Parental maltreatment and proximal risk factors using the Childhood Experience of Care & Abuse (CECA) instrument: A life-course study of adult chronic depression — 5

Previous empirical inquiries into the etiology of juvenile sex offending have been largely atheoretical. Consequently, a call for studies conducted utilizing developmental and life-course (DLC) criminological theory has been made to better understand the onset, development, risk, and protective factors of juvenile sex offending. Therefore, this study contributes to the discussion by testing key predictions proposed by the DLC framework regarding the theoretical correlates of early onset offending, as applied to juvenile sex offenders (JSOs) and juvenile nonsex offenders (JNSOs). Drawing on a data set of more than 64,000 youth referred to the Florida Department of Juvenile Justice, results indicate that although the number and severity of risk factors for early age of onset differ between the JSOs and JNSOs, the specific type of risk factors that emerged align with DLC theory predictions. The implications of these findings and contributions for DLC theory are also discussed.

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The influence of primary health care organizational models on patients’ experience of care in different chronic disease situations

Chronic Diseases and Injuries in Canada ◽

10.24095/hpcdp.31.3.05 ◽

2011 ◽

Vol 31 (3) ◽

pp. 109-120 ◽

Cited By ~ 4

Author(s):

R Pineault ◽

S Provost ◽

M Hamel ◽

A Couture ◽

JF Levesque

Keyword(s):

Risk Factors ◽

Health Care ◽

Primary Health Care ◽

Chronic Disease ◽

Chronic Diseases ◽

Chronic Conditions ◽

Chronically Ill ◽

Organizational Models ◽

Experience Of Care ◽

Primary Health

Objectives To examine the extent to which experience of care varies across chronic diseases, and to analyze the relationship of primary health care (PHC) organizational models with the experience of care reported by patients in different chronic disease situations. Methods We linked a population survey and a PHC organizational survey conducted in two regions of Quebec. We identified five groups of chronic diseases and contrasted these with a no–chronic-disease group. Results Accessibility of care is low for all chronic conditions and shows little variation across diseases. The contact and the coordination-integrated models are the most accessible, whereas the single-provider model is the least. Process and outcome indices of care experience are much higher than accessibility for all conditions and vary across diseases, with the highest being for cardiovascular-risk-factors and the lowest for respiratory diseases (for people aged 44 and under). However, as we move from risk factors to more severe chronic conditions, the coordination-integrated and community models are more likely to generate better process of care, highlighting the greater potential of these two models to meet the needs of more severely chronically ill individuals within the Canadian health care system.

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