Does Stigma Moderate the Efficacy of Mental- and Behavioral-Health Interventions? Examining Individual and Contextual Sources of Treatment-Effect Heterogeneity

2021 ◽  
pp. 096372142110438
Author(s):  
Mark L. Hatzenbuehler ◽  
John E. Pachankis

In this article, we argue that stigma may be an important, but heretofore underrecognized, source of heterogeneity in treatment effects of mental- and behavioral-health interventions. To support this hypothesis, we review recent evidence from randomized controlled trials and spatial meta-analyses suggesting that stigma may predict not only who responds more favorably to these health interventions (i.e., individuals with more stigma experiences), but also the social contexts that are more likely to undermine intervention effects (i.e., communities with greater structural stigma). By highlighting the potential role of personal and contextual stigma in shaping response to interventions, our review paves the way for additional research.

2019 ◽  
Author(s):  
Jennie E. Brand ◽  
Jiahui Xu ◽  
Bernard Koch ◽  
pablo geraldo

Individuals do not respond uniformly to treatments, events, or interventions. Sociologists routinely partition samples into subgroups to explore how the effects of treatments vary by covariates like race, gender, and socioeconomic status. In so doing, analysts determine the key subpopulations based on theoretical priors. Data-driven discoveries are also routine, yet the analyses by which sociologists typically go about them are problematic and seldom move us beyond our expectations, and biases, to explore new meaningful subgroups. Emerging machine learning methods allow researchers to explore sources of variation that they may not have previously considered, or envisaged. In this paper, we use causal trees to recursively partition the sample and uncover sources of treatment effect heterogeneity. We use honest estimation, splitting the sample into a training sample to grow the tree and an estimation sample to estimate leaf-specific effects. Assessing a central topic in the social inequality literature, college effects on wages, we compare what we learn from conventional approaches for exploring variation in effects to causal trees. Given our use of observational data, we use leaf-specific matching and sensitivity analyses to address confounding and offer interpretations of effects based on observed and unobserved heterogeneity. We encourage researchers to follow similar practices in their work on variation in sociological effects.


2021 ◽  
Author(s):  
Hana Shepherd

Organizational practices are important dimensions of the social contexts that shape relationship formation. In workplaces, the formation of relationships among coworkers are resources for personal outcomes, and they can be channels through which workers might identify common grievances, form workplace solidarity, and engage in collective action. Using a unique dataset of retail workers across the United States, The Shift Project, this paper examines two potential pathways by which organizational practices common in precarious jobs in the retail industry in the U.S. might shape the formation of workplace relationships. I find evidence of the role of both pathways: practices that limit the opportunities for regular contact and practices that negatively impact the conditions of contact among employees are both associated with fewer workplace ties. I discuss the implications of these findings for the study of collective action, and network ecology.


2016 ◽  
Vol 9 (3) ◽  
pp. 1
Author(s):  
Azadeh Alipoor Heris ◽  
Abolghasem Dadvar

Different factors were affecting the presence of women during the Pahlavi era. In new structures after the constitutional period and along with the absolute modernism of Pahlavi, discourses changes were made based on democracy, socialism, Shia resistance and autonomy, court to government and political figures to people. During this period the role of women was formed on the basis of their social position and in their gender approach it changed from a <class in itself> to a <class for self>. The consequences of social contexts led to witness more active presence of women during Pahlavi era compared with the past periods particularly in the visual arts arena; so that the history of the Tehran galleries from 1953-1978 which reflects their activities during that time confirms this fact. The purpose of the present essay is to analyze the social contexts which have attracted women from margin to the center and attending to them since no study has been done in this respect seems essential and it’s an attempt to answer the question that what social contexts have been influential in boosting up the presence of women especially women painters of Pahlavi era? In this research the data collect is library type and filed study and it has been compiled in a comparative descriptive-analytic method, the origin and social contexts of the women painters of the Pahlavi era whose works were displayed were studied and analyzed and it can be inferred that the presence of supportive men in families, education, social context, urban life, publicizing the culture thanks to the cultural foundations and media, the actual and legal presence of the queen, government support due to cultural policies, women social movements, and the transformation of the women role in twentieth century had decisive role on enhancing the social position of women particularly the role of the women painters of the second Pahlavi era.


2020 ◽  
pp. 107780122095427
Author(s):  
Jessica A. Blayney ◽  
Tiffany Jenzer ◽  
Jennifer P. Read ◽  
Jennifer Livingston ◽  
Maria Testa ◽  
...  

Sexual victimization (SV) risk can begin in social contexts, ones where friends are present, though it is unclear how friends might be integrated into SV prevention. Using focus groups, female college drinkers described (a) the role of friends in preventing SV, (b) the strategies friends use to reduce vulnerability, and (c) the barriers to implementation. Friends-based strategies (keeping tabs on one another, using signals to convey potential danger, interrupting escalating situations, taking responsibility for friends, relying on male friends) and barriers (intoxication, preoccupation, situation ambiguity, social consequences) were discussed. Interventions can draw on these strategies, but must address the critical barriers.


2016 ◽  
Vol 50 (5) ◽  
pp. 636-658 ◽  
Author(s):  
Rebecca J. Haines-Saah ◽  
Carla T. Hilario ◽  
Emily K. Jenkins ◽  
Cara K. Y. Ng ◽  
Joy L. Johnson

This article is based on findings from a qualitative study with 27 adolescents in northern British Columbia, Canada. Our aim was to explore youths’ perspectives on the sources of emotional distress in their lives and how these are connected to peer-based aggression and victimization within their community. Our analysis of narrative findings suggests that youths’ narratives about bullying reflect intersecting and socially embedded configurations of “race,” neocolonialism, and place. We argue that mainstream approaches to addressing bullying as a relationship-based problem must be re-oriented to account for the role of the social or structural contexts of youths’ lives. By applying an intersectional lens, we make the case for a widening of the focus of interventions away from individual victims and perpetrators, toward a contextual approach that addresses how adolescents experience bullying as a site of health and social inequities in their community.


2000 ◽  
Vol 32 (1) ◽  
pp. 25-52 ◽  
Author(s):  
M Cecil Smith

This study used a diary method to obtain detailed information about the reading practices of a sample of adult readers with diverse educational and occupational experiences. Reading practices were identified in two principal settings, home and work. Participants were found to read periodicals and books at home both to engage in leisure and to perform a variety of functional tasks. They read informational materials, correspondence, and functional texts at work to perform workplace-related tasks. Readers' efforts at and enjoyment of the reading tasks they engaged in varied depending on the texts and purpose for reading. Several strategic actions were reported when adults were reading to learn and remember text information, but most readers relied on activation of prior knowledge, rereading of text, and note taking. The study also examined the role of the social contexts of age, educational attainment, and occupation in contributing to adult reading behavior. A significant three-way interaction was found between reading source, setting, and occupation only. The results support the findings of previous readership studies and further illustrate how specific social context factors account for differences in adults' reading practices.


Author(s):  
Michael E. Stone

This chapter deals with the social contexts that determine esoteric content. Knowledge is not of itself esoteric; it is its socially recognized secrecy that makes it so. Names of angels are one example of this. Secrecy enhances value and power, both for the initiate and for the outsider. Problems in testing analyses of secret societies and the function of secret societies are explored. We look at control of knowledge and scribal secrecy and the role of writing in esoteric knowledge. The question of pseudepigraphy stands at the center of this discussion. Does it reflect some religious experience? Or is it an authority-conferring convention?


Author(s):  
Lasana T. Harris

The seventh chapter argues for the importance of the social context in continuing to influence whether social cognition is engaged or not, and describes a version of the delayed sudden death virus outbreak thought experiment without the death and virus components, set in modern society. This chapter then reviews classical social psychological studies that illustrate the power of the social context in shaping social cognition and resulting behaviour. It describes different types of social contexts, and explores the role of consistency motives in guiding human behaviour. Finally, it makes an appeal for a spectrum metaphor for social behavior, rather than alternative metaphors that categorise the phenomenon too narrowly.


2015 ◽  
Vol 10 (2) ◽  
pp. 225-249 ◽  
Author(s):  
Julia Baird ◽  
Ryan Plummer ◽  
Diane Dupont ◽  
Blair Carter

Drinking water quality problems are persistent and challenging for many of Canada's First Nations communities despite past and ongoing initiatives to improve the situation. These initiatives have often been employed without consideration for understanding the social context that is so critical for the development of appropriate water governance approaches. This article offers insights about the relationship between institutions for water governance and perceptions in three Ontario First Nations communities. Similarities among communities were particularly noticeable for gender where women valued water more highly and were less content with water quality. The findings presented here highlight potential impacts of displacement, gender, and water sources on perceptions of water quality and offer initial insights that indicate the need for further research to consider the potential for adaptive governance approaches that enhance fit between problem and social contexts.


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