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.
Latinas in the United States are at a disproportionate risk for STDs and sexual risk behaviors. Among Latinas, acculturation
has been found to be one of the most important predictors of these behaviors. Therefore, this study examined the longitudinal
association between Latina adolescents’ level of acculturation and multiple sexual risk outcomes, including self-report STD
diagnosis, four or more life-time sex partners, regret of sexual initiation after alcohol use, and lack of condom use during
young adulthood. Based on the National Longitudinal Study of Adolescent Health (Add Health), this study includes a nationally
representative sample of 1,073 Latina adolescents (ages 11–20 at Wave 1) transitioning into young adulthood (ages 18–27 at
Wave 3). Our findings indicate that more acculturated Latinas who spoke English at home were more likely to have STDs and
to exhibit sexual risk behaviors than Latinas who were foreign-born and did not use English at home. Interventions that aim
to promote sexual and reproductive health among young Latinas should take into consideration their different levels of acculturation.
This approach holds greater potential for reducing health disparities among Latinas. 相似文献
The purpose of this study was to investigate how different types of child maltreatment, independently and collectively, impact
a wide range of risk behaviors that fall into three domains: sexual risk behaviors, delinquency, and suicidality. Cumulative
classification and Expanded Hierarchical Type (EHT) classification approaches were used to categorize various types of maltreatment.
Data were derived from Wave III of the National Longitudinal Study of Adolescent Health (Add Health). Our sample consisted
of White, Black, Hispanic, and Asian females ages 18 to 27 (n = 7,576). Experiencing different kinds of maltreatment during childhood led to an extensive range of risk behaviors within
the three identified domains. Women experiencing sexual abuse plus other maltreatment types had the poorest outcomes in all
three domains. These findings illustrate that it may no longer be appropriate to assume that all types of maltreatment are
equivalent in their potential contribution to negative developmental sequelae. 相似文献
There is growing interest in the application of citizen participation within all areas of public sector service development, where it is increasingly promoted as a significant strand of post-neoliberal policy concerned with re-imagining citizenship and more participatory forms of citizen/consumer engagement. The application of such a perspective within health services, via co-production, has both beneficial, but also problematic implications for the organisation of such services, for professional practice and education. Given the disappointing results in increasing consumer involvement in health services via 'choice' and 'voice' participation strategies, the question of how the more challenging approach of co-production will fare needs to be addressed. The article discusses the possibilities and challenges of system-wide co-production for health. It identifies the discourse and practice contours of co-production, differentiating co-production from other health consumer-led approaches. Finally, it identifies issues critically related to the successful implementation of co-production where additional theorisation and research are required. 相似文献
