Caregiver‐endorsed strategies to improving sexual health outcomes among foster youth

Foster youth are at an increased risk of unintended pregnancies and sexually transmitted infections (STIs) compared with peers. We conducted 11 semistructured focus groups with 86 foster and kinship caregivers in three child welfare jurisdictions to understand their strategies for monitoring and communicating with youth in foster care around sexual health topics, with the overall goal of developing a training for caregivers to reduce STI and unintended pregnancies among youth in foster care. We used thematic analysis to analyse the data. Three main themes emerged: (1) strategies to communicate with youth about sexual health (trust‐building, open/direct communication, tailoring information to each individual youth, creative conversation‐starters, and self‐education), (2) strategies for monitoring youth (e.g., tailoring monitoring to youth development/characteristics, clearly communicating rules, co‐development of rules, spending time with youth/friends/friends' parents, using technology, using a social support system), and (3) other strategies to promote positive youth development (advocating for youth, engaging youth in goal‐setting). Trainings that provide caregivers with (1) information on sexual health and normal adolescent development and (2) strategies and skills to help caregivers engage in open, evidence‐informed communication, and monitor youth in a tailored, developmentally‐informed manner are likely to improve reproductive health and other outcomes among youth in foster care.     

Linguistic indirectness in parent–preschooler reminiscing about emotion‐related events: Links with emotion regulation and psychosocial adjustment

The concept of linguistic indirectness is well established within the field of pragmatics, in which it has been observed that speakers express ideas directly and indirectly. We integrated the analysis of linguistic directness and indirectness with the examination of two established measures of parental emotion socialization through reminiscing: elaboration and emotion explanations. We examined the unique associations of parents’ direct and indirect elaboration and emotion explanations with preschoolers’ emotion regulation and psychosocial adjustment. Participants were 55 parent–preschooler dyads (31 girls, 24 boys). The dyads reminisced about positive and negative events. Conversations were coded for parental elaboration, parental use of emotion explanations, and parental linguistic directness and indirectness. Children's emotion regulation was observed during standard tasks, and teachers reported on children's psychosocial adjustment. Multivariate regressions including direct elaboration and direct emotion explanations indicated that parents who engaged in more indirect elaboration when discussing positive events had children with worse emotion regulation. Parents who used indirect emotion explanations when discussing positive events had children with better psychosocial adjustment. Parents’ indirect speech during negative event discussions was not related to child outcomes. The results suggest differential functions for indirect elaboration and indirect emotion explanations in relation to children's social outcomes, and support the utility of examining linguistic indirectness.     

A Population-Based Study of Coupling and Physical Activity by Sexual Orientation for Men

ABSTRACT

Research has suggested that men in relationships are more physically active than men who are single. This study provides a weighted analysis of physical activity by coupling status for men of different sexual orientations. Aggregated data from the United States 2013–2014 National Health Interview Survey were used to conduct multivariate logistic regression analyses. Compared to straight men (n = 29,926), gay men (n = 623) were less likely to be in a relationship (AOR 0.32, CI: 0.25–0.41). Coupled gay men did more physical activity than coupled straight men and were 1.62 (CI: 1.05–2.50) times more likely to be active, 1.67 (CI: 1.10–2.51) times more likely to be high active, 1.89 (CI: 1.24–2.89) times more likely to engage in muscle-strengthening activities, and 2.00 (CI: 1.28–3.11) times more likely to meet aerobic and muscle-strengthening recommendations. Coupling facilitates physical activity for men. However, more research is needed to help explore underlying mechanisms for differences by sexuality.     

Neighborhood Poverty and Children's Academic Skills and Behavior in Early Elementary School

Neighborhoods provide resources that may affect children's cognitive and behavioral outcomes. However, it is unclear to what degree associations between neighborhood disadvantage and outcomes persist into elementary school and whether neighborhood disadvantage interacts with household disadvantage. Using data from the 2010–2011 Early Childhood Longitudinal Study‐Kindergarten Cohort (N = 15,100 children) merged with census data from the American Community Survey, this study examines associations between neighborhood poverty and children's math, reading, and behavioral outcomes at kindergarten and first and second grades. Findings indicate that as tract‐level poverty increases, children's achievement worsens after controlling for child and family characteristics. These associations persist into second grade and are stronger for children in poor versus nonpoor households. Findings suggest that neighborhood disadvantage may contribute to poorer achievement scores, particularly among children with few household resources, but that household disadvantage and other characteristics largely explain behavioral outcomes. Research and policy implications are discussed.     

A space of safety: Children's experience of equine‐assisted group therapy

Owing to a shift in alcohol and other drug practice towards a more ecological understanding of the impact of problematic parental substance use, children who were previously forgotten by practitioners are increasingly being included in alcohol and other drug service provision. Occurring concurrently with these changes has been a boom in interest in non‐talk‐based therapies to enhance child well‐being. Examples of such therapeutic interventions include adventure‐based activities, theatre, yoga, music, and purposeful interaction with animals. The latter approach, increasingly delivered by social workers, is known as animal‐assisted therapy and involves the inclusion of animals in a goal‐directed intervention. Equine‐assisted therapy (EAT) is a specialised branch of animal‐assisted therapy in which horses are used to cofacilitate therapeutic interventions. Although EAT practitioners argue horses are uniquely effective therapeutic animals, a strong evidence base has not yet developed. The present study utilised qualitative methods to explore children's individual experiences of an EAT program. Thematic analysis of interview data found that EAT is beneficial to children experiencing problematic parental substance use as it offers an environment in which children can feel safe and secure and are supported to grow, personally and socially, by mastering fears, making new friends, and improving their interpersonal behaviours.     

Conditional Inference Trees: A Method for Predicting Intimate Partner Violence

A number of different methodologies have been employed to investigate the complex relationship between psychological and physical aggression. Herein, a method of unbiased recursive partitioning (conditional inference trees) was applied to a longitudinal sample to identify cutoffs of psychological aggression at baseline that differentiate between individuals who do and do not perpetrate physical aggression at follow‐up. The algorithm categorized men into low‐ and high‐risk groups, and women into mild‐, moderate‐, or high‐risk categories of perpetration. Couples responded anonymously to a self‐report measure of psychological and physical aggression (CTS2) at baseline and a 12‐month follow‐up. Sensitivity analyses for predicting physical aggression reached as high as 59% for women and 60% for men.     

Women's Morality: A Test of Carol Gilligan's Theory

The purpose of this paper is to analyze male and female perspectives of morality, using Carol Gilligan's theory of gender differences. The hermeneutic–dialectic mode of inquiry was used to understand the process and outcome of the participants' perspectives. Three discourses were utilized to examine the notion of morality of the women participants, the men participants, and a final discourse in which both sexes were brought together. The women demonstrated few personal boundaries in their understanding of morality whereas the men's approach remained abstract and detached. The majority of both group members, however, showed potential to understand the social realm of the others' dominant approach to morality, but no consensus was reached. The gender distinct moral language continued to persist throughout the final discourse and the subjective versus intellectual approach remained more comfortable for each respective group. The findings are consistent with Gilligan's theory and the causes are understood from both a psychological and sociological viewpoint.