Parental attitudes about teenage pregnancy: impact on sexual risk behaviour of African-American youth

African-American youth suffer disproportionately from sexual risk consequences including unintended pregnancy and sexually transmitted infections. Parents educating young people about sex may be one approach to reduce sexual risk behaviour among this population. The purpose of this study was to determine young people's perceptions of parents' attitudes about sex and assess whether these perceptions affect sexual risk. Data were collected from 560 African-Americans, aged 9–19 years. Most (73.4%) thought their parents would be unhappy if they got someone pregnant/got pregnant, with more girls feeling this way than boys (p = 0.013). Sexually active boys who thought their parents would be unhappy if they got someone pregnant reported fewer sexual partners within the past year (p < 0.01) and fewer sexual encounters in the past 3 months (p = 0.01) compared to those whose parents would think otherwise. Our research illustrates that parents' explicit and unstated attitudes are apparent to their offspring, and young people's perceptions can impact their risk behaviour. As such, early and often sex education communication between parents and young people should be encouraged. Sexual health interventions encouraging parents to educate about sex and its consequences could enhance the health of young African-Americans.     

Condom Carnival: feasibility of a novel group intervention for decreasing sexual risk

Young people who engage in unprotected sex are at risk of negative consequences. The current study explored pre-post assessment data from 124, mostly Black, young people (M age = 19.6, SD = 2.8) attending an educational and vocational training programme who participated in the Condom Carnival, a novel, brief, interactive, peer-led, culturally tailored, sexual risk reduction group intervention. Condom Carnival activities provided practice negotiating condom use and using condoms correctly, instruction on safe lubricant use, and opportunities to dispel myths regarding condom size and breakage. We examined the preliminary impact of the Condom Carnival in increasing participants’ condom-related self-efficacy, lubricant safety awareness, and condom-related behavioural intentions and behaviour likelihood. Despite previous exposure to prevention efforts, participants reported significant increases in lubricant safety awareness (p < 0.001) and intentions to carry a condom in the next year (Z = ?2.05, p = 0.04). Although participants reported high condom-related self-efficacy and intentions to use a condom, only three-quarters of young people endorsed intentions to always carry a condom. Findings indicate the need to explore the gap between intentions to use and carry condoms and to develop effective strategies to increase condom carrying among young people. Further assessment of the Condom Carnival as an add-on intervention to enhance sexual risk reduction efforts among youth is warranted.     

Formal and parental sex education differences among Hispanic young women by nativity status

This study sought to investigate the association between nativity status and Hispanic young women’s formal sex education and parental sex education in the USA. We used data from a cross-sectional sample of 310 Hispanic young women aged 18–24 years old from the 2013–2015 US National Survey of Family Growth. We assessed 11 outcomes: four formal sex education topics; receiving any formal sex education; a formal sex education scale; four parental sex education topics; and receiving any parental sex education. The majority of our sample was US-born Hispanic versus foreign born (72.6% and 27.4% respectively). Foreign-born Hispanics were less likely to have received any type of formal sex education than US-born Hispanics (adjusted odds ratio = 0.81; 95% confidence interval: 0.24, 0.68, p < 0.01). Foreign-born Hispanics were less likely to have received parental HIV sex education than U.S.-born Hispanics (aOR = 0.36; 95% CI: 0.14, 0.97, p < 0.05). Nativity status did not have a significant effect on each unit increase on the scale (aB = –0.07, SE = 0.16; aβ = –0.42, p > 0.05). Our results indicate that having appropriate sex education knowledge is better than not being cognisant. Future studies should however examine the quality and content of sex education programmes so policymakers can better understand these young women’s sexual behaviours and decisions.     

What Predicts Older Adults’ Adjustment to Aging in Later Life? The Impact of Sense of Coherence,Subjective Well-Being,and Sociodemographic,Lifestyle, and Health-Related Factors

The aim of this study was to build a structural model to explore the predictors of adjustment to aging (AtA) in a community-dwelling older population. A community-dwelling sample of 1,270 older adults aged between 75 and 102 years answered a questionnaire to determine sociodemographic (sex, age, professional and marital status, education, household, adult children, family's annual income, living setting, and self-reported spirituality), lifestyle, and health-related characteristics (perceived health, recent disease, medication, and leisure). Several instruments were used to assert psychological variables, namely AtA, sense of coherence, and subjective well-being. Structural equation modeling was used to explore a structural model of the self-reported AtA, encompassing all variables. Significant predictors are self-reported spirituality (β = .816, p < .001); perceived health (β = .455, p < .001); leisure (β = .322, p < .001); professional status (β = .283, p < .001); income (β = .230, p = .035); household (β = –.208, p = .007); sense of coherence (β = ?.202, p = .004); and adult children (β = .164, p = .011). The variables explain, respectively, 60.6% of the variability of AtA. Self-reported spirituality is the strongest predictor of AtA. Other predictors are perceived health, leisure, professional status, income, household, sense of coherence, and adult children. This study emphasizes the need for deepening the variables that influence older adults’ AtA—in particular, perceived health and further lifestyle-related characteristics—as being relevant for promoting aging well in later life, within a salutogenic context for health care.     

Gender differences in associations between exposure to school HIV education and protective sexual behaviors and sexually transmitted disease/HIV diagnosis among high school students

This study aimed to assess associations between school HIV education and protective sexual behaviors and sexually transmitted disease (STD)/HIV diagnosis with a representative sample of male and female high school students. Data from male and female adolescent participants in the 1999, 2001 and 2003 Massachusetts Youth Risk Behavior Survey (n = 12,243) were analyzed. Adjusted regression analyses stratified by gender were conducted to assess relationships between school HIV education exposure and the following outcomes: no sexual initiation, condom use at last sex, no multiple sex partners in the past three months and no history of STD/HIV diagnosis. Participants were mostly White (75%) and were 51% male; the subsample of sexually active students was younger than the total sample but was otherwise similar in demographics. School HIV education was reported by 93% of our sample and was significantly related to sexual initiation among boys (odds ratio = 1.9, 95% confidence interval = 1.4–2.7) but not girls. Among sexually experienced students (n = 4752), boys reporting exposure to school HIV education were significantly more likely to report condom use (odds ratio = 2.2, 95% confidence interval = 1.6–3.1), no multiple sex partners (odds ratio = 3.2, 95% confidence interval = 2.3–4.4) and no STD/HIV diagnosis (odds ratio = 3.2, 95% confidence interval = 2.0–5.0); girls reporting such exposure were significantly more likely to report no multiple sex partners (odds ratio = 2.2, 95% confidence interval = 1.3–3.6). In conclusion, exposure to school HIV education is associated with sexual protective behaviors and reduced likelihood of STD/HIV diagnosis for boys but less so for girls, suggesting the need for more gender‐tailored approaches to school HIV education.     

“Because if we don’t talk about it,how are we going to prevent it?”: Lucidity,a narrative-based digital game about sexual violence

This paper describes the development and evaluation of an interactive, narrative-based, multimedia game to promote learning and communication about sexual violence and health topics. High school-aged participants created the game concept in a three-week workshop, after which assets were assembled and refined by a university-based game design lab. The outcome, Lucidity, was a multimedia game with a nonlinear narrative that led to two different outcomes based on player decisions. The narrative followed the life of one character, an African American woman named Zaria who remembers and grapples with a sexual assault from her past. The player discovers parts of the story by reading comics, watching videos, navigating interactive websites and playing short videogames. The final evaluation consisted of gameplay, a post-game focus group and follow-up interviews. Twenty-four young people participated in three focus group discussions (n = 9, n = 5, n = 10); 23 participated in the follow-up interviews. Salient themes identified in the focus group discussions included: overall approval of the game, the acquisition of new knowledge and minimal past exposure to conversations or education about sexual violence. At follow-up, almost all (n = 22) had initiated a conversation about sexual violence with a parent, peer and/or teacher. Lucidity succeeded in engaging young people and facilitating communication with adults and peers regarding sexual violence and other sexual health topics. Ultimately, a game-based intervention such as this represents a feasible approach for introducing issues of sexual violence, with potential for future implementation in educational settings.     

‘Science disproves the biblical account of creation’: exploring the predictors of perceived conflict between science and religion among 13- to 15-year-old students in the UK

This study drew on data provided by 11,809 13- to 15-year-old students drawn from the four nations of the UK to explore the level of agreement with the view that science disproves the biblical account odf creation, and to explore the power of five sets of variables to predict individual differences in responses to that opinion. The five sets of variables were personal factors, psychological factors, religious factors, attitudinal factors (including ‘scientific fundamentalism’, understood as an exaggerated, uncritical, and unqualified belief in the inerrancy of science), and theological factors (distinguishing between differing implied theologies of religion). Blockwise multiple regression demonstrated that personal, psychological, religious, and theological factors all held significant power, but that the greatest variance was explained by the attitudinal variables. When the five sets of variables were assessed within the model, 25% of the variance was accounted for. Greater incompatibility between science and religion was associated with scientific fundamentalism (β = .37, p < .001), with anti-religious attitude (β = .16, p < .001), and with atheism (β = .07, p < .001). These findings suggest that young people who believe in science in an unqualified way are more distrustful of religion.     

Physicians' Involvement with the New York State Health Care Proxy

This study examined physicians' attitude, involvement, and perceived barriers with the health care proxy. A cross sectional, correlational design was used to survey practicing physicians (N = 70). Physicians had positive attitudes toward the health care proxy and indicated that the most significant barriers to health care proxy completion were patient discomfort in discussing the topic, patient knowledge about the health care proxy, and timing of discussions. Physician involvement with the health care proxy included supporting patients' wishes on the health care proxy, initiating discussions with patients about the New York State (NYS) health care proxy, and advocating for patients' rights about the health care proxy. A multiple regression analysis was conducted to understand the factors that predicted overall physician involvement. End-of-life training was a significant predictor. Implications for training and education of physicians and multidisciplinary work with health care professionals, including social workers and nurses, are discussed.     

A Longitudinal Analysis of the Relations Among Professional Development,Educators’ Beliefs and Perceived Skills,and Response-to-Intervention Implementation

ABSTRACT

Professional development is a critical systems-level intervention thought to facilitate Response-to-Intervention (RtI) implementation. The current study examined the relations between professional development, educator outcomes, and problem-solving implementation within an RtI framework using growth curve modeling. School leadership teams from pilot schools (n = 34) participated in 3 years of training. Pilot schools also received job-embedded coaching. Comparison schools (n = 27) provided a referent group. Results indicated that problem-solving implementation increased faster at pilot schools (β = 0.10, SE = 0.05, t = 2.03, p < .05). In addition, beliefs regarding data-based decision-making (β = 0.36, SE = 0.17, t = 2.13, p < .05) and perceived problem-solving skills applied to academics (β = 0.30, SE = 0.10, t = 3.07, p < .01) positively related to implementation. Implications include the needs to further explore professional development activities and for consultants to utilize evidence-based professional development principles when supporting RtI implementation.     

Relations between Risk for Sleep-Disordered Breathing,Cognitive and Executive Functioning,and Academic Performance in Six-Year-Olds

ABSTRACT

Research Findings: Optimal sleep is important for children’s learning and development. Sleep disordered breathing (SDB) refers to a spectrum of conditions from simple snoring to obstructive sleep apnea that is common in childhood and interrupts sleep. We examined pathways between SDB and academic performance of children (N = 163, M age = 6.2 years) one year after school entry. Measures included parent questionnaire and clinical assessment of SDB, standardized tests and rating scales of cognitive and executive functioning, researcher-administered literacy and numeracy tasks, and teacher-reported academic performance. Structural equation modeling (SEM) revealed direct and indirect paths between SDB and poorer academic performance. In indirect models, children’s SDB severity score was significantly linked to poorer executive functioning (β = .38, p < .01) and negatively associated with nonverbal reasoning (β = ?.21, p < .01). Poorer executive functioning, in turn, was negatively related to the verbal composite (β = ?.61, p < .01), with verbal and nonverbal composites associated with academic performance (βs = .56, .27, respectively, p’s < .01). Practice or Policy: These findings point to the need for attention to SDB and its links to potential cognitive sequelae across early development. Practitioners equipped with knowledge of SDB symptoms can facilitate referral for appropriate consultation and evaluation.     

The effects of task explicitness to communicate on the expressiveness of children’s drawings of different topics

Effects of asking children to communicate through their drawings have been investigated using animate rather than inanimate drawing topics. The present study investigated the impact of a communication context on children’s drawings of topics with contrasting animism. Three hundred and twenty-two children, 156 boys and 166 girls aged 6–11 years were allocated to two conditions. The communication condition (n = 161) involved instructions to communicate emotion and the reference condition (n = 161) gave no instruction to communicate. Children drew either houses or human figures (House, N = 160, Human figures, N = 162), producing freehand drawings of the topic; a baseline version followed by a happy and a sad version in counterbalanced order. Expressive content in the communication condition was greater than in the reference condition and impacted differentially on the strategies used between the houses and human figures drawings. The findings are considered with respect to the cue dependency model and framework theory of art.     

Positive and negative aspects of relationship quality and unprotected sex among young women

The aim of this study was to examine both positive and negative aspects of relationship quality in relation to condom use. Sexually active young women aged 14–18 years (n = 111; 34% non-white) were recruited from community clinics and schools in the Midwest USA and provided data via an online survey. The number of unprotected sex acts in the past month with the most recent male partner was regressed on relationship quality with that partner, adjusting for demographics and other characteristics. Negative relationship quality was associated with a greater number of unprotected sex acts among women reporting a low level of positive relationship quality and among women taking hormonal/IUD contraception. Positive relationship quality was associated with unprotected sex among women who reported multiple partners in the past month. Both positive and negative aspects of relationship quality may confer risk for unprotected sex. This risk appears to be modified by patterns of contraceptive use and other sexual behaviours. Health professionals and sexual health educators may be more effective in promoting condom use if they ask questions about both positive and negative aspects of young people’s relationship quality and tailor their conversations based on the responses received.     

Geriatric Expertise among Medical School Faculty: Preparing for the Challenges of an Aging Population

This study examined non-geriatrician physicians' experiences in a geriatrics-focused faculty development program, and effects of the program on their geriatrics knowledge and their teaching and practice. In-depth interviews were conducted with all physicians (n = 26) participating in the Dean's Faculty Scholars in Aging program. Most participants reported substantial gains in geriatric knowledge, and in the knowledge that older people are a distinct group with special needs. Most reported substantial changes in the way they care for older patients. Most reported incorporating notably more geriatrics content into their teaching. The program may serve as a process to address the growing need for physicians with geriatric knowledge.     

Social reproduction and sex in German primary schools

To understand the relationship between social background and sex in schooling, we use Bourdieu’s theory of social reproduction and a feminist perspective of gender as practice. We pose two questions: (1) What is the relationship between economic and cultural capital and achievement for 4th-grade females versus males studying in Germany? (2) Is the relationship between school composition and student achievement different for 4th-grade females versus males? We report no differences between females and males in the relationships between social background and achievement (p > 0.05). However, the relationship between class-aggregated social background and achievement is halved in female-majority mathematics classrooms (β = -12.6, p < 0.05).     

Taking the risk to engage in race talk: professional development in elementary schools

Developing public education where every child has the right to learn requires that teachers pay attention to and engage in race talk – open discussion about race, social construction of race, and racism. While it is clear that children engage and reflect critically about these aspects of race even at a young age, teachers rarely engage in race talk with them. In this study, an African-American preservice teacher and a White teacher educator explore how African-American, Polynesian, and White in-service teachers, participating in Courageous Conversations professional development, address or avoid race talk in their elementary schools through the lens of Critical Race Theory (CRT) and what risks they take when they do. Findings, through in-depth, semi-structured interviews, demonstrate that (1) racism was observed and/or experienced by all teachers in elementary schools; (2) lived racial experiences impacted teachers’ approach to conversations about race; (3) creating an open space was crucial for race conversations; (4) Courageous Conversations provided a ‘new language’ to talk about race; and (5) administrative support facilitated more attention to race. Findings indicate the road to greater equity in schools requires more professional development about race talk in elementary schools.     

Professional development of kindergarten teachers in Croatia – a personal choice or an obligation

The quality of educational processes with children of preschool age and long-term educational outcomes are largely related to the work quality of teachers. Lifelong learning and professional development, as predictors of quality, need to be regarded as an ongoing task for kindergarten teachers. Findings of an empirical study of Croatian kindergarten teachers’ views (N = 388) on professional development point to a link between teachers’ intrinsic motivation and their professional development. Motivation explains 46.87% of the variance Personal commitment to professional development. A slight positive correlation was found between the level of formal education and the frequency of professional development (r = .216, p < .01). Although the level of education of kindergarten teachers is not a good independent predictor, it affects readiness to self-fund professional development (p < .01). As for the significance of conferences as a form of professional development, participants of the study identified them as an effective opportunity (M = 4.68, SD = .52), promoting both quality practices (M = 4.69, SD = .54) and exchange of experiences (M = 4.68, SD = .56). The length of participants’ professional work experience affects their assessment of the significance of practitioners’ networking as a way of improving the quality of everyday practices (F = 1.43, p < .05).     

Longitudinal associations of student–teacher relationships and behavioural and emotional strengths on academic achievement

Positive student–teacher relationships are related to students’ academic achievement and behavioural and emotional adjustment. How a student’s behavioural and emotional strengths are associated with these relationships and how the relationships influence students’ academic performance remains unknown. We examined this framework using a cross-lagged panel model with a group of Finnish students and their parents from Grade 5 to Grade 7. The results revealed that the parents rated behavioural and emotional strengths are stable over a 1-year (r = .78) and 2-year (r = .71) period and that students’ perceptions of student–teacher relationships demonstrated greater change over time (r’s = .54, .35). Behavioural and emotional strengths demonstrated a positive relationship with student–teacher relationships as well as academic achievement (β = .39, p < .01). Strengths were also indirectly associated with academic achievement via student–teacher relationships. Study limitations, implications and future research are discussed.     

The linguistic complexity of adult and child contextualized and decontextualized talk

The association between decontextualized talk (DT; i.e., talk extending beyond immediate context) and child language outcomes is well-attested but not well-understood. This study tested the hypothesis that DT is more linguistically complex than contextualized talk (CT). Thirty-eight Norwegian children (M_age = 5.5 years; 25 girls; 30 Norwegian-speaking monolinguals and eight multilinguals) and their teachers were videotaped during picture book reading, story card conversations and toy play (collected 2010–2011 and 2017). Results show that DT was more complex than CT among children and teachers. Both types of talk were more complex during book reading and story conversations than during play. The conversational context should be accounted for when theorizing about the role of DT in language development.     

Confidence and Expectations About Caring for Older People With Dementia: A Cross-Sectional Survey of Student Nurses

Older people who are living with dementia often need healthcare, including hospital admissions, due to additional health conditions. Caring for older people who are living with dementia is, therefore, a core nursing role. This study investigated student nurses’ expectations of, and confidence about, caring for older people with dementia and the effect of students’ age, precourse experience, and their academic year. The design was a cross-sectional survey using questionnaires to collect data. The participants (n = 328), based at one university in England, had all had at least one practice learning placement. Most student nurses (n = 202; 62%) had precourse contact with older people with dementia and had cared for them during the course (n = 291; 89%). The student's academic year significantly affected confidence about caring for older people with dementia (p = .006), but still only 52% (n = 26) of third-year students felt “generally confident.” Precourse contact with older people with dementia had a significant impact on expectations (p = .001) and confidence in caring for people with dementia (p = .002). Students who were >25 years were significantly more likely to have had precourse contact with older people with dementia (p = < .001). Nurse educators should ensure that students entering nurse education appreciate that caring for older people who are living with dementia will be a core part of their role. They must proactively prepare nursing students to care for people with dementia, recognizing that some students have no previous contact, which may affect their confidence and experiences.