A simple estimator for a shared frailty regression model

Summary. We propose a simple estimation procedure for a proportional hazards frailty regression model for clustered survival data in which the dependence is generated by a positive stable distribution. Inferences for the frailty parameter can be obtained by using output from Cox regression analyses. The computational burden is substantially less than that of the other approaches to estimation. The large sample behaviour of the estimator is studied and simulations show that the approximations are appropriate for use with realistic sample sizes. The methods are motivated by studies of familial associations in the natural history of diseases. Their practical utility is illustrated with sib pair data from Beaver Dam, Wisconsin.     

Secondary victims of rape

Rape is often a very traumatic experience, which affects not only the primary victim (PV) but also his/her significant others. Studies on secondary victims of rape are few and have almost exclusively studied male partners of female rape victims. This study examined the impact of rape on 107 secondary victims, including family members, partners, and friends of male and female rape victims. We found that many respondents found it difficult to support the PV and that their relationship with the PV was often affected by the assault. Furthermore, the sample showed significant levels of traumatization, and it was estimated that approximately one quarter of the respondents suffered from posttraumatic stress syndrome (PTSD). Degree of traumatization was associated with a more recent assault, higher efforts to support the PV, recurrent thoughts about having been able to prevent the assault, a lack of social support for the respondent, and feeling let down by others. The respondents were generally interested in friend-, family-, and partner-focused interventions, particularly in receiving education about how best to support a rape victim.     

Mitigating Harm: Considering Harm Reduction Principles in Work with Sexually Exploited Young People

A growing awareness of child sexual exploitation (CSE) in the United Kingdom and throughout the world has prompted human service and legal/policy professionals to seek ways of engaging young people experiencing sexual exploitation, although much remains unknown regarding effective practice, and whether or not current knowledge regarding best practices with young people can be expanded to address CSE. This paper considers how principles of harm reduction, a public health approach widely used to engage adults and young people in help‐seeking behaviours, can be considered as part of a children's rights‐centred approach to policy and practice with young people experiencing CSE.     

Framing the Women’s March on Washington: Media coverage and organizational messaging alignment

Half a million citizens participated in the Women’s March on Washington the day after President Trump’s inauguration, starting a political movement. The march communicated key messages to the public directly and via the media. This study explores how media coverage framed those key messages through content analysis. Media frames mentioned all key messages, emphasizing solidarity and activation at the grassroots, and in a way that both supported and challenged organizational messages. Theoretical and practical implications are discussed.     

My life is a mess: self-deprecating relatability and collective identities in the memification of student issues

ABSTRACT

In this paper, we investigate memes about student issues. We consider the memes as expressions of a new networked student public that contain discourses that may fall outside the mainstream discourse on higher education. The paper is based on content analysis of 179 posts in the public Facebook Group ‘Student Problem Memes’, combined with a nine-month media watch and a discussion workshop with 15 students. Through self-deprecating humour, students create an inverse attention economy of competitive one-downmanship, where the goal is to display humorous failure instead of perfect appearance. Our analysis shows that students use humour to express, share, and commiserate over daily struggles, but also that the problems related to work/study balance and mental health, are experienced as a persistent feature of student living. We also analyse limitations of meme-based publics, emphasizing processes of inclusion and exclusion through specific vernaculars of visual and discursive humour where issues related to gender, race, orientation, class, and ability are sidelined in favour of relatable humour.     

Identity Deployment and Social Change: Understanding Identity as a Social Movement and Organizational Strategy1

In this article, we discuss the theoretical implications of empirical elaborations of Bernstein’s (1997) model of identity deployment. New research encompasses a diverse array of venues and targets and elaborates on the mechanisms through which identities may be deployed strategically. Application of the identity deployment model spans a variety of so‐called ‘identity movements’ as well as ethnic, nationalist and indigenous movements, and community mobilization. Identity deployment is also a useful strategy in organizational and professional contexts, as in the micro‐brewery movement or culinary movements, demonstrating the theoretical generalizability of the original model. New research closely examines the relationship between identity and strategy and the conditions that affect activists’ choice of identity strategies as well as the situations where they might avoid identity strategies altogether. Research finds that identities may be deployed performatively, rhetorically or discursively. Identity deployment may be facilitated by emotional displays, music and ritual. The way that power and authority are organized in a given venue determines in part the capacity of activists and organizations to alternate between celebrating and suppressing difference from the majority. Identity deployment influences internal and external outcomes, affecting mobilization and goal achievement. Finally, feedback loops link the different analytic dimensions of identity.     

Communication in assisted living

This study of communication in an Assisted Living Facility (ALF) focuses on staff's interpretive frameworks and situational tactics for managing elderly residents. It is based on interviews with staff and residents in an ALF together with ethnographic fieldwork. As in other quasi-total institutions, staff members engage in control as well as care, monitoring residents for compliance with rules and directives. Residents, aware of the threat of being moved to a nursing home, also monitor their own behavior and cognition in comparison to other residents. Other communication issues include the infantilization of the elderly by staff, and the race, class, and ethnic prejudices of residents.     

Food insufficiency and physical and mental health in a longitudinal survey of welfare recipients

Food insufficiency is a significant problem in the United States, and poor African American women with children are at especially high risk. An inadequate household food supply can potentially affect the well-being of household members, but it is difficult to distinguish the effects of food insufficiency from risk factors for poor health that are also common among the food insufficient, such as poverty. We examined food insufficiency and physical and mental health among African American and white women (n = 676) who were welfare recipients in 1997. Controlling for common risk factors, women who reported food insufficiency in both 1997 and 1998 were more likely to report fair or poor health at the later date. Food insufficiency in 1998 was significantly associated with meeting the diagnostic screening criteria for recent major depression. Food insufficiency at both times and in 1998 only was related to women's sense of mastery. These findings add to growing evidence that household food insufficiency is associated with poor physical and mental health.     

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.     

Providing Spatial Data for Secondary Analysis: Issues and Current Practices Relating to Confidentiality

Spatially explicit data pose a series of opportunities and challenges for all the actors involved in providing data for long-term preservation and secondary analysis—the data producer, the data archive, and the data user. We report on opportunities and challenges for each of the three players, and then turn to a summary of current thinking about how best to prepare, archive, disseminate, and make use of social science data that have spatially explicit identification. The core issue that runs through the paper is the risk of the disclosure of the identity of respondents. If we know where they live, where they work, or where they own property, it is possible to find out who they are. Those involved in collecting, archiving, and using data need to be aware of the risks of disclosure and become familiar with best practices to avoid disclosures that will be harmful to respondents.