Maternal Welfare and Employment Experiences and Adolescent Well-Being: Do Mothers' Human Capital Characteristics Matter?

Using a representative sample of over 900 low-income urban families from the Three-City Study, analyses assessed whether maternal human capital characteristics moderate relationships between mothers' welfare and employment experiences and young adolescents' well-being. Results indicate synergistic effects whereby greater maternal education and literacy skills enhanced positive links between mothers' new or sustained employment and improvements in adolescent cognitive and psychosocial functioning. Greater human capital also enhanced the negative links between loss of maternal employment and adolescent functioning. Mothers' entrances onto welfare appeared protective for adolescents of mothers with little education but predicted decreased psychosocial functioning among teens of more educated mothers. Results suggest that maternal human capital characteristics may alter the payback of welfare and work experiences for low-income families.     

Teaching Note—Educating Public Health Social Work Professionals: Results From an MSW/MPH Program Outcomes Study

Dual-degree programs in public health and social work continue to proliferate, yet there has been little research on master’s of social work (MSW)/master’s of public health (MPH) graduates. The purpose of this study was to describe and better understand the self-reported professional experiences, identities, roles, and outcomes associated with 1 group of graduates from an established MSW/MPH program. A 57-question electronic survey was administered to 214 alumni in 2010; the response rate was 71.4% (n = 153). Findings provide a snapshot of public health social work alumni experiences, including diverse employment opportunities, high career satisfaction, and a strong sense of reported public health and social work integration in the workplace.     

Using process data to explain outcomes. An illustration from the Child and Adolescent Trial for Cardiovascular Health (CATCH)

The purpose of this article is to illustrate the use of process evaluation for understanding study outcomes. Data from the Child and Adolescent Trial for Cardiovascular Health (CATCH), a large school-based field trial, are used. Teacher characteristics, measures of classroom curriculum implementation, and competing influences are linked to changes in dietary knowledge, intentions, and self-efficacy of students in the intervention schools. Multiple regression analyses indicate that teacher characteristics did not predict program implementation. Teacher characteristics and program fidelity, or the number of modifications made to the classroom curriculum during implementation, had direct and independent effects on student outcomes.     

How Academic Achievement,Attitudes, and Behaviors Relate to the Course of Substance Use During Adolescence: A 6‐Year,Multiwave National Longitudinal Study

Self‐report data regarding alcohol, cigarette, and marijuana use were collected biennially from ages 14 to 20 in a nationally representative panel sample of adolescents (N=1,897) from the Monitoring the Future study. Growth curve analyses were performed using hierarchical linear modeling to consider psychosocial background, motivation and school attitudes, and parental and peer influences at age 14 as predictors of concurrent substance use and change in substance use. Results indicated that school misbehavior and peer encouragement of misbehavior were positively associated with substance use at age 14 and with increased use over time; school bonding, school interest, school effort, academic achievement, and parental help with school were negatively associated. The protective effects of positive school attitudes and perceptions of high status connected to academics were stronger for low‐achieving compared with high‐achieving youth. Implications for a developmental perspective on substance use etiology and prevention are discussed.     

Variations in provider capacity to offer accessible health care for people with disabilities

Since social workers are likely to practice in a range of health care settings, their training focusing on human behavior in the social environment could help providers develop strategies to improve access to care for people with disabilities. In this article, results from a comprehensive survey of providers about access to health care for people with a broad range of disabilities are reported. Results suggest that a minority of providers report difficulty serving people with disabilities. However, dentists and mental health/substance abuse providers are significantly less likely than other providers to report that they provide accessible services to individuals with disabilities. These providers are less likely to report having had training related to mobility impairments, providing mirrors at their facility, having an accessible door, or providing assistance with personal care needs, and are more likely to report that their building poses a barrier for people with disabilities. Social workers are well positioned to take a leadership role in working with providers and patients to improve access to health care for people with disabilities. A social work framework of understanding the individual in a social environment may be the most appropriate perspective for creating innovative strategies for addressing the complex, multidimensional needs of people with disabilities who experience limited access to care.     

Reengineering a health care facility. Turning an organization on its head

How can you foster change in your organization? Accomplishing major organizational change is difficult and extremely risky. However, change is necessary if health facilities are to survive in a competitive managed care world. Thrust into this environment, military health facilities are finding they must improve access and quality, while reducing costs. Keller Army Community Hospital at West Point was reengineered to meet this challenge. The results? A nontraditional hospital structure and management philosophy. Pipeline hierarchical chains of command and traditional professional boundaries have been modified. The strategy and transition process, as well as the obstacles to change, are explored in this article. Three years into a multi-year process, expected obstacles to change have been experienced, and success is predicted.     

Gender and the propensity to enlist in the U.S. military

This article analyzes sex differences in high school seniors' propensity to enlist in the military, differences between military preferences and expectations, sex differences in the relationship between propensity and actual service, effects of background and educational characteristics, and post-high school activities of men and women who do not serve. Using data from the Monitoring the Future surveys, we find that young women's propensity to serve is lower than men's, but more women desire than expect to serve. The relationship between propensity and service is weaker for women than men and has not increased over time. Background characteristics and educational achievement and plans are less predictive of women's propensity and enlistment than men's, with the exception of higher race and ethnicity effects among women. Having children has a small negative effect on high propensity women's enlistment, but an even stronger positive effect on low propensity men's enlistment. More women desire and expect to serve than the military is enlisting. Mady Wechsler Segal is Professor of Sociology and Distinguished Scholar-Teacher at the University of Maryland, as well as a faculty affiliate of the Women's Studies Program and Associate Director of the Center for Research on Military Organization. Her recent research focuses on military personnel issues, with particular attention to military women and military families. His current research focuses on enlistment propensity, diversity in military forces, and peacekeeping operations. His most recent book is Smoking, Drinking, and Drug Use in Young Adulthood: The Impacts He has co-authored, with David R. Segal and Jeral G. Bachman, several forthcoming articles on military propensity and enlistment. His publications deal with alcohol, tobacco, and illicit drug use and related attitudes and beliefs.     

Crime in Nonmetropolitan America: A National Accounting of Trends,Incidence Rates,and Idiosyncratic Vulnerabilities1

Abstract The prevalence and nature of crime in rural America have been given relatively little research attention. An overview of the trends, incidence rates, and particular vulnerabilities nonmetropolitan (nonmetro) residents have to criminal victimization compared with their metropolitan (metro) counterparts are provided through data from the National Crime Victimization Survey. Results indicate that victimization rates for all locations generally have been declining since the peak rates witnessed in the mid- 1970s, with residents of metro central cities being the most susceptible to victimization, followed by other metro and nonmetro residents, respectively. Certain subgroups of nonmetro residents, however, are as susceptible as their counterparts in metro areas who reside outside central cities to particular types of victimization. Implications for policy are discussed.     

Change in the stressfulness of life in American states and regions from 1976 to 1982

The State Stress Index (SSI) described in this paper^I measures difference between the states of the United States, and differences over time, in the occurrence of stressful life events. The method of constructing the SSI is described and the scores for each of the American states in 1976 and 1982 are presented. There are large differences between the states in the stressfulness of life. The construct validity of the SSI was supported by analysis which show that the higher the SSI, the higher the incidence of behaviors that have long been assumed to be affected by stress, such as violence and heavy smoking and drinking, and suicide. Scores on the SSI revealed an increase in the stressfulness of life between 1976 and 1982, largely due to the economic recession in 1982. Despite this the 1982 rank order of the states was essentially the same as their relative position in 1976. The West remained the most stressful region of the United States, despite its other attractions, and the North Central and North East remained the least stressful regions, despite their rustbelt and frostbelt images.