Exploring Child Mortality Risks Associated with Diverse Patterns of Maternal Migration in Haiti

Internal migration is a salient dimension of adulthood in Haiti, particularly among women. Despite the high prevalence of migration in Haiti, it remains unknown whether Haitian women’s diverse patterns of migration influence their children’s health and survival. In this paper, we introduce the concept of lateral (i.e., rural-to-rural, urban-to-urban) versus nonlateral (i.e., rural-to-urban, urban-to-rural) migration to describe how some patterns of mothers’ internal migration may be associated with particularly high mortality among children. We use the 2006 Haitian Demographic and Health Survey to estimate a series of discrete-time hazard models among 7,409 rural children and 3,864 urban children. We find that compared with their peers with nonmigrant mothers, children born to lateral migrants generally experience lower mortality, whereas those born to nonlateral migrants generally experience higher mortality. Although there are important distinctions across Haiti’s rural and urban contexts, these associations remain net of socioeconomic factors, suggesting they are not entirely attributable to migrant selection. Considering the timing of maternal migration uncovers even more variation in the child health implications of maternal migration; however, the results counter the standard disruption and adaptation perspective. Although future work is needed to identify the processes underlying the differential risk of child mortality across lateral versus nonlateral migrants, the study demonstrates that looking beyond rural-to-urban migration and considering the timing of maternal migration can provide a fuller, more complex understanding of migration’s association with child health.     

An Exploratory Analysis of Seven Child Welfare Workers who Confused SIDS with Child Maltreatment Fatalities: A Brief Research Report

Abstract

Previous research shows that child welfare workers (CWWs) have low levels of knowledge of risk factors for child maltreatment fatalities. Further, these gaps in knowledge leave CWWs with misconceptions about causes of deaths and the characteristics of the perpetrators. This brief research report focuses on CWWs’ gaps in knowledge with regard to CMFs and sudden infant death syndrome (SIDS) and explores the socio-demographic characteristics of seven workers who confused fatal child maltreatment and SIDS. These workers were experienced professionals—who were in their middle-age, mid-career, and well-educated—and had been trained in how to recognize risk factors for CMFs. Implications for training and collaboration with other professionals are discussed, as well as the need for research to evaluate training efficacy.     

Assisted living facility administrator and direct care staff views of resident mental health concerns and staff training needs

This community needs assessment surveyed 21 administrators and 75 direct care staff at 9 larger and 12 smaller assisted living facilities (ALFs) regarding perceptions of resident mental health concerns, direct care staff capacity to work with residents with mental illness, and direct care staff training needs. Group differences in these perceptions were also examined. Both administrators and directcare staff indicated that direct care staff would benefit from mental health-related training, and direct care staff perceived themselves as being more comfortable working with residents with mental illness than administrators perceived them to be. Implications for gerontological social work are discussed.     

Delivering LGBT-sensitive substance use treatment to sexual minority women

Abstract

Epidemiologic studies have consistently found elevated rates of alcohol and other substance use among sexual minority women (SMW), and despite calls for “lesbian, gay, bisexual, and transgender (LGBT)-specific” services and culturally tailored interventions, few such services exist. This study involved qualitative interviews with directors from substance use treatment programs (N?=?10) about how they addressed the needs of SMW. Strategies implemented primarily focused on creating a safe and welcoming environment for sexual minority clients. Findings highlight challenges involved in meeting the treatment needs of SMW and provide guidance to researchers and service providers on how to improve the quality of care for them.     

“They Treat us Like Pests:” Undocumented Immigrant Experiences Obtaining Health Care in the Wake of a “Crackdown” Ordinance

This article presents findings from a qualitative study of Latino immigrant experiences seeking health care services in the wake of an anti-immigrant “crackdown” ordinance similar to Arizona's SB 1070. Prince William County, Virginia's 2007 “Rule of Law” ordinance escalated law enforcement efforts that targeted this population for deportation and ordered staff to ensure that no one receive social services other than those required by federal law. This article sought to answer the questions: (1) Were undocumented immigrants able to obtain health care? (2) How do immigrants characterize their experiences with health providers? Data were gathered via semi-structured interviews (n = 57) with Latinos in a low-income neighborhood. Analysis of Spanish-language narratives found that many were dissuaded from seeking care because of high costs as well as lack of familiarity with the health care system. Others perceived that they were treated with insensitivity or outright hostility—and believed this treatment was a deliberate effort to discourage them from seeking help.     

The use of population‐level data to advance interdisciplinary methodology: a cell‐through‐society sampling framework for child development research

The authors argue that population‐level data should be used to advance interdisciplinary research about community effects on early development. These data permit the identification of neighborhoods in which development patterns deviate from predictions based on local socioeconomic status (SES). So‐called ‘off‐diagonal’ places signal where researchers are likely to discover processes that either deflect the risks of low SES or dampen the salutary impact of favorable SES. Since such neighborhoods will be best understood relative to nearby ‘on‐diagonal’ neighborhoods where macro‐economic and/or public policy factors are constant, the authors present a methodology for illuminating these regional clusters. The method is deployed in British Columbia, Canada, where a team has collected developmental observations from two censuses of kindergarten children (n = 82,632). The article discusses how these clusters can be used to coordinate sampling decisions among academics representing the range of disciplines needed to study child development from cell‐through‐society, as is recommended in the literature.     

‘Wives of Circumstance’: Gender and Slave Emancipation in Late Nineteenth-century Senegal

Using the example of correspondence between a West African trader and two French colonial administrators, this article examines tensions over authority, slavery and gendered categories in the Sine-Saloum region of Senegal in the early 1890s. The debate between the three men concerns two women and their questionable status as wives or slaves. The example of the two women, the options presented to them by both the trader and the colonial administrators, and their ultimate choice over slavery and freedom contributes to the historiography on gender, slavery and emancipation in Africa. The author also raises questions pertaining to the use of colonial administrative records to reconstruct the past of women in slavery in French West Africa.     

Profaning the Past to Salvage the Present: The Symbolically Reconstructed Pasts of Homeless Shelter Residents

Homelessness presents challenges for maintaining a positive self-concept, and those seeking help from homeless shelters face a particular irony: establishing service-worthiness requires them to present themselves as homeless, not self-sufficient, and genuinely in need of help, yet also morally worthy of that help. How do shelter residents manage this tension and salvage the self within the institutional context of the shelter? A theoretical framework linking Mead, Goffman, and narrative helps clarify strategies of self-presentation and salvaging the self within the homeless shelter context. Drawing on interviews with 44 shelter residents, this paper demonstrates that residents construct narratives that symbolically reconstruct the past from the standpoint of the present, and draw on the stages of the shelter's moral career to present a temporally-divided self, allowing residents to strategically profane the past self while keeping the present self separate and sacred. Implications for research on other institutional selves are also discussed.     

Effect of Seminar on Compassion on student self-compassion,mindfulness and well-being: A randomized controlled trial

ABSTRACT

Objective: Mindfulness-based interventions have been shown to have psychological benefits in college students. We explored the effects of an academic Seminar on Compassion on student psychological health. Participants: Forty-one participants (14 male, 27 female, mean age 19.8 ± 1.4 years) were assessed pre- and post- spring semesters 2013 and 2014. Methods: Students were randomized to the Seminar on Compassion or a wait-list control group. Participants completed self-report measures on anxiety, depression, perceived stress, self-compassion, compassion and mindfulness. Salivary alpha-amylase was also assessed. Results: At baseline, self-compassion and mindfulness were negatively correlated with depression, anxiety, and perceived stress. There were significant changes between the intervention and control group from Time 1 to Time 2 in mindfulness, self-compassion, compassion, and salivary alpha-amylase; however, there were no significant changes in depression, anxiety, and perceived stress. Conclusions: The course was effective in increasing mindfulness, self-compassion and compassion, and decreasing a salivary marker of stress.