Adolescent Substance Use Prevention Interventions Outside of Classroom Settings

Substance use prevention programs empowering individual adolescents to resist substance use through education and skills training are crucial to reducing substance use within this population. However, existing programs of this type are designed primarily for classroom use, and may not meet the needs of social workers intervening with adolescents outside classroom settings. A literature review identified six programs that have demonstrated statistically significant reductions in substance use when implemented outside the classroom. The current study describes these programs, identifies their common characteristics, and draws on additional prevention research to outline recommendations for practitioners seeking to apply the field’s most current knowledge base in community settings.     

Language,discourse and empowerment: changing approaches to children and young people who have sexually abused others

The sexual abuse of children by other children and young people has gained an increasing profile during the previous decade. It has been increasingly recognised that there has been a significant change in the way that this issue has been responded to, both in philosophy and practice, as research has developed and also as the value base of initial constructions of this behaviour has been questioned. This article describes the development of a project to work with children and young people who have sexually abused from its inception in 1995 to the present, outlining the original assumptions and working practices and the reasoning behind changes. The growth of the project illustrates the changing nature of constructions of this behaviour, along with the introduction of new theoretical approaches to respond to this change. In particular, the changes can be seen to reflect a move away from a ‘modernist’ position and this is discussed. Copyright © 2002 John Wiley & Sons, Ltd.     

Forging the links: (de)constructing chains of behaviours

This paper will discuss an article by Becker and French (2005) in this Journal which proposed the general acceptance of correlations or the ‘links’ between child abuse, animal abuse and domestic violence. Becker and French claim this topic has ‘seen a growth of interest’ (p. 399) over the past two decades and they suggest that organizations across the UK should ‘institutionalize the “links” within policy and practice’ (p. 410). In this paper we question the appropriateness of linking different forms of violence in such a mechanistic and predictive way by drawing on and extending arguments we have made elsewhere. We consider the proposed ‘links’ in terms of assumptions, de?nitions, methods and logic, and raise concerns for a prospective practice which is based on retrospective (and ?awed) research. We aim to appeal to in?uential doubters (social workers, child care workers, animal welfare workers, vets, educators and policy‐makers) in a language of ‘reason’, and we propose that the identi?ed reluctance of professionals in the UK to adopt the rhetoric of ‘links’ can be viewed as an informed and re?ective response. Throughout, we offer a corrective commentary to the ?awed assumptions of the ‘links’ argument and seek to encourage others to remain sceptical about these claims and the suggested implications for practice. Copyright © 2006 John Wiley & Sons, Ltd.     

Continued childbearing among women who were pregnant as adolescents

Conclusions The data presented in this paper and the earlier one in this series suggest that the effects of special comprehensive programs for school age mothers are seen most clearly in delay of the first pregnancy subsequent to the programs, as originally indicated by Klerman and Jekel (1973). Rather than terminating childbearing after the second pregnancy, those young mothers who had one subsequent pregnancy usually went on to become pregnant again rather quickly.A question can be raised about the generalizability of the finding from this study which is based on a rather small, black, poverty-lever sample. Although Furstenberg's (1976) results support those of this report in a population with similar characteristics, additional studies of white and non-poverty populations receiving a variety of services are critically needed if the country is to understand the phenomenon of adolescent pregnancy and find effective ways of minimizing its consequences.This study was supported by Grant #MC-R-090357 from the Maternal and Child Health Service, Public Health Service, Dept. of Health, Education and Welfare.     

A Meta-Analysis of Children's Hand-to-Mouth Frequency Data for Estimating Nondietary Ingestion Exposure

Because of their mouthing behaviors, children have a higher potential for exposure to available chemicals through the nondietary ingestion route; thus, frequency of hand-to-mouth activity is an important variable for exposure assessments. Such data are limited and difficult to collect. Few published studies report such information, and the studies that have been conducted used different data collection approaches (e.g., videography versus real-time observation), data analysis and reporting methods, ages of children, locations, and even definitions of "mouthing." For this article, hand-to-mouth frequency data were gathered from 9 available studies representing 429 subjects and more than 2,000 hours of behavior observation. A meta-analysis was conducted to study differences in hand-to-mouth frequency based on study, age group, gender, and location (indoor vs. outdoor), to fit variability and uncertainty distributions that can be used in probabilistic exposure assessments, and to identify any data gaps. Results of this analysis indicate that age and location are important for hand-to-mouth frequency, but study and gender are not. As age increases, both indoor and outdoor hand-to-mouth frequencies decrease. Hand-to-mouth behavior is significantly greater indoors than outdoors. For both indoor and outdoor hand-to-mouth frequencies, interpersonal, and intra-personal variability are approximately 60% and approximately 30%, respectively. The variance difference among different studies is much bigger than its mean, indicating that different studies with different methodologies have similar central values. Weibull distributions best fit the observed data for the different variables considered and are presented in this article by study, age group, and location. Average indoor hand-to-mouth behavior ranged from 6.7 to 28.0 contacts/hour, with the lowest value corresponding to the 6 to <11 year olds and the highest value corresponding to the 3 to <6 month olds. Average outdoor hand-to-mouth frequency ranged from 2.9 to 14.5 contacts/hour, with the lowest value corresponding to the 6 to <11 year olds and the highest value corresponding to the 6 to <12 month olds. The analysis highlights the need for additional hand-to-mouth data for the <3 months, 3 to <6 months, and 3 to <6 year age groups using standardized collection and analysis because of lack of data or high uncertainty in available data. This is the first publication to report Weibull distributions as the best fitting distribution for hand-to-mouth frequency; using the best fitting exposure factor distribution will help improve estimates of exposure. The analyses also represent a first comprehensive effort to fit hand-to-mouth frequency variability and uncertainty distributions by indoor/outdoor location and by age groups, using the new standard set of age groups recommended by the U.S. Environmental Protection Agency for assessing childhood exposures. Thus, the data presented in this article can be used to update the U.S. EPA's Child-Specific Exposure Factors Handbook and to improve estimates of nondietary ingestion in probabilistic exposure modeling.     

Formerly Incarcerated Parents and Their Children

The negative effects of incarceration on child well-being are often linked to the economic insecurity of formerly incarcerated parents. Researchers caution, however, that the effects of parental incarceration may be small in the presence of multiple-partner fertility and other family complexity. Despite these claims, few studies have directly observed either economic insecurity or the full extent of family complexity. We study parent-child relationships with a unique data set that includes detailed information about economic insecurity and family complexity among parents just released from prison. We find that stable private housing, more than income, is associated with close and regular contact between parents and children. Formerly incarcerated parents see their children less regularly in contexts of multiple-partner fertility and in the absence of supportive family relationships. Significant housing and family effects are estimated even after we control for drug use and crime, which are themselves negatively related to parental contact. The findings point to the constraints of material insecurity and the complexity of family relationships on the contact between formerly incarcerated parents and their children.     

Recent trends in multiple-caused mortality 1968 to 1982: Age and cohort components

Declines in mortality at advanced ages have been observed recently in the United States. These declines have been related to a reduction in the risk of major circulatory diseases, such as stroke and heart disease. In this paper we examine the contribution of two additional major factors in those declines. The first is the effect of conditions associated with circulatory diseases. This effect can be examined by using multiple-cause mortality data in which all conditions reported by the physician on the death certificates are recorded. The second is the contribution of cohort mortality differentials to temporal changes. If major cohort differentials are identified, we may be able to determine if recent declines in mortality are likely to continue-and to what levels. Such insights would be useful both in improving projections of the size and age structure of the U.S. elderly population and its entitlement groups and in helping to identify future patterns of needs for preventive and other health services.