MINORITY CONCENTRATION, DISADVANTAGE, AND INEQUALITY IN THE NONMETROPOLITAN UNITED STATES

The implications of the residential concentration of minority populations are issues of vital concern in the United States. Much of the previous minority concentration literature has focused on African-American residents of metropolitan communities. This article expands on this literature by exploring a variety of minority groups in nonmetropolitan communities. It was found that the minority residents of communities with large minority populations were in worse socioeconomic conditions than the minority residents of predominately white communities. Further, for most socioeconomic variables, it was found that as minority concentration increased, white residents tended to do better. In addition, the extent of racial inequality between minority and white residents was greater in communities with larger minority populations. Implications of the above findings are discussed.     

Hispanic Adolescent Girls’ Attitudes Toward School

Hispanic adolescent girls are at elevated risk for dropping out of school. The authors interviewed 54 Hispanic adolescent girls who were attending after-school programs in the New York metropolitan area. The study investigated how the multiple factors of mother–daughter and friend mutuality, coping, acculturation, self-esteem, depression and family environment influenced the way these girls felt about school. The final logistical regression analysis appeared to support our hypothesis that girls who have a higher degree of mutuality with their mothers will be more likely to like school a lot. In addition, girls who liked school a lot were significantly more likely to have higher overall grades and to be somewhat religious. Findings are discussed within the context of the empirical and theoretical literature and implications for prevention of school drop-out are considered.     

Are partnership boards really valuing people?

Observations were conducted in three county councils to find out whether the government’s ambition to develop Learning Disability Partnership Boards (as expressed in the White Paper Valuing people) are being realized. All the partnerships practiced various inclusive activities in order to involve people with learning disabilities in public service strategies. However, there appeared to be limited opportunities for citizens to be involved in recommendations or decision‐making for their area. This concurs with other research elsewhere on the involvement of citizens in state provision, i.e. public participation in civic affairs remains in the control of public sector managers. The lack of opportunities for citizens to direct the allocation of resources and strategies at a local level, regardless of their ability to process information, emphasises the limits of New Labour’s citizen–public sector partnerships.     

Socialization Ambiguity in Samoan Adolescents: A Model for Human Development and Stress in the Context of Culture Change

Rapid globalization is forcing youth around the world to confront new developmental challenges, and conceptual models are needed that can capture this experience and its developmental implications. Exposure to nontraditional lifestyles opens up new socialization opportunities and raises the possibility of stress‐inducing dissonance between participating socializing agents and the messages they deliver. Socialization ambiguity is introduced as a model for culture change and adolescent stress, and it is applied to a sample of 10‐ to 20‐year‐olds (N=295) in the islands of Samoa. A physiological marker of stress (antibodies against the Epstein‐Barr virus) is employed to overcome some of the difficulties associated with measuring stress outcomes. Socialization ambiguity is found to be a significant source of stress on the remote island of Savai'i and the transitional area of rural Upolu, although the direction of the association is different, possibly reflecting divergent socialization goals in these two regions.     

Psychiatric nursing & medication adherence

A survey was developed to determine whether the rapidly changing context of mental health care has significantly influenced how psychiatric nurses assess and intervene in issues related to medication adherence. A sample of 126 psychiatric nurses working in Veterans Affairs mental health treatment facilities in northern California, Hawaii, and Nevada identified the most effective methods for tracking medication adherence, as well as successful adherence interventions. Despite the challenge imposed by changing work environments, psychiatric nurses use creative and innovative approaches to improve their patients' medication adherence. Interventions for enhancing patient adherence with prescribed regimens are identified. Essential role dimensions related to medication adherence defined by the nurses in this survey included providing medication education, tracking patient adherence, assessing medication effectiveness, providing individualized, tailored adherence interventions, and collaborating with other health care providers in medication planning. Study findings support using nurses to their full potential and highlight nurses' need for more educational opportunities and consultation with experts (e.g., clinical pharmacists).     

A collaborative student affairs and faculty health assessment and intervention initiative

The authors describe a collaborative partnership forged between faculty and student affairs staff to improve student health at a large urban university. They examine skills and reward structures of each constituency and the stages of the collaboration in the context of 2 theoretical models. A comprehensive data collection and dissemination process in the campus community provided goals for the initial stage of the partnership, leading to implementation of campus initiatives that use the reciprocal skills of each stakeholder. Outcomes of the collaboration included (1) a working relationship between faculty and student affairs staff, (2) increased dialogue with high-level administrators, (3) more coordinated campus efforts to decrease high-risk drinking, (4) use of outcome measures for implementing and evaluating health programs, and (5) an opportunity for interdisciplinary research. The authors offer suggestions for implementing the process on other campuses.     

Development and validation of the College Tobacco Survey

The authors report on the development and assessment of an instrument to measure baseline campus cigarette use and outcomes from prevention programs, including those using a social norms approach combined with environmental policy change. They administered the 37-item College Tobacco Survey (CTS) to a convenience sample of 1,279 college students in freshmen-level classes at a large urban university. Factor analysis of 15 belief items revealed 3 factors: Peer Environment, Personal Effects, and Campus Policy Endorsement. The findings support the survey's reliability and validity. The authors discuss potential uses of the survey in terms of social norms and environmental prevention programs.