Adolescent Pregnancy Prevention in a Rural Native American Community

Nationally, the United States has a higher rate of teen pregnancy than any other industrialized nation. Native American youth have a higher birth rate than the national rate. A full-year healthy relationship program, based on Native American teachings, traditions, and cultural norms, was delivered to all eighth-grade students at a rural tribal school and a new group of eighth graders every year for 5 years, to teach healthy relationships and encourage abstinence. This article summarizes the Discovery Dating curriculum and compares the participants in the healthy relationship program to the comparison group, at the end of 5 years, in regards of the number of pregnancies as well as self-reported sexual behavior. The comparison group comprises students in the same community who attended a public middle school, rather than the tribal middle school, but the same public high school. All students had a similar age, socioeconomic status, culture, and ethnicity. Students who received the healthy relationship program (treatment group) had fewer pregnancies than the students who did not receive the healthy relationship program (comparison group). Of those who reported that they were sexually active, the students who received the healthy relationship program (treatment group) reported higher condom use than the students who did not receive the healthy relationship program (comparison group).     

The Unique Coping Strategies of African American Families With a Loved One With Schizophrenia: The Use of the Family Crisis Oriented Personal Evaluation Scale

This study assesses how a sample of African American families with a loved one with schizophrenia cope using a commonly used family coping scale (F-COPES). The scale's overall performance and psychometric properties were tested to highlight how such families cope. The results demonstrated that families used proactive verses passive ways of coping. An exploratory factor analysis also demonstrated several unique ways in which this sample coped that were not included in the original subscales of the scale. The utility of using a family coping scale such as the F-COPES for practice and research with similar populations is reviewed.     

Validation of the Postpartum Social Support Questionnaire in low-income,African American women

ABSTRACT

This study applied a previously developed Postpartum Social Support Questionnaire to low-income, African American women. The 33-question survey was administered to 95 African American women between 4- and 8-weeks postpartum. The survey was readministered 2 weeks later. All women were of low socioeconomic status based on their qualification for public insurance. The questionnaire addresses subscales of partner, parent, in-law, and other friend/relative support. Responses were used to evaluate internal reliability of each subscale, test–retest correlation, and factor loading. Results were compared between women with and without a positive postpartum depression screen. Cronbach's alpha coefficients for each subscale ranged from .90 to .96. Test-retest correlation coefficients ranged from .72 to .87. Exploratory factor analysis with orthogonal varimax rotation was consistent with previously studied samples. Those women with positive postpartum depression screens had significantly lower social support scores (M = 122, SD = 36) than women with negative postpartum depression screens (M = 149, SD = 38), t(79) = ?2.62, p = .01. The Postpartum Social Support Questionnaire is a useful assessment in low-income, African American mothers.     

Migrants of Privilege: The Political Transnationalism of Americans in Mexico

This article applies the literature on political transnationalism to the unique case of a growing population of Americans, born and bred in the United States, who are choosing to live in Mexico. With few exceptions, this population, moving from north to south, fits the model of transnational migrants who reside in a country of settlement while maintaining ties, political and otherwise, to their country of origin. They vote in U.S. elections, raise money for U.S. campaigns, meet with U.S. politicians, and form civic organizations dedicated to the values of their homeland all while residing in Mexico. The exceptions in the case, however, point to the need for minor refinements in the literature on transnationalism to take account of a sending state that is privileged in relation to the receiving state and migrants who are privileged relative to their host society. The case also has important political and policy implications given that this population of U.S. emigrants, many of them retirees, is likely to increase in coming years, as is their cross-border political engagement.     

And Some of Us Are Braver: Stress and Coping Among African American Women

African American women fulfill many roles within their family and community. Most notably, these women are often defined by their “strength” and rarely seen as “vulnerable.” Many African American women demonstrate strength as they struggle to maintain employment, raise children, and nurture spouses and extended family, but these same women are at risk for a higher rate of health and emotional problems. In this article, the authors use relational cultural, stress and coping, and lifespan theories, along with Black feminist thought to discuss the interlocking effects of race, gender, and class regarding the psychological well-being of African American women 18 to 55 years old. We conclude with a discussion of research, practice, and teaching implications.     

Pathway to Health Literacy in Korean American Immigrants: The Mediating Role of English Proficiency

This study investigated predictors of and pathways to health literacy among Korean American immigrants residing in New York City (n = 407). Social Cognitive Theory guided the study and the Chew et al. 16-item health literacy screening scale was employed. Structural equation modeling using Mplus 4.21 tested the proposed conceptual model. Findings revealed that education and English proficiency were the most influential predictors of health literacy; education was directly associated with health literacy and indirectly through language proficiency. Predictors of greater English proficiency included higher levels of education, younger age, and unmarried status. The findings suggest that immigrants with minimal English abilities, little education, and no health insurance have particular intervention needs, perhaps best met by a patient-centered approach focusing on individual language needs and cultural health beliefs.     

Gender and Moral Reasoning

Abstract

Social work interventions for youth should be based on understanding how youth think about important issues in their lives. This study assesses the moral reasoning of 43 urban, low-income African American seventh graders in response to questions about how to handle dating dilemmas. Responses to videotaped dating situations were analyzed using qualitative methods to distinguish between justice and care perspectives. The majority of responses from both genders came from the justice perspective. Girls gave more responses that reflected care and combined justice and care perspectives. Boys were less skillful in communicating and tended to focus on negative consequences. Culture and social class appeared to play important roles in moral reasoning.     

The Current State of Mental Health Research on Asian Americans

Summary

A review of research reveals that the prevalence rates of depression, somatization, and posttraumatic stress disorder among Asian Americans are at least as high as those for White Americans, and, in many cases, higher rates are exhibited. Findings with respect to anxiety have been equivocal. The conclusion that is best supported by research at this time is that Asian Americans are not extraordinarily well adjusted, in contrast to their stereotype as a model ethnic minority group. What has hindered researchers in determining the rates and distributions of mental disorders among Asian Americans has been methodological and conceptual problems. These problems involve (a) making cross-cultural comparisons using assessment instruments that have been standardized on one group and applied to another and (b) phenomena unique to Asian Americans, including their population size, heterogeneity, and rapid demographic changes. Suggestions for research directions are given.     

Diversity Within Diversity

Summary

Asian American elderly form a heterogeneous group with respect to immigration history, ethnic/cultural background, socioeconomic position, and health and mental health status. This paper provides an overview of the internal heterogeneity within the Asian American elderly population and identifies those who experience multiple stressors affecting their quality of life. Then it discusses barriers to formal service utilization as well as strengths and deficits of informal support systems. To better serve Asian American elders with their multiple needs for health, mental health, and social services, increased funding is recommended for research on this group, diversification of social service programs in coethnic communities, and increased cultural competence in non-Asian social service agencies.