Utilization of health care among female-to-male transgender individuals in the United States

Female-To-Male (FTM) transgender individuals were approached at a conference and several peer support groups in the United States and asked to complete a short questionnaire regarding their medical care. Results from the 122 completed questionnaires indicated that a high number of respondents were taking testosterone (n = 106) and had some gender-confirming surgery (n = 68). Seventy percent of respondents rated their overall quality of health care "good" or "excellent." A surprising finding was the low number (7%) reporting diagnoses of polycystic ovarian syndrome--the incidence of which has been reported elsewhere as high as 50%. Also notable were the high levels of employment, insurance, knowledge of standards of care, and access to providers, contrasting with reports from studies involving predominantly Male-To-Female (MTF) individuals. Finally, FTM's usage of transition-related medical resources can vary, but many within this study are foregoing genital surgery.     

“We're in this together”: Attachment insecurities,dyadic coping strategies,and relationship satisfaction in couples involved in medically assisted reproduction

Attachment is an important predictor of relationship satisfaction and attachment insecurities are a risk factor for couples under stress. Drawing from the Vulnerability–Stress–Adaptation model, we investigated whether dyadic coping strategies (DCS) would explain the links between attachment insecurities and relationship satisfaction in 97 couples involved in medically assisted reproduction (MAR). Path analyses revealed that for women and men, attachment insecurities (anxiety, avoidance) were associated with their own lower relationship satisfaction through their lower use of positive DCS. Attachment avoidance was also associated with participants' own lower relationship satisfaction through their own lower use of negative DCS. Men's attachment avoidance was also related to their partner's lower relationship satisfaction via their own and their partner's lower use of positive DCS. The findings suggest that promoting the use of positive DCS may be important to preserve relationship satisfaction in couples involved in MAR.     

Environmental migration as short- or long-term differences from a trend: A case study of Hurricanes Katrina and Rita effects on out-migration in the Gulf of Mexico

An environmental event that damages housing and the built environment may result in either a short- or long-term out-migration response, depending on residents' recovery decisions and hazard tolerance. If residents move only in the immediate disaster aftermath, then out-migration will be elevated only in the short-term. However, if disasters increase residents' concerns about future risk, heighten vulnerability, or harm the local economy, then out-migration may be elevated for years after an event. The substantive aim of this research brief is to evaluate hypotheses about short- and long-term out-migration responses to the highly destructive 2005 hurricane season in the Gulf of Mexico. The methodological aim is to demonstrate a difference-in-differences (DID) approach analysing time series data from Gulf Coast counties to compare short- and long-differences in out-migration probabilities in the treatment and control counties. We find a large short-term out-migration response and a smaller sustained increase for the disaster-affected coastal counties.     

Attachment insecurities and under-commitment in distressed couples: The role of positive and negative partner behaviors

Research has rarely considered intermediate variables in the association between attachment insecurities and relationship commitment. Based on attachment theory and Rusbult's Investment Model, we tested whether positive and negative partner behaviors explain this association in 91 distressed couples undergoing therapy. Path analyses based on the Actor–Partner Interdependence Model revealed that individuals with attachment avoidance reported perceiving fewer positive behaviors from their partner, which was associated with their own higher under-commitment. Partners of individuals with avoidance also reported perceiving fewer positive partner behaviors, which was in turn associated with their own higher under-commitment. Partners of individuals with attachment anxiety perceived more positive behaviors from their partner, which was associated to their own lower under-commitment. Perceived negative partner behaviors were only directly associated with higher under-commitment. These findings imply that perceived positive partner behaviors may be a key aspect to target in relationship therapy in couples who present with high attachment insecurities.     

Representations as Decision Aids: The Asymmetric Effects of Words and Numbers on Auditors' Inherent Risk Judgments*

Decision aids often change the representations used to express risk cue information and communicate risk judgments. In this study, we hypothesize that numbers and words may have asymmetric effects when used to represent risk cue information as opposed to when used to communicate risk judgments. Specifically, decision makers' agreement on cue weights and judgment consensus may be higher with cue information stated in words rather than numbers, since appropriately chosen words can more directly convey the risk implications of information cues. In contrast, decision makers' consistency in applying their judgment policies and judgment consensus may be higher with risk judgments communicated in numbers instead of words, because the greater precision available with numbers allows finer discriminations of risk. To test our hypotheses, we conducted an experiment in which experienced financial auditors made inherent risk judgments for a hypothetical manufacturing client. Cue and response representations were manipulated between numbers and words. The results generally support our arguments. In addition, representing cue information in words increased the time required to acquire cue information relative to numeric representation. In contrast, requiring auditors to express their risk judgments in numbers increased the time required to express risk assessments relative to