Shift-and-persist coping and health among rural African American adolescents

This study examines whether shift-and-persist coping, a coping strategy defined by accepting challenges and remaining hopeful for the future, is associated with psychosocial and physical health and/or moderates the effects of contextual stress (i.e., racial discrimination, financial strain) on health among African American adolescents living in the rural Southeastern United States. Participants (N = 299, 56% boys, M_age = 12.91) completed measures of shift-and-persist coping, contextual stress, and psychosocial and physical health. Shift-and-persist coping was generally associated with better health but did not buffer the effects of contextual stress. Results suggest that shift-and-persist coping may serve as a source of resilience among African American adolescents living in a context where many experience heightened contextual stress.     

Neural mechanisms of language development in infancy

Understanding the neural processes underpinning individual differences in early language development is of increasing interest, as it is known to vary in typical development and to be quite heterogeneous in neurodevelopmental conditions. However, few studies to date have tested whether early brain measures are indicative of the developmental trajectory of language, as opposed to language outcomes at specific ages. We combined recordings from two longitudinal studies, including typically developing infants without a family history of autism, and infants with increased likelihood of developing autism (infant-siblings) (N = 191). Electroencephalograms (EEG) were recorded at 6 months, and behavioral assessments at 6, 12, 18, 24 and 36 months of age. Using a growth curve model, we tested whether absolute EEG spectral power at 6 months was associated with concurrent language abilities, and developmental change in language between 6 and 36 months. We found evidence of an association between 6-month alpha-band power and concurrent, but not developmental change in, expressive language ability in both infant-siblings and control infants. The observed association between 6-month alpha-band power and 6-month expressive language was not moderated by group status, suggesting some continuity in neural mechanisms.     

Record keeping practices: Consequences of accounting demands in a public clinic

This observational study explores the tensions and negative consequences of record construction for patients and front-line staff in a public clinic providing services to poor women and children. For emphasis, it is possible to say that the routine of the clinic is record driven, not service driven. More is accomplished in clinic work than producing records; patients certainly do receive needed health care. However, tight regulations filtered through heavy paperwork requirements stifle the effective delivery of comprehensive, flexible services especially needed by disadvantaged families. Clinic staff may be motivated to attend to individual patient concerns, but accounting demands generally circumscribe their work and create barriers for patients. The record has a life of its own as a socially constructed artifact in the process of caregiving in bureaucratic settings, where actual services often respond not to the client, but to the countable, accountable mandates of management.     

Seven types of marriage: empirical typology based on enrich*

Using ENRICH, a computerized marriage assessment tool (Olson, Fournier & Druckman, 1986), data from 8,385 couples was collected across nine dimensions of their marriage. The data was analyzed in two phases-cluster structure seeking and classification phases-by three different clustering methods (inverse factor analysis, hierarchical agglomerative, and k-means cluster analysis). Seven types of marriage were identified: Devitalized couples (40%), Financially focused couples (11%), Conflicted couples (14%), Traditional couples (10%), Balanced couples (8%), Harmonious couples (8%), and Vitalized couples (9%). The multidimensional profiles are described in relation to global measure of marital satisfaction, demographic characteristics, and clinical and research implications.     

A Comprehensive Employment Model for Low-Income Mothers

Recognizing that mothers continue to bear the primary responsibility for household production, comprehensive logit models are developed to predict employment for low-income mothers. The models include a wide array of possible employment impediments, including individual, family environment, and community variables. Lack of family resource management, a variable not previously investigated in employment prediction, is found to be a significant impediment to employment. Under welfare reform, low-income mothers must balance family and work demands under severe resource constraints. Family resource management appears to play a crucial role in this balancing process. In addition, the local unemployment rate is found to be a significant predictor of employment.     

Emerging services for community-based long-term care in urban China: a systematic analysis of Shanghai's community-based agencies

China's rapid economic reforms, coupled with the changes in age composition of the demographic structure, have greatly affected the traditional family support system. In response to these changes, efforts to develop new models of community-based long-term care (CBLTC) for elders in China have received growing attention. This paper provides a systematic analysis of the current status of emerging CBLTC systems in Shanghai, China. It covers several domains of the system: service delivery, workforce, financing, and quality of care management. Several main issues involved in the development of the emerging system are addressed, and relevant policy implications are presented in the paper.