Appeasing yourself or others? – The use of self-punishment and compensation and how it influences punishment

This paper analyzes experimental data to better understand self-punishment and compensation as potential means for making amends for having caused distributional harm and inefficiency. Our design allows for and disentangles intended harm and unintended harm. In our data, subjects infrequently self-punish, whereas they frequently offer compensation. Appeasement tactics are used particularly when the harmed party can punish the harm doer. Compensation is an informative signal for the harm doer’s benign intent, which does not similarly apply to self-punishment. Both self-punishment and compensation lower the punishment level imposed by the harmed party on the harm doer, whereas results regarding the probability of punishment are less clear.     

Popular Hazards and Policy Rhetoric

Popular hazards are common activities that involve some risks of harm, such as driving a car, possessing or shooting a gun, drinking alcohol, or smoking marijuana. In each of these cases, many millions of Americans engage in the activity, but only a small fraction of them harm themselves or other people. Because the activity is so common, the number harmed may be substantial, although more serious harms tend to be much more infrequent than less serious harms. Social policy debates almost always focus on some particular popular hazard, yet we can see rhetorical similarities—parallel arguments—in how advocates frame what are understood to be very different social issues. Thus, discourse about legalizing recreational marijuana use tends to invoke claims that are quite similar to those opposing further gun control. The category of popular hazards allows us to recognize parallels in policy debates about seemingly unrelated social issues. Focusing on the underlying policy issue—balancing popularity and hazardousness—encourages considering alternative ways to construct social policies.     

Stress, health, and the life course: some conceptual perspectives

This article proposes several conceptual perspectives designed to advance our understanding of the material and experiential conditions contributing to persistent disparities in rates of morbidity and mortality among groups unequal in their social and economic statuses. An underlying assumption is that these disparities, which are in clear evidence at mid- and late life, may be anchored to earlier circumstances of the life course. Of particular interest are those circumstances resulting in people with the least privileged statuses having the greatest chances of exposure to health-related stressors. Among the stressors closely linked to status and status attainment are those that continue or are repeated across the life course, such as enduring economic strain and discriminatory experiences. Also taking a long-range toll on health are circumstances of stress proliferation, a process that places people exposed to a serious adversity at risk for later exposure to additional adversities. We suggest that this process can be observed in instances of trauma, in early out-of-sequence transitions, and in the case of undesired changes that disrupt behaviors and relationships in established roles. Effective effort to close the systemic health gaps must recognize their structural underpinnings.     

Balancing Justice and Welfare Needs in Family Group Conferences for Children with Harmful Sexual Behavior: The HSB-FGC Framework

In England and Wales, family group conferences (FGCs) are most often found either in the field of youth justice or in the field of child protection, and consequently often have priorities in line with either one of the two systems. On the one hand, FGCs are a restorative justice tool to address offending behavior and hold young perpetrators to account, while giving victims the possibility of contributing to the justice process. On the other hand, FGCs address safeguarding concerns and are used to plan for child safety and protection. In cases where a young person has sexually harmed another young person, that is, has perpetrated harmful sexual behavior (HSB), all young people involved will have both justice and welfare needs. FGCs are emerging as promising mechanisms in such cases, not only because of their ability to deal with both sets of needs for both young people but also because of their potential to address more holistic needs. However, HSB cases are often complex and sensitive, and are not without risk. Drawing on their experiences in research and practice, the authors explore how the holistic needs of both the harmed and harming individual can be balanced within a risk managed HSB-FGC framework.     

The twain meet: empirical explanations of sex differences in health and mortality

Health statistics routinely show higher morbidity and health services use for women, while mortality rates are higher for men. This analysis empirically identifies reasons for women's poorer health. It is based on retrospective (interview) and prospective (health diaries) data from the Health In Detroit Study. Three kinds of risk factors, which may help explain females' excess, are considered: acquired risks, psychosocial aspects, and health-reporting behavior. Men and women differ markedly in acquired risks: smoking and job hazards are higher for men, but inactivity, nonemployment, stress, and many other factors are higher for women. Psychosocial aspects predispose women to more illness and health care. Women also had keener interest in the survey. When all of the risk factors are controlled, the morbidity gap narrows considerably. In fact, indicators of general and chronic health reverse to reveal higher morbidity for men. Similarly, females' excesses for therapeutic care (short- and long-term disability, medical visits, lay consultation, drug use) diminish when risks and morbidity level are controlled. They actually reverse to a male excess for disability and medical care. Though most of the unveiled male excesses are statistically nonsignificant, their pattern allows a reasonable interpretation. Our results are closely compatible with recent analyses of sex mortality differences in several California sites, which could not eliminate men's mortality excess by controlling for social factors. In conclusion, contemporary women's poorer health profile stems largely from their roles and stress (acquired risks), and to a smaller degree from their health attitudes. When social factors are taken into account, health data suggest a disadvantage for men, and mortality data maintain men's disadvantage. Do the reasons lie in biology?     

"Fundamental causes" of social inequalities in mortality: a test of the theory

Medicine and epidemiology currently dominate the study of the strong association between socioeconomic status and mortality. Socioeconomic status typically is viewed as a causally irrelevant "confounding variable" or as a less critical variable marking only the beginning of a causal chain in which intervening risk factors are given prominence. Yet the association between socioeconomic status and mortality has persisted despite radical changes in the diseases and risk factors that are presumed to explain it. This suggests that the effect of socioeconomic status on mortality essentially cannot be understood by reductive explanations that focus on current mechanisms. Accordingly, Link and Phelan (1995) proposed that socioeconomic status is a "fundamental cause" of mortality disparities-that socioeconomic disparities endure despite changing mechanisms because socioeconomic status embodies an array of resources, such as money, knowledge, prestige, power, and beneficial social connections, that protect health no matter what mechanisms are relevant at any given time. We identified a situation in which resources should be less helpful in prolonging life, and derived the following prediction from the theory: For less preventable causes of death (for which we know little about prevention or treatment), socioeconomic status will be less strongly associated with mortality than for more preventable causes. We tested this hypothesis with the National Longitudinal Mortality Study, which followed Current Population Survey respondents (N = 370,930) for mortality for nine years. Our hypothesis was supported, lending support to the theory of fundamental causes and more generally to the importance of a sociological approach to the study of socioeconomic disparities in mortality.     

Primary care for young African American men

Young African American men in the inner city have higher rates of mortality and morbidity from potentially preventable causes than other American men of the same age. They suffer disproportionately high rates of preventable illness from violence, sexually transmitted diseases, and HIV infection. These young men present with problems related to sexual concerns, mental health issues, substance abuse, and violence. They also report substantial risk-taking behaviors, including unprotected sex, substance use, and weapon carrying, as well as exposure to violence. Access to and use of preventive primary care services has been limited for these patients in the past because of financial barriers and competing social issues. Racism and historical oppression have created barriers of mistrust for young men of color. Factors that contribute to their adverse health status, as well as ways to address these problems, are discussed.     

Fighting with Oneself to Maintain the Interaction Order: A Sociological Approach to Self‐Injury Daily Process

This article proposes an interactionist approach to self‐injury behavior in youth. Mostly based on in‐depth interviews with seventy people who self‐harm or who have self‐harmed at some point in their lives, it describes the process of daily self‐injuring. It shows that this practice consists less in the self‐harm in itself than in a liminal emotional state, composed of several successive steps, and that self‐injury makes sense because concerned individuals subjectively see it as the most practical of known activities for releasing emotional troubles, then maintaining the interaction order surrounding them.     

Blood pressure control by home monitoring in Dalat city,Lam Dong province,Vietnam

As low and middle-income countries, such as Vietnam, experience the health transition to chronic diseases, the morbidity and mortality from hypertension will rise. Twenty-five percent of the adult population in Vietnam has hypertension, but less than half are aware of their condition. Blood pressure is one important risk factor for managing many chronic diseases. The use of home blood pressure monitoring(HBPM) to assess hypertensive control is unknown in Vietnam. This study determined using rate Home blood pressure monitoring in Lam dong province, Vietnam. Participants were mainly recruited from six medical center wards at the Lam dong province hospital and twelve health stations in Da lat city. A total of 325 hypertensive patients were selected in 2 months only 22.2 % used HBPM. From this result, we had been some suggestions for the management of hypertension in Vietnam.     

The effects of smoking laws on seating allocations of restaurants, bars, and taverns

Supporters of smoking laws often argue that they do not harm restaurants, bars, and taverns and may even raise their profits. Opponents argue that owners cater to customer preferences regarding smoking and that laws mandating specific smoking policies will therefore negatively impact profits of some firms. This article tests hypotheses regarding how smoking laws affect seating allocations, using data from a nationwide survey of restaurant and bar owners. The empirical evidence indicates that smoking laws exert no significant effect on seating allocations. Firms are shown to allocate greater shares of seating to nonsmoking use when customers exhibit stronger preferences for such seating.     

Alternative Practicum in Health Education

Abstract

Young African American men in the inner city have higher rates of mortality and morbidity from potentially preventable causes than other American men of the same age. They suffer disproportionately high rates of preventable illness from violence, sexually transmitted diseases, and HIV infection. These young men present with problems related to sexual concerns, mental health issues, substance abuse, and violence. They also report substantial risk-taking behaviors, including unprotected sex, substance use, and weapon carrying, as well as exposure to violence. Access to and use of preventive primary care services has been limited for these patients in the past because of financial barriers and competing social issues. Racism and historical oppression have created barriers of mistrust for young men of color. Factors that contribute to their adverse health status, as well as ways to address these problems, are discussed.     

Disparities in Access to Health Care Among Middle-Aged and Older Adults with Disabilities

Disability is increasing among middle-aged adults and, reversing earlier trends, increasing among older adults as well. Disability is experienced disproportionately by Black and lower socioeconomic status (SES) individuals. We used Medical Expenditure Panel Survey data to examine health care disparities in access to health care for middle-aged (31 to 64 years of age) and older (65+ years of age) adults with disabilities by race and ethnicity, education, and income (n = 13,174). Using logistic regression, we examined three measures of potential (e.g., usual source of care), and three measures of realized (e.g., counseling related to smoking) access. Middle-aged and older minority individuals with disabilities had lower relative risks of having usual sources of care and higher relative risks of having suboptimal usual sources of care (e.g., a place rather than a person) than White adults with disabilities. There were SES effects observed for middle-aged adults with disabilities across most measures that were, for certain measures, more pronounced than SES effects among older adults with disabilities. These findings are important, since health resources (e.g., a usual source of care) may mediate relations among disability, morbidity, and mortality. Policy actions that may mitigate the disparities we observed include financial incentives to support access to an optimal usual source of care and mechanisms to foster behavioral interventions related to smoking and exercise. Ensuring that these actions address the specific concerns of individuals with disabilities, such as physical accessibility and provider cultural competency, is essential.     

Gender, time use, and health

One of the continuing paradoxes facing social epidemiologists concerns sex differences in morbidity and mortality. Although women live longer than men, they apparently get sick more. We hypothesize that women's higher morbidity levels result from less paid work and lower wages combined with more hours spent in household labor, child care, and helping others, and fewer hours of leisure and sleep. Men and women hold different social roles; men hold most of the highly rewarding roles. We operationalize social roles as time commitments to various role-related activities. This approach provides interval-level measures such as time spent in caring for children instead of simple dichotomies such as parent/nonparent. We find that when gender differences in social roles are controlled, being male is associated with poorer health than being female. We conclude that if gender roles were more equal, women would experience better health than men, more consistent with their greater longevity.     

中国青少年健康发展情况及挑战

20年来,我国青少年在营养、体格发育、心理健康及生殖健康等方面均有不同程度的提升。但随着现代居住条件的改善、交通的发展,高脂、高蛋白、高热量等食物的过多摄入,学习负担的加重,体育锻炼的减少及电脑、网络的依赖加剧,青少年的身体机能和身体素质正在下降,超重肥胖、视力不良、心理健康、生殖健康问题等流行日趋严重,需要家庭、学校、社会、政府等各个层面给予高度关注与系统介入。     

Late‐Life Migration,Work Status,and Survival: The Case of Older Immigrants from the Former Soviet Union in Israel

This analysis examined mortality among late‐life Soviet Jewish immigrants in Israel, and the contribution of post‐migration work status to their survival. The study linked 1997 survey data to mortality records, seven years hence. The results revealed that mortality was associated with older age, male gender, morbidity, and having less resourceful social networks. More importantly, after controlling for these background variables work status remained a significant correlate. Late‐life immigrants who had never worked in the host country had a significantly greater risk of death than their immigrant counterparts who had ever worked (or were still working).     

Social class,social disadvantage and child health

SUMMARY. The examination of the contribution of social factors to child health status by linking mortality and morbidity to social class as defined by parental occupation is critically reviewed. An alternative approach to examining links between health and social factors is proposed that consists in defining several basic environmental needs of children that must be met to ensure their health status is optimised. For each basic need (housing, income, diet, quality of affectionate care etc.) it is proposed that minimal criteria or a ‘bottom-line’ be set below which it should be generally agreed that an unacceptable level of disadvantage exists. The approach is described in outline, but to a sufficient degree to demonstrate that it is already feasible in some respects, although clearly many details would need to be worked out in others     

The State, the Market and Cultural Diversity

This essay compares the logic of states and the logic of markets in the management of cultural diversity. On the one hand, the economic logic of markets leads to an encouragement of a 'soft' cultural diversity associated with the marketing of exoticism in music, the arts and cuisine, for example. On the other hand, the liberal states are trapped between their willingness to recognize some form of diversity and their fear of seeing social cohesion harmed by this recognition. In other words, the essay applies Hollified's hypothesis about the liberal paradox in immigration policy to the sphere of cultural diversity in post-immigration situations.     

The State,the Market and Cultural Diversity

This essay compares the logic of states and the logic of markets in the management of cultural diversity. On the one hand, the economic logic of markets leads to an encouragement of a ‘soft’ cultural diversity associated with the marketing of exoticism in music, the arts and cuisine, for example. On the other hand, the liberal states are trapped between their willingness to recognize some form of diversity and their fear of seeing social cohesion harmed by this recognition. In other words, the essay applies Hollified's hypothesis about the liberal paradox in immigration policy to the sphere of cultural diversity in post-immigration situations.     

Children’s Mental Disorders and Their Mothers’ Earnings: Implications for the Affordable Care Act of 2010

Children with emotional and behavioral problems (EBP) may have a negative effect on their mothers’ earnings because they require additional time for treatment. On the other hand, children with EBP require additional financial resources, which may increase their mothers’ earnings through an increase in work activities. This study examined the impact of children’s EBP on parental earnings, while accounting for omitted variable bias. This study found significant reductions of single mothers’ wage rate/annual earnings if their children have EBP. Conversely, children’s EBP increased their married mothers’ hourly wage. These results have important implications in terms of public policy such as the Affordable Care Act (ACA) of 2010 in terms of expanding health insurance coverage to children with EBP to have access to appropriate treatment.     

Socioeconomic status,psychosocial factors and health in urban Guyana

Individuals of higher socioeconomic status live longer and enjoy better physical and mental health relative to individuals of lower social status. Socioeconomic status differences in health status persist over time. This paper examines the association between socioeconomic status, psychosocial factors, and health in Georgetown, Guyana. The major causes of death are cardiovascular and cerebrovascular disease; life expectancy at birth is 67.3 years for males and 72.3 years for females; and the infant mortality rate is 44 per 1000 live births. Data for the study were drawn from a probability sample of 654 adult residents of Georgetown. A significant inverse association was found between formal education and morbidity for four of the six measures of health status. The authors investigated the extent to which self-concept, health behaviors, stress, and social ties are linked to health status and socioeconomic status, and can explain socioeconomic status differences in health status. Psychosocial factors, especially the self-concept measures of self-esteem and mastery, were found to play a moderate role in accounting for educational differences in health status.