"Girls Are the Ones Who Save the Family": Factors and Consequences of Engaging in Age-Disparate Transactional Sex Relationships

The 2019 Kenya Violence Against Children Survey highlighted the increased prevalence of sexual violence experienced by girls; 62.6% of girls who have experienced childhood sexual violence reported multiple incidents before age 18. Studies have shown that transactional sex (TS) relationships are a source of sexual violence, particularly age-disparate TS. TS is defined as sex that is a nonmarital, noncommercial relationship driven by the assumption that sex is exchanged for material support or other benefits. TS is common among adolescents and young women in sub-Saharan Africa, with the prevalence varying from as low as 5% to as high as 80%. This qualitative study explored the factors influencing age-disparate TS relationships in two rural districts, Mutomo and Ikutha Wards of Kitui South Sub County, Kenya. Four focus group discussions were conducted with primary (12-14 years of age) and secondary schoolgirls (15-18 years of age). The study results identified several main themes, which were grouped into two major themes: influencing factors and consequences. Influencing factors include material/basic needs, school-related influences, parental influence, peer pressure, and perpetrator access, while consequences include health and social consequences. Our study found that girls' sense of agency, social pressure, and economic vulnerability impacted their decision to engage in age-disparate TS. These relationships' power dynamics and exploitative nature increase girls' risk of experiencing gender-based sexual violence and adverse health and social outcomes. Our study suggests that explicitly addressing individual risk behaviors will not effectively reduce the incidence of TS relationships. Interventions should be focused on understanding the social-cultural beliefs of TS and shifting the narrative that has continued to fuel a patriarchal society in which women and girls have limited decision-making power in relationships.

The Role of Family Influence and Academic Satisfaction on Career Decision-Making Self-Efficacy and Happiness

Careers are a reality of life that need to be considered as multi-dimensional in today’s modern societies. Choosing a career is a complex process that coincides with high school and university ages, creating psycho-social stress. Considering the literature, the effects of different environmental factors have been revealed in separate studies. This study examines both individual and environmental factors together. By adopting a quantitative research method, we collected cross-sectional data through online questionnaires from 1130 university students. The association of family influence and academic satisfaction with happiness through career decision self-efficacy was meaningful using gender, age, income, and parents’ education as control variables. Family influence and academic satisfaction were positively correlated with career decision self-efficacy and happiness. In conclusion, we found that family influence and support, students’ work, and academic satisfaction are positively significant in terms of the career process and happiness. It was understood that the career reality should be considered with a holistic view that includes family, school, and work experience.

Gender and Socioeconomic Status as Factors of Individual Differences in Pre-University Students' Decision-Making for Careers, with a Focus on Family Influence and Psychosocial Factors

The present study analyses the influence of family, specifically parents, on the career decisions of their children, and how gender and socioeconomic status influence this choice. Research was carried out using data obtained from a questionnaire administered to a representative sample of students who took the university entrance examination (PEvAU, its Spanish acronym) in Spanish North Africa. A quantitative research design was adopted in which multivariate analysis (MANOVA) was applied anda decision tree, which was also used for graphical and analytical analysis. The main results indicated a significant influence of parents on their children’s choices, this being the best predictor regarding the decision to take the said examination. It was also verified that their choice of Spanish Baccalaureate programme was significantly associated with their selected career path, and gender and socioeconomic status had a significant impact on that decision. These results lead to the need for further research on guidance from secondary education onwards. It would be interesting to analyse factors neglected thus far, such as those related to the cultural environment of students.

Contact to Natives Among Recent Turkish Migrants in Germany: Gender Differences and Potential Explanations

Migrant men and women still differ extensively in their integration chances within receiving societies. Research suggests that next to educational discrepancies and traditional gender roles, migrant men benefit particularly from their contact to natives who facilitate the access to other relevant resources such as employment. However, we know actually very little about how recent migrant men and women build their social networks within receiving societies, how their networks differ, and why they potentially differ. In this paper I therefore study Turkish migrants in Germany within their first years after migration and the extent to which Turkish men and women differ in their likelihood to have contact to natives. Theoretically, I explore three main determinants for potential gender differences: Family influence, opportunity structure, and personal preferences. I thereby make use of the two-wave data from the "Social Cultural Integration Processes" Project (SCIP) which studies migrants within their first 3 years after migration. I find that after 3 years after migration Turkish women are not only more likely to report to have no contact to natives than Turkish men; Even if they do have contact, this contact occurs significantly less frequent among Turkish women than among Turkish men. Results suggest that Turkish women, who migrated for family reasons are exposed to the influence of the family in the receiving country, which is often found to govern social behavior. Also, compared to Turkish men, Turkish women are less likely to be employed which limits their opportunity to meet natives. Gendered preferences for contact to natives, however, do not explain why Turkish women have less contact to natives than Turkish men.

Family and School Context: Effects on the Mental Health of Brazilian Students

Mental health during adolescence can affect an individual’s long-term quality of life. However, the effects of family and school contexts on students’ mental health have been little explored. This study aims to analyze the relationships between family and school life and feelings of loneliness and trouble sleeping owing to worries in adolescents. The data from this cross-sectional study were obtained from Brazil’s National School Health Survey (PeNSE), which obtained its data through questionnaires. This study’s sample consisted of 102,072 ninth-grade students aged between 11 and 19 years, 52,782 (51.7%) of whom were female, enrolled in public and private schools throughout Brazil. The methodology consisted of an analysis using the Poisson regression model. Regarding the family context, mental health issues were associated with hunger, distant relationships with parents, and family violence. Regarding the school context, feelings of loneliness and trouble sleeping were associated with poor peer relationships, insecurity at school, and schools in more violent areas. This study contributes to the elaboration of public policies aimed at bringing awareness to family members and school bodies that indicators of mental health in adolescents are influenced by the quality of bonds established within these environments.

Family factors associated with emerging adults' human papillomavirus vaccine behavior

Objective: The current study examined the role of family influences on the vaccine behavior of emerging adults. Participants: In Spring 2017, we conducted anonymous online surveys of undergraduate students (n = 608) at a large, public university in the mid-Atlantic. Methods: Logistic regression was used to examine associations between family factors and students' awareness of the HPV vaccine, vaccine receipt, and vaccine intentions. Family factors included sex communication, religiosity, parental monitoring, family structure, and parents' birthplace. Results: More comprehensive family sex communication is associated with less uncertainty regarding HPV vaccine receipt and greater likelihood of being already vaccinated. More frequent family religiosity and more parental monitoring are associated with greater likelihood of having decided against vaccination rather than already being vaccinated. Significant gender and racial disparities exist. Conclusion: Further research, policy, and programmatic intervention are needed to reduce disparities and to improve emerging adults' compliance with HPV vaccine recommendations.

Family Influences on Patients' Decisions to Undergo Bariatric Surgery

Bariatric surgery is the treatment of choice for many obese patients. Although bariatric surgery has recognized benefits, some patients wait several years before deciding to proceed and many patients rely on family member advice and support during the decision-making process. Using a secondary qualitative analysis of transcribed interviews, we examined family member influences on the patient's decision to undergo bariatric surgery. We identified four main themes: role modeling, quality of life with children, family and marital factors, and acquaintances' success with bariatric surgery. Participants indicated that being active with children and demonstrating healthier lifestyles was important, and that adult family members' perceptions of the surgery affect the decision. Because family member influences are evident in the decision-making process, perioperative nurses should be aware of the family's influence and include family members and significant others in the patient's decision-making process for bariatric surgery.

An Examination of Family Variables as Mediators of the Association of Acculturation With Sugar-Sweetened Beverage Consumption Among Latinx Adolescents

The objective of this study was to examine the mediating effects of family support for dietary habits and family meal frequency on the relationship between acculturation and sugar-sweetened beverage (SSB) consumption among Latinx adolescents (N = 131). Acculturation was positively associated with SSB consumption (B = 0.07, P < .01). Results suggest that family support for dietary habits and family meal frequency did not mediate the relationship between acculturation and SSB consumption. However, acculturation was negatively associated with family support for dietary habits (B = -0.10, P < .01) and family meal frequency (B = -0.11, P < .05). Future research should examine other family influences as mediators of the relationship between acculturation and SSB consumption.

The Relationship Between Maternal and Obese Children's Daily Physical Activity

This study examined the effects of maternal influence on child's daily physical activity. Participants consisted of eight families; parents (n = 9) and obese children (n = 10). Families were asked to attend exercise sessions at a university laboratory for 10 weeks. Daily physical activity was measured with a MovBand 3 which is a wrist worn accelerometer that records physical activity as moves. Linear mixed-effects models were used to predict daily physical activity over time and child physical activity as a function of parent physical activity on a day-to-day basis. Physical activity for all participants did not change significantly (p > .05) over the course of the intervention, however, there was a significant (p = .001) relationship between maternal and child physical activity showing for every step a mother took their child took 1.2 steps. On average, mothers achieved 2825.18 ± 1282.77 fewer moves than their children on a daily basis. Encouraging parents to engage in physical activity with their children may have a positive impact on their obese child's daily physical activity involvement.

Child Compared with Parent Perceptions of Child-Level Food Security

BACKGROUND

There is a need to directly and accurately conceptualize and measure food insecurity in children as part of surveillance and public health efforts.

OBJECTIVE

The aim of this study was to compare parent and child perceptions of child-level food security status via questionnaires within a large, ethnically diverse population.

METHODS

Cross-sectional baseline data from a cluster-randomized controlled trial involving primarily low-income, Hispanic third- to fifth-grade students and their parents were used for analysis. The sample consisted of 2408 dyadic (parent and child) pairs. Parents completed the 8-item child-referenced Household Food Security Survey Module and their responses were compared with an adaption of the 5-item Child Food Security Assessment completed by their child. Levels of association between child and parent perceptions within dyads were calculated using Goodman and Kruskal's γ statistic. A mixed-effects binomial logistic regression model was used to model discordance as a function of child, parent, and household sociodemographic characteristics.

RESULTS

The child sample was 53% girls, mean age of 9 y, and 63% were Hispanic. The parent sample was 86% women and 65% Hispanic. Child and parent perceptions of child-level food security agreed only 21.7% of the time. There was a weak positive association between child and parent perceptions of child-level food security (γ = 0.162, P < 0.001). Children perceived themselves as less food secure than their parents' perception 70.1% of the time. Household receipt of Supplemental Nutrition Assistance Program benefits was associated with greater odds of discordant food security perceptions, whereas female children, older children, and parents not working were characteristics associated with lower odds of discordant perceptions.

CONCLUSIONS

Results, in combination with the existing literature, suggest that parent perceptions of child-level food insecurity may underestimate child-level food insecurity experiences. Inaccurate estimations or underestimations of the true prevalence of child-level food insecurity could be detrimental to maternal and child health efforts. This trial was registered at clinicaltrials.gov as NCT02668744.

Neural Correlates of Social Influence on Risk Taking and Substance Use in Adolescents

Purpose of Review

Adolescents often engage in elevated levels of risk taking that gives rise to substance use. Family and peers constitute the primary contextual risk factors for adolescent substance use. This report reviews how families and peers influence adolescent neurocognitive development to inform their risk taking and subsequent substance use.

Recent Findings

Developmental neuroscience using functional magnetic resonance imaging (fMRI) has identified regions of the brain involved in social cognition, cognitive control, and reward processing that are integrally linked to social influence on adolescent risk taking. These neural mechanisms play a role in how peer and family influence (e.g., physical presence, relationship quality, rejection) translates into adolescent substance use.

Summary

Peers and families can independently, and in tandem, contribute to adolescent substance use, for better or for worse. We propose that future work utilize fMRI to investigate the neural mechanisms involved in different aspects of peer and family influence, and how these contexts uniquely and interactively influence adolescent substance use initiation and escalation across development.

Assessment of risky sexual behaviors and risk perception among youths in western Ethiopia: the influences of family and peers: a comparative cross-sectional study

BACKGROUND

Ethiopia is a developing country with a demographic profile dominated by young population with in the ages of 15-24, constituting one third of the total population. Only little has been explored about the role of parenting process and peers in protecting youths from risky sexual behaviors. Thus, this study tried to assess risky sexual behaviors, risk perception and the influences of family and peers for possible interventions among youths in western Ethiopia.

METHODS

The study applied a comparative cross-sectional design triangulated with qualitative study. A pre-tested, structured, interviewer administered questionnaire was used to gather data. SPSS software version 20 was used to perform descriptive statistics, univariate, bivariate and multivariable logistic regression analyses.

RESULTS

Over one third of in-school and 41.4% out-of-school youths reported unprotected sex during the 12 months period prior to interview. More than one third of in-school youths (37.1%) reported to have two and more than two lifetime sexual partners compared to 32.6% of out-of-school youths. Out-of-school youths feel that they are at higher risk of getting HIV than in-school youths (AOR = 2.93; 95% CI: 1.45, 4.35). Youths who had high family connectedness were less likely to commence sexual activity and have multiple sexual partners than their counterparts (AOR = 1.98; 95% CI: 0.63, 0.94) and (AOR = 2.79; 95% CI: 1.24, 4.43) respectively. Having pressure from peer to have sex was significantly associated with having multiple sexual partners (AOR = 2.82; 95% CI: 1.62, 2.49).

CONCLUSION

A substantial proportion of out-of-school youths engaged in risky sexual behaviors than in-school youths. Parents and peers play a role in shaping the behavior of youths. Consequently, the dimension of good parental process and positive peer factors has to be strengthened.

'The family is only one part …': understanding the role of family in young Thai women's sexual decision making

This study aims to understand young Thai women's perspectives about family influences on their sexual decisions with the goal of informing the future development of HIV programmes and interventions for young Thai women in urban areas. Eight focus groups were conducted with 40 young single women aged 18-25 years, recruited through a peer network of key informants from four sites across Bangkok: universities, government offices, slums and garment factories. Predetermined topics relating to family, sexual decisions and HIV were discussed with 4-5 participants in each group. Qualitative thematic and framework-analysis techniques were used to explore participants' narratives. Findings suggest that young Thai women's sexual decisions are complex and take place under a wide range of personal, familial and social influences. Parents were perceived as a barrier to parent-child communication about sex and HIV. Young women regarded mothers as more supportive and receptive than fathers when discussing sensitive topics. Young Thai women described a tension between having a strong sense of self and modern sexual norms versus traditionally conservative relational orientations. Future HIV interventions could benefit by developing strategies to consider barriers to parent-child communication, strengthening family relationships and addressing the coexistence of conflicting sexual norms in the Thai context.

Schools, Skills, and Synapses

This paper discusses (a) the role of cognitive and noncognitive ability in shaping adult outcomes, (b) the early emergence of differentials in abilities between children of advantaged families and children of disadvantaged families, (c) the role of families in creating these abilities, (d) adverse trends in American families, and (e) the effectiveness of early interventions in offsetting these trends. Practical issues in the design and implementation of early childhood programs are discussed.

Relationships of psychosocial factors to dietary intakes of preadolescent girls from diverse backgrounds

Family and personal factors that might be related to the development of food selection and eating patterns have not been well studied in children. The aim of this study was to examine whether such psychosocial factors differ in girls from four culturally diverse Girl Scout troops and how these factors are associated with dietary intakes. The social measures and dietary assessments were all obtained at baseline on subjects who were participating in a small nutrition education programme. The programme enrolled girls and one parent for each girl from four Girl Scout troops in Detroit, Michigan. The social factors assessed included girls' emotionality and use of food to regulate emotions, their general attitudes about health, eating and body image, and self-perceptions of their competence. Dietary intakes also were assessed in both the girls and their parents. There were large differences between troops in ethnicity and parent education level, and there were differences in dietary intakes as well. The psychosocial factors assessed in this study, however, did not differ significantly by troop. When the psychosocial factors were examined for their relationships to dietary factors, there was an indication that families which reported higher self-competence and academic competence in their daughters also had healthier eating patterns in their daughters. This was a small study, but the data suggest that simple comparisons between ethnic groups may not adequately capture the complexity of family and psychosocial factors contributing to good dietary practices.