Yookyong Lee

Early Motherhood and Harsh Parenting: The Role of Human, Social, and Cultural Capital.

OBJECTIVE This study examined the role of maternal human, social, and cultural capital in the relationship between early motherhood and harsh parenting behavior. METHODS This study used data from the Fragile Families and Child Wellbeing (FFCW) Study. Harsh parenting behaviors by mothers who were 19 years or younger at birth of the focal child (n=598) were compared with that of adult mothers 26 years or older (n=1,363). Measures included: For harsh parenting behavior, three proxies were created from the Parent to Child version of the Conflict Tactics Scales (CTS-PC) and self-reports of maternal spanking. For maternal human capital, education, employment, and depression were used. For maternal social capital, expected-social support, paternal support, and lone caregiver status were included. For maternal cultural capital, religious attendance and attachment to race/ethnic heritage were used. RESULTS Multivariate analyses indicated that adolescent motherhood has a significant impact on all three harsh parenting behavior outcomes even after controlling for demographic and maternal capital characteristics. Working since the birth of the focal child, depression scores, paternal support, expected-social support, and attendance at religious services made independent contributions to the prediction of harsh parenting behavior. CONCLUSIONS Findings emphasize the importance of the prevention of adolescent motherhood and suggest intervention strategies for reducing the risk of maternal harsh parenting behavior. Further study is necessary to examine the complicated relationships among maternal capital and parenting. One method may be to focus on the development of measures of maternal capital, notably measures of expectations regarding and perceptions of received capital. PRACTICE IMPLICATIONS Findings from this study have implications for social work practice, particularly for the prevention of adolescent pregnancy and intervention with adolescent mothers and their children. First, the study calls for more recognition of school social work and intervention programs in school settings as important components of prevention services. Second, the importance of identifying fathers and helping them become involved and connected with their young families are highlighted. Finally, practitioners should become more aware of the role of culture in young families as the effect of cultural capital on parenting behavior becomes better understood.

Perceptions and Satisfaction with Father Involvement and Adolescent Mothers’ Postpartum Depressive Symptoms

This study examined the associations between adolescent mothers’ postpartum depressive symptoms and their perceptions of amount of father care giving and satisfaction with father involvement with the baby. The sample included 100 adolescent mothers (ages 13–19; mainly African-American and Latina) whose partners were recruited for a randomized study for fathers only. Controlling for prenatal depressive symptoms and other prenatal and postpartum variables, we found that higher levels of mothers’ satisfaction with father involvement rather than perception of amount of fathers’ care giving was significantly associated with fewer postpartum depressive symptoms. The relationship between satisfaction with father involvement and depressive symptoms was partially mediated by mothers’ sense of parenting competence and not by mothers’ parenting stress. Policy and programs should place greater emphasis on early support for adolescent mothers and their partners, particularly when mothers desire the involvement of the father with his child.

The Effect of Cumulative Risk on Paternal Engagement: Examining Differences among Adolescent and Older Couples.

This study examined the association between fathers’ and mothers’ risk factors and paternal engagement 1 and 3 years postbirth. Distinguishing between new and persistent risk factors, we tested whether cumulative risk has unique effects on couples where one or both parents are adolescents at birth. Results indicated that although fathers’ and mothers’ risk factors affected levels of paternal engagement with 1-year-olds, these effects did not differ among couples with at least one adolescent and older couples. However, when the child was 3, fathers’ risk factors were stronger predictors of decreased engagement for couples with at least one adolescent partner, but mothers’ risk factors increased engagement only for adolescent fathers with older mothers. Implications for policy and practice are discussed.

Do Asian-American Women Who Were Maltreated as Children Have a Higher Likelihood for HIV Risk Behaviors and Adverse Mental Health Outcomes?

OBJECTIVES This study is the first to systematically investigate whether multiple child maltreatment is associated with HIV risk behaviors and adverse mental health outcomes among Asian-American women. METHODS We conducted a cross-sectional study of unmarried Chinese, Korean, and Vietnamese women (n = 400), aged 18 to 35, who are identified as children of immigrants, using computer-assisted survey interviews. RESULTS Approximately 7 in 10 women reported having been maltreated as a child and 6.8% reported any type of sexual abuse. Only 15% of our sample reported having sex at age 16 or before, yet almost 60% had ever engaged with potentially risky sexual partners. Contrary to the findings from previous studies of White and Black women, sexual abuse plus other maltreatment was not associated with HIV risk behaviors among Asian-American women. However, it was associated with a marked increase in depression, lifetime suicidal ideation, and suicide attempts. A higher education level was associated with increased odds of HIV risk behaviors, including ever having had anal sex and ever having potentially risky sexual partners. CONCLUSION There was no evidence indicating that multiple child maltreatment was linked with HIV risk behaviors, but it exhibited a robust association with poor mental health outcomes. These empirical patterns of internalizing trauma, suffering alone, and staying silent are in accord with Asian-cultural norms of saving face and maintaining family harmony. The prevention of multiple child maltreatment may reduce high levels of depression and suicidal behaviors in this population. It is urgent to identify victims of multiple child maltreatment and provide culturally appropriate interventions.

Adverse childhood experiences, gender, and HIV risk behaviors: Results from a population-based sample.

Recent HIV research suggested assessing adverse childhood experiences (ACEs) as contributing factors of HIV risk behaviors. However, studies often focused on a single type of adverse experience and very few utilized population-based data. This population study examined the associations between ACE (individual and cumulative ACE score) and HIV risk behaviors. We analyzed the 2012 Behavioral Risk Factor Surveillance Survey (BRFSS) from 5 states. The sample consisted of 39,434 adults. Eight types of ACEs that included different types of child abuse and household dysfunctions before the age of 18 were measured. A cumulative score of ACEs was also computed. Logistic regression estimated of the association between ACEs and HIV risk behaviors using odds ratio (OR) with 95% confidence intervals (CIs) for males and females separately. We found that ACEs were positively associated with HIV risk behaviors overall, but the associations differed between males and females in a few instances. While the cumulative ACE score was associated with HIV risk behaviors in a stepwise manner, the pattern varied by gender. For males, the odds of HIV risk increased at a significant level as long as they experienced one ACE, whereas for females, the odds did not increase until they experienced three or more ACEs. Future research should further investigate the gender-specific associations between ACEs and HIV risk behaviors. As childhood adversities are prevalent among general population, and such experiences are associated with increased risk behaviors for HIV transmission, service providers can benefit from the principles of trauma-informed practice.

Mediators of the Relationship Between Stable Nonresident Households and Toddler Outcomes

The present study examined the associations between stable nonresidence among never married parents (compared with coresident parents) and outcomes for toddlers using the Early Childhood Longitudinal Survey–Birth Cohort. The authors found small to medium negative associations between stable nonresidence and toddlers’ positive social behavior and small negative associations between stable nonresidence and toddlers’ cognition. The associations between stable nonresidence and positive social behavior and cognition were explained by mothers’ supportiveness during interactions with the child. The findings suggest that toddlers in stable nonresident families are at greater risk for lowered school readiness because of diminished quality of maternal interactions with the child. Implications for practice and policy are discussed.

Longitudinal trajectory of adolescent exposure to community violence and depressive symptoms among adolescents and young adults: understanding the effect of mental health service usage

Research on the impact of exposure to community violence tends to define victimization as a single construct. This study differentiates between direct and indirect violence victimization in their association with mental health problems and mental health service use. This study includes 8947 individuals from four waves of the National Longitudinal Study of Adolescent to Adult Health and examines (1) whether sub-types of adolescent victimization are linked to depressive symptoms; (2) whether adolescent victimization is linked with mental health service use; and (3) the role of mental health service use in attenuating symptoms arising from victimizations. Adolescents witnessing community violence were more likely to experience depressive symptoms during adolescence but not during their young adulthood; direct exposure to violence during adolescence does not predict depressive symptoms in adolescence but does in adulthood. Use of mental health service mediates report of depressive symptoms for adolescent witnessing community violence.