Maternal Influences on Smoking Initiation Among Urban Adolescent Girls

This study examined associations between maternal social influences to smoke and girls' early smoking behaviors. Data were collected separately from 450 urban minority girls (65.7% Black, 21.5% Latina, and 12.8% other) and their mothers on smoking frequency as well as demographic and social factors hypothesized to promote smoking. Results showed perception of mothers' smoking to be associated with girls' early smoking behaviors, whereas mothers' report of their smoking status was not. Interactions were found between ethnicity and perception of mothers' smoking, with Black girls more influenced by their perceptions of mothers' smoking status and by mothers' expectations of adult smoking than Latinas. Findings are discussed in terms of implications for preventive efforts and recommendations for future studies with urban populations.     

Parental Depression and Anxiety and Early Childhood Behavior Problems Across Family Types

Using the Fragile Families and Child Wellbeing Study, we examine the association between parental major depressive and generalized anxiety disorders and child behavior problems across family types: married, cohabiting, involved nonresident father, and noninvolved nonresident father. Among 3‐year‐olds in all families, maternal anxiety/depression is associated with increased odds of anxious/depressed, attention deficit, and oppositional defiant disorders (N = 2,120). Paternal anxiety/depression has no significant association with these problem behaviors; father’s illness, however, exacerbates anxious/depressed behaviors in young children if both parents are ill and he is coresident. The findings underscore the importance of maternal mental health for child well‐being and suggest that a negative interaction between parent illnesses is most likely when parents and children share the same disorder.     

Absolute Risk or Relative Risk? A Study of Intraspecies and Interspecies Extrapolation of Chemical‐Induced Cancer Risk

We have used the CBDS database of the National Toxicology Program to study the difference between absolute risk and relative risk models for interspecies and intersex predictions of cancer risk. For no combination (class) of tumor and site is the prediction good for all chemicals. The variation in predicted risk between chemicals exceeds the difference in risks resulting from application of these two models. On the whole, it appears that relative risk is a better model.     

Demanding work schedules and mental health in nursing assistants working in nursing homes

Nursing home assistants have physically and emotionally challenging jobs, and they often work demanding schedules in order to provide 24-h care. While the physical effects of demanding work schedules have been studied, little is known about the impact on mental health. This study explored the relationship between demanding scheduling variables and mental health indicators of depression, anxiety and somatization. A cross-section of 473 US female nursing assistants working in nursing homes was surveyed. Work schedule characteristics included shiftwork, hours per day and week, days per week, number of weekends per month, number of double shifts per month, breaks, and number of jobs worked. Working two or more double-shifts per month was associated with increased risk for all mental health indicators, and working 6-7 days per week was associated with depression and somatization. There was a trend for increasing odds of adverse mental health with increased numbers of demanding work schedule factors. The odds of depression was increased four-fold when working 50+ h/week, more than two weekends/month and more than two double shifts/month. Providing work schedules that are less unhealthy may have implications for both worker retention and the quality of care delivered to nursing home residents.     

Neighborhood disadvantage, network social capital, and depressive symptoms

Research on why neighborhood disadvantage matters for health focuses on the capacity of neighborhoods to regulate residents' behavior through informal social control. The authors extend this research by conducting a multilevel analysis of data from a 1995 telephone survey of 497 residents of 32 neighborhoods in a U.S. city. The authors find that network social capital mediates the contextual effect of neighborhood disadvantage on depressive symptoms and that health effects of network social capital persist when perceived neighborhood disorder, a standard indicator of low informal social control, is controlled for. The findings demonstrate the value of a conceptualization and measurement of network social capital that (1) considers ties that transcend neighborhood boundaries, (2) investigates health benefits of network social capital in the forms of closure and embedded support resources and range and embedded instrumental resources, and (3) uses network data on specific network members with strong and weak ties to respondents.     

Mental health of the oldest-old

As more individuals live past age 100, it is important for health professionals to better understand characteristics important to the mental health of the oldest-old in our society. Few studies have been conducted on mental health in this group, but current literature suggests these individuals are very resilient with respect to mental health and life satisfaction, despite their health disadvantages. In interviews in a variety of studies, participants talked of the importance of both inner and outer resources for empowerment. Greater understanding of mental health in aging can inform policy makers as they draft new legislation and programs to enhance quality of life for the oldest-old.     

Caring for older adults with bipolar disorder

Bipolar disorder is a recurrent, chronic mental illness that has a profound impact on the lives of patients and their families and may require extensive use of mental health services. Although bipolar disorder is often considered an illness of young people, the disorder is being recognized as more common in older adults than previously thought. Much more research needs to be done to understand the impact of aging on the course and treatment of bipolar disorder. Evidence-based interventions for treatment of this disorder in older adults must be developed. Mental health nurses can play a key role in enhancing medication adherence, implementing structured psychosocial interventions, and carrying out research to enhance diagnosis and treatment of older adults with bipolar disorder.     

Work, pregnancy, and distress

Increasing numbers of pregnant women are working throughout much, if not all, of their pregnancies. In this secondary analysis of existing longitudinal data on family health, pregnant women were grouped according to employment status: 126 homemakers, 70 employed part-time, and 135 employed full-time. There were no significant differences between the groups in measures of distress, including depression, trait and state anxiety, and perception of negative life events. Homemakers were significantly younger, less educated, and had lower family incomes than either group of employed women. There was also a non-significant trend towards higher distress scores among homemakers. Overall, among these women, it was the similarities which were more striking than the differences, which supports recent research findings about distress among pregnant women.     

Seven years later: effects of a neighborhood mobility program on poor Black and Latino adults' well-being

This study explored program effects on adults' well-being seven years following the implementation of a court-ordered neighborhood mobility program. Low-income black and Latino adults residing in poor, segregated neighborhoods in Yonkers, New York were randomly selected to relocate to publicly funded townhouses in middle-class neighborhoods within the city. Adults who moved (n = 141) and demographically similar adults who were not selected to move (n = 106) were interviewed. Data indicate that 85 percent of adults who moved to the new housing remained there at follow-up. Results revealed that adults who moved resided in neighborhoods with higher collective efficacy and less disorder and danger but had fewer neighborhood social ties than adults who stayed in poor neighborhoods. Movers were also more likely to work and less likely to receive welfare than nonmovers. Adults who remained in low-poverty neighborhoods at the time of the follow-up reported better physical health than adults residing in poor neighborhoods, but mental health did not vary by neighborhood.     

Understanding intimate partner violence against women in the rural South

Most U.S. intimate partner violence (IPV) research to date has been limited to women residing in urban areas, with the small body of research focusing on rural populations being primarily qualitative. In this case-control study of Southern rural women, while many factors are consistent with those found in urban settings, unlike findings elsewhere, IPV risk appears to increase with age, and race showed no increased risk. Furthermore, in rural areas where guns are more acceptable than in other parts of the United States, partners of IPV victims are considerably more likely to carry weapons than partners of nonabused women. Given the geographic limitations to police and medical response to severe IPV in a rural setting, an improved understanding of IPV risk among this population can aid health care providers in ascertaining risk before it escalates further.