There is increased awareness that exposure to violence in the community can influence students’ aggressive behavior at school; however, less is known about the mechanisms that mediate this process. Having an enhanced understanding of how community violence exposure relates to students’ aggressive behavior at school may inform the use of preventive interventions aimed at reducing school violence. Consistent with social–cognitive theory, the current study tested whether the association between exposure to community violence and teacher-reported aggressive behavior was mediated by biased social information processing. Data on 184 suburban adolescents and their teachers were analyzed with structural equation modeling. Community violence exposure and aggressive behavior in the classroom were significantly related and mediated by negatively biased social–cognitive factors. Results suggest that even relatively low levels of community violence exposure may increase the risk of students displaying aggressive behavior at school. Although gender differences were explored, social information processing appeared to be an important mediator for both boys and girls.

The objective was to examine mental health treatment access disparities between Asians and whites in the United States as well as the role of perceived and objective need and barriers to treatment in these disparities.

Abstract:Purpose To examine, from a youth's perspective, adolescent pregnancy and parenting in Baltimore, Maryland, a city with high rates of adolescent pregnancy. MethodsSix gender-stratified focus groups with 13-to 19-year-olds (4 female and 2 male groups; n = 47). We recorded focus groups, transcribed them verbatim, and analyzed them using the constant comparison method. Participants completed questionnaires to collect demographic and behavioral information. ResultsResults fit into a social-ecological framework. Individual (e.g., contraceptive use behaviors, religion), interpersonal (e.g., peer norms, maintaining male partners), and community (e.g., clinic factors, perceptions of community) level influences on adolescent pregnancy emerged. Participants discussed contradictory messages that were often gendered in their expectations; for instance, women were responsible for not getting pregnant and raising children. Adolescents expressed beliefs both against (e.g., challenging to complete school) and supporting early childrearing (e.g., religion). Recommendations for addressing the different influences included mentors, education, and community resources.

As a part of a larger, mixed-methods research study, we conducted semi-structured interviews with 21 adults with depressive symptoms to understand the role that past health care discrimination plays in shaping help-seeking for depression treatment and receiving preferred treatment modalities. We recruited to achieve heterogeneity of racial/ethnic backgrounds and history of health care discrimination in our participant sample. Participants were Hispanic/Latino ( n = 4), non-Hispanic/Latino Black ( n = 8), or non-Hispanic/Latino White ( n = 9). Twelve reported health care discrimination due to race/ethnicity, language, perceived social class, and/or mental health diagnosis. Health care discrimination exacerbated barriers to initiating and continuing depression treatment among patients from diverse backgrounds or with stigmatized mental health conditions. Treatment preferences emerged as fluid and shaped by shared decisions made within a trustworthy patient–provider relationship. However, patients who had experienced health care discrimination faced greater challenges to forming trusting relationships with providers and thus engaging in shared decision-making processes.