Young Parents’ Relationship Characteristics,Shared Sexual Behaviors,Perception of Partner Risks,and Dyadic Influences

Rising rates of heterosexually transmitted HIV among youth and young adults, particularly from ethnic minorities, create an urgent need to understand risk factors and perceptions of risk within the context of couple relationships. This study examined reports of young mothers and fathers (predominantly Latino) about background characteristics, relationship quality and length, HIV-related risk factors, and perceptions of partners’ behaviors and personal history. Higher concordance was found for relationship characteristics and partners' personal history (e.g., incarceration) than on shared sexual behaviors. Most males and females stated that they were monogamous; however, those whose partners reported concurrency were unaware of this. Many were unaware of their partners’ HIV testing status. Relationship quality was higher when females accurately perceived their partners' self-reported HIV-related risk behaviors. Length of the relationship did not influence concordance. Findings support the need for HIV prevention programs to promote open discussion about condom use and HIV testing within sexual partnerships.     

Ethical Dilemmas of Working with Individuals Who Have HIV Disease

This article presents the results of a survey of 99 practitioners that explored their attitudes related to the conflicting priorities of maintaining the principles of confidentiality, versus exercising one's duty to warn someone of danger. Social work practitioners face this dilemma in working with individuals who have HIV disease. When clients let workers know that they are engaging in unsafe sexual practices, and have not warned their partner of their HIV+ status, Practitioners are in a bind. Results show deep ambivalence in attitudes and actions. Discussion focuses on the dilemmas involved, and presents recommendations for practice.     

Reactions to Participating in Intimate Partner Violence and Minority Stress Research: A Mixed Methodological Study of Self-Identified Lesbian and Gay Emerging Adults

The purpose of this study was to examine lesbian and gay (LG) young adults’ reactions to participating in intimate partner violence (IPV) and minority stress research using a mixed methodological design. Participants were 277 U.S. college students currently involved in same-sex relationships and self-identified cisgender LG who completed an online questionnaire that included closed- and open-ended questions. Results suggested that IPV research was well tolerated by the vast majority of participants; close to one in 10 participants reported being upset by the study questions, yet 75% of upset individuals reported some level of personal benefit. Reasons for upset as identified in the open-ended responses included thinking about personal experiences with IPV, as the perpetrator or friend of a victim, as well as thinking about the uncertainty of their future with their current partner. The correlates of emotional reactions and personal benefits to research participation were also examined, and these varied among gay men and lesbian women. Implications of these findings underscore the importance of accurate reflection of risk and benefits in informed consent documents as well as systematic evaluation of sexual minority participants’ reactions to research participation in an effort to conduct ethically sound sexual science research.     

Life after Growing Up in Care: Informing Policy and Practice through Research

Abstract

Existing research on the impact of growing up in care focuses upon either the care experience itself or the period of transition from care to independence. Our knowledge of outcomes largely ceases when former residents of the care system reach their early twenties. There are strong social justice reasons for extending research into the older adult lives of such young people. We know a great deal about the multiple disadvantages that such individuals face as children. But research is largely silent about their subsequent adult lives. While we must be cautious in drawing causal links to the childhood care experience as the time period since life in care extends, we know that early experiences can affect care-leavers across their life course—just as childhood experience affects all adults in a variety of ways. In this review, we highlight evidence drawn from research in Australia, the United Kingdom, Canada, Ireland, and the United States, with particular attention paid to the first two of those countries. We use a wide range of sources and identify areas for further consideration, including access to personal records, mental health, education, and parenting. By doing so, we seek to open up this area for further research with the hope that such research will lead to an increasing recognition of care-leavers' needs and thus to improvements in social policy and service provision.     

Perspectives on disclosure among children living with HIV in India

BackgroundFollowing the widespread uptake of anti-retroviral therapy (ART), young children living with HIV are entering adolescence and beyond, necessitating disclosure of HIV status. However, few studies have described children's experiences following disclosure.MethodsWe assessed disclosure status among children attending HIV clinics at two tertiary-care centers in southern India. Children who had disclosure were administered a pre-tested questionnaire assessing their knowledge about HIV, ART, experiences following disclosure, perceived stigma and ideas about their future. The association of the children's responses with social desirability bias was examined using a modified social desirability scale.ResultsTwenty-four caregiver-child dyads participated in this study. They constituted a subset of children who had been told of their HIV diagnosis from a larger study of 247 dyads. Mean age at disclosure was 10.9 ± 2.5 years. Medical personnel were responsible for disclosure to 14 children, parents/caregivers to 3 children, both medical and care personnel together to 4 children and other relatives to remaining 3 children. Disclosure was met with acceptance by one-third of the children. Despite disclosure, five children did not know how HIV spreads, and three were unaware about how infection could be prevented. Notwithstanding their positive status, 20 children felt that they were treated well at school and by their immediate relatives, although 11 children mentioned that they needed to hide while taking ART. Social desirability bias did not play a role in the responses given by these children.ConclusionsThe rate of disclosure of HIV status among children living with HIV in India was low, even among older children. Most children accepted their status, but knowledge about HIV and ART was inadequate. Disclosure was predominantly performed by medical personnel, rather than the primary caregiver. Incorporating disclosure into the care process for older children is likely to be beneficial, and should be recognized as an iterative process with a need for incorporating cultural sensitivities and a comprehensive approach to health education.     

“At times I kinda felt I was in an institution”: Supportive housing for transition age youth and young adults

Housing stability is essential for young adult development. Older youth and young adults transitioning from public systems of care, such as foster care, the public mental health system and residential settings, commonly experience high levels of transience and housing instability. In recent years, supportive housing policies and programs have emerged to address this situation, yet we know little about whether (or not) new programs are meeting the needs of youth in transition, and, if so, how they are addressing the unique developmental, social, and emotional needs of this population. This study is one of the first to speak directly with young adults living in a supportive housing program designed specifically for youth transitioning out of children's systems of care. Study participants spoke about both their overall transition experience and their views on the housing program where they reside. The study conducted four focus groups (N = 26) with transitioning youth and young adults, ages 18 to 25 (Mean age = 22), in order to explore the following three broad research questions: 1) what is it like to make the transition to adulthood from public children's systems of care?; 2) how does the supportive housing model they reside in shape their transition experiences?; and, 3) how do they experience the services and staff who are part of the program? Data analysis included grounded theory coding techniques and constant comparison with four coders. Results suggest that participants feel like they continue to be treated as children, and they receive mixed messages regarding their need to be increasingly autonomous, yet follow the rules. Finally, they reported specific aspects of what they found to be helpful in both staff relationships and overall program components. These themes constitute the results of the study. Findings underscore the importance of both listening directly to service users, and developing young adult supportive housing programming expressly designed to meet the unique needs of marginalized young adults transitioning to increased independence and self-sufficiency.     

Digital Na(t)ives? Variation in Internet Skills and Uses among Members of the “Net Generation”*

People who have grown up with digital media are often assumed to be universally savvy with information and communication technologies. Such assumptions are rarely grounded in empirical evidence, however. This article draws on unique data with information about a diverse group of young adults’ Internet uses and skills to suggest that even when controlling for Internet access and experiences, people differ in their online abilities and activities. Additionally, findings suggest that Internet know‐how is not randomly distributed among the population, rather, higher levels of parental education, being a male, and being white or Asian American are associated with higher levels of Web‐use skill. These user characteristics are also related to the extent to which young adults engage in diverse types of online activities. Moreover, skill itself is positively associated with types of uses. Overall, these findings suggest that even when controlling for basic Internet access, among a group of young adults, socioeconomic status is an important predictor of how people are incorporating the Web into their everyday lives with those from more privileged backgrounds using it in more informed ways for a larger number of activities.     

End‐of‐Life Treatment Preferences Among Older Adults: An Assessment of Psychosocial Influences1

We explore the content and correlates of older adults’ end‐of‐life treatment preferences in two hypothetical terminal illness scenarios: severe physical pain with no cognitive impairment, and severe cognitive impairment with no physical pain. For each scenario, we assess whether participants would reject life‐prolonging treatment, accept treatment, or do not know their preferences. Using data from the 2004 wave of the Wisconsin Longitudinal Study (N = 5,106), we estimate multinomial logistic regression models to evaluate whether treatment preferences are associated with direct experience with end‐of‐life issues, personal beliefs, health, and sociodemographic characteristics. Persons who have made formal end‐of‐life preparations, persons with no religious affiliation, mainline Protestants, and persons who are pessimistic about their own life expectancy are more likely to reject treatment in both scenarios. Women and persons who witnessed the painful death of a loved one are more likely to reject treatment in the cognitive impairment scenario only. Consistent with rational choice perspectives, our results suggest that individuals prefer treatments that they perceive to have highly probable desirable consequences for both self and family.     

Early Family Transitions and Depressive Symptom Changes From Adolescence to Early Adulthood

Some research and theory suggest that early cohabitation, parenthood, and marriage have negative long‐term implications. Nevertheless, in the context of their resources and opportunities, early transitions may represent positive choices for some individuals. We studied the family and personal characteristics of young adults (N = 8,172) who did, versus those who did not, make early family transitions. We assessed changes in their depressive symptoms from adolescence to young adulthood. Individuals who made early family transitions were disadvantaged in many respects, but differed little from those who did not with respect to changes in depressive symptoms. That they stay “even” with those who do not make transitions suggests that some young adults make positive choices from among limited options.     

“Grandma,Tell Me Another Story”: Family Narratives and Their Impact on Young Adult Development

The transmission of family stories provides insight into the personal and emotional lives of individuals, and sharing stories allows older generations to impart wisdom and family values to developing young adults. The current research explored how gender variation in content and perception of family stories differentially affected identity development in young adults. Young adults from a large northeastern private university shared a written family story about a grandparent and described how that story had impacted their values, behaviors, and identity. Three hundred twenty-five stories, from 238 women and 87 men, were qualitatively analyzed. The stories had much greater impact on young adults' values and attitudes than either their identity development or behaviors. Women shared more relationship stories, whereas men most frequently relayed humorous anecdotes. In addition, women indicated stories most often taught them to be appreciative, loving, or courageous, whereas more men shared stories that emphasized having a strong work ethic or being appreciative of and respectful to others. Although family narratives have been shown to help shape the younger generation's individual identity and character, it is important to differentiate between which stories might impact different genders as they seek to discover their own sense of self.     

Gendered forms of responsibility and control in teenagers' views of alcohol

There has been a shift in the most recent UK Government's Alcohol Strategy (2012) from personal responsibility towards a model of shared responsibility for young people's drinking. On closer examination of the strategy, however, it appears that rather than exonerating young people from blame, governance is merely extended to include wider partners. Using findings from nine focus groups with young people in Liverpool, UK, we explore who they believe are responsible for their drinking behaviours and how they learn to become ‘good drinkers’. Our findings show that while teenagers were aware of dominant alcohol-related messages and maintained a moral position as responsible citizens; they also negotiated and resisted norms about teenage drinking. Although both boys and girls agreed that parents were the primary responsible authority for regulating their drinking, there was gendered disagreement about personal responsibility. The girls described how they were ultimately responsible for any adverse consequences if they drank too much whilst the boys considered a wide range of partners who would be implicated. However, unlike the girls, the boys described a willingness to either abstain or moderate their alcohol intake in order to remain in control and avoid any alcohol-related trouble or harm.     

Being trusted: The perspectives of trusted adults about engaging with young people

Trusted adults outside the home often play an important role in young people's lives, providing motivational, emotional and practical support as young people navigate the social and economic transitions of young adulthood. Their support is developmentally appropriate as they often treat young people as adults, as they are guiding them towards that status. Yet knowledge of trusted adult relationships is largely drawn from the perspectives of young people. How do trusted adults themselves experience the relationship?Drawing on a broader study of young people's social and economic engagement during adolescence to adulthood, this paper explores the perspectives of 23 trusted adults, including those in family/friend, paid professional and community roles. It looks at how trusted adults' accounts of the relationship compare with young people's accounts. It examines some subtleties trusted adults experience in the relationship, related to their perception of their role and the roles of others, the impermanence of the relationship and personal–professional boundaries. It draws policy and practice implications regarding how to support both trusted adults and young people in the relationships they share.     

Is It Love or Sexual Abuse? Young Adults' Perceptions of Statutory Rape

Adults under age 25 comprise the majority of statutory rape perpetrators, yet we know little about their perceptions of statutory relationships. We assessed 210 (50% male) young adults’ perceptions of statutory rape involving a 15-year-old female adolescent and a male who was either 2, 4, or 6 years older. Across all age gaps, 73.7% of participants felt the relationship should not be a crime. Participants who read about a 4- or 6-year (versus 2-year) age gap perceived the relationship as significantly more of a crime and the older partner as more responsible and in need of legal intervention. Effects were partially mediated by perceptions of the relationship as exploitive. Results suggest a need to educate young adults about statutory rape.     

Reconstructing Moral Identities in Memories of Childhood Language Brokering Experiences

Language brokering is a common phenomenon, whereby children of immigrant parents mediate both verbally and with written documents between their parents and other different language speakers or writers, converting meanings in one language into meanings in another. This paper explores some of the moral identities – the interplay between moral ideals and individuals' personal identities – adults construct from their memories of their activities as child language brokers. Qualitative research on adults who were, and to a large extent still are, language brokers for their parents, found that in the context of parent‐teacher meetings, some individuals recast their behaviours in a manner that rendered themselves as good, honest, ethical and well‐behaved students. This paper argues that the moral identities individuals construct from memories of their childhood experiences have social and cultural dimensions, and are contingent upon the context and the situation. The paper also has policy implications with regards to the status of the child, and the relationship of that status to cultural context and expectation, given that the circumstances of their lives cannot be removed. Regarding policy, this research could inform practitioners, schools, and the general public about the impact of language brokering experiences on children, and may help in some way to alleviate the stress/burdens associated with language brokering. Additionally, it could bring about increasing understanding of how people establish identities based on their lived experiences.     

Independent Living: gender, violence and the threat of violence

In what ways is independent living for young adults with disabilities compromised by violence and its threat? A qualitative study of 42 young adults with severe physical disabilities explored their perceptions and concerns about independent living, access to services and the meeting of needs. Young women especially experienced difficulties about leaving home, because of their own and their parents' fears about vulnerability; some who did leave home experienced highly restricted social lives because of anxiety about neighbourhood violence. Few had established partnerships, but violence and sexual abuse from partners emerged as an issue for which there is little policy. Control and abuse within caring relationships are serious issues for those who need personal care. Violence and lack of protection may undermine independent living, especially for women.     

Qualitative accounts of young-people,parents and staff involved with a purpose-designed,pilot short-break service for 18–24 year olds with life-limiting conditions

PurposeTransition to adult health and social-care services is a time of great uncertainty for young adults with life-limiting conditions; due to improved management, many who would have previously died before they were 18 years old are now surviving into early adulthood. Nevertheless, few services exist to meet their specific needs for specialist short breaks away from home. The purpose of this research was to determine the views and perspectives of young adults' parents/carers and staff engaged with a purpose-designed, pilot short-break service for 18–24 year olds with life-limiting conditions. Data were gathered through qualitative individual or focus group interviews involving two young adults, four mothers and fifteen health or social-care staff associated with the service. Data were analysed using Framework Analysis.Principal resultsEmergent themes: (i) The need for a specialist short-break service; (ii) Decision making when using or delivering the service; (iii) Challenges of staffing and financing the service (iv) Meeting young adults' complex needs and preferences (v) Suggestions for how to improve the service.The young adults described how they benefitted from access to specialist, age-appropriate, on-site clinical skills facilities and opportunities to socialise with peers. Mothers said they benefitted from time alone or with other family members in the knowledge that the specialist short break service met the needs and preferences of their child as they made the transition to adult services. However, all participating mothers and staff expressed concern about the future well-being of young adults when they left the service at 24 years old.Major conclusionsThis study provides new information to inform ongoing development of short-break services for the increasing number of young adults with life-limiting conditions who are surviving longer than they would previously have done. This will help to ensure that UK services are responsive to users' needs and preferences.     

STATUS CHARACTERISTICS AMONG OLDER INDIVIDUALS: The Diminished Significance of Gender

Previous theory and experimental research suggest that gender operates as a status characteristic in social interaction. Here I test an alternative hypothesis based on evolutionary psychology that gender may not work as a status characteristic when individuals are older (aged over 50). In an experimental study, pairs of subjects (young men with young women, older men with older women) were asked to make a series of decisions about a gender-neutral, perceptual task with input from their partners. I find that while gender operated as a status characteristic for younger individuals, it did not operate as a status characteristic for older individuals. In addition, older individuals were more resistant to influence on average than younger individuals.     

Personal heroes,religion, and transcendental metanarratives

With the increased sociological interest in popular culture, many studies have examined the hero types lauded by the media from situation comedies to movies, books, and magazines. Few studies, however, have examined who, if anybody, actual individuals identify as personal heroes. To the extent that the hero identification of individuals has been examined at all, it has generally been the hero identification of children and adolescents that has been studied. The study of heroes is important because heroes are one indicator of who we are and what we stand for. That is partly what motivates the recent attention to the media's identification of heroes. Yet while the media represent a very visible aspect of culture, who individuals privately cite as their heroes is, although less visible, just as much a part of who we are as a culture. Accordingly, this paper reports on findings from two telephone surveys conducted in Philadelphia that, among other questions pertaining to the meaning of life, asked adults over 18 whether they had any heroes and if so who those heroes were. The tendency to identify with heroes was found to be related to transcendental concerns with the meaning of life and to religiosity. Overall, the pattern of findings discloses an unstudied dimension of cultural disenchantment.     

Responsibility Inferences and Intergenerational Obligations to Parents and Stepparents: Are Step/Children Less Obligated When Older Adults Are at Fault for Their Problems?

Beliefs about intergenerational obligations to assist older adults are known to be influenced by contextual variables such as the type of kin relationship (i.e., stepparent, parent) between older and younger adults. One contextual variable that has not been studied is the degree to which older individuals are seen as culpable for their problems. If older kin are perceived to be at fault for their problems, are they seen as less deserving of help than if they are not to blame? Do judgments about being at fault for problems affect beliefs about helping parents differently than beliefs about helping stepparents? A random national sample of 229 men and 274 women responded to vignettes about an older parent or stepparent who needed help managing diabetes, which was presented as either the consequence of the older adult's actions or as an inherited illness. Respondents were asked about younger family members' obligations to help older adults, how much help younger adults and public agencies should provide, and how much older adults were responsible for themselves. The effects of older adults' marital status and sex of both adults also were examined. Obligations to stepparents were less than obligations to parents. The amount of help respondents thought should be provided was moderated by older adults' marital status. Obligations and aid to parents and stepparents generally were not affected by the older adults' culpability for the problems.