating to the causality of negative musculoskeletal outcomes in adult workers demonstrated relationships between workplace factors and musculoskeletal outcomes. When examining children's computer exposure it is evident that their use is different. Even though risk factors may be similar, due to the nature of children and their computer environments, the potential risk factors and thus a proposed model of causal relationships between exposure and outcomes may differ. Objective: To develop a model of factors influencing computer exposure and musculoskeletal symptoms in children. Methods: 1351 children (or their parents for Year 1 children) in school Years 1, 6, 9 and 11 (ages ~ 6,11,14,16 years) from 10 schools in Western Australia were surveyed on a range of user characteristics, computer exposure and musculoskeletal symptoms. Results: Potential risk factors for childrens' computer exposure and musculoskeletal outcomes were multivariable. Factors such as age, gender, somatic complaints, flow, computer anxiety, computer, TV and physical activity exposure, and SES were related to computer exposure and children's reports of musculoskeletal symptoms. Significance: Developing a child-related computer exposure model to understand relationships between potential risk factors and musculoskeletal symptoms will assist academics, teachers and parents to develop a better understanding of the risk factors for children's computer exposure.     

Experiences of Violence, Post-Traumatic Stress, Academic Achievement and Behavior Problems of Urban African-American Children

This study examined the frequency of family violence, community violence, and witnessing of violence for 110 African-American children. Levels of post-traumatic stress, academic achievement and behavior problems of the children were also examined. The students were sixth graders between the ages of 11 and 13 from four inner-city Chicago public schools. The level of exposure to family violence was significantly related to levels of behavior problems and negatively related to school achievement. The level of exposure to community violence was associated with levels of behavior problems and approached significance in a negative direction with school achievement. Academic achievement was not significantly related to behavior, but was significantly associated with post-traumatic stress disorder, family violence, witnessing violence and approached significance with community violence exposure.     

The effect of religious concentration and affiliation on county cancer mortality rates

Previous research has documented lower cancer mortality rates among religious groups characterized by doctrinal orthodoxy and behavioral conformity. In addition, there is evidence that the general population in an area with a high concentration of religious participants may experience health benefits resulting from diminished exposure to or increased social disapproval of behaviors related to cancer mortality. This research examines the effect of religious concentration and denominational affiliation on county cancer mortality rates. Our findings suggest that religion has a significant impact on mortality rates for all malignancies combined, for digestive cancer, and for respiratory cancer when we control for demographic, environmental, and regional factors known to affect cancer mortality. These results provide new insight into the relationship between religion and health at the macro or community level and suggest that the influence of religion on social structure warrants further attention.     

Relationships Between Psychosocial Risks and Stress in Homeless Children

Homeless children are typically exposed to the worst environmental conditions associated with poverty. Despite recent attention to psychosocial risks associated with homelessness, limited attention has been paid to stress-related symptoms in homeless children. Better understanding of homeless children’s experience of stress could point the way toward improvement of services for them. The purpose of the present exploratory study was to assess associations between child psychosocial riskfactors and emotional and behavioral symptoms of stress in homeless children, Twenty-two homeless nlothers of 29 children between the ages of 2 and 10 were surveyed about known psychosocial risks for homeless children and completed the Pediatric Emotional Distress Scale (PEDS), a 17-item measure of stress-related symptoms in children. Findings suggest that the stress-related symptoms of these children are related to the cumulative effects of environmental risk factors. The PEDS appears to be a sensitive measure of stress in children, and its brevity provides an advantage in assessments in high-stress situations. More developmental work with low-SES samples, however, is recommended.     

Relationships Between Psychosocial Risks and Stress in Homeless Children

Homeless children are typically exposed to the worst environmental conditions associated with poverty. Despite recent attention to psychosocial risks associated with homelessness, limited attention has been paid to stress-related symptoms in homeless children. Better understanding of homeless children's experience of stress could point the way toward improvement of services for them. The purpose of the present exploratory study was to assess associations between child psychosocial risk factors and emotional and behavioral symptoms of stress in homeless children. Twenty-two homeless mothers of 29 children between the ages of 2 and 10 were surveyed about known psychosocial risks for homeless children and completed the Pediatric Emotional Distress Scale (PEDS), a 17-item measure of stress-related symptoms in children. Findings suggest that the stress-related symptoms of these children are related to the cumulative effects of environmental risk factors. The PEDS appears to be a sensitive measure of stress in children, and its brevity provides an advantage in assessments in high-stress situations. More developmental work with low-SES samples, however, is recommended.     

Inner‐City Children's Exposure to Community Violence: How Much Do Parents Know?

This study examines the psychological impact of children's exposure to violence and the influence of mothers' knowledge about their children's encounters with violence. Our sample consists of a poor, multiethnic sample of 104 fourth‐ or fifth‐grade children and their mothers. Children in this sample were exposed to rather high levels of community violence, and on the whole, mothers greatly underestimated their children's exposure to violence and feelings of psychological distress. Hierarchical regression analyses indicated that children's exposure to violence was associated with greater psychological distress. Our findings suggest that the detrimental effects of community violence are present for all children, irrespective of their racial background. Further, greater mother‐child agreement about children's exposure to violence was related to better psychological functioning. The implications of these results for effective parenting strategies and community‐based interventions are discussed.     

Epidemic Potential of Measles and Rubella

Abstract

Although there have been major declines in the incidence of measles and rubella in the United States since licensure of vaccines, the incidence of disease in adolescents and young adults has not declined nearly as markedly as that in younger children. As a result, an increasing proportion of cases have occurred in adolescents and young adults. In 1978, 26% of all reported measles cases in which age was known occurred in those 15 years of age and older, and 76% reported rubella cases occurred in this age group. Outbreaks of both diseases have been reported from high schools, military bases, colleges, and universities. During a recent outbreak of measles involving a university, a 22-year-old university employee contracted measles and died of measles encephalitis. In addition to the direct effects of these diseases, the implications of the current pattern of occurrence of two infections known to have adverse effects on the developing fetus are obvious.

Improvements in immunization levels and declines in disease incidence have been brought about effectively by the enactment and enforcement of immunization requirements for school-age children and military recruits. Colleges and universities should also institute immunization requirements as a condition of enrollment.     

The relationship between exposure to community violence and psychological distress among adolescents: a meta-analysis

This article is concerned with the "size of the relationship" between exposure to chronic community violence and psychological symptoms among adolescents. It analyzes all relevant empirical studies in the published literature during the last 20 years; uses quantitative methods to summarize findings; and estimates the effect size using meta-analysis. The 37 independent samples (n = 17,322) were coded on 19 categories, including size and characteristics of sample, and characteristics of the independent and dependent variables. Findings indicate that there is a positive correlation between exposure to community violence and psychological distress; and that the effect size (r = .25) of this relationship is low-medium. The estimated effect size of the relationship points to new issues such as the characteristics of the psychosocial dynamics of resilience in the face of exposure to community violence and how exposure to community violence interacts with other potentially traumatic experiences in the producing of psychological distress.     

Is Pollution 'A White Thing'? Racial Differences in Preadults' Attitudes

Clear and consistent differences between blacks‘ and whites’attitudes toward environmental issues were found in a stratifiedrandom sample survey of 2,012 Florida preadults. Blacks weremuch less likely than whites to consider environmental qualitya serious problem worthy of community concern, to favor environmentalgoals, and to define pollution in complex terms; regressionanalysis showed that these differences persisted even when factorsthought to explain racial differences in attitudes—SES,years of education, exposure to information, actual and perceivedpollution levels, sense of efficacy—were taken into account.Evidence suggests that even among children, racial differencesin attitudes are not spurious, but indicate a divergence betweenthe black and white subcultures in interpretations of publicissues     

Children Exposed to Community Violence: Issues for Assessment and Treatment

Community violence is increasingly recognized as a risk factor for serious psychological problems with children particularly vulnerable to its effects. This article summarizes the existing knowledge on the effects of chronic exposure to community violence, highlights essential issues in assessing children for both exposure and resulting trauma from community violence, and provides treatment guidelines for those affected children.     

Children and Violence: Findings and Implications from a Rural Community

The present study addresses gaps in the youth violence literature by exploring the types and levels of children's violence exposure in a rural setting and examining psychological trauma associated with violence exposure. The study is a secondary data analysis using a rural sample (N = 549) from a larger study. The larger study employed a 45-minute questionnaire given to students in grades 3 through 8. The questionnaire was designed to assess children's present and past violence exposure as a victim and witness across the home, school, and neighborhood. In addition, this questionnaire assessed children's psychological trauma symptoms.Our study found that children in the rural sample were exposed to high amounts of violence as both victims and witnesses within, and prior to, the past year. Violence exposure variables explained a significant amount of variance in total trauma symptoms after controlling for demographic variables. This finding is consistent with the literature examining the association of trauma and violence exposure.     

Role of Parent and Peer Relationships and Individual Characteristics in Middle School Children's Behavioral Outcomes in the Face of Community Violence

This study examines processes linking inner‐city community violence exposure to subsequent internalizing and externalizing problems. Hypothesized risk and protective factors from 3 ecological domains—children's parent and peer relationships and individual characteristics—were examined for mediating, moderating, or independent roles in predicting problem behavior among 667 children over 3 years of middle school. Mediation was not found. However, parent and peer variables moderated the association between exposure and internalizing problems. Under high exposure, normally protective factors (e.g., attachment to parents) were less effective in mitigating exposure's effects than under low exposure; attachment to friends was more effective. Individual competence was independently associated with decreased internalizing problems. Variables from all domains, and exposure, were independently associated with externalizing problems. Protective factors (e.g., parent attachment) predicted decreased problems; risk factors (e.g., friends' delinquency) predicted increased problems. Results indicate community violence reduction as essential in averting inner‐city adolescents' poor behavioral outcomes.