The smoking patterns of women in their forties: their relationship to later osteoporosis

Osteoporosis is prevalent among women 50 years of age and older and accounts for numerous fractures and the related deaths of many sufferers. In this study, 22.4% of the women reported having osteoporosis. Smoking contributes substantially to osteoporotic fractures. This study assessed how different trajectories of women's smoking, covering the ages 40 to 48 years, relate to osteoporosis at age 65. Trajectory analysis of tobacco use data reveals smoking patterns which may have differing relationships to osteoporosis. Logistic regression analyses revealed the varying relationships of different smoking patterns to osteoporosis. As hypothesized, the chronic/heavy smokers were significantly more likely than the non-smokers to report having osteoporosis. Quitters and moderate smokers did not differ significantly from non-smokers on the osteoporosis measure. Chronic/heavy smokers should not be the only focus of public health efforts to reduce smoking and the associated risks of osteoporosis. The findings also highlight the efficacy of women smokers quitting in their 40s in order to reduce their likelihood of contracting osteoporosis.     

The Association of Externalizing Behavior and Parent–Child Relationships: An Intergenerational Study

We investigated the influence of the child’s behavior on the quality of the mutual parent–child attachment relationships across three generations. We did so using a prospective longitudinal study which spanned 20 years from adolescence through adulthood. Study participants completed in-class questionnaires as students in the East Harlem area of New York City at the first wave and provided follow-up data at 4 additional points in time. 390 participants were included in these analyses; 59% female, 45% African American, and 55% Puerto Rican. Using structural equation modeling, we determined that externalizing behavior in the child was negatively related to the mutual parent–child attachment relationship for two generations of children. We also found continuity in externalizing behavior for the participant over time and from the participant to his/her child. Additionally, we found continuity in the quality of the mutual attachment relationship from the participant’s relationship with his/her parents to the participant’s relationship with his/her child. Finally, the mutual attachment relationship of the participant with his/her parents had a negative association with the participant’s externalizing behavior in adulthood. Based on these results, we propose that family interventions should focus on the role of the child’s externalizing behavior in the context of the parent–child attachment relationship. Furthermore, we suggest that prevention programs should address externalizing behavior as early as possible, as the effects of externalizing behavior in adolescence can persist into adulthood and extend to the next generation.     

Pathways to children's externalizing behavior: a three-generation study

In this study, based on Family Interactional Theory (FIT), the authors tested a longitudinal model of the intergenerational effects of the grandmothers' parent-child relationships and the grandparents' smoking on the grandchildren's externalizing behavior via parents' psychological symptoms, tobacco use, and child rearing. Using Mplus, the authors obtained a structural equation model that demonstrated generational associations from grandmothers (G1) to parents (G2) to their oldest children (G3) and thus was in accord with FIT. They identified a pathway from the grandmothers' parenting to the grandchildren's externalizing behavior via the parents' psychological symptoms, their smoking, and their child rearing. Parents' psychological symptoms in adolescence were associated with their tobacco use in their late twenties, controlling for the continuity of their psychological symptoms and their tobacco use. This 3-generational model adds to the literature on parent-child relationships (G1), smoking from adolescence to early adulthood (G2), and externalizing behavior in the G3 child.     

Individuality and Contextual Influences on Drug Dependence: A 15-Year Prospective Longitudinal Study of Adolescents From Harlem

In this 15-year longitudinal study the authors investigated individual and contextual factors that predispose adolescents from a disadvantaged urban area to drug dependence in adulthood. Adolescents were recruited from schools serving East Harlem in New York City. Of the 838 participants followed to adulthood, 59% were women, 55% were African American, and 45% were Puerto Rican. Self-report data were obtained on externalizing and internalizing problems, substance use, and contextual influences across adolescence and young adulthood. Drug dependence was assessed in adulthood. Multivariate logistic regressions of drug dependence were performed on the whole sample and separately by gender. Each of the domains was associated with adult drug dependence. Although mean gender differences were found, most associations of risk factors with drug dependence did not vary significantly by gender. Treating externalizing and internalizing problems, reducing substance use, and providing coping skills for adverse contextual influences in adolescence and young adulthood may reduce the likelihood of becoming drug dependent in adulthood.     

Cigarette Smoking in Young Adults: Childhood and Adolescent Personality,Familial, and Peer Antecedents

Three models (independent, interdependent, and mediational) were hypothesized in this study, to examine the interrelation of personality, family, and peer determinants and their effects on tobacco use by young adults. Mothers were first interviewed about their children when they were between the ages of 1 and 10 years old. Three subsequent interviews were conducted with the children when they reached adolescence and young adulthood. Results show support for the mediational model. In accordance with family interactional framework conceptions, there was a sequence in patterning: from parenting during early adolescence; to personality and peer factors, extending to smoking in late adolescence; and culminating in smoking in adulthood. With a developmental approach, a number of psychosocial measures were related in both younger and older children. Nevertheless, some interesting developmental differences emerged. The findings suggest at least four possible targets for therapeutic or preventive intervention: the parent, the child, the adolescent, and the peer group.     

Depressive Mood in Female College Students: Father-Daughter Interactional Patterns

The interrelationship of sets of father and daughter factors in explaining depressive mood in normal female adolescents was examined. Separate questionnaires were given to 403 college students and their fathers. A mediational model was found, in which two sets of paternal variables were related to the daughter personality set, which in turn was related to her depressive mood. In addition, protective personality attributes of the daughter served both to offset the impact of paternal risk factors and to further strengthen paternal protective factors to reduce frequency of depressive mood. Comparisons are made with an earlier study of sons' depressive mood (Brook, Brook, Whiteman, & Gordon, 1983).     

THE FOUR JAZZ SINGERS: MAPPING THE JEWISH ASSIMILATION NARRATIVE

The 1927 movie The Jazz Singer, starring Al Jolson—famously ad-libbing synch dialogue, infamously appearing in blackface—has spawned three remakes: a 1952 and a 1980 movie starring Danny Thomas and Neil Diamond, respectively; and a 1959 television drama starring Jerry Lewis.1 The 1927 Jazz Singer was directed by Alan Crosland, the 1952 version by Michael Curtiz, the 1959 version by Ralph Nelson, and the 1980 version by Richard Fleischer. View all notes While none of the remakes can possibly match the singular importance of the original, arguably the cinematic ur-text of the Jewish assimilation narrative (not to mention of the American sound film), taken together the four films function as a compelling “metaphor for Jewish modernization.”2 Hoberman, “Deracinatin' Rhythm,” 1, 3–31. My “ur-text” designation for the 1927 Jazz Singer is based on its unrivaled sociocultural impact rather than on its chronological priority. Several other popular works dealing with Jewish assimilation preceded the Jolson-starring film. British playwright Israel Zangwill's The Melting Pot (1908) “first articulated the ideology upon which America's grand assimilation narrative of assimilation was built” (Brook, Something Ain't Kosher Here, 22). Noted novels on the subject include Mary Antin's The Promised Land (1912), Abraham Cahan's The Rise of David Levinsky (1917), Fanny Hurst's Humoresque (1919), and Anzia Yezierska's Hungry Hearts (1920). The latter two of these were adapted for the screen in the early 1920s, as, in the late 1920s, was Ann Nichol's 1924 play Abie's Irish Rose. Samuel Raphaelson's short story Day of Atonement, (1925) and his stage play The Jazz Singer (1926) provided the source material for the 1927 film version. View all notes Beyond the ethnically specific insights the films provide, their variations on the theme of an aspiring Jewish pop singer's conflict with his sternly religious father have much to say, individually and collectively, about continuity and change in American culture and society during the four films' six-decade span. Through social-historical and textual analysis, this essay further examines how identity issues raised by the four Jazz Singers continue to resonate among a Jewish people beset, perhaps more than ever, by the double bind of difference.     

Investigating healthcare providers' knowledge of trichotillomania and its treatment

Given the low prevalence rate and rather secretive nature of trichotillomania, it is uncertain how much trichotillomania-related knowledge physicians and psychologists possess, what the perceived role of a psychologist is in the treatment process, what level of familiarity practitioners have with effective treatments and whether providers have resource materials available for patients. In a postal survey of 501 psychologists and physicians in the USA, providers responded correctly to 61% of the general knowledge items about trichotillomania. Most providers believed that psychologists may play a variety of roles in the clinical management of the disorder. Although providers were fairly accurate about the effectiveness of certain treatments for trichotillomania (e.g. medication, habit-reversal), a number of non-empirically supported treatments were endorsed as being effective. Furthermore, an overwhelming majority of healthcare providers did not have resources or referral information available for patients with trichotillomania. Implications of the findings and limitations of the study are discussed.     

The effects of trichotillomania disclosure on peer perceptions and social acceptability

Many individuals with trichotillomania (TTM) do not disclose their condition to others. Although disclosure may have beneficial effects, little is known about the consequences of it. The purpose of the current study was to examine the effects of a brief, simplified preventative disclosure of TTM. Young adults (N = 225) read one of four vignettes, which varied in a 2 (male versus female character) × 2 (preventative disclosure of TTM versus nondisclosure) design, and answered several questions regarding the character in the vignette. Although some potential positive effects of disclosure were found (e.g., reduced likelihood of misattribution), some areas of concerns also surfaced. The findings suggest that a brief, simplified preventative disclosure of TTM led to an increase in negative social perceptions compared to non-disclosure. More specifically, those characters that disclosed TTM were evaluated more negatively and more socially rejected than those that did not disclose. However, the overall perceptions of persons with noticeable hair loss, regardless of disclosure status, were not necessarily negative. Implications of the findings, limitations to the study, and directions for future research are discussed.