The influence of FDA advisory information and black box warnings on individual use of prescription antidepressants

We examine how use of antidepressant medications is influenced by Food and Drug Administration (FDA) warnings about the increased risk of suicidality associated with pediatric antidepressant use. With individual-level data on antidepressant use from the Medical Expenditure Panel Survey, we consider whether consumer responses to FDA warnings differ among targeted (children) and non-targeted (adult) age-groups. Because the warning labels specifically mentioned new users, we examine separately the effects of the warnings on initiations of antidepressant therapy and on continued use of antidepressants. We find evidence consistent with reduced initiation of antidepressant use among the intended population of children, and that usage among children with more highly educated parents responded earlier to FDA information. However, we also find spillover effects of reduced initiation among the non-targeted population of adults. Overall, our results indicate that the FDA warning may have led consumers to perceive risks beyond those specifically mentioned.     

Conceptualizing and Measuring Financial Resilience: A Multidimensional Framework

Financial inclusion has become a policy priority. For many countries, this has meant focusing on the delivery and practical aspects of financial products and services. This paper argues that this approach is not sufficient to improve financial wellbeing more broadly. It suggests a more comprehensive approach moving away from asking whether people are excluded or not to asking whether they have access to accessible, acceptable and appropriate resources and supports in adverse financial circumstances. A better understanding of individuals’ financial resilience: how they bounce back from adverse financial events and the resources and supports they draw on; could help determine where resources can and should be invested to assist people to cope with financial adversity, assist the development of effective policy and, ultimately, improve financial wellbeing. This paper puts forward a definition of financial resilience and a methodology for measuring it. Australia is used as a case country from which to draw conclusions using a survey of 1496 representative adults (18+). The findings indicate that over 2 million Australian adults experienced severe or high levels of financial vulnerability raising very real concerns about financial wellbeing. Implications for academics and policy makers are presented.

     

No Matter What: A Qualitative Analysis of How LGBTQ Families and Allies Define Family through an Interactive Art Project

ABSTRACT

The current study solicits individuals’ artistic depictions and written definitions of family and provides comparisons to existing conceptualizations of family in communication research. Attendees of a Midwestern pride festival took part in an interactive art display, creating a visual representation of their own family on one side of a card and writing their definition of family on the other side. Both images and definitions focused on the ways family members’ behaviors construct family. Participants’ written responses describe family as unconditional, particularly in terms of love, support, and acceptance.     

Narratives of life experience in the digital space: a case study of the images in Richard Deitsch’s single best moment project†

ABSTRACT

On 8 July 2013, Sports Illustrated media critic Richard Deitsch – inspired by a photo that captured a friend celebrating with a brother who had won the NCAA Hockey Championships – asked his 90,000-plus Twitter followers if they had the best moment of their life captured in a photograph. Deitsch retweeted the initial pictures, which prompted many more people to send out photos of their favorite moments. Many of his followers shared photos of some of their most intimate moments, leading CNN to call Deitsch ‘the sportswriter who made Twitter cry’ [Mendoza, D. (2013, July 11). The sportswriter who made Twitter cry. CNN. Retrieved December 11, 2013, from http://www.cnn.com/2013/07/11/tech/storify-best-moments/.s]. Through a thematic examination of 314 photos shared in the Deitsch exchange, the authors reveal that an overwhelming number of images are identified as milestone moments, or narratives of life experience, which denotes that as communication platforms evolve and technologies offer different modes of expression, users are still selecting narrative structure to disseminate their messages.     

Immediate and Longer-Term Connections Between Support and Stress in Pregnant/Parenting and Non-Pregnant/Non-Parenting Adolescents

Despite the substantial amount of literature focusing on social support for pregnant and parenting adolescents, few studies have directly examined the relationships among stress and social support across their transition to parenting. The present study investigates the nature of the relationship between stress and support both before and after the birth of the baby. Two groups of adolescent females (one group facing parenthood and one not) completed measures of support and stress across a 7-month period (N = 231) to coincide with the transition to parenthood. In general, support and stress were negatively related when measured concurrently and positively related over time for parenting adolescents but not the non-parenting group. Understanding how long social support impacts stress will enable practitioners to identify when best to provide interventions for pregnant and parenting adolescents.     

Physical and mental health effects of being stalked for men and women

Stalking is relatively common yet little is known of the longer-term health effects of stalking. Using the National Violence Against Women survey, we estimated lifetime stalking victimization among women and men, ages 18 to 65, identified correlates of being stalked, and explored the association between being stalked and mental and physical health status. With a criterion of being stalked on more than one occasion and being at least "somewhat afraid," 14.2% of women and 4.3% of men were victims. Among those stalked, 41% of women and 28% of men were stalked by an intimate partner. Women were more than 13 times as likely to be "very afraid" of their stalker than men. Negative health consequences of being stalked were similar for men and women; those stalked were significantly more likely to report poor current health, depression, injury, and substance use. Implications for victims, service providers, and the criminal justice system were reviewed.     

Applying the ‘comply-or-explain’ principle: discursive legitimacy tactics with regard to codes of corporate governance

The comply-or-explain principle is a central element of most codes of corporate governance. Originally put forward by the Cadbury Committee in the UK as a practical means of establishing a code of corporate governance whilst avoiding an inflexible “one size fits all” approach, it has since been incorporated into code regimes around the world. Companies can either comply with code provisions or may explain why they do not comply, i.e., why they deviate from a code provision. Despite its wide application very little is known about the ways in which comply-or-explain is used. In addressing this we employ legitimacy theory by which explanations for deviating can be understood as means of legitimizing the company’s actions. We analyzed the compliance statements and reports of 257 listed companies in the UK and Germany, producing some 715 records of deviation. From this we generated an empirically derived taxonomy of the explanations. In a second order analysis we examine the underlying logic and identify various legitimacy tactics. We discuss the consequences of these legitimacy tactics for code regimes and the implications for policy makers.     

The Dyadic Effects of Supportive Coparenting and Parental Stress on Relationship Quality Across the Transition to Parenthood

The transition to first‐time parenthood can be challenging for couples. Using a sample of 848 ethnically diverse couples from the Fragile Families and Child Wellbeing Study across the first 3 years of parenthood, we investigated the longitudinal and dyadic associations of each parents’ parental stress, supportive coparenting, and relationship quality. Results from an actor–partner interdependence model indicated that supportive coparenting significantly predicted higher relationship quality for both mothers and fathers. Fathers’ supportive coparenting significantly buffered the effects of mothers’ parental stress on relationship quality. Also, the unique dyadic contexts of each parents’ supportive coparenting, and also both partners’ parental stress were significantly associated with relationship quality. Clinical implications from these findings are discussed through commonly used clinical theories.     

Empowering Homeless Youth: Building Capacity through the Development of Mobile Technology

Information-communication technologies, like computers and cell phones, are popular among young people. This article details a youth-centered participatory action study in which 12 homeless youth designed and developed a mobile application for other homeless youth. We frame our analysis through a theory of critical youth empowerment and discuss the steps taken to develop the application, as informed by the method of spiral technology action research. Developing the application allowed these young people to express their opinions and frustrations, while also providing an opportunity for them to make the lives of their peers better through improved access to supports and services.     

Are Individuals’ Desired Family Sizes Stable? Evidence from West German Panel Data

Using West German panel data constructed from the 1988 and 1994/1995 wave of the DJI Familiensurvey, we analyze the stability and determinants of individuals’ total desired fertility. We find considerable variation of total desired fertility across respondents and across interviews. In particular, up to 50% of individuals report a different total desired fertility across survey waves. Multivariate analysis confirms the importance of background factors including growing up with both parents, having more siblings, and being Catholic for preference formation. Consistent with the idea that life course experiences provide new information regarding the expected costs and benefits of different family sizes, the influence of background factors on total desired fertility is strong early in life and weakens as subsequent life course experiences, including childbearing, take effect. Accounting for unobserved individual heterogeneity, we estimate that an additional child may increase the total desired fertility of women with children by 0.14 children, less than what conventional estimates from cross-sectional data would have suggested.