Parental Differential Treatment of Siblings and Adolescents’ Health-Related Behaviors: The Moderating Role of Personality

Youth who receive comparatively poorer parental treatment than a sibling are at risk for maladaptive behaviors in a variety of domains, but research has yet to examine links with adolescents’ health-related behaviors nor consider how those links may vary based on adolescents’ personality traits, namely conscientiousness and agreeableness. Two siblings (n?=?590 adolescents; 53% female; M_age?=?15.86, SD?=?1.73) from 295 families reported on their differential conflict and closeness with their fathers and mothers as well as on their personality, sleep habits, exercise habits, and general health habits. Multilevel modeling revealed that, generally, the less conscientious adolescents had better health habits when they had comparatively warmer relationships with their mothers. Less conscientiousness adolescents may be less distressed by inequality in the family, and thus may experience positive effects of relatively better treatment.

     

Associations Between Trauma Type,Timing, and Accumulation on Current Coping Behaviors in Adolescents: Results from a Large,Population-based Sample

The development of adolescents’ coping in response to stress is critical for adaptive functioning; these coping strategies may be shaped by numerous environmental factors during childhood, including experiences such as exposure to trauma. Childhood trauma has been shown to undermine contemporaneous coping, but how does a history of exposure to trauma and the characteristics of that trauma (type, timing, and accumulation) relate to current coping among adolescents? We addressed this question using a nationally-representative sample of 9427 adolescents (ages 13–18; 48.9% female; 66% White). Adolescents reported on their lifetime exposure to 18 different traumas, including witnessing or experiencing interpersonal violence, accidents, disasters, and violent or accidental loss of loved ones, as well as their current use of coping behaviors when under stress (problem-focused, positive emotion-focused, and negative emotion-focused coping strategies). The study’s results highlight that exposure to nearly all forms of trauma was unrelated to problem-focused and positive emotion-focused coping behaviors, but strongly associated with increased negative emotion-focused coping. Use of each coping style did not vary with age at first exposure to trauma, but increased with the number of lifetime traumatic events experienced. The findings suggest that the extent of prior exposure to trauma, including variations across type and timing, may be related to a particular form of coping that has been linked to increased risk for mental health problems. Study results highlight coping strategies as a potential target for prevention and treatment efforts, and indicate a need to better understand the malleability and trajectory of coping responses to stress for promoting healthy youth development.     

Course and Severity of Maternal Depression: Associations with Family Functioning and Child Adjustment

Number of lifetime episodes, duration of current episode, and severity of maternal depression were investigated in relation to family functioning and child adjustment. Participants were the 151 mother–child pairs in the Sequenced Treatment Alternatives to Relieve Depression (STAR*D) child multi-site study. Mothers were diagnosed with Major Depressive Disorder; children (80 males and 71 females) ranged in age from 7 to 17 years. Measures of child adjustment included psychiatric diagnoses, internalizing and externalizing symptoms, and functional impairment. Measures of family functioning included family cohesion, expressiveness, conflict, organization, and household control; parenting measures assessed maternal acceptance and psychological control. Children of mothers with longer current depressive episodes were more likely to have internalizing and externalizing symptoms, with this association being moderated by child gender. Mothers with more lifetime depressive episodes were less likely to use appropriate control in their homes.

Disclosure of Pollution Conditions during Underwriting: Coverage under Environmental Insurance Policies

Environmental insurance policies exclude undisclosed known pollution conditions. Litigation on the applicability of provisions defining known conditions suggests that policyholders: (1) should aim to avoid ambiguity; (2) carefully review applications before signing; (3) properly disclose facts; (4) clarify knowledge of confirmed releases; and (5) understand the need for and impact of further investigation based on consultant recommendations.     

Managing Mass Fatalities during COVID-19: Lessons for Promoting Community Resilience during Global Pandemics

In the United States and around the world, COVID-19 represents a mass fatality incident, as there are more bodies than can be handled using existing resources. Although the management and disposition of bodies is distressing and heartrending, it is a task that local, state, and federal governments must plan for and respond to collaboratively with the private sector and faith-based community. When mass fatalities are mismanaged, there are grave emotional and mental health consequences that can delay recovery and undermine community resilience. Using insights from one author's mass fatality management research during the 2010 Haiti earthquake, this Viewpoint essay explores how mass fatalities are being managed in response to COVID-19. Based on the researcher's findings a decade ago, it is apparent that many lessons have not been learned. The essay concludes by providing governments with practical lessons on how to manage mass fatalities to facilitate and promote community resilience.     

Girls, guys, and gangs: Convergence or divergence in the gendered construction of gangs and groups

Despite recent efforts to examine and understand female gang membership, the research literature lacks a complete picture of how gender and gang membership work to shape perceptions of the structural characteristics of gangs, gang values, and gang activities. A questionnaire was administered to 103 youths (seventy-four male and twenty-nine female juvenile detainees) in St. Louis, Missouri, to disentangle the effects of gender and gang membership on perceptions of values, activities, and organizational characteristics of gangs. Gang members differed from nongang members more than males from females. This suggests that gender alone may not be able to account for differential perceptions of gang and nongang youth and that underlying social processes affect both groups.     

When methods meet politics: how risk adjustment became part of Medicare managed care

Health-based risk adjustment has long been touted as key to the success of competitive models of health care. Because it decreases the incentive to enroll only healthy patients in insurance plans, risk adjustment was incorporated into Medicare policy via the Balanced Budget Act of 1997. However, full implementation of risk adjustment was delayed due to clashes with the managed care industry over payment policy, concerns over perverse incentives, and problems of data burden. We review the history of risk adjustment leading up to the Balanced Budget Act and examine the controversies surrounding attempts to stop or delay its implementation during the years that followed. The article provides lessons for the future of health-based risk adjustment and possible alternatives.     

Paid Family Leave,Fathers’ Leave‐Taking,and Leave‐Sharing in Dual‐Earner Households

Using difference‐in‐difference and difference‐in‐difference‐in‐difference designs, we study California's Paid Family Leave (CA‐PFL) program, the first source of government‐provided paid parental leave available to fathers in the Unites States. Relative to the pre‐treatment mean, fathers of infants in California are 46 percent more likely to be on leave when CA‐PFL is available. In households where both parents work, we find suggestive evidence that CA‐PFL increases both father‐only leave‐taking (i.e., father on leave while mother is at work) and joint leave‐taking (i.e., both parents on leave at the same time). Effects are larger for fathers of first‐born children than for fathers of later‐born children.