The role of individual and community normative factors: a multilevel analysis of contraceptive use among women in union in Mali

CONTEXT: Unlike in other African countries, the fertility rate in Mali has remained at a relatively high rate of 6.8 births per woman. Little research exists on the role that community norms play in use of family planning, particularly in low-prevalence countries. METHODS: Data on 7,671 women in union from the 2001 Mali Demographic and Health Survey were analyzed using multilevel modeling techniques to assess the effects of individual and community factors on the adoption of modern contraceptive methods. RESULTS: Only 5% of women in union were using a modern contraceptive method in 2001. The odds of contraceptive use were elevated among women in the highest wealth quintile, women who approved and whose partner approved of family planning, those who had had recent discussions on family planning with their partner or others and those exposed to family planning messages (odds ratios, 1.4-2.7). At the community level, the odds of modern contraceptive use rose with the proportion of women who were exposed to family planning messages (5.5), and decreased as the mean number of births per woman rose (0.7). In the final model, which included both individual- and community-level factors, the community factors were no longer significant. CONCLUSIONS: Because approval of family planning and discussion of family planning with partners were shown to be the factors most strongly associated with modern contraceptive use in the multilevel model, programs that seek to increase individual approval and those that teach communication between partners could be particularly helpful to increasing contraceptive use in Mali.     

Environmental Choice and Control In Community Care Settings for Older People1

This study focuses on the long-term stable levels of environmental choice and control available in community care settings, and explores how variations in these factors affect elderly residents of such settings. New methods to evaluate naturally-existing levels of policy choice and resident control are developed and applied to a representative sample of residential care facilities. The findings showed that residents with more functional resources, and women residents, were inore likely to live in facilities high in choice and control, and that these personal and environmental factors were associated with better resident functioning and more cohesive, independence-oriented social environments with relatively little conflict. Functionallyable residents reacted more positively to high control and women residents reacted more positively to high choice. Investigators who attempt to manipulate perceived control in institutional settings need to consider the existing opportunities residents have to exercise control, as well as the levels of other relevant personal and environmental resources.     

Perceived Contraceptive Attributes and Method Choice1

This research investigated the relationship of perceived contraceptive attributes to contraceptive choice. More specifically, the study a) examined what attributes women perceive as important in their choice of a contraceptive method; b) compared women who use the vaginal sponge with women who use oral contraceptives or the diaphragm on perceived importance of attributes; and c) compared sponge users with pill users and diaphragm users on perceived characteristics of three contraceptive methods. Data were collected in telephone interviews from a national sample of 330 current sponge users and 330 women who use other forms of female contraception. Those attributes that were rated highest concerned effectiveness and safety, whereas those that were rated lowest focused on convenience of use and interference with sexual activity. Women differed somewhat by user status on the attributes they believe are important in contraceptive choice, with each group emphasizing those attributes characterizing their own method. Moreover. each user group perceived their own method more favorably than did users of other methods. Perceptions of specific contraceptive methods. particularly the sponge. were more predictive of user status than were general importance ratings.     

Rethinking Traumatic Brain Injury from Intimate Partner Violence: A Theoretical Model of the Cycle of Transmission

ABSTRACT

Despite growing evidence of the repeated nature of traumatic brain injury (TBI) in women experiencing intimate partner violence (IPV), there is no theoretical model depicting TBIs as a cyclical process throughout a lifetime. Situational analysis methodology was used on interviews with 10 women who self-reported passing out from being hit in the head during an episode of IPV to create a theoretical model depicting the cycle of transmission of TBI. We define the cycle of transmission of TBI as the way that women experience multiple TBIs over the course of their lifetime and how TBI can be perpetuated in a family or community. The cycle begins in childhood or adolescence, when women receive a TBI from abuse, sports, or motor vehicle accident. They enter into abusive relationships with men who are also described as living with a TBI and the women receive other TBIs during this relationship. With repeating head trauma, women described increasing TBI symptoms: problems with memory, cognition, executive functioning, depression, and concentration. If they do seek help, they must choose between healthcare and protective shelter. With either choice, the element of instability could be introduced and the cycle of transmission continues. This theoretical model shows that it is necessary to move beyond individual behaviors to think about how TBIs are transmitted through communities and how untreated symptoms can impact help-seeking behavior and perpetuate other risk factors for receiving a TBI.     

Household hunger,standard of living and satisfaction with life in Alice,South Africa

The objective of this study was to investigate the relationships between household hunger, standard of living and satisfaction with life in a rural South African setting. Respondents were 442 randomly selected community dwellers from Alice, in the Eastern Cape (Xhosa speaking = 89.32%, females = 67%; age range 40–49 years). Multiple regression analysis was utilised to predict satisfaction with life from household hunger and standard of living. Low levels of household hunger, and low to moderate living standards predicted satisfaction with life. Resource support interventions with vulnerable communities should focus on poverty alleviation measures aimed at improving subjective satisfaction levels.     

Choice,Control, and Adaptation Among Elderly Residents of Sheltered Care Settings1

This study examined how elderly residents' adaptation is affected by naturally occurring levels of choice and control in sheltered care facilities. A representative sample of 244 residential care facilities was assessed with the Multiphasic Environmental Assessment Procedure, which measures the quality of residential settings for older people. Overall, facility policies allowing more choice and control were associated with better rated resident well-being, less use of health, daily living assistance, and social-recreational services, and more integration in the community. Policy clarity and the facility social climate factors of independence, influence, and organization mediated the relationship between choice and control and adaptation, and also independently affected residents' adaptation. In addition, in facilities with functionally able residents, more choice and independence were associated with less use of services; in facilities with residents of poor functional ability, choice and independence were unrelated to use of services. Thus, policies that promote more choice and independence may improve adaptation among functionally able residents of sheltered care facilities, without having a detrimental influence on poorly functioning residents.     

Fertility-limiting behavior and contraceptive choice among men in Nepal

CONTEXT: Contraceptive choices among men who want no more children have been little explored in South Asia, particularly in Nepal, where fertility rates have remained high over the last few decades. METHODS: Using the 2001 Nepal Demographic and Health Survey couple data set, multinomial logistic regression analyses were conducted for 1,041 married men aged 20 or older who had at least one living child and wanted no more children. Regression models examined relationships between selected characteristics and men's reported contraceptive use, and predicted probabilities were estimated to assess interactions between ecological zone, family composition and method choice. The primary goal was to determine whether the number and sex of living children influenced contraceptive use. RESULTS: Twenty-four percent of men who wanted no more children were not using any contraceptive method at the time of the survey, 30% reported that their wives were sterilized, 12% had had a vasectomy, 7% were using condoms and 27% used other temporary methods. The probability of relying on permanent methods was highest among men who had at least two living sons and lowest among those who had only daughters, while the probability of using no method was highest among those who had only daughters. CONCLUSION: In Nepal, men who report a desire to have no more children are likely to choose permanent methods only after they have two living sons.     

Influences on life aspirations among adolescents in a low-income community in Cape Town,South Africa

The aim of this study was to determine the influences on adolescents’ aspirations from a low-income community in Cape Town. A sequential mixed method exploratory design was used following two distinct phases. The qualitative phase comprised focus group interviews with 118 grade 12 learners attending a school in a low-income community (age range: 16–19 years) and focused on identifying factors influencing life aspirations. The quantitative phase with 191 adolescents (males?=?54.45 %, females?=?45.55 %); age range: 14–18 years) from the same community aimed to ascertain the influences of personal attributes on self-aspirations. Participants completed the Expectations/Aspirations measure, the New General Self-Efficacy Scale, the Rosenberg Self-Esteem Scale and the Multidimensional Scale of Perceived Social Support. Qualitative data were thematically analysed. Quantitative data were analysed using multiple regression. The findings revealed that self-efficacy, self-esteem and social support were the most critical factors influencing adolescents’ aspirations. Self-efficacy was a major determinant of life aspirations among the adolescents. Life skills programmes with youth from disadvantaged communities should seek to incorporate training aimed at developing adolescents’ self-efficacy.     

Preventing Intimate Partner Violence: Towards a Framework for Supporting Effective Community Mobilisation

Community mobilisation is a promising new strategy for preventing intimate partner violence (IPV) against women in low‐income settings. However, little is known about the contextual factors (e.g. socio‐economic, cultural, historical and political conditions) that enable the effective mobilisation of communities for IPV prevention. This paper draws from the theoretical work of Campbell and Cornish (2010) on the relationship between context and community action in addressing HIV/AIDS to propose a framework for situating community mobilisation for IPV prevention in its surrounding symbolic, material and relational contexts. The framework is refined using empirical data from a case study of a gender‐based violence (GBV) prevention intervention in Rwanda, including interviews with members of government‐mandated GBV Committees and focus group discussions with members of two village communities (n = 35). A thematic analysis identifies various contextual factors needed to support community mobilisation for IPV prevention, including: broad symbolic understandings of what constitutes IPV; capacity to economically support women who choose to leave violent relationships; mechanisms for addressing the silence that often surrounds IPV; support from policy and government authorities; and opportunities to effectively challenge inequitable policy and legal frameworks. This framework is useful for policy‐makers and programme planners interested in IPV prevention in and by communities. Copyright © 2017 John Wiley & Sons, Ltd.     

Rebuild or Relocate? Resilience and Postdisaster Decision‐Making After Hurricane Sandy

Hurricane Sandy struck the east coast of the United States on October 29, 2012, devastating communities in its path. In the aftermath, New York implemented a home buyout program designed to facilitate the permanent relocation of residents out of areas considered to be at risk for future hazards. While home buyout programs are becoming popular as policy tools for disaster mitigation, little is known about what factors influence homeowners to participate in or reject these programs. This study used mixed methods to assess the relationship between community resilience and the relocation decision in two heavily damaged communities in which the majority of residents made different decisions regarding whether or not to pursue a buyout. The sample was composed of residents from Oakwood Beach and Rockaway Park, both working‐class communities in New York City, who participated via a community survey (N = 133) and/or in‐depth interviews (N = 28). Results suggested that community resilience moderated the relationship between community of residence and the buyout decision, leading to opposite responses on the buyout decision. Contextual community factors, including the history of natural disasters, local cultural norms, and sense of place, were instrumental in explaining these different responses. Implications for disaster policy are discussed.     

The Importance of Contraceptive Attributes Among College Students

This study assessed how ratings of the importance of contraceptive attributes varied with gender, age, relationship status, and contraceptive method usually used. In a classroom setting, 210 male and 217 female university students completed the 55-item Contraceptive Attribute Questionnaire (CAQ). Significant differences on importance ratings were found between women and men, age groups, women using barrier methods and women using the pill, and by relationship status. The underlying dimensions of the CAQ were investigated through factor analysis, and somewhat different factors emerged for men and women. Implications for the provision of family planning services to college students are discussed.     

Hazardous Alcohol Use among Persons Living with Human Immunodeficiency Virus Infection in the Eastern Cape,South Africa

The study assessed the prevalence of hazardous alcohol use among people living with HIV (PLHIV) and its correlates with socio-economic characteristics, disease variables and ART adherence in South Africa. The sample included 607 PLHIV (males =475, females =132; age range =18–61), sampled by all districts in the Eastern Cape. Participants were recruited through a health facility in the community through key informants or a support group. Results indicate that male PLHIV were more often than female PLHIV “past month” (18.9% vs. 6.1%) and hazardous alcohol drinkers (6.1% vs. 2.7%); using a cut-off score of 8 and more on the Alcohol Use Disorders Identification Test (AUDIT). Not having a disability grant for HIV/AIDS and the disability grant terminated were both related to past month alcohol use, while having the “disability grant stopped” was also related with hazardous or harmful drinking. Not having an AIDS diagnosis and not being on ART were both associated with past month alcohol use and hazardous or harmful drinking. CD4 counts and non-adherence to ART were both not significantly related with alcohol use status. Brief health provider initiated alcohol interventions for PLHIV should be promoted, with emphasis on targeting men.     

Understanding Gang Joining from a Cross Classified Multi-Level Perspective

The present study seeks to address the gap in our understanding of the role of community- and school-level factors on individual-level gang joining. We assess our research question by bringing together data from a statewide survey of more than 35,000 school youth who were enrolled in more than 250 schools and resided in more than 300 communities. We first use multilevel modeling techniques to examine the independent relationship of community and school on the likelihood of individual youth gang joining. Second, while controlling for individual-level risk and protective factors, we examine the simultaneous relationship of community- and school-level conditions on gang joining. Overall, the results of the present study suggest that both community- and school-level characteristics play a role in gang joining. The results of the cross-classified model suggests that community structural characteristics may serve as protection against gang joining. Individual-level risk and protective factors remain important for understanding gang joining. A variety of factors are related to gang joining. Though individual-level factors are important, community- and school-level factors are meaningful in the understanding of gang joining.     

Feminist and Community Psychology Ethics in Research with Homeless Women

This paper presents a feminist and community psychology analysis of ethical concerns that can arise throughout the process of doing research with women who are homeless. The unique contexts of the lives of women who are homeless demand that researchers redefine traditional ethical constructs such as consent, privacy, harm, and bias. Research that fails to do this may perpetuate the stereotyping, marginalization, stigmatization, and victimization homeless women face. Feminist and community research ethics must go beyond the avoidance of harm to an active investment in the well-being of marginalized individuals and communities. Using feminist and community psychology ethics, this paper addresses some common problems in research with women who are homeless, and argues for the transformation of research from a tool for the advancement of science into a strategy for the empowerment of homeless women and their communities.     

Indigenous Women’s Ways of Knowing and Healing in Mexico

ABSTRACT

This article focuses on examples of Indigenous ways of knowing in three communities of northern and southern Mexico. It centers on dialogue conducted with Indigenous women from Northern Baja California (Arcelia, the cultural healer from the Kumiai community of San Jose de la Zorra), Oaxaca (Maria Sabina through textual analysis of the only book that houses her healing wisdom), and Chiapas (the Lacandon community of Lacanja Chansayab). It then highlights ways in which the author—an academic woman—brought the wisdom of Indigenous cultures to the center of academic discourse, and how Indigenous women apply their knowledge and wisdom to heal their communities. Lastly, the article concludes with lessons learned from the dialogues with Indigenous women, how they have applied innovative research and healing strategies that depart from Euro-American paradigms, and how they creatively contribute to the development of Indigenous psychologies that are anchored in feminist, popular power.     

Individual differences: Factors affecting employee utilization of flexible work arrangements

This study investigated individual and organizational factors that predict an individual’s choice to use flexible work arrangements (FWAs). Survey data was collected from 144 employees in two different organizations. The results revealed several significant predictors of FWAs: tenure, hours worked per week, supervisory responsibilities, perceptions of workgroup use and personal lifestyle. Individuals with longer tenure in the organization, who had supervisory responsibilities, had coworkers in their immediate workgroup who used FWAs or had personal lifestyle preferences were more likely to use the programs than those with less tenure, who did not have supervisory responsibilities, did not perceive their workgroup used FWAs or did not have personal lifestyle preferences.     

Image of God and Community Volunteering among Religious Adherents in the United States

Individual theological beliefs provide important motivations for religious people to volunteer in their communities. Compassion and loving one’s neighbor are both ideas that can motivate individuals to volunteer their time and talents. Religious believers who have conservative theological beliefs may see volunteering for their communities as a minor factor in their religious calling. Recent research on the role of social embeddedness within religious communities, however, has questioned the importance of theology as a motivation to volunteer (Putnam and Campbell, in American Grace. Simon and Schuster, New York, 2010; Lewis et al., in Soc Sci Res 42: 331–346, 2013). In this paper we test the effects of a religious adherent’s image of God’s disposition toward the world on their pattern of community volunteering. Using data from the 2005 Baylor Religion Survey and multinomial logit models, we find that having an image of God as judgmental lowers the odds that religious adherents report having volunteered for the community independent of their place of worship. Adherents who are most willing to engage the external community independent of a place of worship are those with less judgmental images of God. We also find that embeddedness is associated with volunteering for and with the place of worship in the community. Implications for theory, research and social capital formation are discussed.