Do poor people have a stronger relationship between income and mortality than the rich? Implications of panel data for health-health analysis

Articles developing health-health analysis have used the observation that richer people tend to face reduced mortality risk to estimate the break-even cost per life saved of health regulations. If government requires that the private sector spend more than this break-even cutoff, the risk of dying due to reduced health investment is increased by more than it will be reduced by the direct action of the health regulation. We use panel data to suggest that the relationship between income and the probability of death is greater for poor people than for the rich. As a consequence, break-even cutoffs are roughly twice as large for the richest 20% of the population than they are for the poorest 20%. The nonlinearity in the income-to-mortality linkage also implies that income transfers between income groups which are ignored in traditional cost-benefit analysis will affect the conclusions of health-health analysis significantly.     

Individuals' Estimates of the Risks of Death: Part II—New Evidence

Using new survey data, we test the hypothesis that individuals' perceptions of health and safety risks are unbiased. While we find that respondents' estimates of those risks are sensitive to the information they are given to anchor their responses, we find no evidence to support the widely held view that people tend to underestimate the frequency of relatively common risks. The slight tendency for respondents to overestimate the frequency of extremely unlikely events can plausibly be interpreted as truncation bias. Overall, the accuracy of our subjects' estimates varies in a manner that is fully consistent with simple conjectures about the health and safety information that is of greatest relevance to them in the conduct of their lives. The marked difference between the results of our survey and those of previous studies appears to be attributable to the practical implications of costly information and the common failure of investigators to account for the fact that rational individuals will choose to acquire less than full information about many uncertain events.     

Policy relevant heterogeneity in the value of statistical life: New evidence from panel data quantile regressions

We examine differences in the value of statistical life (VSL) across potential wage levels in panel data using quantile regressions with intercept heterogeneity. Latent heterogeneity is econometrically important and affects the estimated VSL. Our findings indicate that a reasonable average cost per expected life saved cut-off for health and safety regulations is 7 million to7 million to 8 million per life saved, but the VSL varies considerably across the labor force. Our results reconcile the previous discrepancies between hedonic VSL estimates and the values implied by theories linked to the coefficient of relative risk aversion. Because the VSL varies elastically with income, regulatory agencies should regularly update the VSL used in benefit assessments, increasing the VSL proportionally with changes in income over time.     

Does the WTA/WTP ratio diminish as the severity of a health complaint is reduced? Testing for smoothness of the underlying utility of wealth function

The aim of the study reported in this paper is to test the hypothesis that individual utility of wealth functions may violate the assumption of smoothness that underpins the standard analysis of the Value of Statistical Life (VSL) and safety. In order to do so we examine the way in which the Willingness to Accept/Willingness to Pay (WTA/WTP) ratio varies as the severity of a health complaint is reduced. We find that as the severity of the health effect is reduced, the WTA/WTP ratio converges across the sample and tends to a level that does not significantly exceed unity. While we acknowledge that this does not constitute conclusive evidence of smoothness, it does suggest that the case in favour of the assumption that individual utility of wealth functions tend to display a kink at the current level of wealth is less than wholly persuasive.     

Gaps in social protection for health care and long‐term care in Europe: Are the elderly faced with financial ruin?

While public expenditure on health care and long‐term care (LTC) has been monitored for many years in European countries, far less attention has been paid to the financial consequences for older people of private out‐of‐pocket (OOP) expenditure necessary to access such care. Employing representative cross‐sectional data on the elderly populations of 11 European countries in 2004 from the Survey of Health, Ageing and Retirement in Europe (SHARE), we find that OOP payments for health care and LTC are very common among the elderly across European countries and such expenditures impact significantly on disposable income: up to 95 per cent of the elderly make OOP payments for health care and 5 per cent for LTC, resulting in income reductions of between 5 and 10 per cent, respectively. Failure to prevent financial ruin, as a consequence of excessive OOP payments, is evident in 0.7 per cent of elderly households utilizing health care and 0.5 per cent of elderly households utilizing LTC. Those particularly concerned are the poor, women and the very old.     

A Comparison of the Lifetime Economic Prospects of Women Informal Carers and Non‐carers,Australia, 2007

Informal care provided at home to family members with a disability is a major part of the disability and aged care system in Australia. Using data from the 2007 Household Income and Labour Dynamics in Australia survey, this study provides an updated comparison of the financial wellbeing, or lack thereof, over the working life of women primary carers and non‐carers. This study focuses on selected groups of primary carers and non‐carers disaggregated by partnership status, level of education and self‐assessed health status. While women primary carers tend to be more financially disadvantaged than non‐carers, having a post‐school education and being in good health contribute positively to bridge the gaps.     

气候变化与人权：何种温室气体排放权

气候变化会对基本人权,如生命权、健康权、食物权、住房权、财产权、文化权、迁移定居权、安全权等,造成许多严重的伤害。可从生存排放权、人均排放权和发展排放权三个方面对温室气体排放权进行分析与考查。在保护人民的气候权利方面,国家和政府负有不可推托的责任。在当前的背景下,提出气候权利问题的直接目的就是保护发展中国家与弱势群体的利益,并促使发达国家和富人承担更多的减排义务。     

中国农村家庭演变:“核心化”还是“个体化”?——以私房钱的道德评价为切入点

当前中国家庭研究范式出现了从"家族主义"到"个体家庭"的转变,在此背景下,本文从家庭经济生活角度切入,通过勾勒农村居民评价私房钱的道德框架,讨论中国农村家庭仍然是在"核心化"轨迹上还是走向了"个体化"。研究发现,私房钱的来源、数额及用途,家庭经济控制情况和亲密关系状况是村民评价私房钱道德与否的重要因素。这些因素都被包含在"个体/家庭"框架下,其中是否影响核心家庭的财产安全和生计安全构成私房钱道德评价的核心标准。研究认为,中国农村家庭的发展轨迹仍然是"核心化"而非"个体化"。     

A Meta‐Analysis of Campaign Contributions' Impact on Roll Call Voting*

Objectives. Conventional wisdom about the link between campaign contributions and roll call votes is that contributions rarely matter because groups tend to give to like‐minded legislators. This meta‐analysis examines the conventional wisdom by analyzing published research on this topic. Methods. More than 30 studies are pooled to produce more than 350 individual tests of the contributions‐roll call link. Extending meta‐regression ( Stanley and Jarrell, 1989 ), a logit meta‐analysis is conducted to summarize the literature and assess the importance of various modeling choices. Results. We find that some, but not all, model specifications have an impact on whether significant results are present. Models that control for friendly giving by including a measure of legislators' ideology and that include more than one contributions variable are less likely to produce significant results. Conclusions. After considering the impact of model choice on study results, we conclude that one‐third of roll call votes exhibit the impact of campaign contributions.     

Preferences for life saving programs: how the public discounts time and age

In surveys of 3,000 households, we have found that people attach less importance to saving lives in the future than to saving lives today, and less importance to saving older persons than to saving younger persons. For the median respondent, saving six people in 25 years is equivalent to saving one person today, while for a horizon of 100 years, 45 persons must be saved for every person saved today. The age of those saved also matters; however, respondents do not weight lives saved by number of life-years remaining: For the median respondent, saving one 20-year-old is equivalent to saving seven 60-year-olds.     

Risk aversion and physical prowess: Prediction,choice and bias

This paper reports on experiments where individuals are asked to make risky decisions for themselves, and to predict the risky decisions of others. Prior research shows that people predict women to be more risk averse than men, a result we confirm. We investigate whether differences in physical prowess underlie actual and perceived gender differences, a hypothesis suggested by both evolutionary and economic theories. Overall we find that perceptions of others’ risk attitudes reflect stereotypes about gender and strength but tend to exaggerate the underlying relationships. Physically stronger and taller people and those perceived as attractive are predicted to be more risk tolerant, while women are perceived to be more risk averse. The impact of gender and physical prowess measures on actual gamble choices is much weaker. Sources of prediction bias are examined, showing that specific characteristics of the target and predictor lead to systematic over-prediction or under-prediction of risk aversion.     

Probation and Social Exclusion

The paper begins with a brief discussion of the value of the term "social exclusion", before drawing on quantitative (survey) and qualitative (interview) evidence to suggest that young people on the caseload of the probation service are, in general, excluded from the full range of social goods. The basis of this exclusion is not only in poverty and unemployment, but in social and personal insecurity, lack of access to the benefits of education and training, and housing and health problems. It is argued that despite their exclusion these young people have predominantly conventional hopes and aspirations, and that there is therefore no reason to believe that a programme for their social inclusion and reintegration would be doomed to fail. The paper then reviews some aspects of present practice in probation which may tend to increase rather than reduce the exclusionary pressure on those with whom the service works, by stigmatizing and marginalizing them through a narrow focus on their offending. It concludes by suggesting strategies for more inclusionary and integrative practice in the areas of anti-custodialism, restorative justice and reintegrative shaming, community safety, and help with access to education, training and health services. The paper considers what local inter-agency structures are needed to support intensive work on offending, and sketches some characteristics of a probation service committed to social inclusion.     

Understanding the Downshifting Phenomenon: A Case of South East Queensland,Australia

A quality of life survey of a sample of households across the Brisbane‐South East Queensland region has identified about 28 percent of people as ‘downshifters.‘ They are defined as people who voluntarily make a long‐term change in their lifestyle – other than planned retirement – which reduces income and adjusts their lifestyle conditions. A typology of downshifters is developed on the basis of their motives for downshifting and their socio‐economic and demographic characteristics using a Two Step Cluster Analysis. Results indicate that the social and economic circumstances and the reasons and methods of downshifting tend to vary substantially across the clusters.     

Using the Internet and Email for Health Purposes: The Impact of Health Status*

Objective. Increasingly, people use the Internet and email for health purposes; however, we know little about whether this varies by health status. This study examines whether sick or healthy people are more likely to access the Internet, conduct online health searches, and exchange emails regarding health issues. Methods. We conduct multivariate analysis on a random sample of 2,038 adults. Results. Despite greater Internet access, respondents in excellent/good health are less likely to say they conduct online health searches because they have no health concerns or are satisfied with other health sources. In contrast, sick and disabled respondents are more likely to seek medical information online, and do so more frequently. They are also more likely to exchange health emails with friends and physicians. Conclusions. Practitioners especially need to educate their sicker patients about the uneven quality of online health information since they are more likely than healthier patients to conduct online health searches.     

城镇低保制度现状评估与对策分析——以山东省济南市最低生活保障制度为例

城镇最低生活保障制度是我国实施比较成功的一项社会救助措施,它在维持城市居民最低生活需求,克服贫困方面起到了重要的作用。在该制度日益发挥其重要作用的同时,有必要对其进行探索研究,解决其存在的问题,更好的发挥其"最后一道安全网"的作用。     

Preference for Nature in Urbanized Societies: Stress, Restoration, and the Pursuit of Sustainability

Urbanicity presents a challenge for the pursuit of sustainability. High settlement density may offer some environmental, economic, and social advantages, but it can impose psychological demands that people find excessive. These demands of urban life have stimulated a desire for contact with nature through suburban residence, leading to planning and transportation practices that have profound implications for the pursuit of sustainability. Some might dismiss people's desire for contact with nature as the result of an anti-urban bias in conjunction with a romantic view of nature. However, research in environmental psychology suggests that people's desire for contact with nature serves an important adaptive function, namely, psychological restoration. Based on this insight, we offer a perspective on an underlying practical challenge: designing communities that balance settlement density with satisfactory access to nature experience. We discuss research on four issues: how people tend to believe that nature is restorative; how restoration needs and beliefs shape environmental preferences; how well people actually achieve restoration in urban and natural environments; and how contact with nature can promote health. In closing, we consider urban nature as a design option that promotes urban sustainability.     

The impact of childhood maltreatment on young adults’ mental health: Evidence from the Philippines

Using a new retrospective data set on young Filipino adults, this study aims to quantify the prevalence, risk factors, and mental health consequences in later life of childhood maltreatment in the Philippines. A survey was conducted with a sample of 155 adults (83 women, 72 men) aged 18–24 living in Quezon City, the largest metropolitan city in the Philippines. Findings show that four out of five young Filipino adults experience minor physical violence during childhood, while one out of four suffer severe physical violence. Boys from less educated families that grow up in urban environments face the highest risks. While we find a strong link between childhood physical abuse and young adults’ mental health, no such effect was found for experiences of psychological aggression. Childhood physical abuse was further found to have negative effects on young adults’ family relations, social relations, and overall satisfaction with life.     

Lone Parents and Civil Law: Their Experience of Problems and Their Advice-seeking Behaviour

The percentage of dependent children living in lone‐parent families has more than tripled in Britain over the last 30 years. Though there is much diversity within this lone‐parent population, there are common experiences and characteristics. Lone‐parent families tend to be headed by women, to be poor, on benefits and experience problems with ill health and disability. This paper examines lone parenthood in the context of the experience of justiciable problems (problems for which there is a potential legal remedy), drawing upon a large‐scale survey of 5,611 people representative of the population of England and Wales. The survey included 223 lone parents, who were likely to be female, to be living in rented accommodation, to be on a low income, to be economically inactive and to be in receipt of benefits. Lone parents were significantly more likely than others to have experienced a justiciable problem. Lone parents sought advice for their problems more often than others, particularly from solicitors, even after controlling for problems experienced. Lone parents were more likely than others to receive legal‐aid funding. Lastly, lone parents found trying to resolve problems particularly stressful, though they tended to believe that their life had improved as a consequence of doing so.     

An agenda for future research regarding the mental health of young people with care experience

Young people who are currently or were previously in state care have consistently been found to have much higher rates of mental health and neurodevelopmental difficulties than the general youth population. While a number of high-quality reviews highlight what research has been undertaken in relation to the mental health of young people with care experience and the gaps in our knowledge and understanding, there is, until now, no consensus, so far as we aware, as to where our collective research efforts should be directed with this important group. Through a series of UK wide workshops, we undertook a consultative process to identify an agreed research agenda between those with lived experience of being in care (n = 15), practitioners, policy makers and researchers (n = 59), for future research regarding the mental health of young people with care experience, including those who are neurodiverse/have a neurodevelopmental difficulty. This consensus statement identified 21 foci within four broad categories: how we conceptualize mental health; under-studied populations; under-studied topics; and underused methodologies. We hope that those who commission, fund and undertake research will engage in this discussion about the future agenda for research regarding the mental health of young people with care experience.     

Forgiveness in Late Life

This study expands the understanding of forgiveness among a sample of older adults in Israel by exploring the contributory roles of meaning in life; stressful life events; and socio economic variables such as gender, age, and religiosity as well as time and agent of hurt. A convenience sample of 225 older adults in Israel responded to the Enright Forgiveness Inventory and the Reker Meaning in Life Scale. An additional questionnaire contained demographic and other background information, including a list of traumatic life events. The results of our study support our assumption that meaning in life correlates with forgiveness on all its dimensions. Furthermore, women tend to forgive more than men, and there is a tendency to forgive family members more readily than nonfamily members, and people who are still alive, as opposed to those who have passed away.