“Why I Can't Stand Out in Front of My House?”: Street‐Identified Black Youth and Young Adult's Negative Encounters With Police

This street participatory action research (Street PAR) study organized 15 residents to document street‐identified Black youth and adult's negative experiences with police in Wilmington, Delaware. Data were collected on mostly street‐identified Black men and women aged 18–35 in the forms of (1) 520 surveys, (2) 24 individual interviews, (3) four dual interviews, (4) three group interviews, and (5) extensive field observations. Forty‐two percent of survey participants reported being stopped by police in the last year. However, with the exception of being “stopped,” participants overall reported little negative contact with police at least within the past year. Chi‐square and ANOVA analyses suggest an interactional relationship exists between race, gender, and age on experiences with police. Younger Black men (18–21) were found to have the most negative contact with police. Analysis suggests a smaller, more hardened mostly male variant of the larger street community has had repeated contact with police. Qualitative analysis reveals at least two major themes: (1) disrespect and disdain for residents and (2) low motivation for working with police. Street PAR methodology was also found to be instrumental in working with local residents and the Wilmington Police Department to improve conditions between residents and police.     

Tracking weight change,insulin resistance,stress, and aerobic fitness over 4 years of college

Objective: To determine if weight gain is accompanied by development of insulin resistance (IR) during 4 years in college. Participants: Two cohorts of college students were enrolled in fall semesters 2009 and 2010 and tracked for 4 years. Methods: Following a 12-hour fast, subjects reported for measurement of body mass index (BMI), perceived stress (PSS), aerobic fitness, and blood glucose, insulin, and lipids. Results: In the first year, 33% of subjects were overweight or obese, and 20% were hyperinsulinemic. Year 4 had 29 remaining subjects with disproportionate attrition of overweight and obese individuals. Just over half the subjects gained weight (WI), whereas nearly 30% lost considerable amounts (WD). WD showed significant decline in fasting insulin, low-density lipoprotein (LDL) cholesterol, and PSS from year 1. WI was primarily highly fit men who did not demonstrate increased IR. Conclusion: WI was not associated with IR over 4 years of college.     

Estimation of flood frequencies from data sets with outliers using mixed distribution functions

In this paper the estimation of high return period quantiles of the flood peak and volume in the Kolubara River basin are carried out. Estimation of flood frequencies is carried out on a data set containing high outliers which are identified by the Rosner’s test. Simultaneously, low outliers are determined by the multiple Grubbs–Beck. The next step involved the usage of the mixed distribution functions applied to a data set from three populations: floods with low outliers, normal floods and floods with high outliers. The contribution of the data set with low outliers is neglected, since it should underestimate the flood quantiles with large return periods. Consequently, the best fitted mixed distribution from the applied types (EV1, GEV, P3 and LP3) was determined by using the minimum standard error of fit.     

Comparison of dichotomized and distributional approaches in rare event clinical trial design: a fixed Bayesian design

This research was motivated by our goal to design an efficient clinical trial to compare two doses of docosahexaenoic acid supplementation for reducing the rate of earliest preterm births (ePTB) and/or preterm births (PTB). Dichotomizing continuous gestational age (GA) data using a classic binomial distribution will result in a loss of information and reduced power. A distributional approach is an improved strategy to retain statistical power from the continuous distribution. However, appropriate distributions that fit the data properly, particularly in the tails, must be chosen, especially when the data are skewed. A recent study proposed a skew-normal method. We propose a three-component normal mixture model and introduce separate treatment effects at different components of GA. We evaluate operating characteristics of mixture model, beta-binomial model, and skew-normal model through simulation. We also apply these three methods to data from two completed clinical trials from the USA and Australia. Finite mixture models are shown to have favorable properties in PTB analysis but minimal benefit for ePTB analysis. Normal models on log-transformed data have the largest bias. Therefore we recommend finite mixture model for PTB study. Either finite mixture model or beta-binomial model is acceptable for ePTB study.     

Characteristics of Couples Who Attend Family Services Counselor Visits in Relationship Education

Case management services for low-income couples receiving relationship education have been required by federal funding agencies. Studies examining relationship education outcomes for low-income couples have yet to address participant characteristics of those who attend case management services (e.g., distressed vs. nondistressed). Thus, this study examined the influence of baseline relationship satisfaction and demographics on attendance at case management visits for 2,628 low-income, partnered participants who attended relationship education. Findings indicated that participants who reported higher baseline relationship distress attended more family services counselor (FSC) visits. However, when we added demographics to the model, relationship distress no longer predicted FSC visits, whereas income served as a predictor for men and women, with those reporting greater monthly income attending more FSC visits.     

“I am a fat baby,who moved to a fat child,who moved to a fat teenager,who moved to a fat adult”: Women’s reflections of a lifetime of body and weight concern

The present study explored how women aged 50–65 years reflect and make meaning of a lifetime of body and weight struggles. Seven purposefully selected women with longstanding body image challenges participated in interviews and reflected on their perceptions, thoughts, and emotions around their body and weight since childhood. Findings revealed consistent and consuming concerns about the body; prevalent body-related self-conscious emotions; influential social experiences that impact physical self-perceptions; and enduring impacts of weight bias, stigma, and discrimination. Collectively, these findings provide support for the stability of body disturbances and highlight the need to explore the unique body-related narratives of women in midlife.     

Deliberate acquisition of competence in physiological breech birth: A grounded theory study

Problem

Research suggests that the skill and experience of the attendant significantly affect the outcomes of vaginal breech births, yet practitioner experience levels are minimal within many contemporary maternity care systems.

Women’s attitudes towards the medicalization of childbirth and their associations with planned and actual modes of birth

Problem

Rates of medical interventions in childbirth have greatly increased in the Western world.

A Social Network Comparison of Low‐Income Black and White Newlywed Couples

Relative to White families, Black families have been described as relying on extended social networks to compensate for other social and economic disadvantages. The presence or absence of supportive social networks should be especially relevant to young couples entering marriage, but to date there has been little effort to describe the social networks of comparable Black and White newlyweds. The current study addressed this gap by drawing on interviews with 57 first‐married newlyweds from low‐income communities to compare the composition and structure of Black and White couples' duocentric social networks. The results indicated that low‐income Black couples entered marriage at a social disadvantage relative to White couples, with more family relationships but fewer positive relationships and fewer sources of emotional support (for wives), fewer connections to married individuals, and fewer shared relationships between spouses. Black couples' relative social disadvantages persisted even when various economic and demographic variables were controlled.