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Purpose As part of a larger ethnographic study, this article explored Kurdish mothers’ beliefs and attitudes about child labor. Methods Twenty-sevenlow-incomeKurdishmigrantmothers in an inner-city neighborhood of Istanbul in Turkey were recruited through purposive and snowball sampling. Data were collected through demographic surveys, semistructured in-depth interviews, and participant observations. Demographic surveys were analyzed using descriptive statistics. Through repeated readings of transcribed interviews and field notes, themes and patterns were identified using analytic induction techniques.

In this study, 13 low-income African American caregivers of preschoolers were interviewed to explore neighborhood obstacles to children’s physical activity and the strategies caregivers used against these challenges. Built environment barriers included social and physical disorder, crime and violence, speeding traffic, and stray dogs. Recreational settings were few, inaccessible, and poorly equipped and maintained. In addition to high facility fees and few organized activities, recreational settings had high levels of disorder and violence. Despite barriers, caregivers used strategies to promote physical activity, including environmental appraisal, boundary enforcement, chaperonage, collective supervision, and local and extra-local resource-brokering. These findings document how caregivers’ strategies represent intervening processes in response to the built environment. The findings further provide place- and asset-based recommendations.

Background The process to seek for care by patients who experience episodes of mental disorders may determine how and where they receive the needed treatment. This study aimed to understand the pathways that people with mental disorders traversed for psychiatric services, particularly where these individuals will first seek treatment and the factors that influence such pathways to mental health care. Methods A cross-sectional study conducted at Pantang psychiatric hospital in Accra, Ghana involving 107 patients of ages 18 and older and their family members. The study adapted the World Health Organization’s (WHO) pathway encounter form to collect information about patients’ pathway contacts for psychiatric care. Chi Square test was done to determine patients’ first point of contact and any association between the independent variables (clinical diagnosis and socio-demographic factors) and first pathway contact. Multiple regression analyses were also done to estimate the odds of patients’ first pathway contact. Results Overall, nearly 48 % of patients initially contacted non-psychiatric treatment centers (faith-based, traditional healers and general medical practitioners) as their first point of contact for treatment of mental disorders. A little more than half of the patients went directly to the formal public psychiatric facility as their first point of contact for care of their mental disorders. Patients’ occupation was significantly associated with their first point of contact for psychiatric care (χ2 = 6.91; p

Child labor is a serious issue in Turkey. This article provides a review of the current literature on risk factors associated with child labor in Turkey. Emphasizing their multilayered nature, the article examines risk factors contributing to child labor in Turkey by clustering them under individual, family, and structural factors. Recommendations for future research, policy, and practice are also discussed.

This article identifies and describes child management practices among a sample of African American caregivers in a low-income, inner-city neighborhood. Caregivers responded to low levels of neighborhood collective socialization, collective efficacy, social control, and institutional resources by using strategies that protected children and promoted physical activity. Using diverse qualitative methods (interviews, observations) and demographic data on neighborhood disadvantage and family and household characteristics, the research revealed seven caregiver management strategies that promoted child physical activity, despite multiple neighborhood barriers. These included ecological appraisal, boundary enforcement, chaperonage, kin-based play groups, collective supervision, local resource brokering, and extralocal resource brokering. These findings provide important substantive and theoretical insights on the relationship between caregiver practices, neighborhood social context, and child physical activity.

This study examined the mentalization capabilities of children exposed to parental methamphetamine abuse in relation to symptom underreporting, mental health, and behavioral outcomes. Twenty-six school-aged children in foster care participated in this study. Mentalization was assessed using the My Family Stories Interview (MFSI), a semi-structured interview in which children recalled family stories about a happy, sad or scary and fun time. An established scale of the Trauma Symptom Checklist for Children (TSCC), a self-report measure, provided information on children's symptom underreporting. The Child Behavior Checklist (CBCL), completed by the children's foster caregivers, assessed children's mental health and behavioral outcomes. Children with higher mentalization were significantly less prone to underreport symptoms. These children had fewer mental health problems and were rated by their foster caregivers as more socially competent. The findings underscore that mentalization could be an important protective factor for children who have experienced parental substance abuse.

Very little research exists on how self-perceived emerging adult status is associated with substance use among low-income emerging adults. The Inventory of Dimensions of Emerging Adulthood (IDEA) was administered to emerging adults (EAs) ages 18-25 screened for substance use problems (n = l05) in a state-subsidized, not-for-profit treatment agency. We examined whether the defining dimensions of Arnett's (2000a) emerging adulthood theory were associated with substance use frequency and substance-related problems, including: identity exploration, self-focus, possibilities, optimism, negativity/instability, and feeling in-between. In multivariate models, feeling in-between was positively associated with substance-related problems. An interaction term between minority status and feeling in-between approached statistical significance (p = .057). Further, IDEA scale score means were comparable to those found in college student samples. Implications for theory revision are discussed.

Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) 2013 Checklist. (DOC 141 kb)

Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) 2013 Checklist. (DOC 141 kb)