Facilitators and barriers to disclosing abuse among women with disabilities

An anonymous audio computer-assisted self-interview (A-CASI) designed to increase awareness of abuse was completed by 305 women with diverse disabilities. Data were also collected about lifetime and past year abuse; perpetrator risk characteristics; facilitators and barriers to disclosing abuse; abuse disclosure to a health provider, case manager, or police officer; and whether a health provider had ever discussed abuse or personal safety. A total of 276 (90%) women reported abuse, 208 (68%) reported abuse within the past year. Women who reported the most abuse experiences in the past year and the most dangerous perpetrators endorsed fewer facilitators and more barriers, but were also more likely to have ever disclosed abuse. Only 15% reported that a health provider had ever discussed abuse and personal safety.     

Health care system under AIDS siege.

Although the exact impact of AIDS on the health care delivery system is unknown, the evidence to date supports some grim predictions. Hundreds of thousands of victims can be expected, with costs of care reaching the multi-billions. Providers need to prepare now for what is apt to be a serious financial, organizational, and emotional problem.     

Productivity indices and survival rate estimates from MAPS,a continent-wide programme of constant-effort mist-netting in North America

The Monitoring Avian Productivity and Survivorship (MAPS) programme is a cooperative effort to provide annual regional indices of adult population size and post-fledging productivity and estimates of adult survival rates from data pooled from a network of constant-effort mist-netting stations across North America. This paper provides an overview of the field and analytical methods currently employed by MAPS, a discussion of the assumptions underlying the use of these techniques, and a discussion of the validity of some of these assumptions based on data gathered during the first 5 years (1989-1993) of the programme, during which time it grew from 17 to 227 stations. Ageand species-specific differences in dispersal characteristics are important factors affecting the usefulness of the indices of adult population size and productivity derived from MAPS data. The presence of transients, heterogeneous capture probabilities among stations, and the large sample sizes required by models to deal effectively with these two considerations are important factors affecting the accuracy and precision of survival rate estimates derived from MAPS data. Important results from the first 5 years of MAPS are: (1) indices of adult population size derived from MAPS mist-netting data correlated well with analogous indices derived from point-count data collected at MAPS stations; (2) annual changes in productivity indices generated by MAPS were similar to analogous changes documented by direct nest monitoring and were generally as expected when compared to annual changes in weather during the breeding season; and (3) a model using between-year recaptures in Cormack-Jolly-Seber (CJS) mark-recapture analyses to estimate the proportion of residents among unmarked birds was found, for most tropical-wintering species sampled, to provide a better fit with the available data and more realistic and precise estimates of annual survival rates of resident birds than did standard CJS mark-recapture analyses. A detailed review of the statistical characteristics of MAPS data and a thorough evaluation of the field and analytical methods used in the MAPS programme are currently under way.     

On the Integration of Science and Practice in College Health

Abstract

College health professionals want to assure the unique healthcare and health education needs of college students will continue to be met under national and state healthcare reform. This may be an “all or nothing” proposition. Either colleges and universities will have exclusive control of healthcare delivery for the college student population or else college health will not be a major force in healthcare reform. If college health is to play a meaningful role in future government-controlled health insurance programs, it must first demonstrate that current health services and insurance financing programs meet minimum quality standards. This proposal calls for expanding existing federal laws to create qualified student health plans and integrating the college health model into a reform package based on employer-sponsored health insurance. The concept of qualified student health plans allows for a high degree of flexibility that can be integrated into the majority of state and federal healthcare reform proposals, including the plan proposed by President Clinton, that are not based on a single-payer system. Ultimately, the authors suggest, their proposed plan would eliminate the current situation, in which large numbers of college students are uninsured or underinsured.     

Muir,Roosevelt, and Yosemite National Park as an Emergent Sacred Symbol: An Interaction Ritual Analysis of a Camping Trip

We argue that interaction ritual (IR) theory provides a temporal and interactional point of origin from which to trace an influential IR chain that became a deciding factor in the unification of Yosemite Valley and the Mariposa Grove under federal control within present‐day Yosemite National Park. The emotions generated by the rituals of Roosevelt's and Muir's camping trip in May, 1903 in the short term, however, failed to result in a lasting consensus on ideology. This is a point that Roosevelt's lack of support for Muir in the subsequent controversy over the damming of the Hetch Hetchy Valley clearly documents. A video abstract is available at http://tinyurl.com/myv74yd     

Lack of Confidence in the Federal Government and the Ownership of Firearms

Objective . Scholars have debated the importance of declining confidence in social institutions to the American political system. The objective of this research was to offer and test the hypothesis that individuals with little faith in the three branches of the federal government will be more likely to own firearms than individuals with higher levels of confidence. Methods . The data were drawn from the General Social Survey for the years 1982-1996 and analyzed with a multivariate logistic regression equation that controlled for many of the variables known to be associated with gun ownership. Results . The regression showed that even in the presence of many control measures, respondents who lacked confidence in the federal government were more likely to own firearms than their counterparts who had greater faith in the federal government. Conclusion . Although the hypothesis relating confidence in government to gun ownership was supported and has important policy implications, the data did not permit us to disentangle possible causal relationships. For that, further research will be necessary.