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Drawing on the social disorganization tradition and the social ecological perspective of Jane Jacobs, the authors hypothesize that neighborhoods composed of residents who intersect in space more frequently as a result of routine activities will exhibit higher levels of collective efficacy, intergenerational closure, and social network interaction and exchange. They develop this approach employing the concept of ecological networks—two-mode networks that indirectly link residents through spatial overlap in routine activities. Using data from the Los Angeles Family and Neighborhood Survey, they find evidence that econetwork extensity (the average proportion of households in the neighborhood to which a given household is tied through any location) and intensity (the degree to which household dyads are characterized by ties through multiple locations) are positively related to changes in social organization between 2000–2001 and 2006–2008. These findings demonstrate the relevance of econetwork characteristics—heretofore neglected in research on urban neighborhoods—for consequential dimensions of neighborhood social organization.

Since the inception of urban sociology, the “neighborhood” has served as the dominant context to capture developmentally significant youth experiences beyond the home. Yet no large-scale study has examined patterns of exposure to the most commonly used operationalization of neighborhood—the census tract—among urban youth. Using smartphone GPS data from the Adolescent Health and Development in Context study (N = 1,405), we estimate the amount of time youth spend in residential neighborhoods and consider explanations for variation in neighborhood exposure. On average, youth (ages 11 to 17) spend 5.7 percent of their waking-time in their neighborhood but not at home, 60 percent at home, and 34.3 percent outside their neighborhood. Multilevel negative binomial regression models indicate that residence in economically disadvantaged neighborhoods is associated with less time in one’s neighborhood. Higher levels of local violence and the absence of a neighborhood school are negatively associated with time in-neighborhood and mediate the concentrated disadvantage effect. Fractional multinomial logit models indicate that higher violence is linked with increased time at home, and school absence is associated with increased outside-neighborhood time. Theoretical development and empirical research on neighborhood effects should incorporate findings on the extent and nature of neighborhood and broader activity space exposures among urban youth.

Given the re-emergence of coal workers' pneumoconiosis in Appalachia and Mountain West United States, there is a tremendous need to train rural professionals in its multidisciplinary management. Since 2016, the Miners' Wellness TeleECHO (Extension for Community Health Outcomes) Program held by the University of New Mexico, Albuquerque, and Miners' Colfax Medical Center, Raton, New Mexico, provides structured longitudinal multidisciplinary telementoring to diverse professionals taking care of miners by creating a digital community of practice. Program sessions emphasize active learning through discussion, rather than didactic training. Professional stakeholder groups include respiratory therapists, home health professionals, benefits counselors, lawyers or attorneys, clinicians, and others. Rural-urban differences in knowledge transfer in such a community of practice, however, remain unknown. We aim to evaluate the role of the rurality of the patient or client base in the transfer of knowledge to professionals caring for miners using the digital community of practice approach. This is a cross-sectional study of 70 professionals participating in the Miners' Wellness TeleECHO Program between 2018 and 2019. Drawing insights from social network analysis, we examined the association between the rurality of participants' patient or client base and their self-reported receipt of knowledge. Our focal independent variable was the respondent's self-reported percentage of patients or clients who reside in rural areas. We measured knowledge transfer sources by asking participants if they received knowledge regarding the care of miners during and outside of TeleECHO sessions from each of the other participants. Our dependent variables included the number of knowledge sources, number of cross-stakeholder knowledge sources, number of same stakeholder knowledge sources, and range and heterogeneity of knowledge sources. Respondents, on average, identified 4.46 (SD 3.16) unique knowledge sources within the community, with a greater number of cross-stakeholder knowledge sources (2.80) than same stakeholder knowledge sources (1.72). The mean knowledge source range was 2.50 (SD 1.29), indicating that, on average, respondents received knowledge sources from roughly half of the 5 stakeholder groups. Finally, the mean heterogeneity of knowledge sources, which can range between 0 and 0.80, was near the midpoint of the scale at 0.44 (SD 0.30). Multivariable analyses revealed that as the rurality of patient or client bases increased, participants reported more knowledge sources overall, more knowledge sources from outside of their stakeholder groups, a higher knowledge source range, and greater heterogeneity of knowledge sources (P<.05 for all comparisons). Our findings suggest that participants who serve rural areas especially benefit from knowledge transfer within the TeleECHO community of practice. Additionally, the knowledge they receive comes from diverse information sources, emphasizing its multidisciplinary nature. Our results underscore the capacity of the TeleECHO model to leverage technology to promote rural health equity for miners.

Integrating insights from cultural sociology and identity theory, I explore the mental health consequences of adolescent romantic relationship inauthenticity— incongruence between thoughts/feelings and actions within romantic contexts. Applying sequence analysis to National Longitudinal Study of Adolescent Health data, I measure relationship inauthenticity by quantifying the extent to which the ordering of events of actual romantic relationships (e.g., holding hands, saying \"I love you\") diverges from the sequence of events within idealized relationship scripts among 5,316 adolescents. I then test its association with severe depression, suicide ideation, and suicide attempt. I find that romantic relationship inauthenticity is positively associated with the risk of all three markers of poor mental health, but only for girls. This study highlights the importance of gender and culture in determining how early romantic involvement influences psychological well-being.

Introduction: The re-emergence of pneumoconiosis, particularly among coal miners (ie black lung), in the USA is a challenge for rural communities because more miners require specialized care while expertise is scarce. The Miners' Wellness TeleECHO (Extension for Community Health Outcomes) Clinic, jointly held by the University of New Mexico and a community hospital in New Mexico, provides structured telementoring to professionals caring for miners, including clinicians, respiratory therapists, home health professionals, benefits counselors, lawyers/attorneys and others, forming a virtual 'community of practice'. This approach has not been utilized and evaluated previously. Methods: The study's bimonthly program uses the ECHO telementoring model, which uses technology to leverage scarce mentoring resources; uses a disease-management model that is proven to improve outcomes in other disease states, by reducing variation in processes of care and sharing best practices; uses the principle of case-based learning with highly contextualized discussions, which fulfils key learning theory principles; creates a virtual community of practice; and uses an internet-based database to monitor outcomes. This 1-year cross-sectional study from September 2018 to September 2019 used geographical mapping of all attendee locations, web-based continuing medical education surveys completed by attendees using iECHO software, and a Research Electronic Data Capture-based survey of a convenience sample of participants, which obtained detailed information on demographics, knowledge, self-efficacy and collective efficacy. Knowledge sharing among participants was examined using insights and methods from social network analysis. Subgroup analysis involved comparisons between clinical and non-clinical professional groups, and between new and existing participants. Groups were compared using Fisher's exact test for categorical variables, and non-parametric Wilcoxon ranked sum test or student's t-test for continuous variables. Results: Participants were largely located in pneumoconiosis mortality hotspots of the USA. In a convenience sample of 70 participants, clinical professional groups such as clinicians (29%), home health professionals (20%) and respiratory therapists (17%) constituted the majority of the stakeholders. Participants demonstrated the lowest knowledge score on 'legal pneumoconiosis' among the knowledge areas questioned; reported low self-efficacy with respect to managing miners' conditions and interpreting test results; and rated the learning community highly in terms of trust (86%), willingness to help each other (93%) and being closely knit (87%). Analysis of knowledge sources indicated that participants receive substantial proportions of knowledge from individuals outside of their stakeholder and professional groups, but proportions differ among clinical and non-clinical professional groups, as well as among 'fresh' and existing participants. Conclusion: The present study demonstrates the successful creation of a virtual multidisciplinary community of practice in pneumoconiosis mortality hotspot rural regions of the USA, with participants reporting multidisciplinary knowledge transfer. The community is regarded highly by participants in relation to trust, willingness to help and being closely knit. This innovative educational approach may help ensure the delivery of high-quality interdisciplinary care to rural miners in pneumoconiosis mortality hotspots in the USA.

Objectives Some quantitative studies indicate that overall rates of intimate partner violence (IPV) are lower in Latino immigrant neighborhoods, but numerous qualitative studies suggest residing in Latino immigrant enclaves increases women’s risk of IPV victimization. We examine the association between neighborhood Latino immigrant concentration and (1) overall IPV and (2) tendencies towards female IPV victimization among resident couples. Methods Using data from the Project on Human Development in Chicago Neighborhoods (PHDCN) and the 1990 census, we first apply Osgood and Schreck’s (Criminology 45:273–312, 2007 ) statistical approach for examining criminal specialization to quantify overall IPV and tendencies toward female IPV victimization across couples and neighborhoods. We then test the association between Latino immigrant concentration in neighborhoods and resident couples’ overall and gendered IPV patterns. Results Results indicate that as neighborhood-level Latino immigrant concentration increased, overall IPV was lower among resident couples, but IPV tended to be directed at women when it occurred. Conclusions Our study underscores the importance of distinguishing between tendencies toward symmetric versus unidirectional IPV when assessing the association between couple violence within Latino immigrant communities.

Drawing on the social disorganization tradition and the social ecological perspective of Jane Jacobs, the authors hypothesize that neighborhoods composed of residents who intersect in space more frequently as a result of routine activities will exhibit higher levels of collective efficacy, intergenerational closure, and social network interaction and exchange. They develop this approach employing the concept of ecological networks—two-mode networks that indirectly link residents through spatial overlap in routine activities. Using data from the Los Angeles Family and Neighborhood Survey, they find evidence that econetwork extensity (the average proportion of households in the neighborhood to which a given household is tied through any location) and intensity (the degree to which household dyads are characterized by ties through multiple locations) are positively related to changes in social organization between 2000–2001 and 2006–2008. These findings demonstrate the relevance of econetwork characteristics—heretofore neglected in research on urban neighborhoods—for consequential dimensions of neighborhood social organization.

The links between culture, social networks, and adolescent romantic relationships are not well understood. This article integrates cultural sociology and network perspectives to explain how cultural features of adolescent peer groups influence adolescent romantic relationship inauthenticity—the extent of incongruence between one's thoughts/feelings and actions within romantic contexts. Using National Longitudinal Study of Adolescent to Adult Health (Add Health) data, I apply sequence analysis and linear regression models to test whether adolescents experience greater romantic relationship inauthenticity when the ordering of events within ideal romantic relationship scripts (e.g., holding hands, saying \"I love you,\" having sexual intercourse) diverges from ideal romantic relationship scripts of fellow peer-group members. Results indicate romantic relationship inauthenticity increases as one's ideal script diverges from fellow peergroup members' scripts. Importantly, heterogeneity in relationship scripts at the peer-group level was not associated with relationship inauthenticity. This study highlights the roles cultural reinforcement and social network processes play in the link between culture and action.

Objective: The authors tested competing hypotheses and examined the underlying processes linking gender attitudes to sexual activity. Background: Some studies suggest gender conventions increase heterosexual couples' sexual frequency by enacting sexual scripts, but others indicate egalitarianism increases sex by enhancing communication. This study addresses the debate surrounding the association of gender egalitarianism and traditionalism with couples' sexual frequency by examining the mechanisms that link gender attitudes to sexual practices. Method: The authors examined the association between egalitarian attitudes and sexual self-efficacy and examined how sexual self-efficacy shapes gendered patterns of sexual initiation and sexual frequency. Analyses were conducted using an actor-partner interdependence model with data on 2,018 individuals from 1,009 heterosexual (413 married, 261 cohabiting, and 335 dating) couples in the 2005–2006 National Couples Survey. Results: The results indicated women's egalitarian attitudes decreased couples' sexual frequency through decreased male sexual control, but sexual frequency increased with egalitarian attitudes surrounding sexual scripting among women. Moreover, egalitarian attitudes about domestic and paid labor were positively associated with partner communication, which enhanced partners' sexual self-efficacy and sexual frequency. Conclusion: The findings suggest that whereas conventional attitudes increase sex through male empowerment and female disenfranchisement, egalitarian beliefs enhance sexual self-efficacy and mutual partner decision-making.

Many scholars, policy analysts, and practitioners agree that neighborhoods are important contexts for urban youth. Yet, despite decades of research, our knowledge of why and how neighborhoods influence the day-to-day lives of youth is still emerging. Theories about neighborhood effects largely assume that neighborhoods operate to influence youth through exposure-based mechanisms. Extant theoretical approaches, however, have neglected the processes by which neighborhood socioeconomic contexts influence the routine spatial exposures—or activity spaces—of urban residents. In this article, we argue that exposure to organizations, institutions, and other settings that characterize individual activity spaces is a key mechanism through which neighborhoods influence youth outcomes. Moreover, we hypothesize that aggregate patterns of shared local exposure—captured by the concept of ecological networks—are influenced by neighborhood socioeconomic characteristics and are independently consequential for neighborhood youth. Neighborhoods in which residents intersect in space more extensively as a result of routine conventional activities will exhibit higher levels of social capital relevant to youth well-being, including (1) familiarity, (2) beneficial (weak) social ties, (3) trust, (4) shared expectations for pro-social youth behavior (collective efficacy), and (5) the capacity for consistent monitoring of public space. We then consider the implications of ecological networks for understanding the complexities of contextual exposure. We specifically discuss the role of embeddedness in ecological communities—that is, clusters of actors and locations that intersect at higher rates—for understanding contextual influences that are inadequately captured by geographically defined neighborhoods. We conclude with an overview of new approaches to data collection that incorporate insights from an activity-space and ecological-network perspective on neighborhood and contextual influences on youth. Our approach offers (1) a new theoretical approach to understanding the links between neighborhood socioeconomic characteristics and youth-relevant dimensions of neighborhood social capital; (2) a basis for conceptualizing contextual influences that vary within, or extend beyond, traditionally understood geographic neighborhoods; and (3) a suite of methodological tools and resources to address the mechanisms of contextual influence more precisely. Research into the causes and consequences of urban neighborhood routine activity structures will illuminate the social processes accounting for compromised youth outcomes in disadvantaged neighborhoods and enhance the capacity for effective youth-oriented interventions.