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.     

The influence of distal antecedents on organization-public relationships

ABSTRACT

This study proposed a conceptual model of organization-public relationships (OPRs) that draws distinctions between the distal (enduring individual, organizational, and environmental factors) and proximal (situational individual and organizational behaviors and interactions) antecedents that precede and influence OPR perceptions. Using an online survey of 514 adults residing in the United States, this study identified which relational antecedents motivated individuals to enter OPRs across different types of organizations. Additionally, the study examined the relative influence of motives, perceived issue congruence, and perceived value congruence on individuals’ perceptions of OPRs. Findings suggest social/cultural expectations and risk reduction are the most common motives for entering OPRs; however, perceived issue and value congruence with the organization are more influential than other antecedents in shaping cognitions regarding OPRs.     

Job demands,emotional dissonance and elderly abuse: The moderating role of organizational resources

ABSTRACT

The present study focuses on elderly abuse committed by caregivers in nursing homes. It aimed at a better understanding of neglect and abusive behaviors by considering the working context and the emotional dissonance of these professionals. To achieve this goal, direct effects of emotional dissonance, job demands (workload and emotional demands) and organizational resources (high-quality relationships with the colleagues and the supervisor) on neglect and abusive behaviors were analyzed. Moreover, the moderating role of organizational resources was explored. The study was conducted among 481 nurses and healthcare assistants from different French nursing homes. Overall, results contributed to the literature by pointing out the impact of emotional dissonance and caregivers’ working context on neglect and abusive behaviors. Moreover, results highlighted the moderating effect of high-quality relationships with the colleagues and the supervisor and give rise to potential implications in preventing elderly abuse in nursing homes.     

College Age Lesbianism as a Developmental Phenomenon

Abstract

Based on clinical work with lesbian college students, this paper discusses a relationship between their lesbianism and the development of autonomy and intimacy. Three subgroups among the students are described, oriented respectively to: ideology, personal development, and interpersonal feelings. It is suggested that for these students lesbian orientation be understood in terms of ongoing ego development more than arrested psychosexual development. The students oriented to ideology and personal development seem to be experiencing a shift from authority and sense of identity located externally, in others' expectations, to a more autonomous, self-governing self. The interpersonally-oriented students seem more focally involved with issues of intimacy than of autonomy. The cultural context is seen as crucial to the lesbianism of these students, particularly traditional cultural assumptions of male dominance and more recent changes in womens' attitudes toward themselves. It is assumed that homosexuality may have many styles, origins and meanings, and that this paper does not elucidate the experience of all lesbians or even all lesbian college students.     

Cross Cultural Perspectives in Treating the Gay Male Trauma Survivor

Summary

In recent years, there has been an increased emphasis on cultural considerations in psychotherapeutic treatment. Sound psychotherapy is ideally culturally sensitive and concerned with the context within which the client developed and exists. At the same time it is often difficult for many clinicians to navigate the cultural within the psychological framework. When both patient and clinician share more than one language in common, there are a variety of subtle issues that surface. In psychotherapy, “coordinate bilinguals,” those who learn their languages separately, during different developmental stages and contexts, tend to have greater access to their emotional experiences within their first language. When the client presents with a sexual trauma history, the language spoken during the abuse will also have an effect on the language used in the psychotherapy. The case history of Lucio, a Latino gay male, is discussed in terms of the cultural and psychological elements of his treatment by a bilingual North American therapist. This therapist's psychotherapeutic conceptualizations and treatment approaches are examined and reviewed in a written dialogue/ discussion with a Latino psychologist.     

Teachers as risk and resource factors in minority students’ school adjustment: an integrative review of qualitative research on acculturation

ABSTRACT

The present study is embedded in the contextual approach of acculturation research. It examines teachers’ attitudes and behaviors, teachers’ expectations as well as their teaching practices as risk and resource factors in minority students’ school adjustment. The study applies the method of content analysis and uses a deductively developed and inductively enriched system of categories. The results of the study provide an integrative review of qualitative research on the role teachers play in the acculturation process of minority youth and their adjustment outcomes in the school context.     

The intersection of nonsuicidal self-injury and suicide-related behavior: Patterns of elevated risk and implications for college mental health

Objective: To analyze the overlap of nonsuicidal self-injury (NSSI) and suicide-related behaviors (SRB) among college students with regard to demographics, mental health, and coping styles. Participants: Respondents were 572 undergraduate students at a southwestern public university. Methods: Data were collected in 2015. Respondents completed a demographic survey and assessments of NSSI, SRB, internalizing symptoms (ie, anxiety, stress, and depression), aggression, and negative coping strategies. The survey was administered via a Web-based procedure. Results: Women reported more frequent cutting behaviors than men. Endorsement of NSSI was also associated with an increased likelihood of lifetime SRB. A subgroup of students endorsing both NSSI and SRB demonstrated poorer mental health, more negative coping, and self-reported female sex. Conclusions: College healthcare providers may benefit from competency-based training in techniques for the combination treatment of NSSI and SRB, as well as culturally based models of suicide.     

Battered Immigrant Mexican Women's Perspectives Regarding Abuse and Help-Seeking

SUMMARY

A qualitative, pilot study employing in-depth ethno-graphic interviews was conducted to examine perceptions and attitudes towards abuse and the help-seeking behaviors of a sample of ten battered immigrant Mexican women. Findings indicated that participants' attitudes about seeking help were influenced more by cultural factors (e.g., gender-role expectations, famialism) than by psycho-social stres-sors (e.g., immigrant status, financial dependency). Children's welfare played a salient role in women's decisions about seeking help, both as a deterrent and a motivating factor. Women's attitudes about their own abuse were more tolerant than their attitudes about hypothetical situations involving others. Changes in women's attitudes about abuse reflected changes only after some type of intervention had taken place. The majority of the women in the sample had misconceptions or were uninformed about shelters. Suggestions for further research and intervention with this population and a model of internal and external determinants of help-seeking behavior are presented.     

Family versus friends: Their relative importance as referent others to an aged population

There is much social gerontological research suggesting that the aged in our society constitute a minority group or separate stratum. This separateness, in combination with a lack of a clear conception of the elderly role, has led to a preponderance of stereotyped images of the elderly. A mailed questionnaire was returned by 224 retirees of a large utility company in the Southwest and provided a data base to test a conceptual model of the dynamics of the process of acceptance or denial of age‐appropriate behavioral expectations. The model, grounded in the reference group theoretical approach, was concerned expressly with the operationalization of factors thought to influence whether the elderly accept age‐appropriate behavioral expectations as pertinent to their life situation. Whether the people in this particular population accept others' expectations for their behavior was found to be affected by their perception of the expectations of family members and friends and whether the respondents characterized themselves as subject to age‐related shortcomings. In addition, friends were found to be a more salient reference group in conveying age‐appropriate behavioral expectations than family members. The analysis provided general support for the reference group approach and suggested a broader application of the concept in the gerontological literature.     

Child Sexual Behaviors in School Context: Age and Gender Differences

ABSTRACT

The main purpose of the study was to explore the child sexual behaviors that Italian teachers have observed in the school context. A representative sample of 227 children, from 5 to 10 years old, was rated by their teachers through the Child Sexual Behavior Inventory. Frequencies of sexual behaviors among children aged 5 to 6, 7 to 8, and 9 to 10 are presented. Younger children showed a broader range of sexual behaviors that decrease with the growing age, such as males in comparison to females. Moreover, findings showed that child sexual behavior is not only related to age and gender but also to family characteristics. These results suggested that child sexual behaviors reported by teachers through the Child Sexual Behavior Inventory may provide useful information about the development of children’s sexuality. The knowledge of age appropriate sexual behaviors can help teachers discern normal sexual behaviors from problematic sexual behaviors.     

Tattoos Can Harm Perceptions: A Study and Suggestions

Objective: Health researchers have claimed that perceptions toward a person with a tattoo are more negative than are perceptions toward nontattooed persons. However, support for this has been obtained almost completely by nonexperimental research. Participants: In 2 experiments with 158 community college student participants, the authors found that tattoos harmed perceptions. Methods: Students viewed a photograph of a female model with and without a visible tattoo, and rated her on 13 personal characteristics. Results: In Experiment 1, ratings of a model with a dragon tattoo were significantly more negative (p < .05) on 5 of the 13 personal characteristics than were ratings of the same model shown without the tattoo. In Experiment 2, which included different participants, a different model, and a different tattoo, the authors found that a dolphin tattoo led to more negative ratings on 2 of the 13 characteristics. Conclusions: The authors discuss possible impacts of tattoos on person perception as well as implications of the results for college student healthcare providers.     

Measuring the Influence of Social Context Referents in Substance Abuse Treatment: An Instrument Validation Study

ABSTRACT

This paper introduces a newly developed assessment tool, the Ecological Assessment of Substance abuse Experiences (EASE) that has been designed to measure the influence of social context referents (i.e., family, peers, and community) on clients' attitudes and outcome beliefs related to substance abuse and recovery. An initial exploratory factor analysis was conducted with a small sample of adult treatment-seekers (N =103) to identify its underlying factors and to examine the instrument's item-factor fit. Items clustered onto four orthogonal factors: “belonging-recovery,” “belonging-drugs/alcohol,” “disconnect-recovery,” and “attitudinal congruence-recovery.” Preliminary findings suggest that socio-emotional outcome beliefs and attitudes about drug use and recovery behaviors, as related to family, peers, and community contexts, may be significant areas to address during routine assessment practices that may lead to more comprehensive and contextually appropriate treatment plans.     

Change IS Possible: Reducing High-Risk Drinking Using a Collaborative Improvement Model

Abstract

Objective: To describe the adoption of public health and improvement methodologies to address college students’ high-risk drinking behaviors and to aid in prevention efforts. Participants: Members of 32 colleges and universities, content experts, and staff members of the National College Health Improvement Program (NCHIP). Methods: A 2-year learning collaborative developed by NCHIP trained individuals from 32 different college and universities in using the Plan–Do–Study–Act cycle as a method to create and implement initiatives aimed at reducing students’ high-risk drinking behaviors and related harms. Results: Participants experienced success ranging from noteworthy increases in type and amount of interventions directed at reducing high-risk drinking, to creating collaboratives across campus, the local community, and stakeholders. Challenges related to data collection and creating lasting cultural change remain. Conclusions: The use of quality improvement methodologies and creation of a national collaborative successfully effected meaningful change in high-risk drinking behaviors on college campuses.     

The Use of Common Humanity Scenarios to Promote Compassion in Healthcare Workers

ABSTRACT

The importance of compassion in healthcare is universally acknowledged. However, the factors that enhance compassion are not well understood. The perception of common humanity has been proposed as a prosocial perspective that leads to unbiased universal compassion. There has been a lack of research into the relationship between common humanity and compassion. This study examined the use of common humanity scenarios to promote compassion in healthcare workers. Seventy-five healthcare workers were randomly assigned to two groups and shown a different common humanity scenario. The healthcare workers were asked what effect viewing the videos had on their perception of common humanity and compassion. Thematic analysis was used to identify themes. Four main themes emerged: (a) common bonds; (b) people have the same needs; (c) no one wants to suffer; (d) seeing strangers helping others is motivating. Healthcare workers reported feelings of care, concern, and compassion after viewing common humanity scenarios.

IMPLICATIONS

• Viewing common humanity scenarios appears to lead to enhanced feelings of connection to others and compassion in healthcare workers.

• Using common humanity scenarios may be a useful compassion training strategy in healthcare.

• Further research is necessary to gain a better understanding of how viewing common humanity material influences compassion.

     

Health Concerns for Native American Youth: A Culturally Grounded Approach to Health Promotion

SUMMARY

This study examined the health behaviors of Native American youth in the Northeastern region of the United States. In particular, the study documented behaviors that put youth at risk for cancer such as dietary practices and recreational tobacco use. Data were also collected on the cultural identification of the youth. Some links were found between cultural identification and health behaviors. Culturally grounded preventive health interventions led to improved health behavior with Native youth at some sites but not others.     

Health Beliefs of College Students Born in the United States,China, and India

Abstract

The authors surveyed 243 urban public university students who were born in the United States, China, and India to compare the health beliefs of the China-born, India-born, and US-born students. Although the China- and India-born students shared beliefs in many preventive and therapeutic practices of Western medicine with the US-born students, they retained some of their traditional health beliefs. This suggests that student health service clinicians should assess students' cultural beliefs and individualize healthcare for students from different countries     

Accommodating Culturally Meaningful Activities in Outdoor Settings for Older Adults

Abstract

A growing multicultural aging population necessitates an examination of the cultural responsiveness of American healthcare environments in enabling successful aging experiences. Environment-behavior studies establish positive effects of natural environments on the well-being of older adults. This study explored cultural differences in nature-related activities among Hispanic and Anglo-American elderly using six photographs of nature settings to elicit nature-related preferences and experiences. Findings indicate that Hispanic elderly find “furnished” natural settings more compatible with their preferred activities such as group-oriented socializing while Anglo-American elderly prefer “authentic” natural settings for preferred activities such as quiet reflection. Culture specific programming and design implications are discussed.     

Culturally responsive social work practice with D/deaf clients

ABSTRACT

D/deaf individuals are often marginalized in our society. A lack of cultural understanding among social workers serving this population, coupled with communication barriers, inconsistent access to interpreters, or misperceptions of culture, adds to the potential for further marginalization. D/deaf individuals seeking mental health and social services live in a unique cultural context with which social workers may not be familiar and experience persistent issues surrounding access to mental health and social services. This article reviews some useful best practices, cultural points to be aware of, and suggests some strategies for providing culturally responsive social work when working D/deaf clients.