Did socioeconomic inequalities in morbidity and mortality change in the United States over the course of the twentieth century?

In this article we present two sets of empirical analyses that consider the extent to which socioeconomic gradients in self-assessed health and child mortality changed since the beginning of the twentieth century in the United States. This empirical issue has important and wide-ranging research and policy implications. In particular, our results speak to the value of considering the role of broader social, economic, and political inequalities in generating and maintaining socioeconomic disparities in morbidity and mortality. Despite dramatic declines in morbidity and mortality rates in the United States across the twentieth century, we find that socioeconomic-status gradients in morbidity and mortality declined only modestly (if at all) during that period.     

Puerto Rican injection drug users: Prevention implications in Massachusetts and Puerto Rico

This study examines whether place of residence is a factor associated with reporting a positive HIV/AIDS, Hepatitis C (HCV), or Sexually Transmitted Disease (STD) status in a sample of 400 injection drug users (IDUs) residing on the Island of Puerto Rico (N=139) and in western Massachusetts (N=261). Logistic regression models revealed that IDUs residing in western Massachusetts were 66% less likely to be HIV positive compared to IDUs residing in Puerto Rico (p<.000) while IDUs residing in western Massachusetts were about 67% less likely to have a positive STD status than those residing in Puerto Rico (p<.000). Place of residence was not significantly associated with HCV status. Results indicate the need to develop prevention programs tailored to the unique socio-cultural context of Puerto Rican IDUs residing on the Island of Puerto Rico whose circumstances differ from those in the mainland US. To reduce drug use, HIV/AIDS, HCV, and STDs among Puerto Ricans in both locales, the Capacity Enhancement Model is proposed in order to develop more effective prevention programs.     

Disadvantagement-related correlates of career optimism among college and university students with disabilities

This paper describes research regarding factors predicting career optimism for a group of postsecondary students with disabilities (N = 208) who were enrolled in seven colleges and universities in four states. Career optimism was defined as a student's self-confidence regarding his or her ability to choose, maintain, and advance in an appropriate career. The proposed model incorporated variables related to employment discrimination and disincentives such as perceived impact of disability on one's education and quality of life, racial/ethnic status, gender, and presence of disability benefits. Results indicated that two aspects of "disadvantagement," specifically severity of perceived impact of disability and racial/ethnic status, were significant predictors of career optimism. Implications of the findings were discussed in terms of informational interventions, curricula, development of self-advocacy and self-determination, and research topics.     

Mix and match: planning to keep looked after children safe

The risks which children run from other children in substitute care have received little attention. However, if children's safety in care is to be maximized, then placement planning will need to focus on the risks and vulnerability of both the child to be placed and others already in the setting. It should also ensure that full information is given to the caregivers. In an interview sample of 40 looked after sexually abused and/or abusing young people aged 10 or over, most of the young abusers were placed in foster care and the majority of the sexually abused young people went into children's homes. However, in fewer than a third of these placements was consideration given to how the young person would fit in with others in that setting. This meant that the potential risks which that child posed to others or vice versa were not addressed. More worrying still, in just under half of the sample, no information about the young person's history of sexual abuse or abusing behaviour was given to the caregivers. This meant that caregivers were unable to plan to provide the level of supervision which might have averted a number of instances of abuse. When the whole histories of the sexually abused young people in the study were examined, it was found that half of them had abused another child at some stage, generally another child in care. This evidence suggests that the experience of sexual abuse should be regarded as an important risk factor in the later development of sexually abusing behavior and that local authorities need to fashion policies which emphasize the prime importance of social workers providing full information about children's backgrounds when placements are made. Copyright © 1999 John Wiley & Sons, Ltd.     

Adjustment Strategy Use in Minority Family Businesses: Differences Across Gender

The objectives of this study were to explore the adjustment strategies employed by minority female owners of small family firms and to compare their use of adjustment strategies with those of their male counterparts. There were significant gender differences in the adoption of adjustment strategies among minority-owned family firms. The major findings of this study suggest that minority female business owners were more likely to reallocate family resources to help with business tasks and were more likely to intertwine both tasks than minority male business owners when demands were particularly great for the family or the firm. In addition, compared to male business owners, a relatively higher proportion of female business owners used volunteer help without pay during hectic times. Implications for business consultants and educators working with minority business owners are discussed.     

Brief Report: Child Sexual Abuse Inquiries in Hong Kong, 2000–2017

Community advocates in Hong Kong found no formal curriculum on child sexual abuse (CSA) prevention and started a newspaper column in 1999 to disseminate public education. This study analyzed the inquiries sent to this prevention column from 2000 to 2017. Content analysis found that, in 515 inquiries, 170 (33%) reported CSA incidents. Based on age information in 147 incidents, female abusers (n?=?28) targeted victims averaging 6.48 years of age, which is 3.08 years significantly younger than those abused by male abusers (n?=?119). In 82 inquiries with abusers’ age information, 42 minor “abusers” were reported. Early sex education is highly recommended.