Using empowerment theory in collaborative partnerships for community health and development

Models of community empowerment help us understand the process of gaining influence over conditions that matter to people who share neighborhoods, workplaces, experiences, or concerns. Such frameworks can help improve collaborative partnerships for community health and development. First, we outline an interactive model of community empowerment that describes reciprocal influences between personal or group factors and environmental factors in an empowerment process. Second, we describe an iterative framework for the process of empowerment in community partnerships that includes collaborative planning, community action, community change, capacity building, and outcomes, and adaptation, renewal, and institutionalization. Third, we outline activities that are used by community leadership and support organizations to facilitate the process of community empowerment. Fourth, we present case stories of collaborative partnerships for prevention of substance abuse among adolescents to illustrate selected enabling activities. We conclude with a discussion of the challenges and opportunities of facilitating empowerment with collaborative partnerships for community health and development. This work was supported by Kansas Health Foundation Grants 9206032B and 9206032A to support and evaluate community partnerships to prevent adolescent substance abuse. Thanks to Tom Wolff for sharing his wisdom about community coalitions so generously, and to Bill Berkowitz and anonymous reviewers for thoughtful comments on an earlier version of this manuscrpt. We also thank our colleagues from the Kansas Health Foundation, Mary K. Campuzano, Steve Coen, and Marni Vliet, and those from collaborating communities, who continue to teach us about ways to enhance community capacities to address local concerns.     

Self-Reported Alcohol Expectancies and Postdrinking Sexual Inferences About Women1

In evaluating dating scenarios, perceivers tend to infer more sexual responsiveness for drinking than nondrinking daters. The origin of these postdrinking sexual inferences has not previously been examined. In the present study, we considered whether perceivers' alcohol expectancies would influence these inferences. Male and female subjects completed a brief expectancy measure, read a vignette depicting a beer-drinking or cola-drinking woman, and evaluated the targeted woman. Multiple-regression equations were computed to test a replication hypothesis and an interaction hypothesis. In support of the replication hypothesis, subjects rated the beer-drinking woman as more sexual than her cola-drinking counterpart. In support of the interaction hypothesis, male but not female subjects exhibited the predicted expectancy by drink interaction. High expectancy men but not low expectancy men rated the beer-drinking woman as more likely to engage in sexual behaviors than the cola-drinking woman. This finding was evident on behaviorally specific measures, but not on trait-like measures. The roles of stereotypes and alcohol expectancies as determinants of post-drinking sexual inferences are discussed.     

Application of the Minority Stress Theory: Understanding the Mental Health of Undocumented Latinx Immigrants

This paper applies the Minority Stress framework to data collected from an ongoing community-based participatory research project with health and social service agencies in Southeast Michigan. We examine the stressors and coping strategies employed by undocumented Latinx immigrants and their families to manage immigration-related stress. We conducted in-depth interviews with 23 immigrant clients at Federally Qualified Health Care Centers (FQHC) in Southeast Michigan and 28 in-depth interviews with staff at two FQHC's and a non-profit agency serving immigrants. Findings suggest that immigrants face heightened anxiety and adverse mental health outcomes because of unique minority identity-related stressors created by a growing anti-immigrant social environment. Chronic stress experienced stems from restrictive immigration policies, anti-immigrant rhetoric in the media and by political leaders, fear of deportation, discriminatory events, concealment, and internalized anti-immigrant sentiment. Though identity can be an important effect modifier in the stress process, social isolation in the immigrant community has heightened the impact of stress and impeded coping strategies. These stressors have resulted in distrust in community resources, uncertainty about future health benefits, delayed medical care, and adverse mental health outcomes. Findings provide a framework for understanding the unique stressors experienced by immigrants and strategies for interventions by social service agencies.     

An analysis of sustainable consumption practices through the role of the consumer behavior in the circular economy

Sustainable consumption analyses the choice of products to address environmental issues. In recent years, the circular economy model () has offered strategies as possible solutions to address the growing demand for action on climate justice. The success of a business model depends on understanding the consumer's role. The power of individual consumer actions is vital for minimizing the adverse impacts of climate change. Although the effectiveness of in the business sector has been studied, the literature has ignored the role of consumers in sustainable consumption practices through. Thus, using a survey technique, this quantitative study analyzed part of the theoretical model of Mostaghel and Chirumalla to analyze how awareness and consumer attitude significantly impact purchase intention and ethical purchasing behavior. The data analyzed through PLS-SEM reflected several theoretical implications in the forms of consumer behavior, a topic that has not been addressed in the literature.     

Using Racial Identity Theory to Explore Racial Mistrust and Interracial Contact Among Asian Americans

The purpose of this study was to examine the use of racial identity attitudes as predictors of racial mistrust (perceived interpersonal racism) of African Americans and other racial contact variables among Asian Americans. A packet consisting of the Visible Racial/Ethnic Group Members (VREG) Identity Attitudes Scale, Cultural Mistrust Inventory, Marlow‐Crowne Social Desirability Scale, Racial Contact Scale, and a demographic data sheet was administered to 160 participants. Hierarchical regression analyses showed that racial identity attitudes significantly predicted racial mistrust, overall group impression, 4 racial stereotypes, and 2 quality of racial contact variables in ways consistent with racial identity theory. Implications of the findings for Asian American psychology, counseling, and race relations research are discussed.     

Note on comparability of MicroCog test forms.

This study investigated the differences between the Standard and Short forms of MicroCog by comparing Domain scores for a clinical sample of 351 substance abusers which gave a significant difference between scores on the Spatial Processing Domain. Implications for research and clinical use are discussed.     

Severe stuttering associated with right hemisphere lesion

Following a right hemisphere stroke, a right-handed, 50-year-old male experienced a permanent dysfluency characterized by phoneme and syllable reiterations and, to a lesser extent, word and phrase reiterations. The reiterations occurred in initial, medial, and final positions and for all sentence elements (e.g., subject nouns, object nouns, verbs, modifiers). There was a notable loss of verbal automatisms (poems, songs, etc.). The patient's symptoms conform to the acquired stuttering syndrome described by A. Helm, R. Butler, and D.F. Benson (1978, Neurology, 28, 1159-1165).     

Education and Understanding Structural Causes for Group Inequalities

Group inequalities in the United States are most often attributed to the characteristics of the individuals who belong to these groups; thinking about structural causes of group inequalities is rare. This paper reviews cognitive, cultural, and systemic reasons for this bias. The efficacy of education as a way to increase structural thinking was investigated in two studies of college students' causal thinking about group inequalities. Both studies involved a course on intergroup relations that covered structural sources of racial or ethnic inequalities. Results supported hypotheses that the course would increase structural thinking about racial or ethnic inequality, and that structural thinking would generalize to inequalities not explicitly covered in the course. Both course content and active learning pedagogy were related to structural thinking about inequalities. Active learning was also related to applying structural thinking to targets of change.