The risk of having at least 1 psychiatric disorder by age 16 years is much higher than point estimates would suggest. Concurrent comorbidity and homotypic and heterotypic continuity are more marked in girls than in boys.
Mustillo et al. | Peer Reviewed | Research and Practice | 2125 RESEARCH AND PRACTICE Objectives. We examined the effects of self-reported experiences of racial discrimination on Black-White differences in preterm (less than 37 weeks gestation) and low-birthweight (less than 2500 g) deliveries.Methods. Using logistic regression models, we analyzed data on 352 births among women enrolled in the Coronary Artery Risk Development in Young Adults Study.Results. Among Black women, 50% of those with preterm deliveries and 61% of those with low-birthweight infants reported having experienced racial discrimination in at least 3 situations; among White women, the corresponding percentages were 5% and 0%. The unadjusted odds ratio for preterm delivery among Black versus White women was 2.54 (95% confidence interval [CI] = 1.33, 4.85), but this value decreased to 1.88 (95% CI = 0.85, 4.12) after adjustment for experiences of racial discrimination and to 1.11 (95% CI = 0.51, 2.41) after additional adjustment for alcohol and tobacco use, depression, education, and income. The corresponding odds ratios for low birthweight were 4.24 (95% CI=1.31, 13.67), 2.11 (95% CI = 0.75, 5.93), and 2.43 (95% CI = 0.79, 7.42).Conclusions. Self-reported experiences of racial discrimination were associated with preterm and low-birthweight deliveries, and such experiences may contribute to Black-White disparities in perinatal outcomes. (Am J Public Health.
Methods for group comparisons using predicted probabilities and marginal effects on probabilities are developed for regression models for binary outcomes. Unlike approaches based on the comparison of regression coefficients across groups, the methods we propose are unaffected by the scalar identification of the coefficients and are expressed in the natural metric of the outcome probability. While we develop our approach using binary logit with two groups, we consider how our interpretive framework can be used with a broad class of regression models and can be extended to any number of groups.
Adversity early in life may alter pathways of aging, but what interpretive processes can soften the blow of early insults? Drawing from cumulative inequality theory, the authors analyze trajectories of life evaluations and then consider whether early adversity offsets favorable expectations for the future. Results reveal that early adversity contributes to more negative views of the past but rising expectations for the future. Early adversity also has enduring effects on life evaluations, offsetting the influence of buoyant expectations. The findings draw attention to the limits of human agency under the constraints of early adversity—a process described as biographical structuration.
Sociological theory suggests two reasons that volunteering runs in families. The first is that parents act as role models. The second is that parents who volunteer pass on the socioeconomic resources needed to do volunteer work. Panel data from two generations of women (N ¼ 1,848) are analyzed to see how much influence family socioeconomic status and mother's volunteering have on daughter's volunteer careers. More highly educated women and women whose mothers volunteered donate more hours initially, but only family socioeconomic status increases volunteering over the life course.
This study provides information to assist caseworkers, administrators, and policymakers in thinking critically about risk assessment policies and procedures. Although caseworkers' assessments of risk were associated with some of the empirical predictors of recurrent maltreatment, their assessments were only slightly better than guessing. Agreement between caseworkers' risk assessments and actual subsequent reports was better for low-risk cases, but primarily because the majority of cases did not have a subsequent report during the study period. Clearly, considerable improvement in risk assessment is needed so that at-risk families can be better identified and the limited services available can be directed toward those most in need.
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