How does active parental consent influence the findings of drug-use surveys in schools?

This study examines the impact of passive and active parental consent procedures on the type of adolescents participating in a school-based survey examining substance use. Schools recruited from a random sample of metropolitan schools were assigned to passive or active parental consent condition. Results showed that participation rates in active consent schools were lower than in passive consent schools for junior students (60% vs. 80%) but not senior students. Although consent condition had limited impact on prevalence estimates among older students, among younger students estimates of cannabis use and ecstasy use were higher in the passive consent condition than the active consent condition. Active consent procedures introduce some degree of selection bias into studies of adolescents' substance use and may compromise the external validity of prevalence estimates produced, especially among younger students.     

Evaluation of a preventive intervention for bereaved children

One hundred eighty four families completed a twelve month parent-guidance (experimental) or a parent telephone-monitoring (comparison) intervention initiated during one parent's terminal cancer illness and continued until six months after the death. Children in the parent-guidance intervention reported greater reduction in trait anxiety and greater improvement in their perceptions of the surviving parent's competence and communication, a primary goal of the intervention. Identified problems in implementing evaluations of experimental interventions with bereaved children include the following: (1) Available and commonly used standardized psychopathology measures do not adequately capture changes in non-psychopathological but bereaved distressed, grieving children and adolescents. (2) Experimental and control samples usually have very few children with psychopathology (scores). Relatively small changes in scores within the normal range may be insufficient to allow measurement of meaningful differences between interventions. (3) Both experimental and control interventions must provide sufficient help to retain families for later evaluation. The level of general support and referral for other treatments, if adequately done, may be sufficient to blur differences in standardized psychopathology measure scores between any two interventions. It may only be in the specifically targeted intervention area that differences can be expected to be significant in adequately resourced families.     

Re-traumatization among adult women sexually abused in childhood: exploratory analyses in a prospective study

The current exploratory study examined a variety of risk factors related to re-traumatization, defined broadly, in a prospective sample of women who were sexually abused in childhood. Eighty women, who were part of a larger longitudinal study of the effects of child sexual abuse, were interviewed at three points in time: in childhood and at two points in early adulthood. Risk factors were measured at the second interview and used to predict reported trauma exposure between interviews two and three. Given theoretical arguments for differences in risk factors based on ecological context, analyses were conducted separately for married and unmarried women. Situational and intrapersonal risk factors such as homelessness and depression were predictive of re-traumatization risk while reported social support satisfaction was a protective factor. Reports of trauma exposure between interviews two and three were related to mental health symptoms.     

Access to breast prostheses via a government-funded service in Victoria, Australia. Experience of women and service providers

For many women, the only alternative to breast reconstruction following a mastectomy is to use external prostheses, which need replacing regularly at a cost of up to $395 per prosthesis. Commonwealth and state governments across Australia have responded to this need by providing subsidies to assist in the purchase of breast prostheses. However, current arrangements have been highly variable and sometimes difficult to access. As part of a larger review of breast prosthesis services in Victoria, Australia, the aim of this research was to evaluate client satisfaction among Victorian women who accessed funds through the State Government's Aids and Equipment Program, compare the responses of the program service providers with the experiences of clients accessing funding, and identify opportunities to improve service provision.     

Role versatility among men who have sex with men in urban Peru

Role versatility refers to the practice in which individual men who have sex with men (MSM) play both insertive and receptive sexual roles over time. Versatility has been thought to be relatively uncommon among Latin American MSM but possibly rising. Versatility has also been shown to be a potentially large population-level risk factor for HIV infection. In this study we examine the correlates of versatile behavior and identity among 2,655 MSM in six Peruvian cities. Versatile behavior with recent male partners was found in 9% of men and versatile ("moderno") identity was reported by 16%. Significant predictors included high education, white-collar occupation, sex work, and residence in Lima. Age was not significant in any analysis. Since sex work is negatively correlated with other predictors, versatile men appear to comprise two distinct sub-populations. Insertive-only men appear to play a strong role in bridging the HIV epidemic between MSM and women.     

Challenging the courtesy bias interpretation of favorable clients' perceptions of family planning delivery

Favorable client perceptions of provider's interpersonal behavior in contraceptive delivery, documented in clinic exit questionnaires, appear to contradict results from qualitative evaluations and are attributed to clients' courtesy bias. In this study, trained simulated clients requested services from Ministry of Health providers in three countries. Providers excelled in courteousness/respect in Peru and Rwanda; in India, providers were less courteous and respectful when the simulated clients chose the pill. Privacy and two-way communication were less prevalent in all three countries. The findings challenge the courtesy bias interpretation. Global results from qualitative studies may have expressed the views of the minority of clients who are not treated well by providers.     

“We been dying,and you got me on a call helping you stay alive”: Black and Latinx youth organizers' experiences of racism in gun violence prevention organizations

This study explored Black and Latinx youth organizers' experiences of racism within national gun violence prevention organizing spaces. Interview data were analyzed from 17 Black and/or Latinx youth (M_age = 20.17, 47% women) across the United States who organized against gun violence. The findings identified three forms of racism that Black and Latinx organizers experienced in national organizations: (1) being tokenized for their racial identities and experiences without having real decision making power; (2) feeling a burden to educate their white peers about the structural causes of gun violence and how to improve organizing spaces for other youth of color; and (3) being silenced in their racially conscious organizing efforts to address the structural causes of gun violence in their communities. This research highlights how Black and Latinx youth gun violence prevention organizers contend both with structural racism in their everyday lives and racism in organizing spaces.     

VISIBLY QUEER: Body Technologies and Sexual Politics

Queer body modification is a site for investigating the possibilities and limitations of agency in body practices. This article considers the use of new and recirculated body modification technologies—many of them modeled after practices of indigenous, non-Western groups—by members of gay, lesbian, and trasngendered communities. Through presenting and interpreting the interview-gathered narratives of six body modifiers, I describe body modification as a practice imbued with agency by subjects. By creating anomalous bodies that provoke shock and consternation, body modifiers not only underscore the body's symbolic significance as a site of public identity but also conceive it as a resource for opposing (hetero) dominant culture. Body modification, even though it tests social tolerance, is not guaranteed in its subversive effects. I approach the narratives from a perspective informed poststructuralism, and I understand body modifiers' agency as limited by and constituted within regulatory regimes of power, such as heteronormativity, pathologization, and colonialism. I describe how such deployments engage symbols embedded in historic systems of representation and thus raise important questions regarding agency.     

“The chug is coming through!” “There's two chuggas!”: A longitudinal study of the social function of imitation in children's play with siblings and friends

Imitation is argued to have an important affiliative function in social relationships. However, children's tendency to imitate different play partners during naturalistic play and associations with social understanding have been overlooked. We investigated the frequency and context of imitation in a longitudinal study of 65 focal children (T1: M age = 56.4 months, SD = 5.71) during play with their older or younger sibling and a friend in two separate play sessions. Children were observed again approximately 3 years later (T2: n = 46, M age = 94.6 months; SD = 6.6). We coded focal children's verbal and nonverbal imitation of their play partner, their partner's response to being imitated, the context in which imitation occurred (e.g., pretense), and the focal child's social understanding (i.e., mental state references). Verbal imitation occurred more often than nonverbal imitation and was used most often during the contexts of play negotiations and pretense. Although focal children's imitation of both their siblings and friends increased significantly over time, children imitated friends more than siblings at T1. All play partners responded positively (i.e., smiling, laughing) most often to being imitated. Associations between focal child imitation and mental state talk with friends at T2 approached significance. Our findings provide a deeper understanding of the nature of imitation during children's play interactions and support assertions that imitation is a process whereby children build affiliation, mutuality, and shared meanings in their relationships.     

Mothers’ communicative cues and the development of infants’ helping: Linking participation and problem solving in the first year of life

There is an ongoing debate on the role of socialization in the development of infants’ helping. Although opportunities for the socialization of early helping are rare in problem solving (bystander intervention), there are many opportunities for socialization in participation (working alongside others), and infants’ experiences of participation could socialize problem solving indirectly. The present study links participation and problem solving conceptually by drawing on a Hebbian concept of indirect learning and through a study examining mothers’ communicative cues in both forms of helping. Forty mother-infant dyads engaged in two semi-structured helping tasks, a participation task and a problem-solving task at five, eight, and ten months of age. Mothers’ communicative cues and infants’ return of the object were examined using coding schemes adapted from prior research. Mothers used similar communicative cues (reaches, give-me gestures, and verbal requests) in both tasks, and more maternal scaffolding contributed to greater object handover. Infants showed higher object handover in participation tasks. The findings, framed in Tomasello's neo-Vygotskian account of prosocial development, offer a synthesis of the debate on the role of socialization where prosocial behavior emerges first between people, and then becomes individualized.