Posts Tagged by risk factors
|February 20, 2014||Posted by M. P. under Children and Family, Health, Policy, Research, Youth Development|
After a period of aggressive growth, obesity rates among American youth have stabilized somewhat in the last decade. Unfortunately, this good news may distract from the trend data indicating that obesity remains a cause for concern among certain sub-groups of youth.
In the paper, Increasing socioeconomic disparities in adolescent obesity, authors Carl B. Frederick, Kaisa Snellman, and Robert D. Putnam discuss the idea of income level as a kind of dividing line in recent obesity trends. In the early 2000’s, obesity rates declined for youth in higher socioeconomic categories, while slowing down or increasing among lower-income groups. The authors found that youth with college-educated parents also experienced a decline in obesity. Due to the national sample limitations, the interaction of race+class was not tested.
Examining weight management as an equation of calories taken in versus calories expended, these findings indicate that lower income youth and/or youth with parents who had a high school education consumed more calories than their higher income peers and reported less recreational activity or exercise. Issues of transportation to markets that carry a wide variety of items including produce, budget limits and the lure of easy to prepare, tasty (but processed) foods all likely play a role in consumption habits, but that is only half of the equation. The authors note that in 2003, 86.6 percent of adolescent children with college-educated parents reported playing a sport or exercising for at least 20 minutes during the past 7 days compared to 79.8 percent of youth with high-school educated parents. In 2010, the gap in exercise/recreation time increased to 91 percent and 80.4 percent, respectively. Also, at a time when high school sport participation is at record levels, Frederick et al., point out that participation in school sports is declining among lower-income students.
Is income level a factor in youth recreation?
An article in ESPN the Magazine by Bruce Kelley and Carl Carchia dives into the data on youth sports participation, citing research from Dr. Don Sabo, Professor at D’Youville College and Co-Director of their Center for Research on Physical Activity, Sport & Health (CRPASH), that points to household income as the primary factor in how early a child begins playing sports. The article refers to Sabo’s work again in noting that low-income boys (27 percent) and low-income girls (17 percent) were among the least likely groups to be on multiple teams (3 or more) during grades 3 through 8. In addition, the report Progress Without Equity: The Provision of High School Athletic Opportunity in the United States, by Gender 1993-94 through 2005-06, published by the Women’s Sports Foundation (Dr. Sabo is a co-author), found differences in access to recreation, noting that opportunities for athletic participation for students was lowest among urban schools (compared to town, suburban and rural) during the research period.
Trend data indicate that the message to eat healthier and move more is making an impact, but perhaps only among certain social classes, particularly those with the resources to enroll their children in school and club sports. With childhood obesity linked to physical health risks as well as risk-taking behaviors such as drug and alcohol experimentation and conflicts with peers, is it time to lessen the focus on “awareness” and look at realistic ways to increase physical activity for all youth?
Social Sciences – Social Sciences – Biological Sciences – Medical Sciences: Carl B. Frederick, Kaisa Snellman, and Robert D. Putnam Increasing socioeconomic disparities in adolescent obesity PNAS 2014; published ahead of print January 13, 2014, doi:10.1073/pnas.1321355110
Sabo, D. and Veliz, P. (2011). Progress Without Equity: The Provision of High School Athletic Opportunity in the United States, by Gender 1993-94 through 2005-06. East Meadow, NY: Women’s Sports Foundation.
|January 14, 2014||Posted by M. P. under Federal Government, Research, Uncategorized, Youth Development||
Childhood exposure to domestic and community violence has been linked to the development of PTSD, as well as depression and anxiety, and can negatively impact cognitive development and educational achievement. In addition, experiencing violence as a youth is considered a risk factor for delinquent behavior.
An October 2013 bulletin from the Office of Juvenile Justice and Delinquency Protection takes a closer look at delinquency and victimization of juveniles, particularly where they overlap. In Children’s Exposure to Violence and the Intersection Between Delinquency and Victimization by Carlos A. Cuevas, David Finkelhor, Anne Shattuck, Heather Turner and Sherry Hamby, data from the National Survey of Children’s Exposure to Violence is used to examine the association between the incidence of children’s direct exposure to crime and their reported delinquent activities.
Researchers categorized youth into three main groups, Delinquent-Victim, Primarily Delinquent, and Primarily Victim, based on reported delinquent acts and victimization (experiencing three or more criminal acts) in the past year. Additional within-group classifications allowed for distinctions to be made regarding the types of reported behaviors and victimizations. The key findings are summarized below.
- For boys, the Primarily Delinquent group made up 20.8 percent of the sample, the Delinquent-Victim group made up 18.1 percent and Primarily Victims 17.9 percent.
- For girls, the Primarily Victim group made up 21.2 percent of the sample, the Delinquent-Victim group made up 13.3 percent, and the Primarily Delinquent group 13 percent.
- Among both boys and girls, the Delinquent-Victim group engaged in more delinquency than their male and female peers in the Primarily Delinquent group (boys, 3.9 versus 2.5 activities, girls 3.3 versus 2.0).
- Both male and female Delinquent-Victim groups reported more victimization that their counterparts in the Primarily Victim groups (boys 6.3 versus 4.5 different victimizations, girls 6.4 versus 4.2). Male Delinquent-Victims had a higher percentage in every category of victimization (except bullying) compared to males in the Primarily Victim group. For girls, perhaps the most significant statistic is the high sexual victimization rate among the female Delinquent-Victim group (58%) compared to that of the female Primarily Victim group (27%).
The researchers found patterns in the growth or reduction of each group as children aged, although this study was not longitudinal. Their analysis indicates that male rates of delinquency-victimization peak at ages 13-14, while for females it occurs earlier, at ages 11-12. This suggests interventions at the grade school level may be more successful than those introduced during the teenage years.
|April 9, 2013||Posted by M. P. under Children and Family, Drug and Alcohol, Policy, Program Model, Youth Development||
The impact of parental substance abuse on children’s stability and well-being is a concern that crosses systems. Data suggests that parental drug and alcohol use is related to abuse and neglect and increases the likelihood of a parent’s involvement in the justice system – including the possibility of incarceration. The National Center on Substance Abuse and Child Welfare (NCSACW) provides In-Depth Technical Assistance (IDTA) to a handful of sites across the country in the areas of substance abuse, child welfare and the courts to result in better outcomes for families involved in these systems. For approximately 18 months, the IDTA team works with local, state or tribal entities to coordinate strategy and services across systems through the use of evidence-based programs and on-site technical assistance in order to grow capacity for improved child and family outcomes.
The report, In-Depth Technical Assistance (IDTA) Final Report 2007-2012 provides an overview of the IDTA program model, related site accomplishments, and the lessons of system change at various levels. Some findings include,
- 50 percent of the sites implemented (or enhanced) a recovery specialist model in their programs;
- 68 percent developed and/or implemented cross-system training plans;
- 60 percent developed and/or implemented screening protocols that resulted in lowers costs, reduced redundancy and a more efficient referral process;
- 27 percent used cross-system data collection and tracking processes, such as case reviews and drop-off analysis, to inform policy and program decisions. (Note: according to the SAMHSA website, a Drop-Off Analysis is “a method used to assess linkages among child welfare, treatment agencies and courts. The method helps to identify connections that families need to make between systems to obtain services and achieve their child welfare case goals.”)
In addition to program findings, the brief discusses numerous lessons learned around systems change, particularly: issues in achieving long-term policy and practice changes and avoiding the fracture of collaborative relationships post-project, leadership focused on engaging and sustaining partners, use of data to identify areas of and opportunities for change, and realistic timelines for implementing system change and shared accountability.
|April 2, 2013||Posted by M. P. under Behavorial Health, Children and Family, Juvenile Delinquency, Research, Youth Development||
For over a decade The Urban Institute has tracked the long term impacts for families relocated by the Chicago Housing Authority to make way for their removal of public housing complexes throughout the city. The relocated residents report better housing and neighborhood quality since the move. For youth however, the improved living environment does not appear to have had a transformative effect on their lives.
According to the brief, Chronic Violence: Beyond the Developments, follow-up data from 2011 indicate that children in the new housing (voucher-enabled private rentals or refurbished public housing) were not attending higher quality schools and were still living in neighborhoods with nearly half of the residents below the poverty line. Parental reports of negative behavior and delinquent activity were similar to the baseline data of youth in the public housing complexes. In addition, academic performance remained a concern, with approximately 33 percent of the teenagers not in the appropriate grade for their age and about 66 percent unengaged in school or work activities.
Authors Chantal Hailey and Megan Gallagher discuss the presence and patterns of neighborhood violence as a continuing factor risk factor in the lives of these families, even after relocation, specifically the impact it has upon youth in the form of continued exposure to trauma, a nomadic lifestyle, and avoidance or isolation. The researchers at The Urban Institute recommend intensive case management services for the relocated families in Chicago, with the hope that such intervention would improve future outcomes.
The impact of neighborhood violence on youth can be devastating, both in perceived and actual threats of physical harm, the psychological toll of anxiety, and the impact of traumatic events on a child’s development. It should be noted that research identified similar problems for youth in “rough” neighborhoods from a sample that included families above the poverty line. Addressing the long-lasting impacts of community violence in a meaningful manner is challenging as both the context of the violence witnessed and gender differences in coping techniques may lessen responsiveness to standardized interventions “proven” in another city. The mixed perception of the outside “experts” (school officials, teachers, social workers, counselors, police, etc.) by community members may also serve as a obstacle in forming a partnership to reduce youth and adult violence. There is not a single policy nor intervention that will be able to neutralize or remove every risk factor, but based on the results of various initiatives across the country, a combination of behavioral interventions and police strategies may prove effective going forward.