Prevention interventions of alcohol problems in the workplace

The workplace offers advantages as a setting for interventions that result in primary prevention of alcohol abuse. Such programs have the potential to reach broad audiences and populations that would otherwise not receive prevention programs and, thereby, benefit both the employee and employer. Researchers have implemented and evaluated a variety of workplace alcohol problem prevention efforts in recent years, including programs focused on health promotion, social health promotion, brief interventions, and changing the work environment. Although some studies reported significant reductions in alcohol use outcomes, additional research with a stronger and integrated methodological approach is needed. The field of workplace alcohol prevention also might benefit from a guiding framework, such as the one proposed in this article.     

The centenarian question and old-age mortality in the Soviet Union, 1959–1970

Are claims of extraordinarily low mortality levels in the USSR justifiable? Applying a recently developed methodology appropriate for nonstable populations to 1959 and 1970 census data from the Soviet Union, we find that mortality is generally understated for the country as a whole and for various regions and republics. This is particularly so for the republics composing the Central Asian region and the Caucasus. Age overstatement appears to be extremely pronounced in the oldest segments of the population. Using the new methodology, we can derive the age distribution that is uniquely implied by a given life table and a set of age-specific rates of growth obtained from two censuses. When we use the official Soviet life tables in this procedure, we find that the reported number of centenarians is at least 28.9 percent overstated for males and 7.5 percent for females. If one were to posit that Soviet mortality during 1959 to 1970 was, in fact, no better than the Swedish mortality experience during roughly the same time period, then the true number of centenarians could be no more than 2 percent of that reported.     

Welfare reform and changes in the economic well-being of children*

Since the implementation of the Temporary Assistance for Needy Families (TANF) program in late-1996, welfare rolls have declined by more than half. This paper explores whether improvements in the economic well-being of children have accompanied this dramatic reduction in welfare participation. Further, we examine the degree to which the success or failure of welfare reform has been shared equally among families of varying educational background. We analyze data from the March Current Population Surveys (CPS) over the years 1988 through 2001. Specifically, we link data for families with children who are interviewed in adjacent years and determine whether their economic circumstances either improved or deteriorated. We use two alternative approaches to address this general issue: a variety of regression models and a difference-in-differences methodology. These approaches provide consistent answers. In a bivariate framework TANF is associated with higher incomes; but this association becomes insignificant in the presence of business cycle controls. We also determine that children who were poor at an initial time period benefit differently, depending on their parents' educational attainment level. Poor children with parents who do not have a high school degree are significantly worse off in the TANF era, relative to the era prior to welfare reform, than are poor children of more educated parents.     

The Experience of Nurses Working with Hospitalized AIDS Patients

Twenty nurses were interviewed about their experiences of caring exclusively for AIDS patients. A qualitative analysis of the data revealed that group identity, social support, social stigma, identification with patients, and burnout were important to the experience. The process of identification with patients was a significant source of distress which affected the male homosexual staff more than other staff. Yet working in the AIDS unit also had its rewards with some male homosexual staff expressing relief at not having to conceal their sexuality. Nurses' experiences in the AIDS unit were somewhat differentiated by their ability to identify with the male homosexual group. Those who identified strongly with the group were more at risk of over-identification with patients yet seemed likely to receive recognition and support from colleagues. Many staff suffered due to the stigma attached to caring for AIDS patients and often reported not telling people where they worked. A significant number of staff are said to have already left the unit due to AIDS burnout.     

Using Theraplay in shelter settings with mothers & children who have experienced violence in the home

This article describes a group program for women and children exposed to violence in the home. The program is primarily based on Theraplay, an attachment-based intervention approach for working with both adults and children who have a variety of emotional and behavioral difficulties. The theoretical and research bases, as well as the guiding principles of Theraplay, will be outlined and discussed, and the rationale for its application to a shelter setting will be highlighted. Finally, the benefits of and challenges to implementing such a program and the implications for practice and further evaluation will be explored.