MULTIPLE-CRITERIA DECISION MAKING INCLUDING QUALITATIVE FACTORS: THE POST-MODEL ANALYSIS APPROACH

As a method of solving multiple-criteria decision making problems with a single quantitative objective and multiple qualitative objectives, the post-model analysis (PMA) approach is proposed. The essence of PMA is to support the trade-offs between a quantitative objective and multiple qualitative objectives so that the decision maker can find a perceived most preferred nondominated solution. To this end, the optimal solution of a quantitative model is found first, without regard for qualitative factors. The solution is then evaluated in terms of qualitative objectives. When the initial quantitatively optimal solution is adjusted to allow improvement of qualitative goals, opportunity costs of achieving qualitative goals are incurred. In this process, an expert system and/or graphical display can be used. PMA therefore provides a way to incorporate quantitative models into knowledge-based expert systems.     

The Moderating Effects of Pubertal Timing on the Longitudinal Associations Between Parent–Child Relationship Quality and Adolescent Substance Use

This prospective, longitudinal study investigated the moderating role of pubertal timing on reciprocal links between adolescent appraisals of parent–child relationship quality and girls' (N=1,335) and boys' (N=1,203) cigarette and alcohol use across a 12‐month period. Reciprocal effects were found between parent–child relations and on‐time maturing boys and girls' cigarette and alcohol use, after estimating stability in these constructs across time. Parent–child relationship quality was associated with increased alcohol use 12 months later for early maturing girls. Cigarette and alcohol use were associated with increased problems in the parent–child relationship for late maturing girls. No effects were observed for early and late maturing boys in the pathways between parent–child relationship quality and substance use. Pubertal timing moderated the pathway linking parent–child relationship quality with cigarette use 1 year later such that the association was stronger for late maturing girls compared with early and on‐time maturing girls. The findings indicate interplay between the psychosocial aspects of maturation, family relationships, and adolescent substance use and highlight possible gender‐specific influences.     

To Revise or Not to Revise?

This personal analysis of the revision process of the ICIDH is set in the context of the international disability movement. With analogies to feminism, it shows how the medicalisation of disability is itself disablism and, while recognising many flaws in the revised version, encourages the disability movement to use the new version to its own advantage.     

The Dearing Report and Students with Disabilities and Learning Difficulties

The movement to promote improved levels of participation from groups under-represented in higher education which occurred between 1980 and 1990 neglected disabled people. The position has been addressed by the national higher education funding councils since 1992 and progress has been made. Therefore, it was surprising to find that, whilst certain social groups were highlighted, nothing was said about disabled people in the terms of reference of Sir Ron Dearing's National Committee of Inquiry. This paper describes attempts made to inform and influence the Committee. Next, it considers the Report itself. First, the recommendations for future policy which are directed specifically towards disabled people are discussed; secondly, the potential implications for disabled people of the general recommendations are explored; and thirdly, the supplementary report on students with disabilities is reviewed. The conclusion provides a brief overview of developments since the Report's publication.     

Lifetime exposure to abuse,current stressors,and health in federally qualified health center patients

ABSTRACT

Purpose: The purpose of this study was to examine the impacts of lifetime exposure to abuse and current stressors on health, an integrative concept of physical, mental and social health, among patients of a Federally Qualified Health Center.

Method: The sample included 1,055 patients (male: N = 346; female: N = 709) who were at least 18 years of age and completed an assessment on their first visit between January 2015 and March 2017 at a Federally Qualified Health Center. The assessment contained subscales of the DUKE Health Profile measuring physical, mental, and social health; four questions assessing lifetime exposure to abuse; and a relational and socioeconomic stressor checklist.

Results: Results from structural equation modeling analyses showed that for both male and female groups, lifetime exposure to abuse, relational stressors and socioeconomic-related stressors were strongly associated with health. In the male group, socioeconomic-related stressors were the strongest predictor of health, while in the female group, lifetime exposure to abuse was the strongest predictor of health.

Conclusions: Understanding the relationships between health and the combined factors of a lifetime exposure to abuse, relational stressors, and socioeconomic stressors can provide insight to patient care professionals who treat patients in lower income, underserved communities. Ecological Systems Theory provides a framework to plan interventions or to prevent potential negative outcomes associated with these stressors.     

Comparison of exercise attitudes and behaviors of urban older adults with AARP's national sample results

This study assessed perceptions about exercise among a convenience sample of low-income, urban, older adult patients at a publicly operated ambulatory primary-care clinic, and results were then compared with the findings of a national study. Although it was expected that the predominantly minority and economically disadvantaged participants in this study would trail significantly behind their White counterparts in their perceptions and behavior regarding exercise, findings demonstrated otherwise. Specifically, when physicians encourage moderate exercise, when patients believe that they can overcome barriers to exercise, and when the environment supports moderate exercise through the availability of community exercise classes, inequities in health behaviors can be reduced. Interventions designed to increase exercise for this population should be developed with an understanding of the many barriers that they will have to overcome, a focus on building confidence, and communicating the many benefits of this behavior.     

Marital Sorting and Parental Wealth

The extent of marital sorting by socioeconomic background has implications for the intergenerational transmission of inequality, the role of marriage as a mechanism for social mobility, and the extent of cross-group interactions within a society. However, studies of assortative mating have disproportionately focused on spouses’ education, rather than their social origins. Using data from the Panel Study of Income Dynamics (PSID), and exploiting the unique genealogical design of the data set, we study the degree to which spouses sort on the basis of parental wealth. We find that the estimated correlation in parental wealth among married spouses, after controlling for race and age, is about .4. Importantly, we show that controlling for spousal education explains only one-quarter of sorting based on parental wealth. We show that our results are robust to accounting for measurement error in spousal reports of parental wealth and for selection into and out of marriage.     

Public relations,futures planning and political talk for addressing wicked problems

This conceptual article highlights the separate shortcomings of stakeholder engagement broadly, deliberative engagement specifically, and scenario planning in their separate application to address future problems, especially those termed as ‘wicked’ problems. Taking an interdisciplinary approach, we combine the most relevant and useful aspects of these concepts and outline how, when taken together, they can be used by public relations (PR) practitioners to open ‘political talk’ in order to address wicked societal problems. In doing so, this article follows Turk’s (1986) call to look to future methodologies as way of expanding PR practice beyond the technical, functional skills that have typically defined the field. It also takes up Willis’ (2016) call for PR to take a wider role in helping governments and society tackle wicked problems.