U.S. Latinas' Knowledge and Attitudes toward Mammography: Meta-synthesis

Breast cancer is the leading cause of cancer death among Latinas in the United States. The primary purpose of this meta-synthesis was to integrate findings on qualitative studies related to Latinas' knowledge, attitudes, and perceptions regarding breast cancer and its prevention through mammography. After applying inclusion criteria, eleven studies were located. Results were organized around four areas of inquiry that cross-cut primary studies: 1) Latina participants' knowledge of breast cancer and its prevention; 2) barriers for regular mammography; 3) facilitators that encouraged such screening; and 4) recommendations on how to provide screening for Latina women.     

"All my friends are doing it:" the impact of the perception of peer sexuality on adolescents' intent to have sex

The purpose of the authors in this study was to determine if the proportionality of peers who believe other youth are having oral sex or vaginal/anal intercourse influence the youth's intention to also have oral sex or vaginal/anal intercourse in the next three months. The results supported the hypothesis that the proportionality of perceiving one's peers as sexually active was correlated with one's intent to have oral sex in the next three months (r = .34 and .39, p < .01) and one's intent to have vaginal or anal sex within the next three months (r = .51 and r = .65, p < .01). Approximately 50% of youth who intent to have oral sex are also likely to have vaginal/anal sex. The results were not moderated by age, gender, or Hispanic/White status, but were moderated by being in a special/committed relationship.     

Pediatric Bipolar Disorder: The Child Psychiatrist Perspective

This study’s objectives were to gain insight into reasons for the considerable rise in pediatric bipolar disorder (PBD) and what impact the new diagnosis of disruptive mood dysregulation disorder (DMDD) may have on child psychiatric treatment. A purposive sample of 10 child psychiatrists was interviewed for this qualitative study. Interviews were transcribed and coded for themes. Participants believe that PBD is often misdiagnosed and overdiagnosed, though their understandings of the reasons behind this vary. The majority attribute it to providers trying to help children who need services but do not fit a diagnostic category, and undertrained professionals diagnosing children. Most see DMDD as positive, though opinions on how it might impact children and treatment vary. All see family as vital in the treatment process. Participants in this exploratory study support a team approach and social workers have a key role as part of this team.     

Family and neighborhood welfare dependency and sons' labor supply

This article tests four models of how parental and childhood welfare use affects sons' labor supply: the correlated disadvantages model, Wilson's structural-environmental model, Mead's welfare culture model, and Murray's incentives model. Past research is extended by including measures of all seven factors that these models predict will shape sons' labor supply: parental welfare use, neighborhood welfare use, parental income, family noneconomic resources, neighborhood resources, labor market conditions, and state welfare benefits. There are four main findings. First, welfare use in the childhood neighborhood has no effects on sons' work hours. Second, only one group of sons is affected by parental welfare use: black sons' whose parents average $7,500 or more in welfare income per year. Third, black sons' adult work hours are strongly predicted by parental poverty and by labor market conditions; together these account for half the estimated relationships between heavy parental welfare use and black sons' labor supply. Fourth, parents' and neighbors' work hours strongly predict nonblack sons' labor supply. This research was supported by Assistant Secretary for Planning and Evaluation, Department of Health and Human Services, by the Rockefeller Foundation, and by the Office of the Vice-President for Research at the University of Michigan. We are grateful to John Bound, Sheldon Danziger, Greg Duncan, Martha Hill, and an anoymous reviewer for helpful comments and advice, to Marguerite Grabarek and James Kunz for programming, and most of all to Wendy Niemi for her patient, accurate, and efficient typing. Her research interests include poverty, social stratification, and labor economics. His research interests include rural poverty, poverty neighborhoods, and intergenerational poverty.     

Clinical practice with nonbehavioral methods: Strategies for evaluation

Social workers frequently complain that research is unrelated to issues of daily clinical practice, especially that single-case research which they see as more germane to behavior therapy. Considering the nature of non-behavioral clinical practice, this article discusses strategies for systematic evaluation.Portions of this article were presented at the NASW Conference on Clinical Social Work, November 21, 1982, Washington, D. C. The author would like to thank Joel Fischer, Rona L. Levy, and Susan P. Robbins for their hélpful comments on an earlier draft of the article.     

A Solution-Oriented Approach to Working with Juvenile Offenders

This article describes the ways in which a solution-focused practice approach is advantageous for social workers working in a variety of settings with juvenile offenders, due to its strengths-based and positive orientation. The general approach is discussed as well as specific techniques and examples of applications, such as building a relationship with a juvenile offender who has been mandated into services, finding and amplifying exceptions to the problem and other resources and strengths, and setting goals with the use of scaling questions.     

Pregnancy Prevention from the Teen Perspective

One hundred and five teens from primary and secondary pregnancy prevention programs attended focus group interviews. This article reports teens' perceptions of the factors that contribute to adolescent pregnancy and the steps that can be taken to prevent early childbearing. Lack of knowledge and accessibility to contraceptives as well as unfulfilled emotional needs were considered crucial factors. Suggestions for service delivery from findings are explored.     

The trans-theoretical stages of change model and motivational interviewing for building maternal supportiveness in cases of sexual abuse

When a child has been sexually abused, the non-offending parent plays a crucial role in determining that child's recovery. However, the disclosure of sexual abuse in families often throws non-offending parents into a dilemma about whether or not to side with the perpetrator or child, leaving them in an ambivalent position. In order to enhance the ability of parents to protect and support their children, this paper proposes the use of the Trans-theoretical Stages of Change model and Motivational Interviewing. Techniques of Motivational Interviewing will be discussed and then illustrated with a case example.     

Family Structure and Children's Behavioral and Cognitive Outcomes

We used data from the National Longitudinal Survey of Youth to examine the effect of various family structures on behavioral and cognitive outcomes for children aged 7 to 10. We extended previous research by using a longitudinal definition of family structure and by exploring multiple mechanisms through which family structure may affect children in 2 outcome domains. We found that family income, mother's psychological functioning, and the quality of the home environment are particularly important for children's behavior, whereas family income and mother's aptitude have notable effects on children's cognitive test scores.