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1.
J Community Psychol ; 48(6): 1929-1941, 2020 08.
Article in English | MEDLINE | ID: mdl-32500946

ABSTRACT

Gangs pose an extreme threat to at-risk individuals and disenfranchised communities. A unique insight into the gang life and a changing life narrative among former gang members may be assets in educating communities about systemic factors perpetuating gang activity. This grounded theory analysis examines motivations for joining and leaving gangs among 28 former gang members (age, M = 44; 87.5% male; 56.3% Hispanic or Latino) and explores motivations to improve societal outcomes via prosocial advocacy to end gang involvement. Narratives suggest a social-ecological system marked by adversity can inform motivations for joining and leaving gangs, and the potential of repurposing one's life into a social change agent. Findings indicate the changing perspective of former gang members can aid in deterring gang involvement if provided a platform to share their negative experiences of gang life and regrets for their actions in their communities to instigate societal change.


Subject(s)
Crime/psychology , Emotions/physiology , Motivation/physiology , Violence/psychology , Adult , Altruism , Consumer Advocacy/psychology , Crime/ethnology , Crime/prevention & control , Female , Grounded Theory , Humans , Life Change Events , Male , Middle Aged , Peer Group , Psychological Distance , Qualitative Research , Surveys and Questionnaires/statistics & numerical data , Violence/prevention & control
2.
J Ment Health Policy Econ ; 23(1): 19-25, 2020 Mar 01.
Article in English | MEDLINE | ID: mdl-32458814

ABSTRACT

BACKGROUND: Research has documented a low rate of opioid use disorder (OUD) treatment utilization among individuals involved in the criminal justice system. However, racial disparities in sources of payment for OUD treatment have not been examined in the existing literature. AIM OF THE STUDY: Although substance use disorder (SUD) treatment is relatively rare for all criminal justice system involved racial-groups, previous research has indicated that, among individuals with SUD, members of racial minority groups receive treatment at lower rates than their non-Hispanic White counterparts. Given the alarming rise of OUD in the US and the association between source of payment and utilization of health care services, this study seeks to quantify racial disparities in sources of payment for OUD treatment among individuals with criminal justice involvement. METHOD: Using data from the 2008-2016 National Survey of Drug Use and Health (NSDUH), this study analyzes data on non-incarcerated individuals with OUD who have had any criminal justice involvement in the previous 12 months. An extension of the Blinder-Oaxaca decomposition method for non-linear models is implemented to determine the extent that differences in OUD treatment utilization across non-Hispanic Blacks and non-Hispanic Whites are explained by observed and measurable characteristics and/or unobserved factors. RESULTS: Results indicate that non-Hispanic Whites are more likely to have their OUD treatment paid by a court (10%) relative to non-Hispanic Blacks (4.0%). Black-White differences in measurable factors explain 87% of the disparity, while the rest is attributed to unobserved factors. Non-Hispanic Blacks are more likely to have their OUD treatment paid by public insurance (77% vs 36%) than non-Hispanic Whites and only 72% of this disparity can be explained by observed characteristics. IMPLICATIONS FOR HEALTH CARE PROVISION AND USE: Our findings indicate racial disparities in sources of payment for OUD treatment among the criminal justice-involved population. Expansion of health insurance coverage and access to substance use disorder treatments would be beneficial for reducing health care disparities. IMPLICATIONS FOR HEALTH POLICY: Equitable treatment options in the criminal justice system that incentivize OUD treatment availability may help address racial disparities in sources of payment among the criminal justice-involved population with OUD. IMPLICATIONS FOR FURTHER RESEARCH: Future research should focus on understanding the main factors driving the court's treatment decisions among the criminal justice system involved individuals.


Subject(s)
Crime/statistics & numerical data , Healthcare Disparities/ethnology , Mental Health Services/statistics & numerical data , Opioid-Related Disorders/rehabilitation , Adult , Black or African American/statistics & numerical data , Crime/ethnology , Female , Health Care Surveys , Health Status Disparities , Healthcare Disparities/statistics & numerical data , Hispanic or Latino/statistics & numerical data , Humans , Male , Opioid-Related Disorders/ethnology , Racial Groups , Socioeconomic Factors , United States/epidemiology , White People/statistics & numerical data , Young Adult
3.
Horm Behav ; 122: 104733, 2020 06.
Article in English | MEDLINE | ID: mdl-32179059

ABSTRACT

A growing body of literature suggests that OT administration may affect not only prosocial outcomes, but also regulate adversarial responses in the context of intergroup relations. However, recent reports have challenged the view of a fixed role of OT in enhancing ingroup favoritism and outgroup derogation. Studying the potential effects of OT in modulating threat perception in a context characterized by racial miscegenation (Brazil) may thus afford additional clarification on the matter. In a double-blind, placebo-controlled study, White Brazilian participants completed a first-person shooter task to assess their responses towards potential threat from racial ingroup (White) or outgroup (Black) members. OT administration enhanced the social salience of the outgroup, by both increasing the rate at which participants refrained from shooting unarmed Black targets to levels similar to White targets, and by further increasing the rate of correct decisions to shoot armed Black targets (versus White armed targets). In summary, our results indicate that a single dose of OT may promote accurate behavioral responses to potential threat from members of a racial outgroup, thus offering support to the social salience hypothesis.


Subject(s)
Crime , Oxytocin/pharmacology , Race Relations , Social Behavior , Social Perception/drug effects , Adolescent , Adult , Aggression/drug effects , Aggression/psychology , Black People/psychology , Brazil/ethnology , Crime/ethnology , Crime/psychology , Double-Blind Method , Firearms , Group Processes , Humans , Male , Oxytocin/administration & dosage , Race Relations/psychology , Racism/psychology , Social Cognition/ethnology , Social Perception/ethnology , Social Perception/psychology , White People/psychology , Young Adult
4.
J Community Psychol ; 48(1): 36-67, 2020 01.
Article in English | MEDLINE | ID: mdl-31705827

ABSTRACT

The goal of this study is twofold: (a) to describe trends in enforcement activity in the city of St. Louis from 2007 through 2017 and (b) to document community variation in these trends. Five types of enforcement actions are examined: felony, misdemeanor, municipal, and bench warrant arrests and criminal summonses-in-lieu of arrest. Results indicate that enforcement activity decreased over the study period, particularly for nonfelony arrests among Blacks. City-wide trends obscure some variability in neighborhood enforcement. Neighborhood trends in enforcement varied by type of action, but in all cases, trends were conditioned by racial composition. For example, misdemeanor and bench warrant arrests exhibited steeper declines in neighborhoods with a higher percentage of Black residents, resulting in a narrowing of the race gap. In contrast, differences in criminal summonses across neighborhoods of varying racial compositions increased. The effects persisted net of measures of economic disadvantage, community location, residential mobility, household composition, calls for service, and population size. The findings highlight the importance of disaggregating enforcement trends by race and place and documenting changes in less serious, but more prevalent, types of law enforcement activity.


Subject(s)
Crime/trends , Law Enforcement/methods , Models, Statistical , Police , Black or African American/statistics & numerical data , Crime/ethnology , Humans , Missouri , Residence Characteristics , White People/statistics & numerical data
5.
Health Soc Work ; 44(4): 241-248, 2019 Oct 17.
Article in English | MEDLINE | ID: mdl-31665433

ABSTRACT

Firearm-related violence is a significant threat to public health and safety in America. However, research highlights a critical disparity in firearm-related deaths by race. Researchers often cite racial bias as a contributing factor for the racial disparity in firearm-related deaths. To provide a foundation for potential social work interventions, the present article discusses the results of an assessment of whether explicit racial biases toward four racial and ethnic groups (white, black, Asian, Hispanic/Latino), fear of crime, and the quantity and quality of interactions with neighbors of a different race are predictors of gun ownership. Findings suggest that explicit racial bias toward black, Asian, and Hispanic/Latino individuals is a significant predictor of gun ownership. Fear of crime and more frequent interactions with neighbors of a different race are also significant predictors of gun ownership. Taken as a whole, findings suggest that gun owners are more likely to be more vigilant toward people of color because of stereotypical assumptions that racial and ethnic minorities are more likely to be involved with crime. Social work practice and policy implications include developing interventions aimed at reducing implicit bias and identifying policies that are associated with lower levels of implicit bias among gun owners.


Subject(s)
Crime/ethnology , Fear , Firearms/statistics & numerical data , Ownership/statistics & numerical data , Racism , Black or African American/statistics & numerical data , Asian People/statistics & numerical data , Crime/statistics & numerical data , Cross-Sectional Studies , Female , Gun Violence/ethnology , Hispanic or Latino/statistics & numerical data , Humans , Male , Middle Aged , Social Work , White People/statistics & numerical data
6.
Nat Hum Behav ; 3(3): 244-250, 2019 03.
Article in English | MEDLINE | ID: mdl-30953010

ABSTRACT

For many years, scientists have studied culture by comparing societies, regions or social groups within a single point in time. However, culture is always changing, and this change affects the evolution of cognitive processes and behavioural practices across and within societies. Studies have now documented historical changes in sexism1, individualism2,3, language use4 and music preferences5 within the United States and around the world6. Here we build on these efforts by examining changes in cultural tightness-looseness (the strength of cultural norms and tolerance for deviance) over time, using the United States as a case study. We first develop a new linguistic measure to measure historical changes in tightness-looseness. Analyses show that America grew progressively less tight (i.e., looser) from 1800 to 2000. We next examine how changes in tightness-looseness relate to four indicators of societal order: debt (adjusted for inflation), adolescent pregnancies and crime, and high school attendance, as well as four indicators of creative output: registered patents, trademarks, feature films produced, and baby-naming conformity. We find that cultural tightness correlates negatively with each measure of creativity, and correlates positively with three out of four measures of societal order (fewer adolescent pregnancies, less debt and higher levels of school attendance). These findings imply that the historical loosening of American culture was associated with a trade-off between higher creativity but lower order.


Subject(s)
Creativity , Culture , Linguistics , Social Norms/ethnology , Adolescent , Big Data , Books , Crime/ethnology , Female , Humans , Motion Pictures/statistics & numerical data , Patents as Topic/statistics & numerical data , Pregnancy , Pregnancy in Adolescence/ethnology , Social Conformity , Socioeconomic Factors , United States/ethnology
7.
Int J Offender Ther Comp Criminol ; 63(5): 734-751, 2019 04.
Article in English | MEDLINE | ID: mdl-30348033

ABSTRACT

In Aotearoa/New Zealand, culturally embedded rehabilitation programmes have been developed to reduce criminal offending among the indigenous Maori population. Currently, there is a lack of research investigating the experiences of these programmes from clients' perspectives. This study aimed to enhance understandings of the lived experiences of Maori men who were participating in a residential therapeutic community (TC) programme in Aotearoa/New Zealand. Semistructured interviews were conducted one-on-one by a psychology master's student who was a staff member at the TC and also of Maori descent. Seven Maori TC residents aged 22 to 48 were interviewed about life in a TC. Thematic analysis of the interview data yielded three themes: (a) "The importance of healing family relationships"; (b) "The relevance of Maori culture in rehabilitation"; (c) "Increased self-awareness." The findings highlight the significance of holistic approaches that emphasize culturally relevant approaches and the involvement of family members in the treatment of substance-use disorders and offending behaviour among indigenous populations.


Subject(s)
Crime/prevention & control , Cultural Characteristics , Indigenous Peoples/psychology , Substance-Related Disorders/rehabilitation , Therapeutic Community , Adult , Awareness , Crime/ethnology , Family Relations , Humans , Interviews as Topic , Male , Middle Aged , Native Hawaiian or Other Pacific Islander/psychology , New Zealand , Qualitative Research , Self Concept , Social Identification , Substance-Related Disorders/ethnology , Young Adult
8.
Demography ; 55(5): 1957-1977, 2018 10.
Article in English | MEDLINE | ID: mdl-30209733

ABSTRACT

Neighborhood boundaries are a defining aspect of highly segregated urban areas. Yet, few studies examine the particular challenges and spatial processes that occur at the bordering region between two neighborhoods. Extending the growing literature on spatial interdependence, this article argues that neighborhood boundaries-defined as sharp changes in the racial or socioeconomic composition of neighborhoods-are a salient feature of the spatial structure with implications for violent crime and other outcomes. Boundaries lack the social control and cohesion of adjacent homogeneous areas, are contested between groups provoking intergroup conflict, and create opportunities for criminal behavior. This article presents evidence linking racial neighborhood boundaries to increased violent crime. The findings illustrate the importance of neighborhood boundaries for our understanding of spatial dimensions of population dynamics above and beyond the characteristics of neighborhoods.


Subject(s)
Crime , Residence Characteristics , Social Segregation , Violence , Chicago , Crime/ethnology , Crime/statistics & numerical data , Empirical Research , Humans , Urban Population
9.
Addict Behav ; 87: 206-213, 2018 12.
Article in English | MEDLINE | ID: mdl-30055450

ABSTRACT

BACKGROUND: Prior research indicates that Latino immigrants are less likely than US-born individuals to use alcohol and meet criteria for an alcohol use disorder. However, our understanding of alcohol-related problem behaviors among Latino immigrants remains limited. We report the prevalence of alcohol-related problem behaviors among Latino immigrants vis-à-vis the US-born and examine the relationship between alcohol-related problem behavior and key migration-related factors and injury/receipt of emergency medical care. METHODS: The data source used for the present study is the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC-III, 2012-2013), a nationally representative survey of 36,309 civilian, non-institutionalized adults ages 18 and older in the US. Logistic regression was employed to examine the relationship between immigrant status and key outcomes. RESULTS: Foreign-born Latinos were less likely to report one or more alcohol-related problems compared to US-born Latinos (AOR = 0.41, 95% CI = 0.33-0.50) and the US-born general population (AOR = 0.38, 95% CI = 0.32-0.46). Latino immigrants arriving as children were, compared to those arriving later in life, significantly more likely to report alcohol-related problem behaviors, and experiences of discrimination were linked with greater risk of alcohol-related problem behavior as well. Latino immigrants reporting recurrent injury/emergency medical care utilization were more likely to report alcohol-related problem behavior. CONCLUSIONS: Latino immigrants are significantly less likely than US-born Latinos and the US-born general population to operate a vehicle under the influence of alcohol, take part in risky behaviors or fight while drinking, or to be arrested due to alcohol consumption.


Subject(s)
Alcohol-Related Disorders/ethnology , Emigrants and Immigrants/psychology , Adolescent , Adult , Age Distribution , Aged , Aggression/psychology , Alcohol Drinking/ethnology , Alcohol Drinking/psychology , Alcohol-Related Disorders/psychology , Crime/ethnology , Crime/psychology , Crime/statistics & numerical data , Emigrants and Immigrants/statistics & numerical data , Female , Hispanic or Latino/psychology , Hispanic or Latino/statistics & numerical data , Humans , Latin America/ethnology , Male , Middle Aged , Racism/psychology , Racism/statistics & numerical data , Risk-Taking , Socioeconomic Factors , United States , Young Adult
11.
Int J Offender Ther Comp Criminol ; 62(9): 2624-2649, 2018 07.
Article in English | MEDLINE | ID: mdl-28929837

ABSTRACT

The collective view of Asian Americans as model minorities is evident with the extensive amount of statistical data showing support for the academic and socioeconomic success of Asian Americans in the United States. This perception, however, often presents an inaccurate portrayal of Asian Americans, in general, as it overlooks many of the difficulties and hardships experienced by Asian American ethnic groups such as Southeast Asians. Within this group, Cambodian Americans are at the highest risk for experiencing socioeconomic hardships, behavioral health problems, substance use disorders, and contact with the criminal justice system, with deportation also being a prevailing issue. Unfortunately, research in this area is scant and contemporary research on Cambodian Americans has several limitations. To begin to address this issue, the present article merges information from existing research on this population from a sociohistorical, criminological, and theoretical standpoint to call for more comprehensive research on Cambodian Americans.


Subject(s)
Asian , Crime/ethnology , Cambodia/ethnology , Criminology , Humans , Poverty/ethnology , Risk Factors , Stress Disorders, Post-Traumatic/ethnology , Stress, Psychological/ethnology , United States/epidemiology
12.
Med Anthropol ; 36(6): 566-583, 2017.
Article in English | MEDLINE | ID: mdl-28414530

ABSTRACT

Sensationalistic media coverage has fueled stereotypes of the Mexican border city of Tijuana as a violent battleground of the global drug war. While the drug war shapes health and social harms in profoundly public ways, less visible are the experiences and practices of hope that forge communities of care and represent more private responses to this crisis. In this article, we draw on ethnographic fieldwork and photo elicitation with female sex workers who inject drugs and their intimate, non-commercial partners in Tijuana to examine the personal effects of the drug war. Drawing on a critical phenomenology framework, which links political economy with phenomenological concern for subjective experience, we explore the ways in which couples try to find hope amidst the horrors of the drug war. Critical visual scholarship may provide a powerful alternative to dominant media depictions of violence, and ultimately clarify why this drug war must end.


Subject(s)
Crime/ethnology , Drug Trafficking/ethnology , Sex Workers/psychology , Sexual Partners/psychology , Substance Abuse, Intravenous/ethnology , Adult , Anthropology, Medical , Child , Female , Ill-Housed Persons , Humans , Male , Mexico/ethnology , Photography , United States
13.
Int J Offender Ther Comp Criminol ; 61(7): 819-833, 2017 May.
Article in English | MEDLINE | ID: mdl-26486422

ABSTRACT

Television is a powerful medium through which to convey information and messages to the public. The recent proliferation of forensic science and criminal justice information throughout all forms of media, coupled with raised expectations toward forensic evidence, has led some to suspect that a "CSI effect" ( Crime Scene Investigation effect) is taking place. The present study contributes to the literature addressing the CSI effect in two ways. First, it examines whether the CSI effect exists in the Chinese population of Hong Kong. Second, using a mock-jury paradigm, it empirically examines a more integrative perspective of the CSI effect. It was found that, although the amount of media coverage involving forensic evidence does influence participants' perception of legal evidence to some degree, such a perception does not affect participants' legal decision making. Viewers of forensic dramas were not more likely to convict the defendant when forensic evidence was presented and not less likely to convict when only testimonial evidence was presented. The only significant predictor of the defendant's culpability when scientific evidence was presented was participants' ratings of the reliability of scientific evidence. Results from the present study lend no support to the existence of the CSI effect in Hong Kong.


Subject(s)
Asian People/psychology , Attitude/ethnology , Crime/legislation & jurisprudence , Crime/psychology , Culture , Forensic Sciences/legislation & jurisprudence , Jurisprudence , Public Opinion , Adolescent , Adult , Crime/ethnology , Cross-Cultural Comparison , Decision Making , Female , Hong Kong , Humans , Male , Mass Media/legislation & jurisprudence , Reproducibility of Results , Surveys and Questionnaires , Young Adult
14.
J Interpers Violence ; 32(13): 1995-2017, 2017 07.
Article in English | MEDLINE | ID: mdl-26112972

ABSTRACT

The aim of the present study was to examine the psychometric properties of the Reactive-Proactive Aggression Questionnaire (RPQ) among a forensic sample of incarcerated male juvenile offenders ( N = 221). The Portuguese version of the RPQ demonstrated promising psychometric properties, namely, in terms of factor structure, internal consistency, convergent validity, discriminant validity, and concurrent validity that generally justifies its use among this population. Statistically significant associations were found with conduct disorder, age of criminal onset, age of first problem with the law, crime seriousness, physical violence use in committing crimes, alcohol use, cannabis use, cocaine/heroin use, and having unprotected sex. The findings provide additional support for the extension of the RPQ across different cultures, ethnic groups, and samples.


Subject(s)
Aggression/psychology , Ethnicity/psychology , Prisoners/psychology , Psychometrics/statistics & numerical data , Surveys and Questionnaires , Adolescent , Adult , Age of Onset , Alcohol Drinking/epidemiology , Alcohol Drinking/ethnology , Alcohol Drinking/psychology , Crime/ethnology , Crime/psychology , Crime/statistics & numerical data , Humans , Male , Physical Abuse/ethnology , Physical Abuse/psychology , Physical Abuse/statistics & numerical data , Portugal/ethnology , Substance-Related Disorders/epidemiology , Substance-Related Disorders/ethnology , Substance-Related Disorders/psychology , Unsafe Sex/ethnology , Unsafe Sex/psychology , Unsafe Sex/statistics & numerical data , Young Adult
15.
Article in English | MEDLINE | ID: mdl-27886095

ABSTRACT

Few studies have examined the sociocultural determinants of risky sexual behavior trajectories among adult Latinas. To longitudinally examine the link between sociocultural determinants of risky sexual behaviors, we followed a sample of adult Latina mother-daughter dyads (n = 267) across a 10-year span through four waves of data collection. The present study investigates how risky sexual behavior (operationalized as sex under the influence of alcohol or other drugs, sex without a condom, or multiple sex partners) is affected by: (a) socioeconomic conditions; (b) mental health; (c) medical health; (d) acculturation to U.S. culture; (e) interpersonal support; (f) relationship stress; (g) mother-daughter attachment; (h) intimate partner violence; (i) religious involvement; and (j) criminal justice involvement. Results indicate the following factors are negatively associated with risky sexual behavior: drug and alcohol use, treating a physical problem with prescription drugs, religious involvement, and mother-daughter attachment. The following factors are positively associated with risky sexual behavior: higher number of mental health symptoms, being U.S.-born, and criminal justice involvement. We discuss implications for the future development of culturally relevant interventions based on the study findings.


Subject(s)
Hispanic or Latino/psychology , Risk-Taking , Sexual Behavior/ethnology , Acculturation , Adolescent , Adult , Alcohol Drinking/ethnology , Condoms/statistics & numerical data , Crime/ethnology , Female , Health Status , Humans , Longitudinal Studies , Mental Health/ethnology , Middle Aged , Mother-Child Relations/ethnology , Mothers/psychology , Religion , Risk , Socioeconomic Factors , Spouse Abuse/ethnology , Substance-Related Disorders/ethnology , Young Adult
16.
Int J Offender Ther Comp Criminol ; 60(7): 828-46, 2016 May.
Article in English | MEDLINE | ID: mdl-26169568

ABSTRACT

General strain theory (GST) has been one of the most frequently tested criminological theories. According to GST, strain tends to generate negative emotions, which create pressures for corrective action, such as crime and delinquency. Although GST has received strong empirical support, one under-addressed issue is the lack of diversity in sampling population in assessing the generalizability of the theory. Using survey data collected from 335 incarcerated women in four Chinese prisons, this study examined the impact of strain and negative emotions on the level of female criminality. The strain variable, physical abuse, and discrimination, exerted a positive effect on female inmates' levels of criminality, whereas negative emotions were not significantly related to female criminality. Two control variables, age of current offense and educational attainment, were predictive of female criminality, with younger and less-educated women having more serious criminality. Implications for future research and policy are discussed.


Subject(s)
Asian People/psychology , Crime/legislation & jurisprudence , Crime/psychology , Emotions , Gender Identity , Motivation , Prisoners/psychology , Stress, Psychological/complications , Stress, Psychological/psychology , Adolescent , Adult , Age Factors , China , Crime/ethnology , Educational Status , Female , Humans , Middle Aged , Risk Factors , Social Change , Spouse Abuse/ethnology , Spouse Abuse/legislation & jurisprudence , Spouse Abuse/psychology , Stress, Psychological/ethnology , Young Adult
17.
J Immigr Minor Health ; 18(4): 728-739, 2016 08.
Article in English | MEDLINE | ID: mdl-26319042

ABSTRACT

Drawing on the life course perspective and the assumptive world theory, this paper examines whether pre-migration trauma exposure is associated with psychological distress through post-migration perceived discrimination for Asian American immigrants. The study is based on cross-sectional data from the National Latino and Asian American Study (N = 1639). Structural equation model is used to estimate the relationship between pre-migration trauma, post-migration perceived discrimination, and psychological distress. Additional models are estimated to explore possible variations across ethnic groups as well as across different types of pre-migration trauma experience. Pre-migration trauma exposure is associated with higher levels of psychological distress, both directly and indirectly through higher level of perceived discrimination, even after controlling for demographic/acculturative factors and post-migration trauma exposure. This pattern holds for the following sub-types of pre-migration trauma: political trauma, crime victimization, physical violence, accidental trauma, and relational trauma. Multi-group analyses show that this pattern holds for all Asian immigrant subgroups except the Vietnamese. Studies of immigrant mental health primarily focus on post-migration stressors. Few studies have considered the link between pre- and post-migration contexts in assessing mental health outcomes. The study illustrates the usefulness of bridging the pre- and post-migration context in identifying the mental health risks along the immigrant life course.


Subject(s)
Asian/psychology , Emigrants and Immigrants/psychology , Psychological Trauma/ethnology , Stress, Psychological/ethnology , Accidents/psychology , Adult , Crime/ethnology , Crime/psychology , Cross-Sectional Studies , Female , Humans , Male , Middle Aged , Politics , Racism/ethnology , Racism/psychology , Socioeconomic Factors
18.
Am J Hypertens ; 29(1): 90-5, 2016 Jan.
Article in English | MEDLINE | ID: mdl-25917562

ABSTRACT

BACKGROUND: African-American adults experience the highest rates of elevated blood pressure (BP), and this disparity may be linked to socioeconomic and neighborhood-related disadvantage. Based on a bioecological stress-buffering framework, relations of poverty and neighborhood environmental perceptions with BP were assessed using multilevel regression in at-risk African-American adults. METHODS: This cross-sectional study used baseline data that were collected in 2008 as part of the Positive Action for Today's Health (PATH) trial (N = 409), a community-based intervention to increase walking in low-income, high-crime neighborhoods. BP and perceived neighborhood crime and satisfaction were investigated as individual-level indicators of health and neighborhood environment. Census block groups (N = 22) served as geographic proxies for neighborhoods, and poverty was obtained using 2010 U.S. Census data, to characterize the neighborhood-level socioeconomic environment. RESULTS: There were no individual-level direct associations. Significant cross-product interactions demonstrated that with higher perceived crime, high satisfaction was associated with lower systolic (γ = 3.34) and diastolic (γ = -1.37) BP, but low satisfaction was associated with higher systolic (γ = 15.12) and diastolic (γ = 7.57) BP. Neighborhood-level poverty was associated with diastolic (γ = 11.48, SE = 4.08, P = 0.008) and systolic BP (γ = 12.79, SE = 6.33, P = 0.052). Variance in BP across block groups was low (intraclass correlation coefficients = 0.002-0.014) and there were no significant random effects. CONCLUSIONS: Results supported hypotheses, with greater neighborhood satisfaction linked to lower systolic and diastolic BP when perceived crime was high. Neighborhood poverty was also linked to higher systolic and diastolic BP. Prevention efforts should further investigate whether attending to issues of poverty and related neighborhood perceptions reduces high BP in at-risk African-American communities.


Subject(s)
Black or African American , Blood Pressure/physiology , Crime/ethnology , Hypertension/ethnology , Personal Satisfaction , Poverty/ethnology , Residence Characteristics , Adult , Blood Pressure Determination , Cross-Sectional Studies , Female , Follow-Up Studies , Humans , Hypertension/physiopathology , Hypertension/psychology , Incidence , Male , Middle Aged , Retrospective Studies , Risk Factors , Socioeconomic Factors , United States/epidemiology
19.
Cultur Divers Ethnic Minor Psychol ; 22(3): 333-40, 2016 07.
Article in English | MEDLINE | ID: mdl-26237544

ABSTRACT

OBJECTIVE: Our aim was to generate a categorical scheme to describe how participants exited from gang life. METHOD: We utilized the CIT (Butterfield, Borgen, Amundson, & Maglio, 2005; Flanagan, 1954; Woolsey, 1986) and explored gang exit processes among 10 Indigenous men living in Manitoba and Saskatchewan, Canada. Participants responded to the question: What facilitated gang exit for you? RESULTS: They provided 136 critical incidents that were organized into 13 categories of behaviors and experiences that facilitated their exit from gang life: (a) working in the legal workforce, (b) accepting support from family or girlfriend, (c) helping others stay out of gang life, (d) not wanting to go back to jail, (e) accepting responsibility for family, (f) accepting guidance and protection, (g) participating in ceremony, (h) avoiding alcohol, (i) publically expressing that you were out of the gang, (j) wanting legit relationships outside gangs, (k) experiencing a native brotherhood, (l) stopping self from reacting like a gangster, and (m) acknowledging the drawbacks of gang violence. CONCLUSION: The categorical scheme is presented, described with use of extensive quotes from this research, theoretical and clinical implications are discussed, and suggestions for future research are offered. (PsycINFO Database Record


Subject(s)
Crime/ethnology , Peer Group , Population Groups/psychology , Task Performance and Analysis , Violence/ethnology , Adult , Canada/ethnology , Counseling/methods , Crime/psychology , Culture , Dangerous Behavior , Humans , Male , Violence/psychology
20.
Lancet Oncol ; 16(8): e394-404, 2015 Aug.
Article in English | MEDLINE | ID: mdl-26248847

ABSTRACT

At the government, hospital, and health-care provider level, corruption plays a major role in health-care systems in Africa. The returns on health investments of international financial institutions, health organisations, and donors might be very low when mismanagement and dysfunctional structures of health-care systems are not addressed. More funding might even aggravate corruption. We discuss corruption and its effects on cancer care within the African health-care system in a sociocultural context. The contribution of high-income countries in stimulating corruption is also described. Corrupt African governments cannot be expected to take the initiative to eradicate corruption. Therefore, international financial institutions, health organisations, and financial donors should use their power to demand policy reforms of health-care systems in Africa troubled by the issue of corruption. These modifications will ameliorate the access and quality of cancer care for patients across the continent, and ultimately improve the outcome of health care to all patients.


Subject(s)
Conflict of Interest , Crime/ethics , Delivery of Health Care/ethics , Developing Countries , Government Regulation , Health Policy , Medical Oncology/ethics , Neoplasms/therapy , Quality of Health Care/ethics , Africa/epidemiology , Black People , Crime/economics , Crime/ethnology , Crime/legislation & jurisprudence , Crime/prevention & control , Delivery of Health Care/economics , Delivery of Health Care/ethnology , Delivery of Health Care/legislation & jurisprudence , Delivery of Health Care/organization & administration , Developing Countries/economics , Economic Development , Health Policy/economics , Humans , Medical Oncology/economics , Medical Oncology/legislation & jurisprudence , Medical Oncology/organization & administration , Moral Obligations , Neoplasms/diagnosis , Neoplasms/economics , Neoplasms/ethnology , Neoplasms/mortality , Quality of Health Care/economics , Quality of Health Care/legislation & jurisprudence , Quality of Health Care/organization & administration
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