Mutual Tuning of Multiple Trajectories

In this article, I offer a pragmatist conceptual framework to link the sociology of health and illness with the sociology of science and technology. Starting from an examination of the practice of doing medicine and science, I extend Anselm Strauss's trajectory concept to analyze the temporality and processual character of an evolving phenomenon in two important ways. First, I analyze how a single trajectory emerges out of the interaction of multiple trajectories and how emerging and existing trajectories shape each other with differential power. Second, in accord with recent writings in science and technology studies, agency is extended from humans to non-humans. I discuss different origin and ending strategies of trajectories and the management of trajectories over time.     

Multiple Partner Maternity Versus Multiple Partner Paternity: What Matters for Family Trajectories

In this analysis the ramifications of parents' multiple partner fertility for the trajectories of both married and unmarried stepfamilies are examined. Using a nationally representative sample of births to parents living in large cities, it was found that mother's children by prior partners are unrelated to subsequent relationship transitions within 5 years of a shared birth. However, men's other children are associated with an increase in the odds of dissolution among all couples and decrease the odds of marriage among the unmarried.     

Parental Divorce and Child Mental Health Trajectories

A process‐oriented approach to parental divorce locates the experience within the social and developmental context of children's lives, providing greater insight into how parental divorce produces vulnerability in some children and resiliency in others. The current study involves prospectively tracking a nationally representative sample of Canadian children of ages 4–7 and living with two biological parents at initial interview in 1994 (N = 2,819), and comparing the mental health trajectories of children whose parents remain married with those whose parents divorce by 1998. Results from growth curve models confirm that, even before marital breakup, children whose parents later divorce exhibit higher levels of anxiety/depression and antisocial behavior than children whose parents remain married. There is a further increase in child anxiety/depression but not antisocial behavior associated with the event of parental divorce itself. Controlling for predivorce parental socioeconomic and psychosocial resources fully accounts for poorer child mental health at initial interview among children whose parents later divorce, but does not explain the divorce‐specific increase in anxiety/depression. Finally, a significant interaction between parental divorce and predivorce levels of family dysfunction suggests that child antisocial behavior decreases when marriages in highly dysfunctional families are dissolved.     

Trajectories of Substance Use: Onset and Adverse Outcomes Among North American Indigenous Adolescents

North American Indigenous communities experience disproportionately high rates of substance use, abuse, and dependence and their accompanying consequences. This study uses group‐based trajectory modeling of past‐year substance use (alcohol, marijuana, and cigarettes) with a longitudinal sample of Indigenous adolescents from the northern Midwest and Canada (spanning ages 10–18 years). The early‐onset trajectory (36.3%) had more adverse psychosocial difficulties at baseline than the mid‐onset group (38.3%); both trajectories were associated with several negative outcomes at the end of the study. The late‐onset trajectory (25.3%) did not initiate substance use until later adolescence and had far better outcomes at the last wave of the study. Timing of onset matters. Prevention efforts should begin in late childhood and continue through mid‐adolescence.     

Patterns of Crime and Drug Use Trajectories in Relation to Treatment Initiation and 5-Year Outcomes: An Application of Growth Mixture Modeling Across Three Datasets

Drug abusers vary considerably in their drug use and criminal behavior over time, and these trajectories are likely to influence drug treatment participation and treatment outcomes. Drawing on longitudinal natural history data from three samples of adult male drug users, we identify four groups with distinctive drug use and crime trajectories over the 5 years prior to their first treatment episode. The groups' characteristics of initial treatment are compared. The trajectory groups are then included in Poisson growth curve models to predict drug use, incarceration, and employment over the 5 years following first treatment. Findings indicate that posttreatment drug use decreased and posttreatment employment increased. There was little change in posttreatment incarceration. Posttreatment trajectories for drug use, incarceration, and employment were significantly different across the four trajectory groups.     

Contradictions in Agrarian Ideology: Restructuring Gender,Race-Ethnicity,and Class1

Abstract Contradictions in agrarian ideology are revealed through an analysis of social dimensions of economic restructuring in rural Iowa. Data are culled from field observations and in-depth interviews with white European American residents. How rural residents cope with and make sense of the changes within their communities are two interrelated dimensions of social restructuring. The research highlights a perception of sharpening social and economic divisions within two small communities. The social and economic changes challenged residents' self-definitions, perspectives on rural community life, and previously taken-for-granted notions of gender, racial-ethnic, and class relations. Analysis of field data demonstrates contradictory ways that discourses on agrarianism and gemeinschaft serve as resources as well as impediments to social support and community development.     

Narrative Therapy,Eating Disorders and Groups: Enhancing Outcomes in Rural NSW

Abstract

The present paper reports on a study conducted with seven women who identified themselves as experiencing depression as well as an eating disorder and who live in a rural region of northern New South Wales. Self-referred, the women participated in a weekly group for 10 weeks, with a mixture of topics, conducted within a narrative therapy framework. A comparison of pre- and post-group tests demonstrated a reduction in depression scores and eating disorder risk. All women reported a change in daily practices, together with less self-criticism. These findings were supported by a post-group evaluation survey that revealed that externalisation of, and disengagement from, the eating disorder strongly assisted the women to make changes in their daily practices. Although preliminary and short term, the outcomes of the present study indicate that group work conducted within a narrative therapy framework may result in positive changes for women entangled with depression and an eating disorder.     

Testing the Model Minority Stereotype: Youth Behaviors across Racial and Ethnic Groups

Using data from a large nationally representative sample of adolescents attending school, this study tests the stereotype that youth of Asian Pacific Islander ethnicity (API) are the model minority. The results suggest that, except for substance use, API American youth do not report fewer delinquent behaviors than white youth; in fact, API American youth report slightly higher numbers of aggressive offenses than white youth, and female API American youth report greater numbers of nonaggressive offenses than white female youth. Also, API American youth report higher rates of nonaggressive offenses and substance use than do black youth. The mental health and social service needs of API American youth are thus at least as great as those of white youth. The need for such services increases with the length of residency in the United States.     

Longitudinal Patterns of Women's Marital Quality: The Case of Divorce,Cohabitation, and Race-Ethnicity

Previous work on marital quality has compared average levels of marital quality by demographic characteristics, such as cohabitation, divorce, or race-ethnicity. Less work has examined whether such differences persist over time. To begin to answer this question, this article uses multigroup latent growth curves to examine changes in marital quality over time, in addition to measuring differences in levels of reported marital quality among cohabitors versus noncohabitors, divorced versus stably married women, and members of different racial-ethnic groups. Although many differences are small and statistically insignificant, the results show that non-normative and traditionally disadvantaged groups experience not only lower levels of marital quality but that these differences also persist throughout the life course. This article also shows that using marital instead of relationship duration for cohabitors has substantive implications when interpreting the results.     

Patterns of Adolescent Regulatory Responses During Family Conflict and Mental Health Trajectories

Four distinct patterns of adolescents' behavioral, emotional, and physiological responses to family conflict were identified during mother–father–adolescent (M = 13.08 years) interactions. Most youth displayed adaptively regulated patterns comprised of low overt and subjective distress. Under‐controlled adolescents exhibited elevated observable and subjective anger. Over‐controlled adolescents were withdrawn and reported heightened subjective distress. Physiologically reactive adolescents had elevated cortisol coupled with low overt and subjective distress. Regulation patterns were associated with unique mental health trajectories. Under‐controlled adolescents had elevated conduct and peer problems whereas over‐controlled adolescents had higher anxiety and depressive symptoms. Physiologically reactive adolescents had low concurrent, but increasing levels of depressive, anxiety, and peer problem symptoms. Findings underscore the importance of examining organizations of regulatory strategies in contributing to adolescent mental health.     

After Farming: Emotional Health Trajectories of Farm,Nonfarm, and Displaced Farm Couples*

Abstract This study links macro social change to emotional health through continuity and change in farming. Families were divided into four groups, depending on whether they were full‐time farmers, part‐time farmers, displaced farm families who had left farming during the 1980s, or nonfarm families. Using four waves of panel data, we estimated initial levels and subsequent changes in per capita family income, stressful life events, and depressive symptoms of wives and husbands. Between 1989 and 1992, full‐time farm families' incomes decreased dramatically, while displaced farm families started 1989 with the lowest average per capita family income but saw the largest average increases in subsequent years. Farm status and changes in income predicted changes in stressful life events; changes in stressful life events, in turn, predicted changes in wives' and husbands' reports of depressive symptoms.     

Unequal at the Starting Line: Creating Participatory Inequalities across Generations and among Groups

We investigate how inequalities in political participation are shaped across generations by considering the influence of family background--in particular, parents' education and political involvement--on political participation. We pursue this issue, first, for individuals, investigating the effects of parental characteristics on the participatory profile of their offspring. Then, we use what we have learned to understand how group differences in political participation--between women and men and among Latinos, African Americans, and Anglo Whites--are rooted in the legacy of class and political background and in experiences throughout the life cycle.     

Resources of Grandparents: Educational Outcomes Across Three Generations in Europe and Israel

Educational attainment depends on parents' material and cultural resources. In many families, the grandparents also provide resources that directly or indirectly support their children's educational careers. That is why we applied a multigenerational view and tested if and under which conditions the resources of grandparents are relevant for the educational outcomes of their grandchildren. Using data from the fifth wave of the Survey of Health, Ageing and Retirement in Europe (N = 27,447), we examined the association between the education of children and the resources of their grandparents. The results show that the impact of grandparental resources is not generally negligible and not entirely mediated by the parental generation. The resources of the grandparents can be used as a substitute for a lack of parental resources. In addition, the “grandparent effect” also differs across countries, indicating that certain welfare state provisions seem to enhance or attenuate the relevance of grandparents' resources.     

Neighborhoods, Family, and Substance Use: Comparisons of the Relations across Racial and Ethnic Groups

This study examines how substance use among adolescents is related to several risk and protective factors derived from two ecological contexts: the neighborhood and the family. It explicitly investigates how the relationships between substance use and the factors vary across different racial and ethnic groups. Findings suggest many common correlates and processes of substance use for adolescents, regardless of race or ethnicity, including that neighborhood safety is associated with substance use. There are also some racial and ethnic group differences in relationships, including that low attachment to and lack of social opportunities in neighborhoods more strongly predict substance use among whites than among other racial and ethnic groups and that family management decreases the relationship between neighborhood safety and substance use among African Americans. A better understanding of the associations among factors that influence substance use across racial and ethnic subgroups can help effectively target preventive interventions for different groups.     

Exploring Differences in Family Involvement and Depressive Symptoms across Latino Adolescent Groups

This study investigated the association between family involvement and depressive symptoms among a sample of 187 Dominican, Mexican, and Central American adolescents from the Longitudinal Immigrant Student Adaptation Study. The study used the transactional stress model as its theoretical foundation. Findings from a multiple regression model suggest that low levels of family involvement were significantly related to higher levels of depressive symptoms for Dominican youths but not for Mexican or Central American youths. Latina adolescents were significantly more likely to have higher rates of depressive symptoms than their male counterparts. Research and practice implications are discussed.     

Sexual Hookups and Adverse Health Outcomes: A Longitudinal Study of First-Year College Women

“Hookups” are sexual encounters between partners who are not in a romantic relationship and do not expect commitment. We examined the associations between sexual hookup behavior and depression, sexual victimization (SV), and sexually transmitted infections (STIs) among first-year college women. In this longitudinal study, 483 women completed 13 monthly surveys assessing oral and vaginal sex with hookup and romantic partners, depression, SV, and self-reported STIs. Participants also provided biological specimens that were tested for STIs. During the study, 50% of participants reported hookup sex and 62% reported romantic sex. Covariates included previous levels of the outcome, alcohol use, impulsivity, sensation seeking, and romantic sex. Autoregressive cross-lagged models showed that, controlling for covariates, hookup behavior during college was correlated with depression, Bs = .21, ps < .05, and SV, Bs = .19, ps < .05. In addition, precollege hookup behavior predicted SV early in college, B = .62, p < .05. Hookup sex, OR 1.32, p < .05, and romantic sex, OR 1.19, p < .05, were associated with STIs. Overall, sexual hookup behavior among college women was positively correlated with experiencing depression, SV, and STIs, but the nature of these associations remains unclear, and hooking up did not predict future depression.     

Increased Public Financing and Health Care Outcomes in Russia

The paper proposes to estimate effectiveness in the rise of public health care expenditure within the 2006 Russian health care project by using the following indicators: mortality of working age population (from all causes except for external), life expectancy at birth, number of illness days for working population, and infant mortality under 1. Regional time-trend eliminated panel data regression analysis demonstrates significance of the dummy for the year 2006 in explaining the first three of the above health outcomes. Price-level adjusted medical staff salary turns out to be a significant predictor, too. Yet, since increased financing was almost unrelated to efficiency issues, it may be seen only as a first step in perfecting the post-Soviet Russian health system.