Young Adult Unemployment and Later Depression and Anxiety: Does Childhood Neighborhood Matter?

Young adulthood represents a developmental period with disproportionately heightened risk of losing a job. Young adult unemployment has been linked to increased mental health problems, at least in the short term. However, their possible long-term impacts, often referred as “scarring effects,” have been understudied, possibly underestimating the magnitude of mental health burden that young adult unemployment generates. This longitudinal study examined whether duration of unemployment during young adulthood is associated with later mental health disorders, after accounting for mental and behavioral health problems in childhood. Furthermore, the current study investigated whether childhood neighborhood characteristics affect this association and if so, in what specific functional ways. Data were drawn from a longitudinal study of developmental outcomes in a community sample in Seattle. Data collection began in 1985 when study participants were elementary students and involved yearly assessments in childhood and adolescence (ages 10–16) and then biennial or triennial assessments (ages 18–39; N?=?677 at age 39; 47% European American, 26% African American, 22% Asian American, and 5% Native American; 49% female). The current study findings suggest that duration of unemployment across young adulthood increased mental health problems at age 39, regardless of gender. Childhood neighborhood characteristics, particularly their positive aspect, exerted independent impacts on adult mental health problems beyond unemployment experiences across young adulthood. The current findings indicate a needed shift in service profiles for unemployed young adults—a comprehensive approach that not only facilitates reemployment but also addresses mental health needs to help them to cope with job loss. Further, the present study findings suggest that childhood neighborhoods, particularly positive features such as positive neighborhood involvement, may represent concrete and malleable prevention targets that can curb mental health problems early in life.

     

The Syrian conflict and public opinion among Syrians in Lebanon

Whom do ordinary Syrians support in their civil war? After decades of repression, the Syrian uprising unleashed an outpouring of political expression. Yet the study of Syrian public opinion is in its infancy. This article presents survey evidence from a large, diverse sample of Syrian refugees in neighbouring Lebanon, one of the first of its kind, and examines their support for the different factions fighting in the civil war. In so doing, it demonstrates that many conventional narratives of the conflict are oversimplifications of a more complex reality. The survey shows that the majority of Syrian refugees support one faction or another of the opposition, but a large minority sympathizes with the government. In line with existing accounts of the war, the government draws its popular support base from wealthier and less religious Syrians, as well as minorities. Nonetheless, large numbers of Sunni Arabs also side with the government, belying sectarian narratives of the war. The survey also finds that supporters of the opposition Islamists and non-Islamists are similar in many regards, including religiosity. The main distinction is that the non-Islamist support base is far more politically attentive than are Islamist sympathizers, in contrast to existing narratives of the war.     

Accountability mechanisms in community-driven reconstruction in eastern Democratic Republic of Congo

A lack of accountability is often considered a root cause of conflict. Many post-conflict reconstruction efforts therefore aim to enhance accountability between authorities and the population through community-driven reconstruction programmes. This article examines the accountability mechanisms in the Tushiriki community-driven reconstruction programme in eastern Democratic Republic of Congo. The ethnographic research found little impact of formal programme accountability. Rather, accountability was shaped differently and had its own context-specific meaning. To make accountability more sustainable, stronger embeddedness in local institutions and more appropriate translations of abstract concepts into the local context are needed.     

On scale work: evidential practices and global health interventions

Abstract

Scalability can be understood as the ability to expand without changing. Yet, expanding an intervention to a global scale, we suggest, is a significant and difficult accomplishment. In this paper we propose to explore the kind of evidential exigencies that this accomplishment involves. To do so, we focus on the field of global health and examine how child immunization against the pneumococcus bacterium has been scaled up in low-income countries. The paper first attends to initial epidemiological scrutiny that revealed the existence of a large-scale public health problem and the possibility of an expandable solution (vaccination). It then describes the set-up of a funding arrangement using overseas aid to purchase vaccine doses manufactured by pharmaceutical companies, before paying attention to various frictions that affect the widespread use of pneumococcal vaccines. In these different moments through which scalability is accomplished, always partially and temporarily, we show that a dual activity can be witnessed, a pivoting between referential work and forward projection. To conclude, we suggest that scalability is more usefully approached as a form of expansion that is always attentive to the possibilities of change.     

Changing knowledge and perceptions of African indigenous vegetables: the role of community-based nutritional outreach

African indigenous vegetables (AIVs) have potential to sustainably address malnutrition, a growing problem in sub-Saharan Africa. Their consumption is however, limited by poor perceptions and lack of awareness of nutritional benefits. There is limited evidence of the effectiveness of community-focused information dissemination approaches in influencing participants’ perceptions and uptake of innovations in AIVs to address malnutrition. This article aims to fill this knowledge gap, using a case study focusing on pastoral communities in Monduli district in northern Tanzania. Target communities participated in a community-based nutritional outreach facilitated by the Good Seed Initiative (GSI), held at Monduli district hospital in September 2014. The results provide evidence of the achievements of the GSI intervention, and the effectiveness of alternative information dissemination approaches.