Is Stepfamily Status Associated With Cohabiting and Married Women’s Fertility Behaviors?

Children from prior relationships potentially complicate fertility decision-making in new cohabitations and marriages. On the one hand, the “value of children” perspective suggests that unions with and without stepchildren have similar—and deliberate—reasons for shared childbearing. On the other hand, multipartnered fertility (MPF) research suggests that childbearing across partnerships is often unintended. Using the 2006–2010 National Survey of Family Growth and event-history models, I examine the role of stepfamily status on cohabiting and married women’s fertility and birth intendedness, with attention to union type and stepfamily configuration. Adjusting for covariates, women in stepfamily unions are more likely to have a first shared birth in a union than women in unions in which neither partner has children from past relationships, but stepfamily births are less likely to be intended than unintended. Further, this association varies by union type: married women have similar birth risks across stepfamily status, but births are less likely to be intended in marital stepfamilies. For cohabitors, women in a stepfamily are more likely to have a birth than women in nonstepfamily unions, with no differences in intendedness. Configuration (whose children and how many) also matters; for instance, women with one child from a past relationship are more likely to have a birth and to have an intended than unintended birth than women with other stepfamily configurations. It appears that children from either partner’s prior relationships influences subsequent fertility decision-making, undermining the utility of the “value of children” perspective for explaining childbearing behaviors in complex families.     

Moral Values, Moralism, and the 2004 Presidential Election

The "moral values vote" in the 2004 American presidential election should be interpreted more broadly than as a reflection of concerns about same-sex marriage and abortion. Instead of specific hot-button social policy issues, a general personality trait of moralism—the tendency to perceive a moral dimension in everyday decisions—may have contributed to the election outcome. Specifically, we hypothesize that some Bush supporters shared Bush's high level of moralism (as reflected in his rhetoric) and that this moralism motivated their votes. Consistent with our hypothesis, a preliminary empirical investigation suggests that Bush voters were, indeed, higher in moralism than were Kerry voters. Plans for further research and political strategy implications are discussed.     

Addressing medical errors: the key to a safer health care system

A recent report on patient safety by the Institute of Medicine's Committee on Quality of Health Care in America noted that there are at least 44,000 patient deaths from medical errors each year, placing them as the eighth leading cause of death in the United States. They occur in every aspect of the practice of medicine. Some result in adverse events that harm patients. Can an organized effort to reduce medical errors be effective? Other complex industries have been successful in reducing errors and improving quality. The IOM report argues that the medical community must do the same to ensure a higher quality of care. Both the Clinton administration and Congress have expressed concerns about the frequency of medical errors, as has organized medicine. These findings raise significant policy questions for physician executives' charges with ensuring patient safety.     

Effects of a participatory ergonomics intervention computer workshop for university students: a pilot intervention to prevent disability in tomorrow's workers

A participatory approach was used to create a computer ergonomics workshop for college students, incorporating an instructional systems design process and adult learning inquiry perspectives. The primary objective of this participatory ergonomic pilot intervention was to involve students throughout the training design process in solving computer workstation ergonomic problems and adopting healthy computing behaviors. Students' level of participation included becoming part of the training design team, a co-facilitator, or a student trainee. A second objective was to examine the translation of an industrial office ergonomics training program into a college computer ergonomics training program. The long term goal was to reduce upper extremity symptoms and disability. The program was piloted at one private university. The three student trainees significantly increased their knowledge of computer ergonomics from 69% of test items answered correctly pre-training to 82% post-training. Trainees were also successful in conducting computer ergonomic evaluations of students' computing work areas. They achieved 100% accuracy in identifying ergonomic problems and proposing solutions in five ergonomic workstation assessments in the field. This approach was successful in creating a sense of ownership among the student developers and facilitators as reflected in their self-reports during a post-intervention debriefing. The results of this pilot study justify formal controlled trials of this intervention in university students, who will become tomorrow's workers.     

Public health infrastructure: creating a solid foundation

The nation's public health system remains in disarray, despite the 1988 warning by the Institute of Medicine in its landmark report, "The Future of Public Health." Recent concerns about antibiotic resistance, inadequate disease surveillance capabilities, bioterrorism, and an increasing need for training the public health workforce have brought this problem into the forefront of congressional concern. Recent legislation aimed at addressing this problem was passed last Fall and signed into law. This program will take a significant step towards ensuring a solid public health system when it is fully implemented.     

The Foreign Policy Beliefs of Political Campaign Contributors: A Post-Cold War Analysis

Objective. In this article we address two questions raised by the literature on the structure of foreign policy beliefs. First, has the end of the Cold War brought about any major changes in these belief systems? Second, how do ideology and economic interests shape these beliefs? Methods. We analyze data from a 1996 survey of U.S. presidential campaign contributors conducted by the Ray Bliss Center to determine the foreign policy belief systems of contributors. We then compare those results to the belief systems found in a 1988 survey of contributors. Results. We find that Cold War belief systems are quite durable. There was surprisingly little change in the structure or content of contributors' foreign policy beliefs between 1988 and 1996. We also find that both ideology and economic interests help shape these beliefs and examine the circumstances under which each of these two considerations appears to have the most important effects. Conclusions. Policymakers face new challenges since the end of the Cold War, but domestic political elites still approach foreign policy with a Cold War perspective. Also, although ideology is very important in determining how individuals think about foreign policy, material interests also make a difference for campaign contributors.     

Modeling fixed-charge problems with polynomials

In this paper we formulate fixed-charge problems with polynomials. Using polynomial formulations we show structural similarity between different kinds of linear and fixed charge formulations. We also show the benefits of applying polynomial formulation for finding an approximate solution for problems where no algorithms exist and in some cases for developing a method to provide direct solutions to those problems. The main benefit of this paper is better understanding of the fixed-charge function structure and better explanation of the local and global minima phenomena. We present a numerical example to illustrate applications of the proposed method.     

Parental Entrepreneurship: A Consumerist Response to Professional Dominance

This article explores the development of activism among parents of disabled children. Based on research with parents using a symbolic interactionist perspective, it discusses the predisposing conditions and situational contingencies that encourage parents to become activists for their children. Parental activism is viewed as a response to the failure of society to provide sufficient or appropriate resources to meet the needs of disabled children and their families. It involves seeking information and control and challenging authority. Development of the role is nurtured by interactions with others in similar situations and may result in a careerlike pattern, or entrepreneurship, as a way of life.