Nationwide Newspaper Coverage of Posttraumatic Stress: A Community Structure Approach

This study utilized the community structure approach to analyze newspaper coverage of posttraumatic stress (PTS) in veterans in 26 U.S. cities. The study examined whether media placed responsibility for PTS treatment on government or society through a review of 353 articles from March 20, 2003, to March 20, 2013. Researchers coded articles for “prominence” and “direction” to produce a “Media Vector” for each paper, ranging from 0.8403 to ?0.3592. Results showed that 25 of 26 Media Vectors (96%) supported government responsibility. Pearson correlations yielded nine significant findings. Results disconfirmed buffer hypotheses linking privilege with support for government responsibility (privilege defined by percentage of college educated, percentage of family income $100,000 or more, and percentage of professional/technical occupational status; r = ?.486, ?.524, ?.553, respectively, significant at the .006 level). Stakeholder hypotheses were also disconfirmed; greater percentages of age 65 and older correlated with more emphasis on government responsibility (r = .340, p = .048), whereas greater percentages of age 25 to 44 correlated with less emphasis (r = ?.342, p = .047). The only confirmed hypothesis linked percentage of age 45 to 64 with less emphasis on government responsibility (r = ?.559, p = .002). A regional finding was noteworthy: Media in the Midwest supported government responsibility more than other regions. Regression analysis revealed three variables influencing coverage most significantly: Family Income $100K+ (26% of variance), Percentage of Hispanic (8%), and Professional/Technical Occupational status (5%). It must be noted that nearly all newspapers yielded positive Media Vectors. This indicates that coverage in major cities generally favors government responsibility for veterans' PTS treatment, and Pearson correlation results may represent differences in the degree of support and demographic characteristics influencing this support.     

Family structure and the gender gap in ADHD

Review of Economics of the Household - We document the large, excess male-female gap in ADHD diagnosis and treatment rates for non-traditional families. Pre-teen boys in traditional families are...     

Reactive and proactive aggression in children with and without ADHD and negative emotional lability

Children with attention‐deficit/hyperactivity disorder (ADHD) exhibit marked difficulty with frequent and intense shifts in negative or positive emotions, referred to as emotional lability. This study examines the relationships between negative emotional lability (NEL), ADHD, and reactive and proactive aggression. A community sample of 96 children (53 with ADHD, 43 control) ages 8–12 and their parents completed a baseline session include a diagnostic structured interview and the Reactive–Proactive Aggression Questionnaire (RPAQ). Parents then rated their child's NEL using the Positive and Negative Affect Scale as part of an Ecological Momentary Assessment protocol 3 times a day for 28 days. Seventy‐three participants (37 with ADHD, 36 control) completed the RPAQ at follow‐up. Hierarchical regression analyses indicated that NEL significantly and independently estimates reactive aggression at baseline and follow‐up, regardless of ADHD status. NEL and ADHD status significantly estimates concurrent proactive aggression, but not at follow‐up. Results of this study suggest that NEL accounts for a significant amount of the variability in reactive aggression, a common difficulty in children with ADHD. Further, individuals that are reportedly emotionally labile become more reactively aggressive over time. Both ADHD diagnostic and NEL are predictors of proactive aggression at baseline, although no interaction occurred.     

An overview of the Salmonella enteritidis risk assessment for shell eggs and egg products.

This article summarizes a quantitative microbial risk assessment designed to characterize the public health impact of consumption of shell eggs and egg products contaminated with Salmonella Enteritidis (SE). This risk assessment's objectives were to: (1) establish the baseline risk of foodborne illness from SE, (2) identify and evaluate potential risk mitigation strategies, and (3) identify data gaps related to future research efforts. The risk assessment model has five modules. The Egg Production module estimates the number of eggs produced that are SE-contaminated. Shell Egg Processing, Egg Products Processing, and Preparation & Consumption modules estimate the increase or decrease in the numbers of SE organisms in eggs or egg products as they pass through storage, transportation, processing, and preparation. A Public Health Outcomes module then calculates the incidence of illnesses and four clinical outcomes, as well as the cases of reactive arthritis associated with SE infection following consumption. The baseline model estimates an average production of 2.3 million SE-contaminated shell eggs/year of the estimated 69 billion produced annually and predicts an average of 661,633, human illnesses per year from consumption of these eggs. The model estimates approximately 94% of these cases recover without medical care, 5% visit a physician, an additional 0.5% are hospitalized, and 0.05% result in death. The contribution of SE from commercially pasteurized egg products was estimated to be negligible. Five mitigation scenarios were selected for comparison of their individual and combined effects on the number of human illnesses. Results suggest that mitigation in only one segment of the farm-to-table continuum will be less effective than several applied in different segments. Key data gaps and areas for future research include the epidemiology of SE on farms, the bacteriology of SE in eggs, human behavior in food handling and preparation, and human responses to SE exposure.     

Building cultural competence: A systematic evaluation of the effectiveness of culturally sensitive interventions with ethnic minority youth

Growing diversity within the US population accentuates the need for the development and implementation of culturally competent services in the field of child welfare. Despite this, few studies exist that examine the effectiveness of culturally sensitive interventions (CSIs) with ethnic minority populations, who are considerably more at risk of developing psychosocial problems including substance and alcohol abuse, delinquency, low academic achievement, and poor self-esteem. With the demand for evidence-based practice it is imperative that we examine the effectiveness of CSIs designed to prevent and treat youth problems. The main goal of this review was to systematically analyze the methodology of recent CSI research with populations of ethnic minority youth in order to evaluate each intervention's ability to adhere to existing standards of evidence-based practice. The fifteen CSI studies examined in this review illustrate progress in their attempt to adhere to the methodological rigor required of evidence-based practice. This review encourages the field of child welfare to position itself analogously with and embrace the movement toward building cultural competence by further investigating the effectiveness of culturally-sensitive interventions with ethnic minority youth.