Impact of support networks for breastfeeding: A multicentre study

Background

The rates of breastfeeding worldwide are slowly improving since 1996. Europe is still trailing behind the global breastfeeding incidence and prevalence rates. Thus, breastfeeding promotion, protection, prolongation and support have become an important challenge as breastfeeding sharply decreases in the first six months of life.

Using social support levels to predict sexual identity development among college students who identify as a sexual minority

This study examined the impact of five domains of social support (a campus group for individuals who identify as a sexual minority, family, friends, significant others, and faith communities) on eight aspects of sexual minority identity development (identity uncertainty, internalized homonegativity, identity affirmation, acceptance concerns, identity superiority, concealment motivation, identity centrality, and difficulty in the identity development process). Support from a sexuality-specific campus group was the strongest predictor, followed by support from family members. Supports from friends and significant others had no significant impact on any aspect of sexual minority identity development, while faith community support was not correlated with identity development. Identifying as lesbian, bisexual, or as another sexual minority compared to identifying as gay also impacted sexual minority identity development.     

Lurking Behavior in Online Psychosocial Discussion Forums: Theoretical Perspectives and Implications for Practice

Improving outcomes of telebehavioral psychoeducation requires rethinking program design when delivered wholly or partially for self-directed participation. Discussion forum participation often follows the “90-9-1 Rule” where 90% of participants lurk, rather than contribute content. A theoretical perspective on the behavior can help explain its adaptive functions, as well as the threats that this behavior poses to the lurker. Implications for practice require program redesign that actively links individual skills training and group-based discussion. The proposed linking design can synergize individual and group participation to support the development of mutual aid, as well as greater interaction with psychoeducation content and materials.     

Families,Resources, and Suicide: Combined Effects on Mortality

Important resources from family support systems, employment, and educational attainment inhibit the risk of death. Independently, these factors are particularly salient for suicide, but how they combine to affect mortality is less clear. Analyses of National Health Interview Survey data from 1986 to 2004 (N = 935,802), prospectively linked to mortality through 2006 (including 1,238 suicides), reveals a process of compensation in the way work status and family combine to affect adult suicide: Individuals who are not working experience more suicide defense from more protective family support systems than do working adults. But a process of reinforcement occurs in the combination of education and family: More education associates with more protection from the family than does less education. The findings demonstrate how families and resources combine to affect mortality in unique ways.     

Breastfeeding interventions in Kansas: A qualitative process evaluation of program goals and objectives

Across the state of Kansas, eighteen public health departments received funding through the 2011 Breastfeeding Grant Initiative to start a breastfeeding intervention. The main objective of this study was to evaluate the progress toward program goals and objectives. This study was a process evaluation. Qualitative data were collected from recipient health departments at two time-points during the program year. Structured, open-ended questions were asked through telephone interviews. This study examined: (1) progress toward program goals and objectives, (2) problems encountered during implementation, and (3) evaluation measures employed to assess program impact. All health departments reported making significant progress toward program goals and objectives and reported successful collaboration with other healthcare providers. The use of breast pumps, educational classes, and professional training of staff were reported as providing the best outcome in the promotion of breastfeeding. The majority of respondents did not measure program impact. From a public health perspective, it is important that infants receive breast milk for the first six months of life. It appears that goals and objectives set a priori guided health departments with the administration of their breastfeeding program. Results may be used to enhance and sustain delivery of breastfeeding support programs in Kansas communities.     

Romantic Relationships and Criminal Desistance: Pathways and Processes

In dominant theories of criminal desistance, marital relationship formation is understood to be a key “turning point” away from deviant behavior. Empirical studies supporting this claim have largely focused on the positive role of marriage in men's desistance from crime, and relatively few studies have examined the role that nonmarital relationships may play in desistance. Drawing on 138 longitudinal in‐depth interviews with 22 men and women reentering society from prison, this article extends the scope of desistance research by additionally considering the significance of more fleeting and fluid relationships, and the diverse processes through which romantic relationships of all sorts are linked with criminal behaviors. We present an empirically based typology detailing six processes, grouped within three conceptual categories, through which romantic relationships had their effects. These pathways include material circumstances, social bonds and interactions, and emotional supports and stressors. We also consider gender differences in these processes. While more tenuous bonds to marginally conventional partners would seem to exert little effect, as one of the few relationships and social roles available to many former prisoners, we found that they wielded important influence, if not always in a positive direction.     

Gender and Supportive Co‐Worker Relations in the Medical Profession

Women's growing numerical representation in the professions has not necessarily translated into women being truly integrated in these occupations. Questionnaire data are used to examine whether female physicians are socially integrated in the male‐dominated profession of medicine in terms of the support they receive from their medical colleagues compared to male physicians. The literature on tokenism and homophily suggests that women in male‐dominated professions receive less support than their male colleagues, whereas the social support literature predicts that women typically receive more emotional support than men but less informational and instrumental support. The results of this study shed light on the complex and multi‐layered ways in which gender is relevant to our understanding of the extent to which co‐workers provide empathy, information and assistance to one another.     

Those They Leave Behind: Paternal Incarceration and Maternal Instrumental Support

As the American imprisonment rate has risen, researchers have become increasingly concerned about the implications of mass imprisonment for family life. The authors extend this research by examining how paternal incarceration is linked to perceived instrumental support among the mothers of inmates' children. Results from the Fragile Families and Child Wellbeing Study (N = 4,132) suggest that recent, but not current, paternal incarceration is independently associated with less maternal perceived instrumental support and that this association persists after adjusting for a rich set of control variables, including prior perceived instrumental support. For families of recently incarcerated men, incarceration may be a double strike, simultaneously increasing the need for instrumental support while decreasing its availability when incarcerated fathers return to the community.     

“I'm Not Supporting His Kids”: Nonresident Fathers' Contributions Given Mothers' New Fertility

The authors examined whether nonresident fathers provide informal support to their children and whether support stops if their ex‐partner goes on to have a child with a new man. A logistic regression analysis of longitudinal survey and administrative data for 434 women who received welfare in Wisconsin showed that fathers are less likely to provide informal support when their ex‐partner has a child with a new partner. Alternative models that control for unobserved characteristics suggest somewhat different results, providing stronger evidence of declines in support that can be shared across family members than in support that can be directed to a particular child.     

Nurture,bureaucracy and re-balancing the mind and heart

With increasing managerialism and bureaucratisation in the caring professions, where the focus of attention is directed primarily to the techno-rational, the instrumental and the impersonal, care becomes labour in the service of economy, efficiency and effectiveness. Relying on the work of psychodynamic theorists, the first part of this paper offers a critical analysis of selected 'snapshots of practice' demonstrating the costs of abdicating emotion and nurture in the care process. The second part of the paper describes an 18-month co-operative inquiry involving women practitioner/students in health, social care and education. The study highlights the quest for meaning and significance in learning and work and the process of re-balancing the mind and heart in the context of the bureaucratic organisation as one of heroic dimensions. Establishing a sustained community of care yielded a renewed sense of direction and creative action among participants.