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1.
Monogr Soc Res Child Dev ; 88(3): 7-130, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37953661

RESUMO

Scientists have, for some time, recognized that development unfolds in numerous settings, including families, schools, neighborhoods, and organized and unorganized activity settings. Since the turn of the 20th century, the body of mainstream neighborhood effects scholarship draws heavily from the early 20th century Chicago School of Sociology frameworks and have been situating development in neighborhood contexts and working to identify the structures and processes via which neighborhoods matter for a range of developmental outcomes, especially achievement, behavioral and emotional problems, and sexual activity. From this body of work, two new areas of developmental scholarship are emerging. Both areas are promising for advancing an understanding of child development in context. First, cultural-developmental neighborhood researchers are advancing neighborhood effects research that explicitly recognizes the ways that racial, ethnic, cultural, and immigrant social positions matter for neighborhood environments and for youths' developmental demands, affordances, experiences, and competencies. This body of work substantially expands the range of developmental outcomes examined in neighborhood effects scholarship to recognize normative physical, emotional, cognitive, behavioral, social, and cultural competencies that have largely been overlooked in neighborhood effects scholarship that espoused a more color-blind developmental approach. Second, activity space neighborhood researchers are recognizing that residential neighborhoods have important implications for broader activity spaces-or the set of locations and settings to which youth are regularly exposed, including, for example, schools, work, organized activities, and hang-outs. They are using newer technologies and geographic frameworks to assess exposure to residential neighborhood and extra-neighborhood environments. These perspectives recognize that time (i.e., from microtime to mesotime) and place are critically bound and that exposures can be operationalized at numerous levels of the ecological system (i.e., from microsystems to macrosystems). These frameworks address important limitations of prior development in context scholarship by addressing selection and exposure. Addressing selection involves recognizing that families have some degree of choice when selecting into settings and variables that predict families' choices (e.g., income) also predict development. Considering exposure involves recognizing that different participants or residents experience different amounts of shared and nonshared exposures, resulting in both under-and over-estimation of contextual effects. Activity space scholars incorporate exposure to the residential neighborhood environments, but also to other locations and settings to which youth are regularly exposed, like schools, after-school settings, work, and hang-outs. Unfortunately, the cultural-development and activity space streams, which have both emerged from early 20th century work on neighborhood effects on development, have been advancing largely independently. Thus, the overarching aim of this monograph is to integrate scholarship on residential neighborhoods, cultural development, and activity spaces to advance a framework that can support a better understanding of development in context for diverse groups. In Chapters I and II we present the historical context of the three streams of theoretical, conceptual, and methodological research. We also advance a comprehensive cultural-developmental activity space framework for studying development in context among children, youth, and families that are ethnically, racially, and culturally heterogeneous. This framework actively recognized diversity in ethnic, racial, immigrant, and socioeconomic social positions. In Chapters III-V we advance specific features of the framework, focusing on: (1) the different levels of nested and nonnested ecological systems that can be captured and operationalized with activity space methods, (2) the different dimensions of time and exposures or experiences that can be captured and operationalized by activity space methods, and (3) the importance of settings structures and social processes for identifying underlying mechanisms of contextual effects on development. Structures are setting features related to the composition and spatial arrangement of people and institutions (e.g., socioeconomic disadvantage, ethnic/racial compositions). Social processes represent the collective social dynamics that take place in settings, like social interactions, group activities, experiences with local institutions, mechanisms of social control, or shared beliefs. In Chapter VI, we highlight a range of methodological and empirical exemplars from the United States that are informed by our comprehensive cultural-developmental activity space framework. These exemplars feature both quantitative and qualitative methods, including method mixing. These exemplars feature both quantitative and qualitative methods, including method mixing. The exemplars also highlight the application of the framework across four different samples from populations that vary in terms of race, ethnicity, gender, age, socioeconomic status (SES), geographic region, and urbanicity. They capture activity space characteristics and features in a variety of ways, in addition to incorporating family shared and nonshared activity space exposures. Finally, in Chapter VII we summarize the contributions of the framework for advancing a more comprehensive science of development in context, one that better realizes major developmental theories emphasizing persons, processes, contexts, and time. Additionally, we offer a place-based, culturally informed developmental research agenda to meet the needs of an increasingly diverse population.


Assuntos
Desenvolvimento Infantil , Etnicidade , Criança , Humanos , Adolescente , Estados Unidos , Projetos de Pesquisa
2.
Soc Sci Med ; 336: 116222, 2023 11.
Artigo em Inglês | MEDLINE | ID: mdl-37776783

RESUMO

BACKGROUND: Metabolic syndrome varies by socio-demographic characteristics, with younger (18-29 years) and older (50-69 years) Hispanic/Latino having higher prevalence compared to other groups. While there is substantial research on neighborhood influences on cardiometabolic health, there are mixed findings regarding the effects of gentrification and few studies have included Hispanic/Latinos. The role of neighborhood income inequality on metabolic health remains poorly understood. OBJECTIVES: Examined associations of neighborhood gentrification and income inequality with metabolic syndrome (MetSyn) using data from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). DESIGN, SETTING AND PARTICIPANTS: The HCHS/SOL is a community-based cohort of adults of Hispanic/Latinos (aged 18-74). Analyses included 6710 adults who did not meet criteria for MetsS at baseline (2008-2011) and completed the visit 2 examination (2014-2017). Poisson regressions estimated odds ratios (IRR) and 95% confidence intervals (CI) for neighborhood gentrification and change in income inequality with MetSyn incidence. MAIN OUTCOME AND EXPOSURE MEASURES: Gentrification was measured with an index that included changes (2000 to 2006-2010) in education, poverty, and income. Change in neighborhood income inequality (2005-2009 to 2012-2016) was measured using the Gini coefficient of income distribution. MetSyn was defined using National Cholesterol Education Program Adult Treatment Panel III criteria. RESULTS: Among 6647 Hispanic/Latino adults, 23% (N = 1530) had incident MetSyn. In models adjusted for socio-demographic, health insurance status, and neighborhood characteristics, gentrification (IRR, 1.00, 95%CI, 0.96-1.03) and income inequality change (IRR, 1.00, 95%CI, 0.99-1.00) were not associated with MetSyn at visit 2. There was no association between cross-sectional income inequality (2005-2009) and MetSyn at visit 2 (IRR, 0.97, 95%CI, 0.82-1.15). CONCLUSION: Neighborhood gentrification and income inequality change were not associated with incidence of MetSyn over 6 years among Hispanic/Latino adults. This study demonstrated that income-based residential changes alone may not be sufficient to explain neighborhood influences on health outcomes among this population.


Assuntos
Síndrome Metabólica , Adulto , Humanos , Síndrome Metabólica/epidemiologia , Estudos de Coortes , Saúde Pública , Estudos Transversais , Fatores de Risco , Incidência , Segregação Residencial , Censos , Renda , Hispânico ou Latino
3.
Ann Epidemiol ; 78: 1-8, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36473628

RESUMO

PURPOSE: Examine the association between neighborhood segregation and 6-year incident metabolic syndrome (MetSyn) in the Hispanic Community Health Study/Study of Latinos. METHODS: Prospective cohort of adults residing in Miami, Chicago, the Bronx, and San Diego. The analytic sample included 6,710 participants who did not have MetSyn at baseline. The evenness and exposure dimensions of neighborhood segregation, based on the Gini and Isolation indices, respectively, were categorized into quintiles (Q). Racialized economic concentration was measured with the Index of Concentration at the Extremes (continuously and Q). RESULTS: Exposure, but not evenness, was associated with higher disease odds (Q1 (lower segregation) vs. Q4, OR = 1.53, 95% CI = 1.082.17; Q5, OR = 2.29, 95% CI = 1.493.52). Economic concentrationprivilege (continuous OR = 0.87, 95% CI = 0.770.98), racial concentrationracialized privilege (Q1 (greater concentration) vs. Q2 OR = 0.75, 95% CI = 0.541.04; Q3 OR = 0.68, 95% CI = 0.441.05; Q4 OR = 0.68, 95% CI = 0.451.01; Q5 OR = 0.64, 95% CI = 0.420.98)(continuous OR = 0.93, 95% CI = 0.821.04), and racialized economic concentrationprivilege (i.e., higher SES non-Hispanic White, continuous OR = 0.86, 95% CI = 0.760.98) were associated with lower disease odds. CONCLUSION: Hispanics/Latino adults residing in neighborhoods with high segregation had higher risk of incident MetSyn compared to those residing in neighborhoods with low segregation. Research is needed to identify the mechanisms that link segregation to poor metabolic health.


Assuntos
Síndrome Metabólica , Humanos , Síndrome Metabólica/epidemiologia , Estudos Prospectivos , Saúde Pública , Incidência , Hispânico ou Latino , Características de Residência
4.
Community Ment Health J ; 58(1): 193-204, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-33677802

RESUMO

Peer recovery specialists are an important resource in community mental health settings. This study, which was part of a larger statewide assessment, evaluates how the role impacts work and personal lives of peers, with implications for improving the training and supervision of this service. The importance of peer work has been investigated through client outcomes, however less work has investigated outcomes on peers themselves, which impacts the work force and service delivery. Nine focus groups were conducted with peer recovery specialists. A two-stage qualitative analysis led to two overarching themes, work and personal, and six subthemes. Findings suggest being a peer presents unique benefits and challenges in work and personal life. Peers benefit from more training and supervision, consistency within the role, and maintaining boundaries. Additionally, work environment roles may be improved by attention to needs of supervisors in terms of skills for effective supervision and clarification of supervisory roles.


Assuntos
Grupo Associado , Especialização , Grupos Focais , Humanos , Recursos Humanos
5.
Am J Community Psychol ; 68(1-2): 18-28, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-33410540

RESUMO

Differences in how individuals navigate and interact with physical space have clear implications for when and where they are exposed to environmental characteristics. To address this reality, we propose and test a novel method with a sample of Chicago adolescents that links individual GPS coordinates with locations of environmental characteristics as a strategy to increase precision in the measurement of environmental exposures. We use exposure to violent crime as an example and link the GPS coordinates of 51 youth collected over a one-week period during the summer of 2016 to locations and times of violent crime. We explore different spatial and temporal parameters to determine whether an exposure occurred. Using the 660-foot (201 m), 24-hour operationalization, we found that youth were exposed to a total of 126 violent crimes, with an average of 3.82 (SD = 3.24) per respondent. This was higher than the 12 that were identified when exposure was calculated as the number of violent crimes occurring within 660 feet (201 m) of youths' residential addresses during the week-long assessment period. Examining correlations between the different exposure variables and measures of youths' psychological functioning, we found the largest relationships when using the GPS-based indices. We present a strategy for measuring exposure to environmental characteristics using GPS data. Higher rates of crime exposure are found based on GPS coordinates than with residential address. GPS-based exposure measures are related to youths' psychological functioning.


Assuntos
Vítimas de Crime , Características de Residência , Adolescente , Chicago , Crime , Humanos , Tecnologia
6.
J Youth Adolesc ; 50(1): 58-74, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33184738

RESUMO

More research is needed that elucidates the mechanisms by which critical consciousness impacts marginalized youth's academic and career development. To address this gap, this short-term longitudinal study (i.e., two waves) examined motivations for post-high school plans (i.e., career/personal motivation; humanitarian motivation; encouragement received from important individuals; pressure from parents/family to succeed) as mediators in the relationship between dimension of critical consciousness and academic and career activities. The sample consisted of low-income, Black and Latinx youth (N = 191; Mage = 16, SD = 0.80; 59% female) living in Chicago. The results from structural equation path models show that youth's beliefs about their ability to engage politically (i.e., sociopolitical efficacy) predict motivations for post-secondary plans (e.g., encouragement; pressure from parents/family), which is subsequently related to engagement in academic and career activities, albeit in different directions. To continue fostering positive youth development, critical consciousness programming will need to integrate how youth understand their role in changing social inequality in relation to their perception of and interactions with parents and mentors.


Assuntos
Negro ou Afro-Americano , Motivação , Adolescente , Chicago , Estado de Consciência , Feminino , Humanos , Estudos Longitudinais , Masculino
7.
Am J Community Psychol ; 66(1-2): 65-80, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32557726

RESUMO

Much is known about how experiences of community violence negatively affect youth, but far less research has explored how youth remain resilient while living in dangerous neighborhoods. This study addresses this need by analyzing in-depth, geo-narrative interviews conducted with 15 youth (60% Black, 27% Latinx, 53% female, 14 to 17 years old) residing in low-income, high-crime Chicago neighborhoods to explore youths' perceptions of safety and strategies for navigating neighborhood space. After carrying geographical positioning system (GPS) trackers for an eight-day period, youths' travel patterns were mapped, and these maps were used as part of an interview with youth that explored daily routines, with special consideration paid to where and when youth felt safe. Drawing on activity settings theory and exploring youth voice, we find that experiences of community violence are commonplace, but youth describe how they have safe spaces that are embedded within these dangerous contexts. Perceptions of safety and danger were related to environmental, social, and temporal cues. Youth reported four overarching safety strategies, including avoidance, hypervigilance, self-defense, and emotional management, but these strategies considerably varied by gender. We discuss implications for practice and future directions of research. HIGHLIGHTS: This study explored Chicago youths' safety strategies and resilience in high-crime neighborhoods. Safe and dangerous spaces are embedded or overlapping settings. All youth practiced safety strategies but they considerably varied by gender. Perceptions are intersubjectively created due to the codes, rules, and norms of community life. Violence is common and extreme in everyday life of this sample of Chicago adolescents.


Assuntos
Comportamento do Adolescente/psicologia , Crime/estatística & dados numéricos , Características de Residência/estatística & dados numéricos , Resiliência Psicológica , Adolescente , Chicago , Feminino , Humanos , Masculino , Pobreza/estatística & dados numéricos , Fatores Socioeconômicos , População Urbana/estatística & dados numéricos , Violência/estatística & dados numéricos
8.
Am J Community Psychol ; 65(3-4): 332-342, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-31792990

RESUMO

This study explores where and when community violence exposure (CVE) matters for psychological functioning in a sample of low-income, racial/ethnic minority youth (M) age = 16.17, 55% female, 69% Black, and 31% Non-Black/Latinx) living in Chicago. CVE was measured with violent crime data that were geocoded in terms of distance from youths' home and school addresses, and then calculated in terms of three distinct spatial dynamics: chronicity, pervasiveness, and spatial proximity. These measures reflect indirect/objective CVE across different conceptualizations of time, space, and neighborhood context. We tested the relationship between each CVE measure and trait anxiety and behavioral and cognitive dysregulation while controlling for youth-reported, direct violent victimization (e.g., being attacked) to examine how indirect/objective CVE occurring within youths' neighborhood contexts matters beyond direct/subjective violence exposure. Results revealed that long-term chronic, pervasive, and spatially proximal CVE was related to higher levels of behavioral dysfunction. In contrast, CVE within home- and school-based neighborhoods interacted to predict trait anxiety; youth living in low-crime neighborhoods and attending schools in high-crime neighborhoods had the highest rates of trait anxiety. Measuring CVE within both home and school neighborhoods at specific spatial measurements and time frames is critical to understand and prevent the consequences of CVE.


Assuntos
Ansiedade/psicologia , Vítimas de Crime/psicologia , Exposição à Violência/psicologia , Pobreza/psicologia , Características de Residência , Adolescente , Chicago , Cognição , Etnicidade , Feminino , Humanos , Masculino , Psicologia do Adolescente , Instituições Acadêmicas , Análise Espacial , Violência/psicologia
9.
Adv Child Dev Behav ; 57: 169-194, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31296315

RESUMO

Positioning our analyses within two theoretical frameworks, system justification (SJ) theory and critical consciousness (CC), we examine relationships between social class and endorsement of SJ and CC beliefs and behaviors within a sample of low-income, Latinx and Black youth living in Chicago. We operationalize social class using five indicators: income-to-needs ratio (INR), subjective social status (SSS), financial strain, violence exposure, and neighborhood income. We find that for Black youth, higher INR is related to a greater likelihood of rejecting the status quo. Comparatively, living in a higher income neighborhood is negatively related to and being exposed to violence is positively related to the likelihood of engaging in social change behaviors. A different pattern emerged for Latinx youth where, higher perceived status was positively associated with accepting the status quo and greater exposure to violence was negatively related to youths' perceived ability to make a difference in the world around them.


Assuntos
Negro ou Afro-Americano/etnologia , Exposição à Violência/etnologia , Hispânico ou Latino , Política , Pobreza/etnologia , Características de Residência , Comportamento Social , Classe Social , Percepção Social , Adolescente , Chicago/etnologia , Feminino , Humanos , Estudos Longitudinais , Masculino
10.
Am J Community Psychol ; 64(1-2): 218-230, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31087369

RESUMO

This study examines the relation between adolescents' indirect exposure to local homicides and mental health disorders and post-traumatic stress disorder (PTSD) symptoms. We employ a sample of 300 adolescents ( Mage=14.52,range=12-17) representative for Bogotá, Colombia, and geocoded data on violent crimes recorded by the national police. Findings show that one SD increment in local homicides is associated with increments by 0.17 SD in the mental health disorder index and a 0.14 SD increase in the PTSD score index, even after accounting for adolescents' direct exposure to violence. The estimated effect for PTSD was larger for adolescents' who were directly exposed to violence and for those living in multidimensionally poor households, whereas no detectable effects were found for adolescents who perceived their residential neighborhood as relatively safe.


Assuntos
Exposição à Violência/psicologia , Homicídio/psicologia , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Transtornos de Estresse Pós-Traumáticos/psicologia , Adolescente , Criança , Colômbia/epidemiologia , Feminino , Humanos , Masculino , Transtornos Mentais , Saúde Mental , Pobreza , Fatores de Risco , Inquéritos e Questionários
11.
J Dual Diagn ; 15(2): 95-104, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31007151

RESUMO

Objective: Alcohol misuse is prevalent and clinically significant among college students. Psychological distress is one factor that has been found to predict alcohol misuse in this population. However, relatively few investigations examined the association of psychological distress to alcohol misuse or its underlying mechanisms among students attending historically Black colleges and universities (HBCUs). The present study examined whether impulsivity explains the relation between psychological distress and alcohol misuse in this population using structural equation modeling. Methods: Participants were 287 undergraduate students attending an HBCU in the southern United States (Mage = 22.5, 66.3% female, 93.7% Black). Results: Impulsivity was found to significantly mediate the association of psychological distress to alcohol misuse, such that higher levels of psychological distress were associated with greater impulsivity which, in turn, was related to more alcohol misuse. Further analyses indicated that attentional impulsivity significantly mediated the association of psychological distress to alcohol misuse. Conclusions: These findings suggest the utility of targeting impulsivity in interventions aimed at preventing and reducing alcohol misuse among college students attending HBCUs who experience psychological distress.


Assuntos
Consumo de Álcool na Faculdade/psicologia , Comportamento Impulsivo , Angústia Psicológica , Estudantes/psicologia , Adulto , Negro ou Afro-Americano , Consumo de Álcool na Faculdade/etnologia , Diagnóstico Duplo (Psiquiatria) , Feminino , Humanos , Masculino , Estudantes/estatística & dados numéricos , Estados Unidos/epidemiologia , Universidades , Adulto Jovem
12.
Dev Psychol ; 55(3): 550-561, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30802106

RESUMO

Critical consciousness (CC) has emerged as a framework for understanding how low-income and racial/ethnic minority youth recognize, interpret, and work to change the experiences and systems of oppression that they face in their daily lives. Despite this, relatively little is known about how youths' experiences with economic hardship and structural oppression shape how they "read their world" and motivate participation in critical action behaviors. We explore this issue using a mixed-methods design and present our findings in two studies. In Study 1 we examine the types of issues that a sample of low-income and predominantly racial/ethnic minority youth (ages 13-17) living in the Chicago area discuss when asked to reflect on issues that are important to them. The most commonly mentioned themes were community violence (59%), prejudice and intolerance (31%), world issues (25%), and economic disparities (18%). In Study 2 we examine youths' quantitative reports of engaging in critical action behavior; more than 65% had participated in at least one activity targeting social change in the previous 6 months. We then examined relationships between youths' experiences with poverty within their households and neighborhoods, neighborhood income inequality, and exposure to violence and youths' likelihood of participating in critical action behaviors. Greater exposure to violence and neighborhood income inequality were related to an increased likelihood of engaging in critical action behaviors. This work highlights the diverse ways that low-income and racial/ethnic minority youth reflect on societal inequality and their commitment to effecting change through sociopolitical participation. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Comportamento do Adolescente , Estado de Consciência , Grupos Minoritários , Política , Pobreza , Mudança Social , Participação Social , Problemas Sociais , Adolescente , Chicago , Feminino , Humanos , Masculino
13.
J Oncol Pharm Pract ; 25(8): 1860-1866, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30636529

RESUMO

PURPOSE: Urinary alkalinization with intravenous sodium bicarbonate is standard during high-dose methotrexate administration. Due to a national intravenous sodium bicarbonate shortage, a urinary alkalinization protocol involving hyperhydration with intravenous fluids, oral bicarbonate, and intravenous or oral acetazolamide was utilized from 10 April to 30 May 2017 ("shortage protocol"). This study compared outcomes between protocols. METHODS: A single-center, retrospective chart review was conducted for adults who received methotrexate ≥500 mg/m2 on ≥ two occasions, at least once during each protocol, between 19 February and 19 July 2017. RESULTS: Eighteen patients (50% male), median age 65 years, received 76 total high-dose methotrexate cycles. Shortage protocol was used in 37 cycles (48.7%). Mean time to methotrexate clearance did not differ between groups (p = ns). Mean time to urinary alkalinization and duration of hospitalization were not statistically different (p = 0.49 and 0.23, respectively). Average total bicarbonate administered per 24 hours was higher in standard protocol (p < 0.05), but hydration rates were similar (p = 0.73). Creatinine clearance and urine output on days 1 and 2 post-high-dose methotrexate did not significantly differ (creatinine clearance day 1, p = 0.27; creatinine clearance day 2, p = 0.55; urine output day 1, p = 0.62; urine output day 2, p = 0.60). Interruptions in alkalinization were significantly higher during shortage (0.41 ± 0.75 instances of urine pH < 7 during standard vs. 1.3 ± 1.7 under shortage, p < 0.05).


Assuntos
Metotrexato/administração & dosagem , Bicarbonato de Sódio/administração & dosagem , Administração Intravenosa , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos de Coortes , Feminino , Humanos , Concentração de Íons de Hidrogênio , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Adulto Jovem
14.
Health Serv Res ; 54(1): 128-138, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30417341

RESUMO

OBJECTIVE: To characterize the rate of guideline-concordant initiation of oral anticoagulation (OAC) among elderly Veterans with atrial fibrillation (AF) and high stroke risk. DATA SOURCES/STUDY SETTING: Veterans Health Administration (VHA) Corporate Data Warehouse (CDW) linked with Medicare claims 2011-2015. STUDY DESIGN: We identified 6619 elderly, high stroke-risk patients with a new episode of AF initially diagnosed in the VHA during fiscal years 2012-2015. We used logistic regression to estimate marginal effects of associations between patient characteristics and OAC initiation within 90 days of the first AF episode. DATA EXTRACTION METHODS: We identified OACs using generic drug names. We calculated comorbidities and risk scores using diagnosis codes from 1 year of baseline data. PRINCIPAL FINDINGS: Overall, 66.5% of Medicare-eligible Veterans with AF at high risk of stroke initiated an OAC within 90 days. We found lower initiation rates for patients enrolled in Medicare Part D and those ineligible for drug co-payment subsidies. OAC initiation rates increased during the study among VHA-reliant patients but not among dual VHA-Part D enrollees. CONCLUSIONS: One-third of elderly Veterans at risk of stroke are not receiving recommended therapy. Increased coordination between Medicare and VHA providers may lead to improvements in anticoagulation quality and stroke prevention.


Assuntos
Anticoagulantes/uso terapêutico , Fibrilação Atrial/tratamento farmacológico , Medicare Part D , Acidente Vascular Cerebral/dietoterapia , Veteranos/estatística & dados numéricos , Administração Oral , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Hipertensão/tratamento farmacológico , Masculino , Acidente Vascular Cerebral/prevenção & controle , Estados Unidos , United States Department of Veterans Affairs
15.
J Fam Psychol ; 33(2): 240-245, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30550307

RESUMO

While early exposure to poverty has been linked to decrements in children's behavior through underlying pathways of parenting stress and depression, extant research has typically relied on the use of objective measures of socioeconomic status (SES) to test these associations. However, children's development may be shaped by the ways that parents perceive social class, which may operate independently and differentially from objective SES. Using structural equation modeling, the present study explores relationships between parents' ratings of subjective social status (SSS), objective indicators of SES (income-to-needs ratio, education, employment status), and young children's (ages 0-3) behavior problems among 173 low-income families living in an urban area in the northeast United States. In addition, we consider whether parents' stress and depression underlie these associations. Results demonstrate negative relationships from both objective SES and SSS to parents' well-being. Moreover, in keeping with the Family Stress Model, we find that both SES and SSS are related to children's adjustment via parents' stress and depression; parents who have lower levels of education, are not employed, and who report lower SSS also report higher levels of stress, which in turn is related to higher levels of children's behavior problems. To our knowledge, this is the first study to test assumptions of the Family Stress Model using both subjective and objective indicators of social status, and one of few studies exploring linkages between parents' perceptions of SSS and children's behavior problems. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Comportamento Infantil/psicologia , Poder Familiar/psicologia , Pais/psicologia , Pobreza/psicologia , Comportamento Problema/psicologia , Desenvolvimento Infantil , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Pais/educação , Pobreza/estatística & dados numéricos , Classe Social , Apoio Social
16.
New Dir Child Adolesc Dev ; 2018(161): 57-74, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-29972624

RESUMO

Developmental science has recognized the import of ecological theory and research in furthering understanding of development in context. However, despite the fact that ecological and intersectional theory share points of commonality, few researchers to date have attempted to integrate these perspectives. This manuscript addresses this gap and highlights three ways that an intersectional lens can advance settings-level research. With a focus on neighborhoods as settings of development, we (1) describe how intersectionality may manifest itself within neighborhoods, (2) discuss how intersectionality can inform our understanding of how individuals experience neighborhoods, and (3) detail strategies for conceptualizing and measuring intersectionality in neighborhood research. As such, the goal of this manuscript is to push thinking on the ways that intersectionality may inform and advance settings-level research in developmental science.

17.
J Child Poverty ; 24(1): 25-46, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-32095062

RESUMO

Children's relationships with their teachers are critical for classroom-based learning, but children growing up in poverty may be at risk for lower-quality relationships with teachers. Little is known about how changing schools, one poverty-related risk, affects teacher-child relationships. Using growth curve models that control for a host of other poverty-related risks, this study explores the association between children changing schools frequently (defined as three or more school moves) between preschool and third grade and the quality of their relationships with their teachers over these five years in a low-income, ethnic-minority sample. Children who frequently moved schools were reported to be less close to their teachers in third grade and experienced steeper declines in closeness than children who did not change schools frequently. Moreover, the effects of frequent school mobility at third grade were robust to other poverty-related risks, including residential mobility, parental education risk, family income, and single-parent households. Changing schools was unrelated to children's conflict with teachers. We discuss these findings in the context of policies that support students' transitions when changing schools.

18.
Dev Psychol ; 54(4): 772-787, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-29154650

RESUMO

Although research has shown fade-out of the cognitive benefits of classroom-based preschool interventions, less is known regarding the durability of social-emotional impacts. This study examines the extent to which the multicomponent Chicago School Readiness Project (CSRP) intervention lowered risk of internalizing, externalizing, attention, and social difficulties from Head Start through elementary school for 602 low-income children. Results suggest that most children in this sample showed few social-emotional difficulties over time. However, one quarter of the sample exhibited profiles of transitory or building difficulties over six years. Random assignment to the CSRP preschool intervention significantly reduced children's odds of transitory attention and social difficulties in middle childhood, with preliminary evidence suggesting stronger impacts for children attending elementary schools characterized by low academic rigor and high neighborhood crime. CSRP was not found to be effective in preventing more robust, increasing forms of difficulty in the externalizing and attention domains. Implications for early childhood intervention and policy are discussed. (PsycINFO Database Record


Assuntos
Comportamento Infantil , Intervenção Educacional Precoce , Emoções , Comportamento Problema , Comportamento Social , Atenção , Chicago , Comportamento Infantil/psicologia , Pré-Escolar , Feminino , Humanos , Masculino , Modelos Psicológicos , Pobreza , Instituições Acadêmicas
19.
Am J Community Psychol ; 60(3-4): 385-390, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28944516

RESUMO

Mobile technology is increasingly being used to measure individuals' moods, thoughts, and behaviors in real time. Current examples include the use of smartphones to collect ecological momentary assessments (EMAs; assessments delivered "in the moment"); wearable technology to passively collect objective measures of participants' movement, physical activity, sleep, and physiological response; and smartphones and wearable devices with global positioning system (GPS) capabilities to collect precise information about where participants spend their time. Although advances in mobile technology offer exciting opportunities for measuring and modeling individuals' experiences in their natural environments, they also introduce new ethical issues. Drawing on lessons learned while collecting GPS coordinates and EMAs measuring mood, companionship, and health-risk behavior with a sample of low-income, predominantly racial/ethnic minority youth living in Chicago, this manuscript discusses ethical challenges specific to the methodology (e.g., unanticipated access to personal information) and broader concerns related to data conceptualization and interpretation (e.g., the ethics of "monitoring" low-income youth of color). While encouraging researchers to embrace innovations offered by mobile technology, this discussion highlights some of the many ethical issues that also need to be considered.


Assuntos
Coleta de Dados/ética , Avaliação Momentânea Ecológica , Ética em Pesquisa , Sistemas de Informação Geográfica , Psicologia/ética , Smartphone , Adolescente , Chicago , Etnicidade , Humanos , Invenções , Grupos Minoritários , Pobreza , Privacidade
20.
Behav Sci (Basel) ; 7(1)2016 Dec 29.
Artigo em Inglês | MEDLINE | ID: mdl-28036091

RESUMO

The current study examines the additive and joint roles of chronic poverty-related adversity and three candidate neurocognitive processes of emotion regulation (ER)-including: (i) attention bias to threat (ABT); (ii) accuracy of facial emotion appraisal (FEA); and (iii) negative affect (NA)-for low-income, ethnic minority children's internalizing problems (N = 338). Children were enrolled in the current study from publicly funded preschools, with poverty-related adversity assessed at multiple time points from early to middle childhood. Field-based administration of neurocognitively-informed assessments of ABT, FEA and NA as well as parental report of internalizing symptoms were collected when children were ages 8-11, 6 years after baseline. Results suggest that chronic exposure to poverty-related adversity from early to middle childhood predicted higher levels of internalizing symptomatology when children are ages 8-11, even after controlling for initial poverty status and early internalizing symptoms in preschool. Moreover, each of the 3 hypothesized components of ER played an independent and statistically significant role in predicting children's parent-reported internalizing symptoms at the 6-year follow-up, even after controlling for early and chronic poverty-related adversity.

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