Dissemination to research subjects: operationalizing investigator accountability

Recent articles have argued from principles of bioethics for the right of research subjects to receive the results of the studies in which they have participated. We argue that accountability is a powerful tool of meso-level analysis appropriate to reasoning about answerability in research ethics, and that it captures the responsibility of researchers to disseminate study results to research subjects. We offer the following features of the research situation as relevant to the manner of dissemination to study subject, in addition to factors already proposed in the literature (risk and impact on health outcome): (a) features of the research subject in relation to identity, personal investment, disease, and community; (b) characteristics of the research study and field of inquiry in relation to certainty and significance; and (c) relationships among the research subjects and the healthcare workers involved in their care and in the research.     

Public Opinion and Dynamic Representation in the American States: The Case of Environmental Attitudes*

Objective. We investigate causal processes linking environmental conditions, attitudes, and policies in the American states: Is public opinion about ecology shaped by environmental conditions? Are state policymakers responsive to environmental opinions? Does public opinion respond to policy adoption? Methods. Using public opinion data from the DDB Worldwide Life Style Survey to measure aggregate state attitudes about the environment, as well as measures of water quality and policy intervention, we capture the dynamics of representation in the American states on the environment during the late 1980s and early 1990s. Results. Our findings support a thermostatic model of representation—state environmental opinions are influenced by environmental conditions and are responsive to policy outputs alongside improved environmental conditions. Conclusions. This model of the opinion‐policy linkage refines our understanding of representation and focuses us not just on the passage of public policy to address public desires, but the effectiveness of that policy as well.     

Food packaging 1974–1984

The author argues that it is clear that the manufacturers of most food products now have a bewildering array of alternative forms of packaging from which to choose. Due to pressure on profit margins, they will look for those systems that will be the cheapest having regard to many technical, commercial, legal and ecological factors. There will often be many different answers to any one packaging problem and all will be right to some extent! And not one is likely to satisfy every need!     

Acculturation,Ethnicity, and Air Pollution Perceptions

A globalizing world increases immigration between nations, raising the question of how acculturation (or its lack) of immigrants and their descendants to host societies affects risk perceptions. A survey of Paterson, New Jersey, residents tested acculturation's associations with attitudes to air pollution and its management, and knowledge of and self‐reported behaviors concerning air pollution. Linguistic and temporal proxy measures for acculturation were independent variables along with ethnicity, plus controls for gender, age, education, and income in multivariate analyses. About one‐fifth of contrasts between non‐Hispanic whites, non‐Hispanic blacks, English‐interviewed Hispanics, and Spanish‐interviewed Hispanics were statistically significant (Bonferroni‐corrected) and of medium or higher affect size, with most featuring the Spanish‐interviewed Hispanics. Knowledge variables featured the most significant differences. Specifically, Spanish‐interviewed Hispanics reported less concern, familiarity with pollution, recognition of high pollution, and vigorous outdoor activity, and greater belief that government overregulates pollution than English‐interviewed Hispanics (and than the other two groups on most of these variables too). English‐interviewed Hispanics did not differ from non‐Hispanic whites, but did on several variables from non‐Hispanic blacks. Temporal proxies of acculturation among the foreign‐born were far less significant, but concern and familiarity with air pollution increased with time spent in the United States, while belief in overregulation and a positive trend in New Jersey pollution increased with time in the nation of origin. Implications of these acculturation and ethnicity findings for risk perception/communication research and practice are discussed.     

Bayesian Binomial Regression: Predicting Survival at a Trauma Center

Standard methods for analyzing binomial regression data rely on asymptotic inferences. Bayesian methods can be performed using simple computations, and they apply for any sample size. We provide a relatively complete discussion of Bayesian inferences for binomial regression with emphasis on inferences for the probability of “success.” Furthermore, we illustrate diagnostic tools, perform model selection among nonnested models, and examine the sensitivity of the Bayesian methods.     

THE BASIC SKILLS EVALUATION DEVICE

The Commission on Accreditation for Marriage and Family Therapy Education (COAMFTE) requires that accredited programs evaluate trainees' clinical skills at various times during trainees' programs. The Commission does not attempt, however, to describe for programs eigher the nature of the skills nor how they are to be evaluated, leaving this to the programs to create. This paper describes the development and uses of the Basic Skills Evaluation Device (BSED). Using a published list of skills (Figley & Nelson, 1989), data from the literature, and data collected from COAMFTE accredited and candidacy programs, the authors and their colleagues developed a device for supervisors to use in evaluating beginning family therapists. Data regarding the reliability of the device presented, along with limitations and suggestions for various ways of using the device.     

Fishing in Urban New Jersey: Ethnicity Affects Information Sources,Perception, and Compliance

Recreational and subsistence angling are important aspects of urban culture for much of North America where people are concentrated near the coasts or major rivers. Yet there are fish and shellfish advisories for many estuaries, rivers, and lakes, and these are not always heeded. This paper examines fishing behavior, sources of information, perceptions, and compliance with fishing advisories as a function of ethnicity for people fishing in the Newark Bay Complex of the New York–New Jersey Harbor. We test the null hypothesis that there were no ethnic differences in sources of information, perceptions of the safety of fish consumption, and compliance with advisories. There were ethnic differences in consumption rates, sources of information about fishing, knowledge about the safety of the fish, awareness of fishing advisories or of the correct advisories, and knowledge about risks for increased cancer and to unborn and young children. In general, the knowledge base was much lower for Hispanics, was intermediate for blacks, and was greatest for whites. When presented with a statement about the potential risks from eating fish, there were no differences in their willingness to stop eating fish or to encourage pregnant women to stop. These results indicate a willingness to comply with advisories regardless of ethnicity, but a vast difference in the base knowledge necessary to make informed risk decisions about the safety of fish and shellfish. Although the overall median income level of the population was in the $25,000–34,999 income category, for Hispanics it was on the border between $15,000–24,999 and $25,000–34,999.