Mental health and breast cancer screening utilization among older Hispanic women

Considerable racial and ethnic differences exist in the way the burden of cancer is experienced in the United States for older Hispanic women. This study utilized data from the 2008 wave of the Health and Retirement Study to investigate the mental health factors associated with older Hispanic women’s participation in breast cancer screening services. Logistic regression models were used. Findings indicated that anxiety and positive affect were associated with a greater likelihood of participating in breast cancer screening. Despite ongoing national conversations, evidence indicates there is agreement that underserved women need to be screened, particularly the older Hispanic population.     

Neighbors, nuisances and noxious releases: Community conflict and environmental hazards in the atomic city

Drawing from in-depth interviews with over 120 respondents, participant observation, and document analysis, we examine differential perceptions of environmental harms in Oak Ridge, Tennessee, home of a U.S. Government nuclear facility. The Oak Ridge Reservation has a 50-year history of nuclear weapons production and a poor environmental record. In the 1980s, a series of environmental revelations occurred and in 1989, the entire Oak Ridge Reservation was placed on the Environmental Protection Agency's Superfund list. This sparked heated debates within the community over environmental hazards and ultimately led to conflict and dissension. We analyze residents’ perceptions of environmental harms and highlight the salient variables contributing to community dissension, including conflicting levels of government trust, length of community residence, employment, race/ethnicity, and environmental health/illness.     

Public Perception of the Risks of Floods: Implications for Communication

Floods in the U.S. kill an average of 162 people each year and cause $3.4 billion in property damage. Flood control programs have been successful in lowering, but not eliminating, the risks to lives and property. Since the late 1960s, the federal government has emphasized flood insurance as a primary tool for improving location and flood-proofing decisions, as well as for reimbursing flood losses. Since only 12.7% of houses in flood plain areas are covered by flood insurance, the program has been ineffective. We interviewed people living in three communities that had recently been flooded. Most people had little knowledge of the cause of floods or what could be done to prevent damage. People who work and who are better educated know more and are more likely to have flood insurance. Current government publications about flood risks are not likely to be understood by those at risk. There is little effective communication about the nature and magnitude of the risks and what individuals can do to protect their lives and property and lower their financial risks. The risk management program should both emphasize communication and enforcement of the current law requiring people at risk who hold federally funded loans to be insured.     

THE SUPERVISORY RELATIONSHIP: AN IDENTIFICATION OF THE PRIMARY ELEMENTS IN THE RELATIONSHIP AND AN APPLICATION OF TWO THEORIES OF ETHICAL RELATIONSHIPS

Many authors on the subject of marriage and family therapy supervision point to the fact that the quality of relationship between supervisor and supervisee is crucial to the process. However, little has been written about the nature of this relationship. This article identifies key elements in the relationship and introduces a theoretical framework for understanding those elements based on the principles of ethical relationships proposed by Ivan Boszormenyi-Nagy and Nell Noddings.     

The Immigration Dilemma: The Role of Perceived Group Competition, Ethnic Prejudice, and National Identity

In this article, we discuss the role of perceived competition for resources in determining negative attitudes toward immigrants and immigration in North America. We first provide background information on immigration policies and levels of immigration to Canada and the United States. Following an overview of our theoretical perspective, we then describe the research we have conducted in Canada and the United States indicating that perceived zero-sum competition between groups, whether situationally induced or a function of chronic belief in zero-sum relations among groups, is strongly implicated in negative immigration attitudes. In addition, we describe our recent attempts to improve attitudes toward immigrants and immigration through the targeting of zero-sum beliefs and through manipulations of the inclusiveness of national identity.     

The Construction of Sexual Identities in an Online Gay,Lesbian, and Bisexual Bulletin Board System

An online bulletin board system was used to focus on how sexual minority gay, lesbian, and bisexual (GLB) individuals perceive and display their individual and collective sexual identities through textual and visual communication processes. While exploring sexual identity construction, four major themes emerged: “coming out,” separation, equality and civil rights, and misconceptions. Concepts of identity negotiation theory help to conceptualize the observed sexual identity construction processes. This work provides insight into how GLB individuals around the world perceive, construct, and perform their sexuality as well as how they perceive the majority culture as viewing them.     

The elementary-school functioning of children with maltreatment histories and mild cognitive or behavioral disabilities: A mixed methods inquiry

This mixed methods inquiry examined the school functioning of elementary school-aged children with maltreatment histories and mild cognitive or behavioral disabilities. Quantitative analyses of linked social service and education administrative data bases of 10,394 children in Minnesota with maltreatment histories indicated that 32% were eligible for special education services. Of those children with maltreatment histories and identified disabilities, 73% had mild cognitive or behavioral disabilities. The most frequent primary disabilities categories were specific learning disabilities (33%) and emotional/behavioral disabilities (27%). Children with maltreatment histories and mild cognitive or behavioral disabilities scored significantly below children with maltreatment histories and no identified disabilities on standardized assessments of math and reading, and this gap increased with grade level for math. Qualitative interviews with 22 child welfare professionals and 15 educators suggested why some children with maltreatment histories, especially those with mild cognitive or behavioral disabilities, struggle in school. Risks to school functioning included children's and families' multiple unmet basic and mental health needs which can mask or overshadow children's mild disabilities; poor cross systems collaboration between child welfare, education and mental health systems; and inadequate funding, especially for mental health services. Protective factors included child engagement in school, parent engagement with child welfare services and a professional culture of cross-systems collaboration. Implications are discussed for holistic child, family and system-level interventions.