Harm reduction for cannabis: Factor analysis of a protective behavioral strategies survey

Objective: To examine the psychometric properties of a measure of cannabis-specific Protective Behavioral Strategies (PBS), which assesses ways in which students may reduce cannabis-related risk. Participants: Respondents to the American College Health Association – National College Health Assessment II (N = 580) during Spring 2015. Methods: Exploratory Factor Analysis (EFA) and Exploratory Structural Equation Modeling (ESEM) were used to identify and replicate the factor structure of the measure. Results: Results support a four-factor model (Respiratory Health, Frequency/Quantity, Socializing, and General Health) with close approximate fit (Χ² (310) = 565.96, p < .001, RMSEA = .038 (.033, .043; 90% CI), CFI = .961, TLI = .929, SRMR = .033). Support for the convergent validity and construct validity of the measure was also found. Conclusions: This is the initial step in the development of a standard, psychometrically validated measure of cannabis PBS that has the potential to inform future research and interventions.     

‘We are actually,after all,just children’: caring societies and South African infantilisation of adults with intellectual disability

This article comments on infantilisation by attending to South African adult intellectual disability (ID) care through an intersubjective ethics of care lens, and shows how such an ethic can shine light on shifting our responses towards ID. Care performance data were gathered from three sources within two South African specialist ID care sites – from 10 adult residents, 16 nurses as spatiotemporal carers, and three wards as ethnographic sites. Deeply embedded and interwoven throughout various care practices is the disabling of adults with intellectual impairment when literally referred to as ‘children’. These adult-unmaking processes constitute practices that fall short of Tronto and Kittay’s caring societies ethic. Care exchanges generate relational and intersubjective spaces in which people are understood as never meeting full criteria for personhood. Infantilising care dynamics require urgent attention if we wish to change ways in which ID is viewed and responded to in South Africa.     

VARIANCE FUNCTION REGRESSIONS FOR STUDYING INEQUALITY

Regression-based studies of inequality model only between-group differences, yet often these differences are far exceeded by residual inequality. Residual inequality is usually attributed to measurement error or the influence of unobserved characteristics. We present a model, called  variance function regression , that includes covariates for both the mean and variance of a dependent variable. In this model, the residual variance is treated as a target for analysis. In analyses of inequality, the residual variance might be interpreted as measuring risk or insecurity. Variance function regressions are illustrated in an analysis of panel data on earnings among released prisoners in the National Longitudinal Survey of Youth. We extend the model to a decomposition analysis, relating the change in inequality to compositional changes in the population and changes in coefficients for the mean and variance. The decomposition is applied to the trend in U.S. earnings inequality among male workers, 1970 to 2005.     

Adolescent Deliberate Self‐Harm: Linkages to Emotion Regulation and Family Emotional Climate

Parents' responses to their children's emotional expressivity have been shown to significantly influence children's subsequent psychosocial functioning. This study hypothesized that adolescents' deliberate self‐harm (DSH) may be an outcome associated with poor emotion regulation as well as an invalidating family environment. The mediational role of specific emotion processes (i.e., poor awareness of emotion, difficulties expressing emotions) between family emotional environment and the frequency of DSH was examined with 131 psychiatrically hospitalized adolescents (M age=14.84 years, SD=1.75 years). Results indicated that adolescents who self‐injured reported that this behavior reduced their negative emotional states. Structural equation modeling provided support for the proposed model that family climate influences frequency of DSH through emotion regulation skills but the model held for girls only. A direct model effect was not supported. Emotion regulation partially mediated the relationship between family climate and DSH, and direct effects were also observed.     

Poverty and educational achievement in the US: A less-biased estimate using PISA 2012 data

In the current paper, we employ the most recent Programme for International Student Assessment (PISA) data to calculate a less-biased estimate of poverty on US achievement. The PISA was specifically chosen as it is an assessment removed from a specific curriculum and instead focuses on concepts that students should know in order to participate in a global economy. Using a propensity score matching approach, our findings suggest that US students in poverty have notable educational attainment deficiencies compared to a matched group of students who are not in poverty. In other words, when we select two students who have a great deal in common but for the fact that one comes from a poverty background, the student in poverty is expected to perform nearly 28 points, or about a quarter of a standard deviation lower, on the PISA assessment. In real terms, this puts math achievement for children not in poverty on-par with the Organisation for Economic Co-operation and Development (OECD) average, while children in poverty are well below the OECD average.     

College students coping with interpersonal stress: Examining a control-based model of coping

Objective: The ways that college students cope with stress, particularly interpersonal stress, may be a critical factor in determining which students are at risk for impairing mental health disorders. Using a control-based model of coping, the present study examined associations between interpersonal stress, coping strategies, and symptoms. Participants: A total of 135 undergraduate students from 2 universities. Methods: Interpersonal stress, coping strategies, depression, anxiety, and somatization were assessed via self-report. Results: Students reporting more interpersonal stress reported more depression, anxiety, and somatization, and they reported less use of engagement coping strategies and greater use of disengagement coping strategies. Engagement coping strategies accounted for a significant portion of the association between interpersonal stress and mental health symptoms. Unexpectedly, coping strategies did not moderate the association between stress and mental health symptoms. Conclusion: Interventions designed to improve students' coping strategies may be an effective way to reduce mental health problems on college campuses.     

Applying a social model of disability across the life span

With an estimated 21.3% of persons aged 15 and older experiencing disability in the USA, social workers will see clients present with disabilities across all practice settings and stages of human development. Yet, the training and terminology of social workers—which often closely aligns with medical professionals—may seem to occur in isolating silos or disciplinary theories. Social work education often views the needs of older adults and people with disabilities as two distinct populations, despite the fact that many of these individuals share similar needs for access, resources, and support. Furthermore, when discussing human development, the focus may skew to individual affective, behavioral, and cognitive processes and indicators of abnormal development and frailty. Thus, by clarifying terminology and applying a social model of disability across the life span, we identify how educational efforts related to human behavior and the social environment can promote intersectional and inclusive social work related to aging and disability.     

SNAP Benefits and Pregnancy-Related Emergency Room Visits

Pregnant women are likely to be sensitive to daily fluctuations in nutritional intake. To see if income constraints at the end of the month limit food consumption and trigger health problems, we examine how the date that benefits are issued for the Supplemental Nutrition Assistance Program (SNAP) changes the probability that a woman will go to the Emergency Room (ER) for pregnancy-related conditions using administrative data from SNAP and Medicaid from Missouri for 2010–2013. SNAP benefits in Missouri are distributed from the 1st through the 22nd day of the month based on the birth month and the first letter of the last name of the head of the household, making timing of SNAP issuance exogenous. We estimate probit models of the calendar month and SNAP benefit month on the probability of a pregnancy-related ER visit for women age 17–45, or the sample at risk of being pregnant. We also examine the relationship between SNAP benefit levels and ER visits. We found that women who received SNAP benefits in the second or third week of the calendar month were less likely to receive pregnancy-related care through the ER in the week following benefit receipt. Results suggest that SNAP benefits might be related to patterns of pregnancy-related medical care accessed through the ER. Since SNAP issuance date is within state control in the United States, states may want to consider the health effects of their choice.     

Do significant labor market events change who does the chores? Paid work,housework, and power in mixed-gender Australian households

We examine how men and women in mixed-gender unions change the time they allocate to housework in response to labor market promotions and terminations. Operating much like raises, such events have the potential to alter intra-household power dynamics. Using Australian panel data, we estimate couple-specific fixed effects models and find that female promotion has the strongest association with housework time allocation adjustments. These adjustments are in part attributable to concurrent changes in paid work time, but gender power relations also appear to play a role. Further results indicate that households holding more liberal gender role attitudes are more likely to adjust their housework time allocations after female promotion events. Power dynamics cannot, however, explain all the results. Supporting the sociological theory that partners may “do gender,” we find that in households with more traditional gender role attitudes, his housework time falls while hers rises when he is terminated.     

Special education disproportionality in the United States,Germany, Kenya,and India

Disproportionality in special education includes the underrepresentation and overrepresentation of children by gender, economic status, race, ethnicity, language, and culture. This article reviews literature on disproportionality in the United States, Germany, Kenya, and India. Societal views of disability, classism, racism, and inequitable assessment are among the factors that contribute to disproportionality. Preventative medicine, equitable access to resources, ethical and effective assessment procedures, and educational practices that are gender equitable and culturally responsive may reduce the problem of disproportionality.