Black women’s mental health matters: Theoretical perspectives and future directions

Despite recent sociological research exploring how stratification systems impinge on the health of socially disadvantaged populations, Black women’s mental health is rarely a topic of investigation among scholars of medical sociology, sociology of race and racism, or sociology of gender. In this review, we incorporate perspectives from sociology, social psychiatry, psychology, and social work to develop a transdisciplinary intersectional model of Black women’s mental health. We also present critical interventions in the extant literature. First, though stress exposure is generally associated with poor mental health, more research is necessary to ascertain the gendered-racialized stressors to which Black women are exposed, owing to their racial and gender oppression. Second, we admonish mental health scholars to incorporate other status dimensions (e.g., nativity, sexual orientation, age) to provide a more nuanced depiction of Black women’s psychological health. Third, the unique and enduring relationship between the U.S. punishment system and the mental health of Black women should be further explicated in future research. Last, we envision a body of work on Black women’s mental health that captures the ways in which they cope with societal level marginalization, as these forms of resilience and resistance may be mental health protective.     

Bridges to Sobriety: Testing the Feasibility and Acceptability of a Mobile App Designed to Supplement an Adolescent Substance Use Disorder Treatment Program

Clinical Social Work Journal - Adolescent substance use is a growing problem that causes a myriad of negative outcomes. Using substances during adolescence can lead to decreased executive...     

Racial Stratification and the Confederate Flag: Comparing Four Perspectives to Explain Flag Support

Recent events have brought attention to Confederate monuments positioned across the USA and polarized debates about their proper placement; however, prior research examining support for Confederate symbols is largely limited to white Americans. This study examines public support for the South Carolina Confederate flag using four perspectives of racial stratification—black/nonblack, combined race-ethnicity, ethnoracial pentagon, and nonwhite/white. Using data from two nationally representative surveys of noninstitutionalized US adults collected in 2000 and 2015 (n?=?7638), we identify associations between theories of racial stratification and Confederate flag stances. Multiple model fit indices indicate that the combined race-ethnicity theory of racial stratification best mapped onto public support followed by the ethnoracial pentagon and black/nonblack perspectives. The nonwhite/white model exhibited the poorest fit. Findings from logistic regressions showed that whites had significantly higher odds of supporting the Confederate flag compared to blacks and Latinos. Additionally, blacks had lower odds of flag support than Latinos, Asian Americans, Native Americans, Pacific Islanders, and multiracial respondents. We argue that an overlooked aspect of Confederate monuments is their signified antiblackness demonstrated in this study by greater support for the flag among all nonblack racial-ethnic groups. Findings imply that prioritizing whites’ views in discussions of Confederate monuments offers an inadequate depiction of public opinion by race-ethnicity. Disaggregating views via the combined race-ethnicity measure highlights racial-ethnic variation in support of the South Carolina Confederate flag.

     

Challenging implicit bias: preparing students to practice with African American families

ABSTRACT

The disparity of African American families in the foster care system is a concern in the field of child welfare services and the social work profession. African American families experience unique challenges related to discriminatory practices and implicit biases in the child welfare system and by mandated reporters. To address these inequalities, state and local agencies have implemented prevention and intervention services to support minority families. Additionally, child welfare agencies have invested in professional development training for their workers to alleviate possible intolerant practices. This article describes implicit biases and considers how they could contribute to the disparity of African American families involved in the child welfare system. Furthermore, the article presents approaches to help social work students to identify and challenge their implicit biases to support culturally sensitive practices while working with African American families. It concludes with implications for social work education.     

Japanese women's experiences of pharmacological pain relief in New Zealand

BackgroundIn Japan, most women manage labour pain without pharmacological interventions. However, New Zealand statistics show a high percentage of epidural use amongst Asian women. Entonox (a gas mixture of nitrous oxide and oxygen) and pethidine are also available to women in New Zealand. This article investigates how Japanese women in New Zealand respond to the use of pharmacological pain relief in labour.QuestionsThe study was guided by two research questions: (1) How do Japanese women experience and manage labour pain in New Zealand? (2) How do they feel about the use of pharmacological pain relief?MethodsThirteen Japanese women who had given birth in New Zealand were interviewed individually or in a focus group. The conversations were analysed using thematic analysis.FindingsAlthough in Japan very few women use pain relief, nine women received epidural and/or Entonox out of 11 women who experienced labour pain. The contrast between their Japanese cultural expectations and their birth experiences caused some of the women subsequent personal conflict.ConclusionJapanese women's cultural perspectives and passive attitudes were demonstrated to influence the decision-making process concerning pain relief. It was concluded that understanding Japanese cultural worldviews and approaches to the role of pain in labour would help maternity providers in their provision of appropriate care for Japanese women.     

Hypermedia Computer-Based Education in Social Work Education

Abstract

Hypermedia computer-based education (CBE) is an emerging information technology that makes possible user-directed, nonsequential exploration of, and interaction with, information presented through a variety of media including text, animation, graphics, sound, and video. This article describes hypermedia CBE and briefly reviews the research on its instructional efficacy. A synopsis of the theoretical foundation covers cognitive theory concepts of information networks and associative learning, web teaching principles, andragogical theory as it relates to social work education, and hypermedia CBE structure. Examples of current and potential applications in social work education demonstrate that hypermedia CBE can emulate the dynamic, iterative learning process of knowledge acquisition, knowledge testing, and content integration through practice simulation.     

Factors Associated with Gamblers: A Population-based Cross-sectional Study of South Australian Adults

Objective To determine, using a random telephone survey, the prevalence of various gambling activities among South Australian adults, the prevalence of adult problem gamblers using the South Oaks Gambling Screen (SOGS) instrument, and to examine the problem gamblers by demographic and health-related risk factors.Method A random representative sample of South Australian adults selected from the Electronic White Pages. Overall, 6045 interviews were conducted (73.1% response rate) using Computer Assisted Telephone Interviewing (CATI) technology.Results Overall, 75.6% (95% CI: 74.5–76.7) of respondents had participated in at least one gambling activity during the last 12 months and 2.0% (95% CI: 1.7–2.4) were identified to be problem gamblers. A wide range of factors was associated with problem gambling at a univariate level, when compared to frequent gamblers. The logistic regression analysis highlighted that problem gamblers were more likely to speak a language other than English, be employed part time and a smoker when compared to frequent gamblers. Problem gamblers were also more likely to have a mental health condition (according to the Kessler 10), have had suicidal thoughts and know of services for gambling problems.Conclusion There is a wide range of characteristics associated with problem gambling in South Australia. All of these factors need addressing during policy development to assist problem gamblers.     

Of Polls, Mountains: U.S. Journalists and Their Use of Election Surveys

Polls are a prominent feature of U.S. election news coverage.Although polls are used to explain voter opinion, they are employedmostly to fuel horse-race coverage and to craft images consistentwith the candidates’ positions in the race. Moreover,U.S. journalists sometimes misinterpret polls by slighting thepossibility that changes in candidate preference are the resultof survey error rather than real change. On balance, U.S. journalists’dependence on polls adversely affects the quality of Americanelection coverage.