Is Asian ethnicity an independent risk factor for severe perineal trauma in childbirth? A systematic review of the literature

ObjectiveTo undertake a systematic review of the literature to determine whether Asian ethnicity is an independent risk factor for severe perineal trauma in childbirth.MethodOvid Medline, CINAHL, and Cochrane databases published in English were used to identify appropriate research articles from 2000 to 2010, using relevant terms in a variety of combinations. All articles included in this systematic review were assessed using the Critical Appraisal Skills Programme (CASP) ‘making sense of evidence’ tools.FindingsAsian ethnicity does not appear to be a risk factor for severe perineal trauma for women living in Asia. In contrast, studies conducted in some Western countries have identified Asian ethnicity as a risk factor for severe perineal trauma. It is unknown why (in some situations) Asian women are more vulnerable to this birth complication. The lack of an international standard definition for the term Asian further undermines clarification of this issue. Nevertheless, there is an urgent need to explore why Asian women are reported to be significantly at risk for severe perineal trauma in some Western countries.ConclusionCurrent research on this topic is confusing and conflicting. Further research is urgently required to explore why Asian women are at risk for severe perineal trauma in some birth settings.     

“My nest is full:” Intergenerational relationships at midlife

Incorporating a life course perspective, this qualitative study used focus groups to explore the experiences of midlife adults who were simultaneously providing support to emerging adult children and aging parents. Results indicated that adults situated in middle generations held beliefs that endorsed family-based responsibility to both younger and older members. Parents gladly supported children despite their longer transition to adulthood. Often unanticipated but accepted, provisions of care to aging parents were experienced with ambivalence — a joy and a burden. The transition of their parents to greater dependence helped participants gain insights into the terrain of late life and encouraged reflections about the intersection of aging, independence, and family responsibility. Participants expressed intentions to preserve their own independence and spare their children of caregiving burdens through self-directed actions. Implications focused on negotiations of family relationships around issues of independence and family responsibilities as a way to reduce intergenerational ambivalence.     

Curriculum Policy Dilemmas in Field Instruction

The increased interest in empirical research over the last few years has produced a severe problem with applied statistical misuse in social work research efforts that incorporate advanced analytical techniques. A recent article in the Journal of Education for Social Work purporting to assess admissions criteria is presented as a primary example of such misuse and provides the basis for a discussion of general methodological issues of particular importance to social work education research. Specific issues discussed include the truncation of range, dummy coding, identifying race and sex bias, measuring professional potential, and the generalization of findings.     

The Downside of Cyberspace

This article explores the actual and potential misuses of the World Wide Web in regard to access to “paper mills” and other information sources that make plagiarism relatively easy. The authors describe their experience accessing such paper mill products and present results of a quasi-experiment in which participants graded three papers: one an actual student submission and two purchased off the Internet. Findings suggest reason for concern about student misuse of the World Wide Web. The authors argue that different strategies for the design of class assignments must be considered by all educational programs to diminish enhanced opportunities for “cybercheating.”     

Teacher Outcomes from the Second Step Child Protection Unit: Moderating Roles of Prior Preparedness,and Treatment Acceptability

ABSTRACT

Teachers play a critical role in child sexual abuse (CSA) prevention and intervention efforts. We examined the impact of the Second Step Child Protection Unit (CPU) on improving teacher awareness, attitudes, and teacher–student relations for 161 teachers. Teacher baseline scores and treatment acceptability were examined as moderators. Structural equation modeling (SEM) revealed a significant effect of the CPU on teachers’ awareness, attitudes, and teacher–student relations, particularly for teachers with lower prior knowledge, attitudes, and student relationships. Teachers’ acceptability of the CPU also moderated outcomes, where a higher level of acceptability of CSA interventions was associated with an increase in outcomes.     

“If Rainbows Were Everywhere”: Nonmetropolitan SGM Youth Identify Factors That Make Communities Supportive

ABSTRACT

Sexual and gender minority (SGM) youth in nonmetropolitan communities face marginalization due to their SGM identities. Community support may mitigate the negative outcomes associated with marginalization. Using the strengths perspective, this study investigated the factors SGM youth identify as making their communities supportive. Interviews were conducted with SGM youth to explore their perceptions of their community, community climate, and the factors that contribute to making communities supportive to SGM youth. Findings revealed four supportive community factors: supportive people, SGM visibility, SGM resources and education, and SGM-inclusive policies. Implications include creating SGM resources and providing professional training on SGM issues.     

Understanding Responses to Foster Care: Theoretical Approaches

Foster children making the transition from birth to foster homes or from foster homes to foster homes often present problematic behaviors. Limitations of attachment theory and reactive attachment disorder are presented, and three alternative approaches for understanding behaviors exhibited in foster settings are presented: conservation of resources, child alienation model, and developmental trauma disorder.     

Partner‐specific relationship characteristics and condom use among young people with sexually transmitted diseases

This study describes associations of partner‐specific relationship characteristics with consistent condom use among 297 young people (ages 13–24) with sexually transmitted diseases (STD). Relationship‐specific variables were relationship quality, reasons for sex, relationship duration, duration of sexual relationship, coital frequency, “established” versus “new” sexual partner, cohabitation, children, sexual coercion, and drug or alcohol use associated with coitus. Relationship characteristics associated with consistent condom use included lower relationship quality, lower emotional reasons for sex, lower coital frequency, sex with a new partner, noncohabitation, and not having a child with the partner. Controlling for sociodemographic variables, factors exhibiting independent associations with consistent condom use were lower relationship quality, lower coital frequency, and not having a child with the partner. While condom use with potentially high risk new partners is important, other types of relationships are also risky but associated with lower likelihood of consistent condom use. Better understanding of complex relationship characteristics is necessary to improve STD intervention programs.     

Sexual Orientation Development of Heterosexual,Bisexual, Lesbian,and Gay Individuals: Questions and Hypotheses Based on Kaestle’s (2019) Research

Christine Kaestle’s work assessed the three major dimensions of sexual orientation: sexual attractions, behaviors, and identity. She tracked the unfolding of sexual orientation over time, from adolescence to early adulthood (i.e., late twenties to early thirties), using three waves of data from the National Longitudinal Study of Adolescent to Adult Health (Add Health), a U.S. representative sample. This article addresses some of the implications, questions, and hypotheses suggested by Kaestle’s findings. It ends by requesting follow-up data in adulthood to test hypotheses and resolve differences between the author and Kaestle in interpretation of the data.