Developing Health Lifestyle Pathways and Social Inequalities Across Early Childhood

Population Research and Policy Review - Lifestyles are a long-theorized aspect of social inequalities that root individual behaviors in social group differences. Although the health lifestyle...     

How to conduct a Narrative Policy Framework study

The Narrative Policy Framework has a growing number of researchers seeking to apply the framework in policy process scholarship. This article is intended to assist those interested in conducting an NPF study that is ‘clear enough to be wrong’ (Sabatier, 2000). While graduate programs offer critical methodological training, this article focuses on the specific application of the NPF to research inquiries about the role of policy narratives in the policy process. We approach our discussion by examining various decisions in the research process and include a detailed discussion of specifying the model and obtaining narrative data. We also point out areas for further investigation.     

Exploring intergenerational communication and stress in refugee families

More than half of the refugees who have resettled to the United States in recent years have been youth. Refugee youth have often witnessed or experienced violence and family separation prior to resettlement and face barriers to successful resettlement such as language and educational challenges. These factors elevate risk for mental and emotional distress, and protective factors like strong familial relationships are important to promoting mental well‐being. This study utilized focus groups with 36 refugees ages 18 to 25 from four ethnic groups to explore conceptualizations of and communication about mental and emotional distress within and outside of family systems. Youth reported a nuanced conceptualization of their premigration and postmigration stressors and their patterns of communication about distress in three domains: (a) exposure to traumatic stress prior to resettlement, (b) stressful experiences in resettlement, and (c) communication about mental health inside and outside of family groups.     

Applying the Housing First approach to single-site permanent supportive housing

This study explored how the U.S. Departments of Housing and Urban Development-Veterans Affairs Supportive Housing (HUD-VASH) program applies Housing First principles in the context of ten single-site programs. Focus group discussions with 64 HUD-VASH staff and community partners explored how the programs were influenced by Housing First principles and specific strategies to implement these principles in a single-site setting. Focus group respondents described resourceful ways that the principles of Housing First were implemented in their programs specifically related to (1) housing choice and structure, (2) separation of housing and services, (3) service philosophy, and (4) service array. Several of the Housing First domains cite the importance of integrated housing and the provision of services off-site; it was of particular interest to learn how single-site programs address these issues logistically. Lessons learned from this study include the importance of leveraging the independent yet overlapping tasks of case management and property management to ensure functional – if not geographic – separation of housing and services; maintaining staff on-site to address Veterans’ needs; working with community service organizations to complement the array of service available to residents; and housing single-site programs in mixed-use buildings.     

Children’s Disclosure of Sexual Abuse: A Systematic Review of Qualitative Research Exploring Barriers and Facilitators

This study evaluates and synthesizes qualitative evidence addressing factors affecting a child’s decision to disclose an experience of sexual abuse. Childhood sexual abuse is a devastating crime, with long-term negative impacts. Understanding the factors that affect a child’s decision to disclose is vital. Disclosure enables access to support and protection, both therapeutically and legally. A systematic review was conducted focusing on factors affecting a child’s decision to disclose an experience of sexual abuse. Seven studies were identified, quality appraisal undertaken, and meta-ethnography used to synthesize the studies. Six new super-ordinate themes were developed: Fear of what will happen; Others’ reactions: fear of disbelief; Emotions and impact of the abuse; An opportunity to tell; Concern for self and others; and Feelings toward the abuser. Themes indicated the importance of support, structure, and opportunity to facilitate disclosure and should be utilized by agencies to develop practices that facilitate disclosures.     

Smiles, Speech, and Body Posture: How Women and Men Display Sociometric Status and Power

This study found that power and status have different effects on nonverbal behavior. Participants lived together for a term in ten member groups (50 women, 29 men) and rated their housemates on characteristics related to power (toughness and leadership) and sociometric status (popularity and being well-known). Smiling, arm and leg position, and total talking time were recorded in group discussions, one with housemates only and one with strangers included. Power, but not sociometric status, was associated with open-body postures in women and with frequency of talking in women and men. Smiling was unrelated to power and was positively correlated with sociometric status. Male body posture was more open, but women and men did not differ in frequency of talking or smiling.     

Juggling and Dealing: The Creative Work of Care Package Purchasing

In conventional diagrams of the new service delivery process, assessment of need is linked to purchase by a single line or arrow; the implication is that purchase follows more or less logically and directly from assessment. This paper focuses on the complex creative work that goes on in the "space" between assessment of need and purchase of service, and the changing influences on that work. "Purchase" is deconstructed to reveal the complex processes and calculations involved, and the ways in which budgets "free" resources and markets influence the final outcome. The paper describes the effects on care package construction and purchase of changing policies, budget arrangements and financial limits; it goes on to outline the difficulties and complications in using information on unit costs in purchasing. Unit costs are only part of a complex equation in which prices are negotiated and total cost juggled in the context of budgets, financial limits, real accessibility and balanced by quality considerations. It is suggested that talk of "playing shops" and use of "off-the-shelf" services underestimates the complexity of care package construction and purchase. Micro-purchase of care services has more in common with dealing and juggling than with lifting standardized, packaged, pre-priced goods off shelves in Sainsbury's.     

Sexual violence in pornography: How prevalent is it?

We examine the treatment of female characters in videocassette pornography. Using a systematic sample, we analyze 209 vignettes in 40 x- to xxx- rated videos commercially available from a national chain in the local market. We found that most videos had sexually violent or dehumanizing/degrading themes; however, a significant number also had a theme of intimacy. As expected, we found little evidence (one case) of extreme sexual deviance. Extreme sexual deviance was the kind of sexual violence the 1986 Commission on Pornography assumed was commonly available in pornography today. We also examined how the race of the actor shapes pornographic violence. As hypothesized, we found that black women experienced more violence from both white and black men than was the case for white women. White women, in fact, experienced least violence when paired with a black man. Our work replicates that of others in that we found few intimacy themes in material where black actors were present.