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Constraining the supply of physicians: effects on black physicians.

Although there is still dispute about the "surplus" of physicians, federal policies have begun to constrain the number of new entrants. Black students have been especially affected by retrenchment of federal support to education and by eroding medical school commitments to equity. Such trends undercut the demonstrable preference of black students to practice in geographic and specialty areas of greatest need. Better preparation for entry into medical school, and support through the long educational process, are necessary to preserve and extend the gains in both equity and health begun in the mid-1960s.

Black or African American↗

Youth 2000.

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Accident Prevention↗

Youth, family and employment.

Some of the functions and dysfunctions of youth employment in contemporary society are discussed. The focus then shifts to a third variable: family dynamics. The research indicates that youth unemployment prolongs residence with parents. The younger the youth, the more tolerant are the parents of the unemployment. It was also found that a daughter's lack of employment in the summer months is more acceptable than a son's; that debts are part of the lifestyle of youth after age 18; that males incur more debts than do females; and that parents are the major source of financial loans.

Adolescent↗

Black teenage fathers: what happens when the child is born?

This study explored the changes in the lives of teenage fathers, from prenatally to 9 and 18 months postpartum, and compared them to a group of nonfather peers. At 18 months postpartum, more fathers were heads of households and fewer were still in school, although there were no differences in employment status. Although only 7.5% of the teenage parents were married, 37% lived together or had daily contact; only three had contact less often than weekly. In the 18 months since the first interview, there was a decrease in contact in 34%, an increase in contact in 19%, and no change in the frequency of contact in 46%. Two thirds of teenage fathers stayed with the mother during labor and 25% were in the delivery room. Only one father had no contact with his child 18 months later; 12% lived with the child and 25% saw the child daily. The most common reasons for not living with the child were that the baby was too young, finances, and problems in the relationship with the woman. This study demonstrates that the fathers appeared to suffer few adverse consequences of teenage pregnancy. However, the majority of fathers continued to be involved in the lives of the mother and child, and we believe they should be included in programs for teenage parents and their children.

Adolescent↗

Adolescent homosexuality: psychosocial and medical implications.

Despite a widespread interest in the health of the gay community, the psychosocial and medical problems of gay and bisexual adolescents have not been adequately investigated. In this study, 29 gay and bisexual male teenagers participated in anonymous and confidential interviews regarding the impact of sexuality on family, employment, education, peers, intimate relationships, and physical and mental health. The majority of subjects experienced school problems related to sexuality, substance abuse, and/or emotional difficulties warranting mental health interventions. In addition, nearly half of the subjects reported a history of sexually transmitted diseases, running away from home, or conflict with the law. A minority had been victims of sexual assaults or involved in prostitution. Those less than 18 years of age experienced higher rates of psychiatric hospitalization, substance abuse, high school drop-out, and conflict with the law than did older participants. Various explanations for the prevalence of these problems and their implications for health professionals are discussed.

Adolescent↗