Coping with Concerns: An Exploratory Comparison of Australian, Colombian, German, and Palestinian Adolescents

Determinants of public institutional births in India: An analysis using the National Family Health Survey (NFHS-5) factsheet data

Background

Institutional births ensure deliveries happen under the supervision of skilled healthcare personnel in an enabling environment. For countries like India, with high neonatal and maternal mortalities, achieving 100% coverage of institutional births is a top policy priority. In this respect, public health institutions have a key role, given that they remain the preferred choice by most of the population, owing to the existing barriers to healthcare access. While research in this domain has focused on private health institutions, there are limited studies, especially in the Indian context, that look at the enablers of institutional births in public health facilities. In this study, we look to identify the significant predictors of institutional birth in public health facilities in India.

Method

We rely on the National Family Health Survey (NFHS-5) factsheet data for analysis. Our dependent variable (DV) in this study is the % of institutional births in public health facilities. We first use Welch's t-test to determine if there is any significant difference between urban and rural areas in terms of the DV. We then use multiple linear regression and partial F-test to identify the best-fit model that predicts the variation in the DV. We generate two models in this study and use Akaike's Information Criterion (AIC) and adjusted R2 values to identify the best-fit model.

Results

We find no significant difference between urban and rural areas (P = 0.02, α =0.05) regarding the mean % of institutional births in public health facilities. The best-fit model is an interaction model with a moderate effect size (Adjusted2 = 0.35) and an AIC of 179.93, lower than the competitive model (AIC = 183.56). We find household health insurance (β = -0.29) and homebirth conducted under the supervision of skilled healthcare personnel (β = -0.56) to be significant predictors of institutional births in public facilities in India. Additionally, we observe low body mass index (BMI) and obesity to have a synergistic impact on the DV. Our findings show that the interaction between low BMI and obesity has a strong negative influence (β = -0.61) on institutional births in public health facilities in India.

Conclusion

Providing households with health insurance coverage may not improve the utilisation of public health facilities for deliveries in India, where other barriers to public healthcare access exist. Therefore, it is important to look at interventions that minimise the existing barriers to access. While the ultimate objective from a policy perspective should be achieving 100% coverage of institutional births in the long run, a short-term strategy makes sense in the Indian context, especially to manage the complications arising during births outside an institutional setting.

Country and gender differences in the association between violence and cigarette smoking among youth

BACKGROUND

Exposure to violence in youth may be associated with substance use and other adverse health effects. This study examined cigarette smoking in two middle-income areas with different levels and types of exposure to violence.

METHODS

Association of exposure to verbal and physical violence with cigarette smoking in the West Bank oPt (2008) and in Jujuy Argentina (2006) was examined using cross-sectional surveys of 14 to 17-year old youth in 7th to 10th grade using probabilistic sampling.

RESULTS

Violence exposure rates were more than double for Palestinian girls (99.6% vs. 41.2%) and boys (98.7% vs. 41.1%) compared with Argentinians. The rate of current cigarette smoking was significantly higher among Argentinian girls compared with Palestinian girls (33.1% vs. 7.1%, p < 0.001). Exposure to verbal violence from family and to physical violence increased the odds of current cigarette smoking, respectively, among Argentinian girls (aOR = 1.3, 95% CI = 1.0-1.7; aOR = 2.5, 95%CI = 1.7-3.8), Palestinian girls (aOR 2.2, 95%CI = 1.1-2.4; aOR = 2.0, 95%CI = 1.1-3.6) and Argentinian boys (aOR = 1.5, 95%CI = 1.1-2.0; aOR = 2.2, 95%CI = 1.6-3.0), but not among Palestinian boys.

CONCLUSION

Findings highlight the importance of producing context and gender specific evidence from exposure to violence, to inform and increase the impact of targeted smoking prevention strategies.

Suicidal thoughts (ideation) among elite athletics (track and field) athletes: associations with sports participation, psychological resourcefulness and having been a victim of sexual and/or physical abuse

OBJECTIVE

To examine associations between suicidal ideation and sexual and physical abuse among active and recently retired elite athletics (track and field) athletes.

METHODS

The study population consisted of all athletes (n=402) selected for a Swedish Athletics team between 2011 and 2017. Data on suicidal ideation, suicidal events (estimated through the 1 year non-sports injury prevalence), lifetime abuse experiences, sociodemographics, sense of coherence and coping strategies were collected using a cross-sectional survey. The data were analysed using binary logistic regression with suicidal ideation and non-sports injury as outcomes.

RESULTS

192 athletes (47.8%) returned data. The prevalence of suicidal ideation was 15.6% (men 17.4%; women 14.2%) and the non-sports injury prevalence was 8.0% (men 11.6%; women 5.7%). Among women, suicidal ideation was associated with having been sexually abused (OR 5.94, 95% CI 1.42 to 24.90; p=0.015) and lower sense of coherence (OR 0.90, 95% CI 0.85 to 0.96; p=0.001) (Nagelkerke R²=0.33). Among men, suicidal ideation was only associated with use of behavioural disengagement for coping (OR 1.51, 95% CI 1.18 to 1.95; p=0.001) (R² =0.25). Among women, non-sports injury prevalence was associated with having been sexually abused (OR 8.61, 95% CI 1.34 to 55.1; p=0.023) and participating in an endurance event (OR 7.37, 95% CI 1.11 to 48.9; p=0.039 (R² =0.23), while among men, having immigrant parents (OR 5.67, 95% CI 1.31 to 24.5; p=0.020) (R² =0.11) was associated with injury outside sports.

CONCLUSIONS

About one out of six international athletics athletes reported having experienced suicidal ideation. World Athletics and National Olympic Committees need to include suicide prevention in their athlete protection programmes.

Between the Inside and the Outside World: Coping of Ultra-Orthodox Individuals with Their Work Environment After Academic Studies

This study has explored how ultra-Orthodox individuals cope when facing secular norms and values in their work environment. The study was conducted in Israel, where 614 ultra-Orthodox adults answered questions regarding demographic characteristics, identities, openness to the workplace, social environment, Brief Cope, community sense of coherence (CSOC) and Employee Satisfaction Inventory. Individuals in the main sectors of the ultra-Orthodox society reported higher CSOC and stronger religiosity while individuals from the minor sectors reported greater openness to the job's social environment. Demographics, coping strategies and CSOC were significant in explaining job satisfaction. The results will be discussed based on stress and coping theories and on the salutogenic theory.

Influencia del sexo, edad y cultura en las estrategias de afrontamiento de adolescentes paraguayos y mexicanos

La adolescencia es un periodo sensible al estrés, sin embargo, el afrontamiento puede contribuir a una adaptación positiva, el cual tiende a cambiar en función de algunas variables personales como el sexo, la edad y contextuales, como la cultura. El objetivo de este trabajo fue analizar la influencia del sexo, edad y cultura en las estrategias de afrontamiento con adolescentes paraguayos y mexicanos. Se realizó un estudio de campo transversal, expos-facto, de tipo comparativo de dos muestras independientes con un diseño 2 x 2 x 2. Participaron de manera intencional 2278 adolescentes escolares paraguayos (n = 1188) y mexicanos (n = 1090), de 13 a 18 años (M = 15.15; DE = 1.48). Se aplicó la Escala de Afrontamiento para Adolescentes (ACS) que evalúa tres estilos y 18 estrategias de afrontamiento, y una cédula sociodemográfica. Se encontraron diferencias y efectos principales por edad y país en los estilos de afrontamiento productivo, no productivo y con referencia a otros y en algunas de sus estrategias. Las mujeres usan más estrategias de afrontamiento, muchas relacionadas con la búsqueda de apoyo social. Los adolescentes tempranos paraguayos y mexicanos tienden a presentar menos estrategias productivas. Solo se observaron efectos de interacción del sexo y la cultura en los estilos de afrontamiento. Estos datos aportan evidencia que podría ser útil para las políticas públicas de prevención y promoción de salud en adolescentes.

Specific coping strategies moderate the link between emotion expression deficits and nonsuicidal self-injury in an inpatient sample of adolescents

BACKGROUND

Non-suicidal self-injury (NSSI) is a behavior of increasing prevalence in adolescents with links to various negative mental health and adjustment outcomes. Poor emotion expression has been linked with NSSI use, whereas the use of adaptive coping strategies has been identified as a protective factor against NSSI. The current study examined whether specific coping strategies moderate the relation between poor emotion expression and NSSI, and whether moderation is conditional on adolescent gender.

METHODS

Ninety-five adolescents hospitalized on an acute care inpatient psychiatric unit completed questionnaires measuring NSSI, emotion expression and use of specific coping strategies (i.e., problem-focused coping, positive reframing coping, support seeking, avoidance, and distraction).

RESULTS

Results indicated that poor emotion expression was positively associated with NSSI. Positive reframing and support seeking emerged as significant moderators of the poor emotion expression-NSSI link. This result was not conditional upon adolescent gender. Problem-focused coping, avoidance, and distraction did not emerge as significant moderators.

CONCLUSIONS

Encouraging youth to use particular coping strategies might protect against the negative impact of emotion expression deficits for both boys and girls.

Exploring the measurement and structure of children’s coping through the development of a short form of coping

The aim of this article is to describe the development of a short version of the Coping Scale for Children (CSC) for situations in which use of the full form is precluded by time constraints or the demands of other measures. Utilizing data from prior studies (e.g., jones & Frydenberg, 2004; Larkins & Frydenberg, 2004) a short form was constructed and the psychometric properties investigated with schoolchildren (N = 379) drawn from primary schools in Metropolitan Melbourne. Using Principal Components Analysis with Varimax rotation, two dimensions of coping (Adaptive Coping and Maladaptive Coping) were found to be both robust ond suitable for investigating styles of coping with stress in preadolescent children aged 10- to 12- years. In addition, this poper analysed associations between the resulting factors and self-esteem, as assessed by the Weinberger Adjustment Inventory (Weinberger, Feldman, & Ford, 1989). The CSCSF appears to have promising applications as a short measure of critical dimensions of coping in preadolescent children, with good psychometric properties.

Coping Strategies in Adolescents Who Self-Harm

Background: Adolescent self-harm (SH) is a major public health concern, associated with poor outcomes. The use of ineffective coping is often referred to in explanatory models of adolescent SH. Aims: To assess the relationship between SH and coping strategies in a large sample of school-aged adolescents. Method: A sample of public school students (n = 1,713), aged between 12 and 20 years, were examined using an anonymously completed questionnaire. SH was defined according to strict criteria through a two-stage procedure. Study participants were divided into two groups: no self-harm and lifetime self-harm. The differences between groups were explored, including logistic regression analyses (controlling for anxiety and depression effects), to reveal which coping strategies better predicted lifetime SH. Results: The use of nonproductive strategies was associated with SH in both genders, particularly self-blame and tension reduction. Strategies involving consulting significant others for support were used less in the SH group, especially among male subjects. The preferential use of a productive coping style was negatively associated with the SH group in both genders. Conclusion: The results support previous data regarding a different pattern of coping strategies used by adolescents who harm themselves. The use of self-rating instruments and the cross-sectional nature of the study limit our results.

Stress reactions and coping strategies among Bedouin Arab adolescents exposed to demolition of houses

The aim of this study was to examine emotional reactions and coping strategies of Bedouin adolescents against the backdrop of house demolitions in the unrecognized Bedouin villages in the Negev, Israel. We compared two groups of adolescents living in unrecognized Bedouin villages, teenagers whose houses had been destroyed (acute + chronic group) and their counterparts whose houses had not been destroyed (chronic group). Data were gathered during October to December 2010 from 465 Bedouin adolescents aged 13-18 years. Adolescents filled out self-report questionnaires, which included demographics, objective and subjective exposure to house demolition, state anxiety, state anger, psychological distress and Adolescent Coping Scale. Results show differences between the two groups in stress reactions as well as in objective exposure to house demolition with the acute + chronic group reporting more stress and more exposure. In addition, different variables explained stress reactions in the different groups. Whereas in the acute + chronic group, objective and subjective exposure were the most significant variables, in the chronic group, the coping strategies explained stress with more variance. Results are discussed in terms of differentiating between types of stress, chronic versus acute + chronic and in relation to the interactionist model of coping with stress.

Ethnicity and Coping: What Young People Do and What Young People Learn

In a number of studies, using the Adolescent Coping scale as a measure of coping, we are able to see clearly that young people from different communities cope in different ways. For example, in studies of Australian, Columbian, German, Irish and Palestinian young people it was found that coping varied in the different countries, but even within the same country, such as Australia, there are variations in coping across ethnic communities. These findings are confirmed by a recent smaller scale investigation that found that a group of students who were labelled ‘Australian minority group’ (comprising of Asian, African, Pacific Islanders and Middle Eastern students) used more spiritual support and resorted to social action more than did Anglo-Australian students. Of particular note is that the Australian minority group were found to significantly decrease their use of self-blame after participating in a school-based coping skills program, while Anglo-Australian students increased their use of physical recreation. These findings collectively demonstrate the impact of ethnic identity in both the act of coping and the acquisition of coping skills.

Adolescents' experiences of coping with domestic violence

AIM

This paper is a report of a study of experiences of domestic violence and coping among ninth-grade (14-17 years old) adolescents.

BACKGROUND

Domestic violence is commonplace and adolescents are involved in it either as witnesses or victims. Research has shown that different degrees of domestic violence play a major role in adolescent well-being and coping.

METHOD

A survey of ninth graders in one municipality in Finland was conducted in 2007. A total of 1393 adolescents participated, giving a 78% response rate. The survey included two validated scales, the Violence Scale and the Adolescent Coping Scale. Logistic regression analysis was performed to determine coping among adolescents with and without experience of domestic violence.

RESULTS

Sixty-seven per cent of adolescents had experienced parental symbolic aggression, 55% mild violence and 9% serious violence. The multivariate logistic regression model showed that experiences of violence were associated with deterioration in self-rated health, life satisfaction, adolescent giving in when in a conflict situation, approval of corporal punishment and coping by seeking to belong and self-blame. Those with experience of domestic violence did not seek professional help.

CONCLUSION

Adolescents experiencing domestic violence do not seek help and care providers should therefore take active measures to help them. These adolescents reported that they were satisfied with life, which makes it difficult to identify their need for help. Resources should be developed to identify and help these adolescents.

Distinguishing male offenders through juvenile personality traits, coping strategies, feelings of guilt and level of anger

On the basis of a comparative, descriptive, cross-sectional study, our aim was to determine differential traits of adolescent offenders with respect to personality traits, feelings of guilt, level of anger, and coping strategies. 128 adolescent residents of Barcelona (86 high school students and 42 young inmates aged between 16 and 18 years) replied to a variety of questionnaires (SC-35, EPQ-R, STAXI, ACS). Significant differences between the two groups were found. Young offenders present higher levels of guilt feelings, neuroticism, psychoticism, and trait anger. They also tend to repress their anger or, on the contrary, express it verbally and physically and use passive or avoidance coping strategies. Education and psychological therapy focussed on guilt may contribute to reduce recidivism.

Culture’s Consequences on Coping

While the influence of culture on coping has been implicated conceptually in the stress-coping literature for sometime, empirical research on cross-cultural coping has gained momentum only recently. The past two decades witnessed a significant growth in the research and the knowledge base of culture and coping, as well as an increased call by scholars for more culturally and contextually informed stress-coping paradigms. In view of this critical development, the present article intends to systematically review and take stock of the theoretical and empirical knowledge that has emerged from the cumulative cultural coping research. Specifically, this corpus of literature was summarized and analyzed in terms of (a) theoretical propositions, (b) empirical studies on cross-cultural coping variations, (c) cultural dimensions of coping, and (d) implications for future research. The results evidenced culture’s consequences on coping with respect to the identification of conceptual pathways through which culture affects stresscoping; cultural differences and specificities in coping patterns across national, ethnic, and racial groups; and the differential effects of acculturation, self-construals, and individualism-collectivism on coping. Conceptual and methodological recommendations are offered for future research.

Coping strategies among adolescents: Israeli Jews and Arabs facing missile attacks

The study examined the use of coping strategies among Israeli Jewish and Arab adolescents who faced missile attacks during the Second Lebanon War. We further explored the role of ethnicity, gender and age in explaining psychological distress and the ways in which different coping strategies relate to health outcomes in the two ethnic groups. Data were gathered from 303 Israeli adolescents (231 Jews and 72 Arabs), 12-19 years old, who filled out self-reported questionnaires among which were demographics; Adolescent Coping Scale, Scale of Psychological Distress (SPD), state anxiety and state anger. Both Jewish and Arab adolescents mostly used "problem solving" coping strategies and reported relatively low levels of psychological distress. Similarities among Jews and Arabs were indicated in the use of "problem solving" coping strategies but not in the use of "reference to others"--and "non-productive" coping strategies. Significant but small effects were indicated for gender and interaction of ethnicity and age on "psychological distress." The coping strategies explained only 35% of the variance of stress reactions for the Jewish group but 51% for the Arab group. The results are discussed against the background of an interactionist approach, considering coping as a function of interaction between the stressful war event and the individual-cultural background.

Religion/spirituality and adolescent health outcomes: a review

Religion/spirituality is important to adolescents, is usually considered a protective factor against a host of negative health outcomes, and is often included in adolescent health outcomes research. Previous reviews of the relationship among spirituality, religion, and adolescent health have been limited by scope, focusing primarily on distal aspects of religion/spirituality (e.g., attendance at religious services). We reviewed the literature examining proximal domains of religion/spirituality (e.g., spiritual coping) in adolescent health outcomes research. Constructs such as spiritual coping and religious decision-making were the ones most often studied and were generally positively associated with health outcomes. Measurement of proximal domains, associations of proximal domains with health outcomes, methodological issues and recommendations for future research were covered in this review.