Old People Living Alone—Is Organized Observation Necessary?

A survey of 192 old people was carried out to assess the need for a paid daily visitor as a means of ensuring prompt help in cases of illness or accident. The survey found evidence of a comprehensive network of care from neighbours for the elderly people living near them. Neighbour observation and support made a daily Street Visitor Scheme superfluous.     

Reproductive and Developmental Risks from Ethylene Oxide: A Probabilistic Characterization of Possible Regulatory Thresholds

Ethylene oxide is a gas produced in large quantities in the United States that is used primarily as a chemical intermediate in the production of ethylene glycol, propylene glycol, non-ionic surfactants, ethanolamines, glycol ethers, and other chemicals. It has been well established that ethylene oxide can induce cancer, genetic, reproductive and developmental, and acute health effects in animals. The U.S. Environmental Protection Agency is currently developing both a cancer potency factor and a reference concentration (RfC) for ethylene oxide. This study used the rich database on the reproductive and developmental effects of ethylene oxide to develop a probabilistic characterization of possible regulatory thresholds for ethylene oxide. This analysis was based on the standard regulatory approach for noncancer risk assessment, but involved several innovative elements, such as: (1) the use of advanced statistical methods to account for correlations in developmental outcomes among littermates and allow for simultaneous control of covariates (such as litter size); (2) the application of a probabilistic approach for characterizing the uncertainty in extrapolating the animal results to humans; and (3) the use of a quantitative approach to account for the variation in heterogeneity among the human population. This article presents several classes of results, including: (1) probabilistic characterizations of ED10s for two quantal reproductive outcomes-resorption and fetal death, (2) probabilistic characterizations of one developmental outcome-the dose expected to yield a 5% reduction in fetal (or pup) weight, (3) estimates of the RfCs that would result from using these values in the standard regulatory approach for noncancer risk assessment, and (4) a probabilistic characterization of the level of ethylene oxide exposure that would be expected to yield a 1/1,000 increase in the risk of reproductive or developmental outcomes in exposed human populations.     

Alternative Medicine and Herbal Use Among University Students

Abstract

Objective: This study sought to (1) examine perceived stress and resources to cope with stress as predictors of emotional eating during the transition to college and (2) determine whether body mass index (BMI) moderated the emotional eating-stress relationship. Participants: Participants were 97 college freshmen (73% female; BMI: M = 25.3 kg/m², SD = 5.7 kg/m²). Research was conducted in September 2012. Methods: Participants completed the Perceived Stress Scale, Emotional Eating Scale, and Eating and Appraisal Due to Emotions and Stress Questionnaire during the first month of college. Height and weight were measured objectively. Results: BMI moderated the relationship between perceived stress and emotional eating. Higher stress predicted greater emotional eating for the lower BMI groups, but not the highest group. Greater resources to cope with stress predicted lower emotional eating. Conclusions: Greater perceived stress and poorer resources to cope with stress may contribute to emotional eating during the transition to college. The relationship between perceived stress and emotional eating may vary by BMI.     

The Role of Organizational Size and Industry in Job Quality and Work-Family Relationships

In this study we update analyses of the 1977 QES (Zipp, 1991) using data from the 1997 National Study of the Changing Workforce. We use hierarchical linear modeling procedures to partition the variance in a wide variety of indicators of workers' experiences. Most variation was associated with the individual level of analysis, but significant and nontrivial variation also was associated with the organizational and industrial levels. Although workers in smaller organizations reported lower earnings, fewer benefits, and less education than their counterparts in larger organizations, they also reported experiencing less discrimination, better fit between their actual and desired work hours, more supportive work environments and loyalty to their employers, less burnout or interference between work and family, and shorter commute times.     

An Attentional Application of Socioemotional Selectivity Theory in College Students

Socioemotional selectivity theory posits that emotions become increasingly salient as individuals approach endings. Recent findings have linked the theory with biases in information processing in the context of aging. However, these studies all confounded advancing age and the motivational impact of endings. This study represented an attempt to disentangle the effects of large age differences from those of endings on the processing of emotional information by investigating differences in attention to emotional stimuli between college seniors and college first‐years. Seniors represented a group approaching the social ending of graduation from college and first‐years served as a comparison group not facing an ending. Following recent findings in the literature on aging, it was hypothesized that seniors would selectively avoid negative images in an effort to better regulate their emotions in the face of this social ending. First‐years were found to spend a significantly larger portion of their time viewing sad faces than did seniors. Seniors also exhibited significantly higher levels of positive affect than did first‐years. These findings are discussed within the context of emotion regulation in the face of impending endings across the lifespan.     

Practice and Research in Career Counseling and Development—2002

The authors present a review of the 2002 career development literature. The literature review is divided into the following areas: career theory, career assessment, career counseling interventions and practice, career counseling training and professional issues, and international issues in career counseling. The authors discuss the implications of the findings in this literature for career counseling practice.     

Low-Income Children's Participation in a Public Health Insurance Program in Georgia

To expand health care coverage to uninsured, low-income children, the Congress created the State Children's Health Insurance Program (SCHIP) in 1997. Given ample evidence that state Medicaid programs have failed to enroll many eligible children, experts questioned whether SCHIP could successfully enroll low-income children. Using Georgia state SCHIP data, we analyzed enrollment patterns and identified factors contributing to program enrollment. This study found that the children's enrollment is explained by perceived costs and benefits of joining the program as well as the underlying family structure, demographic factors, and health status. We discuss implications of these findings on the participation of low-income families in public sector programs.     

Use of incentives to motivate healthy behaviors among employees

We conducted an extensive literature search of both published and unpublished sources to assess the use and effectiveness of worksite interventions that offer financial and other incentives. Many companies are using financial incentives, either alone or in combination with other interventions, to motivate employees to adopt and maintain healthier lifestyles. These incentives include cash bonuses, paid vacation days, and health insurance rebates. Although more research is needed, the literature suggests that financial incentives, if properly implemented, may successfully promote behavioral change among employees. Eric A. Finkelstein Ph.D., M.H.A. currently conducts economic and health policy research at RTI International, teaches an undergraduate Health Economics course at Duke University, and is a member of RTI-UNC Center of Excellence in Health promotion Economics. He focuses on the economic causes and consequences of health behaviors, with a primary emphasis on behaviors related to obesity. He has published several peer-reviewed papers in this area. A recent publication entitled “National Medical Expenditures Attributable to Overweight and Obesity,” was published in Health Affairs and garnered national media attention, including a front-page story in USA Today, coverage in Time magazine and the Washington Post, and was reported in other radio, television, newspaper, and Internet outlets across the country. That paper is now routinely cited as a driving motivation to reduce obesity rates. Dr. Finkelstein currently leads several projects concerning the causes and consequences of health behaviors for the CDC and other public and private sector agencies, and frequently speaks at conferences concerning the economic impact of obesity and strategies for reducing this burden. Katherine M. Kosa, M.S. conducts economic and food and nutrition policy research at RTI International with a primary focus on consumer behavior research. She recently completed a study to examine the general public's attitude and support for obesity interventions recently introduced at the state and federal level. To inform labeling policy decisions for USDA and FDA, Ms. Kosa conducts focus groups and surveys to understand consumer attitudes, knowledge, and practices.