Information for action: the Clearinghouse project

This document summarizes the activities of the American Public Health Association International Clearinghouse that operated with funding from the US Agency for International Development for 16 years beginning in 1979. The Clearinghouse was established to improve access to information on infant feeding and maternal nutrition for health practitioners and decision-makers in Africa, Asia, and Latin America. By 1996, the Clearinghouse had created a substantial and accessible resource for USAID, and its activities included 1) developing an international center for information and materials on maternal and child nutrition and related issues in developing countries, 2) sharing lessons learned through a publication of a regular bulletin ("Mothers and Children"), 3) training staff from field-based organizations on information production and management, and 4) establishing a network of national and regional nutrition and health-related resource centers to increase access to locally published and unpublished information. Thus, the Clearinghouse was more than a library or distribution center; it identified key materials, repackaged information to increase accessibility, and monitored information use. Although the Clearinghouse project ended in 1996, the website on women's rights to maternity protection continues to provide access to information and to encourage dialogue and networking. The lessons learned from the project lead to the conclusions that users' needs must be the basis for increasing information access, that local capacity must be increased through new technologies and traditional methods, and that information resources must be used strategically to ensure equitable access.     

Body image satisfaction,dieting beliefs,and weight loss behaviors in adolescent girls and boys

Body image and weight loss beliefs and behaviors were assessed in 341 female and 221 male high school students. Estimates of body dissatisfaction varied depending on the measurement strategy used. Despite having similar weight distributions around the expected norm, girls were significantly more dissatisfied with their bodies than boys. Body Mass Index was positively related to body dissatisfaction in girls and boys, while higher exercise levels were related to higher body satisfaction in boys. Nearly two-thirds of girls and boys believed being thinner would have an impact on their lives, but the majority of girls believed this would be positive while the majority of boys believed this would be negative. Thirteen percent of female subjects reported using one or more extreme weight loss behavior at least weekly. Beliefs regarding the effectiveness of different weight loss measures were assessed. Weight loss behaviors in this Australian sample appear similar to comparable U.S. samples.Received Ph.D. from University of Tasmania. Main research interest in body image, weight loss behaviors, and eating disorders.Received Ph.D. from University of Connecticut. Main research interest in body image, eating disorders and weight loss behaviors.Dietitian degree from Melbourne University, Melbourne. Main research interest in eating practices and clinical outcome.M.D. from University of Melbourne, D.P.M. from U.K. FRC Psych. Main research interests in eating disorders.B.B.Sc.(Hons.) received from La Trobe University, Melbourne, B.A. received from University of Minnesota, Duluth. Main research interest in attitudes and attributions.B.A. Received from University of Minnesota, Duluth. Main research interest in adolescence and eating disorders.     

School Socioeconomic Contexts and Adolescent Self-Descriptions in India

Many Western developmental theorists (e.g., Baumeister, 1986; Erikson, 1968) propose an increasingly autonomous self-construal during adolescence (e.g., Erikson, 1968). In this study self-construal among 191 older children and young adolescents (ages 9 through 16) from private and public schools in Madras, India, was assessed by means of the self attitudes instrument (Kuhn and McPartland, 1954) and the scoring system of Trafimow et al. (1991). Individuality in self-construal did not increase with age across all groups but was mediated by socioeconomic strata (SES, as indexed by school) and gender. Boys from high SES schools best conformed to the Western conceptualization of self-concept development. Boys from lower SES schools exhibited opposite patterns with higher group responses in the older age group. The findings highlight the importance of social context in individual development.     

Youth Adversities Amplify the Association between Adult Stressors and Chronic Inflammation in a Domain Specific Manner: Nuancing the Early Life Sensitivity Model

There is strong evidence that chronic, systemic inflammation hastens onset of the diseases of old age that ultimately lead to death. Importantly, several studies suggest that childhood adversity predicts chronic inflammation. Unfortunately, this research has been plagued by retrospective reports of childhood adversity, an absence of controls for adult stressors, and a failure to investigate various competing models of the link between childhood adversity and chronic inflammation. The present study was designed to address these limitations. Using 18 years of data collected from 413 African Americans (58% female) included in the Family and Community Health Study, hierarchical regression analyses provided support for a nuanced early life sensitivity explanation for the link between early adversity and adult chronic inflammation. Controlling for health risk behaviors and adult SES, late childhood (ages 10–12) adversity amplified the association between adult adversity (age 29) and chronic inflammation. This interaction operated in a domain-specific fashion. Harsh parenting amplified the relation between intimate partner hostility and inflammation, whereas early discrimination amplified the relation between adult discrimination and inflammation. These findings suggest that individuals may be primed to respond physiologically to adverse adult circumstances that resemble those experienced earlier in life.

     

The Role of Religiosity in the Relationship Between Parents,Peers, and Adolescent Risky Sexual Behavior

Research has documented a negative relationship between religion and risky sexual behavior. Few studies, however, have examined the processes whereby religion exerts this effect. The present study develops and tests a model of various mechanisms whereby parental religiosity reduces the likelihood of adolescents’ participation in risky sexual behavior (early sexual debut, multiple sexual partners, and inconsistent condom use). Structural equation modeling, using longitudinal data from a sample of 612 African American adolescents (55% female), provided support for the model. The results indicated that parental religiosity influenced adolescent risky sexual behavior through its impact on authoritative parenting, adolescent religiosity, and adolescent affiliation with less sexually permissive peers. Some mediating mechanisms differed by the gender of the respondent, suggesting a “double-standard” for daughters but not for sons. Findings also indicated the importance of messages about sexual behavior that are transmitted to adolescents by their peers. Theoretical and policy implications of the findings are discussed.