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Posts tagged Health
Leaving The Gang is Good For Your Health: A Stress Process Perspective on Disengagement From Gangs

By John LeversoCyrus SchleiferDavid C. Pyrooz

During the last decade, health criminology—the study of health outcomes for justice-involved individuals and their families—has gained traction in the field. We extend health criminology to the study of street gangs by drawing on the stress process perspective. Gang membership is conceptualized as a primary stressor that leads to secondary stressors with direct and indirect adverse effects on mental health. Leaving a gang, we hypothesize, offers relief by shrinking the stress universe to improve mental health. We test the gang disengagement–mental health link using panel data from a sample of 510 active gang members in the Northwestern Juvenile Project, longitudinal entropy balancing models, and mental health outcomes related to both clinical diagnosis and functional impairment. The results indicate that gang disengagement leads to improvements in mental health and functioning. Compared with those who stayed in gangs, those who left experienced improvements in global functioning, overall mental health diagnosis, behavior toward others functioning, substance abuse functioning, and alcohol-related diagnoses. Secondary stressors partially, but not fully, mediated this association. Our findings extend the inventory of research on the benefits of disengagement from gangs to health outcomes and support interventions designed to promote gang disengagement.

Criminology Volume 62, Issue 3 Aug 2024 Pages 377-618

Left Behind Corruption in Education and Health Services in Africa 

By Jamie Bergin

People with disabilities having to pay carers to carry them within health facilities. + Local leaders selecting undeserving service users for social protection support, at the expense of poor families who need it. + Officials colluding to put non-existent “ghost teachers” on the books of rural schools, to siphon off already scarce resources. + Women students being coerced into giving sexual favours to pass the next class, with no repercussions for the perpetrator. marginalised communities, Transparency International’s national chapters in the Democratic Republic of Congo (DRC), Ghana, Madagascar, Rwanda and Zimbabwe conducted corruption risk assessments in these sectors as part of the Inclusive Service Delivery for Africa project. Each chapter selected and studied different functions within the two sectors, largely with an eye to services and operational areas that most impact women, girls and groups at risk of discrimination. What do all these examples have in common? The answer is an abuse of power for private gain, that is exclusionary of marginalised groups and deprives them of education and health care they are entitled to. Corruption undermines the equal access to quality education and health services. The result is the failure of states to uphold fundamental rights and meet basic needs – with women, girls and groups at risk of discrimination shouldering the impacts most severely. Corrupt practices and associated abuses of power deprive millions of people of the opportunities that well-functioning education and health institutions can provide. While this is clearly a human rights issue at the individual level, the aggregate impact on socio-economic development can be ruinous for societies straining to escape the traps of poverty. At the same time, corruption widens the equality gap faced by marginalised groups, and aggravates social exclusion. To better understand how in practice corruption obstructs access to health care and education for These national-level findings revealed stark common trends, pointing to a multitude of corruption risks occurring across the entire service delivery cycle.   

Berlin: Transparency International, 2024. 62p

Interventions for Intimate Partner Violence During the Perinatal Period: A Systematic Review

By Olivia Mercier, Sarah Yu Fu, Rachel Filler, Alexie Leclerc, Kari Sampsel, Karine Fournier, Mark Walker, Shi Wu Wen, Katherine Muldoon

Background: Intimate partner violence (IPV) is a prevalent global health problem. IPV that occurs before pregnancy often continues during the perinatal period, resulting in ongoing violence and many adverse maternal, obstetrical, and neonatal outcomes.

Objectives: This scoping review is designed to broadly capture all potential interventions for perinatal IPV and describe their core components and measured outcomes.

Search Methods: We conducted a search for empirical studies describing IPV interventions in the perinatal population in June 2022. The search was conducted in MEDLINE, EMBASE, PsycInfo, CINAHL, Cochrane Central Register of Controlled Trials, Web of Science, Applied Social Sciences Index & Abstracts, ClinicalTrials.gov and MedRxiv. Hand-searching of references from select articles was also performed.

Selection Criteria: Included studies described an intervention for those experiencing IPV during the perinatal period, including 12 months before pregnancy, while pregnant or in the 12 months post-partum. The search encompassed January 2000 to June 2022 and only peer-reviewed studies written in either English or French were included. Included interventions focused on the survivor exposed to IPV, rather than healthcare professionals administering the intervention. Interventions designed to reduce IPV revictimization or any adverse maternal, obstetrical, or neonatal health outcomes as well as social outcomes related to IPV victimization were included.

Data Collections and Analysis: We used standard methodological procedures expected by The Campbell Collaboration.

Main Results: In total, 10,079 titles and abstracts were screened and 226 proceeded to full text screening. A total of 67 studies included perinatal IPV interventions and were included in the final sample. These studies included a total of 27,327 participants. Included studies originated from 19 countries, and the majority were randomized controlled trials (n = 43). Most studies were of moderate or low quality. Interventions included home visitation, educational modules, counseling, and cash transfer programs and occurred primarily in community obstetrician and gynecologist clinics, hospitals, or in participants' homes. Most interventions focused on reducing the revictimization of IPV (n = 38), improving survivor knowledge or acceptance of violence, knowledge of community resources, and actions to reduce violence (n = 28), and improving maternal mental health outcomes (n = 26). Few studies evaluated the effect of perinatal IPV interventions on obstetrical, neonatal, or child health outcomes.

Authors' Conclusion(s): The majority of intervention studies for perinatal IPV focus on reducing revictimization and improving mental health outcomes, very few included obstetrical, neonatal, and other physical health outcomes. Future interventions should place a larger emphasis on targeting maternal and neonatal outcomes to have the largest possible impact on the lives and families of IPV survivors and their infants.

Campbell Systematic Reviews, Volume 20, Issue 3, September 2024

A life course approach to determining the prevalence and impact of sexual violence in Australia

By Natalie Townsend

The Australian Government Department of Social Services (2019, p. 60) defines sexual violence as sexual actions without consent, which may include coercion, physical force, rape, sexual assault with implements, being forced to watch or engage in pornography, enforced prostitution or being made to have sex with other people. While there is a growing body of international evidence on sexual violence, its prevalence and impact has not been extensively examined in the Australian context. The existing evidence base is largely limited to data sources that are likely to underestimate the prevalence of sexual violence or to apply only to discrete groups of women (e.g. clinical samples). Further, while international and national estimates of sexual violence prevalence are available, these rarely capture experiences and outcomes across the life span. The Australian Longitudinal Study on Women’s Health (ALSWH) has collected sexual violence data since its inception in 1996 and offers an ideal opportunity to examine sexual violence over the life span. The ALSWH has captured a broad range of data on women’s health, which are crucial for understanding the economic, social, physical and mental health trajectories of women who have experienced sexual violence. This report was developed in consultation with ANROWS to address the limitations of the existing evidence by utilising ALSWH data. Aims The purpose of this report was to assess the prevalence of sexual violence over the life course and the impacts of experiencing sexual violence on health and wellbeing among Australian women using national, longitudinal data. The research had the following specific aims: 1. Determine the prevalence of sexual violence across the life course, including sexual violence experienced in childhood and adulthood, perpetrated both within an intimate relationship and outside of such a relationship. 2. Determine the role of sexual violence during childhood as a risk factor for experiences of multiple forms of violence later in life. 3. Identify the impact of sexual violence on socio-economic factors over time, such as education, paid employment and financial stress. 4. Determine the nature of associations between sexual violence experienced by women at different life stages and subsequent health behaviours. 5. Assess the impact of sexual violence on women’s physical and mental health. 6. Measure health service use in relation to sexual violence, including costs of selected health services and satisfaction with general practitioner services. 7. Identify factors associated with the general health and wellbeing of women who have experienced sexual violence.  

Sydney: Australia’s National Research Organisation for Women’s Safety Limited (ANROWS). 2022, 95pg

Homicide among Indigenous females in North Carolina: a comparison of publicly generated data and violent death reporting system

By Muhammad Hudhud, Scott Proescholdbell, Tammy Norwood, Crystal Cavalier-Keck, Ronny A Bel

Like other minoritized populations, American Indian/Alaska Native (AI/AN) females experience disparate morbidity and mortality outcomes to that of the general US population. This study identified discrepancies in reporting of AI/AN female decedents between the North Carolina Violent Death Reporting System (NC-VDRS) and an online, user-generated database. Female AI/AN decedent data of all ages were collected from the NC-VDRS and compared against that of the publicly available North Carolina Missing and Murdered Indigenous Women (MMIW NC) database for the study period, 2004–2019. Twenty-four of the 72 cases matched between data systems (33.3%). Substantive differences between the NC-VDRS and the MMIW NC database were found. Future efforts should be directed towards supporting Indigenous communities with the comprehensive data the NC-VDRS can provide. This paper highlights statewide public health systems like the NC-VDRS supporting community efforts to understand, advocate for, and disseminate information on MMIW.

Forensic Sciences Research, Volume 9, Issue 1. March 2024, 3pg

Characterizing prescription opioid, heroin, and fentanyl initiation trajectories: A qualitative study

By Tasha Perdue aRobert Carlson bRaminta Daniulaityte cSydney M. Silverstein bRicky N. Bluthenthal dAvelardo Valdez eAlice Cepeda

The purpose of this study is to describe opioid initiation within each of the three waves from the perspective of people who use illicit opioids, with a focus on emerging pathways into fentanyl use. We noted supply-side changes as influencing trajectories in all three waves. However, we also noted differences in the experiences of prescription opioid and heroin initiation, with these trajectories influenced by pharmacological effects, pain management, curiosity, intergenerational use, pricing, and peers. In comparison, most participants were unaware that they were initiating fentanyl, and many reported overdosing with their first use of fentanyl. We identified a trajectory into fentanyl with limited to no prior heroin use among a few participants.

Social Science & Medicine Volume 340. January 2024, 11pg