Major Depressive Disorder and Cardiovascular Disease in African-American Women

Major depression is a risk factor for cardiovascular disease (CVD). This study used the National Survey of American Life (NSAL) to examine the co-occurrence of major depressive disorder (MDD) and CVD in a nationally representative sample of African American women (n = 2,216). Results from a series of logistic regression models indicated high rates of MDD and CVD in the sample, and the African American women with MDD were 1.59 times more likely to have CVD compared to those without MDD. High rates of MDD/CVD co-morbidity appeared across those living in and not living in poverty. These individuals demonstrated greater functional impairment and were high users of mental health services. Our findings validate that MDD and CVD co-occur and the need for more holistic interventions are warranted. The interface of co-morbid health conditions is critical to developing integrated models of care. Integrated health care systems are central for improving physical and mental health outcomes. These findings facilitate developing targeted assessment procedures and culturally appropriate treatment interventions. Increased knowledge regarding the role of gender, chronic health conditions, and the burden of mental illness in African American Women provides the opportunity to examine other chronic health conditions co-occurring with MDD.     

Using a Political Economy and Life Course Approach to Understand Gendered Pension Provision in the UK

The future sustainability of pensions has gained considerable international attention over recent years. These concerns have been fuelled by increasing longevity and rising pension deficits. In addition there has been further awareness of the extent of female pensioner poverty. In order to explore this situation a suitable analytical framework is required. As pensions received in retirement are dependent on earlier events in individuals’ lives, most notably their employment history, this paper explores the need for a life course approach to examine the gendered nature of pensions in the UK. Initially the life course approach, a key mode of analysis in political economy theory, is defined. It is then used to examine the notion of the changing ‘institution’ of retirement and its subsequent de‐standardisation. Then, linked to the political economy approach, it is utilised to introduce ways in which employment experiences of men and women impact upon inequalities in retirement. Finally, the article concludes that by employing such an approach to understanding pensions it enables a better appreciation of savings behaviour and opportunities.     

Criteria for Assessing the Case for Overseas Aid: A Note

This note derives minimum appraisal criteria for foreign aid consistent with those used by donor governments for domestic spending, and discusses implications for the level, allocation and financing of aid programmes. One finding is that aid is only welfare‐enhancing when the recipient country's social time preference rate is higher than the donor's, as will normally be the case. This implies that endowment financing is inferior to funding aid from current income, though borrowing against future aid as proposed by the International Financing Facility can be worthwhile provided returns exceed the borrowing cost.     

Constructing Critical Conversations in Social Work Supervision: Creating Change

Clinical social work supervision is not immune to enactments of racial and social injustice, prejudice, power and privilege rampant in our social environment and institutions. These dynamics are active in all social interactions. Most often felt on impact, these remain underground and unevenly experienced—though predominantly by people representing intersecting marginalized identities. Such real enactments can be misunderstood or avoided in social work supervision. Negative consequences not only impede learning for the supervisee and supervisor, and affect clinical understanding of client care they also perpetuate injustice based on power and social locations. Social work supervision provides space for critical analysis to identify and alter dynamics of power, privilege, and social oppression. The critical conversations (CC) model provides a framework to illuminate and examine power dynamics in order to produce change with parallel insight and action—supervisee, supervisor, and client care. Supervisee and supervisor gain capacity to engage in reflection, examine personal and professional values, hold tension and tolerate ambiguity, use one self critically, articulate ideas and insights thoughtfully and effectively, as well as inform clinical understanding of clients. The need for critical dialogue in social work supervision regarding dynamics of sameness, differences, intersectional identities, power and privilege is emphasized. Theoretical grounding is offered to elucidate how complex structural forces of oppression and privilege, cultural patterns and narratives are internalized. A definition of CC, its theoretical underpinnings and the CC model are presented with a case scenario to illuminate the application of the CC model in clinical supervision.     

US campus fraternities and sororities and the young adult injury burden

Objective: To investigate whether the presence of fraternities and sororities was associated with a higher local injury rate among undergraduate-age youth. Methods: In 2016 we compared the rate of 2010–2013 youth (18–24 years) emergency department (ED) visits for injuries in Hospital Service Areas (HSA) with and without fraternities and sororities. ED visits were identified in the State Emergency Department Database (n=1,560 hospitals, 1,080 HSAs, 16 states). US Census Bureau and National Center for Education Statistics sources identified HSA population and campus (n=659) characteristics. A proprietary database identified campuses with fraternities and sororities (n=287). ED visits explicitly linked to fraternities and sororities in the National Electronic Injury Surveillance System–All Injury Program were used to identify injury causes for sub-group analysis. Results: HSAs serving campuses with fraternities and sororities had lower age 18–24 injury rates for all causes except firearm injuries (no difference). Conclusions: Fraternities and sororities were not associated with a higher injury rate at the population level among undergraduate-age youth. A major limitation is not being able to observe campus health services utilization.     

Identification and Integration of Career Theory: Students’ Perspectives on the Process

In many counseling programs, while students are learning about career theory, they may be tasked in a separate course with identifying a theoretical approach to counseling. This may result in a dichotomous situation in which students lack an understanding of the relationship between career theory and counseling theory. Career counselors have long recognized the artificial distinction between career counseling and general counseling. However, counselor education programs generally lag, and there is a dearth of literature regarding the process of identifying and integrating career theory and counseling theory. This phenomenological study examined 6 students’ perceptions of the process of career theory identification and integration. Analysis of in‐depth interviews yielded 5 major themes: theory identification and integration, perceptions of career counseling, resources, personal dimensions, and application across the life span. Findings of this study have the potential to inform counselor education pedagogy regarding career theory identification and its application to the counseling context.     

An examination of the impact of subject selection on hypothetical and self-reported taxpayer noncompliance

Understanding taxpayer noncompliance involves the use of government reported statistics as well as taxpayer self-reported data. Both sets of data are subject to biases, but both have information to offer tax researchers. The present study addressed whether self-reported compliance rates and hypothetical reporting decisions correspond to government reported compliance rates and whether self-reported compliance rates correspond to hypothetical reporting decisions. The relationships were found to be positively correlated, but the results were influenced by the method of sample selection for the subjects. The findings of this study provide additional insight to help researchers cautiously interpret results from behavioral tax studies.