Disparities in Healthcare Utilization Among Adults with Obesity in the United States,Findings from the NHIS: 2006–2015

Population Research and Policy Review - Few studies of disparities consider logistical hurdles faced by adults with obesity in obtaining needed healthcare. This study compared adults with obesity...     

Five Star Teacher: In-Service on the Move

Teachers learned knowledge, skills, values, and dispositions through spending significant amounts of time working with heritage sites as they learned more about social studies. Elementary social studies teachers engaged in teacher in-service to increase their abilities to meet geography standards. Teacher professional development that caused instructors to engage with cultural and historic sites benefited them and should be considered as well as other models of teacher in-service. Teachers used study travel opportunities to engage in geographic investigation and exploration to accomplish inquiry. Teachers determined that extended time was required to experience the place, to value it, and to harbor the disposition to teach about it; they learned in-depth content from spending time on-site, and they learned skills to extract knowledge from site through reading the landscape. Teachers encountered multiple perspectives, technology, and controversial issues through their studies of regions in the Ohio River Valley. Teachers of elementary social studies may wish to consider this type of professional development to understand a sense of place and how it relates to the curriculum they teach.     

Caregiver perceptions of empowerment and self-efficacy following youths’ discharge from residential care

ABSTRACT

Residential care is one of the most restrictive out-of-home care settings; however, this is a temporary placement and youth eventually reintegrate into the home and community setting. Reintegration presents many challenges, and aftercare becomes critical for maintaining youth gains and promoting family stability. Aftercare programs and supports should align to individual family needs that entail understanding individual and familial characteristics. Previous studies have explored characteristics related to family functioning, mental health, behavior, and perceptions of need during reintegration; yet little is known regarding how affective characteristics (i.e., self-efficacy, empowerment) factor into reintegration, or the implications this may have for providers. The purpose of this study was to address this gap by exploring empowerment and self-efficacy in caregivers (N = 120) who had a child return home within 1 month of departing residential care. Overall, caregivers reported high levels of empowerment and self-efficacy during the initial transition period. Significant differences for empowerment and self-efficacy were present in characteristics such as race, income, number of children in the home, and free/reduced lunch status.     

Person, Perception, and Place: What Matters to Health and Quality of Life

Interest in understanding how characteristics associated with where people live, in addition to the characteristics of the people themselves, affect health outcomes has risen sharply in recent years. While much of the research examining this question focus on teasing apart effects of place and individual on outcomes, less attention has been paid to examining how individuals’ perceptions of where they live may provide some clues to better understanding the influence of place on outcomes. We present findings from analysis undertaken that incorporate the subjective responses of individuals, residing in three socially contrasting neighbourhoods, to their local environment. Our first question addressed whether perceptions related to neighbourhood and city of residence matter to self rated health and quality of life independent of individual characteristics, while the second question examined whether the perceptions and individual characteristics are modified by the neighbourhood socio-economic context. Our results show that perceived neighbourhood characteristics, in addition to individual sociodemographic factors, are significant correlates of self rated health and quality of life. Moreover, we show that the type of perceived neighbourhood characteristics and the magnitude of their influence on self rated health and quality of life vary depending on whether they live in high- versus low-socioeconomic status neighbourhoods.

Early-Onset Psychiatric Disorders and Male Socioeconomic Status

We seek to integrate economic, sociological and psychological models by examining whether early-onset psychiatric disorders predict adult male socioeconomic status. Unlike most status attainment studies, we include information on major psychiatric disorders. We use data from the National Comorbidity Survey, the first survey to administer a structured psychiatric interview to a national probability sample in the U.S. Our sample includes men between the ages of 25 and 54. We find that disorders that occur before age 16 reduce educational attainment and the probability of being currently married and increase the probability of having a recent disorder, each of which is a predictor of adult male unemployment. We also find that these early-onset disorders have a direct negative effect on male employment. The estimated magnitudes of these effects are often as large as those of family background variables, suggesting that research on adult male SES should pay greater attention to mental health issues.     

The Emergence of Two Distinct Fertility Regimes in Economically Advanced Countries

Beginning in 2000, in economically advanced countries, a remarkable bifurcation in fertility levels has emerged, with one group in the moderate range of period total fertility rates, about 1.9, and the other at 1.3. The upper branch consists of countries in Northern and Western Europe, Oceania and the United States; the lower branch includes Central, Southern, and Eastern Europe, and East and Southeast Asia. A review of the major theories for low-fertility countries reveals that none of them would have predicted this specific bifurcation. We argue that those countries with fertility levels close to replacement level have institutional arrangements, and related policies, that make it easier, not easy, for women to combine the worker and mother roles. The institutional details are quite different across countries, suggesting that multiple combinations of institutional arrangements and policies can lead to the same country-level fertility outcome. Canada, the only exception to this bifurcation, illustrates the importance of the different institutional structures in Québec compared to the rest of Canada.