Using a representative national sample (N = 20,745), this article explores health and mental health needs, service use, and barriers to services among sexual minority youths (SMYs) and heterosexual peers. SMYs were defined by ever having a same-sex romantic attraction or having a recent same-sex romantic relationship or sexual partner. SMYs accounted for 7.5 percent of the sample. Data were analyzed to ascertain prevalence of risks and explore group differences. Compared with peers, SMY self-reports indicated higher prevalence rates on all indicators of health and mental health need. SMYs reported more sexual activity, more sexually transmitted disease diagnoses, a higher perceived risk for HIV/AIDS, and more forgone medical care than peers.Also compared with peers, SMYs reported higher levels of anxiety depression, suicidality, and physical and sexual victimization and higher rates of unmet mental health need. SMYs also reported greater concerns about confidentiality and were less likely to use school-based services.The majority of SMYs reported same-sex attraction only. Social work and other helping professionals should incorporate same-sex attraction questions into assessment protocols to target services for this population. School- and office-based providers must consider whether their services are welcoming and offer sufficient assurances of confidentiality to facilitate access by SMYs.

Diets reflect important ecological interactions, but are challenging to quantify for foliage‐gleaning birds. We used regurgitated stomach samples from five primarily insectivorous species of long‐distance migrant warblers (Parulidae) wintering in two moderate‐elevation shade coffee farms in Jamaica to assess both foraging opportunism and prey resource partitioning. Our results, based primarily on 6120 prey items in 80 stomach samples collected during a one‐week period in March 2000, confirm opportunism. The diets of all five warblers, including American Redstarts (Setophaga ruticilla), Black‐and‐White Warblers (Mniotilta varia), Black‐throated Blue Warblers (S. caerulescens), Northern Parulas (S. americana), and Prairie Warblers (S. discolor), overlapped strongly based on consumption of the same prey types, even many of the same prey species (4 of 10 interspecific overlaps >0.9, range = 0.74–0.97). Moreover, all five species fed on similarly small, often patchily distributed prey, including coffee berry borers (Hypothenemus hampei; Coleoptera, Curculionidae). Nonetheless, permutational multivariate analysis of variance also revealed that the diets of these species differed significantly, primarily with respect to prey mobility (winged vs. sessile); American Redstarts fed on the most mobile prey, and Northern Parulas on the least mobile prey and a relatively restricted set of prey taxa compared to the other four species of warblers. Overall, our results suggest both dietary opportunism consistent with a migratory life‐history, and interspecific resource partitioning consistent with differences in morphology and foraging behavior during a food‐limited season. Having provided evidence of the three necessary conditions, namely intraspecific competition, resource limitation, and interspecific overlap in resource use, the results of our study, in combination with those of other studies, also provide evidence of interspecific competition among wintering migrant insectivores. We thus argue that diffuse interspecific exploitative food competition may be more important than previously recognized.

Purpose-Our aim was to assess the content validity of the Patient-Reported Outcomes Measurement Information System (PROMIS) social health item banks by comparing a prespecified conceptual model with concepts that focus-group participants identified as important social-healthrelated outcomes. These data will inform the process of improving health-related quality-of-life measures.Methods-Twenty-five patients with a range of social limitations due to chronic health conditions were recruited at two sites; four focus groups were conducted. Raters independently classified participants' statements using a hierarchical, nested schema that included health-related outcomes, role performance, role satisfaction, family/friends, work, and leisure.Results-Key themes that emerged were fulfilling both family and work responsibilities and the distinction between activities done out of responsibility versus enjoyment. Although focus-group participants identified volunteerism and pet ownership as important social-health-related concepts, these were not in our original conceptual model. The concept of satisfaction was often found to overlap with the concept of performance.Conclusion-Our conceptual model appeared mostly comprehensive but is being further refined to more appropriately (a) distinguish between responsibilities versus discretionary activities, and (b) situate the outcome of satisfaction as it relates to impairment in social and other domains of health.

The provision of substantial multi-pack discounts and lower prices in postcodes with a higher proportion of price-sensitive smokers (young people and those from lower socioeconomic groups) is consistent with targeted discounts being used as a tobacco marketing strategy. The results support policy interventions to counter selective discounts and to require disclosure of trade-based discounts.

The impact of pediatric chronic illness on peer relations and social adjustment in nine school-aged boys with hemophilia was examined using qualitative interview methods. Literature on boys' psychosocial development provided a theoretical perspective to interpret findings. Three main themes emerged from the interviews: Awareness of difference, efforts to conceal difference, and efforts to connect with peers and friends. Findings suggest that hemophilia may be a socially stigmatizing condition for many boys because it limits gender-typical interactions with same-sex peers. Recommendations are offered for research on interventions to assist children in communicating with peers about their health condition and to involve close friends and parents in such interventions.