US campus fraternities and sororities and the young adult injury burden

Objective: To investigate whether the presence of fraternities and sororities was associated with a higher local injury rate among undergraduate-age youth. Methods: In 2016 we compared the rate of 2010–2013 youth (18–24 years) emergency department (ED) visits for injuries in Hospital Service Areas (HSA) with and without fraternities and sororities. ED visits were identified in the State Emergency Department Database (n=1,560 hospitals, 1,080 HSAs, 16 states). US Census Bureau and National Center for Education Statistics sources identified HSA population and campus (n=659) characteristics. A proprietary database identified campuses with fraternities and sororities (n=287). ED visits explicitly linked to fraternities and sororities in the National Electronic Injury Surveillance System–All Injury Program were used to identify injury causes for sub-group analysis. Results: HSAs serving campuses with fraternities and sororities had lower age 18–24 injury rates for all causes except firearm injuries (no difference). Conclusions: Fraternities and sororities were not associated with a higher injury rate at the population level among undergraduate-age youth. A major limitation is not being able to observe campus health services utilization.     

Births that are Later-than-Desired: Correlates and Consequences

Population Research and Policy Review - Prior literature examining women’s evaluations of pregnancy timing has focused on pregnancies that are mistimed (i.e. earlier-than-desired) and...     

Hispanic Familism Reconsidered

Familism has been described as a cultural trait that might explain why the fertility of Hispanic women remains higher than non‐Hispanic white women. Still, few studies have analyzed group differences in childbearing attitudes. This article focuses on two dimensions of childbearing orientation: social value of children and fertility intentions. Using the National Survey of Family Growth, we find limited support for the idea that familism undergirds differentials in fertility between native‐born Hispanics and whites. However, for foreign‐born Hispanics, there are some differences in the perceived value of children compared with whites, and these differences could contribute to fertility differentials.     

A fractured journey of growth: making meaning of a ‘Broken’ childhood and parental mental ill-health

The psychopathological impact of parental mental ill-health on children is well known. However, little research explores positive and negative interpretations of such exposure in childhood, from the adult child's perspective. Using interpretative phenomenological Analysis this study sought subjective interpretations of the ‘lived’ experiences of growing up in a family with parental mental ill-health. A purposive sample of seven adult children provided data for analysis through semi-structured interviews. One superordinate theme: A fractured journey of growth to adulthood, overarched six subordinate themes. Four themes captured stigma, shame, social isolation and betrayal. Juxtaposed with this, two themes captured purposeful redefinition of self and psychological growth. This study captures the chronicity of traumatic distress and sense of betrayal experienced by these participants in childhood through unrelenting exposure to parental mental ill-health. However, despite unpredictability, fear, and neglect in childhood, they identified the emergence of inner strengths in adult life: unexpected growth in empathy and compassion, high resourcefulness, and personal authenticity through higher education. Findings highlight that positively redefining ‘self’ in adult life is possible in the aftermath of childhood trauma associated with parental mental ill-health. Implications for therapy include: (a) moving forward from childhood trauma and (b) managing ongoing family dynamics in adult-life.     

Meaningful Youth Engagement as a Protective Factor for Youth Suicidal Ideation

Youth suicide is a leading cause of mortality. Greater still is the prevalence of suicidal behavior and ideation. In this study with 813 secondary school students, we explored youth engagement in structured extracurricular activities as a possible protective factor for suicidal ideation. Personally meaningful youth engagement significantly moderated the relationships between depressive symptoms, risk behaviors, self‐esteem, and social support in the prediction of suicidal ideation. Specifically, the more meaning found in engagement, the less likely youth were to report suicidal thoughts in spite of risk factors. Acknowledging limitations, a focus on engaging youth in well‐selected activities of interest might represent a nonstigmatizing approach to universal prevention. Further research into the mechanisms of such an approach is warranted.     

Software and Method: Reflections on Teaching and Using QSR NVivo in Doctoral Research

This reflective paper draws on a range of experiences developed over the last 11 years regarding the way in which qualitative data analysis (QDA) software (QSR NUD?IST and NVivo) is taught and used within doctoral research. The existing separation of qualitative methods training from QDA software training can result in disconnected technical and methodological learning curves. This can cause a number of problems for doctoral students because a ‘methods revolution’ is being experienced and current students are not necessarily exposed to the support they require via the methods literature, their postgraduate training programme or their supervisor. Three key influences on the use of QDA software are discussed within the context of teaching and learning QSR NVivo: the increased popularity of QDA software amongst those from traditionally positivistic backgrounds; the promise of improved levels of transparency; and the reliance upon the free tutorials, which are distributed with the software, to learn qualitative research methods as well as software processes. Implications for doctoral students, supervisors and examiners are discussed.     

A care coordination program for substance-exposed newborns

The Vulnerable Infants Program of Rhode Island (VIP-RI) was established as a care coordination program to promote permanency for substance-exposed newborns in the child welfare system. Goals of VIP-RI were to optimize parents' opportunities for reunification and increase the efficacy of social service systems involved with families affected by perinatal substance use. Findings from VIP-RI's final four years show that by 12 months, 86% of substance-exposed newborns had identified permanent placements and 77% were placed with biological parents or relatives.