The interaction of co-occurring mental disorders and recovery management checkups on substance abuse treatment participation and recovery

This article examines the effectiveness of quarterly Recovery Management Checkups (RMCs) for people with substance disorders by level of co-occurring mental disorders (34% none, 27% internalizing disorders, and 39% internalizing and externalizing) across two randomized experiments with 92% to 97% follow-up. The 865 participants are 82% African American, 53% female, and age 37 on average. RMC involves identification of those in need of treatment, motivational interviews, and treatment linkage assistance. It is effective in linking participants in need to treatment, with equal or better outcomes among those with more mental disorders. The data support the utility of monitoring and re-intervention for clients with co-occurring disorders.     

Emergency contraception: the politics of post-coital contraception

The literature and events related to the politicization of emergency contraceptive pills (ECPs) in the United States is reviewed. The basis of opposition to the regimen, rooted in the mode of action of ECPs, the confusion with mifepristone, and the challenges this presents for ECP advocates is also discussed. Legislative actions that impact the availability of ECPs are described, as well as efforts to increase access and availability through innovative programs, legislation, and changes in medical practice. Recommendations for future research, service delivery, and public policy are also presented .     

Parenting and Perceived Maternal Warmth in European American and African American Adolescents

Traditional conceptualizations of parenting style assume certain associations between parenting practices/philosophies and parental warmth. This study examines whether those links are similar for European American and African American adolescents. Two hundred and ninety‐eight early adolescents and their mothers reported on discipline and control practices, decision‐making practices, and parenting philosophy, which were used to predict adolescents’ reports of maternal warmth. The moderating role of ethnicity was examined after controlling for gender, age, and socioeconomic status. Although some practices predicted warmth similarly across groups, several practices predicted warmth in ways consistent with parenting style theory only or more strongly among European American adolescents. The findings suggest differences in the interpretation of or context surrounding discipline‐ and autonomy‐related practices in these groups.     

Relationship power,decision making,and sexual relations: An exploratory study with couples of Mexican origin

This study explored how couples of Mexican origin define power in intimate relationships, what makes men and women feel powerful in relationships, and the role of each partner in decision making about sexual and reproductive matters. Interviews were conducted with each partner of 39 sexually active couples and data were analyzed using content analysis. Results indicate that power is perceived as control over one's partner and the ability to make decisions. Women say they feel more powerful in relationships when they make unilateral decisions and have economic independence. Men feel powerful when they have control over their partner and bring home money. Respondents agreed that women make decisions about household matters and children, while men make decisions related to money. Findings indicate that whereas couples share decision making about sexual activities and contraceptive use, men are seen as initiators of sexual activity and women are more likely to suggest condom use.     

“You Never Know Who's Looking at Your Page!”: African American Male Adolescents’ Perceptions of Emotional Display Rules Online

Social network sites (SNSs) are a powerful new context for adolescent development. We qualitatively investigate African American adolescent boys’ (N = 50, mean age = 15.8) perceptions of emotional display rules on SNSs. We present and discuss a taxonomy of display rules for anger, sadness, embarrassment, and excitement. Perceived display rules around anger and sadness were most notable. Participants’ understandings of display rules around anger were complex and varied, with many describing threats of violence as marking the line between acceptable and unacceptable expressions. Although youth stated that expressing sadness via SNS could garner emotional support, this was understood somewhat consistently as unacceptable. Overall, our findings suggest that perceptions of emotional display rules on SNSs are varied, complicated, and can be difficult to navigate.     

Willingness to Have Unprotected Sex

Little is known about people's willingness to engage in sex without protection from unwanted pregnancy. This study surveyed 1,497 women and men at 75 clinics and physician offices across California after their reproductive health care visits in late 2007 and early 2008. When asked if they would have sex without contraception, 30% said definitively that yes, they would have unprotected sex, and 20% indicated they would “sometimes” or “maybe” engage in unprotected sex. In multivariate models, compared to non-Latino White respondents, Latinos who responded to the survey in English were 52% more likely and African Americans were 75% more likely to report willingness to have unprotected intercourse. Wanting a child within the next three years was associated with increased willingness to have unprotected sex. Age, gender, parity, and relationship status were not significant in multivariate models. A considerable proportion of women and men may be willing to have unprotected sex, even with access to subsidized contraceptive services and even when recently counseled about birth control. The dominant behavioral models of contraceptive use need to acknowledge the widespread likelihood of occasional unprotected sex, even among people motivated to usually use contraceptives. Findings underscore the need to make contraceptive methods accessible, easy to use, and even pleasurable.     

Midlife Women Online: Evaluation of an Internet-Based Program to Prevent Unintended Pregnancy & STIs

Background: Midlife women are an underserved population in the areas of unintended pregnancy and STI prevention yet remain at risk for both health conditions. Methods: A randomized controlled trial of an Internet-based multimedia program to reduce risk of unintended pregnancy and STIs among midlife women was conducted with 164 women ages 40–55 years of age. Results: Women in the treatment condition compared to the control condition reported significant gains in attitudes, self-efficacy, and behavioral intentions at posttest. Conclusion: Interventions specifically targeted to midlife women can impact constructs known to reduce risk. Implications for future research and intervention development are presented.     

Construction of Social Reality During Early Adolescence: Can Expecting Storm and Stress Increase Real or Perceived Storm and Stress?

This study examines whether mothers' or adolescents' expectations concerning “storm and stress” behaviors at adolescence predict subsequent real or perceived adolescent behavior and attributes during the early years of adolescence. The study used a short‐term longitudinal design. Participants were 6th‐ and 7th‐grade adolescents and their mothers (N=270 families). Data were collected via telephone interviews and questionnaires at 2 time points approximately 1 year apart. Results indicated that adolescents' expectations for risk‐taking/rebelliousness and for alienation and mothers' expectations for risk‐taking/rebelliousness predicted increases in corresponding adolescent‐reported outcomes over the 1‐year period. Results are most consistent with the possibility of perceptual biases with respect to storm and stress behaviors, but could indicate the existence of self‐fulfilling prophecies, particularly for risk‐taking/rebelliousness.