Many a slip between cup and lip. Process evaluation of a program to promote and support evidence-based public health practice

The main aims of this study are to document whether an intervention for promoting evidence-based public health practice had been delivered as intended and to explore the reasons for its lack of impact. Process data from the implementation of the program and data from interviews with 40 public health physicians are analyzed. Although they expressed satisfaction with the service, the doctors experienced the program as rather irrelevant for their daily work. They did not perceive that they dealt with many issues relevant for the use of research information, and if they did, referring to research would not make any difference to the way others perceived their advice. There is a need to develop more overlying strategies for integrating evidence into decision making than addressing the individual level.     

A generating algorithm for linear trend-free and nearly linear trend-free block designs

The theory and properties of trend-free (TF) and nearly trend-free (NTF) block designs are wel1 developed. Applications have been hampered because a methodology for design construction has not been available.

This article begins with a short review of concepts and properties of TF and NTF block designs. The major contribution is provision of an algorithm for the construction of linear and nearly linear TF block designs. The algorithm is incorporated in a computer program in FORTRAN 77 provided in an appendix for the IBM PC or compatible microcomputer, a program adaptable also to other computers. Three sets of block designs generated by the program are given as examples.

A numerical example of analysis of a linear trend-free balanced incomplete block design is provided.     

Benefits and costs associated with mutual-help community-based recovery homes: The Oxford House model

We used data from a randomized controlled study of Oxford House (OH), a self-run, self-supporting recovery home, to conduct a cost-benefit analysis of the program. Following substance abuse treatment, individuals that were assigned to an OH condition (n = 68) were compared to individuals assigned to a usual care condition (n = 61). Economic cost measures were derived from length of stay at an Oxford House residence, and derived from self-reported measures of inpatient and outpatient treatment utilization. Economic benefit measures were derived from self-reported information on monthly income, days participating in illegal activities, binary responses of alcohol and drug use, and incarceration. Results suggest that OH compared quite favorably to usual care: the net benefit of an OH stay was estimated to be roughly $29,000 per person on average. Bootstrapped standard errors suggested that the net benefit was statistically significant. Costs were incrementally higher under OH, but the benefits in terms of reduced illegal activity, incarceration and substance use substantially outweighed the costs. The positive net benefit for Oxford House is primarily driven by a large difference in illegal activity between OH and usual care participants. Using sensitivity analyses, under more conservative assumptions we still arrived at a net benefit favorable to OH of $17,830 per person.     

Exploring the Moderating Influence of Delinquent Peers on the Link Between Trauma, Anger, and Violence Among Male Youth: Implications for Social Work Practice

This study’s objective was to explore the influence of delinquent peer exposure, on the relationship between male youths’ histories of trauma, anger, and violent behavior. Using a nationally representative sample of male adolescents aged 12–17 and self report interviews, information was gathered on their levels of exposure to violence, stressful life events (SLE), anger, depression, delinquent peer exposure, and violent behavior. Results of a moderation analyses revealed that youth who reported higher levels of exposure to trauma, anger, and delinquent peers were at an increased risk for anger and for violent offending. Delinquent peer exposure exerted a significant interaction effect on the relationship between anger and violent offending. The implications for prevention and intervention efforts are delineated.     

The incorporation of gender scholarship into sociology

The prospects of an intellectual revolution in sociology informed in part by a feminist perspective loomed large in the early 1970s. Following Ward and Grant's (1985) empirical examination of gender and feminist scholarship in sociology journals between 1974 and 1983, our research provides an empirical assessment of the “second ten years” after the feminist critique of the discipline, 1984–1993. Specifically, we examine the incorporation of gender-content scholarship into mainstream sociology journals. Our research also assesses the extent to which gender-content scholarship published in these journals is feminist-oriented or not and the extent to which this is influenced by the sex of authors, the type of journal, and the sex composition of editorships and editorial boards. Our findings indicate that although there were more gender- and feminist-oriented articles published in the recent ten-year period, proportionally there were fewer feminist-oriented articles than in the previous ten-year period. Our findings suggest that a feminist revolution in sociology is not likely to occur anytime soon, although the assimilation of feminist scholarship into sociology is occurring along the lines of other critical intellectual movements in recent decades. David V. Waller current research focuses on intellectual and social changes in the social sciences including the impact of electronic journals on communication among scientists, and on the geopolitical and economic determinants of change in the contemporary world system. Dana Dunn has authored articles on gender stratification, sex-based earnings inequality, and women in political office, and is editor of Workplace/Women's Place, a textbook addressing women's experiences in the workplace. Please direct all correspondence to David V. Waller, Assistant Professor of Sociology, Department of Sociology and Anthropology, Box 19599, University of Texas, Arlington, TX 76019 or to Waller@uta.edu.     

Measuring the complexity of generalized linear hierarchical models

Measuring a statistical model's complexity is important for model criticism and comparison. However, it is unclear how to do this for hierarchical models due to uncertainty about how to count the random effects. The authors develop a complexity measure for generalized linear hierarchical models based on linear model theory. They demonstrate the new measure for binomial and Poisson observables modeled using various hierarchical structures, including a longitudinal model and an areal‐data model having both spatial clustering and pure heterogeneity random effects. They compare their new measure to a Bayesian index of model complexity, the effective number p_D of parameters (Spiegelhalter, Best, Carlin & van der Linde 2002); the comparisons are made in the binomial and Poisson cases via simulation and two real data examples. The two measures are usually close, but differ markedly in some instances where p_D is arguably inappropriate. Finally, the authors show how the new measure can be used to approach the difficult task of specifying prior distributions for variance components, and in the process cast further doubt on the commonly‐used vague inverse gamma prior.     

Gendered Organizations: Progress and Prospects

In this paper, we explore the context for the emergence of a theory of gendered organizations and define the basic features of the approach, noting the explosion of scholarship in the area and the now firmly established trend toward understanding gender, race, class, and sexuality as aspects of social structures. We focus on three of the most important emerging areas in research on gendered organizations: the study of intersectionality, the increasing emphasis on the importance of organizational context, and the exploration of mechanisms for organizational change. We conclude by briefly noting prospects for the further development of research on gendered organizations.     

The demography of disability and the effects of immigrant history: Older Asians in the United States

Using data from the 2000 U.S. census, we compare the older Asian population with U.S.-born, non-Hispanic whites with respect to three indicators of disability. Insofar as any Asian "advantage" in health vis-a-vis whites exists among the population aged 65 and over, our evidence suggests that it occurs primarily among the U.S.-born segments of this population. We also investigate how differences in disability levels among Asian immigrant groups are influenced by country of birth and by the combined effects of duration of residence in the United States and life cycle stage at entry. These results highlight the diversity of the older Asian population with respect to the ways in which immigration and origin history are linked to disability outcomes. We conclude that in later life, immigrant status confers few disability advantages among the Asian population in the United States.