Social Support and the Association of Type 2 Diabetes and Depressive and Anxiety Disorders Among Low-income Adults Seen in Primary Care Clinics

This study examined the association of social support (SS) and affective disturbance among low-income primary care patients with no chronic illnesses vs. those with type 2 diabetes vs. those with other chronic illnesses. The sample was predominantly middle aged (47.2 years old), African American (74%) and female (80%), with an average individual monthly income of approximately $500. Participants (N = 326) were administered the Diagnostic Interview Schedule, IV and the Interpersonal Support Evaluation List. Logistic regression results indicated that each standard deviation decrease in SS, increased the odds of having a depressive or anxiety disorder diagnosis by .618 OR (CI .472, .808, p < .000) for all study participants; .438 OR (95% CI .195, .987, p = .046) for those with hypertension, asthma and/or arthritis; and .326 OR (95% CI .141, .755, p = .009) for those with type 2 diabetes. Results suggest that SS may serve an important role in the association between stress and depression/anxiety diagnoses among low-income, primary care patients. This paper was awarded the Lifescan Diabetes Research Award at the 23rd Annual Meeting of the Society of Behavioral Medicine.     

A Review of Childrearing in African American Single Mother Families: The Relevance of a Coparenting Framework

Clinical research on African American single mother families has focused largely on mother-child dyads, with relatively less empirical attention to the roles of other adults or family members who often assist with childrearing. This narrow definition of “family” fails to take into account the extended family networks which often provide support for African American single mother families and the influence of these other adults on maternal parenting and youth adjustment. Our review integrates the literature on the role of extended family members, highlights the strengths and limitations of this work, and proposes the use of theory and methods from the coparenting literature to guide future study in this area. The relevance of the study of coparenting for family-based intervention efforts targeting African American youth from single mother homes is addressed.     

幽门螺杆菌cagA基因多态性对临床结局的影响：东亚菌株和西方菌株

CagA蛋白是幽门螺杆菌最重要的毒力因子之一。目前已证实cagA基因存在东亚及西方两种亚型。幽门螺杆菌产生CagA蛋白,注入胃上皮细胞后在其羧基端EPIYA重复序列区进行酪氨酸磷酸化,进而与SHP-2酪氨酸磷酸化酶相互作用,参与上皮细胞的信号传导,导致细胞骨架结构的重排,引起细胞表面形状的改变和细胞动力的增强,造成细胞异常的增殖和运动,在胃癌的发生中起了主要作用。cagA基因的羧基端EPIYA重复序列被认为是区分东亚型和西方型菌株的分子标记,东亚型CagA与SHP-2亲和力大于西方型,最终影响着不同CagA 菌株感染的临床表现。     

Achieving Democratic Equality: Forgiveness, Reconciliation, and Reparations

This paper provides an account of reparationsin general and then presents briefly oneexplanation of why many present day AfricanAmericans believe they are entitled toreparations from the U.S. Government.This explanation should not be seen as a finaljustification, but only as an indication whythe demand for reparations for AfricanAmericans might be seen a plausible. Next, ifit is reasonable to assume that reparations toAfrican Americans are plausible, I then go onto explain why reparations might be necessaryto fill the breech that is perceived to existbetween many African Americans and theirgovernment. This explanation will involve anexamination of the relationship between threeconcepts: forgiveness, reconciliation, andreparations. Then I explore why an apology orreparations for slavery and Jim Crow might benecessary for reconciliation between manyAfrican Americans and their government.Finally, I examine the contention that thelegislative process can be used to obtain anapology or reparations from the government.     

Reparations and the Rectification of Race

Positive law and problems with identifyingbeneficiaries confine reparations for U.S.slavery to the level of discourse. Within thediscourse, the broader topic of rectificationcan be addressed. The rectification of slaveryincludes restoring full humanity to our ideasof the slaves and their descendants and itrequires disabuse of the false biological ideaof race. This is not racial eliminativism,because biological race never existed, but moreimportantly because African American racialidentities and redress of present racism arebased on lifeworlds of race in contrast withwhich the biological idea has been an externalimposition.     

Of Power and Compassion

Abstract: While military and economic power are obviously central instruments of policy in international relations, there are a number of reasons why power alone is insufficient to succeed in fighting terrorism. Three central reasons are discussed in this essay: the limitations and the dilemma of power; the proposition that the most threatening form of terrorism, such as al‐Qaeda's, is conducted by nonstate actors, conventional deterrence against whom is less effective; and the role of motivation in conflicts where the distribution of power is asymmetrical. In addition to these objective reasons, it is argued that the foreign‐policy strategies pursued ultimately affect the actors' own values.     

An impact of Lutheran theology on the formation of the church and society in Tanzania

This article analyzes the impact of Lutheran theology on the life of the church and society in Tanzania, beginning with an introduction to the basic teachings of the Lutheran Church in Tanzania and their connection to the theological foundations of Reformation. The second part of the article deals with the story of the establishment of the Lutheran Church in Tanzania and how it interacted with the social context of Tanzania. Finally, the article correlates the basic theological foundations of Lutheranism and their influence on the formation of the church itself and society as a whole.     

Considerations for an Inclusive Global Theological Education

This article considers the role of theological education in developing the ministry of the church and the need for it to be relevant to the realities and needs of the people it is to serve. The article considers three factors – racism, imperialism, and tribalism – that influence theological education in different ways. It then turns to a consideration of African‐American womanist theology and African women's theology – as reflected in the Circle of Concerned African Women Theologians – and the similarities between these two approaches as expressions of liberation theology and their relevance for inclusive global theological education.     

African American Couples in the 21st Century: Using Integrative Systemic Therapy (IST) to Translate Science into Practice

The complexity of the African American community in the United States continues to evolve. The growing number of professional African Americans who grew up in the postcivil rights era combined with the persistent reminders of inequity paints a complex backdrop for understanding African American relationships. The majority of our knowledge about African American couples disproportionately comes from nonclinical social science fields such as sociology and demography. Unfortunately, the scholarly literature on how to work with African American couples is relatively scant. This paper seeks to add to this limited literature by providing clinicians and scholars with a proposed set of issues to consider when conceptualizing and treating African American couples. In particular, the complexity and nuance needed to work with African American couples are best done by using an integrative model. Thus, this paper will discuss how the Integrative Systemic Therapy (IST) model is particularly well suited for working with African American couples. This paper will summarize the science on African American marriages with a focus on salient factors such as gender, SES, and trust, which will then be translated into clinical practice by utilizing a case example. The case example will be of a middle‐class couple in order to delineate the challenges and the growing heterogeneity of African Americans. The article will conclude with a commentary on the evolving heterogeneity of African Americans, which sheds light on how an integrative perspective is important for disentangling and embracing the growing complexity of African American couples.     

The Christianization of African Traditional Religions

In studies of the historical growth and spread of Christianity in Africa, the focus has been too much on Christianizing African social and religious institutions and structures, and not enough on African traditional religion itself, which needs to be addressed by Christianity. This article addresses the core – that is, the theology and worldview – of the African traditional religion. It argues that this core needs to be Christianized and shows how this can be done. In order to achieve this task, the article uses a new theological method, a “systematic theology” of African traditional religion, as the basis for a theological method of engagement and interaction of religions and worldview. This new method explains in practical terms how Christianity can effectively Christianize African traditional religions and worldviews.