The Impact of Poverty on Children and Young People’s Use of Services

This article describes a qualitative study exploring the impact of poverty on children’s access to and use of services, which took a comparative approach to gather the views of children from more and less affluent households. Findings suggest affordability and related factors including limited mobility constrained service use for less affluent children, resulting in cumulative missed opportunities. However, extended family, friends and agencies facilitated service access, mitigating the impact of poverty on service use to some extent. Research implications include the importance of listening to and taking account of the views of children from lower income families in service planning.     

The Impact of Work and Volunteer Hours on the Health of Undergraduate Students

Abstract

Objective: To examine the impact of work and volunteer hours on 4 health issues among undergraduate college students. Participants: Full-time undergraduate students (N = 70,068) enrolled at 129 institutions who participated in the Spring 2011 American College Health Association–National College Health Assessment II survey. Methods: Multiple linear regression and binary logistic regression were used to examine work and volunteer hour impact on depression, feelings of being overwhelmed, sleep, and physical activity. Results: The impact of work and volunteer hours was inconsistent among the health outcomes. Increased work hours tended to negatively affect sleep and increase feelings of being overwhelmed. Students who volunteered were more likely to meet physical activity guidelines, and those who volunteered 1 to 9 hours per week reported less depression. Conclusions: College health professionals should consider integrating discussion of students' employment and volunteering and their intersection with health outcomes into clinical visits, programming, and other services.     

Making available information from studies sponsored by the pharmaceutical industry: some current practices

Since the web-based registry ClinicalTrials.gov was launched on 29 February 2000, the pharmaceutical industry has made available an increasing amount of information about the clinical trials that it sponsors. The process has been spurred on by a number of factors including a wish by the industry to provide greater transparency regarding clinical trial data; and has been both aided and complicated by the number of institutions that have a legitimate interest in guiding and defining what should be made available. This article reviews the history of this process of making information about clinical trials publicly available. It provides a reader's guide to the study registries and the databases of results; and looks at some indicators of consistency in the posting of study information.     

Gender,Spousal Caregiving,and Depression: Does Paid Work Matter?

Studies have shown that spousal caregiving leads to psychological distress, but few have analyzed the moderating effect of paid work. Using the 2000 to 2012 Health and Retirement Study and two‐stage least squares regression models, this study found that caregiving increased women's and men's depressive symptoms. Ordinary least squares models showed that caregiving had more adverse effects on women's mental health than on men's, but these differences were eliminated in two‐stage least squares models that accounted for the bidirectional effects of depression and caregiving. The current study also found that for women, part‐time work attenuated the depressive effect of spousal caregiving, whereas for men, part‐time work exacerbated it. These gender differences persisted even for intensive spousal caregivers. The authors suggest that caregiving women who work part‐time may benefit from work‐related resources. Caregiving men who work part‐time, however, may feel distressed, as their work–family experiences conflict with traditional gender norms.     

Early Indicators of Male Reproductive Toxicity

Longitudinal data were analyzed for seminal characteristics of rhesus monkeys and beagles. The monkeys were exposed to DBCP; the beagles were exposed to acute or chronic whole body gamma irradiation. The semen was analyzed for volume and sperm concentration. Sperm were measured for percent motility, swimming speed, and head dimensions. Abnormalities of the sperm tail were also noted. All treatments resulted in measurable effects on the semen parameters. Sperm production, as evaluated by seminal sperm concentration or total sperm numbers in the ejaculate, was as informative of testicular toxicity as any other parameter or combination of parameters. A consistent finding was that changes in sperm output occurred concomitantly with changes in sperm motility.