Low expectations, sexual attitudes and knowledge: explaining teenage pregnancy and fertility in English communities. Insights from qualitative research

In the UK, youthful pregnancy and parenthood is considered an important social and healthproblem and is the focus of current government intervention. Contemporary policy approaches depict early unplanned pregnancy as a consequence of relative deprivation and a lack of opportunity, leading to ‘low expectations’ among youth, and as the result of sexual ‘mixed messages’ or poor knowledge about contraception. This small scale, qualitative study explores how well these explanations accord with accounts of pregnancy and motherhood provided by young mothers and Teenage Pregnancy Local Co‐ordinators in diverse English localities. The results suggest that structural factors may be more important in explaining early pregnancy than those relating to sexual attitudes and knowledge. The tension between the idea of early motherhood as problematic, or even pathological, and early motherhood as rational is also considered.     

Childhood abuse and psychiatric impairment in a sample of welfare to work women

Since 1996, individuals who participate in welfare programs are mandated to find employment. Welfare recipients may have difficulty transitioning to the work force due to impairments in psychosocial functioning. Examples include mental health and substance use disorders, medical problems, academic and learning difficulties, and lack of resources such as childcare and transportation. In addition, many welfare recipients have histories of abuse and violence, which further complicate their job finding efforts given the documented relationship between past maltreatment and psychiatric impairment. An area unexplored is the relationship between a history of childhood abuse and psychiatric impairment in Welfare to Work (WtW) recipients. We evaluated the relationships among demographics, personality pathology, substance abuse, cognitive functioning, and histories of childhood abuse in a group of 158 WtW recipients in order to assess predictors of psychiatric impairment. Results suggest that participants with higher levels of psychiatric impairment also had higher levels of interpersonal problems related to personality pathology, higher drug and alcohol use impairment, and endorsed more severe histories of childhood abuse. Personality pathology, alcohol use severity, and self-reported childhood abuse emerged as the best predictor of psychiatric impairment in this WtW sample. These results have implications for identifying individuals at risk for unsuccessful transition into the work force and for the development of effective rehabilitation strategies that considers the unique needs of women in WtW programs.     

An evaluation of youth empowerment tobacco prevention programs in the Southwest

Evaluation research pertaining to the development of assessment instruments that fully capture the facets of empowerment prevention perspectives among youth are sparse. With funding from the American Legacy Foundation, the University of New Mexico Center for Health Promotion and Disease Prevention, in partnership with the New Mexico State Department of Health, developed a measure of individual empowerment. Drawing from the various bodies of literature in adolescent development, substance abuse prevention, and program/coalition building, a questionnaire was developed to capture facets of individual empowerment as it pertains to tobacco prevention efforts among youth within New Mexico. Utilizing a sample of 112 youth participants, principal axis factor analysis with Varimax rotation revealed four valid sub-scales entitled active participation, empowerment efficacy, external organizational involvement, and participant satisfaction. Internal consistency reliabilities were satisfactory with Cronbach's alpha ranging from .78 to .84. Regression mediation analysis revealed that active participation mediated the relationship of empowerment efficacy and self-esteem. Challenges associated with conceptualizing and assessing empowerment among youth are discussed.     

Using activity theory to evaluate and improve K-12 school and university partnerships

This article reports on an evaluation methodology development study for K-12 school and university partnerships. The method is based on Engeström's (1987). Learning by expanding: An activity-theoretical approach to developmental research. Helsinki: Orienta-Konsultit Oy activity systems analysis that allows researchers to examine qualitative datasets of complex human interactions. This study was designed for participants to evaluate partnership relations and activities. We investigated how the use of activity systems analysis in K-12 school and university partnership evaluation meetings affected participant communication processes. In this study, during a 1-day retreat K-12 school staff and university staff used a modified activity systems model to identify persisting institutional tensions in their program that often trigger miscommunications and strain their relations. During the discussion sessions, study participants collaboratively examined their partnership relations and identified strategies for overcoming difficulties. Additionally, in subsequent monthly partnership meetings during the school year, participants examined findings from the evaluation to design and implement improvement strategies. The results from this methodology development and implementation study provided researchers and partnership participants a new means to (a) evaluate partnership activities, (b) identify institutional barriers, (c) plan future activities, and (d) listen to and incorporate the ideas of less vocal staff members into the planning of future activities.     

Is nonsmoking dangerous to the health of restaurants? The effect of California's indoor smoking ban on restaurant revenues

The state of California passed the Smoke-Free Workplace Act on January 1, 1995. This legislation effectively banned indoor smoking in all public and private workplaces including restaurants. Many restaurant owners, especially owners of restaurants that served alcohol, opposed the ban for fear that their businesses would be affected adversely because of the loss of patrons who smoked. Using an interrupted times-series autoregressive integrative moving average study design, the authors assess the effect of California's indoor smoking ban on revenue rates for all restaurants, for non-alcohol-serving restaurants, and for alcohol-serving restaurants. Results showed that revenues for alcohol-serving restaurants dropped by about 4% immediately following the establishment of the indoor smoking ban. However, this reduction was temporary because revenues for alcohol-serving restaurants quickly returned to normal levels. Findings also revealed that the indoor smoking ban had little observable impact on the revenue rate for restaurants overall and for non-alcohol-serving restaurants.     

Spatial and temporal aspects of alcohol-related crime in a college town

OBJECTIVE: The authors aimed to clarify crime "movement" through the city of Madison to focus efforts to address consequences of student drinking. The authors examined all crime reported by police during the 2003 year. METHODS: Using geographical information system (GIS) mapping and 2003 crime data from the University of Wisconsin-Madison and the city of Madison, the authors investigated the relationships among high-density alcohol outlets and various city neighborhoods. RESULTS: Different categories of crime showed different temporal and spatial patterns: Serious crimes peaked between 2 and 3AM, coinciding with bar closing time. Less serious crimes peaked between 11PM and midnight. Reports of vandalism peaked in the morning and afternoon. "Hotspots" for different crimes moved throughout the downtown. Results were consistent with problems associated with high-risk student drinking in college communities. CONCLUSION: These results and maps generated by GIS led directly to changes made by city and university officials to address high-risk drinking.     

Social well-being in pregnant women: intended versus unintended pregnancies

The relationship between pregnancy intention (unintended versus intended pregnancy) and social well-being was examined in a sample of 72 pregnant, mostly low-income women attending Women, Infants, and Children programs and prenatal clinics in a midwestern community. Feelings of happiness about giving birth and the extent to which having a baby would fill a void in one's life were also examined. Pregnancy intention was significantly associated with reduced social support. Feelings of happiness about having the baby positively correlated with all domains of social support and negatively correlated with loneliness and family relationship problems. The belief that having a baby could fill a void in a woman's life was strongly correlated with perceived loneliness. Interventions to increase social support and to address areas of stress for women whose pregnancies are unintended are recommended. Future research in larger random samples is needed to better test these associations and to make recommendations for specific practice interventions to increase social well-being.     

Youth voices thrive in Facilitating Leadership in Youth

In inner-city Washington, D.C., lives a generation of young people for whom violence, discrimination, and poverty are a daily reality. Out-of-school-time programming by Facilitating Leadership in Youth provides youth with comprehensive support and services, trusting relationships, and gradually increasing leadership opportunities to elicit positive community change.     

Sin vergüenza: addressing shame with Latino victims of child sexual abuse and their families

This article explores shame issues for Latino children who have been sexually abused and their families. Latino cultural concerns around shame that are associated with sexual abuse include: attributions for the abuse, fatalism, virginity, sexual taboos, predictions of a shameful future, revictimization, machismo, and fears of homosexuality for boy victims, and the intersection of shame from sexual abuse with societal discrimination. Quotes and case material are drawn from the author's research and clinical work. The article includes clinical suggestions.