Lore Van Praag

Divorce, divorce rates, and professional care seeking for mental health problems in Europe: a cross-sectional population-based study

BackgroundLittle is known about differences in professional care seeking based on marital status. The few existing studies show more professional care seeking among the divorced or separated compared to the married or cohabiting. The aim of this study is to determine whether, in a sample of the European general population, the divorced or separated seek more professional mental health care than the married or cohabiting, regardless of self-reported mental health problems. Furthermore, we examine whether two country-level features--the supply of mental health professionals and the country-level divorce rates--contribute to marital status differences in professional care-seeking behavior.MethodsWe use data from the Eurobarometer 248 on mental well-being that was collected via telephone interviews. The unweighted sample includes 27,146 respondents (11,728 men and 15,418 women). Poisson hierarchical regression models were estimated to examine whether the divorced or separated have higher professional health care use for emotional or psychological problems, after controlling for mental and somatic health, sociodemographic characteristics, support from family and friends, and degree of urbanization. We also considered country-level divorce rates and indicators of the supply of mental health professionals, and applied design and population weights.ResultsWe find that professional care seeking is strongly need based. Moreover, the divorced or separated consult health professionals for mental health problems more often than people who are married or who cohabit do. In addition, we find that the gap between the divorced or separated and the married or cohabiting is highest in countries with low divorce rates.ConclusionsThe higher rates of professional care seeking for mental health problems among the divorced or separated only partially correlates with their more severe mental health problems. In countries where marital dissolution is more common, the marital status gap in professional care seeking is narrower, partially because professional care seeking is more common among the married or cohabiting.

Mental health in a gendered context: Gendered community effect on depression and problem drinking

Socio-economic features of a community influence peoples health. However, not all inhabitants are affected similarly. The present study explores gendered contextual effects on problem drinking and depression with the differential exposure, vulnerability and expression hypotheses of the social stress model in mind. Analyses are based on the pooled data of the Belgian Health Interview Survey 2001 and 2004 (N=21.367 respondents, N=589 municipalities). Results reveal that living in an area with high unemployment is more detrimental for women in terms of depression, but has the same impact on men and women when problem drinking is the outcome.

The association between residential area characteristics and mental health outcomes among men and women in Belgium

AimRecently, interest has grown in the association between contextual factors and health outcomes. This study questions whether mental health complaints vary according to the socio-economic characteristics of the residential area where people live. The gender-specific patterns are studied.MethodsComplaints of depression and generalized anxiety were measured by means of the relevant subscales of the Symptoms Checklist 90-Revised. Multilevel models were estimated with PASW statistics 18, based on a unique dataset, constructed by merging data from the Belgian Health Interview Surveys from 2001 and 2004 with data from 264 municipalities derived from Statistics Belgium and the General Socio-Economic Survey.Main findingsThe results of this exploratory study indicate that the local unemployment rate is associated with complaints of depression among women.ConclusionThis study suggests that policy should approach the male and female population differently when implementing mental health prevention campaigns.

Do Attitudes toward School Influence the Underachievement of Turkish and Moroccan Minority Students in Flanders? The Attitude-Achievement Paradox Revisited.

While many ethnic minority students underachieve compared with their ethnic majority peers, they often hold very positive school attitudes. Mickelson (1990) explained this attitude-achievement paradox by the existence of a double set of attitudes. Abstract attitudes reflect the dominant ideas about schooling, while concrete attitudes refer to a person’s perceptions of reality and originate from the educational benefits people expect to obtain on the labor market. According to Mickelson, only students’ concrete attitudes influence achievement. Applying Mickelson’s theory in Flanders, regarding students of Turkish and Moroccan descent, we could not find evidence that abstract and concrete attitudes play a role in the achievement of ethnic minority students. Qualitative research suggests that this could be due to distinct interpretations of success and ways of dealing with perceived constraints. This contrasts with ethnic majority students, who are more likely to end the school year unsuccessfully if they hold pessimistic concrete attitudes.

‘No more Turkish music!’ The acculturation strategies of teachers and ethnic minority students in Flemish schools

ABSTRACT While considerable research has focused on the process and factors affecting acculturation, there is little research that investigates how members of minority and majority groups define acculturation in educational settings. Ethnographic research and qualitative interviews in three secondary schools in Flanders (Belgium) show that teachers and ethnic minority students have different ideas and expectancies regarding the concept ‘integration’, which appears to affect student–teacher relationship. Berry et al.’s [1989. “Acculturation Attitudes in Plural Societies.” Applied Psychology: An International Review 3 (2): 185-206. doi:10.1111/j.1464-0597.1989.tb01208.x.] acculturation orientations are used as a theoretical template to analyse teachers’ and ethnic minority students’ discourses about acculturation. Analyses reveal that students of immigrant descent perceive acculturation mainly in terms of the establishment of intergroup contact. In contrast, teachers find it harder to disconnect cultural maintenance from contact and participation. By suggesting some form of cultural adoption, teachers hope to socialise their ethnic minority students into the culture of the dominant ethnic group and prepare them for their future. These distinct interpretations of ‘integration’ in everyday life (which actually refers to acculturation) often leads to misunderstandings between ethnic minority students and their teachers, even to conflict, as many students feel that their cultural background is disparaged and not fully valued in school.

The attitude–achievement paradox in Belgium An examination of school attitudes of ethnic minority students

In Belgium, students of Turkish and North African descent express optimistic attitudes toward education. However, these attitudes conflict with their achievement results, as many underachieve compared to their peers of Belgian descent. Mickelson’s work discusses this attitude–achievement paradox in the United States. In the current study, we use Mickelson’s framework to investigate the attitude–achievement paradox in Belgium. Using quantitative and qualitative research methods, we find that students of Turkish, North African and Belgian descent believe in the importance of education to get ahead in society, holding optimistic abstract attitudes. Students of Turkish and North African descent hold more optimistic attitudes than students of Belgian descent. However, these abstract attitudes toward education do not translate into ethnic minority students’ concrete attitudes toward education, which depend mainly on the socioeconomic background of the student. Students with a low socioeconomic background are much more pessimistic than students with a high socioeconomic background. Concrete attitudes influence the achievement of students of Belgian descent; this is not the case for students of Turkish and North African descent. Qualitative research shows that to understand the interpretation of concrete school attitudes and its relationship with achievement results, we need to consider students’ definitions of success, frames of reference and perceived constraints and opportunities.

About ethnicity, fitting in, and acting out : applying the person-environment fit framework to school misconduct

Starting from a person–environment fit framework, this study investigates whether ethnic congruence—the percentage of co-ethnics in a school—relates to school misconduct and whether congruence effects differ between ethnic minority and majority students. Moreover, we investigate whether eventual associations are mediated by friendship attachment, perceived teacher support, and general school belonging. Multilevel analyses of data from 11,759 students across 83 Flemish secondary schools show that higher ethnic congruence is associated with lower levels of school misconduct but only for ethnic minority students. This effect was not mediated by friendship attachment, nor by teacher support, but it was mediated by general school belonging. We conclude that ethnic minority students in schools with a higher percentage of peers of co-ethnic descent are less likely to break the school rules because they feel more contented in the school context, which is congruent with the person–environment fit framework.

The perceived role of Islamic religiosity in minorities’ educational success in Belgium : a cure or curse?

In Western Europe, Islam is largely perceived as a barrier to the integration of immigrant minorities into the mainstream and as a hindrance to educational success. However, little is known about the perceived role of Islamic religiosity (beliefs, commitments, behaviors and networks) with respect to educational success. In-depth interviews were carried out with Flemish high-school students (N = 129) (northern part of Belgium) in three secondary schools. Our data indicate that most respondents do not spontaneously mention religiosity as an important factor with respect to educational achievement. However, when asked directly, a significant group of Muslim students mention the memorizing of prayers as a transferable skill, the protective aspects of drug and alcohol prohibition, and the religious friends networks as a resource for fostering the feelings of school belonging. Nevertheless, some students also mention possible negative consequences due to discrimination, for example for wearing a headscarf.

Is the Sky Really the Limit? Exploring the Attitude-Achievement Paradox in the Belgian Context

While immigrant students in Belgium have expressed high educational aspirations, if we compare them with ethnic majority students, those aspirations are not reflected in their achievement results. Ethnographic observations and semi-structured interviews with students from 10 class groups in three Flemish schools (northern part of Belgium) were used to understand why these high aspirations are not translated into actual examination results, also known as the attitude-achievement paradox. Our findings indicate that all students generally believe in the importance of education to get ahead in Belgian society. Analyses reveal, however, that although students of immigrant descent want to achieve in society, they perceive more barriers—such as labor market discrimination—than those of non-immigrant descent to becoming successful. They have figured out distinct defensive coping strategies to circumvent those barriers, such as choosing jobs that do not invite discrimination and attempting to achieve in school in order to prove one’s worth or prove someone wrong, all of which eventually seemed to affect their educational outcomes. The particular choices students made to deal with perceptions and experiences of discrimination should be understood within the local immigrant networks in which they live and depends on the (perceived) nature of discrimination.

Minority Students' Responses to Racism: The Case of Cyprus.

ABSTRACT While research has focused on the role of racism in (re)producing ethnic/racial inequalities in education, there is very little research that investigates how variability in minority students’ responses to racism can be explained. By using an ecological approach to integrate existing research on actors’ responses to racism, this study finds that researchers have generally neglected factors and processes situated at the micro- and meso-levels of analysis. Qualitative interview data with Turkish–Cypriot children enrolled in schools in the predominantly Greek-speaking part of the Republic of Cyprus are used to investigate their strategies in response to racism and the factors that explain the observed variability in their responses. The findings suggest the importance of and interactions between factors situated at different levels of analysis, including the level of organizations and social groups and face-to-face interactions in explaining variability in young people’s responses to racism.