COVID-19 health practices and attitudes in the United States: the role of trust in healthcare.

Aim: Individual-level COVID-19 vaccination and related preventive health behaviors is politically polarized in the United States. We examined whether the current polarization in COVID-19 health behavior may be explained by differences in trust in healthcare, locus of control, or insurance status. Subject and methods: Our sample includes 553 US adults recruited on Amazon MTurk. We assessed odds ratios of currently vaccinated, or willing to be vaccinated if unvaccinated using logistic regression. We assessed count of routine changes and positive attitudes toward facemasks using negative binomial regression. Results: Trust in healthcare was found to be an important determinant of all COVID-19 related health behavior measured in our study. Further, the effects on COVID-related attitudes/behavior from trust in healthcare are large in magnitude. For instance, our results suggest that individuals at or above the upper quartile of trust in healthcare are around 20 percentage points more likely to be vaccinated than those at or below the lower quartile. Further, we find that the effect of trust in healthcare on adherence or endorsement of COVID-19 mitigation strategies is distinct from political affiliation, i.e., the effect on COVID-19 related health behavior is independent of the polarization across political party lines. Locus of control was not associated with adherence/attitude toward COVID-19 mitigation strategies. Insurance status was only found to be positively associated with odds of being vaccinated. Conclusion: Our study highlights the importance of increasing trust in healthcare as a means to protect public health in the wake of major public health crises. Supplementary Information: The online version contains supplementary material available at 10.1007/s10389-022-01737-9.

Is More Necessarily Better? School Security and Perceptions of Safety among Students and Parents in the United States.

The use of security measures within schools has increased dramatically over the past few decades. These proliferations are often touted by teachers, school administrators, politicians, and the public as necessary for improving student safety. Though research in this area is growing, we know little about how increased use of school security measures relates to both student and parental perceptions of school safety. Using data from wave one of the 2002 Educational Longitudinal Study, the current study investigates the relationship between the use of security measures in schools and student and parent assessments of safety. Findings from multi-level models indicate that school security measures are, generally, related to decreased perceptions of safety by both parents and students. Implications of these findings are addressed.

The Native American adolescent: social network structure and perceptions of alcohol induced social problems.

Race/ethnicity and the structure of an adolescent's social network are both important factors in the etiology of delinquent behavior. Yet, much of the minority-group delinquency literature overlooks the Native American youth population that traditionally exhibits high rates of alcohol use and abuse. Utilizing data from the National Longitudinal Study of Adolescent Health, we compare the structural characteristics of school-based friendship networks of American Indian youth and other racial/ethnic groups. Our core sample for the descriptive analysis consists of 70,841 youth (Caucasian = 42,096; Black = 13,554; Asian = 4,758; Hispanic = 4,464; American Indian = 3,426; Other = 2,543; Female = 50%). We find that Native American youth generally occupy similar social positions within school hierarchies compared to other minority groups. However, American Indian youth have fewer ties at the school level than Caucasian youth, including reports of fewer reciprocated friendships, a smaller number of in-school friends, and membership in less cohesive personal networks. We also focus on the detrimental social and physical consequences of alcohol use during adolescence and offer an extended consequences model (n = 5,841) that includes the interactive effects of race/ethnicity, age, and drinking influences on relationships with friends (Caucasian = 59%; Black = 19%; Asian = 7%; Hispanic = 7%; American Indian = 5%; Other = 3%; Female = 54%). American Indian youth are no more likely than other youth to report personal drinking as being detrimental to social relationships with parents, peers, and romantic partners. We address ties between our findings and criminal justice policies and practices, as well as the implications for similar network analyses involving other racial/ethnic groups.

Youth gang membership and serious violent victimization: the importance of lifestyles and routine activities.

Youth gangs have received substantial scholarly and public attention during the past two decades. Although most of the extant research on youth gang members has focused on their offending behaviors, recent studies have examined the victimization of youth gang members relative to their nongang peers. Gang members generally have been found to be at increased risk of victimization, although the reasons for this relationship have not fully been explored. The current study uses data from a multisite study of youth to explore whether the gang membership-victimization link is mediated by lifestyles and routine activities. In other words, is gang members' involvement in delinquent lifestyles and routine activities a viable explanation for their increased risk of serious violent victimization? Implications of these findings and suggestions for future research and policy are discussed.

Putting youth violent victimization into context: sex, race/ethnicity, and community differences among a multisite sample of youths.

The increased risk of violent victimization for adolescents relative to other age groups has recently become a major public health concern. The current study uses data from a multisite study of eighth grade youths attending public schools in 11 cities to determine the extent and nature of youth general and serious violent victimization among both sexes and five racial/ethnic groups in 11 diverse communities. This study explores differences in sex, race/ethnicity, and community independently and explores interactions between sex and community and race/ethnicity and community. Our findings suggest important differences in victimization prevalence and individual victimization rates by sex and community of residence. Racial differences were found to be closely tied to community. Policy implications resulting from our findings are discussed.