Still left out: healthcare stratification under the Affordable Care Act

ABSTRACT

The 2010 Affordable Care Act (ACA) increased healthcare access for many Americans. But, its exclusion of most noncitizens and imperfect state-level implementation stratified coverage by documentation status, place, income level, race, and ethnicity across the U.S.A. Drawing from the sociological literature on boundaries, this paper argues that these demographic boundaries facilitate de jure and de facto stratification for immigrants and low-income Americans of various ethnoracial backgrounds. Using existing survey research regarding national ACA implementation and a qualitative study of ACA implementation in Boston, MA, this paper shows how such stratification may worsen existing disparities in healthcare coverage and access among the U.S. population. Implications regarding President Donald Trump and conservative lawmakers’ plans to repeal the ACA are also discussed. The paper contributes to researchers’ understanding of how public policies produce boundaries by place, documentation status, race, ethnicity, and income that facilitate inequality.     

Intraverbal Training for Individuals with Autism: The Current Status of Multiple Control

The Analysis of Verbal Behavior - Teaching complex intraverbal responding to children with autism spectrum disorder (ASD) can be challenging and often requires careful programming. Divergent and...     

Public engagement with nonprofit organizations on Facebook

Explicating Facebook's engagement features, this study explored whether organizational message strategies based on the four models of public relations have an impact on the different levels of public engagement. The study found that publics demonstrate high levels of engagement with organizational messages when two-way symmetrical communication is used, compared to public information or two-way asymmetrical models. The study also provided practical implications for nonprofit practitioners to engage with publics via social media.     

Validation of the traumatic sexualization survey for use with heterosexual men

Two studies were conducted to validate the Traumatic Sexualization Survey (TSS) for use with heterosexual men. In Study 1, an online sample of men completed the TSS and measures used to examine convergent and divergent validity. An exploratory factor analysis revealed that the TSS had a similar factor structure in men as previously found in women. The TSS demonstrated adequate reliability and validity with men. In Study 2, male sexually transmitted disease clinic patients completed the TSS and a measure of child maltreatment. Men with a child sexual abuse (CSA) history reported higher levels of traumatic sexualization than men with a history of only physical abuse or no abuse, providing some preliminary evidence of construct validity. The TSS appears to be an adequate measure of maladaptive attitudes that have been conceptually linked to CSA impact in men.     

Longitudinal Change in Adolescent Depression and Anxiety Symptoms from before to during the COVID-19 Pandemic

This study aimed to examine changes in depression and anxiety symptoms from before to during the first 6 months of the COVID-19 pandemic in a sample of 1,339 adolescents (9–18 years old, 59% female) from three countries. We also examined if age, race/ethnicity, disease burden, or strictness of government restrictions moderated change in symptoms. Data from 12 longitudinal studies (10 U.S., 1 Netherlands, 1 Peru) were combined. Linear mixed effect models showed that depression, but not anxiety, symptoms increased significantly (median increase = 28%). The most negative mental health impacts were reported by multiracial adolescents and those under ‘lockdown’ restrictions. Policy makers need to consider these impacts by investing in ways to support adolescents’ mental health during the pandemic.     

A Content Analysis of Sexual Consent and Refusal Communication in Mainstream Films

Young adults have limited access to comprehensive sex education. As such, they may seek sexuality information through such alternative sources, such as mass media. Previous research suggests that media, including films and television shows, can influence sexual behaviors and attitudes. Because sexual consent communication is important to sexual experiences, the purpose of this study was to assess how sexual consent and refusal communication were depicted in films. We also examined contextual factors that influence consent and refusal communication, such as gender, relationship status, location, and types of sexual behaviors. Four researchers analyzed popular mainstream films (N = 50) from 2013 based on a codebook developed inductively and deductively. The most common consent and refusal communication cues were nonverbal or implicit. The majority of scenes portrayed consent immediately before sexual activity. We also conducted chi-squared analyses to assess differences in consent and refusal communication based on gender and relationship status. There were no gender differences in the portrayal of consent cues; however, characters in established relationships used nonverbal cues more often than those in novel relationships. Mass media can normalize behaviors, and our results suggest that films may further normalize nonverbal or implicit consent cues.     

Safety First: A Model of Care for Working Systemically With High Risk Young People and Their Families in an Acute CAMHS Service

The following article outlines the Safety First Model for working with high‐risk young people in crisis. This hierarchical model prioritises emotional and physical safety by using multi‐systemic and family‐based interventions. A typical case example is used to illustrate the model and the structures and strategies employed at each level. The intervention model empowers families, facilitates their connections with other providers, and minimises the need for hospital admissions. The model also promotes collaborative and systemic practice in a child and adolescent mental health service.     

Does knowledge of college drinking policy influence student binge drinking?

The authors explored alcohol policies at 5 historically black colleges and universities (HBCUs) to gain an understanding of how students' awareness of these policies might correlate with campus binge drinking rates. Findings indicated that male students who reported being unaware of certain alcohol policies were more likely to report binge drinking than their counterparts who reported they were aware of the policies. Gender differences in awareness of alcohol policy might be an important variable influencing binge drinking on HBCU campuses.     

The Diversity Imperative: The Effects of Local Economic Structure and Social Capital on Local Philanthropy

VOLUNTAS: International Journal of Voluntary and Nonprofit Organizations - Philanthropic endeavors are a form of institutionalized collective action that enhances a community’s capacity to...