Functional disability among chronic pain patients receiving long-term opioid treatment

This study of 2,163 adult chronic, non-cancer-pain, long-term opioid therapy patients examines the relationship of depression to functional disability by measuring average pain interference, activity limitation days, and employment status. Those with more depression symptoms compared to those with fewer were more likely to have worse disability on all 3 measures (average pain interference score >5, OR = 5.36, p < .0001; activity limitation days ≥ 30, OR = 4.05, p < .0001; unemployed due to health reasons, OR = 4.06, p < .0001). Depression might play a crucial role in the lives of these patients; identifying and treating depression symptoms in chronic pain patients should be a priority.     

Perspektivwechsel und introvisionsorientierte Fallanalysen als gesundheitsf?rderliches Element der Lehrerbildung

The discussion of educational professionalization actually focuses on concepts of health promotion instead of disease prevention (e.g., Dauber und D?ring-Seipel, Salutogenese in Lehrberuf und Schule (SALUS), 2008). This paper follows the direction in presenting a method of promoting salutogenesis development (Antonovsky, Salutogenese. Zur Entmystifizierung der Gesundheit, 1997) by case reflections. These case reflections consist of a change of perspectives and of an approach of mental selfregulation called Introvision.     

Schools,Bullying, and Inequality: Intersecting Factors and Complexities with the Stratification of Youth Victimization at School

Bullying within United States (US) schools is a growing concern among parents, school officials and policymakers. In early 2011, the first‐ever White House Conference on Bullying Prevention was held in hope of addressing bullying within US schools. Although the social, political, and media attention is increasing, it is important to consider the complexities and disparities associated with school bullying. In this article, four of the wide array of influences that increase the vulnerabilities of youth to be a victim of bullying at school are reviewed: (i) race and ethnicity, (ii) being and immigrant, (iii) gender, and; (iv) sexual orientation. Understanding and acknowledging the inequalities associated with school bullying, as well as the policies implemented in response, is instrumental for the US’ efforts towards providing safe, healthy, and democratic learning environments.     

Climate change and population migration in Brazil’s Northeast: scenarios for 2025–2050

This research contributes to an understanding of the relationship between climate change, economic impacts and migration. We model the long-term relationship (up to 45 years of projection) between demographic dynamics—particularly migration—driven by changes in the performance of the economy due to climate changes in the Northeast region of Brazil. The region is of particular relevance to the study of climate change impacts given its large human population (28% of Brazil’s population) and high levels of impoverishment, having an extensive semi-dry area which will be severely impacted by growing temperatures. Ultimately, the integrated model generates state- and municipal-level migration scenarios based on climate change impacts on the primary economic sectors and their articulations with other sectors. Results suggest that the predicted climate changes will impact severely the agriculture sector in the region, acting as a potential migration push factor to other regions in the country. Finally, we discuss how the increased vulnerability of some groups, particularly migrants, can be factored into Brazilian public policy and planning.     

New Directions in the Development of Population Estimates in the United States?

The advent of a continuously updated Master Area File (MAF) following the 2000 census represents an information resource that can be tapped for purposes of developing timely, cost-effective, and precise population estimates for even the smallest of geographical units (e.g., census blocks). We argue that the MAF can be enhanced (EMAF) for these purposes. In support of our argument we describe a set of activities needed to develop EMAF, each of which is well within the current capabilities of the U.S. Census Bureau and discuss various costs and benefits of each. We also describe how EMAF would provide population estimates containing a wide range of demographic (e.g., age, race, and sex) and socio-economic characteristics (e.g., educational attainment, income, and employment). As such, it could largely negate and eliminate the need for many of the traditional demographic methods of population estimation and possibly reduce the number of sample surveys. We identify important challenges that must be surmounted in order to realize EMAF and make suggestions for doing so. We conclude by noting that the idea of the EMAF could be of interest to other countries with MAF files and strong administrative records systems that, like the United States, are facing the challenge of producing good population information in the face of increasing census costs.     

Investigating Validity Evidence of the Satisfaction with Life Scale Adapted for Children

This study introduces the Satisfaction with Life Scale adapted for Children (SWLS-C) and presents psychometric findings regarding its validation. The SWLS-C was adapted from the Satisfaction with Life Scale (SWLS; Diener et al. 1985), which is one of the most commonly used measures to assess satisfaction with life in adults. Three subject matter experts adapted the SWLS by changing the wording of the item stem and response format in order to make it more understandable for children. A stratified random sample of 1,233 students (48% girls) in grades 4–7 (mean age 11 years and 7 months) provided data on the SWLS-C and measures of optimism, self-concept, self-efficacy, depression, emphatic concern, and perspective taking. The SWLS-C demonstrated a unidimensional factor structure and high internal consistency. Furthermore, differential item functioning and differential scale functioning analyses indicated that the SWLS-C measures satisfaction with life in the same way for different groups of children (i.e., with regard to gender, first language learned at home—English vs. other language(s) than English—and across different grades) at the item and at the scale level. Associations between scores on the SWLS-C and demographic variables were statistically non-significant or of small effect size. In addition, the SWLS-C showed evidence of convergent and discriminant validity in relation to the other measures. Our results indicate that the SWLS-C is a psychometrically sound instrument that demonstrated evidence of construct validity for this age group. Limitations and future directions are discussed.     

No One Is Immune: A Community Education Partnership Addressing HIV/AIDS and Older Adults

There has been a dramatic increase in the number of new HIV diagnoses among people aged 50 to 64 in the United States, and according to the Centers for Disease Control and Prevention (CDC), in just 7 years (by 2015) 50% of those living with AIDS will be aged 50 or older. To address this public health concern, viable HIV/AIDS prevention and treatment options for individuals over the age of 50 are necessary. This article discusses the No One Is Immune initiative that planned, implemented, and coordinated evidence- based HIV/AIDS prevention and education programs specifically tailored for middle-aged and older adults. Guided by the health belief model, an educational conference entitled "Sexuality, Medication, and HIV/AIDS in Middle and Later Adulthood" was conducted along with research activities that assessed HIV/AIDS knowledge gained using both qualitative and quantitative measures. This project can be replicated by other providers within the aging network.     

Exercise self-regulation among older women participating in a heart disease-management intervention

Using behavioral self-regulation processes may facilitate exercise among older women with heart disease. Data from women in a heart disease-management program (n = 658, mean 73 years), was used to explore associations among exercise self-regulation components (i.e., choosing to improve exercise and observing, judging, and reacting to one's behavior) and exercise capacity. General linear models showed that choosing exercise predicted higher exercise self-regulation scores postprogram and 8 months later. In turn, these scores predicted greater improvements in exercise capacity concurrently and 8 months later. Interaction analyses revealed that the effect of self-regulation on exercise capacity was stronger among women who chose to work on exercise.