An Analysis of Health Care Disparities and Subsequent Public Policy Initiatives

Racial and ethnic health disparities are a major clinical, public health, and societal problem in the United States. This article provides a historical analysis of the identification and progression of health disparities between Whites and minorities from 1989 to 2011. Key causes of health disparities are addressed, including the lack of culturally competent care, health insurance, and medical homes. Federal legislation that mandated federal health agencies to implement a plan to eliminate disparities is discussed.     

Limit your time,gamble responsibly: setting a time limit (via pop-up message) on an electronic gaming machine reduces time on device

In the current study, we assessed whether undergraduate electronic gaming machine (EGM) gamblers would be more apt to set a time limit and spend less time gambling when asked to consider setting an explicit time limit prior to their gambling session. To this end, participants (N = 43) were randomly assigned to a time limit pop-up condition or control condition, both of which involved gambling on an EGM in a virtual reality (VR) casino. In the time limit pop-up condition, participants were asked (via pop-up message) to consider setting a time limit on play and entering that limit in an available text box prior to commencing play. In the no time limit pop-up condition, participants engaged in play immediately upon accessing the EGM in the VR casino (i.e. they were not exposed to a time limit pop-up message). As predicted, participants who were explicitly asked to consider setting a time limit on their EGM play were significantly more likely to do so and spent less time gambling than those who were not given such instructions. The results provide preliminary support for the contention that setting a time limit on EGM play is an effective responsible gambling strategy.     

Elections,Repertoires of Contention and Habitus in Four Civil Society Engagements in Malaysia's 2008 General Elections

The general elections in Malaysia in 2008 saw the ruling coalition, which has ruled Malaysia uninterrupted since independence in 1957, lose control of a number of states and become significantly weakened at the federal level. Amongst the reasons often cited for this was significant and diverse civil society participation in these elections which was often critical of the incumbent government. This article examines four different engagements in the 2008 elections by civil society actors. Through this examination, it is demonstrated that distinctions between types of collective action, from social movements to political parties, are especially likely to be blurred in the context of repressive states such as Malaysia. This examination in turn sees Charles Tilly's concept of repertoires of contention defended against both Nick Crossley's criticisms of it and his preference of Pierre Bourdieu's concept of habitus.     

Family Time and the Psychosocial Adjustment of Adolescent Siblings and Their Parents

This study examined the implications of family time for firstborn and secondborn adolescent offspring, mothers, and fathers in 192 dual‐earner families, defining family time as time shared by the foursome in activities across 7 days. Data were gathered in daily telephone interviews. For firstborns, higher levels of family time at Time 1 predicted less involvement in risky behavior 2 years later, controlling for Time 1 risky behavior. Longitudinal analyses predicting depressive symptoms revealed family time X parent education interactions for firstborns, fathers, and mothers, suggesting that the implications of family time depended on social class. The pattern of results suggests that family time is protective when chosen by family members but not when it represents a default use of time.     

Religion, Religiosity, and Nonmarital Sexual Conduct: An Application of Reference Group Theory

Using the framing process of "partial-birth" abortion (PBA) as an exemplifying case, this paper proposes a dialogic model of framing in which meaning is created and recreated through an iterative, discursive process. Materials developed by six social movement organizations that lead the PBA framing process were analyzed to chronicle the evolution of the PBA frame, as well as factors that influenced this evolution. Movement and countermovement actors attempted to imbue PBA with meaning in such a manner as to motivate and direct action to support their overarching political goals. Rather than two distinct parallel frames battling against each other, this process is better conceptualized as the evolution of a single frame, created in interaction with the framing of one's opponents. A dialectic model of framing provides a framework for examining the process by which cultural meanings are contested and how these meanings are transformed through collective action. Such a model also potentially expands the definition of successful frame and better illuminates the symbiotic relationship between movements and countermovements actors.     

Maternal Employment in Childhood and Adults’ Retrospective Reports of Parenting Practices

Do adults’ perceptions of their mothers’ and fathers’ parenting practices in childhood vary by their mothers’ employment status? Among adults in the Survey of Midlife Development in United States who lived with 2 biological parents until the age of 16 years (N = 2,246), those who had employed mothers during most or all of their childhood reported less support and less discipline from both parents than those who had stay‐at‐home mothers. Sons but not daughters who had employed mothers reported more verbal or physical assaults by both parents than their counterparts who had homemaker mothers. Despite greater social acceptance of maternal employment among younger Americans, cohort differences were not evident. These findings underscore the significance of mothers’ economic roles in influencing offspring’s perceptions of family dynamics.     

Youth Sexual Exploitation on the Internet: DSM-IV Diagnoses and Gender Differences in Co-occurring Mental Health Issues

This paper explores conventional (non-Internet-related) mental health issues and DSM-IV diagnoses seen among a sample of 512 youth receiving mental health services for an Internet-related problem, with particular attention to victims of online sexual exploitation. Youth victims of online sexual exploitation were more likely to have a post-traumatic stress disorder than youth with other Internet-related problems. Specific attention was given to differences among subgroups of female and male youth victims of online sexual exploitation as compared with same-gender youth with other Internet-related problems. Findings suggest the importance of including Internet use and victimization as part of a standard clinical assessment.     

Women’s Reproductive Choices in Australia: Mapping Federal and State/Territory Policy Instruments Governing Choice

The reproductive choices available to women, and the consequences of those choices, exist within the broader policy context whereby policy is influenced by pervasive ideologies of women’s roles in society and the family. Women’s reproductive rights and their resulting consequences are governed by policy at the federal and state/territory levels within Australia yet little is known about the number or scope of these policies. This study aimed to systematically search and map Australian policy to identify the number and scope of policies governing women’s reproductive choices and their consequences, including how policy interprets the role of women in society through their reproductive choices. The systematic search identified 147 Australian policies in 2013. The mapping of the policies identified common themes that drive policy agenda impacting women’s reproductive choices, including those where the focus is promoting motherhood and/or children, providing economic incentives, regulating reproduction, or a broader health focus. These policy agendas simultaneously construct and are shaped by the context in which women’s reproductive choices and impacts occur. Women’s reproductive choices are highly politicised and regulated, impacting women’s position within society.     

A framework of operating models for interdisciplinary research programs in clinical service organizations

A framework of operating models for interdisciplinary research programs in clinical service organizations is presented, consisting of a "clinician-researcher" skill development model, a program evaluation model, a researcher-led knowledge generation model, and a knowledge conduit model. Together, these models comprise a tailored, collaborative approach to enhancing research-informed practice in community-based clinical service organizations. The models place different degrees of emphasis on the development of research-related skills in practitioners, the generation of knowledge tailored to clinical practice, and knowledge sharing. The nature, philosophical basis, roles of research staff members, outputs and impacts, and strengths and limitations of each model are described, in the context of a long-standing, interdisciplinary research program in a children's rehabilitation service organization. The use of the model framework as a tool for the design of interdisciplinary, community-based research programs is discussed.