The impact of provider availability and legal restrictions on the demand for abortions by young women

The purpose of the present study is to determine the factors that affect the abortion decision at the individual level. Using individual-level data from the National Longitudinal Survey of Youth (NLSY) and state-level data on abortion providers and legal restrictions on abortions, results suggest that legal restrictions had no statistically significant effects on the abortion decision, but that the number of per capita abortion providers does affect the decision whether or not to abort a fetus. Socioeconomic characteristics, such as age and race, also have effects on the abortion decision.     

Biased abortion counseling laws and abortion demand

Since the U.S. Supreme Court's 1992 Casey decision many states have enacted biased abortion counseling laws. These laws mandate that abortion providers furnish to women with unwanted pregnancies state-approved medical information about possible side effects from having an abortion that are false. The most egregious falsehoods are that abortion is linked to mental health problems (e.g., suicide, postabortion traumatic stress syndrome, and depression), breast cancer, infertility and fetal pain. This paper investigates whether these four biased abortion falsehoods have an impact on the demand for abortions in the year 2000. The empirical results find that these four biased abortion falsehoods have no significant impact on the abortion demand of pregnant women of childbearing age (15–44 years), adult pregnant women (18–44 years) or pregnant teen minors (15–17 years). The findings remain robust even after controlling for regional differences in antiabortion attitudes.     

The Characteristics of Two Samples of Women Seeking Abortion in Queensland

The legalization of abortion is still a live issue in Queensland. The numbers and characteristics of women seeking abortion through the Children by Choice Association in 1973–74 and in 1980 were studied since no official statistics on abortion are available. From 1974 to 1980 there was a threefold growth in demand and a threefold rise in the proportion seeking their second or subsequent abortion. Both samples closely reflect the Queensland population as measured by place of birth and religious affiliation. Contraceptive knowledge was found to be associated with education while the proportion who stated they had formal lessons at school rose from 3% to 16% between the samples. In both samples two-thirds of the pregnancies resulted when no physical contraceptive was in use. Social characteristics of the women and men involved were investigated, as well as factors in the abortion decision.     

Abortion: A Social-Psychological Perspective

More than most medical procedures, abortion is embedded in a social context that has implications for psychological reactions of patients. Following a brief history of legislation and research on abortion, correlates of post-abortion reponses are reviewed. A social-psychological framework is suggested which views abortion as a stress experience. Responses to the experience will be a function of the nature and meaning of the pregnancy to the individual woman, her defensive and coping style, and the social environment surrounding the abortion experience. Psychological effects of the procedure on the partner and on health professionals who perform abortions are also considered.     

Religion and Abortion Attitudes Among U.S. Hispanics: Findings from the 1990 Latino National Political Survey*

Objective. The goal of this article is to examine the relationship between religious involvement, gauged mainly in terms of affiliation and frequency of attendance at services, and abortion attitudes among three major Hispanic subgroups: Mexican Americans, Puerto Ricans, and Cuban Americans. Method. The study analyzes data from the Latino National Political Survey, a sample of over 2,700 U.S. Hispanics completed in 1990. Results. Committed (i.e., regularly attending) Hispanic Protestants, most of whom belong to conservative groups, are more strongly pro‐life than any other segment of the Latino population, and are much more likely than others to support a total abortion ban. Committed Catholics also tend to hold pro‐life views, but they are relatively more likely to endorse an abortion ban that includes exceptions for rape, incest, and threats to the mother's life. Less devoted Catholics and Protestants generally do not differ from religiously unaffiliated Hispanics in their abortion views. There are also modest variations in the links between religious involvement and abortion attitudes across the three Latino subgroups. Conclusion. Religious factors are highly important predictors of Hispanics' preferences regarding abortion policies. Contrary to some previous discussions, it is committed Protestants, more so than Catholics, who are the staunchest opponents of abortion in the Latino population.     

Micro and Macro Determinants of Refugee Economic Status

ABSTRACT

A the ory-based model of factors in fluencing refugee economic status was tested using nationally representative samples of Soviet/East Eu ro pean (n = 4241), South east Asian (n = 4748), and Cu ban (n= 4707) work ing-age ref u gees re set tied in the United States. Cen sus data on in dividu als and house holds were combined with data onmetro poli tan ar eas to as sess the relative effects of demographiccharacteristics, residency characteristics, acculturation characteristics, and community characteristics upon ref u gees' em ploy ment sta tus, pub lie as sis tance utr lization, and house hold in come. The data were analyzed us ing regression analysiswithhierarchicalentryof blocks. Across the three groups, the model ex plained 26-31% of the vari ance in em ploy ment sta tus, 32-39% of the vari ance in pub lie as sis tance uti li za tion, and 28-35% of the varr ance in house hold in come. De mo graphic char ac ter is tics had the larg est ef feet oneconomicsta tus. Residency character istics, accultur ationchar ac ter is tics, and com mu nity char ac ter is tics all had small and rel a tively equal effects. The most important in dividual determinants of economic sta tus were education, gen der, disability, and house hold composition. Implications for refugee re set tie ment theory, policy, and practice are discussed.     

Public Attitudes toward Abortion in Israel: A Research Note

Objective . For the first time since the mid-1970s, this study explored sociodemographic correlates of abortion attitudes among Israeli Jews and compared them with those reported by the General Social Survey in the United States. Methods . A survey in the representative sample of Jewish adults living in urban areas across Israel ( N = 546) that included two related items on the attitude toward abortion for nonvital reasons. Results . Using multiple regression, four statistically and socially significant correlates of antiabortion attitudes were identified: Greater religiosity (especially Ultra-Orthodox affiliation), lower than average income, greater number of children, and right-wing political preference. Gender and age did not emerge as significant correlates of abortion attitudes. Whereas American Jews form the mainstay of the prochoice camp, Jews in Israel are clearly divided along the lines of religiosity, ethnicity, socioeconomic status, and political views. Conclusions . In both Israel and the United States, the sociodemographic profiles of abortion supporters and opponents have been rather similar and stable over the last 25 years. This may point to the stable patterns of religiosity in both societies, since antiabortion sentiments have mainly been fueled by religious fundamentalism, regardless of formal denomination.     

Cultural responsiveness in substance-abuse treatment: a qualitative study using professionals' and clients' perspectives

As a result of the growing number of ethnic and cultural minority clients in substance-abuse treatment during the last decades, a culturally responsive approach has become more and more imperative. In this article the statements (n = 1330) of professionals (n = 11) and clients (n = 11) representing the substance-abuse treatment centres in the region of Ghent and its suburbs (Belgium) are analysed. In focus are the specific treatment needs of ethnically and culturally diverse substance-abusing clients and the difficulties consequent to treating this target group. Possible approaches to overcoming these difficulties are highlighted and elaborated by means of semi-structured interviews and focus groups. The participants in the study stress the importance of an integrated approach, with special attention given to the factors that can promote or jeopardise treatment.     

Gender role attitudes and attitudes to abortion: Are there gender differences?

This study examines gender differences in gender role attitudes and attitudes to abortion in a sample of 141 undergraduate students. Religion and religiosity were treated as covariates. Using the short version of Spence and Helmreich's (1978) Attitudes to Women Scale (AWS) taken from Spence and Hahn [Spence, J. T., & Hahn, E. D. (1997). The Attitudes Toward Women Scale and attitude to change in college students. Psychology of Women Quarterly, 21, 17–34] and the abortion attitudes scale developed by Stets and Leik [Stets, J. E., & Leik, R. K. (1993). Attitudes about abortion and varying attitude structures. Social Science Research, 22, 265–282], we found that females have more liberal attitudes to women and show stronger approval for women's autonomy in abortion decision-making. Given the low internal consistency of this three-item subscale, responses to the individual items were analyzed. More males than females feel that the father should have the right to prevent the mother from having an abortion. Most of the students indicate that the woman should have to tell the father before having an abortion and most disagree that the abortion is entirely a woman's decision. There were no gender differences on the moral acceptability and availability subscales. The overall results reflect somewhat conservative attitudes to women, and seemingly contradictory findings on the abortion issue in this sample of university students. Although they endorse the availability of abortion, at the same time they find it morally unacceptable and show weak support for women's autonomy in this decision. The implications of these findings for the advancement of women's rights in this country are discussed.     

Abortion costs, sexual behavior, and pregnancy rates

This paper empirically examines the question: Do the direct (price) and indirect (restrictive abortion laws) costs of obtaining an abortion have an impact on the likelihood of women becoming pregnant? Using the economic model of fertility control, the empirical results find that increases in the real price of obtaining an abortion cause a statistically and numerically significant decrease in the pregnancy rate of all women of childbearing age (15–44 years) and teens (ages 15–19). A state parental involvement law is also found to decrease the pregnancy rate of all women of childbearing age and an even numerically larger decrease for teens. A state Medicaid funding restriction of abortion, waiting period law, and mandatory counseling law do not have a statistically significant impact on the pregnancy rate of either group. Taken together the empirical results are consistent with the hypothesis that women's sexual behavior is influenced by the direct and indirect cost of obtaining an abortion.     

Attitudes to prioritization in selected health care activities

The aim of this study was to measure attitudes to health care prioritization in various Finnish population groups. Three study groups were established: 1) the general public (n=4260); 2) politicians (n=1427); and 3) medical and social work professionals (n=1055).
The following background data were obtained: sex, year of birth, marital status, number of children, education, profession, personal income, self-perceived health, and how subjects viewed their own future and whether they were satisfied with their lives. Information on activities involving prioritization of health service was elicited by presenting a list of 16 health care activities. Respondents evaluated these activities as 1) more important than average, 2) of average importance, or 3) less important than average (indicated as numbers 1-3).
The response rate was 59.3%, and 57.2% (n=3858) of the original sample was accepted for analysis. The politicians and profes-sionals showed almost identical attitudes. All groups prioritized treatment of life-threatening diseases among children. The general public prioritized high-tech surgery more highly than professionals or politicians. Alternative medicine and cosmetic surgery were the two least important activities. All groups agreed about prioritization of serious diseases among children, care of dying patients, prevention, surgery which helps people to perform their everyday tasks, and home care for the disabled elderly. Professionals and politicians prioritized mental health more highly than the population. The general public prioritized intensive care for premature babies with a low birth weight (less than 800 g). Professionals prioritized family planning more highly than politicians and the population. The results resemble those obtained in Britain, indicating that attitudes towards priorities in health are similar between Britain and Finland, and that the respondents' professions determine attitudes more strongly than does cultural background.     

The inclusion of minority groups in clinical trials: problems of under representation and under reporting of data

Objective: To evaluate the representation of minority groups in randomized control trials (RCTs), and the frequency with which this information is reported. Study Design: Reviewers collected data on the racial/ethnic composition of study samples from all RCTs published in six leading medical journals in 1999. Results: Of the 280 RCTs, most (204, 71.3%) provided no information on the race/ethnicity of participants. Of the 89 U.S.-based RCTs, 50 (56.1%) reported their minority distribution. Relative to other trials, those funded by the National Institute of Health (NIH) (n = 52) were more likely to report race/ethnicity data (55.8% vs. 23.7%; x2 = 20.9, p <_0.001) and to include nonwhite participants (13.5 % vs. 12.5%; x2=22.7, p<_0.001). Conclusion: Minority groups are currently under-represented in clinical trials. Information on the race and ethnicity of clinical trial participants is currently underreported in six leading medical journals. Reporting of minority group information was significantly better only in NIH funded trials, which also were more likely to include nonwhite participants. This suggests that mandatory reporting policies may have a positive effect on both reporting and representation.     

The Relationship Between Homebound Older People and Their Home Care Workers,or "The Pas de Deux" of Home Care

The multiple components in the provision of home care services, as distinct from home health care, are examined in this paper. Specifically addressed are the unique aspects of the setting, the particular characteristics of the elderly in need of care, the challenges to the care provider, and the dynamics of the relationship between the recipient and provider of care. Data were obtained from a sample (n = 200) of inner-city hospital clinic patients, aged 65+, of which 34% (n = 68) were home care clients. Practitioners can best design successful home care programs if consideration is given not only to a person's physical needs but also to their individual characteristics and those of the home care provider.     

AIDS Risk Behaviors among American and Australian Homeless Youth

We examined HIV/AIDS risk behaviors among homeless youth in cross-national data collected in Melbourne, Australia ( n = 398), and Los Angeles, California ( n = 498). Using structural equation modeling, we found that the Australian youth reported greater involvement in AIDS risk behaviors than the American youth and the Australian youth were more involved in intervening risk factors that promote risk behaviors and less involved with protective factors that reduce risk behaviors. Youth reporting the highest rates of delinquent behaviors also had peers engaging in delinquent acts, used alcohol and marijuana, and were more likely to utilize social services. These findings underscore the importance of having a service sector that is able to adequately address the needs of homeless youth .     

Vulnerability to Violence: A Contextually-Sensitive, Developmental Perspective on African American Adolescents

Spencer's Phenomenological Variant of Ecological Systems Theory (PVEST) is presented as a theoretical framework to analyze potential effects of being a victim or co-victim of a violent crime. Data are presented from a sample of African American adolescents residing in a Southeastern metropolitan area. Victims (n = 20) and non-victims (n = 332) are compared on their self-reporting of clinical symptoms normally associated with violent or traumatic experience during middle childhood and early adolescence. Results suggest that observed symptomatology may not be solely attributable to actual victimization. Discussion includes possible mechanisms by which factors such as cognitive developmental status, physical and social context, and previous victimization of the adolescent or a family member of the adolescent can influence symptomatology.     

Prediction of Positive Peer Relations from Observed Parent–Child Interactions

The nature of 7-year-old children's (n = 140) positive peer relations was examined using a multi-method, multi-agent approach. A confirmatory factor analysis suggested three factors clustered by reporting agent and method: teachers' perceptions of the child's positive attributes, observation of the child-peer interaction in three play settings, and observation of the child-peer interaction in a teaching context. Similar pathways were found for boys and girls. Once it was established that stable constructs could be developed to measure positive peer relations, earlier parent-child characteristics were examined to assess their utility in predicting children's positive friendships. Parental scaffolding and warmth were measured at 18 months and 5 years of age. Structural equation modeling suggests that positive parent interactions were positively related to later peer relations, but this relationship was significant only for boys. Possible explanations for this sex difference are discussed.     

A Preliminary Study of Medical Services for Persons with Alzheimer's Disease

Logistic regression is used to examine medical ser- vice recommendations by staff in California's diagnostic and treat- ment centers to a clinical, non-random sample of Alzheimer's dis- ease clients (N . = 822). Dependent variables include physician consultation, medical clinic, medication management, and psychiat- ric services. Predictor variables include patients' enabling, need, predisposing characteristics, family consideralions. and organization affiliation. Significant predictors include previous service use, pa- tient functioning, family characteristics, and the specific center rec- ommending h e service.     

Informed parental consent for cochlear implantation of young deaf children: social and other considerations in the use of the 'bionic ear'

This paper examines the social parameters surrounding the management of informed consent procedures for the parents of young deaf children for the surgical fitting of a cochlear implant ('bionic ear') to their child. Although most observers of this remarkable and well publicised medical development only see benefits in its use, the authors examine the nature of the conflict which has emerged between medical and media portrayals of the 'miracle' device and contrasting social, cultural and linguistic views of many Deaf people. The paper analyses the components of parental consent procedures for surgical implantation of their child, covering the risk-benefit analysis and, in particular, the information base that is provided for parents about the social construction of a 'Deaf life' by many Deaf people.     

Hypothesis Testing of CNA Perceptions of Organizational Culture in Long Term Care

This commentary for the special issue on research that went wrong describes a study that explored factors that contribute to variability within Certified Nursing Assistants (CNAs) on organizational safety culture. We know from previous research that CNAs provide most direct care in nursing homes and that direct care workers often experience agency culture differently from agency management (Wolf et al., 2014). We were looking for factors that nursing homes could alter to improve the culture for CNAs, and thus, residents. We conducted a secondary analysis of data collected via a multi-component paper survey of CNAs employed in long term care. We used results from the Nursing Home Survey on Patient Safety Culture and primary shift, type of unit, and years as a CNA to identify modifiable characteristics that would explain variability in the perceptions of patient safety culture. The final sample included n = 106 from three nursing homes. Dimension scores were compared using bivariate tests appropriate to the scale and ordinal logistic regression. Despite support in the literature for the hypothesis, we found few significant differences on the total scale within groups. Differences in perceptions have implications for quality of care and the experiences of residents within nursing homes.