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Medicalization is the increasing social control of the everyday by medical experts. It is a key concept in the sociology of health and illness because it sees medicine as not merely a scientific endeavor, but a social one as well. Medicalization is a “process whereby more and more of everyday life has come under medical dominion, influence, and supervision” (Zola, 1983, p. 295); previously these areas of everyday life were viewed in religious or moral terms (Conrad & Schneider, 1980; Weeks, 2003). More specifically, medicalization is the process of “defining a problem in medical terms, using medical language to describe a problem, adopting a medical framework to understand a problem, or using a medical intervention to ‘treat’ it” (Conrad, 1992, p. 211). Sociologists have used this concept to describe the shift in the site of decision-making and knowledge about health from the lay public to the medical profession.

Purpose – This chapter describes the “Teen Alliance for Prepared Parenting–SPIN” (TAPP-SPIN) unwanted pregnancy prevention intervention for pregnant/parenting adolescents and their adult parent(s) in primarily African American and Latino communities in the District of Columbia (DC).

Methodology/approach – We augment TAPP services with SPIN Video Home Training (VHT)11Called Video Interaction Guidance in the United Kingdom., an intervention to build Parent–Child Connectedness (PCC). SPIN VHT aims to (1) improve adult–teen interaction to strengthen the supports teen parents need to continue to progress toward life success and (2) build the teen's ability to engage in warm, attuned, and skillful parenting of her child.

SPIN VHT uses a guided, strengths-based analysis of videotaped parent–child interactions to identify examples of the parent's competencies that support the child's well-being and optimal development. Collaborative review of an edited collection of video helps guide participants to integrate what has been effective into their daily patterns of interaction and communication.

Findings – The randomized experiment compares TAPP to TAPP-SPIN with a sample of 400 15- to 18-year-olds and their parents (dyads). After a baseline survey, we collect follow-up data at 6, 12, 18, and 24 months post-baseline. We collect outcome data on health information-seeking, pregnancy prevention communication, cognitions related to parenting and subsequent pregnancy, improved parenting, and clinical outcomes including subsequent pregnancy.

Social implications – The TAPP-SPIN intervention aims to advance the state of pregnancy prevention research in a population facing multiple health disparities.

Originality/value of chapter – This chapter describes the first ever randomized controlled trial of the SPIN approach to improving PCC.

Racial/ethnic minority, low-income teens represent a significantly underserved group in terms of reproductive health care including birth control and prenatal care. This paper provides patients’ perspectives through analysis of in-depth interviews with 51 African American teen mothers about their reproductive health care and focuses on the influence of gender ideologies and behavior expectations on teens’, and their perceptions of their mothers’, decisions around these issues. The findings suggest that attention to cultural influences of gender on teens’ decisions around sexuality and reproduction is critical to our theoretical and practical approaches to expanding health care services to underserved populations.

Adolescence is a period of new experiences, including dating. Romantic relationships can be a source of stress; one-third of teens experience dating violence (Molidor & Tolman, 1998; Straus, 2004). Teens are also at a heightened risk for suicide; it is the third leading cause of death among teens (Center for Disease Control [CDC], 2013a). Suicidal ideation, threats, and attempts occur within the context of a relationship where there is also dating violence (Chan, Straus, Brownridge, Tiwari, & Leung, 2008; Else, Goebert, Bell, Carlton, & Fukuda, 2009). Due to life course, adolescence may not have knowledge, experience, or skills to manage these situations. Furthermore, these experiences may shape romantic relationship expectations as adults. Both dating violence and suicidality have short- and long-term effects (for example, see Castellví et al., 2017; Coker et al., 2000; Exner-Cortens, Eckenrode, & Rothman, 2013; Holmes & Sher, 2013; Jouriles, Garrido, Rosenfield, & McDonald, 2009; Magdol et al., 1997; Zaha, Helm, Baker, & Hayes, 2013). However, little is known about how young women that experience teen dating violence and partner suicidality respond (except, see Baker, Helm, Bifulco, & Chung-Do, 2015). This study seeks to explore this gap.

As part of a larger study, 16 young women who had experienced a “bad dating relationship” as a teenager also disclosed that their boyfriends had threatened suicide. These young women completed in-depth, retrospective interviews to discuss their experiences. Interviews were transcribed and analyzed using HyperResearch. Life course and grounded theory guided this research.

The young women that experienced suicidal threats by their dating partners were also victims of a range of abusive behaviors in their dating relationships, including verbal, physical, and sexual abuses and controlling behaviors. The young women struggled with how to deal with the suicidal ideation and the abuse concurrently. Some of the young women believed that the threats of suicide were real, and had concerns for their boyfriends’ well-being. Others believed that their boyfriend was using this as a manipulative tactic to get them the stay in the unhealthy relationship. This impacted how young women dealt with and reacted to the abuse, including if they chose to stay in the relationship or not.

This study provides narratives from young women in relationships where there is dating violence and threats of suicide, which adds to our understanding of the dynamics of how life course impacts both dating violence and suicide. The sample is small and not generalizable. Future research should include both partners to provide a more holistic picture of the relationship. Additional research should also examine any differences of experiences based on gender, race and ethnicity, social class, and sexual orientation.

This has serious implications for prevention education and intervention. Policy-makers may want to consider: (1) mandating additional training for teachers and other adults that work with teens, in order to identify warning signs of both dating violence and suicidal ideation, (2) require education for teens on these topics, and (3) ensure evidenced-based interventions are accessible to teens dealing with these issues.

This paper provides a deeper understanding of teen experiences with suicidal threats and how they respond to them within the context of an abusive dating relationship. Policy-makers, advocates, school personnel, and youth may benefit from these findings, particularly in regard to developing appropriate prevention education and interventions.

This qualitative study focused on how girls' high school coaches in the United States Southwest thought about Latina teens' participation in school sports. Semi-structured interviews with coaches (4 women, 11 men) indicated they continue to rely on cultural (deficit) discourses implicating girls' families and culture when discussing Latina teens' sports participation. Coaches suggested that Latina teens' parents do not see the value of sports for girls, do not view sports as a pathway to college, are not involved or interested in their daughters' participation for cultural reasons, and are overly productive. These conceptualizations shape coaches' recruitment and pedagogical strategies within school sports contexts. More critical reflections could aid coaches and schools in developing more adaptive school contexts and strategies to better meet the needs of Latina teens and their families.

Conducting research with children and youth has become increasingly challenging in recent years. At times these difficulties come in the form of restrictions by Institutional Review Boards, funding agencies, and parents. Additionally, changes in youth culture and behavior, specifically regarding online activities and digitally mediated communications, impact the access that researchers have to children and youth communities in significant ways. In this chapter, I propose that the use of an emerging methodological technique, digital ethnography, may provide researchers with new data sources on children and youth culture. Digital ethnography combines ethnographic techniques of observation, participation, and interview with content analysis to collect rich data about online behavior, norms, expectations, and interactions. This technique not only provides researchers with sources of data that allow insight into youth culture by acknowledging the increasing importance of online and digital interactions in youth culture but may also address some of the concerns raised by IRBs and other interested parties about conducting research with children and teens. This chapter provides practical and ethical considerations of this method, as well as a discussion of limitations of data collection and access as it highlights new ways of studying youth culture, using emerging data collection techniques in innovative research projects.

The “moral panic” generated by public response to teenage mothering marginalizes the experiences of young women as mothers, with adolescent pregnancy viewed as catastrophic for young women, their families, and society. In this analysis, focused on the experience of a group of teen women from the city of São Paulo, Brazil, the author explores how the integration of a maternal identity, shaped by Brazilian norms of “good motherhood,” with previously existing identities might lead to new aspirations and ambitions for the future or to hopelessness and despair.

Visions of the future were shaped by individual women’s structural circumstances and fell into four rough groups. Well-established adult women expressed their maternal identity through personal ambition, revealing confidence in their ability to provide “the best” for their children. Some adolescent mothers were fortunate enough to be buffered by family resources so that optimistic objectives for the future that pre-dated the pregnancy remained fairly attainable and were compatible with a “good mother” identity. For teens from less well-off families, motherhood resulted in a new-found determination to succeed in school and work, in line with ideals of Brazilian “good mothering” that focus on working hard to benefit one’s children. Women from the poorest households could or would not conjure a vision of the future, faced with the overwhelming challenges of their circumstances. The detailed, longitudinal qualitative data analyzed here reveal how the construction of maternal identity and visions of the future among adolescent mothers are shaped by the embodied experience of motherhood and pre-existing structural forces.

How is information experienced in creating and sharing content? Is it merely a concrete object? A more abstract idea? This chapter explores how teens experienced information while creating and sharing content in digital communities. Teens engaged in different forms of content creation but had similar experiences of information that included: participation, inspiration, collaboration, process, and artifact. The findings in this chapter are part of a larger whole that defined the information practices of teens, suggesting how information is experienced is a component of information practices and should be understood as such. The information experiences described here emerged through a grounded theory study of teen content creators. The analysis of the data was informed by constructionism, and the emergent theory was informed by practice theory.

This study investigates the effects of a broad-based policy change that altered maternal employment, family income, and other family characteristics on drug-related crime among youth. Specifically, we exploit differences in the implementation of welfare reform in the United States across states and over time in the attempt to identify causal effects of welfare reform on youth arrests for drug-related crimes between 1990 and 2005, the period during which welfare reform unfolded. We use monthly arrest data from the U.S. Federal Bureau of Investigation’s Uniform Crime Reports to estimate the effects of welfare reform implementation on drug-related arrests among 15- to 17-year-old teens exposed to welfare reform. The findings, based on numerous different model specifications, suggest that welfare reform had no statistically significant effect on teen drug arrests. Most estimates were positive and suggestive of a small (3%) increase in arrests.