Ethnicity, Culture, and Child Maltreatment

Increasingly, child maltreatment research has begun to address ethnicity and culture in both empirical studies and theoretical articles. Despite the expansion of these efforts, cross-cultural research in child maltreatment has raised more questions than it has answered; and it has highlighted the elusiveness of culture-specific constructs to scientific study. Research to date has been hampered by several challenges including the failure to disentangle ethnicity and culture. In this article, we provide a review of research in this area and offer a critique and recommendations for enhancing the study of the role of culture and ethnicity in child maltreatment.     

Health and medical services use: a matched case comparison between CCRC residents and national health and retirement study samples

Little is known about the health status of adults living in continuing care retirement communities (CCRC). Using matched-case control, 458 adults from the Health and Retirement Study (HRS) or a CCRC-based sample were compared on total comorbidity, self-rated health, home health services use, and hospitalizations. At year 2, the CCRC sample reported more comorbidities (96%) but significantly better self-rated health (96% good/excellent) than the HRS sample (93% comorbidity, 73% good/excellent; p < .01). There were no significant differences in frequency of home health use or hospitalization. Living in a CCRC appears to be associated with higher self-ratings of health in this sample.     

Proactive screening for health needs in United Way's 2-1-1 information and referral service

Cancer disproportionately affects the underserved. United Way 2-1-1 is an information and referral system that links underserved populations to community services. This study explores the feasibility of integrating proactive screening and referral to health services into 2-1-1. A cancer risk assessment was administered to callers (n=297), measuring their need for six cancer control services. A subset of respondents was randomized to receive generic or tailored referrals to needed services. Nearly all participants (85%) needed at least one of the services. Those who received tailored referrals were more likely to make appointments. Future research will explore approaches to address and eliminate health disparities through 2-1-1.     

Asking Only “Did You Use a Condom?” Underestimates the Prevalence of Unprotected Sex Among Perinatally HIV Infected and Perinatally Exposed But Uninfected Youth

Among young adults who use condoms, incomplete condom use (putting a condom on after beginning or taking a condom off before finishing sex) and condom failure (condom breaking or slipping off during sex) are common. Therefore, sexual behavior surveys that ask only if a condom was used are likely to underestimate the actual prevalence of unprotected sex. This study examined data from 135 sexually active perinatally HIV-infected (PHIV+) youth and perinatally exposed but uninfected (PHIV?) youth, ages 13 to 24. Participants were asked whether they used a condom on their first and their most recent occasion of vaginal sex. Youth who reported using a condom were asked a follow-up question about whether there was any time during that occasion when sex was not protected by a condom. This follow-up question identified additional participants— almost double the proportions who initially said they did not use a condom—who had unprotected sex. Incomplete condom use was similar among PHIV+ and PHIV?youth, boys and girls, Latinos and African Americans, and younger and older youth. These findings illustrate the importance of asking specifically about whether any unprotected behavior occurred from start to finish of sex to achieve more valid estimates of sexual risk behavior.     

Clients’ perceptions of marriage and family therapists’ way‐of‐being: a phenomenological analysis

Previous research highlights the influence of therapist factors on treatment outcomes. One therapist factor proposed as fundamental to the process of therapy is the therapist's way‐of‐being, a relational concept that refers to how the therapist regards a client—either as a person or object (Fife et al., [2014] Journal of Marital and Family Therapy, 40, 20–33). Although this case has been made conceptually, there is little empirical research on therapists’ way‐of‐being with clients. The primary purpose of this research is to investigate clients’ perceptions of their therapists’ way‐of‐being. Utilizing a common factors perspective, the study seeks to explore: (a) how clients experience their therapists’ way‐of‐being and (b) the influence therapists’ way‐of‐being has on clients’ engagement. Phenomenological methods were used to gain a nuanced understanding of the phenomenon. Qualitative data were collected through semi‐structured face‐to‐face interviews with clients (N = 10) who received individual therapy from a marriage and family therapist. Results were organized into two main themes: core tenets (attunement, congruency, and aligning with clients) and operational tenets (providing affirmation and validation, balancing flexibility and structure, and accomplishing goals). Findings are used to make a case for adding the concept of way‐of‐being as an overarching construct for several well‐established therapist factors. Clinical and training implications are discussed.     

Selecting Indicators for Assessing Community Sustainable Resilience

Communities are complex systems subject to a variety of hazards that can result in significant disruption to critical functions. Community resilience assessment is rapidly gaining popularity as a means to help communities better prepare for, respond to, and recover from disruption. Sustainable resilience, a recently developed concept, requires communities to assess system‐wide capability to maintain desired performance levels while simultaneously evaluating impacts to resilience due to changes in hazards and vulnerability over extended periods of time. To enable assessment of community sustainable resilience, we review current literature, consolidate available indicators and metrics, and develop a classification scheme and organizational structure to aid in identification, selection, and application of indicators within a dynamic assessment framework. A nonduplicative set of community sustainable resilience indicators and metrics is provided that can be tailored to a community's needs, thereby enhancing the ability to operationalize the assessment process.     

The collective/affective practice of cancer survivorship

Whether within an atmosphere of hope, or amidst relations of fear, the emotions of cancer are unavoidably collectively produced. Yet persistent individualistic paradigms continue to obscure how the emotions of cancer operate relationally – between bodies, subjects, discourses, and practices – and are intertwined with circulating beliefs, cultural desires, and various forms of normativity. Drawing on interviews with 80 people living with cancer in Australia, this paper illustrates why recognition of the collective enterprise of survivorship – and the collective production of emotion, more generally – is important in light of persistent, culturally dominant conceptions of the individual patient as the primary ‘afflicted’, ‘feeling’, and ‘treated’ subject. Building on previous work on affective relations and moral framings, we posit that the collective affects of survivorship inflect what people living with cancer can, and should, feel. We highlight how such things as hope, resignation, optimism, and dread are ‘products’ of the collective affects of cancer, with implications for how survivorship is lived, felt, and done.     

The Spatial Distribution of Poverty and the Long Reach of the Industrial Makeup of Places: New Evidence on Spatial and Temporal Regimes

A wealth of research identifies industrial structure as a central correlate of place‐level poverty and suggests that changes in and the clustering of industry contribute to the spatial clustering of poverty over time. However, few studies have investigated the spatial and temporal dimensions simultaneously, and none have effectively examined spatiotemporal interactions. Consequently, a core tenet of theory on poverty in place has not been adequately examined. To address this limitation, we explicitly test hypotheses about systematic variation in the poverty‐industry relationship over time and across space using a new method to quantify dynamic associations by simultaneously accounting for spatial and temporal autocorrelation and relationship heterogeneity. The Upper Midwest is our study site given dramatic regional changes in dominant industries (i.e., manufacturing, services, and agriculture) and poverty during the past several decades. We find that the specific character of the poverty‐industry relationship systematically varies along both the temporal and spatial dimensions: Industry is more protective in certain periods than in others according to sector trends, and is more protective in certain places than others conditional on sector dependence. Our approach yields a more precise and reliable understanding of the effect of the long reach of local industrial structure on the spatial clustering of poverty.     

Interaction between adoptive mothers’ and fathers’ depressive symptoms in risk for children’s emerging problem behavior

The effect of parental depression on children's adjustment has been well documented, with exposure during early childhood particularly detrimental. Most studies that examine links between parental depression and child behavior are confounded methodologically because they focus on parents raising children who are genetically related to them. Another limitation of most prior research is a tendency to focus only on the effects of maternal depression while ignoring the influence of fathers’ depression. The purpose of this study was to examine whether infants’ exposure to both parents’ depressive symptoms, and inherited risk from birth mother internalizing symptoms, was related to school age children's externalizing and internalizing problems. Study data come from a longitudinal adoption study of 561 adoptive parents, biological mothers, and adopted children. Adoptive fathers’ depressive symptoms during infancy contributed independent variance to the prediction of children's internalizing symptoms and also moderated associations between adoptive mothers’ depressive symptoms and child externalizing symptoms.