Initiating Sexual Experiences: How Do Young Adolescents Make Decisions Regarding Early Sexual Activity?

Understanding how young adolescents make decisions to engage in early sexual activities is vital for intervention efforts aimed at fostering positive youth development and reducing the negative outcomes of adolescent sexual behavior. In‐depth interviews with 42 suburban, mostly White, ninth‐grade adolescents (52% females, mean age=14.1, SD=.45) elicited accounts of their early sexual decisions. We adapted grounded theory methodology to build a model of sexual decision making from the adolescents' narratives. Six dominant categories emerged: contextual factors (relationship and personal characteristics), consideration of risks and benefits, boundary setting, boundary communication, the sexual experience, and evaluation. Our model of early sexual decision‐making processes, developed from the perspectives of young adolescents, highlights active consideration of health and social risks and benefits, as well as the generation of options regarding sexual activity. The model also shows that young adolescents set clear boundaries of sexual limits and evaluate sexual experiences, suggesting a dynamic process of decision making.     

Sexual Harassment in Public Places: Experiences of Canadian Women*

Des chercheurs ont étudié les cas de harcèlement sexuel en milieu de travail et dans les universités. En collaboration avec des experts judiciaires, ils ont conceptualisé le harcelement sexuel et en ont fait une question de droits de la personne. Notre recherche, fondée sur un sondage effectue en 1992 auprès de 1 990 femmes canadiennes, réVéle que le harcèlement sexuel se produit aussi dans les lieux publics. Nous présentons des données inédites sur le sujet en exa-minant le type, la fréquence et la gravité du harcèlement, les carac-téristiques des femmes le plus susceptibles d'être harcetées, les implications pouvant servir à bâtir une théone sur le harcèlement dans les lieux publics, les réactions des femmes a l'égard du harcèlement ainsi que ses conséquences sur les plans émotionnel et psychologique. Researchers have expended much effort studying sexual harassment in the workplace and universities. Together with legal experts, they have conceptualized sexual harassment as a human-rights issue: a form of sexual discrimination that typically occurs in relationships of unequal power. Our research, based on a 1992 survey o{ 1,990 Canadian women, suggests sexual harassment is also prevalent in public places such as streets, transit systems and malls. We supply rare data about sexual harassment in public places by examining the types, frequency, and severity of harassment; the characteristics of women most likely to be harassed; the theoretical implications of public harassment; women's responses to harassment; and its emotional and psychological effects.     

A Bootstrap Approach for Testing Marginal Independence Between Two Categorical Variables When Subjects Have Repeated Responses

To assess independence in two-way contingency tables, the Pearson chi-square test or Fisher’s exact test are typically used. These tests assume that each subject contributes at most one count to only one table cell (e.g., sex versus blood type). In other situations, each subject may have more than one count contributing to the table and these counts may occur in different cells of the table. One may wish to test independence, adjusting for the within-subject correlation. We provide a simple nonparametric bootstrap approach and assess its performance through simulation studies. The method is illustrated on subjects with multiple mental health presentations to Emergency Departments.     

Too Cool for School? The Relationship between Coolness and Academic Reputation in Early Adolescence

The relationship between peer‐nominated coolness and academic reputation was examined at two time points spanning the first year of middle school (N = 807; 52 percent female; 52 percent African‐American; 48 percent European American). Students predominantly nominated peers who were from their same gender and ethnic group as being cool. Associations between coolness and academic reputation differed across subgroups, were contingent upon level of disruptive behavior, and changed over time from fall to spring of the academic year. In the fall, patterns differed by gender, not by ethnicity. For both white and African‐American boys, hierarchical regressions evidenced a null association between coolness and academic reputation; for both white and African‐American girls, this association was positive. In the spring, findings for white girls were similar to findings from the fall. For the three remaining groups—white boys and African‐American boys and girls—conditions worsened over time, albeit in slightly dissimilar ways. For white boys, fall coolness did not predict significant declines in academic reputation over time; nonetheless, as a group, the coolness–academic reputation was negative by the end of the year. For African‐American boys and girls, fall coolness significantly predicted declines in academic reputation from fall to spring, although the concurrent coolness–academic reputation association was not significantly negative for either group in the spring.     

Rights To Health—Or Medicine: The Health Promotion Perspective

The right to perfect health—something that in its fullest sense is unattainable—and the right to pursue it can distract us from achievable goals that take into account the inevitability of disability and death and the necessity of providing people with the capacities and rights that will enable each person to cope with their own imperfections.     

Gender and Clinical Pharmacy: The Career of an Occupational Ideology*

Cet article étudie le concept selon lequel, dans une profession en mutation, la pharmacie en l'occurrence, les femmes sont les principales personnes à transmettre les valeurs liées à la pharmacie clinique - une idéologic professionnelle prétendument instaurée afin de redonner sa place à la pharmacie dans la hiérarchie des professions. Si on constate la force des convictions des membres de la profession à l'endroit de la pharmacie clinique, on observe également que les femmes ne sont pas les premières à les dèfendre. Ni la socialisation des rapports entre les sexes ni une formation particulière en pharmacie n'ont rendu les femmes mieux disposées que les hommes à l'egard de la pharmacie clinique. Les divergences - et elles sont très importantes - au sein de la profession au sujet de la pharmacie clinique se font sentir selon les différents cadres de travail des pharmaciens et selon l'année d'obtention de leur permis d'exercice. Ce sont plus les lieux de travail que les rapports entre les sexes qui permettent de prévoir les attitudes à l'égard de la pharmacie clinique. Il semble done peu probable que le fait d'équilibrer le nombre d'hommes et de femmes dans un milieu de travail soit de nature à le faire évoluer. Quelle que soit, au départ, la conception des pharmaciennes à l'égard de leur profession, elle influe peu sur leur rapport à la pharmacie clinique. This paper explores the idea that in a changing profession, women are the principal value carriers of clinical pharmacy—an occupational ideology professedly developed to restore pharmacy's precarious standing in the occupational hierarchy. While the investigation uncovers considerable evidence for the vitality of clinical pharmacy beliefs among practitioners, women were not at the forefront of this trend. Neither general gender socialization nor specific pharmacy training has rendered females more sympathetic to clinical pharmacy than males. Differences within the pharmacy community regarding clinical pharmacy—and they are quite considerable— emanate from the varied work settings that practitioners occupy and their year of licensure. Attitudes to clinical pharmacy are better predicted by workplace than by gender. On the basis of our findings, it seems unlikely that balancing the number of men and women in an occupation or work organization will, in and of itself, change it. Whatever distinctive prior orientations to work that female pharmacists may hold, they have little impact upon how they think about clinical pharmacy.