Exploring the Nature of the Relationship Between Poverty and Substance Abuse

Abstract

Poverty and substance abuse are two serious social problems that are often assumed to be interrelated. This article explores what is currently known about the relationship between these two problems. Four possible models for describing the interrelationship are identified: causal, risk factor, exacerbation, and spurious. The theoretical explanations from both the substance and poverty literature are discussed in light of their implications for these types of models. The public health perspective is selected from the substance abuse theoretical literature as the model that best subsumes and directs thinking about the relationship between poverty and substance abuse, because its focus on agent, host, and environment draws attention to the range of factors that can influence both problems, as well as the ways in which they come together. Findings from the research literature are then discussed within the framework of the public health model. The article concludes by outlining the gaps in knowledge and an agenda for future research.     

Giving the community a voice: Lessons learned from a comprehensive survey in an urban neighborhood

Weinland Park, an urban neighborhood adjacent to The Ohio State University, has been targeted for revitalization following several decades of disinvestment. The goal of these efforts is to develop holistic solutions that break the cycle of poverty. Such an undertaking requires collecting baseline data to understand community needs, inform programming, and guide revitalization efforts. This paper describes the development and implementation of the Weinland Park Evaluation Project (WPEP) – a collaborative and comprehensive neighborhood survey and needs assessment. Using the RE-AIM framework as a conceptual model, the paper describes how the WPEP was designed to meet short-, medium-, and long-term community needs. In addition, it offers lessons learned as a guide for researchers designing neighborhood surveys and conducting community assessments. An Appendix A includes indicators measured via the survey tool.     

Describing poverty in an ultraperipheral region: The case of the Canary Islands

Based on data from the Survey on Social Conditions in the Canary Islands of the Instituto Canario de Estadística, this study analyzes poverty in Canary households by island of residence, age, employment and the educational level of the main provider. In addition to accepted objective measures, we also estimate poverty using subjective methods, in which the poverty line is defined or obtained by the opinion of household members of their own level of poverty.     

Children with serious emotional disturbance: the impact of poverty and receipt of public assistance on behavior, functioning, and service use

The present study examines the associations between poverty status, receipt of public assistance, service use, and children's mental health. Using a sample of children with serious emotional disturbances, findings from logistic regressions indicated that although no significant associations were found between poverty status and emotional or behavioral problems, families living below the poverty threshold were more likely to receive fewer services, even after controlling for receipt of Medicaid or SSI. Significant associations were also found for child's age, race/ethnicity, caregiver education, Medicaid and TANF receipt, child and family mental-health-risk factors. Poor families were more likely to have older children, be non-white, have fewer years of education, receive public assistance, and have more family mental-health-risk factors, but less child mental-health-risk factors. While a higher percentage of nonpoor families received medication management and residential treatment services, more poor families received support services such as transportation and flexible funds. Implications for the findings are discussed.     

Poverty–Environment Nexus in the Lao PDR: Analysis of Household Survey Data

The results of the household survey (n=1602) analysis suggest that a poverty–environment nexus exists in the Lao PDR but the nexus depends on the environmental problem. The most explicit relations were those between poverty and using fuelwood for cooking, and poverty and access to safe drinking water, whereas recent negative changes regarding deforestation and land erosion exhibited only a weak connection. Outdoor air pollution was the most common problem experienced, although no connection to poverty was found. The two most common recent improvements were related to indoor air quality and sanitation, and they had been more prevalent for wealthier households.     

Comparing the efficacy of electronic-tablet to paper-based surveys for on-site survey administration

This study compares cost, completion times, and percent completion of electronic tablet (n = 244) to paper-based (n = 398) questionnaires administered to participants of scenic raft trips on the Snake River, Grand Teton National Park. We hypothesized e-tablet questionnaires would (1) cost less (2) be completed faster and (3) be completely filled more frequently than paper-based questionnaires. Our survey resulted in a greater per unit cost of e-tablet compared to paper-based questionnaires ($4.17 and $1.80, respectively). Although e-tablets were completed faster (230 [±66] s) than paper questionnaires (235 [±57] s), the difference was not significant (t₍₆₄₁₎ = 1.97, p = 0.39). E-tablets were filled completely more frequently than paper questionnaires (80% vs. 51%, respectively; χ² = 3.84, p < 0.01). We suggest that for multi-year projects with a sample size target of ≥100, and length ≥ 5 pages, e-tablets are more cost effective and efficient than paper-based surveys.     

城镇化快速发展时期新型农村社区建设实践研究

近年来,随着城镇化进程的加快,新型农村社区发展迅速。新型农村社区建设以节约土地为动力,提高农民生活水平为目标,营造一种新的社会生活形态。通过以四川省成都市、江苏省苏南地区、浙江省嘉兴市、天津市等地的新型农村社区建设实践为例进行分析,研究其主要特点和经验。在此基础上,总结出政府主导、推进土地规模经营、农业产业转型、城乡资源统一配置、土地制度创新等有益启示,以推动新型农村建设的健康发展。     

Mitigating the effect of family poverty on academic and behavioral outcomes: The role of school climate in middle and high school

The persistent achievement gap between students from poor families and their peers calls for research that examines risk factors associated with poverty and strategies for promoting resilience. Research demonstrates the impact of school climate on behavior and academic achievement, especially in high-poverty schools. The present study examines associations between family poverty, social supports, students' perceptions of school climate, behavior, and grades. Poverty is associated with poor grades and behavior, while positive perceptions of school climate are associated with positive grades and behavior. Perceptions of school climate moderate the association between poverty and behavior, such that students from poor families who perceive a positive school climate exhibit similar behaviors to their peers from higher income families. Implications for practice, policy, and research are discussed.     

Hormonal homeostasis in a group of 216 aging Czech males and correlation with responses to a questionnaire of the University of St Louis

The male aging process is accompanied by changes in the levels of several types of hormones. Falling levels of androgenic-anabolic steroids (total testosterone, free testosterone, biologically accessible testosterone, dehydroepiandrosterone) correspond to a group of symptoms referred to as PADAM syndrome (Partial Androgen Deficiency in the Aging Male). In the case of those carefully examined patients with symptoms of PADAM and proven hypogonadism, administering androgen supplements can alleviate some of the undesirable manifestations. In its literature, the University of St Louis repeatedly refers to its questionnaire as a verbal tool for the detection of possible hypogonadism.

The aim of this study was to ascertain to what extent the aging process is evident in hormonal homeostasis detected in laboratory testing, and the extent to which this data is in accord with the evaluation of responses to questions in the University of St Louis questionnaire. Method: 216 men aged over 50 years were examined. Measurements were taken of: testosterone; the index of free testosterone; androstenedione; dihydrotestosterone; dehydroepiandrosterone and its sulfate; isomers 7α- and 7β-hydroxydehydroepiandrosterone; epitestosterone; luteinizing hormone (LH); follicle-stimulating hormone (FSH); prolactin; and sexual hormone-binding globulin (SHBG). Evaluations of the patients' responses to the University of St Louis questionnaire were compared with the results of the laboratory tests. Results: The study confirms that the most prominent phenomenon is that of an age-related decrease in the index of free testosterone, which is indicated in particular by an increase in the level of SHBG, and by a decrease in dehydroepiandrosterone and its derivatives. No significant correlation was found between levels of hormones and single items on the questionnaire, nor with the overall score arrived at by studying the patients' data.     

Development-based public procurement policies: a selective survey of literature,cross-country policy experience and the Turkish experience

Technological gap (Posner, 1961) is a critical determinant of income gap between developing and developed nations. Public authorities in developing countries are preoccupied with developing and implementing policies to increase per capita income. Public procurement of machinery and other manufactured products can be utilized by public authorities to foster technological development with a view to close the technology and income gap with richer nations. Such “development-based public procurement” (DBPP) policies are considered by developed economies as well (Yülek and Tiryakio?lu 2013 Yülek, M., and M. Tiryakio?lu. 2013. “Kalk?nma Temelli Kamu Al?m? Politikalar?: Politika Deneyimleri ve Literatürden Seçilmi? Örnekler.” Third Turkish Industrial Council Conference, 20–22 November 2013, Congresium, Ankara-Turkey. [Google Scholar]; Taylor and Yülek 2014 Taylor, T., and M. Yülek. 2014. “Can Governments Leverage Procurement to Foster Development? Evidence and Projections from Public Sector Expenditures in Turkey.” Journal of International Finance Studies 14(1): 69–87. [Google Scholar]) to further their technological development. This article presents a selective literature survey of academic research and policy experience on public procurement policies utilized to foster technological development and examine a country case study on Turkey.     

新型城市化背景下统筹城乡发展的实证分析——以广州为例

以广州为蓝本,对问卷调查结果进行实证分析,了解城乡居民对统筹城乡发展现状的满意度及期望、城乡之间的主要差距和突出问题,对新型城市化背景下统筹城乡发展的路径进行分析．并提出相关对策建议。     

Exploring long-term economic well-being and child outcomes with the Supplemental Poverty Measure: evidence from the Panel Study of Income Dynamics

This study is the first to use the Supplemental Poverty Measure (SPM) to reexamine the relationships between long-term economic well-being and child outcomes. We decompose the differences between the Official Poverty Measure (OPM) and the SPM and examine such relationships with 15 cognitive, physical, and social–emotional outcomes for 754 ten- to nineteen-year-olds as reported in the Panel Study of Income Dynamics (PSID) 2007 Child Development Supplement. Using PSID data from 1998 to 2006, we measure long-term economic well-being using the average natural logarithm of the ratio of family resources to the poverty threshold with a series of models, beginning with the OPM and converting it step-by-step into the SPM. We find that some steps in constructing the SPM, especially including in-kind benefits and using the SPM thresholds, weaken the relationships between our economic well-being measure and the cognitive outcomes, although including in-kind benefits strengthens the relationships with many of the physical and social–emotional outcomes. Better understanding the relationships between different poverty measures and outcomes of interest can open new avenues for research on mitigating the adverse effects of poverty and could perhaps allow us to better target interventions to individuals who are at greatest risk for adverse outcomes.     

Novel symptom questionnaire for the differential diagnosis of detrusor underactivity and bladder outlet obstruction in men

Objective: To develop a questionnaire for the differential diagnosis of detrusor underactivity (DUA) and bladder outlet obstruction (BOO) without performing invasive pressure flow studies.

Study design and methods: Symptoms of men with DUA were analyzed and compared with those of men with BOO using eight questions from the developing questionnaire. Patients with DUA have a bladder contractility index (PdetQmax+5xQmax) less than 100, whereas those with BOO have a BOO index (PdetQmax?2xQmax) greater than 40 in urodynamic studies (UDS). Men with detrusor overactivity in UDS and neurogenic issues were excluded from the analysis. One urologist reviewed patients’ medical records, and responded to eight questions without using information from UDS. Scores in the developing questionnaire were then compared to make a differential diagnosis between DUA and BOO.

Results: Overall, 318 men who underwent UDS were included. Symptoms were compared in patients diagnosed with DUA without BOO (n?=?165) and BOO without DUA (n?=?153). Questions 1, 2, 4, 5, 6, and 7 were significantly different between groups. The sensitivity and specificity of the questionnaire were 95.8% and 95.4%, respectively, for predicting DUA in patients with scores greater than 45 points (cutoff value).

Conclusions: Men with DUA and BOO may be distinguished using a developing questionnaire without invasive evaluation. Men with scores greater than 45 points would be expected to have DUA but not BOO.     

Investigation of alternative interface designs for long-list questions–the case of a computer-assisted survey in Germany

ABSTRACT

This study aims to address the questionnaire design challenges in cases wherein questions involve a large number of response options. Traditionally, these long-list questions are asked in open-ended or closed-ended formats. However, alternative interface design options are emerging in computer-assisted surveys that combine both interface designs. To investigate trade-offs of these alternative designs, a split-ballot experiment was conducted with a) a long list of radio buttons, b) a search tree (nested list of response options), and c) a combo box (combination of a text box and a drop-down box). Based on the question on the highest educational qualification attained from the Innovation Sample of the German Socio-Economic Panel, we investigated the interface design that facilitates respondents optimally and enhances the measurement quality. The findings indicate that combo boxes reduce the response burden and increase measurement details, whereas search trees and long lists reduce post-coding efforts.     

Quality indicator survey versus traditional survey in New York State: a comparison of results from annual nursing home surveys

Despite the passage of OBRA’87 for nursing home reform, concerns about care in facilities continue. The Centers for Medicare and Medicaid developed new regulations and the Traditional Survey (TS) process for annual nursing home survey. The survey is conducted by state regional offices to determine facility compliance with federal regulations. Despite the regulations and new survey process, the TS inconsistently identified problems. A computerized process called the Quality Indicator Survey (QIS) was subsequently developed. This study was designed to compare results from TS and QIS on overall deficiencies, select quality indicators, high-severity deficiencies, and severity differences of seven quality indicators in New York State over a 6-year period from 2010 through 2015. Results of t-tests determined a significant difference in the overall mean number of deficiencies (p < .001), and on four indicators: choices (p < .001), nursing staff (p < .001), dental (p < .001), and dignity (p < .05). Facilities using the TS showed a higher mean number of harm level or higher deficiencies (p < .001). Chi-square tests for severity levels showed significantly more higher severity deficiencies on two quality indicators: nutrition (p < 0.001) and hydration (p < 0.05). Thus, the QIS produced a greater mean number of deficiencies, while TS produced more higher severity deficiencies in New York State.     

Demystifying the use of mail survey in developing countries: a case of Nepal

ABSTRACT

The mail survey is a popular data collection tool in developed countries, but little is known about its use and efficacy in developing countries. Grounded on social exchange and diffusion of innovations theories, this study sought to ascertain whether the mail survey works in Nepal – one of the developing countries, by looking at how long respondents take to respond to mail surveys, and what the determinants are of the response time. A mail survey was conducted in June–September 2012 among 863 village animal health workers. Analysis of the data derived from 500 usable surveys shows that if properly planned and executed, the mail survey will perfectly work in developing countries as well. However, response period greatly varied by respondent’s home region, program sponsor, income groups, but not by gender, age, and education. The paper concludes by outlining suggestions to improve the mail survey.     

'I wanna tell you a story': Exploring the application of vignettes in qualitative research with children and young people

Few methodological papers exist which examine the use of vignettes within qualitative research and more specifically, with children and young people. The paper will briefly discuss the application of vignettes within quantitative and qualitative research traditions derived from the available literature before outlining the major theoretical and methodological issues relating to the use of this technique in social research. Using empirical examples of young people's responses to a selected vignette, we then go on to explore the various benefits of vignettes that can ensue when employing this technique in isolation or as part of a multi-method approach. This discussion concludes with an exploration of how vignettes can be harnessed to engage young people, particularly in the discussion of sensitive topics, whilst enabling them to retain a high level of control over the research process.     

The effect of format and device on the performance and usability of web-based questionnaires

This article explores the comparability of assessment tools under different format conditions. Prior studies have not considered the interaction of format and device on time to complete an assessment and have instead treated each of them separately with conflicting results. This study assesses, by linear regressions using web-based data, the performance of multiple devices under varying formats while controlling for non-device factors such as demographic information. The results of this study add to the growing literature on the equivalence among devices and formats used to collect and interpret performance in a variety of organizational settings.     

Exploring the relationship between poverty,childhood adversity and child abuse from the perspective of adulthood

A recent Australian study of people experiencing poverty, involving in‐depth interviews with 20 participants, suggests that a complex process leading to poverty in adult life can stem from abusive and adverse experiences in childhood. It is considered that these experiences of abuse and adversity may begin a process of ‘negative chain effects’ (Rutter, 2000) resulting in a pathway into poverty caused by ‘accumulated adversity’ (Seth‐Purdie, 2000). The development and maintenance of human capital, defined as the sum of a person's physical, psychological and economic capabilities, are strongly influenced by the extent of adversity experienced over a person's life course, particularly experiences of adversity in early childhood (Seth‐Purdie, 2000). In this paper, the experiences of childhood abuse and adversity reported by the interviewees will be outlined and discussed in the light of theory and research related to development during childhood and adolescence. Copyright © 2007 John Wiley & Sons, Ltd.