LGBT Health in the Midlands: A Rural/Urban Comparison of Basic Health Indicators

Research into the health and wellbeing of rural lesbian, gay, bisexual, and transgender (LGBT) populations is limited. A community-based participatory research (CBPR) approach was used to develop an online survey for LGBT Nebraskans. The 770 participants replied to an array of questions on social determinants of health and basic health outcomes. Only significant differences in having health insurance were found between urban and rural participants. Social determinants of health were explored. Results of this study suggest that regional culture may be more salient to health for lesbian, gay, bisexual, and transgender persons living in the Midwest than rural or urban residence.     

Who Gets an Early Education? Family Income and the Enrollment of Three‐ to Five‐Year‐Olds from 1968 to 2000*

Objectives. Has inequality in access to early education been growing or lessening over time? Methods. Using the October Current Population Survey education supplement from 1968 to 2000, we look at three‐, four‐, and five‐year‐olds' enrollment in early education—including center‐based care, Head Start, nursery school, prekindergarten, and kindergarten. Results. Our analysis shows a strong link between family income and early education enrollment for three‐ and four‐year‐olds, especially when we compare the bottom two and the top two income groups. These differences remain even after controlling for a large variety of factors, including race/ethnicity, maternal employment, family structure, and parental education. Conclusions. Inequality in early education by income group varies by age of child: it is most pronounced for three‐year‐olds, who have been the least likely to benefit from public early childhood education programs; it has diminished in the past decade for four‐year‐olds, who have been increasingly likely to have access to public prekindergarten programs; and it has all but disappeared for the five‐year‐olds, who now largely attend public kindergarten. This pattern suggests a potentially important role for public policy in closing the gap in early education between children of different income groups.     

Counterintuitive behavior of social systems

This paper addresses several issues of broad concern in the United States: population trends; the quality of urban life; national policy for urban growth; and the unexpected, ineffective, or detrimental results often generated by government programs in these areas.The author does attempt to indicate how multiloop feed-back systems (to which our social systems belong) mislead us because our intuition and judgement have been formed to expect behavior different from that actually possessed by such systems. At times programs cause exactly the reverse of desired results.It is now possible to explain how such contrary results can happen. There are fundamental reasons why people misjudge the behavior of social systems. There are orderly processes at work that frequently lead people to wrong decisions when faced with complex and highly interacting systems. Until we come to a much better understanding of social systems, we should expect that attempts to develop corrective programs will continue to disappoint us.     

A model for short-term group therapy on a children's inpatient unit

The paper describes the group therapy model which has evolved over the past two years on the Child Psychiatry Inpatient Unit of North Carolina Memorial Hospital. It begins with a brief review of the literature concerning group therapy with latency-aged children. The setting and patient population are described. Vignettes from group sessions are used to illustrate techniques which have evolved to deal with this particular setting and population. These include a leadership style characterized by much clarification, modeling, and limit setting; extensive focus on beginning and terminating; clearly defined behavioral limits; the use of time out; and use of play materials requiring little skill or attention as anxiety binders as well as projective media; and observation and supervisory discussions open to all members of the treatment team. The paper concludes with a discussion of the potentials and limitations of group therapy in such a setting. The thesis is that this model is effective in diagnosing developmental levels, in developing interpersonal skills, in substituting verbalization for action, and in mastering separation anxieties, though the setting limits the extent to which controlled regression, transference, and group pressures can develop and be used to produce change.     

Premarital Sex,Premarital Cohabitation,and the Risk of Subsequent Marital Dissolution Among Women

Using nationally representative data from the 1995 National Survey of Family Growth, I estimate the association between intimate premarital relationships (premarital sex and premarital cohabitation) and subsequent marital dissolution. I extend previous research by considering relationship histories pertaining to both premarital sex and premarital cohabitation. I find that premarital sex or premarital cohabitation that is limited to a woman's husband is not associated with an elevated risk of marital disruption. However, women who have more than one intimate premarital relationship have an increased risk of marital dissolution. These results suggest that neither premarital sex nor premarital cohabitation by itself indicate either preexisting characteristics or subsequent relationship environments that weaken marriages. Indeed, the findings are consistent with the notion that premarital sex and cohabitation limited to one's future spouse has become part of the normal courtship process for marriage.     

Low-Income Children's Participation in a Public Health Insurance Program in Georgia

To expand health care coverage to uninsured, low-income children, the Congress created the State Children's Health Insurance Program (SCHIP) in 1997. Given ample evidence that state Medicaid programs have failed to enroll many eligible children, experts questioned whether SCHIP could successfully enroll low-income children. Using Georgia state SCHIP data, we analyzed enrollment patterns and identified factors contributing to program enrollment. This study found that the children's enrollment is explained by perceived costs and benefits of joining the program as well as the underlying family structure, demographic factors, and health status. We discuss implications of these findings on the participation of low-income families in public sector programs.     

Higher Education's Role in the Dialogue on Race

The university is a logical locus for discussionof the role race has played in our society. Perhaps noAmerican institution is more committed to free andopen dialogue than the university. Higher educationcan thus provide a context for the recognition ofissues as well as a forum for the resolution ofinitiatives. To date, however, university attempts atdiversity training have often imbued recipients withself-consciousness, usurping the unity implicit in theword `university' and evoking an even greater tendencytoward separatism. The university's traditional questfor truth has been subverted by a subtle and pervasivesense that some views are more correct than others,that openness is dangerous, and that some issues mighteven be taboo. At best, such an approach to diversityleads to a fragile stalemate among self-containedenclaves. By championing President Clinton's call fora dialogue on race, the university can restore itselfas an institution that puts honesty above all else.Not only is there a resonant rationale for theuniversity's central responsibility in this debate,but there is also a pedagogical means by which itsrole can be realized. This paper proposes a model forethnic dialogue relevant to either a text-based orissues-based class. Borrowing from pedagogy developedin professional schools, we believe that the tenets ofthe `case method' can create a climate conducive tothe substantive scrutiny of race, ethnicity, andprejudice in general. We argue that this dialogueshould not be a mere add-on to college life, butintegrated into existing curricula in the socialsciences, literature, and history. Heated debate canthen occur without anger, and race/ethnicity can bediscussed without fear of recrimination.Paradoxically, the very expression of ethnicity may bethe catalyst that eventually moves multiculturalismtoward interculturalism – where differences are nolonger articulated, measurable or even discernible.     

Quantifying the Hurricane Catastrophe Risk to Offshore Wind Power

The U.S. Department of Energy has estimated that over 50 GW of offshore wind power will be required for the United States to generate 20% of its electricity from wind. Developers are actively planning offshore wind farms along the U.S. Atlantic and Gulf coasts and several leases have been signed for offshore sites. These planned projects are in areas that are sometimes struck by hurricanes. We present a method to estimate the catastrophe risk to offshore wind power using simulated hurricanes. Using this method, we estimate the fraction of offshore wind power simultaneously offline and the cumulative damage in a region. In Texas, the most vulnerable region we studied, 10% of offshore wind power could be offline simultaneously because of hurricane damage with a 100‐year return period and 6% could be destroyed in any 10‐year period. We also estimate the risks to single wind farms in four representative locations; we find the risks are significant but lower than those estimated in previously published results. Much of the hurricane risk to offshore wind turbines can be mitigated by designing turbines for higher maximum wind speeds, ensuring that turbine nacelles can turn quickly to track the wind direction even when grid power is lost, and building in areas with lower risk.     

A Typical American Family? How Adoptive Families Acknowledge and Incorporate Chinese Cultural Heritage in their Lives

When a child from China is adopted by U.S. parents, the adoptive family must address questions about if, when, how, and how much to acknowledge the birth cultural heritage of their child. This paper addresses these concerns by presenting findings of a study that examined ways families address the myriad issues surrounding cultural heritage. Drawing on work by H. David Kirk, D. M. Brodzinsky (Brodzinsky, Schechter, & Henig, 1992. Being adopted: The lifelong search for self. New York: Anchor Books), and others, a conceptual framework is presented to aid in understanding the dynamics involved in emphasizing (or de-emphasizing) cultural heritage Second, results of a web-based survey that extends the results of earlier work on cultural heritage in families with children adopted from China (Rojewski & Rojewski, 2001. Intercountry adoption from China: Examining cultural-heritage and other post-adoption issues. Westport, CT: Bergin & Garvey) are presented. Specific findings reveal the range of actions taken by adoptive parents on (a) how families cope with family-child differences, (b) how families acknowledge the child’s birth culture and heritage (e.g., acknowledging birth cultural heritage and culturally-related events, having contact with other Chinese children and adults), and (c) the perceived benefits and importance of incorporating Chinese cultural heritage into family life. Results add to an emerging baseline for understanding the range of responses adoptive families have to address issues of Chinese heritage, as well as trends in the reasoning parents use when deciding about cultural heritage-related issues.     

Altruism and social solidarity: Envisioning a field of specialization

Conclusion This article has presented a vision of what a field of altruism and social solidarity could potentially involve. An additional perspective on the nature of this field and how it could contribute to the discipline and to society is provided by the science of psychology. In the last decade a fundamental new orientation has developed in this discipline, growing from the pioneering work of Martin E.P. Seligman. Generally identified as “positive psychology” it represents a shift from a focus on trying to understand and find solutions to mental illness and various pathologies of thought and behavior in a “disease model” to a focus on human strengths, virtues, and other positive characteristics. This shift in focus is regarded as making a direct contribution to understanding what is best in human emotions and traits and how society can support the psychological flourishing of individuals. This new perspective in turn provides increased awareness of how the problems studied in the disease model can more effectively be prevented (Seligman, 2003, 2005). The importance of this focus on the positive for sociology and a call to action is stated by Seligman (2003): The third pillar of positive psychology is the study of positive institutions and positive communities.