Racial/ethnic segregation and health disparities: Future directions and opportunities

Health researchers have investigated the association between racial segregation and racial health disparities with multilevel approaches. This study systematically reviews these multilevel studies and identifies broad trends and potential directions for future research on racial segregation and health disparities in the US. After searching databases including CINAHL and MEDLINE, we systematically reviewed 66 articles published between 2003 and 2019 and found four major gaps in racial/ethnic segregation and health disparities: (a) the concept of segregation was rarely operationalized at the neighborhood level, (b) except for the evenness and exposure dimension, other dimensions of segregation are overlooked, (c) little attention was paid to the segregation between whites and non‐black minorities, particularly Hispanics and Asians, and (d) mental health outcomes were largely absent. Future directions and opportunities include: First, other segregation dimensions should be explored. Second, the spatial scales for segregation measures should be clarified. Third, the theoretical frameworks for black and non‐black minorities should be tested. Fourth, mental health, substance use, and the use of mental health care should be examined. Fifth, the long‐term health effect of segregation has to be investigated, and finally, other competing explanations for why segregation matters at the neighborhood level should be answered.     

A Comparison of Two Data Analysis Training Methods for Paraprofessionals in an Educational Setting

Analyzing and using student educational data to guide instructional programming is a critical staff skill to ensure quality programming based on applied behavior analysis. We compared two training methods to teach staff to use rules to analyze graphed educational data to enact program changes: didactic instruction and behavioral skills training using direct practice. Participants showed improvements in verbally identifying data patterns using simulated data; however, participants in the latter group were also effective using actual student data. The lack of correspondence between rule identification and rule following challenges the assumption that an individual’s ability to identify rules predicts actual performance.     

Risk management and managerial efficiency in Chinese banks: A network DEA framework

Risk management in Chinese banks has traditionally been the Cinderella of its internal functions. Political stricture and developmental imperative have often overridden standard practice of risk management resulting in large non-performing loan (NPL) ratios. The training and practice of risk managers remain second class compared with foreign banks operating in China. This paper surveys Chinese bank risk managers and constructs metrics of risk management practice and risk management organisation. The metrics are used as intermediate inputs in a Network DEA framework to produce a measure of income efficiency. A statistical test is carried out to assess the importance of the risk metrics in evaluating bank income efficiency.     

Fishermens blues: Factors related to accidents and safety among Newfoundland fishermen

Abstract

The fisheries is one of the most dangerous industries in Canada. Possible contributory causes of the high rate of injuries are a fatalistic attitude to accidents and safety, and a high level of anxiety and worry among fishermen. These characteristics would be expected to lead to less attention to safety procedures and a consequent greater risk of accidents. The purpose of this study was to explore fishermen's levels of fatalism and anxiety; to consider the relationship of these factors to the frequency of accidents and extent of safety precautions; and to explore fishermen's explanations of and suggested solutions to the high rate of injuries at sea. The study was conducted among a sample of inshore fishermen who fished in the waters around Newfoundland. Fifty-five fishermen completed a questionnaire that requested basic demographic details, information on injuries obtained, safety precautions taken, perceived locus of control over accidents, anxiety, worries and explanations for accidents and possible measures to reduce them. Analysis of their replies revealed that the fishermen reported a high level of anxiety and that those who reported most anxiety reported more injuries and fewer safety precautions.     

Mental Illness in Assisted Living: Challenges for Quality of Life and Care

ABSTRACT

An unknown number of mentally ill elders in the United States receive care in assisted living, along with persons facing physical or cognitive challenges. While dementia is familiar in assisted living, our data indicate that neither staff nor residents are prepared to work or live with the mentally ill. Challenges are created for professionals, since these residents bring diverse needs. Daily interresident interactions are also disrupted or stressful. Qualitative data describe the impacts on quality of resident life as well as care and management dilemmas identified within five assisted-living settings having varying presence of mental illness among residents.     

Research Note—Testing for Gerontological Competencies: A Pilot Study

This article reports on the pilot delivery of an evaluation method to gauge student learning of gerontological competencies. Using a pretest and posttest design, data were collected on 46 students over 3 classes. Results indicated significant improvement in how students rated or perceived their competencies skill level between pretest and posttest scores (p < .01).     

Strengthening resources for midlife and older rural women who experience intimate partner violence

ABSTRACT

Little is known about midlife and older women who experience intimate partner violence living in rural places and their resource needs. Guided by a strengths perspective, we provided insights into resources that midlife and older women use, or would like to use, in their journey in leaving an abusive partner. Eight women who had left an abusive partner participated in a face-to-face interview. They drew on a wide variety of paid and unpaid resources, while each woman had a unique set of resources that contributed to her being able to make such a significant life transition. It is clear that we need to have a variety of formal and informal resources available to older women experiencing intimate partner violence (IPV) in rural places, and new forms of resources need to be developed. Our results also indicate that increased efforts are needed in improving both public and professional education regarding older rural women and IPV.     

Wanting Mixed‐Sex Children: Separate Spheres,Rational Choice,and Symbolic Capital Motivations

Substantial research concludes that most Americans want to have “at least 1 boy and 1 girl,” yet few have empirically explored what drives this preference. The author used nationally representative data from the National Survey of Families and Households (N = 5,544) and generalized ordered logistic regression to evaluate 3 potential psychosocial frameworks motivating the mixed‐sex ideal using gender and family attitude variables. The results supported a “separate spheres” ideology, through which parents may view the interests, traits, skills, and roles of boys and girls in families as very different. Second, the results supported a rational choice orientation, whereby achieving this goal maximizes having a variety of needs met in old age. Third, the desire for 1 boy and 1 girl may be motivated by its symbolic capital as a status marker, representing the image of a “balanced,” ideal family. Based on beliefs about the nonsubstitutability of boys and girls, this ideal represents a form of gender inequality that persists in families.