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221.
We estimate the increment in Massachusetts Medicaid program costs attributable to smoking from December 20, 1991 to 1998. We describe how our methods improve upon earlier estimates of analogous costs at the national level. Current costs to the Massachusetts Medicaid program approximate the payments to Massachusetts under the tobacco settlement of November 1998. Whether these payments are viewed as appropriate compensation for Medicaid costs over time depends upon the rate of increase in future health care costs, the rate of decline in smoking, the proportion of smoking that should be attributed to the actions of the tobacco companies and the likelihood the state would have prevailed at trial. The costs to the Medicaid program are dwarfed by the internal costs to smokers themselves.  相似文献   
222.
美学再思考     
审美根本不是自治的,它连接着更大的社会基座。我们需要一种情境性与连续性美学,这是一种描述性的而非规定性的理论,它认识到并拓展了与审美经验的联系,而且呼唤我们作为一个积极的参与者全身心的介入。  相似文献   
223.
This article examines the culture of romantic relationships among gay/bisexual male youth in the Castro District of San Francisco. The article seeks to specify the cultural ideology that informs these relationships, drawing upon ethnographic observation, autobiographical accounts, and informant cultural exegesis. The article also seeks to link thinking and experience inside romantic relationships (e.g., bonding, jealousy) to patterns of social behavior associated with romantic relationships (e.g., relationship sequestering, cheating), showing how both are informed by shared assumptions which make these emotions and gestures intelligible to the group. Beliefs about love, compatibility, and monogamy are explored. Reciprocity, including its degradation into negative forms, is examined with focus on the units of value that are exchanged in romantic relationships, in particular sentimental gifts. Gestures of commitment that mark commencement of a romantic relationship as well as extension of the dynamics of a relationship after "breakup" (as in "revenge sex" and "rebound relationships") are examined. Cultural systems that challenge adherence to a romantic ideology, such as a prestige economy associated with sex linked to an ethos of sexual exploration/recreation, are weighed against the pull of romance. "Drama," a hallmark of gay youth, is viewed in the context of romantic culture.  相似文献   
224.
The effects of neoliberalism on young people and youth workers through outsourcing government services has attracted critique from multiple sources. Post-structural analysis interrogates subjectification effects of these policies on youth. However, this kind of analysis of the governmental formation of youth ought to consider the interaction between the knowledge of youth underpinning neoliberal social policy, and those employed by non-government agencies implementing them. The interaction between these two shape the reciprocal governing activity within the young person and youth worker power–knowledge relationship that, this paper will argue, is an important factor in the critique of neoliberal social policy. Young people are governed by a diverse array of knowledges developed by government, youth studies, NGOs and young people themselves. These knowledges interact, reinforce and contradict discourses of youth work. This paper focuses on a neoliberal social policy (FLO) which constructs youth as a surplus population in need of risk management, and youth workers as the producers of young workers. Furthermore, I will consider the interfering subjectification effects produced by an intake and assessment tool (Your Story) utilised by a non-government FLO provider. These discourses underpinning Your Story and FLO render young people and their workers as relational beings or economic citizens respectively.  相似文献   
225.
This study examined harm, hurt, and neglect by caregivers as well as self-neglect and physical and mental health status among 113 lesbian, gay, and bisexual (LGB) older adults aged 60–88 years, who attended community-based social and recreation programs or groups in the United States. Reporting on their experiences with caregivers, 22.1% of the participants experienced at least one type of harm, including physical, emotional, verbal, sexual, financial, and neglectful; additionally, 25.7% of the participants reported they knew LGB older adults who experienced at least one type of harm from his or her caregiver. With regard to self-neglect, 62.8% reported experiencing it; those indicating positive psychological health reported fewer experiences with self-neglect.  相似文献   
226.
Gay‐Straight Alliances (GSA) and school policies focused on support for lesbian, gay, bisexual, transgender, and queer/questioning youth may reduce bias‐based bullying and enhance social supports in schools. Using multivariate regression, we tested the relationship between youth reports of the presence of GSAs and LGBTQ‐focused policies, independently and mutually, with experiences bullying and perceived support (= 1,061). Youth reported higher classmate support in the presence of GSAs and higher teacher support in the presence of LGBTQ‐focused policies; the presence of both GSAs and LGBTQ‐focused policies was associated with less bullying and higher perceived classmate and teacher support. The findings indicate that GSAs and LGBTQ‐focused policies are distinctly and mutually important for fostering safer and more supportive school climates for youth.  相似文献   
227.
228.
This paper investigates how high-profile employees with entrepreneurial abilities can be attracted, retained, and nurtured in order to foster companies’ corporate entrepreneurship through innovations. We find that the spin-along design provides entrepreneurial employees with a combination of flexibility and security (flexicurity), corporate management, and control. Based on five in-depth case studies within an innovative company, our results show that the organizational spin-along structure supports and enhances entrepreneurial employees’ motivation and leads to the attraction, nurturing, and retention of such employees. We also find that senior management has a critical leadership role in enabling such an organization design by balancing flexibility and security with control.  相似文献   
229.
ABSTRACT

This study examined the potential mediating roles of coparenting and parenting practices on the relationship between marital status and young adult adjustment in intact and divorced or separated families. Participants were 340 undergraduate students from intact and divorced or separated families who completed questionnaires that tapped a range of adjustment factors (mental health, fear of intimacy, work ethic, self-esteem, delinquency) along with coparenting and parenting practices. Data were analyzed via structural equation modeling. Results suggest that coparenting and parenting practices, including parental hostility, parental cooperation, mothering, and fathering, are important partial mediators of the relationship between marital status and young adult adjustment. Intervention and legal implications are discussed.  相似文献   
230.
We analyze a rent-seeking contest that determines the bargaining protocol in a one-dimensional bargaining game, where agents preferences over social outcomes are single-peaked. We relate the incentives of agents to make unproductive and costly efforts/investments to the quota rules that are required to implement agreements. When the contest assigns persistent recognition probabilities, we find that simple majority minimizes the total investments and, hence, inefficiency. In case that the contest recurs each period, multiple equilibria exist with the particularity that in each equilibrium only one agent controls the agenda of the bargaining process.  相似文献   
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