SOS—Satisfied or Stuck,Why Older Rural Residents Stay Put: Aging in Place or Stuck in Place in Rural Utah*

As rural communities undergo substantial demographic and economic changes, understanding the migration intentions and their antecedents of rural elderly persons becomes increasingly important. Using data drawn from a survey of adults from 24 rural Utah communities conducted in 2008, we examine whether rural residents 60 years of age or older plan to remain in their present communities (N= 621). We use structural equation models (SEM) to estimate the relationships between a variety of individual and community-level background measures, including perceptions of local service quality, leaving one's community for health care, Internet use, attachment to and satisfaction with community, and plans to age in place. Results suggest that even as the rural context of economic decline, population loss, and distance to medical services may reduce the viability of staying in a community, a desire to remain in the community is primarily a function of perceptions of the quality of local services and community satisfaction. This research highlights the need to better understand the interplay between the availability of medical services and perceptions of distance as well as to understand the complex relationship between individual and community level characteristics for migration intentions.     

Paul U. Kellogg and the Survey: Voices for Social Welfare and Social Justice,by Clarke A. Chambers. Minneapolis,University of Minnesota Press, 1971. 296 Pages, $10.00. Hardbound

Abstract

Previous research showing that roughly half of social work students report a history of familial alcohol abuse—and proposing that such abuse might affect these students' current mental health and professional performance—relied on self-reports without standardized screening measures. This 1991 study, based on a convenience sample of 136 MSW students at the University of Texas at Austin, determined students' status as Adult Children of Alcoholics (ACAs) by self-reports and scores on the Children of Alcoholics' Screening Test, and evaluated related mental health functioning with four standardized measures. The results suggest that well under half of social work students are ACAs, and that not all (nor only) ACAs were vulnerable to mental health problems.     

Book Reviews

There is a lack of research investigating Pacific peoples' gambling within a New Zealand context. In this paper, data about gambling activity (rather than problem gambling) are presented from the first data collection point for a cohort of mothers who are part of the longitudinal Pacific Islands Families study. The results indicate that gambling behaviour could be influenced by cultural differences. For example, Tongans are more likely to gamble than Samoans, and those who undertake traditional gift giving customs are likely to spend more money on gambling than those who do not. This paper identifies a need for research on Pacific peoples' gambling to acknowledge ethnic-specific cultural influences on gambling practices.     

Evaluation of curricula in higher education: challenges for evaluators

Evaluation of teaching at universities is traditionally realized in terms of student ratings. Curriculum evaluation is rarely done in a systematic manner. More often, the emphasis is placed on a particular aspect, which is only of little help in terms of modifying education. A very prominent example is that of medical education. Here, evaluations of curricula primarily focus on new curricula by contrasting them to traditional ones. The article at hand deals with a different evaluation approach, in which five phases have to be considered and contrasting results to other teaching formats are not the main focus. In this article, the authors concentrate on the first phase (baseline evaluation) of the systematic evaluation of a medical curriculum. They describe several challenges of such an evaluation approach and illustrate the strategies used to overcome them. In addition, associated relevant empirical findings from this evaluation study are presented.     

Modeling Values for Anti-Terrorism Analysis

Decisions are made to achieve objectives. A qualitative list of the objectives for a decision is the foundation for a value model that unambiguously represents objectives in a quantitative manner. The objectives guide thinking and the value model provides a basis for analyzing alternatives to best meet the desired objectives. This article illustrates the usefulness of clearly identifying objectives and developing value models to support anti-terrorism analysis. It outlines procedures to develop value models for the Department of Homeland Security and for terrorist organizations. The later is useful to both design anti-terrorism alternatives and suggest possible terrorist priorities and actions. An example that develops a terrorist value model for the theft and misuse of plutonium is presented. Several uses of value models for anti-terrorist activities are discussed and suggestions for developing such value models are outlined.     

A SEMI-PARAMETRIC MODEL FOR ASYMMETRIC INFORMATION IN HEALTH PLAN MARKETS

Two sources of asymmetric information in health markets are adverse selection where only individuals know their illness probability and their preventive effort to reduce illness probabilities. This effort is not observed by insurers, and thus individuals cannot be adequately compensated for their effort. I investigate whether asymmetric information plays a role in health care markets through a semi-parametric model that allows both adverse selection and preventive effort. I find that preventive effort plays a role in illness probabilities. If the United States implements universal health coverage, the currently uninsured population will exert less preventive effort, and their illness probabilities will increase. (JEL I11 , C14 )     

Constructing the Transition to Parenthood*

How is the transition to parenthood constructed in a context in which fatherhood and motherhood are therapeutically defined? Relying on ethnographic observations of 66 expectant and new parent couples assigned to 13 different parent educator‐led groups, we show how, with the arrival of a baby, a sense of transition is crafted and often amplified. Our analysis suggests that just as the overall life course is constructed through language and meaningful gesture, so also the transition to parenthood is constructed through verbal and nonverbal signification. Using a vocabulary of contrast and change, parent edu‐cators and expectant and new parents create a collective feeling that they are witnessing a transformation of major proportions. By emphasizing the idea that things are no longer the same, parent educators also establish themselves as authorities whose job it is to steer fathers and mothers through unfamiliar terrain. For their part, expectant and new parents not only listen to but often also replicate the parent educators’ vocabularies and, in so doing, further magnify distinctions between before parenthood and after, and between one stage of parenthood and another. Childbirth stands uncomfortably at the junction of the two worlds of nature and culture. Like death and disease it is a biological event, but the defining feature of biological events in human life is their social character. Ann Oakley (1980:7)     

ALTRUISM, MATCHING, AND NONMARKET INSURANCE

Incomplete market insurance gives rise to nonmarket arrangements for coinsurance. We find that the effort altruistically linked individuals take to avoid an accident increases with the degree of altruism. If the degree of altruism is sufficiently high, an economy with nonmarket insurance yields higher social welfare than an economy without nonmarket insurance. As altruism increases, the equilibrium level of effort approaches the second-best solution without the need for costly monitoring. Coinsurance is above (below) the socially optimal level if individuals place greater weight (less weight) on their own utility than on that of their partners.