Primary prevention of adolescent pregnancy

Teenage pregnancy is associated with many health, emotional and socioeconomic problems including higher rates of anemia, labor complications, mortality, legal and social struggles and hhigher divorce rates. Professional social workers need strategies to help teenagers avoid early, unwanted pregnancy. This paper offers promising experential and research backing for a primary prevention group work strategy for all adolescents. Social and health programs overlook educational, cognitive anc interpersonal factors biasing youths' ability to comprehend and regulate contraception. Primary prevention to assist adolescents in thinking analytically about their sexual behavior must stress problem solving and decision-making as well as facts about human reproduction and birth control. To implement decisions, youths also need interpersonal communication skills. Small groups are ideal for delivering cognitive-behavioral primary prevention. This approach is based on the premise that youths become pregnant not because of a lack of relevant information, but because they lack cognitive and behavioral skills necessary to use information. Group work involving role-playing helps develop communication skills. Results from 2 field studies describe short-term and longitudinal benefits of the prevention strategy. Professionals can reach significant numbers of youth in this way. By treating sexual issues and the risk of pregnancy as normal in adolescence, social workers can introduce information and pertinent skills to all teenagers. No one is singled out as deviant and the group format enables young people to discuss taboo topics, discovering what the norms are and gradually learning how to deal with peers, family members, techers and others. Adolescents in primary prevention groups gained knowledge, cognitive skills and communication acumen. Improved attitudes toward family planning, increased regular contraception and less unsafe sex resulted from this cognitive-behavioral approach. Primary prevention should begin early to be most effective. Other personal and social issures such as a alcohol and drug abuse, delinquency, marital and family conflicts, parenting difficulties and money management may be dealt with effectively using a cognitive-behavioral approach.     

Efficiencies in Variance Estimation for Complex Survey Data

Data from complex survey designs require special consideration, with regard to variance estimation and analysis, because of design components that include unequal selection probabilities, stratification, and clustering. Using data from the National Medical Care Expenditure Survey, which is characterized by a complex survey design, four variance estimation programs are compared: SESUDAAN/RATIOEST, SUPERCARP, PSALMS, and HESBRR. The comparisons concentrate on program capabilities, computational efficiency, and user facility.     

Expected Mean Squares for Hierarchical Factorial Layouts with Population Imbalance

We introduce an analysis of variance usable for two-factor hierarchical models where observations are incompletely sampled from unbalanced populations of finite effects. Our new approach enables unbiased estimation of the variance components for this type of model and allows hypothesis testing to identify significant effects/sub-class effects. An explanation of how these results can be generalized to factorial layouts with more than two factors is given.     

How many names are enough? Identifying network effects with the least set of listed contacts

How many names are enough to reveal network effects using a name generator for network analysis? We analyze network data from two large organizations varying in complexity. We ask how much the network association with achievement is strengthened by adding another name to the recorded list of each person's sociometric citations. We conclude that five names is the cost effective number of sociometric citations to record. The network association with achievement weakens quickly with fewer names, especially in the more clustered network.     

Training in Depth Interviewing,William H. Banaka,New York: Harper and Row, 1971. 196 Pages, $3.95, Paperback

This paper reports on a communication assessment/development and evaluation program for directors, managers, and supervisors of a large metropolitan welfare department, with the involvement of the School of Social Work faculty at the University of Minnesota and a communications consultant, through the mechanism of a staff development project. In addition, it points out three significant future challenges oriented toward: (1) school of social work curriculum development, (2) responsibility of welfare agencies to provide training opportunities in management and communication, and (3) the support needs of governmental agencies.     

Condom Negotiation Strategies as a Mediator of the Relationship between Self-Efficacy and Condom Use

College students are a group at high risk of sexually transmitted infections due to inconsistent condom use and engaging in other risky sexual behaviors. This study examined whether condom use self-efficacy predicted the use of condom negotiation strategies (i.e., condom influence strategies) and whether condom influence strategies mediated the relationship between condom use self-efficacy and condom use within this population, as well as whether gender moderated the mediation model. Results showed a strong relationship between condom use self-efficacy and condom influence strategies. Additionally, condom influence strategies completely mediated the relationship between condom use self-efficacy and condom use. Although condom use self-efficacy was related to condom use, the ability to use condom negotiation strategies was the most important factor predicting condom use. The mediation model held across genders, except for the condom influence strategy withholding sex, where it was not significant for men. For women, condom use self-efficacy promoted the use of a very assertive negotiation strategy, withholding sex, and was consequently related to increased condom use. Overall, using assertive condom negotiation strategies (e.g., withholding sex and direct request) were found to be the most important aspects of increasing condom use for both women and men. Implications and suggestions for prevention programming are discussed.