Accounting for Disability: Customer feedback or citizen complaints?

This paper has two aims. First, it will summarise the findings of a study of the views and experiences of adults with acquired physical impairments. This entailed taking open-ended accounts from respondents in order to elicit their concerns and experiences. The paper will focus on two aspects of data from the study: views about health and social services; and those about citizenship. The second aim of the paper is to situate the role and status of personal accounts of disability within the health and social policy context of recent years, which has been characterised by both consumerism and an intensification in the activities of the disability movement. In the run up to the 1990 NHS and Community Care Act, it became clear that the purchasers (now 'commissioners') of health and social services would be encouraged to elicit users' views of services, to engender a needs-led not provider-led approach. Later in the paper we will discuss the relationship between this officially endorsed consumerism and the concerns of disabled people when voicing their views. It will be argued that personal accounts of disability have gained a cultural currency because of the convergence of processes linked to consumerism within recent British health and social policy on one side and new social movements on the other.     

Mesothelioma Among Brake Mechanics: An Expanded Analysis of a Case-Control Study

The U.S. Environmental Protection Agency has begun discussions to consider its assessment of asbestos toxicity related to mineral form and fiber size. Brake workers are typically exposed to short chrysotile fibers. To explore the mesothelioma risk among brake workers, considering other occupational exposures to asbestos, data from a study that was published previously were obtained and the analysis was extended. The National Cancer Institute provided data from a case-control study of mesothelioma. Because many participants with a history of brake work also had employment in other asbestos-related occupations, mesothelioma cases and controls were compared for a history of brake work, controlling for employment in eight occupations with potential asbestos exposure. A stratified analysis was also performed excluding those with any of the eight occupations. Possible interactions between brake work and other occupational exposures related to risk of mesothelioma were also examined. The odds ratio (OR) for employment in brake installation or repair was 0.71 (95% CI: 0.30-1.60) when controlled for insulation or shipbuilding. When a history of employment in any of the eight occupations with potential asbestos exposure was controlled, the OR was 0.82 (95% CI: 0.36-1.80). ORs did not increase with increasing duration of brake work. Exclusion of those with any of the eight exposures resulted in an OR of 0.62 (95% CI: 0.01-4.71) for occupational brake work. There was no evidence of an interaction between brake work and other occupational exposures. These latter analyses were based on small numbers of exposed cases. The results are consistent with the existing literature indicating that brake work does not increase the risk of mesothelioma and adds to the evidence that fiber type and size are important determinants of mesothelioma risk.     

The extent of family and school social capital promoting positive subjective well-being among primary school children in Shenzhen, China

This study aimed to examine, first, the extent to which variations in family and school social capital can be explained by child's differing socioeconomic and demographic background and school characteristics; and second, the extent to which family and school social capital in combination might be associated with variations in child subjective well-being in Shenzhen, China. This study was a cross-sectional survey design, using stratified random sampling. A total of 1306 sixth-grade primary school children and their parents were drawn from 16 schools, and a self-administered questionnaire was used. The results suggested that gender difference, the only child status at home and hukou status had impacts on family and school social capital accrued among primary school children in Shenzhen. There were also links between child's perception of connectedness to their parents, peers, and teachers, and their positive child subjective well-being.     

Play as a Resource for Children Facing Adversity: An Exploration of Indicative Case Studies

In this paper, we suggest that the ability and opportunity to play affords children a natural resource to meet intellectual and emotional challenge. Analysis of case studies focusing on interventions with children caught in the bombing of Beirut, children abandoned to the state system in Romania, and the street children in Rio de Janeiro and Cali is used to support this view. When resources are in deficit, challenge is more likely to become adversity. The impact of adversity is particular to context, but comparison across contexts also shows connections between children’s disparate experiences. Analysis confirms that given the opportunity, children interact with and influence their environment through play and that this process provides a resource to meet the challenge of adversity.     

Disordered Gambling Prevalence: Methodological Innovations in a General Danish Population Survey

We study Danish adult gambling behavior with an emphasis on discovering patterns relevant to public health forecasting and economic welfare assessment of policy. Methodological innovations include measurement of formative in addition to reflective constructs, estimation of prospective risk for developing gambling disorder rather than risk of being falsely negatively diagnosed, analysis with attention to sample weights and correction for sample selection bias, estimation of the impact of trigger questions on prevalence estimates and sample characteristics, and distinguishing between total and marginal effects of risk-indicating factors. The most significant novelty in our design is that nobody was excluded on the basis of their response to a ‘trigger’ or ‘gateway’ question about previous gambling history. Our sample consists of 8405 adult Danes. We administered the Focal Adult Gambling Screen to all subjects and estimate prospective risk for disordered gambling. We find that 87.6% of the population is indicated for no detectable risk, 5.4% is indicated for early risk, 1.7% is indicated for intermediate risk, 2.6% is indicated for advanced risk, and 2.6% is indicated for disordered gambling. Correcting for sample weights and controlling for sample selection has a significant effect on prevalence rates. Although these estimates of the ‘at risk’ fraction of the population are significantly higher than conventionally reported, we infer a significant decrease in overall prevalence rates of detectable risk with these corrections, since gambling behavior is positively correlated with the decision to participate in gambling surveys. We also find that imposing a threshold gambling history leads to underestimation of the prevalence of gambling problems.     

非竞争型投入占用产出模型及其应用——中美贸易顺差透视(英文)

本文构建了一种能够反映中国加工贸易特点的非竞争(进口)型投入占用产出模型,提出了一个国家全部出口与分部门、分大类商品的单位出口对国内增加值和就业的拉动效应的计算方法,从数学上证明了出口总值等于出口商品所包含的完全国内增加值与完全进口额之和,并据此编制了2002年中美两国的非竞争(进口)型投入占用产出表,测算和分析了中美两国出口对各自国内增加值和就业的影响。     

Input-occupancy-output models of the non-competitive type and their application - an examination of the China-US trade surplus

本文构建了一种能够反映中国加工贸易特点的非竞争（进口）型投入占用产出模型,提出了一个国家全部出口与分部门、分大类商品的单位出口对国内增加值和就业的拉动效应的计算方法,从数学上证明了出口总值等于出口商品所包含的完全国内增加值与完全进口额之和,并据此编制了2002年中美两国的非竞争（进口）型投入占用产出表,测算和分析了中美两国出口对各自国内增加值和就业的影响。     

ESTIMATION OF THE NUMBER OF PEOPLE IN A DEMONSTRATION

It is of interest to estimate the size of a crowd in a demonstration. We propose a practical method to obtain an estimate of the size of the crowd and its standard error. This method has been implemented in practice and, compared with other counting methods, is found to be more efficient, more timely and have less scope for bias. The method described in this paper was motivated by the annual 1 July demonstrations in Hong Kong, and data from the 2006 demonstration are used as an example of the proposed method.