When do older adults become "disabled"? Social and health antecedents of perceived disability in a panel study of the oldest old

Disability carries negative social meaning, and little is known about when (or if), in the process of health decline, persons identify themselves as "disabled." We examine the social and health criteria that older adults use to subjectively rate their own disability status. Using a panel study of older adults (ages 72+), we estimate ordered probit and growth curve models of perceived disability over time. Total prevalent morbidity, functional limitations, and cognitive impairment are predictors of perceived disability. Cessation of driving and receipt of home health care also influence older adults 'perceptions of their own disability. A dense social network slowed the rate of labeling oneself disabled, while health anxiety accelerated the process over time, independent of health status. When considering perceived disability, the oldest old use multidimensional criteria capturing function, recent changes in health status and social networks, and anxiety about their health.     

Evaluating the Move to a Linear Tax System in Germany and Other European Countries

This paper proposes a comparison of the results of tax policy analysis obtained on the basis of unitary and collective representations of the household. We first generate labour supplies consistent with the collective rationality, by use of a model calibrated on microdata as described in Vermeulen et al. [Collective Models of Household Labor Supply with Nonconvex Budget Sets and Nonparticipation: A Calibration Approach (2006)]. A unitary model is then estimated on these collective data and unitary and collective responses to a tax reform are compared. We focus on the introduction of linear taxation in Germany. The exercise is replicated for other European countries and other topical reforms. Distortions due to the use of a unitary model turn out to be important in predicting labour supply adjustments, in the design of tax revenue neutral reforms, and in predicting a reform’s welfare implications.

Community reactions to campaigns addressing crystal methamphetamine use among gay and bisexual men in New York City

Crystal methamphetamine (aka "crystal meth") use with high-risk sex has become an emerging health problem for gay and bisexual men in New York City since the late 1990s. Public health campaigns were eventually developed to encourage gay and bisexual men to avoid or reconsider using crystal meth. Reactions to three campaigns were measured with a cross-sectional survey administered in 2004. Among an ethnically-diverse sample of 971 gay and bisexual men, 61.8% reported seeing the campaigns. Those who reported ever using crystal meth, recent use, and recent use with sex were significantly more likely to have seen the campaigns. In general, white men, HIV-negative men, and men not currently using crystal meth responded more positively to the campaigns than their counterparts; yet, more men of color reported having discussions with partners and friends about their crystal use as a result of these campaigns. Implications for researchers and practitioners are discussed.     

Batteries assessing health related fitness in the elderly: a brief review

Evaluation of physical functioning is a key issue in clinical geriatrics and in aging research. In recent years, different physical performance batteries in which individuals are asked to perform several tasks and are evaluated using different criteria have been designed and used in elderly populations. These batteries include different types of test which range from basic motor abilities to relevant everyday activities, depending on the construct area in the domain of physical function that must be measured. This paper reviews and classifies the main physical functioning batteries that can be found in the scientific field of aging research in order to provide knowledge on selection, administration, and interpretation of this indispensable assessment tools.     

Conditional Uncertainty Analysis and Implications for Decision Making: The Case of WIPP

Uncertainty analyses and the reporting of their results can be misinterpreted when these analyses are conditional on a set of assumptions generally intended to bring some conservatism in the decisions. In this paper, two cases of conditional uncertainty analysis are examined. The first case includes studies that result, for instance, in a family of risk curves representing percentiles of the probability distribution of the future frequency of exceeding specified consequence levels conditional on a set of hypotheses. The second case involves analyses that result in an interval of outcomes estimated on the basis of conservative assumptions. Both types of results are difficult to use because they are sometimes misinterpreted as if they represented the output of a full uncertainty analysis. In the first case, the percentiles shown on each risk curve may be taken at face value when in reality (in marginal terms) they are lower if the chosen hypotheses are conservative. In the second case, the fact that some segments of the resulting interval are highly unlikely—or that some more benign segments outside the range of results are quite possible—does not appear. Also, these results are difficult to compare to those of analyses of other risks, possibly competing for the same risk management resources, and the decision criteria have to be adapted to the conservatism of the hypotheses. In this paper, the focus is on the first type (conditional risk curves) more than on the second and the discussion is illustrated by the case of the performance assessment of the Waste Isolation Pilot Plant in New Mexico. For policy-making purposes, however, the problems of interpretation, comparison, and use of the results are similar.     

A Bayesian analysis of directional data using the projected normal distribution

This paper presents a Bayesian analysis of the projected normal distribution, which is a flexible and useful distribution for the analysis of directional data. We obtain samples from the posterior distribution using the Gibbs sampler after the introduction of suitably chosen latent variables. The procedure is illustrated using simulated data as well as a real data set previously analysed in the literature.     

The Politics of Partnership in Tropical Public Health: Researching Tuberculosis Control in India

In today's globalizing world the nature of relationships between the North and South is changing to account for the closing gap in capacity to carry out research of international standard. The development of a lexicon sophisticated enough to address adequately these changing relationships, however, lags behind and is not supported by the current recourse to the jargon of 'partnership'. In this paper we explore the difficulties of negotiating a productive path through the dynamics of power and control that characterize international research collaborations. We call attention to this issue through recounting the story of the development of two quite different, but related, international research relationships in which we have been involved. We suggest that there is an important difference between those aspects of the relationship that respond to institutional needs and agendas and those aspects that relate more directly to the human relationships upon which the work in the field actually depends. We set out this difference in a tentative framework, where the relationship between researchers is labelled 'partnership' and the institutional relationship 'collaboration'. It is hoped that, by its inclusion in a journal on social policy, this paper may also stimulate discussion on the extent to which these issues are particular to international relationships or are, indeed, generalizable to national-level partnerships and collaborations within the UK and Europe.     

Distributional Phonetic Learning at 10 Months of Age

Infant phonetic perception reorganizes in accordance with the native language by 10 months of age. One mechanism that may underlie this perceptual change is distributional learning, a statistical analysis of the distributional frequency of speech sounds. Previous distributional learning studies have tested infants of 6–8 months, an age at which native phonetic categories have not yet developed. Here, three experiments test infants of 10 months to help illuminate perceptual ability following perceptual reorganization. English‐learning infants did not change discrimination in response to nonnative speech sound distributions from either a voicing distinction (Experiment 1) or a place‐of‐articulation distinction (Experiment 2). In Experiment 3, familiarization to the place‐of‐articulation distinction was doubled to increase the amount of exposure, and in this case infants began discriminating the sounds. These results extend the processes of distributional learning to a new phonetic contrast, and reveal that at 10 months of age, distributional phonetic learning remains effective, but is more difficult than before perceptual reorganization.