Negative consequences of community group participation for women's mental health and well‐being: Implications for gender aware social capital building

Participation in community groups is argued to be an important way to create health‐promoting social capital. However, relatively little attention has been paid to the ways in which gender affects the health promotion potential of participation. This paper reports on a qualitative study of women's experiences of participation in a diverse range of community groups, and considers how such involvement can potentially have a negative impact upon mental well‐being. In‐depth interviews were conducted with 30 women in Adelaide, South Australia. Women's accounts of their group involvement reflected that their identities as mothers were particularly important in shaping their participation. Some women reported difficulties in combining group involvement with their family responsibilities. Stress attached to negotiating social interaction within groups was also raised as an issue. It was found that participation can reinforce gender inequality and potentially have severe negative consequences for mental health, issues that need to be considered alongside the potential health benefits. The findings are considered in light of Bourdieu's critical conceptualization of social capital. Copyright © 2008 John Wiley & Sons, Ltd.     

Social Capital and Community Group Participation: Examining ‘Bridging’ and ‘Bonding’ in the Context of a Healthy Living Centre in the UK

Social capital has been widely advocated as a way of understanding and building community participation in the interest of health improvement. However, the concept as proposed by Putnam, has been criticised for presenting an overly romanticised account of complex community relations. This paper presents analysis from a qualitative evaluation of a Healthy Living Centre (HLC) in the North of England, to examine the utility of the concept of social capital in this context. We found the concepts of ‘bridging’ and ‘bonding’ social capital were useful – though not without limitations – in helping to make sense of the complexities and contradictions in participants’ experiences of community group participation. 'Bridging' helped provide an understanding of how the decline in shared social spaces such as local shops impacts on social relationships. 'Bonding' highlighted how community group membership can have positive and negative implications for individuals and the wider community. It was found that skilled group leadership was key to strengthening bridging capital. Politically, in the UK, community participation is seen as having an essential role in social change, for example, its centrality to the coalition government's idea of the ‘Big Society’. A micro‐examination of this HLC using the lens of social capital provides a valuable critical insight into community participation. It shows that this kind of initiative can be successful in building social capital, given conditions such as an appropriate setting and effective leadership. However, they cannot substitute for other kinds of investment in the physical infrastructure of a community. Copyright © 2012 John Wiley & Sons, Ltd.     

‘Should I Circumcise My Daughter?’ Exploring Diversity and Ambivalence in Egyptian Parents' Social Representations of Female Circumcision

Female circumcision is still practiced in different parts of Egypt, impacting women's health and well‐being. Existing studies often portray parents' representations of the practice as positive and homogeneous, with little attention paid to the true diversity of views within a community. This study draws on social representations theory to highlight such nuances, while identifying the psychosocial factors that shape parents' decisions to circumcise or not circumcise their daughters. In‐depth interviews with 11 mothers and five fathers were conducted in rural communities in the Al Qalyoubeya and Benisweif governorates. Thematic analysis revealed the co‐existence of positive, negative and ambivalent representations of female circumcision amongst parents and within the individuals themselves. Although some parents positively represent female circumcision as ensuring the daughter's chastity, safeguarding her femininity and preserving community identity, they feel distress about its potential harms, such as pain, bleeding and terrifying experience on the daughter. Fathers further acknowledge its negative impact on marital sexual relationships. In some cases, parents challenge the ritual and refuse to circumcise their daughters. In light of a theory of change that emphasises the role of community dialogue in renegotiating health‐damaging social practices, along with evidence of diverse views amongst parents, this study argues that sensitively facilitated ‘community conversations’ might provide parents with opportunities to debate their opposing views and allow for the construction of health‐enabling social representations. Copyright © 2014 John Wiley & Sons, Ltd.     

Agency,resilience and coping: Exploring the psychosocial effects of goat ownership on orphaned and vulnerable children in Western Kenya

Despite an increase in goat donation programmes geared at orphaned and vulnerable children in sub‐Saharan Africa, the social psychological effects of goat ownership on the lives of these children have yet to be investigated. To shed light on the ways in which goat ownership affects children's psychosocial well‐being, this paper presents a case study of a goat donation programme in Western Kenya, paying particular attention to children's interaction with the goats. Informed by social psychological understandings of resilience and coping, we involved fifteen children (aged 12–17) in this qualitative study, using photographs and written reflections to describe the impact of goat ownership on their lives. The children also created daily routine diagrams and community maps and participated in two group discussions to explore their experiences further. The guardians of two of the participating children were also interviewed. A thematic content analysis of all our data revealed that goat ownership, within this social environment, enabled children to (i) generate income as a result of their participation in goat management, (ii) negotiate social support and (iii) create positive images of self and life – deriving emotional benefits. We conclude that goat ownership provides orphaned and vulnerable children with opportunities for positive social participation and community engagement that can facilitate children's resilience. Copyright © 2011 John Wiley & Sons, Ltd.     

Ethical social justice: Do the ends justify the means?

This article offers an ethical decision‐making model, informed by community psychology values, as a means for guiding psychologists when engaging in social justice‐oriented work. The applicability of this model is demonstrated through a case analysis elucidating how America's psychologists individually and collectively arrived at the decision to endorse torture—ostensibly as a means for preventing terrorism. Critics have wondered how the American Psychological Association succumbed to these involvements, and how to prevent such ethical lapses in the future. Unfortunately, the American Psychological Association's ethical codes fail to provide explicit guidance for psychologists' involvement in social justice work that impacts communities and systems. To address this gap, we present a values‐driven, ethical decision‐making framework that may be used to guide psychologists' future practices. This framework infuses fundamental community psychology values (i.e., caring and compassion; health; self‐determination and participation, human diversity, social justice; and critical reflexivity) into a 9‐step model.     

The Religion–Health Connection Among African Americans: What Is the Role of Social Capital?

Researchers have expressed growing interest in factors that may explain the relationship between religious involvement and health‐related outcomes. Faith‐based organizations are a significant institution in African American communities, both serving religious/spiritual needs and providing an important source of social capital. These communities often suffer a disproportionate burden of health conditions as well. The present study examined the role of social capital (social support, interconnectedness, and community participation) in the relationship between religious involvement (beliefs and behaviours) and physical and emotional functioning and depressive symptoms, among a national probability sample of African Americans (N = 803). Participants completed telephone interviews. We used structural equation modelling to test hypotheses based on the theoretical model. Results indicate that interconnectedness played a modest mediational role in the relationship between religious behaviours/participation and depressive symptoms. Interconnectedness was predictive of fewer depressive symptoms and marginally with better emotional functioning. Findings highlight the importance of trust in and commitment to one's community for health and have implications for community‐based health promotion initiatives. Copyright © 2014 John Wiley & Sons, Ltd.     

Contextualizing the Psychosocial Well‐being of Military Members and Their Partners: The Importance of Community and Relationship Provisions

Evidence of the impact of communities has been documented for a variety of individual and relational outcomes, including mental and physical health as well as the quality of romantic and parent–child relationships. The military represents a rather unique work context; in that, it is generally considered a lifestyle with a distinct culture and community. Yet, military families are also members of their broader, comprehensive community. Drawing from the social organizational theory of action and change (SOC) (Mancini & Bowen, 2013), and relationship provisions theory (Weiss, 1969) and utilizing a sample of 266 active duty military families, this study examined connectedness with the military community and the broader, comprehensive community. A dyadic model was evaluated whereby each partner's perspective of their comprehensive and military community was hypothesized to influence their own psychosocial well‐being as well as their partner's psychosocial well‐being. The role of relationship provisions (that is, having relationship needs met) as a mechanism linking community connections to psychosocial well‐being was also examined. Overall, the findings supported the hypothesized model, particularly for intra‐individual effects and military members. Findings emphasize the importance of considering what is gained from connections within a community rather than a focus solely on the connections themselves.     

Identifying Perceived Neighborhood Stressors Across Diverse Communities in New York City

There is growing interest in the role of psychosocial stress in health disparities. Identifying which social stressors are most important to community residents is critical for accurately incorporating stressor exposures into health research. Using a community‐academic partnered approach, we designed a multi‐community study across the five boroughs of New York City to characterize resident perceptions of key neighborhood stressors. We conducted 14 community focus groups; two to three in each borough, with one adolescent group and one Spanish‐speaking group per borough. We then used systematic content analysis and participant ranking data to describe prominent neighborhood stressors and identify dominant themes. Three inter‐related themes regarding the social and structural sources of stressful experiences were most commonly identified across neighborhoods: (1) physical disorder and perceived neglect, (2) harassment by police and perceived safety and (3) gentrification and racial discrimination. Our findings suggest that multiple sources of distress, including social, political, physical and economic factors, should be considered when investigating health effects of community stressor exposures and psychological distress. Community expertise is essential for comprehensively characterizing the range of neighborhood stressors that may be implicated in psychosocial exposure pathways.     

Using Geospatial Research Methods to Examine Resource Accessibility and Availability as it Relates to Community Participation of Individuals with Serious Mental Illnesses

Greater community participation among individuals with serious mental illnesses is associated with better psychosocial and health outcomes. Typically, studies examining community participation have utilized self‐report measures and been conducted in limited settings. The introduction of methodological advances to examining community participation of individuals with serious mental illnesses has the potential to advance the science of community mental health research and invigorate the work of community psychologists in this area. This study employed an innovative geospatial approach to examine the relationship between community participation and resource accessibility (i.e., proximity) and availability (i.e., concentration) among 294 individuals utilizing community mental health services throughout the United States. Findings suggest small but significant associations between community participation and the accessibility and availability of resources needed for participation. Furthermore, findings demonstrate the importance of car access for individuals residing in both urban and non‐urban settings. The methods and results presented in this study have implications for community mental health research and services and provide an illustration of ways that geospatial methodologies can be used to investigate environmental factors that impact community inclusion and participation of individuals with serious mental illnesses.     

Sociopolitical Control for Immigrants: The Role of Receiving Local Contexts

This study examines the individual and contextual factors associated with sociopolitical control expressed by immigrants in southern Spain. We used hierarchical linear modeling to evaluate the relations between individual (community participation, social connectedness, and perceived cultural competence of receiving community services) and municipality characteristics (city community participation, city social connectedness, and city community services’ cultural competence) and immigrants’ feelings of sociopolitical control. Data were analyzed using a two‐level model based on 707 Moroccan immigrants in 25 municipalities. After adjusting for gender, educational level, and psychosocial confounding factors, we observed a positive association between social connectedness and sociopolitical control at the individual level. At the contextual level, we observed a positive association between (a) city community participation, (b) city social connectedness, and (c) city community services’ cultural competence, and sociopolitical control. Indeed, living in a municipality where there are community services with high levels of cultural competence and where, on average, many people participate in organizations and neighbors are connected, was associated with higher levels of perceived control in the sociopolitical domain for immigrants. We also discuss implications for community‐based research and practice.     

Exploring the meaning of participation in a community art project: A case study on the Seeming project

In Australia, community art has drawn significant research attention in regard to its potential as a community development strategy. Despite the fact that researchers have presented evidence for the positive developmental outcomes of participation in community art projects, a gap remains in understanding how and why people's participation in a community art project can lead to those positive outcomes. This research explored the meaning of participation in a community art project from the vantage point of the people who experience it. Ten participants were interviewed about their participation in a community art project (The Seeming) held in Bendigo, Australia. Following thematic analyses we identified three themes of how participants viewed their participation in a community arts project. These themes included giving voice to the silenced, creation of social connections and challenging and reproducing stereotypes. Participation means coming together and the findings highlight the potential of community arts projects for promoting the creation of new relationships and new stories about community. However, there are also problematic stories about self and others that were not deconstructed. It is argued that the settings in which different groups join can be meaningfully extended if there is an explicit concern with consciousness raising and deconstruction of normative stories. Copyright © 2010 John Wiley & Sons, Ltd.     

Assessing Community Participation: Comparing Self‐Reported Participation Data with Organizational Attendance Records

How well do self‐reported levels of community and organizational participation align with recorded acts of community and organizational participation? This study explores this question among participants in social action community organizing initiatives by comparing responses on a community participation scale designed to retrospectively assess community participation (T1, n = 482; T2, n = 220) with individual participants' attendance records in various social action organizing activities over two 1‐year periods. By testing the self‐reported measure's overall and item‐by‐item association with documented participation in various types of organizing activities, we find that the self‐report measure is positively, but weakly correlated with actual participation levels in community organizing activities. Moreover, associations between self‐report and recorded acts of participation differ by types of activity. Examining this unique source of data raises important questions about how community participation is conceptualized and measured in our field. Implications are explored for theory and measurement of participation in community and organizational contexts.     

Thriving and Adapting: Resilience,Sense of Community,and Syndemics among Young Black Gay and Bisexual Men

We examined resilience associated with the avoidance of psychosocial health conditions (i.e., syndemics) that increase vulnerability for HIV among young Black gay and bisexual men. We used analytic induction to compare a sample of 23 men who showed no evidence of syndemic conditions to a sample of 23 men who experienced syndemic conditions. The men who avoided syndemics reported supportive relationships with people who helped them to develop a strong sense of identity, provided them with opportunities to give back to their communities, and promoted positive norms about health. In contrast, the men experiencing syndemic conditions described numerous instances of trauma and oppression that infringed upon their desire to form positive relationships. Among these men, experiences of oppression were associated with shame, identity incongruence, social isolation, relational disconnection, mistrust of men, and expectations of further marginalization. We examined participants’ experiences through the framework of the psychosocial sense of community. Results of this study provide evidence for using strength‐based intervention strategies to prevent syndemic conditions. Findings suggest that to attenuate socio‐structural barriers to health and comorbid psychosocial health concerns, interventions must address young men's social isolation and promote positive identity and sense of community.     

The interface of mental and emotional health and pregnancy in urban indigenous women: Research in progress

Research among indigenous women in Australia has shown that a number of lifestyle factors are associated with poor obstetric outcomes; however, little evidence appears in the literature about the role of social stressors and mental health among indigenous women. The not‐for‐profit organization beyondblue established a “Depression Initiative” in Australia. As part of this they provided funding to the Townsville Aboriginal and Torres Strait Islander Health Service in the “Mums and Babies” clinic. The aim of this was to establish a project to (a) describe the mental health and level of social stressors among antenatal indigenous women and (b) assess the impact of social stressors and mental health on perinatal outcome. A purposive sample of 92 indigenous women was carried out. Culturally appropriate research instruments were developed through consultations with indigenous women's reference groups. The participants reported a range of psychosocial stressors during the pregnancy or within the last 12 months. Significant, positive correlations emerged between the participants' Edinburgh Postnatal Depression Scale (EPDS; J. Cox, J. Holden, & R. Sagovsky, 1987) score and the mothers' history of child abuse and a history of exposure to domestic violence. A more conservative cutoff point for the EPDS (>9 vs. >12) led to 28 versus 17% of women being identified as “at risk” for depression. Maternal depression and stress during pregnancy and early parenthood are now recognized as having multiple negative sequelae for the fetus and infant, especially in early brain development and self‐regulation of stress and emotions. Because of the cumulative cultural losses experienced by Australian indigenous women, there is a reduced buffer to psychosocial stressors during pregnancy; thus, it is important for health professionals to monitor the women's emotional and mental well‐being.     

Direct and Indirect Effects of Caregiver Social Support on Adolescent Psychological Outcomes in Two South African AIDS-Affected Communities

Caregiver social support has been shown to be protective for caregiver mental health, parenting and child psychosocial outcomes. This is the first known analysis to quantitatively investigate the relationship between caregiver social support and adolescent psychosocial outcomes in HIV‐endemic, resource–scarce Southern African communities. A cross‐sectional household survey was conducted over 2009–2010 with 2,477 South African adolescents aged 10–17 and their adult caregivers (18 years or older) in one urban and one rural community in South Africa’s KwaZulu‐Natal province. Adolescent adjustment was assessed using adult caregiver reports of the Strengths and Difficulties questionnaire (SDQ), which measures peer problems, hyperactivity, conduct problems, emotional symptoms and child prosocial behavior. Hierarchical linear regressions and multiple mediation analyses, using bootstrapping procedures, were conducted to assess for: (a) direct effects of more caregiver social support on better adolescent psychosocial wellbeing; and (b) indirect effects mediated by better parenting and caregiver mental health. Direct associations (p < .001), and indirect associations mediated through better parenting, were found for all adolescent outcomes. Findings reinforce the importance of social support components within parenting interventions but also point to scope for positive intervention on adolescent psychosocial wellbeing through the broader family social network.     

Disability and participation: It's about us but still without us!

Participation is often espoused as a strategy to promote inclusion, social justice and equality. Exactly how to facilitate participation in practice is often not explicated, nor are the challenges or issues highlighted. By drawing on interview data, the first aim of this paper is to identify the key barriers to participation in an organizational planning activity as experienced by 12 disabled and non‐disabled staff and board members in a small community‐based disability advocacy organization. The second aim is to draw upon Jim Ife's principles of participation to further analyse the factors that hinder and enable participation in organizations. Reported barriers to participation were categorized at individual, interpersonal and organizational levels of analysis, and included a lack of skills and competence, interpersonal conflicts, poor resourcing and ad hoc processes. The importance of understanding the dynamic interplay of individual and structural factors, valuing different forms of participation and having participatory structures and processes embedded in organizational settings are all highlighted. This study illustrates that, even in an organization that is specifically attuned to meeting the needs of disabled people, there is still considerable exclusion and institutional discrimination. Strategies to promote participation within an organizational context may include providing sufficient time for reflection and support, and opportunities for board members to learn how to take part in constructive planning activities and to develop their strengths. Copyright © 2010 John Wiley & Sons, Ltd.     

Later life health optimism,pessimism and realism: Psychosocial contributors and health correlates

Prior research has established positive outcomes of health optimism (appraising one's health as good despite poor objective health (OH)) and negative outcomes of health pessimism (appraising health as poor despite good OH), yet little is known about their contributors. We examined the role of psychosocial factors (life event stress, depression, dispositional optimism, perceived social support) in health realism (appraising health in accordance with OH), optimism and pessimism among 489 older men and women. We then accounted for the psychosocial factors when examining multiple health correlates of health realism, optimism and pessimism. Controlling for age, gender and income, regression results indicate that depression and social support were associated with less health optimism, while dispositional optimism was associated with greater health optimism among those in poor OH. Dispositional optimism was associated with less health pessimism and life event stress was associated with greater pessimism among those in good OH. Beyond the effects of the psychosocial factors, structural equation model results indicate that health optimism was positively associated with healthy behaviours and perceived control over one's health; health pessimism was associated with poorer perceived health care management. Health optimism and pessimism have different psychosocial contributors and health correlates, validating the health congruence approach to later life well-being, health and survival.     

Mass media and health promotion in Indian villages

The role of mass media and other psychosocial factors in forming intentions to acquire health-related information and promotion of actual health behaviors was examined in a field study involving 720 male and female residents in 28 villages of Uttar Pradesh, Bihar, and Madhya Pradesh. It was found that beliefs and attitudes toward health care, as well as some information-related needs, contribute in the formation of intentions. More specifically, the tendency to treat media as a source of stimulation and direction, learning, information, and tension-reduction together with positive attitudes explain 4% of variance in intention. Variance in actual health promotion behaviors and the use of media for health-related information is explained by the general impact of media together with other social factors such as social participation in community, anticipating changes in life situations, and taking initiative by acceptors. Attitude, intention, and behavior are related, but the link between them is mediated by other social factors. In order for mass media to be effective, reinforcement through interpersonal communication as well as change in environment are essential. Excessive reliance upon mass media without the coordinated support of formal and informal systems in the community may not be suitable for the promotion of health behaviors in rural India.     

“How can you make friends if you don't know who you are?” A qualitative examination of international students' experience informed by the Social Identity Model of Identity Change

This paper explores the contribution of social identity change to international students' health and well‐being. International students typically face a range of challenges from the time they leave their home country, including the need to adapt both to a new culture and norms and to a new educational landscape. Previous research informed by the Social Identity Model of Identity Change (SIMIC) suggests that during such life transitions, an individual's group memberships and associated social identities can provide a buffer against the threats to well‐being that such transitions present. To examine the relevance of SIMIC for the transitions that international students' experience, semistructured interviews were conducted with 15 international students attending an Australian university. Thematic analysis provided support for the relevance of SIMIC's social identity gain and social identity maintenance pathways in the transition and revealed a number of associated factors that acted as either facilitators (e.g., a host family that supported community integration) or barriers (e.g., experiencing culture shock) to social identity change. These findings present the first qualitative support for SIMIC within an international student population and help to flesh out the specific ways in which social identity processes contribute to both positive and negative health and well‐being outcomes.     

A qualitative study of citizens' experience of participating in health counseling

Individual health counseling is a form of intervention designed to minimize the effects of chronic health disease and to offer a path towards good health practices. The aim of the present study was to explore the experiences of those persons who participated in health counseling in order to assess the psychosocial significance of the counseling upon their health behavior. In addition the study was concerned with the factors which underlay peoples' decision to sign up for health counseling. The research involved 11 semi‐structured interviews with individuals who had participated in a municipality based health counseling program. Data was analyzed using Malterud's systemic text condensation and a theoretical framework around Bandura's social cognitive theory. Analysis revealed that an approach tailored to each individual with minor short‐term goals accompanied by feeling supported by the counselor produced the greatest impact on behavior. Receiving feedback from the counselor and feeling positive about the relationship were seen as essential. These aspects were also crucial in the decision to undertake health counseling. The study indicates that whether individual's sign up on their own initiative or conversely are invited to join the program has no influence upon their motivation to change their behavior. Overall the respondents demonstrated improvement in their behavior and attitudes towards their health. However, the study also indicates that this form of intervention is less or even ineffective without the support of the individual's immediate family.