Social Work Commons^™

An Assessment Of Mental Wellbeing And Health-Related Quality Of Life Among Youth Living In Central Mexico, Steven Hoffman, Heidi Adams Rueda, Stefan Chase

Social Work Faculty Publications

The current state of adolescent mental health and wellbeing in Mexico constitutes a serious public health concern. In an effort to better understand the potential impact this crisis is having on youth in Central Mexico, we designed a study to assess the connection between Mental Wellbeing and Health-related Quality of Life among a sample of children in junior high school. Descriptive statistics suggest that 22.5% of our sample was “at-risk” of poor health-related quality of life, with 19.8% at risk within the physical subscale and 24.3% at risk within the psychosocial subscale. Regression analyses showed that mental wellbeing scores significantly …

Human Behavior And The Social Environment: Fall 2020 Syllabus, Rigaud Joseph

Social Work Faculty Publications

Syllabus for graduate course on Human Behavior and the Social Environment. (Critical examination and application of biological, psychological, and social aspects of human development from infancy through old age. Major theories, risk and protective factors.)

Tuberculosis Clinical Presentation And Treatment Outcomes In Pregnancy: A Prospective Cohort Study, Brittney J. Van De Water, Meredith B. Brooks, Chuan-Chin Huang, Letizia Trevisi, Leonid Lecca, Carmen Contreras, Jerome Galea, Roger Calderon, Rosa Yataco, Megan Murray, Mercedes C. Becerra

Social Work Faculty Publications

Background: There is limited research to guide TB treatment specifically in pregnant women and few studies have described the presentation of TB in pregnant women. We aimed to understand TB presentation and treatment outcomes in pregnant women in a low HIV burden setting. We describe a cohort of women of childbearing age treated for TB disease in Lima, Peru, and compare clinical presentation and treatment outcomes among pregnant and non-pregnant women between 2009 and 2012, including 36 pregnant women.

Methods: This is a prospective cohort study. Subjects were recruited from across 106 public health centers in Lima, Peru. Baseline demographic, …

Uncovering Reasons For Treatment Initiation Delays Among Children With Tb In Lima, Peru, J. Coit, M. Wong, J. T. Galea, M. Mendoza, H. Marin, M. Tovar, S. S. Chiang, L. Lecca, M. F. Franke

Social Work Faculty Publications

Background: Timely diagnosis and treatment of pediatric tuberculosis (TB) is critical to reducing mortality but remains challenging in the absence of adequate diagnostic tools. Even once a TB diagnosis is made, delays in treatment initiation are common, but for reasons that are not well understood.

Methods: To examine reasons for delay post-diagnosis, we conducted semi-structured interviews with Ministry of Health (MoH) physicians and field workers affiliated with a pediatric TB diagnostic study, and caregivers of children aged 0–14 years who were diagnosed with pulmonary TB in Lima, Peru. Interviews were analyzed using systematic comparative and descriptive content analysis.

Results: We …

Impact Of Mental Disorders On Active Tb Treatment Outcomes: A Systematic Review And Meta-Analysis, G. Lee, J. Scuffell, J. T. Galea, S. S. Shin, E. Magill, E. Jaramillo, A. C. Sweetland

Social Work Faculty Publications

Background: Comorbid mental disorders in patients with TB may exacerbate TB treatment outcomes. We systematically reviewed current evidence on the association between mental disorders and TB outcomes.

Methods: We searched eight databases for studies published from 1990 to 2018 that compared TB treatment outcomes among patients with and without mental disorders. We excluded studies that did not systematically assess mental disorders and studies limited to substance use. We extracted study and patient characteristics and effect measures and performed a meta-analysis using random-effects models to calculate summary odds ratios (ORs) with 95% confidence intervals (CIs).

Results: Of 7687 studies identified, 10 …

Mycobacterium Tuberculosis Beijing Lineage And Risk For Tuberculosis In Child Household Contacts, Peru, Chuan-Chin Huang, Alexander L. Chu, Mercedes C. Becerra, Jerome T. Galea, Roger Calderón, Carmen Contreras, Rosa Yataco, Zibiao Zhang, Leonid Lecca, Megan B. Murray

Social Work Faculty Publications

Few studies have prospectively compared the relative transmissibility and propensity to cause disease of Mycobacterium tuberculosis Beijing strains with other human-adapted strains of the M. tuberculosis complex. We assessed the effect of Beijing strains on the risk for M. tuberculosis infection and disease progression in 9,151 household contacts of 2,223 culture-positive pulmonary tuberculosis (TB) patients in Lima, Peru. Child contacts exposed to Beijing strains were more likely than child contacts exposed to non-Beijing strains to be infected at baseline, by 12 months of follow-up, and during follow-up. We noted an increased but nonsignificant tendency for child contacts to develop TB. …

A Positively Selected Fbn1 Missense Variant Reduces Height In Peruvian Individuals, Samira Asgari, Yang Luo, Ali Akbari, Gillian M. Belbin, Xinyi Li, Daniel N. Harris, Martin Selig, Eric Bartell, Roger Calderon, Kamil Slowikowski, Carmen Contreras, Rosa Yataco, Jerome T. Galea, Judith Jimenez, Julia M. Coit, Chandel Farroñay, Rosalynn M. Nazarian, Timothy D. O’Connor, Harry C. Dietz, Joel N. Hirschhorn, Heinner Guio, Leonid Lecca, Eimear E. Kenny, Esther E. Freeman, Megan B. Murray, Soumya Raychaudhuri

Social Work Faculty Publications

On average, Peruvian individuals are among the shortest in the world1. Here we show that Native American ancestry is associated with reduced height in an ethnically diverse group of Peruvian individuals, and identify a population-specific, missense variant in the FBN1 gene (E1297G) that is significantly associated with lower height. Each copy of the minor allele (frequency of 4.7%) reduces height by 2.2 cm (4.4 cm in homozygous individuals). To our knowledge, this is the largest effect size known for a common height-associated variant. FBN1 encodes the extracellular matrix protein fibrillin 1, which is a major structural component of microfibrils. We …

Parent-Led, Stepped-Care Cognitive-Behavioral Therapy For Youth With Autism And Co-Occurring Anxiety: Study Rationale And Method, Ana C. Ramirez, Stacey C. Grebe, Morgan M. Mcneel, Danica L. Limon, Sophie C. Schneider, Leandra N. Berry, Robin P. Goin-Kochel, Sandra L. Cepeda, Robert G. Voigt, Alison Salloum, Eric A. Storch

Social Work Faculty Publications

Anxiety disorders affect up to 50% of individuals with autism spectrum disorder (ASD) and are significantly impairing to the person affected, as well as to their loved ones. Cognitive-behavioral therapy (CBT) has been established as the gold-standard treatment for anxiety disorders among typically developing youth and adults, and demonstrates similar efficacy among youth with high-functioning autism (HFA). Many CBT interventions utilize a “full-package” treatment approach to treat co-occurring anxiety in youth with ASD. However, these service delivery systems are often therapist-intensive, costly, and impractical, thereby compromising full engagement and treatment adherence. This paper describes the design, rationale, and methodology of …

A Qualitative Exploration Of Racial And Ethnic Differences In Cost Of Care Conversations Among Older Adults, Kyaien Oquinn Conner, Jaqueline Wiltshire, Edlin Colato Garcia, Barbara Langland-Orban, Erica Anderson, Iraida Carrion, Amber Goodman, Ashley Goodman

Social Work Faculty Publications

Background: The rapidly growing racially diverse, aging population in the United States is presenting unique challenges for our social, economic, and healthcare systems. Rising health care costs, increased patient cost-sharing, and limited financial resources make this generation of older Americans susceptible to large medical bills or debt which disproportionally impacts older racial/ethnic minorities. Cost-of-care (CoC) conversations between patients and doctors is one recommended approach to containing health care costs and alleviating patients’ financial burden of care.

Methods: The current study used focus group methodology to qualitatively explore the contextual factors that influence CoC conversations in a diverse sample of older …

Psychological Pathway From Obesity-Related Stigma To Anxiety Via Internalized Stigma And Self-Esteem Among Adolescents In Taiwan, Chung-Ying Lin, Meng-Che Tsai, Chih-Hsiang Liu, Yi-Ching Lin, Yi-Ping Hsieh, Carol Strong

Social Work Faculty Publications

The objective of this research was to examine the pathway from public stigma, to perceived stigma, to depression in adolescents via internalized stigma. Adolescents in grade 7 through 9 from a junior high school in Changhua County in Taiwan completed self-administered surveys from March to July in 2018. Adolescents were asked questions regarding depressive symptoms, obesity-related perceived stigma, and internalized stigma. Structural equation modeling was used to fit the pathway model. The pathway was first analyzed with the full sample and then stratified by actual and perceived weight status. Our final analytic sample consisted of 464 adolescents. The pathway model …

Turning Doctoral Students Into Faculty In Gerontological Social Work: The AgeSw Experience, Nancy Kusmaul, Stephanie P. Wladkowski, Sally Hageman, Allison Gibson, Rebecca L. Mauldin, Jennifer C. Greenfield, Noelle L. Fields

Social Work Faculty Publications

Developing faculty interested in aging may help social work meet the needs of our growing aging population. However, doctoral students need a variety of supports to complete PhDs and become gerontological social work faculty. This study explored one program’s role in supporting the development of social work doctoral students to faculty in gerontology. An e-mail invitation was sent to all former participants (2010–2016 cohorts) of the Association for Gerontology Education in Social Work (AGESW) Pre-Dissertation Fellows Program (PDFP). The 38-question online survey consisted of Likert-type scales, multiple answers, and one open-ended question per section about the program’s impacts on …

Peer Victimization, Internalizing Problems, And Substance Use In Urban African American Adolescents In Chicago: The Relevance Of The Self-Medication Hypothesis, Jun Sung Hong, Yi-Ping Hsieh, Kelly Lynn Clary, Rose Theda, Ryan Russ, Dexter R. Voisin

Social Work Faculty Publications

The aim of the study was to explore the link between peer victimization and substance use and tested the mediating role of internalizing problems in urban African American adolescents in Chicago. Six hundred and thirty-eight adolescents in Chicago's Southside participated in the study. Results from the hierarchical linear regression analysis showed that youth who reported peer victimization were at risk of internalizing problems. Those who were bullied by their peers were more likely to display internalizing problems, which was also significantly associated with substance use. Consistent with the self-medication hypothesis, findings from the study suggest that bullied youth are likely …

Vitamin D Status And Risk Of Incident Tuberculosis Disease: A Nested Case-Control Study, Systematic Review, And Individual-Participant Data Meta-Analysis, Omowunmi Aibana, Chuan-Chin Huang, Said Aboud, Alberto Arnedo-Pena, Mercedes C. Becerra, Juan B. Bellido-Blasco, Ramesh Bhosale, Roger Calderon, Silvia Chiang, Jerome Galea

Social Work Faculty Publications

Background: Few studies have evaluated the association between preexisting vitamin D deficiency and incident tuberculosis (TB). We assessed the impact of baseline vitamins D levels on TB disease risk.

Methods and findings: We assessed the association between baseline vitamin D and incident TB in a prospective cohort of 6,751 HIV-negative household contacts of TB patients enrolled between September 1, 2009, and August 29, 2012, in Lima, Peru. We screened for TB disease at 2, 6, and 12 months after enrollment. We defined cases as household contacts who developed TB disease at least 15 days after enrollment of the index patient. …

Proving Their Love: Violence And Gender Norms In Descriptions Of Relationships Among Rural Mexican Adolescents, Heidi Adams Rueda, Steven Hoffman, Kaitlin Grytza

Social Work Faculty Publications

Mexican youth from impoverished areas are at increased risk for experiencing relationship violence. Research in the United States has suggested that perpetration may be contextualized by culturally-influenced gender values, specifically performance of negative aspects of male masculinity (i.e., machismo) and its female counterpart (i.e., marianismo). This study utilized focus group methods to explore how middle school adolescents (N = 98) from a rural area of Central Mexico differentiate between healthy and unhealthy dating relationships.

We evoked a feminist developmental lens to interpret themes which centralized males as physical and sexual aggressors and to offer culturally-relevant program and practice recommendations.

Early Progression To Active Tuberculosis Is A Highly Heritable Trait Driven By 3q23 In Peruvians, Yang Luo, Sara Suliman, Samira Asagari, Tiffany Amariuta, Yuriy Baglaenko, Marta Martinez-Bonet, Kazuyoshi Ishigaki, Maria Gutierrez-Arcelus, Roger Calderon, Jerome Galea

Social Work Faculty Publications

Of the 1.8 billion people worldwide infected with Mycobacterium tuberculosis, 5–15% will develop active tuberculosis (TB). Approximately half will progress to active TB within the first 18 months after infection, presumably because they fail to mount an effective initial immune response. Here, in a genome-wide genetic study of early TB progression, we genotype 4002 active TB cases and their household contacts in Peru. We quantify genetic heritability h_g² of early TB progression to be 21.2% (standard error 0.08). This suggests TB progression has a strong genetic basis, and is comparable to traits with well-established genetic bases. We …

Technology And Dating Among Pregnant And Parenting Youth In Residential Foster Care: A Mixed Qualitative Approach Comparing Staff And Adolescent Perspectives, Heidi Adams Rueda, Megan Lindsay Brown, Jennifer M. Geiger

Social Work Faculty Publications

The aim of this study was to explore the role of technology in the dating and sexual experiences of pregnant and parenting adolescent girls placed in residential foster care. Interviews with program staff (N = 12; 50% Hispanic) and focus groups with adolescent foster youth (N = 13; 46% Hispanic) were conducted to understand how technologies (e.g., cell phone, texting, and social media) influence youth’s dating lives, including how youth navigate conflict with a dating partner in technology spaces and their experiences with cyber abuse. Both staff and youth emphasized technology as providing an outlet from the home …

Branch Campuses: Extending The Reach Of Social Work Education, Simon Funge, Dana Sullivan, Larry Owens, Whitney Harper

Social Work Faculty Publications

The study explored the characteristics and experiences of branch campus social work education programs and educators in the U.S. Eighty-one (n = 81) branch campus social work educators in 26 states completed an online survey. Findings revealed that undergraduate and graduate branch campus social work education was primarily delivered face-to-face to non-traditional students. Half of these programs were recently established, and the majority were expected to grow. However, teaching these students was not necessarily viewed as a shared responsibility. Though some branch campus faculty reported higher workloads and limited connections to parent campus colleagues, faculty generally reported great satisfaction teaching …

Whole Genome Sequencing Identifies Bacterial Factors Affecting Transmission Of Multidrug-Resistant Tuberculosis In A High-Prevalence Setting, Avika Dixit, Luca Freschi, Roger Vargas, Roger Calderon, James Sacchettini, Francis Drobniewski, Jerome Galea, Carmen Contreras, Rosa Yataco, Zibiao Zhang

Social Work Faculty Publications

Whole genome sequencing (WGS) can elucidate Mycobacterium tuberculosis (Mtb) transmission patterns but more data is needed to guide its use in high-burden settings. In a household-based TB transmissibility study in Peru, we identified a large MIRU-VNTR Mtb cluster (148 isolates) with a range of resistance phenotypes, and studied host and bacterial factors contributing to its spread. WGS was performed on 61 of the 148 isolates. We compared transmission link inference using epidemiological or genomic data and estimated the dates of emergence of the cluster and antimicrobial drug resistance (DR) acquisition events by generating a time-calibrated phylogeny. Using a set of …

A Needs Based Theory Of Human Injustice: Oppression, Dehumanization, Exploitation, And Sytematic Inequality In Opportunities To Address Human Needs, Michael A. Dover

Social Work Faculty Publications

This article presents an original needs-based partial theory of human injustice and shows its relationship to existing theories of human need and human liberation. The theory is based on an original typology of three social structural sources of human injustice, a partial theorization of the mechanisms of human injustice, and a needs-based theorization of the nature of human injustice, as experienced by individuals. This article makes a sociological contribution to normative social theory by clarifying the relationship of human injustice to human needs, human rights, and human liberation. The theory contends that human injustice is produced when oppression, mechanistic dehumanization, …

Theories Of Human Injustice, Human Need, And Human Liberation [Figure], Michael A. Dover

Social Work Faculty Publications

No abstract provided.

Youth Perspectives Of Healthcare In Central Mexico: An Application Of Massey’S Critical Health Literacy Framework, Steven Hoffman, Heidi Adams Rueda, Lauren Beasley

Social Work Faculty Publications

Attention to health literacy is essential more now than ever given the recognition, attention, and resources being dedicated to addressing health disparities throughout the world. Unfortunately, health literacy research is scarce in many parts of the world, particularly among youth. Using focus group discussions with junior high school students (N = 98) in a rural town of Central Mexico, we sought to learn about their experiences utilizing healthcare services at a local health clinic. The themes that naturally emerged from focus group discussions aligned with Massey’s framework on critical health literacy among US youth, and included problems navigating the health …

Preventive Benefits Of U.S. Childcare Subsidies In Supervisory Child Neglect, Kathryn Maguire-Jack, Kelly M. Purtell, Kathryn Showalter, Sheila Barnhart, Mi-Youn Yang

Social Work Faculty Publications

Using data from age 3 of the Fragile Families and Child Wellbeing Study, the current study explores the complex relationships between U.S. child care subsidies and neglect. Specifically, the study examines two research questions: (1) Are U.S. child care subsidies associated with selfreported neglect among low-income mothers? (2) What individual types of self-reported neglect are significantly reduced by receipt of child care subsidy? Using negative binomial regression examining the relationships among mothers who were income-eligible for child care subsidy, we found that child care subsidy was associated with lower levels of supervisory neglect, indicating an important role of subsidy in …

A Needs-Based Partial Theory Of Human Injustice: Oppression, Dehumanization, Exploitation, And Systematic Inequality In Opportunities To Address Human Needs, Michael A. Dover

Social Work Faculty Publications

The article presents an original needs-based partial theory of human injustice and shows its relationship to existing theories of human need and human liberation. The theory is based on an original typology of three social structural sources of human injustice, a partial theorization of the mechanisms of human injustice, and a needs-based theorization of the nature of human injustice, as experienced by individuals. The article makes a sociological contribution to normative social theory by clarifying the relationship of human injustice to human needs, human rights, and human liberation. The theory contends that human injustice is produced when oppression, mechanistic dehumanization, …

Using Social Network Analysis To Assess Professional Network Development Among AgeSw Pre-Dissertation Fellowship Program Participants, Rebecca L. Mauldin, Jennifer C. Greenfield, Nancy Kusmal, Noelle L. Fields, Staphanie P. Wladkowski, Allison Gibson

Social Work Faculty Publications

Professional networks are important for the success of doctoral students and early career faculty members, yet there is little research about what types of experiences help emerging scholars develop these networks. Social network analysis may be an ideal method for studying the effectiveness of training programs in nurturing network development among emerging scholars. We describe one application of this method, which was used to examine the professional networks formed through participation in the Association of Gerontological Education in Social Work (AGESW)’s Pre-Dissertation Fellowship Program (PDFP). Alumni (n = 12) from the first three cohorts of the program (2010–2012) reported …

Retention Of Child Welfare Caseworkers: The Wisdom Of Supervisors, Austin G. Griffiths, Patricia Desrosiers, Jay Gabbard, David Royse, Kristine Piescher

Social Work Faculty Publications

Child welfare supervisors have a unique vantage point, leading local service delivery efforts while representing a larger organizational bureaucracy. They also play a key role in workforce stability, as high caseworker turnover remains a real problem that affects clients, communities, and agency budgets. Using a qualitative thematic content analysis to analyze data collected from a sample of public child welfare supervisors in a southern state (n=117), findings from this study provide suggestions for systematically addressing workforce turnover through the unique perspective of the child welfare supervisor. Supervisors made recommendations to improve agency infrastructure, organizational climate, and organizational culture as areas …

Transmissibility And Potential For Disease Progression Of Drug Resistant Mycobacterium Tuberculosis: Prospective Cohort Study, Mercedes C. Becerra, Chuan-Chin Huang, Leonid Lecca, Jaime Bayona, Carmen Contreras, Roger Calderon, Rosa Yataco, Jerome Galea, Zibiao Zhang, Sidney Atwood, Ted Cohen, Carole D. Mitnick, Paul Farmer, Megan Murray

Social Work Faculty Publications

Objective: To measure the association between phenotypic drug resistance and the risk of tuberculosis infection and disease among household contacts of patients with pulmonary tuberculosis.

Setting: 106 district health centers in Lima, Peru between September 2009 and September 2012.

Design: Prospective cohort study.

Participants: 10 160 household contacts of 3339 index patients with tuberculosis were classified on the basis of the drug resistance profile of the patient: 6189 were exposed to drug susceptible strains of Mycobacterium tuberculosis, 1659 to strains resistant to isoniazid or rifampicin, and 1541 to strains that were multidrug resistant (resistant to isoniazid and rifampicin).

Main outcome …

Endure, Evolve, Achieve: Stakeholder Perspectives On The Effectiveness Of The Swamp Apes Program In Restoring Biopsychosocial Functioning Of American Veterans, Manisha Joshi, Joshua Zaris Goldman

Social Work Faculty Publications

A growing body of evidence highlights the benefits of recreational outdoor therapy for veterans experiencing posttraumatic stress disorder. We employed the Hawkins Model for “Nature as Strengths-based Recreational Therapy Intervention for Military Members” to assess the Swamp Apes/Volunteer Wilderness Alliance (SA/VWA) in South Florida, which has among its key objectives ridding the Everglades National Park of invasive species (e.g., Burmese python). Focus group and interviews with 10 veterans and seven non-veterans (i.e., family, health providers) were conducted to assess benefits, risks, and potential for developing SA/VWA activities into a formal therapy program for veterans rooted in the American Therapeutic Recreation …

Understanding Health-Related Behavior Among Adolescents Living With Hiv In Lima, Peru, Carly A. Rodriguez, Emiliano Valle, Jerome Galea, Milagros Wong, Lenka Kolevic, Maribel Muñoz, Leonid Lecca, Molly F. Franke

Social Work Faculty Publications

Background: The global HIV burden among adolescents ages 10–19 is growing. This population concurrently confronts the multifaceted challenges of adolescence and living with HIV. With the goal of informing future interventions tailored to this group, we assessed sexual activity, HIV diagnosis disclosure, combination antiretroviral therapy (cART) adherence, and drug use among adolescents living with HIV (ALHIV) in Lima, Peru.

Methods: Adolescents at risk or with a history of suboptimal cART adherence completed a self-administered, health behaviors survey and participated in support group sessions, which were audio recorded and used as a qualitative data source. Additionally, we conducted in-depth interviews with …

Does Gottman’S Marital Communication Conceptualization Inform Teen Dating Violence? Communication Skill Deficits Analyzed Across Three Samples Of Diverse Adolescents, Heidi Adams Rueda, Monica Yndo, Lela Rankin Williams, Ryan C. Shorey

Social Work Faculty Publications

Communication skill deficits are thought to contribute to teen dating violence (TDV), parallel to the inclusion of these throughout prevention curricula. Communication research among adolescents is highly underdeveloped, although a preliminary study utilizing Gottman’s marital communication conceptualization found that a majority of negative communication behaviors predictive of marital distress were also associated with relationship aggression among primarily White college students. Our aim was to replicate this study with diverse samples of adolescents (50.3% Latino, 23.5% Black; Mage = 16.06). Urban high school youth, pregnant and parenting youth in residential foster care, and youth in urban after-school programs self-reported on …

Examining Self-Care Among Individuals Employed In Social Work Capacities: Implications For The Profession, J. Jay Miller, Joann Lianekhammy, Erlene Grise-Owens

Social Work Faculty Publications

Increasingly, the social work profession recognizes the need for more attention to self-care. Concomitantly, this growing awareness and ethical commitment is fostering a burgeoning self-care movement. However, despite recognition about the importance of self-care, there is a paucity of research that explicitly examines self-care practices among social workers. This cross-sectional study examined the self-care practices of individuals employed in social work capacities (n=1,011) in one southeastern state in the United States. Findings suggest that participants in the sample engaged in personal and professional self-care practices only moderately. Further, data suggest significant group differences in the practice of self-care, by relationship …