A Case Study of Health Risk Behaviors in a Sample of Residents in Rural Appalachia

The purpose of this paper was to examine health risk behaviors from a sample of adults living in one of the nation’s poorest counties in Central Appalachia. A descriptive secondary analysis of data collected for a public health surveillance project was conducted to determine the most pressing health problems and risk behaviors affecting this unique population. Residents reported high rates of hypertension, back pain, and sleep problems. They also reported very low levels of physical activity. A discussion of results is provided, including a comparison of the study population to information from national surveys. The limitations of the study and implications for social work practice, policy and research are also discussed

Dating Violence and Psychosocial Problems: Exploratory Findings from a Sample of Adolescents Facing Unwanted Pregnancy

Empirical studies of adolescent dating violence have mainly focused on changing attitudes and knowledge levels. These studies are mostly conducted in mixed gender classroom settings. Results from these studies do not provide knowledge of which psychological/social (psychosocial) problems co-occur with dating violence in at-risk adolescent populations. The current study provides exploratory information related to dating violence in adolescent pregnancy termination patients, a subset of the population virtually ignored by the adolescent literature. In this study, 120 adolescent pregnancy termination patients ages 14 through 21 completed the Conflict in Adolescent Relationships Inventory (CADRI) and the Multi-dimensional Adolescent Assessment Scale (MAAS). Linear regression equations indicate that seven of the psychosocial problems measured by the MAAS are significantly associated with dating violence in this sample: depression, problems with self-esteem, guilt, risk of suicide, personal stress confused thinking and disturbing thoughts. The overall dating violence scores were divided into two groups at the median into a lower dating violence group and a higher dating violence group. A discriminant analysis (DA) was conducted to determine whether or not scores on the MAAS subscales could be used to predict dating violence group involvement in this sample. The discriminant function was not significant and the eigenvalue was low indicating that lower or higher dating violence group membership could not be predicted using subscale scores on the MAAS. Implications for practice, policy and research are discussed

The Relationship Between Suicidal Thinking and Dating Violence in a Sample of Adolescent Abortion Patients

Background: The relationship between suicidal thinking and adolescent dating violence has not been previously explored in a sample of adolescent abortion patients. Aims: This paper highlights a study where the relationship between dating violence and severity of suicidal thinking was examined in a sample of 120 young women ages 14-21 seeking to terminate an unintended pregnancy. Methods: The Multidimensional Adolescent Assessment Scale and the Conflict in Adolescent Relationships Scale was used to gather information about psychosocial problems and dating violence so that the relationship between the two problems could be examined, while controlling for the other psychosocial problems. Results: The results suggest that dating violence was related to severity of suicidal thinking, and that the magnitude of this relationship was moderated by the severity of problems with aggression. Conclusions: Specifically, as the severity of participant's general problems with aggression increased, the magnitude of the relationship between dating violence and severity of suicidal thinking increased. Limitations of the study and implications for practice are discussed

Sexual health behaviors and outcomes among current and former foster youth: A review of the literature

This review examines literature related to pregnancy, sexual health outcomes, and sexual risk behaviors for foster youth and youth who are aging/have aged out of foster care. Using the search terms foster youth, aging out, pregnancy, sexually transmitted diseases, sexually transmitted infections, sexual risk, sexual behavior, and sexual health, 26,376 sources were initially identified. After removing duplicate sources and those that did not meet inclusion criteria and adding others identified through the references of identified sources, 53 sources were included in the review. Outcome measures were grouped into broad categories of pregnancy, sexually transmitted infections, and risky sexual behaviors, with each having several subparts. Implications for social work practice and policy are presented and directions for future research are highlighted

“I Feel Like I Am Finding Peace”: Exploring the Use of a Combined Art Therapy and Adapted Seeking Safety Program with Refugee Support Groups

This paper describes the creation and implementation of a trauma support group intervention which combined aspects of the Seeking Safety model with an art therapy technique in an effort to reduce trauma-related symptoms in a population of refugees.  A preliminary assessment was carried out to evaluate the potential effectiveness of the combined approach with trauma-exposed refugees.  Based on facilitator notes from 8 sessions of two women’s refugee groups and one men’s group, three themes were identified: mandala creation enhanced the Seeking Safety content, language barriers impacted the potential for implementation, and the trauma support group was a means of personal growth for participants. Reports from facilitators and participants also suggested a reduction in trauma-related symptoms and an increase in participant use of safe coping skills as a result of group participation. While additional research is needed, these exploratory results suggest that this combined approach holds promise for positively impacting trauma symptoms in trauma-exposed refugees