Shannon M. Monnat

Enterprising Women A Comparison of Women's and Men's Small Business Networks

This study demonstrates the importance of social context to the study of networks vital to business success. Results from analyses of the personal and business characteristics associated with different types of networks, a topic that has been neglected in past research, show the importance of structural perspectives emphasizing that women and men in the same situations have similar networks. Yet there are some network differences even among these women and men who operate the same kinds of businesses. This suggests that insights from gender construction perspectives should be integrated into network and other gender inequality studies.

Do Perceptions of Social Cohesion, Social Support, and Social Control Mediate the Effects of Local Community Participation on Neighborhood Satisfaction?

This article investigates the effects of social cohesion, social support, social control, and active local community participation on neighborhood satisfaction among individuals living in Los Angeles County. Utilizing the LAFANS dataset and proportional odds regression models, the authors find that net of individual demographic and socioeconomic status, perceptions of social cohesion, and social control are associated with greater levels of neighborhood satisfaction, whereas perceptions of neighborhood social support have no effect on satisfaction. Furthermore, formal involvement in one’s neighborhood is associated with greater levels of satisfaction only in certain contexts and only for certain types of involvement.

Long-Term Physical Health Consequences of Adverse Childhood Experiences

This study examined associations between adverse childhood family experiences and adult physical health using data from 52,250 U.S. adults aged 18 to 64 from the 2009 to 2012 Behavioral Risk Factor Surveillance System. We found that experiencing childhood physical, verbal, or sexual abuse, witnessing parental domestic violence, experiencing parental divorce, and living with someone who was depressed, abused drugs or alcohol, or who had been incarcerated were associated with one or more of the following health outcomes: self-rated health, functional limitations, diabetes, and heart attack. Adult socioeconomic status and poor mental health and health behaviors significantly mediated several of these associations. The results of this study highlight the importance of family-based adverse childhood experiences on adult health outcomes and suggest that adult socioeconomic status (SES) and stress-related coping behaviors may be crucial links between trauma in the childhood home and adult health.

THE COLOR OF WELFARE SANCTIONING: Exploring the Individual and Contextual Roles of Race on TANF Case Closures and Benefit Reductions

This article investigates the individual and contextual roles of race on welfare sanctions: benefit cuts for failing to comply with work or other behavioral requirements under the Temporary Assistance for Needy Families program. Using six years of federal administrative data, I advance previous welfare research by providing a nationally representative analysis of participant-, county-, and state-level predictors of welfare sanctioning. Using theories of racial classification, racialized social systems, and racial threat as guiding frameworks, I find that black and Latina women are at a greater risk of being sanctioned than white women. Further, although odds of a sanction are slightly reduced for black women living in counties with greater percentages of blacks, the opposite holds for Latinas, who are at an increased risk of being sanctioned in counties with greater percentages of Latinos.

Urban vs. rural differences in prescription opioid misuse among adults in the United States: informing region specific drug policies and interventions.

BACKGROUND In the United States, prescription opioid misuse (POM) has increased dramatically over the past two decades. However, there are still questions regarding whether rural/urban differences in adult POM exist, and more important, which factors might be driving these differences. METHODS Using data from the 2011 and 2012 National Survey on Drug Use and Health, we conducted unadjusted and adjusted binary logistic regression analyses to determine the association between metropolitan status and POM. RESULTS We found that urban adults were more likely to engage in POM compared to rural adults because of their higher use of other substances, including alcohol, cannabis, and other illicit and prescription drugs, and because of their greater use of these substances as children. CONCLUSION This study fills an important gap in the literature by not only identifying urban/rural differences in POM, but by also pointing out factors that mediate those differences. Because patterns and predictors of POM can be unique to geographic region, this research is critical to informing tailored interventions and drug policy decisions. Specifically, these findings suggest that interventions should be aimed at urban illicit drug users and adults in manual labor occupations.

Distress in the Desert: Neighborhood Disorder, Resident Satisfaction, and Quality of Life during the Las Vegas Foreclosure Crisis.

Using surveys collected from a sample of households nested within “naturally occurring” neighborhoods in Las Vegas, Nevada, during the 2007–2009 economic recession, this study examines the associations between real and perceived measures of neighborhood distress (foreclosure rate, physical decay, crime) and residents’ reports of neighborhood quality of life and neighborhood satisfaction. Consistent with social disorganization theory, both real and perceived measures of neighborhood disorder were negatively associated with quality of life and neighborhood satisfaction. Residents’ perceptions of neighborliness partially acted as a buffer against the effects of neighborhood distress, including housing foreclosures, on quality of life, and neighborhood satisfaction.

Comparing Characteristics of Prescription Painkiller Misusers and Heroin Users in the United States

INTRODUCTION Prescription painkiller misuse (PPM) is a major U.S. public health concern. However, as prescribing practices have tightened and prescription painkillers have become less accessible, many users have turned to heroin as a substitute. This trend suggests the face of heroin users has likely changed over the past several years. Understanding the demographic, socioeconomic, psychosocial, and substance use characteristics of different groups of opiate users is important for properly tailoring interventions. METHODS This study used data from the 2010-2013 National Survey on Drug Use and Health to examine differences in characteristics of U.S. adults in three mutually exclusive categories of past-year opiate use: heroin-only (H-O, N=179), prescription painkiller-only (PP-O, N=9,516), and heroin and prescription painkiller (H-PP, N=506). RESULTS Socioeconomic disadvantage, older age, disconnection from social institutions, criminal justice involvement, and easy access to heroin were associated with greater odds of being in the H-O group. HH-P users were more likely to be young white males with poor physical and mental health who also misuse other prescription medications and began such misuse as adolescents. PP-O users were the most economically stable, most connected to social institutions, least likely to have criminal justice involvement, and had the least access to heroin. CONCLUSIONS Results suggest the socio-demographic characteristics of heroin users versus PP misusers vary widely, and the conditions leading to heroin use versus PPM versus both may be different. Ultimately, a one-size-fits-all approach to opiate prevention and treatment is likely to fail. Interventions must account for the unique needs of different user groups.

Is There an Association Between Maternal Pap Test Use and Adolescent Human Papillomavirus Vaccination

PURPOSE To identify the association between mothers recent receipt of a Pap test and daughters uptake and completion of the three-shot human papillomavirus (HPV) vaccination series. METHODS We used cross-sectional data from the 2008 to 2010 Behavioral Risk Factor Surveillance System from 9 U.S. states and Puerto Rico and logistic regression models to examine the association between mothers receipt of a Pap test in the past 3 years and daughters uptake and completion of the three-shot HPV vaccination series among adolescent girls aged 9-17 years (N = 4,776). RESULTS Approximately one-quarter of adolescent girls began the HPV vaccination series, and 13.6% completed the three-shot series. Uptake and completion were more likely among girls whose mothers had obtained a Pap test within the past 3 years-for HPV uptake, odds ratio: 1.342, 95% confidence interval: 1.073-1.692; for HPV completion, odds ratio: 1.904; 95% confidence interval: 1.372-2.721-but the relationship between mothers recent Pap test and vaccine uptake was explained by the mothers use of a personal doctor and obtaining a routine physical examination in the past year. CONCLUSIONS HPV vaccination uptake and completion were more likely among adolescent girls whose mothers obtained a recent Pap test. Interventions designed to educate mothers on the importance of HPV vaccination and to facilitate relationships between physicians and mothers may prove successful at increasing HPV vaccination among adolescent girls.

Correlates of state enactment of elementary school physical education laws.

OBJECTIVE To describe variation in U.S. state elementary school physical education (PE) policies and to assess associations between state PE policy enactment and education funding, academic achievement, sociodemographic disadvantage, and political characteristics. METHODS U.S. state laws regarding school PE time, staffing, curriculum, fitness assessment, and moderate-to-vigorous physical activity (MVPA) in 2012 were classified as strong/specific, weak/nonspecific, or none based on codified law ratings within the Classification of Laws Associated with School Students (C.L.A.S.S.). Laws were merged with state-level data from multiple sources. Logistic regression was used to determine associations between state characteristics and PE laws (N=51). RESULTS Laws with specific PE and MVPA time requirements and evidence-based curriculum standards were more likely in states with low academic performance and in states with sociodemographically disadvantaged populations. School day length was positively associated with enacting a PE curriculum that referenced evidence-based standards. School funding and political characteristics were not associated with PE laws. CONCLUSIONS Limited time and high-stake testing requirements force schools to prioritize academic programs, posing barriers to state passage of specific PE laws. To facilitate PE policy enactment, it may be necessary to provide evidence on how PE policies can be implemented within existing time and staffing structures.

Race/Ethnicity and the Socioeconomic Status Gradient in Women's Cancer Screening Utilization: A Case of Diminishing Returns?

Using three years (2006, 2008, 2010) of nationally representative data from the Behavioral Risk Factor Surveillance System, I assessed the socioeconomic status (SES) gradient for odds of receiving a mammogram in the past two years and a Pap test in the past three years among White, Black, Hispanic, and Asian women living in the U.S. Mammogram and Pap test utilization were less likely among low-SES women. However, women of color experience less benefit than Whites from increasing SES for both screenings; as income and education increased, White women experienced more pronounced increases in the likelihood of being screened than did women of color. In what might be referred to as paradoxical returns, Asian women actually experienced a decline in the likelihood of obtaining a recent Pap test at higher levels of education. My findings suggest that women of color differ from Whites in the extent to which increasing socioeconomic resources is associated with increasing cancer screening utilization.