Re‐thinking Disability,Work and Welfare

There is a wealth of evidence that disabled people experience far higher levels of unemployment and underemployment than non‐disabled peers. Yet hitherto sociologists have paid scant attention to the structural causes of this issue. Drawing on a socio/political or social model of disability perspective this paper argues for a reconfiguration of the meaning of disability and work in order to address this problem. It is also suggested that such a strategy will make a significant contribution to the struggle for a fairer and equitable global society.     

William Edward Hanley Stanner 1905-1981

Liberal multiculturalism as practised in Australia makes demands upon Indigenous minorities to demonstrate their traditionality. Taking examples from recent Australian land and native title claims, the paper illustrates notions of ‘tradition’ generated and applied in these processes. It explores the demand for tradition as an aspect of a liberal economy of values, showing that limitations of liberal perspectives in regard to the recognition of indigenous entitlement are inherent to its economistic framework. It suggests kinds of issues that need to be addressed in the envisioning of a post-liberal approach.     

Jocks, gender, race, and adolescent problem drinking

Alcohol remains the drug of choice for many adolescents; however, the nature of the relationship between athletic involvement and alcohol misuse remains ambiguous. In this article, we used a longitudinal sample of over 600 Western New York adolescents and their families to explore the gender-specific and race-specific relationships between identification with the "jock" label and adolescent alcohol consumption, specifically problem drinking. Operationalization of problem drinking included frequency measures of heavy drinking, binge drinking, and social problems related to alcohol (e.g., trouble with family, friends, school officials over drinking). Self-identified adolescent "jocks" were more likely to engage in problem drinking than their non-jock counterparts, even after controlling for gender, age, race, socioeconomic status, physical maturity, social maturity, and frequency of athletic activity. Jock identity was strongly associated with higher binge drinking frequency in Black adolescent girls. This study underscores the need to distinguish between objective and subjective meanings of athletic involvement when assessing the relationship between sport and adolescent health-risk behavior.     

Volunteer Support for Mothers with New Babies: Perceptions of Need and Support Received

Semi‐structured interviews were conducted with 55 mothers of infants. Some had received Home‐Start during their infant’s first year, others were offered the support but declined and the remainder were not offered Home‐Start. Most of their support had come from informal sources, such as family and friends with less from professionals. Mothers who received Home‐Start described beneficial aspects, in particular, the extent of practical support provided, preferable to calling on close relatives or friends. Difficulties related to volunteer characteristics and administrative problems. Overall volunteer support can be important to complement informal and formal support, but needs careful management.     

The cognition-sensitive approach to dementia. Parallels with the science of unitary human beings

1. Theory can provide practical guidelines for nursing interventions and research. 2. The Science of Unitary Human Beings, a grand theory, provides input into clarifying the Cognition-Sensitive Approach, a mid-range theory. 3. Cognition in the Alzheimer's disease process can be categorized hierarchically. 4. The Cognition-Sensitive Approach provides a theoretical base for holistic nursing interventions for people with Alzheimer's disease.     

Gambling participation in the U.S.--results from a national survey

Demographic patterns of gambling participation in the U.S. were examined. A national telephone survey was conducted with 2,630 representative U.S. residents aged 18 or older. The sample as weighted for analysis was 48% male, 12% black, and 11% Hispanic. Respondents were questioned on 15 types of gambling: how often they played and how much they won or lost. Eighty-two percent gambled in the past year. Lottery was the most commonly played game, while casino gambling accounted for the largest extent of gambling involvement. Men and women were equally likely to gamble in the past year, but men gambled more frequently and had larger wins and losses, particularly on sports betting and games of skill. Blacks were less likely to have gambled in the past year, but blacks who gambled did so more heavily than other racial groups. Blacks and Hispanics were more likely than average to be pathological gamblers. The rate of past year gambling declined with age, but extent of gambling involvement among gamblers did not vary with age. Rates of participation in most forms of gambling increased with socioeconomic status, but higher socioeconomic status gamblers had lower rates of pathological gambling, and lower extent of gambling involvement, particularly for lottery. New Englanders gambled more heavily than other Americans. Comparison with past studies showed an increase in overall gambling participation in the U.S., and large increases in rates of participation in lottery and casino gambling.     

Safety Risk Analysis of an Innovative Environmental Technology

The authors describe a decision and risk analysis performed for the cleanup of a large Department of Energy mixed-waste subsurface disposal area governed by the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA). In a previous study, the authors worked with the site decision makers, state regulators, and U.S. Environmental Protection Agency regional regulators to develop a CERCLA-based multiobjective decision analysis value model and used the model to perform a screening analysis of 28 remedial alternatives. The analysis results identified an innovative technology, in situ vitrification, with high effectiveness versus cost. Since this technology had not been used on this scale before, the major uncertainties were contaminant migration and pressure buildup. Pressure buildup was a safety concern due to the potential risks to worker safety. With the help of environmental technology experts remedial alternative changes were identified to mitigate the concerns about contaminant migration and pressure buildup. The analysis results showed that the probability of an event with a risk to worker safety had been significantly reduced. Based on these results, site decision makers have refocused their test program to examine in situ vitrification and have continued the use of the CERCLA-based decision analysis methodology to analyze remedial alternatives.     

The Benefits of Educational Attainment for U.S. Adult Mortality: Are they Contingent on the Broader Environment?

The growing recognition that educational attainment is one of the strongest preventive factors for adult health and longevity has fueled an interest in educational attainment as a population health strategy. However, less attention has been given to identifying social, economic, and behavioral resources that may moderate the health and longevity benefits of education. We draw on theories of resource substitution and multiplication to examine the extent to which the education–mortality association is contingent on other resources (marriage, employment, income, healthy lifestyles). We use data on adults aged 30–84 in the 1997–2006 National Health Interview Survey Linked Mortality File and estimate discrete-time event history models stratified by gender (N = 146,558; deaths = 10,399). We find that the mortality benefits of education are generally largest for adults—especially women—who have other resources such as employment and marriage, supporting the theory of resource multiplication. Nonetheless, our results also imply that other resources can potentially attenuate the mortality disadvantages (advantages) associated with low (high) levels of education. The findings suggest that efforts to improve population health and longevity by raising education levels should be augmented with strategies that assure widespread access to social, economic, and behavioral resources.     

Times Are Tough—Brother,Can You Paradigm?

Ten years ago, the National Academy of Science released its risk assessment/risk management (RA/RM) “paradigm” that served to crystallize much of the early thinking about these concepts. By defining RA as a four-step process, operationally independent from RM, the paradigm has presented society with a scheme, or a conceptually common framework, for addressing many risky situations (e.g., carcinogens, noncarcinogens, and chemical mixtures). The procedure has facilitated decision-making in a wide variety of situations and has identified the most important research needs. The past decade, however, has revealed that additional progress is needed. These areas include addressing the appropriate interaction (not isolation) between RA and RM, improving the methods for assessing risks from mixtures, dealing with “adversity of effect,” deciding whether “hazard” should imply an exposure to environmental conditions or to laboratory conditions, and evolving the concept to include both health and ecological risk. Interest in and expectations of risk assessment are increasing rapidly. The emerging concept of “comparative risk” (i.e., distinguishing between large risks and smaller risks that may be qualitatively different) is at a level comparable to that held by the concept of “risk” just 10 years ago. Comparative risk stands in need of a paradigm of its own, especially given the current economic limitations. “Times are tough; Brother, can you paradigm?”