Activities of the U.S. Department of Health and Human Services

In this essay, Don Winstead and Ann McCormick describe HHS's efforts to improve existing data systems and create new ones to advance our understanding of "the condition of the low-income population before and after welfare reform." They confirm the seriousness of the problems that the other authors raise about various national, state, and local data sets, such as attrition and the inability to capture "the new variation in programs across the country." Their main sources of data are the SPD; the SIPP; and state-based administrative data on programs such as TANF, food stamps, and Medicaid.     

Rhetoric and Reality of Economic Self-sufficiency Among Rural,Low-Income Mothers: A Longitudinal Study

This study examined the contributions of maternal labor force participation and marital status on economic self-sufficiency over time for rural mothers. Data were from 174 rural families participating in three waves of data collection in Rural Families Speak. χ ² and multiple logistic regression were utilized. Results revealed only one-third of mothers moved toward economic self-sufficiency over three years. Maternal education, employment status, and weekly work hours were associated with improved economic well-being. Compared to single-parent families, unmarried-couple and married-couple families had increased odds of improving economically. In an analysis of all mothers with partners, married or unmarried, martial status was not significant in economic improvement. Findings suggest the role of marriage in welfare reform for rural families should be reconsidered.

The self-perceptions and interpersonal relationships of persons with significant physical disabilities: a qualitative pilot study

This exploratory, qualitative research was conducted to obtain the perspectives of people with significant physical disabilities regarding factors that have facilitated and hindered the development of a positive self-concept, participation in the broader society, and the formation of interpersonal relationships. The sample was high achieving in terms of education and/or career and attributed positive self-perceptions and their success in the broader society and interpersonal relationships to the attitudes and perceptions regarding their abilities, talents, and potential modeled in supportive family relationships. Females reported the influence of significant others most often, and males the effectiveness of their personality characteristics. Societal barriers, both practical and attitudinal, were reported along with the process for developing a positive selfperception despite these.     

Preventing risk for obesity by promoting self-regulation and decision-making skills: pilot results from the PATHWAYS to health program (PATHWAYS)

The overall aim of the two school-based pilot studies was to evaluate whether an approach to prevention that focused on changing child impulse control, decision making, and social competence can be effective in changing attitudes toward food intake and physical activity as risk factors for obesity. The strategy used was to translate specific components of one evidence-based program for violence prevention (Promoting Alternative Thinking Strategies: PATHS) into an elementary school curriculum program for obesity prevention. Both studies demonstrated significant changes in positive attitudes toward self-regulation of appetitive behavior. In addition, Study 2 demonstrated positive changes in actual food choices and television viewing patterns. Implications are that comprehensive efforts to prevent youth risk for obesity should include as one component school-based curricula that target self-regulation and decision-making skills.     

An Initiators' Perspective on the Continuity of Citizens' Initiatives in Rural Areas

Against the backdrop of depopulation and the shift toward Big Society, citizens' initiatives in rural areas are believed to be able to mitigate the decline of service provision in rural regions. Consequently, this mitigation requires the continuity of such initiatives. However, so far, we lack an initiators' perspective on the relevance of this continuity and the factors influencing it. From a theoretical standpoint, continuity of citizens' initiatives can be understood at three levels: the participant, group, and initiative levels. Based on empirical data obtained from 157 questionnaires distributed to a variety of initiatives, and using regression analysis, the focus of this paper is twofold. First, how and at which level the initiators understand continuity of an initiative is considered. Second, factors influencing the expected continuity of an initiative are researched. The results reveal that continuity differs from merely being successful and is influenced by other factors as well. Furthermore, continuity on the initiative level—the realization of a certain goal—is most prominent in analyzing expected continuity. In conclusion, we explore the roles that citizens' initiatives can be expected to play in service provision and which levels of continuity align with these expectations.     

The Untold Story of 50 Years of Adolescent Fertility in West Africa: A Cohort Perspective on the Quantum,Timing, and Spacing of Adolescent Childbearing

Although recent studies examine overall fertility trends in West Africa, few using advanced demographic techniques focus on adolescents. This study explores long‐term patterns of adolescent childbearing in 12 West African countries using 51 Demographic and Health Surveys covering birth cohorts that span 54 years (1940–1994). We employ classic demographic measures as well as disaggregation by early‐ (10–14 years old), middle‐ (15–17), and late adolescence (18–19). Cohort‐based estimates of total adolescent births, parity progression ratios, and rapid repeat birth probabilities reveal little change over time. Most women begin childbearing in adolescence, the progression to additional adolescent births remains common, and the incidence of rapid repeat births is high. In recent cohorts, women exit adolescence with an average of between 0.4 (Ghana) to 1.3 (Niger) births. Contrary to common assumptions, it is women commencing motherhood in early‐ and middle‐, not later adolescence, who account for most West African adolescent fertility.     

Interactive Effects of Major Response Facilitators

Practitioners and researchers have long been interested in achieving the highest response rate within resource constraints on their mailed surveys. Achieving this high response rate typically has required the selection of the right mix of response-facilitating techniques. The selection decisions were generally made under the assumption that the response-facilitating techniques act independently of one another. The authors have examined the validity of this independence assumption by identifying the major response facilitators in use and then analyzing the results of 531 independent mail survey studies. The authors conclude that major facilitators do not function independently. In fact, it was found that significant joint action interactive effects on response rates do exist. Practitioners and researchers who are faced with the survey design decisions of choosing response facilitators can receive assistance by reviewing the results of this diverse collection of reported experiences.     

The female aging body: A systematic review of female perspectives on aging,health, and body image

While most body image research has focused on young female populations, evidence has shown that as few as 12% of older women are satisfied with their body size. Recent studies have also highlighted how anti-aging discourses are promoting unrealistic body norms, which have shown to contribute to poor body image and altered health behaviors. A systematic review of empirical studies focused on older women’s perspectives of health, body image, and the aging body is presented. Findings support that body image is a persistent, lifelong issue for women and should be considered when implementing healthy aging policies and practices.     

Families,meals and synchronicity: eating together in British dual earner families

Based on a sample of British dual earner families with young children drawn from the National Diet and Nutrition Survey, the paper examines their food practices, in particular the conditions under which families are able to eat together or not during the working week. The concept of synchronicity is drawn upon to shed light on whether meals and meal times are coordinated in family life and the facilitators and constraints upon coordination. The paper suggests that whether families eat together is not only influenced by parents' work time schedules but also children's timetables relating to their age and bodily tempos, their childcare regimes, their extra-curricular activities and the problem of coordinating different food preferences and tastes.     

Mothers' and Fathers' Well‐Being in Parenting Across the Arch of Child Development

Limited research on parental well‐being by child age suggests that parents are better off with very young children despite intense time demands of caring for them. This study uses the American Time Use Survey Well‐Being Module (N = 18,124) to assess how parents feel in activities with children of different ages. Results show that parents are worse off with adolescent children relative to young children. Parents report the lowest levels of happiness with adolescents relative to younger children, and mothers report more stress and less meaning with adolescents. Controlling for contextual features of parenting including activity type, solo parenting, and restorative time does not fully account for the adolescent disadvantage in fathers' happiness or mothers' stress. This study highlights adolescence as a particularly difficult stage for parental well‐being and shows that mothers shoulder stress that fathers do not, even after accounting for differences in the context of their parenting activities.