Physical and Mental Health Experiences among African American College Students.

Transitioning from home to college life can lead to changes in dietary and physical activity behaviors. Approximately 12% to 50% of college students meet criteria for one or more mental disorders. When compared to others, African Americans typically have poorer health outcomes and experience greater rates of cardiovascular-related diseases and depression. The purpose of this qualitative interpretive meta-synthesis (QIMS) was to understand physical and mental health experiences among African American college students to inform policy, practice, and research. Findings from the QIMS revealed two overarching themes: (1) perceptions of physical health and (2) perceptions of mental health. Each theme included three dimensions. The dimensions of perceptions of physical health include (1) exercising for health benefits, (2) exercising for aesthetics, and (3) nutrition versus healthy eating. The dimensions of perceptions of mental health include (1) stress, (2) confidence, and (3) spirituality. These themes enhance understanding of what African American college students perceive and experience when attempting to engage in overall physical and mental health.

Suicidality and Other Health Risk Behaviors among Female Youth in Juvenile Detention.

This study investigates suicidality and health-risk behaviors among female juvenile detainees and identifies the extent to which suicidal behaviors are correlated with other risky activities. This study also explores 12 health risk behaviors, their prevalence, and relative associations to suicidal behaviors within the sample-population. Researchers collected data from 104 female adolescents, ages 12 to 20, residing in a long-term, detention center in the southeastern region of the United States. Descriptive statistics and regression analysis were utilized. Suicidal ideations (40%) and suicide attempts (34%) were highly prevalent among female juvenile detainees. Results also suggest that the persistence of suicidal ideations was significantly influenced by exposure to various forms of interpersonal violence. Despite increased exposure to psychosocial factors strongly correlated to suicidal and high risk behaviors, little attention has been given to this particular population. Research recommendations are also discussed.

Health-Risk Behaviors and Dating Violence Victimization: An Examination of the Associated Risk Behaviors Among Detained Female Youth.

There are many health-risk behaviors that may elevate the risk of adolescents engaging in teenage dating violence. The purpose of this investigation was to examine the health-risk behaviors that are associated with a sample of female juvenile offenders to identify the extent to which those behaviors contribute to dating violence. The survey assessed respondents' health-risk behaviors prior to incarceration, their perceptions of quality of life, post-incarceration expectations, psychosocial factors, and other social determinants. Results indicated youth exposure to dating violence, alcohol, drug, and risky sexual behaviors in the year prior to incarceration. These findings demonstrate the need to address teen dating violence with at-risk adolescents in addition to risky behaviors.

Examining the long-term racial disparities in health and economic conditions among Hurricane Katrina survivors: policy implications for Gulf Coast recovery.

This study examines disparities in the long-term health, emotional well-being, and economic consequences of the 2005 Gulf Coast hurricanes. Researchers analyzed the responses of 216 Black and 508 White Hurricane Katrina survivors who participated in the ABC News Hurricane Katrina Anniversary Poll in 2006. Self-reported data of the long-term negative impact of the hurricane on personal health, emotional well-being, and finances were regressed on race, income, and measures of loss, injury, family mortality, anxiety, and confidence in the government. Descriptive analyses, stepwise logistic regression, and analyses of variance revealed that Black hurricane survivors more frequently reported hurricane-related problems with personal health, emotional well-being, and finances. In addition, Blacks were more likely than Whites to report the loss of friends, relatives, and personal property.

Recognizing Perspectives on Community Reentry From Offenders With Mental Illness: Using the Afrocentric Framework and Concept Mapping with Adult Detainees.

By using concept mapping techniques and incorporating the Afrocentric framework, the study demonstrated that people with mental illnesses, when asked and provided the means to participate, can engage in meaningful identification of their needs, service conceptualization and prioritization. They provided 13 service area needs that included 104 indicators of their success when returning to the community. The identification of these indicators of success is helpful to program developers so that they can address the challenges of the consumer and move offenders with mental illness toward independent living. Implications of the findings for social workers and public health professionals working in the corrections field were explored and discussed.

Deliberate indifference in jail suicide litigation: a fatal judicial loophole.

Numerous national lawsuits have alleged that certain U.S. jails and detention centers are at fault for suicides that occur within their facilities. However, a significant number of court decisions have released the jail of liability. This article contends that the judicial rationale used in deciding the standard for liability, deliberate indifference, favors ignorance and has created an environment of ambiguity for jail suicide prevention policies. Cases involving custodial suicides and the recommended prevention policies developed by organizations affiliated with the U.S. correctional system are discussed. These are supplemented with anecdotal data from key informants working in the system. The analyses are followed by implications for augmenting existing practices through proactive policy changes to support enhanced systems of care.

Mental health, substance abuse, and HIV disparities in correctional settings: practice and policy implications for African Americans.

Mental health challenges, substance use disorders, and HIV/AIDS disproportionately affect Black people in correctional settings. Culturally responsive practice and equitable policy is predicated upon research that explores the burden, prevalence, and mortality of these public health concerns on the health and social well-being of African Americans in the correctional setting. This paper has three sections: (1) mental health; (2) substance abuse; and (3) HIV/AIDS. Each section summarizes current treatment issues unique to correctional settings, and provides recommendations for enhancing programs and policy to meet the needs of Black people who have been arrested, detained, incarcerated, paroled, or released. Further, we make recommendations for how interdisciplinary researchers and health care/treatment providers can engage in science-guided advocacy to address these issues and reduce related disparities experienced by people of African ancestry.

Maltreated children's thoughts and emotions as behavioral predictors: evidence for social work action.

The purpose of this secondary data analysis was to explore the mediating influence of internalizing behavior on the link between child maltreatment and externalizing behavior (for example, rule-breaking behavior and aggressive behavior) among children. Using a longitudinal comparison group design and a sample of 300 youths (56 percent maltreated), the relationship among maltreatment and internalizing and externalizing behavior was explored. Structural equation modeling revealed a mediating effect in which initial internalizing symptoms had a longitudinal residual effect on externalizing behavior among maltreated youths. Practice and policy strategies should include early identification, comprehensive assessment, and treatment for child maltreatment that include emotional, psychological, and behavioral issues. A comprehensive social work response may serve to reduce the risk of adverse behavioral outcomes among youths that place them at risk of juvenile delinquency and juvenile justice involvement.