The mental health demographic profile system: A longitudinal information system

This paper presents the plans currently being developed to make the Mental Health Demographic Profile System into a longitudinal information system useful for research and program planning. Topics discussed are as follows:

1. Development of a data base that contains 1960, 1970, and 1980 small areas (census tracts, MCDs or CCDs, counties). Preliminary tables for 1960,and 1970 will be displayed. Problems of identifying constant small areas for 1960 and 1970 are discussed.
2. Items to be included in the standard profile and items to be available for use (but not part of the standard profile) are discussed.
3. Improvement of access to the data system is discussed. This includes a discussion of the interactive programs being developed and the possible transfer of service and maintenance functions (but not development functions) to the National Center for Health Statistics.

     

Reliability and Validity of an Adapted Version of the Cantril Ladder for Use with Adolescent Samples

There are a number of measures of life satisfaction for use with adolescent samples. The adapted Cantril Ladder is one such measure. This has been collected by the Health Behaviour in School-aged Children (HBSC) study in HBSC member countries across Europe and North America for several survey cycles, dating back to 2002. Although this measure has been piloted in the HBSC member countries, and analysed and reported in several international scientific journals and reports, it has never been formally validated. This study aims to be a first step in validating the adapted Cantril Ladder to establish if it is fit for purpose in the measurement of global life satisfaction among adolescents in Scotland. The study found that across samples of 11–15 year old pupils, the Cantril Ladder showed good reliability, and among 11 year olds, better than that of the Students’ Life Satisfaction Scale, an often used measure in adolescent samples. The Cantril Ladder also showed good convergent validity with other emotional well-being measures, perceived health and subjective health. Gender differences were noted in the convergent analysis suggesting gender differences in factors influencing or influenced by life satisfaction measured using this instrument.     

Quality of Life Predictors and Normative Data

This study identifies predictors and normative data for quality of life (QOL) in a sample of Portuguese adults from general population. A cross-sectional correlational study was undertaken with two hundred and fifty-five (N = 255) individuals from Portuguese general population (mean age 43 years, range 25–84 years; 148 females, 107 males). Participants completed the European Portuguese version of the World Health Organization Quality of Life short-form instrument and the European Portuguese version of the Center for Epidemiologic Studies Depression Scale. Demographic information was also collected. Portuguese adults reported their QOL as good. The physical, psychological and environmental domains predicted 44 % of the variance of QOL. The strongest predictor was the physical domain and the weakest was social relationships. Age, educational level, socioeconomic status and emotional status were significantly correlated with QOL and explained 25 % of the variance of QOL. The strongest predictor of QOL was emotional status followed by education and age. QOL was significantly different according to: marital status; living place (mainland or islands); type of cohabitants; occupation; health. The sample of adults from general Portuguese population reported high levels of QOL. The life domain that better explained QOL was the physical domain. Among other variables, emotional status best predicted QOL. Further variables influenced overall QOL. These findings inform our understanding on adults from Portuguese general population QOL and can be helpful for researchers and practitioners using this assessment tool to compare their results with normative data.     

Analysis of Maslow's Need Hierarchy with three social class groups

Maslow's Hierarchy of Needs is often cited as a possible basis for a fuller understanding of the individual's needs, particularly with regard to Quality of Life. The reluctance to use these concepts is based primarily on lack of empirical evidence in this field. To rectify this situation, a new methodology based on Q sorting was developed to measure the individual's need importance for each of the five needs Maslow proposes. After an estimation of reliability, the test was administered to 240 adults, made up of three social groups, lower class, working class and middle class, balanced for age and sex. The results provided evidence that individuals of a similar social class share similar notions of which needs are most important to them, and these notions differ across social class. It appeared the majority of the middle class sample were esteem, self-actualization orientated, while the majority of the working class were esteem, belonging orientated. Conversely, the majority of the lower class sample were physiology and belonging orientated. However, a cluster analysis of the need items revealed that the items representative of a need were not necessarily assigned similar importance by any one group. It would appear that each need can not be viewed as a unitary whole of equal importance, but rather must be seen as a conglomerate. Methodologically, the article illustrates the feasibility of directly measuring need importance and the use of cluster analysis to group both need items and individuals. Further, the assessment of group differences allows a fuller understanding of needs and the importance the individual assigns to their satisfaction.     

Adaptation and Validation of a Positive Health Scale for Adolescents

There is a demonstrated need to develop alternative approaches to measuring health from a positive health perspective in order to support systematic planning and evaluation of health promotion in schools. The Salutogenic Health Indicator Scale (SHIS) aims to measure health from a positive perspective. However, it has not been developed, or previously been tested, for use with adolescents between the ages of 12 and 16, at which age youth often exhibit a need for extra support in order to be successful in school and life. Inspired by the SHIS, we generated a Positive Health Scale (PHS) appropriate for 12–16-year-olds and determined its validity and reliability using principal component analysis (PCA). In the study, the scale was tested in a sample of 1,527 Grade 6–9 students, using PCA. The findings indicated the need to reduce the scale to nine items, which was then shown to be valid and reliable for use with both adolescent boys and adolescent girls. We conclude that the PHS can be used in systematic health promotion planning and evaluation. Communities and schools can use this scale to examine and improve health determinants in different adolescent settings.     

Determinants of morbidity and disability trends in the united states, 1958–77

Macrodynamic structural-equation models are presented that show how changes in annual levels of aggregate indexes of several morbidity and disability conditions for the United States over the years 1958 to 1977 affect each other and are affected by other aggregate demographic and socioeconomic changes. After reviewing the record of annual changes in these indexes based on data from the National Health Interview Survey, patterns of temporal covariation in the time series are discussed and some tentative structural-equation models are constructed to account for their behavior. Statistically, the analyses reveal considerable variation in levels of year-to-year variance explained for these indexes-from 35 percent explained for days of school loss to 97 percent for all acute conditions. Substantive findings imply that a decreasing proportion of preschool children in the population contributes to a decline in the incidence of infective and parasitic diseases, and an increasing proportion of the population at the older ages results in increases in the prevalence of chronic conditions, days of bed disability, and days of restricted activity. Further, increases in economic prosperity lead to an increase in the incidence of injuries and a decrease in the incidence of viral conditions, while higher levels of unemployment produce more injuries and restricted activity days. These inferences corroborate, for the most part, results of prior studies that have been restricted to crosssectional analyses. In addition, however, they provide a basis for making explicit quantitative projections of future levels of morbidity and disability in the American population on the basis of exogenous demographic and socioeconomic conditions.     

Reproductive mortality in Georgia: A lifestyle and environmental analysis

Frequencies and rates of maternal mortality in the United States have declined sharply since the turn of the century. During this decline, researchers have closely examined maternal mortality relative to various risk factors. However, maternal death as currently defined and coded on death certificates may not reveal the true extent of the problem of reproductive mortality. In Georgia, an analysis of death certificates of females ages 10 to 49 indicates that deaths due to pregnancy related conditions are not being discovered by traditional underlying cause-of-death maternal mortality classification. Frequencies and rates were calculated showing the difference between the traditional International Classification of Disease codes for maternal deaths (ICD 630–676) and the reproductive mortality definition used in this paper (which emphasizes the Health Field Concept classification of Lifestyle, Environment, Biology and Health Care Delivery System) (Lalonde, M., 1974 and Laframboise, H. L., 1973). The analysis suggests that a revised definition of maternal mortality be employed to take into consideration all risk factors related to reproductive mortality.     

Indicators of societal concern for mentally retarded persons

Mentally retarded persons, as a sub-population found in every culture, provide a test of a society's manner of coping with its deviant members. To obtain an objective device for measuring societal treatment, the present effort was to develop and validate a set of indicators of concern. Although the immediate applicability is at the level of the individual state (within the United States), the instrument is adaptable for comparison across nations as well as the discernment of trends over time. After the crucial first step of conceptualization, the task was to obtain consensual validation from a representative group of authorities. With a few exceptions, the respondents reactions did validate the assumptions and value-orientations of the instrument. Beyond the specific responses item by item, it was possible to infer consensual judgments on a number of underlying themes; and the individual volunteered comments supported the interpretations. The final step was to re-formulate the instrument, on the basis of the responses, in such a way as to permit the gathering of factual and quantitative information. The outcome was a series of 105 items, grouped under eight headings: Living Arrangements; Economic Security; Health Services; Education; Social Services; Work; Legal Rights and Liberties; Government Services and Funding.     

A note on new estimates of the mortality of the extreme aged

This note reports on the utilization of the “extinct generation” method, a procedure that permits a reconstruction of “extinct” population cohorts from the death statistics for a series of years and provides alternative estimates of the mortality of the extreme aged population (persons 85 years of age and over) in the United States during the period 1951–1965. Remarkably close correspondence was found between the annual mortality rates thus derived and figures published by the National Center for Health Statistics. It was concluded that the quality of the mortality rates produced was superior to the official figures but not markedly so. An advantage of the method is the ability to produce rates in detail, such as for five-year age groups, not ordinarily published for the 85 and over population.     

Comparative estimates of teenage illegitimacy in the United States, 1940–44 to 1970–74

Incompleteness in the reporting of illegitimate births in the U.S. vital registration system due to the consistent nonparticipation of a number of large States has left data published by the National Center for Health Statistics open to considerable criticism. Utilizing retrospective marriage and fertility data from the June 1978 Current Population Survey, a national probability sample of 54,000 interviewed households, a time series on teenage illegitimacy for first births is constructed that permits an evaluation of similar Vital Statistics data on teenage illegitimacy since the 1940s. Although there are some indications of a slight underreporting of white illegitimate first births by Vital Statistics during the 1940s and early 1950s, the overall comparison produces a general consensus between the two data sources on the incidence of illegitimacy among both white and nonwhite teenagers for the period 1940–44 to 1970–74.     

An epidemiological model for health policy analysis

Health programs needing health and other related data have failed in their solutions because they have lacked a rational framework for analysis. A cursory analysis of present disease patterns reveals chronic conditions for which the present system of organized health care has no immediate cures. On the other hand, infectious diseases of decades past have been all but eliminated by vaccines and antibiotics. Before we are able either to prevent or to arrest current disease processes, we must dissect the health field into more manageable elements that reflect a creative area for epidemiological models. An epidemiological model that supports health policy analysis and decisiveness must be broad, comprehensive, and must include all matters affecting health. Consequently, four primary divisions have been identified: (1) System of Health Care Organization; (2) Life Style (self-created risks); (3) Environment; and (4) Human Biology. An application of the epidemiological model involves four steps: (1) the selection of diseases that are of high risk and that contribute substantially to the overall morbidity and mortality; (2) to proportionately allocate the contributing factors of the disease to the four elements of the epidemiological model; (3) to proportionately allocate total health expenditures to the four elements of the epidemiological model; and (4) to determine the difference in proportions between (2) and (3) above. Five tables illustrate how the epidemiological model is applied, showing the diseases selected for analysis; the contributing factors of each disease to the four components of the epidemiological model; the distribution of Federal outlays for medical and health-related activities by category; the distribution of Federal outlays of health expenditures by category; and a comparison of Federal health expenditures to the allocation of mortality in accordance with the epidemiological model. The conclusion to be drawn from this study is that, based on current procedures for reducing mortality and morbidity, little or no change in our present disease patterns will be accomplished unless we dramatically shift our health policy.     

Demographic determinants of perceived well-being in eight European countries

This paper reports results of a harmonised study of subjective social indicators carried out in eight member countries of the European Community, sponsored, on an experimental basis, by the Statistical Office of the European Communities (Luxembourg). Comparative data from nationwide representative samples from Germany, France, Italy, the Netherlands, Belgium, the United Kingdom, Ireland and Denmark are presented for three key dependent measures of perceived well-being: Self-Assessed Health, Satisfaction with Housing and Life Satisfaction. The cross-cultural generalisability of the influence of demographic variables on these three measures in examined, using 4-way analysis of variance. The analyses revealed a remarkable consistency across nations in terms of the effects of certain demographic variables on some of the dependent measures; however, some inconsistencies were also revealed. Substantial discrepancies in mean scores of the same sub-groups in different countries were also observed. While further research would be required to determine whether these differences were due to objective circumstances or to cultural differences in subjective perceptions or response patterns, some tentative interpretations of the differences were put forth.     

Iud retention in West Pakistan and methodology of assessment

In 1967 there was a sample survey of women who had had IUD insertions in West Pakistan during the first 18 months of the Pakistan National Family Planning Program which began in July, 1965. The 12 month retention rate, including reinsertions, per 100 respondents was 56. Certain gross relationships between respondent characteristics and IUD retention were found. Respondents age 35+ and with 5+ living children and respondents who had insertions within two months postpartum had relatively high retention rates. Respondent characteristics associated with low retention rates included: age 35+ with 0–4 living children; reasons other than family planning reported as reasons for insertion; less than one-half hour travel time required to obtain insertion; not informed at time of insertion about side-effects of IUD; and insertion during last six months of 1966. Consistency of response was evaluated by reinterviewing a sample of respondents. The significance of the 43 percent non-response rate was evaluated by making further attempts to interview a sample of non-respondents.     

A social change index-an objective means to discern and measure the relative current social condition of cities,towns, and their sub-communities

A social change index has been developed in response to a social planning need to have a means whereby the current social pathology of communities may be identified on an objective basis. The index is derived from a combination of social indicators which are reported by census tract by the State of Rhode Island on an annual basis. The index is particularly useful for the inter-decennial years because high mobility rates, particularly in central cities (up to 80% in some areas of these cities), cause census data to be unrepresentative in many instances for these years. In addition to serving as a means to identify social needs and problem areas, the index may be used for priority ranking of need for social program services, program monitoring, and program evaluation. The State of Rhode Island is expected to institute a Committee on Social Statistics among whose primary responsibilities will be to encourage state agencies to publish their social statistics by census tracts in their annual reports. It is presumed, consequently, that a larger number of current social indicators will be available to be included in the social change index and increase its accuracy.     

Well-being and ill-being: Different dimensions?

This paper presents evidence for regarding well-being and ill-being as distinct, although not orthogonal dimensions. It is suggested that well-being and ill-being may be like measures of quantitative and verbal ability in intelligence tests. For some purposes (e.g. for admitting students to particular courses of study) it may be sensible to use only one of the measures. For other purposes a combined measure-I.Q.-is appropriate. In this study we employ Indices of Well-Being and Ill-Being and a combined measure, Balance of Well-Being and Ill-Being. Using data from the first wave (1981) of an Australian panel study (N=942), four measures of well-being and three measures of ill-being were factor analysed, confirming the existence of distinct dimensions. The value of the distinctions was underlined by findings indicating that well-being and ill-being have different correlates and causes. Wellbeing depends more than ill-being on the personality traits of extraversion and optimism, and also on the existence of supportive social networks. Ill-being is more strongly related to SES, poor health and low scoring on the trait “personal competence”,. Overall, however, it was found that more variance can be accounted for in the Balance of Well-Being and Ill-Being Index than in the separate indices of Well-Being and Ill-Being.     

General liberalism and social change in post World War II America: A summary of trends

There has been a general shift towards liberalism during the post World War II period. A plurality of attitude trends have moved in the liberalism direction. There is, however, some evidence that this liberal shift has weakened, but not reversed during the last decade. Topical disaggregation show that the liberal movement has not been uniform across subjects. Attitudes towards abortions, civil liberties, race relations, and religion have moved most consistently in the liberal direction while crime/violence and spending/taxation items have showed more conservative trends. The main causes of the general liberalism trend were modernization and liberal idealism assisted by the New Deal Realignment and institutional leadership. The main countervailing forces to liberalism were found to be stagflation, taxation level, and crime. Despite the waning of liberalism in recent years there is no evidence to support the idea that most liberal advances over the past four decades will be reversed in the immediate future.     

Grade level differences in school satisfaction

Despite evidence that children and adolescents are much more dissatisfied with the student role than adults are with the worker role, sociologists and psychologists have devoted much more effort to examining adult age differences in job satisfaction than grade level differences in school satisfaction. In this study, scores from a 3-item school satisfaction measure were analyzed via a 12 (Grade Level) by 5 (Ethnicity) by 2 (Gender) ANOVA. Twenty-five percent of the 431 330 public school students surveyed in the state of Arizona endorsed none of the school satisfaction items. Grade level was nonlinearly related to school satisfaction. School satisfaction decreased over grades 1–8 and did not vary across grades 9–12. Ethnicity and gender did not moderate the grade level-school satisfaction relation.     

Inside and Outcast: Multifaceted Stigma and Redemption in the Lives of Gay and Lesbian Jehovah's Witnesses

Homosexuality has become a divisive issue in many religions and congregations. Like many other fundamentalist denominations, Jehovah's Witnesses condemns homosexual acts, thoughts, and feelings. Consequently, gay and lesbian Witnesses experience not just stigmatization and conflict between their sexual and religious identities in the social world, but also a nearly impossible task in their inner world. This inner task adds a new facet to our understanding of stigma (Goffman, 1963 Goffman, E. 1963. Stigma: Notes on the management of spoiled identity, New York: Simon & Schuster.  [Google Scholar]). This study explores the written narratives of a subset of gay and lesbian former Jehovah's Witnesses who were able to comprehend, negotiate, and, in most cases, resolve their multifaceted stigmas and conflicts through struggle, self-determination, and eventually connecting with networks of peers who faced or are facing similar stigmas. This research contributes to other work on the intersection of religion, family, and homosexuality; in particular, the findings have implications for the study of other strict fundamentalist religions.     

The Effects of Body Image Perceptions and Sociocommunicative Orientations on Self-Esteem,Depression, and Identification and Involvement in the Gay Community

ABSTRACT

The purpose of this study was to examine how nonverbally communicated messages based on weight and physical appearance related to antifat attitudes, image fixation, and discrimination based on physical appearance and weight on bisexual, gay, and lesbian people. Using an Internet-based sample of 233 participants (88% Anglo/Saxon or Caucasian), the results indicated Richmond and Valencic's (2000) Richmond, V. P. and Valencic, K. M. . Image Fixation Measure. Paper presented at the Eastern Communication Association's Annual Conference. Pittsburgh, PA. April,  [Google Scholar] conceptualization of image fixation negatively related to an individual's self-esteem and positively related to reported levels of depression. Results also indicated people with highly assertive and responsive communicative behaviors were less likely to hold antifat attitudes and less likely to dislike fat people. Differences between gay/bisexual males and lesbian/bisexual females were also analyzed, and gay/bisexual males had significantly higher levels of image fixation, antifat attitudes, dislike of fat people, weight locus of control, perceptions of self physical/weight discrimination, and depression than lesbian/bisexual females. The results also indicated lesbian/bisexual females had significantly higher levels of self-esteem and interaction and involvement within the bisexual and gay and lesbian community than gay/bisexual men.     

Quality of life indicators: A preliminary investigation

Concern over the ‘quality of life’ in the United States seems to have increased proportionally with technological advancement and growth in material wealth. Growing public interest in social, economic, political and environmental conditions has led to the search for indicators which adequately reflect the overall ‘health’ of the nation and its citizens' well-being. This paper developed a systematic methodology for assessing social, economic, political, and environmental indicators to reflect the quality of life in the U.S. Nine indicators, including Individual Status, Individual Equality, Living Conditions, Agriculture, Technology, Economic Status, Education, Health and Welfare and State and Local Governments were compiled from more than 100 variables for 50 states and the District of Columbia. Based primarily on 1970 data, QOL indexes were generalized and the states were rated. Comparisons among similar studies were made and analyses among indicators were also performed.