▪ Abstract Socioeconomic status (SES) is one of the most widely studied constructs in the social sciences. Several ways of measuring SES have been proposed, but most include some quantification of family income, parental education, and occupational status. Research shows that SES is associated with a wide array of health, cognitive, and socioemotional outcomes in children, with effects beginning prior to birth and continuing into adulthood. A variety of mechanisms linking SES to child well-being have been proposed, with most involving differences in access to material and social resources or reactions to stress-inducing conditions by both the children themselves and their parents. For children, SES impacts well-being at multiple levels, including both family and neighborhood. Its effects are moderated by children's own characteristics, family characteristics, and external support systems.

Socioeconomic status and child development.

OBJECTIVE — To systematically review the incidence of posttransplantation diabetes (PTD), risk factors for its development, prognostic implications, and optimal management. RESEARCH DESIGN AND METHODS — We searched databases (MEDLINE, EMBASE, the Cochrane Library, and others) from inception to September 2000, reviewed bibliographies in reports retrieved, contacted transplantation experts, and reviewed specialty journals. Two reviewers independently determined report inclusion (original studies, in all languages, of PTD in adults with no history of diabetes before transplantation), assessed study methods, and extracted data using a standardized form. Meta-regression was used to explain between-study differences in incidence. RESULTS — Nineteen studies with 3,611 patients were included. The 12-month cumulative incidence of PTD is lower (10% in most studies) than it was 3 decades ago. The type of immunosuppression explained 74% of the variability in incidence (P 0.0004). Risk factors were patient age, nonwhite ethnicity, glucocorticoid treatment for rejection, and immunosuppression with high-dose cyclosporine and tacrolimus. PTD was associated with decreased graft and patient survival in earlier studies; later studies showed improved outcomes. Randomized trials of treatment regimens have not been conducted. CONCLUSIONS — Physicians should consider modification of immunosuppressive regimens to decrease the risk of PTD in high-risk transplant recipients. Randomized trials are needed to evaluate the use of oral glucose-lowering agents in transplant recipients, paying particular attention to interactions with immunosuppressive drugs. Diabetes Care 25:583–592, 2002

A systematic review of the literature

This article provides a comprehensive review of research on the effects of neighborhood residence on child and adolescent well-being. The first section reviews key methodological issues. The following section considers links between neighborhood characteristics and child outcomes and suggests the importance of high socioeconomic status (SES) for achievement and low SES and residential instability for behavioral/emotional outcomes. The third section identifies 3 pathways (institutional resources, relationships, and norms/collective efficacy) through which neighborhoods might influence development, and which represent an extension of models identified by C. Jencks and S. Mayer (1990) and R. J. Sampson (1992). The models provide a theoretical base for studying neighborhood mechanisms and specify different levels (individual, family, school, peer, community) at which processes may operate. Implications for an emerging developmental framework for research on neighborhoods are discussed. Social science concerns about the effects of residence in a poor neighborhood on children and youth date back more than 50 years to the publication of Shaw and McKay's (1942) Juvenile Delinquency and Urban Areas. Historical accounts of the effects of living in a poor neighborhood date back even further. The current interest in neighborhood effects on, children and youth has multiple origins. First, Wilson's (1987) documentation of increasingly concentrated poverty in urban areas at the neighborhood level during the 1970s and 1980s served to reorient discussions of poverty from the individual to the neighborhood level. Second, and related to the work of Wilson, was the rejuvenated interest among sociologists and urban scholars in community social disorganization theory (Shaw & McKay, 1942) as an explanatory model for delinquency and crime, as well as other problem behaviors encountered in many poor urban neighborhoods (see, e.g., Bursik, 1988; Kornhauser, 1978; Sampson, 1992; Sampson & Groves, 1989; see Sampson & Morenoff, 1997, for a review). Social disorganization theory posits that neighborhood structural factors, such as poverty, residential instability, single parenthood, and ethnic heterogeneity, are of prime importance in explaining behavior through their ability to thwart or promote neighborhood organization (formal and informal institutions), which maintains public order. Other scholars, although not necessarily focusing on child wellbeing, drew attention to residential (or spacial) patterns as sources

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The neighborhoods they live in: the effects of neighborhood residence on child and adolescent outcomes.

Today, the life course perspective is perhaps the pre-eminent theoretical orientation in the study of lives, but this has not always been the case. The life histories and future trajectories of individuals and groups were largely neglected by early sociological research. In the pioneering study, The Polish Peasant in Europe and America (1918-1920), W. I. Thomas (with Florian Znaniecki) first made use of such histories and trajectories and argued strongly that they be investigated more fully by sociologists. By the mid-1920s, Thomas was emphasizing the vital need for a “longitudinal approach to life history” using life record data (Volkart, 1951, p. 593). He advocated that studies investigate “many types of individuals with regard to their experiences and various past periods of life in different situations” and follow “groups of individuals into the future, getting a continuous record of experiences as they occur.” Though this advice went unheeded for decades, Thomas’s early recommendations anticipated study of the life course and longitudinal research that has become such a central part of modern sociology and other disciplines.

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The Emergence and Development of Life Course Theory

This article presents an introduction to the Health Belief Model (HBM). The HBM states that the perception of a personal health behavior threat is influenced by at least three factors: general health values, interest and concern about health; specific beliefs about vulnerability to a particular health threat; and beliefs about the consequences of the health problem. Once an individual perceives a threat to his health and is simultaneously cued to action, if his perceived benefits outweighs his perceived costs, then the individual is most likely to undertake the recommended preventive health action. Key words: health promotion, health belief model, perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, self-efficacy. Content available only in Romanian.

Health Belief Model

Are rural residents less likely to obtain recommended preventive healthcare services

This article examines the effects of work intensity on adolescent mental health, academic achievement, and behavioral adjustment. Questionnaire data were collected yearly from an initial panel of 1,000 randomly selected ninth graders (14-15 years old). Consistent with other studies, students who worked at higher intensity engaged in more alcohol use. The methodological strengths of this research (a representative panel studied prospectively over a 4-year period with minimal attrition and an analysis incorporating key control and lagged variables) provide strong evidence that adolescent work fosters alcohol use. The contention that work of high intensity has deleterious effects on mental health, academic achievement, and 2 other indicators of behavioral adjustment did not withstand our stringent tests. However, high school seniors who worked at moderate intensity (1-20 hours per week) had higher grades than both nonworkers and students who worked more hours per week.

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The Effects of Work Intensity on Adolescent Mental Health, Achievement, and Behavioral Adjustment: New Evidence from a Prospective Study

Objective:We sought to examine the extent to which reported barriers to health care services differ between American Indians (AIs) and non-Hispanic Whites (Whites).Methods:A statewide stratified random sample of Minnesota health care program enrollees was surveyed. Responses from AI and White adult

Barriers to care among American Indians in public health care programs.

Contents: Preface. Arenas of Comfort and Adolescent Stress. The Youth Development Study. The Social Location of Comfort in Adolescence. Arenas of Comfort and Adolescent Adjustment. Arenas of Comfort as Stress Moderators. Arenas of Comfort in Adolescence. References. Appendices: Measures. Dichotomous Specification of Comfort Measures and Tenth-Grade Frequencies.

Arenas of Comfort in Adolescence: A Study of Adjustment in Context

Authors' conclusions None of the included studies measured the effect of cultural competence interventions on health care disparities. Most of the training interventions measured changes in professional attitudes toward the population of interest but did not measure the downstream effect of changing provider beliefs on the care delivered to patients. Interventions that altered existing protocols, empowered patients to interact with the formal health care system, or prompted provider behavior at the point of care were more likely to measure patient-centered outcomes. The medium or high risk of bias of the included studies, the heterogeneity of populations, and the lack of measurement consensus prohibited pooling estimates or commenting about efficacy in a meaningful or responsible way. The term "cultural competence" is not well defined for the LGBT and disability populations, and is often conflated with patient-centered or individualized care. There are many gaps in the literature; many large subpopulations are not represented.

Kathleen Thiede Call

Papers

Are rural residents less likely to obtain recommended preventive healthcare services

The Effects of Work Intensity on Adolescent Mental Health, Achievement, and Behavioral Adjustment: New Evidence from a Prospective Study

Barriers to care among American Indians in public health care programs.

Arenas of Comfort in Adolescence: A Study of Adjustment in Context

Improving Cultural Competence to Reduce Health Disparities