Social Context Variables Research Articles

Associations Between Mixed-Gender Friendships, Gender Reference Group Identity and Substance Use in College Students

We investigated the associations between same-gender friendship, gender reference group identity, and substance use in college students (54 % male, M age = 19.23, SD = 1.23) from the northeastern United States using an online survey. Male students reported greater weekly marijuana, but not alcohol use than female students. Regression analyses revealed that having a greater proportion of same-gender friendships was associated with greater weekly alcohol use for male students and lesser weekly alcohol and marijuana use for female students. Gender reference group identity was negatively associated with weekly marijuana use for male and female students. For female students, gender reference group identity mediated the association between proportion of same-gender friendships and weekly marijuana use. Our study highlights the importance of considering the social context (e.g., the gender of friends) and individual variables relating to gender (e.g. gender reference group identity) in substance use research. Our findings fit within social constructionist models of social development that suggest participation in gendered contexts (e.g., same-gender or other-gender-peer contexts) over time cue gender-typed behaviors such as using marijuana.

Asymmetric Effects of National-based Active Labour Market Policies

Altavilla C. and Caroleo F. E. Asymmetric effects of national-based active labour market policies, Regional Studies. Labour market policies settled at the national level imply a ‘one-size-fits-all’ labour market strategy. This strategy might not sufficiently take into account region-specific economic structures. Whether active labour market programmes might asymmetrically affect labour markets at the regional level is evaluated. The results for Italy suggest that while in the South employment is mainly driven by social and economic context variables, in the North the employment dynamics are significantly explained by policy interventions. Two policy implications are suggested. First, the success of active policies depends on the regional labour market conditions. Second, policy-makers should adjust labour policy strategy to regional economic structures.

Relative Dominance and Resource Availability Mediate Mantled Howler (Alouatta palliata) Spatial Responses to Neighbors’ Loud Calls

Many animals generate long-distance vocalizations (“loud calls”) that have been hypothesized to mediate spatial interactions. Howls by mantled howlers (Alouatta palliata), specifically, are hypothesized to function in group spacing, but the mechanism by which this is accomplished remains unclear. In this study, I evaluated the role of naturally occurring howls in mediating mantled howler intergroup spatial interactions on Barro Colorado Island, Panama. Multivariate analyses examined relationships between social and environmental contextual variables and the likelihood that a group would approach or avoid a neighboring group’s howl. Mantled howlers were more likely to approach howling neighbors when fruit and flower availability was limited. Relative dominance was also a highly significant predictor of approach, though the relationship ran contrary to expectations. Groups were more likely to approach howling neighbors higher in the established dominance hierarchy than those lower down, possibly reflecting priority access of more dominant groups to higher quality resources. Other variables tested, including numeric odds, vocalization intensity, infanticide risk, and location of the howling group, were not significant predictors of spatial response. These findings are consistent with the assertion that howls contain identifying information and highlight the importance of including contextual variables in multivariate analyses of spatial responses to loud calls. These results also indicate potential contrasts between observational and playback studies by suggesting that howl location may play a greater role in responses to simulated intruders than to known neighbor groups, and that relative dominance may provide a more salient measure of competitive ability than numeric odds among groups with interaction histories.

School Influences on Parents' Role Beliefs

This study examined potential links among parents' role beliefs for involvement and social-contextual variables contributing to its development. A sample of parents from two Title I middle schools responded to surveys assessing their perceptions of student and teacher invitations to involvement, school expectations of involvement, school climate, childhood schooling experiences, and their role beliefs. Parents' perceptions of student invitations to involvement, school expectations of involvement, and school climate had the largest effects on parents' role beliefs in one school, while school climate was the sole predictor of parents' role beliefs in the other. Teachers' invitations to involvement were not directly related to role beliefs in either school. Differences between schools are discussed in relation to social and cultural capital.

The Impact of Institutional Context, Education and Labour Market Policies on Early School Leaving: a comparative analysis ofEUcountries

This article presents a comparative analysis of the determinants of early school leaving (ESL) at the country level. We decomposeESLrates into two components: a ‘primary’ rate reflecting unqualified school leaving from initial education, and a second component accounting for early school leavers who participate in training programmes. Both may be influenced by structural and policy determinants. We examine how the ESL rate is affected by macro‐economic and social context variables such asGDP/capita, growth, poverty, and youth unemployment, as well as system characteristics of the education system (such as legal school leaving age, grade retention, early tracking, and size of vocational education) and the labour market and social protection systems (minimum wages, unemployment insurance).

With Whom and Where You Play: Preschoolers' Social Context Predicts Peer Victimization.

This short-term longitudinal study assessed the relations between the social context of children's play (play-group size, play-group gender composition, and play setting) in the fall and peer victimization in the spring for low-income, minority, preschool girls and boys. Gender differences in these associations, as well as the moderating effect of children's individual problem behavior, were considered. Using a multiple-brief observation procedure, preschoolers' (N = 255, 49% girls) naturally occurring play in each type of social context was recorded throughout the fall semester. Observers also rated children's victimization and problem behaviors in the fall, and teachers rated children's victimization at the end of the school year. Findings suggested that social context variables predicted spring victimization above and beyond fall victimization and individual levels of problem behavior and that these associations varied for boys and girls. The findings signify the importance of the social context on changes in peer victimization.

Empirically Derived Knowledge on Adolescent Assent to Pediatric Biomedical Research

Background: There has been a recent growth in empirical research on assent with pediatric populations, due in part to the demand for increased participation of this population in biomedical research. Despite methodological limitations, studies of adolescent capacities to assent have advanced and identified a number of salient psychological and social variables that are key to understanding assent. Methods: The authors review a subsection of the empirical literature on adolescent assent focusing primarily on asthma and cancer therapeutic research; adolescent competencies to assent to these studies; perceptions of protocol risk and benefit; the effects of various social context variables on adolescent research participation decision making; and the interrelatedness of these psychological and social factors. Results: Contemporary studies of assent, using multivariate methods and updated approaches to statistical modeling, have revealed the importance of studying the intercorrelation between adolescents’ psychological capacities and their ability to employ these capacities in family and medical decision-making contexts. Understanding these dynamic relationships will enable researchers and ethicists to develop assent procedures that respect the authority of parents, while at the same time according adolescents appropriate decision-making autonomy. Conclusions: Reviews of empirical literature on the assent process reveal that adolescents possess varying capacities for biomedical research participation decision making depending on their maturity and the social context in which the decision is made. The relationship between adolescents and physician-investigators can be used to attenuate concerns about research protocols and clarify risk and benefit information so adolescents, in concert with their families, can make the most informed and ethical decisions. Future assent researchers will be better able to navigate the complicated interplay of contextual and developmental factors and develop the empirical bases for research enrollment protocols that will support increased involvement of adolescents in biomedical research.

Social contexts and the occurrence of episodic heavy drinking

Piontek, D., Kraus, L., & Rist F. (2013). Social contexts and the occurrence of episodic heavy drinking. International Journal of Alcohol and Drug Research, 2(2), 45-52. doi: 10.7895/ijadr.v2i2.106 (http://dx.doi.org/10.7895/ijadr.v2i2.106)Aims: This study aims to investigate the influence of social context variables on Episodic Heavy Drinking (EHD) among young adults. It will assess (a) whether EHD is predicted by characteristics of the specific drinking situation and drinking motives, and (b) whether the influence of drinking motives is moderated by public versus private drinking.Design/Setting: Data were collected by means of an online survey conducted at the University of Münster (Germany) in December 2008.Participants: The analytical sample consisted of 1,638 students.Instruments: Information was collected on socio-demographics, habitual drinking behavior (beverage-specific quantity and frequency within the past 30 days, EHD, drunkenness), and drinking motives (Drinking Motive Questionnaire Revised, DMQ-R). Moreover, participants described a recent drinking situation (beverage-specific quantity, drunkenness) as well as the social context related to this situation (time, place, people present, other substances used). Multivariate regression analyses were used to test the influence of context variables and their interaction with drinking motives.Findings: Drinking at a birthday or special party, during the weekend, or in a group where many people were drunk and playing drinking games increased the risk of EHD. Social and enhancement motives were associated with a higher risk for EHD, whereas conformity motives had a protective effect on heavy drinking. The effect of conformity motives was only present in public drinking situations.Conclusions: Drinking in young people is a social phenomenon related to situational influences as well as individual characteristics. In addition, there seems to be situational moderation of the impact of specific drinking motives.

The impact of social context on self-management in women living with HIV

HIV self-management is central to the health of people living with HIV and is comprised of the daily tasks individuals employ to manage their illness. Women living with HIV are confronted with social context vulnerabilities that impede their ability to conduct HIV self-management behaviors, including demanding social roles, poverty, homelessness, decreased social capital, and limited access to health care. We examined the relationship between these vulnerabilities and HIV self-management in a cross-sectional secondary analysis of 260 women living with HIV from two U.S. sites. All social context variables were assessed using validated self-report scales. HIV Self-Management was assessed using the HIV Self-Management Scale that measures daily health practices, HIV social support, and the chronic nature of HIV. Data were analyzed using appropriate descriptive statistics and multivariable regression. Mean age was 46 years and 65% of participants were African–American. Results indicated that social context variables, particularly social capital, significantly predicted all domains of HIV self-management including daily health practices (F = 5.40, adjusted R2 = 0.27, p < 0.01), HIV social support (F = 4.50, adjusted R2 = 0.22, p < 0.01), and accepting the chronic nature of HIV (F = 5.57, adjusted R2 = 0.27, p < 0.01). We found evidence to support the influence of the traditional social roles of mother and employee on the daily health practices and the chronic nature of HIV domains of HIV self-management. Our data support the idea that women's social context influences their HIV self-management behavior. While social context has been previously identified as important, our data provide new evidence on which aspects of social context might be important targets of self-management interventions for women living with HIV. Working to improve social capital and to incorporate social roles into the daily health practices of women living with HIV may improve the health of this population.

Social Structure and Sexual Behaviour of Black African Adolescents in the North West Province, South Africa

ABSTRACT The present study was guided by Bronfenbrenner's bio-ecological theory of human development. Among the social ecological context variables examined were school, peer, community and family influences on adolescent sexual behaviours among black African adolescents in the North West Province of South Africa. Consistent with existing empirical evidence, aspects of contextual factors such as peer, school, family and community proved to be significant in understanding adolescent sexual behaviours, even though some of these effects were not always in the expected direction. Beside these contextual factors, individual-level factors such as age, gender, religious affiliation, residence, grade level and aggressiveness were also found to be important correlates of adolescent sexual behaviour.

Preparedness for and Impact of Tropical Cyclone Yasi in North Queensland, Australia

Tropical cyclone (TC) Yasi, thought to be the largest and most severe cyclone to cross the Queensland coast since 1918, made landfall on the southern tropical coast near Mission Beach and continued to track westward across Northern Queensland on February 3, 2011. The warning and response model (WRM) suggests that situational factors, personal characteristics, and social contextual variables influence the degree of threat perceived and protective actions taken. Aim The aim of this study was to examine preparation for this impending natural disaster by residents of the affected regions, and to identify the residents' resource losses and symptoms of psychological distress following TC Yasi. A cross-sectional survey was conducted 6-12 months after the cyclone using an adapted tool designed to measure preparedness, loss and psychosocial distress. Four hundred and thirty-three responses were received. Statistical analysis was conducted using Statistical Package for the Social Sciences (SPSS). Categorical characteristics were described using sample size and percentages. Almost all respondents perceived the cyclone warning as serious or very serious, and more than a third started preparing for the cyclone at least three days before it reached landfall. Overall, 115 (26.7%) respondents reported moderate and 59 (13.7%) reported major property damage; 72 (17.1%) reported a moderate and 49 (11.6%) reported a major change in their feeling of whether they have control over their life; 55 (13.1%) reported a major change in their motivation of getting things done; and 33 (7.9%) reported a major change in their perception of feeling valuable to others. Overall, 142 (34.1%) documented at least one of five symptoms of acute distress. The findings document the experiences of Australians who have lived through tropical cyclone Yasi. The results support the WRM theory which proposes that people with previous experience take threatened disasters seriously.

Sociodemographic and social contextual predictors of multiple health behavior change: data from the Healthy Directions–Small Business study

Multiple modifiable health behaviors contribute to the chronic diseases that are the leading causes of death in the USA. Disparities for meeting recommended health behavior guidelines exist across occupational classes and socioeconomic levels. The purpose of this paper was to investigate sociodemographic and social contextual predictors of multiple health behavior change in a worksite intervention. We analyzed data on four diet and exercise variables from an intervention trial with worksite-level randomization. Eight hundred forty-one employees had complete data from baseline (response rate = 84%) and follow-up surveys (response rate = 77%). Multilevel logistic regression estimated associations between least absolute shrinkage and selection operator-selected sociodemographic and social contextual predictor variables and the multiple health behavior change outcome (changing 2+ versus 0 behaviors). Gender, being married/partnered, and perceived discrimination were significantly associated with multiple health behavior change. Sociodemographic and social contextual factors predict multiple health behavior change and could inform the design and delivery of worksite interventions targeting multiple health behaviors.

The Role of Motivation in Understanding Social Contextual Influences on Physical Activity in Underserved Adolescents in the ACT Trial: A Cross-Sectional Study

Previous research has shown that social contextual factors are important in understanding physical activity (PA) behavior, although little is known about how these factors may relate to PA, especially in underserved adolescents (low income, minorities). This study examined how motivation may differentially mediate the relationship of two social contextual variables (i.e., peer and parent social support) and moderate-to-vigorous PA (MVPA). Baseline data (n = 1421 sixth graders, 54% female, 72% African American) from the Active by Choice Today (ACT) trial in underserved adolescents were analyzed. Motivation was examined as a mediator of the relationships between peer social support, parent social support, and MVPA (measured by 7-day accelerometer estimates). Motivation and peer but not parent support were significantly related to MVPA overall. Significant mediation effects were found indicating motivation partially mediated the relation between peer social support and MVPA and to a lesser degree parent support and MVPA. These findings provide support for the importance of social contextual influences, especially peer social support, on underserved adolescents' PA and motivation for PA.

Through the lens of culture: quality of life among Latina breast cancer survivors

Latinas have lower quality of life than Caucasian cancer survivors but we know little about factors associated with quality of life in this growing population. Bilingual staff conducted interviews with a national cross-sectional sample of 264 Latina breast cancer survivors. Quality of life was measured using the Functional Assessment of Cancer Therapy-Breast (FACT-B). Regression models evaluated associations between culture, social and medical context and overall quality of life and its subdomains. Latina survivors were 1-5 years post-diagnosis and reported a lower mean quality of life score compared to other published reports of non-Latina survivors (M = 105; SD = 19.4 on the FACT-B). Culturally based feelings of breast cancer-related stigma and shame were consistently related to lower overall quality of life and lower well-being in each quality of life domain. Social and medical contextual factors were independently related to quality of life; together cultural, social and medical context factors uniquely accounted for 62 % of the explained model variance of overall quality of life (Adjusted R (2) = 0.53, P < 0.001). Similar relationships were seen for quality of life subdomains in which cultural, social, and medical contextual variables independently contributed to the overall variance of each final model: physical well-being (Adjusted R (2) = 0.23, P < .001), social well-being (Adjusted R (2) = 0.51, P < 0.001), emotional well-being (Adjusted R (2) = 0.28, P < 0.001), functional well-being (Adjusted R (2) = 0.41, P < 0.001), and additional breast concerns (Adjusted R (2) = 0.40, P < 0.001). Efforts to improve Latinas' survivorship experiences should consider cultural, social, and medical contextual factors to close existing quality of life gaps between Latinas and other survivors.

The severity of dental caries in adults aged 35 to 44 years residing in the metropolitan area of a large city in Brazil: a cross-sectional study

BackgroundIn recent decades, studies in the field of public health have increasingly focused on social determinants that affect the health-illness process. The epidemiological perspective considers oral health to be a reflection of socioeconomic and environmental aspects, and it is particularly influenced by the social context. The aim of the present study was to assess the association between the severity of dental caries among adults aged 35 to 44 years and characteristics on the different levels at which the determinants of caries operate (individual, social structure and social context).MethodsA home-based, cross-sectional field study was carried out involving a sample of 1,150 adults (35 to 44 years of age) residing in metropolitan Belo Horizonte, Brazil. The DMFT (decayed, missing, filled tooth) index (≥14) was used to determine the severity of dental caries. Bivariate and multivariate analyses were carried out using the Poisson regression model with the level of significance set at 5% (p < 0.05) and 95% confidence intervals.ResultsThe majority of the participants (68.5%) had high caries severity. The rate of high-severity caries in the group between 40 and 44 years of age was 1.15-fold (CI: 1.04-1.26) greater than that among those aged 35 to 39 years. A greater prevalence of high caries severity was found among those who frequently visited the dentist (PR = 1.18; CI: 1.07-1.30), those with a lower income (PR = 1.11; CI: 1.01-1.23), those who reported that their neighborhood did not come together in the previous year to petition political leaders for benefits (PR = 1.16; CI: 1.05-1.28) and those who are unable to make decisions (without empowerment) (PR = 1.12; CI: 1.01-1.24).ConclusionsThe present study revealed high dental caries severity in adults, which was associated with individual characteristics, health-related behavior and social structure and contextual variables. These findings underscore the importance of considering social determinants involved in the health-illness process when carrying out epidemiological studies on dental caries.

Medication Adherence Among Latino and Non-Latino White Children With Asthma

Latino children of Caribbean descent remain at high risk for poorly controlled asthma. Controller medications improve asthma control; however, medication adherence remains suboptimal, particularly among minorities. This study assessed socioeconomic, family-based, and parent factors in medication adherence among children with asthma from Rhode Island (RI; Latino and non-Latino white [NLW]) and Puerto Rico. Data collection occurred as part of a multicenter study of asthma disparities. Our sample included children (ages 7-16) prescribed objectively monitored controller medications (n = 277; 80 island Puerto Rico, 114 RI Latino, 83 RI NLW). Parents completed questionnaires regarding family background and beliefs about medications. Families participated in an interview regarding asthma management. Multilevel analyses (maximum likelihood estimates) accounting for children being nested within site and ethnic group assessed the contribution of social context, family, and parent variables to medication adherence. Medication adherence differed by ethnic group (F(2, 271) = 7.46, P < .01), with NLW families demonstrating the highest levels of adherence. Multilevel models indicated that parental beliefs about medication necessity and family organization regarding medication use were significant predictors of adherence, even for families below the poverty threshold. With family factors in the model, a substantial improvement in model fit occurred (Akaike Information Criterion change of 103.45). Adherence to controller medications was lower among Latino children in our sample. Targeted interventions that capitalize on existing family resources, emphasize structure, and address parental beliefs about the importance of medications may be of benefit to families from different cultural backgrounds.

Six-Month Longitudinal Patterns of Mental Health Treatment Utilization by Older Adults With Depressive Symptoms

Objective: Aims of the study were to describe behavioral health treatment utilization patterns of community-dwelling older adults with depressive symptoms over a six-month period and to identify factors associated with treatment use, guided by a theoretical model emphasizing the dynamic nature of treatment use patterns over time and social context. Methods: A total of 144 participants ≥65 years old with depressive symptoms completed an in-person baseline interview and six monthly telephone follow-up interviews. Outcomes at each follow-up included the use of antidepressants or counseling. Covariates included personal and social context variables. Results: Approximately half of the participants (N=70, 48%) received no formal treatment (antidepressant prescription or counseling). Treatment use or nonuse did not change for most participants. More participants with severe symptoms received antidepressants (25%–37%) than did those with milder symptoms (10%–14%), although more participants in the latter group started (milder, 62%,versus severe, 49%) and stopped (milder, 77%, versus severe, 26%) antidepressant treatment at least once. Fewer individuals received counseling overall, with no clear patterns by symptom severity. In multivariate longitudinal analyses, treatment use at follow-up was independently associated with younger age, current major depressive episode, baseline use of antidepressant, intention to begin a new treatment at baseline, and receipt of advice to seek treatment. Conclusions: Over a six-month period, most older adults with depressive symptoms in this study continued their use or nonuse of mental health treatment. Demographic, need, attitudinal, and social variables were related to treatment use over time. Addressing intentions and providing advice may facilitate treatment seeking. (Psychiatric Services 62:1353–1360, 2011)

Six-month longitudinal patterns of mental health treatment utilization by older adults with depressive symptoms.

Aims of the study were to describe behavioral health treatment utilization patterns of community-dwelling older adults with depressive symptoms over a six-month period and to identify factors associated with treatment use, guided by a theoretical model emphasizing the dynamic nature of treatment use patterns over time and social context. A total of 144 participants ≥65 years old with depressive symptoms completed an in-person baseline interview and six monthly telephone follow-up interviews. Outcomes at each follow-up included the use of antidepressants or counseling. Covariates included personal and social context variables. Approximately half of the participants (N=70, 48%) received no formal treatment (antidepressant prescription or counseling). Treatment use or nonuse did not change for most participants. More participants with severe symptoms received antidepressants (25%-37%) than did those with milder symptoms (10%-14%), although more participants in the latter group started (milder, 62%,versus severe, 49%) and stopped (milder, 77%, versus severe, 26%) antidepressant treatment at least once. Fewer individuals received counseling overall, with no clear patterns by symptom severity. In multivariate longitudinal analyses, treatment use at follow-up was independently associated with younger age, current major depressive episode, baseline use of antidepressant, intention to begin a new treatment at baseline, and receipt of advice to seek treatment. Over a six-month period, most older adults with depressive symptoms in this study continued their use or nonuse of mental health treatment. Demographic, need, attitudinal, and social variables were related to treatment use over time. Addressing intentions and providing advice may facilitate treatment seeking.

Intellectual Disability Examinations and Social Context Variables among Patients of Low Socioeconomic Status

The purpose was to investigate the demographic, clinical, and social context variables of clients seeking intellectual disability screening assessments, so as to promote planning and development of services in the KwaZulu-Natal midlands region of South Africa. Of 100 consecutive attendees seeking intellectual disability examinations at state mental health facilities, 70% were male and 70% were less than 18 years of age. 51% had Moderate or Severe Mental Retardation, 52% lived in homes with more than six people, and 52% in homes where nobody was employed. Of participants' families, 85% relied on social grants, 46% of attendees or caregivers wanted a social grant, 28% hoped for appropriate school placement, and 17% wanted both. Of the participants' households, 26% reported going without food for days. The results are discussed within the context of the regional social deprivation.

The effects of social context on the hormonal and behavioral responsiveness of human fathers

We tested first-time fathers with their 22-month old toddlers to determine whether social context variables such as pre-test absence from the child and presence of the mother affected physiological measures associated with paternal responsiveness. Heart rate and blood pressure readings as well as blood samples to determine prolactin, testosterone and cortisol levels were taken before and after the 30-min father–toddler interactions. Fathers were tested on a day when they were away from their child for several hours before testing (‘without-child’ day) and on another day where they remained with their child throughout the day (‘with-child’ day). Most measures decreased over the 30-min test period but relative decreases were context-dependent. Men maintained higher prolactin levels when they were away from their children longer before testing on the ‘without-child’ day. Cortisol levels decreased during both tests and they decreased more on the ‘with-child’ day for men who had spent more time alone with their toddler before the test. Heart-rate and diastolic (but not systolic) blood pressure decreased more on the ‘with-child’ day than on the ‘without-child’ day. Fathers' testosterone levels decreased when their partners were less involved in the interactions. Compared to men with high responsiveness ratings on both days, men whose responsiveness increased after being away from their child on the ‘without-child’ day maintained higher systolic blood pressure and had a greater decrease in testosterone levels. We conclude that context may be more important in determining fathers' physiological responses to child contact than has previously been appreciated, particularly for some individuals.