Family support: A review of the literature on families of adolescents with disabilities

ABSTRACT

For all youth, adolescence is a time of great change, marked by multiple transitions. For those with disabilities, these transitions can be especially challenging for the youth and their families. Although families of adolescents with disabilities often require support, it is unclear what types of assistance are most helpful. To understand the responsibilities of and, correspondingly, supports needed for parents and siblings, the authors conducted a comprehensive literature review. Specifically, the authors examined the literature to identify the supports that families provide to their adolescent relatives with disabilities, the impacts of caring for an adolescent relative with a disability, and the assistance that families receive. The authors conclude by discussing implications for future research about family support.     

Developmental Issues in Career Maturity and Career Decision Status

There is considerable diversity in the literature regarding age and gender differences on career maturity and career decision status. There is also a dearth of data on high school samples. The present study reports cross‐sectional data from 1,971 Australian adolescents, ages 12.51‐17.99 years, who completed the Career Decision Scale (S. H. Osipow, C. G. Carney, J. Winer, B. Yanico, & M. Koschier, 1976) and the Career Development Inventory (Australian; J. Lokan, 1984). Results illustrated a developmental progression in career maturity, although a less uniform pattern emerged with gender differences. Findings regarding career indecision also presented a complex picture and highlight the need to focus on other demographic and contextual factors.     

Correlates of load carriage and obstacle course performance among women

To examine correlates of the speed at which female soldiers carrying loads could cover 3.2 km on foot and traverse an obstacle course, 12 volunteers (mean +/- SD: 25.3 +/- 6 years, 166 +/- 7 cm, 61.3 +/- 7 kg) were timed over 3.2 km while carrying loads of 14, 27, and 41 kg, and while traversing an obstacle course with the two lighter loads. Pearson correlations showed that absolute VO_[2 max] and 3.2 km run time without a load were the best predictors of 3.2 km load carriage time for all loads. Also, larger subjects with greater muscle mass were able to carry the heaviest load faster than smaller, less muscular subjects, likely because the 41 kg load represented a smaller percentage of the former's bodyweight. Maximum number of sit-ups and push-ups, composite score of the Army Physical Fitness Test as well as body height were positively correlated with the speed at which some course segments were traversed.     

Aging with HIV: Historical and Intra-Community Differences in Experience of Aging with HIV

Gay men living with HIV/AIDS face a complex of health issues, including those associated with the aging process, long-term HIV infection (25 years or more), and side effects from Highly Active Anti-Retroviral Therapy (HAART). If aging can increase marginalization, this is more likely for the aging HIV positive gay man, who is already marginalized for being queer and living with a stigmatizing disease. This article presents findings from a study of a long-running HIV support group. It locates the members, all gay men living with HIV, in a specific historical and political context to explore how feelings of loss and the struggle to sustain community affect long-term survivors and other older HIV+ gay men. We identify specific challenges presented by aging for men who contracted HIV early in the epidemic, contrasting them with those faced by men infected with the virus later in life. While both groups appear to struggle with a vision of what life could have been, had AIDS not forced loss and change, they also celebrate the community their shared plight has enabled.     

The Immigrant Paradox in Pregnancy: Explaining the First‐Generation Advantage for Latina Adolescents

The immigrant paradox is a population health pattern whereby later generation immigrant youth display less favorable outcomes when compared to first‐generation co‐ethnic peers. This study examines the role of number of sex partners in explaining the immigrant paradox in pregnancy among Latina adolescents. This secondary analysis utilized a nationally representative sample of Latinas in the National Longitudinal Study of Adolescent Health. As expected, first‐generation Latina adolescents demonstrated less risk than second‐ or third+ generation Latinas for becoming pregnant. Further, the lower number of sexual partners fully accounted for the first generation's advantage in lower rate of adolescent pregnancy. These findings have important implications for healthcare providers who work with Latina girls in pregnancy prevention.     

Comparing Possibly Misspecified Forecasts

Abstract

Recent work has emphasized the importance of evaluating estimates of a statistical functional (such as a conditional mean, quantile, or distribution) using a loss function that is consistent for the functional of interest, of which there is an infinite number. If forecasters all use correctly specified models free from estimation error, and if the information sets of competing forecasters are nested, then the ranking induced by a single consistent loss function is sufficient for the ranking by any consistent loss function. This article shows, via analytical results and realistic simulation-based analyses, that the presence of misspecified models, parameter estimation error, or nonnested information sets, leads generally to sensitivity to the choice of (consistent) loss function. Thus, rather than merely specifying the target functional, which narrows the set of relevant loss functions only to the class of loss functions consistent for that functional, forecast consumers or survey designers should specify the single specific loss function that will be used to evaluate forecasts. An application to survey forecasts of U.S. inflation illustrates the results.     

Scientific Peer Review to Inform Regulatory Decision Making: Leadership Responsibilities and Cautions

The article offers insights on the peer-review process as it relates to scientific and technical reports used to inform regulatory decisions. Used effectively, peer review is a powerful tool for advising organizational leaders whether the scientific foundations of their decisions can be expected to withstand scrutiny as rule-making products move through interagency reviews, public comment and stakeholder processes, congressional oversight, and judicial review. The emphasis is "heads up" rather than "how to." That is, without delving into myriad technical and administrative details, the discussion highlights nine fundamental "leadership responsibilities" that determine the nature and course of peer review.