Food Insufficiency,Food Stamp Participation,and Mental Health*

Objectives. This study examines whether the mental health consequences associated with food insufficiency vary by food stamp participation status and/or the value of the food stamp benefit received. Methods. We use longitudinal data from the Panel Study of Income Dynamics along with fixed‐effect methods that control for unobserved heterogeneity to test our hypotheses. Results. We find that, conditional on the food stamp benefit amount, the emotional distress associated with food insufficiency is higher among food stamp participants. Moreover, we find evidence of a dosage effect such that food‐insufficient individuals who receive higher amounts of food stamp benefits suffer greater emotional distress than food‐insufficient individuals who receive lower levels of food stamp benefits. However, the negative mental health effects of food insufficiency and food stamp participation are driven primarily by periods of transition onto the Food Stamp Program and into food insufficiency. Conclusions. The negative mental health aspects of participating in the Food Stamp Program seem to outweigh the positive mental health aspects, at least during the period of application and initial receipt, suggesting that programmatic reform is needed to improve overall well‐being among new participants.     

A citizen science survey: perceptions and attitudes of urban residents towards vervet monkeys

A diversity of indigenous and alien wildlife persists in suburbia, and provides residents with the opportunity to experience wildlife. Suburban gardens may serve as refugia and foraging grounds for many primate species allowing them to populate within a largely urbanized landscape. However, this has led to the increasing human interactions with them, resulting in conflict. Our study investigated the perceptions of suburban residents towards urban vervet monkeys Cercopithecus aethiops pygerythrus within the Msunduzi and Ethekwini municipalities, KwaZulu-Natal, South Africa. We assessed how these related to the monkeys’ presence, activities and interactions in residential gardens, and the value of wildlife to residents. Assessment was conducted through an online questionnaire survey. General attitudes of residents to vervet monkeys were canvassed by assessing the respondents’ level of active engagement in wildlife watching within their properties. We analyzed 603 surveys submitted online using logistic regression and ordinal regression models. We ascertained that vervet monkeys were disliked by 29% of residents due to their aggressiveness, destructive behaviour in gardens and households, and perceived threat to native wildlife. Frequency and duration of foraging vervet monkeys in residents’ gardens was influenced by the presence of pet dogs, fruiting trees, tall trees (>2 m), ratio of indigenous to alien vegetation of gardens, residency type, and active and passive food provisioning. Despite conflict, the majority of respondents appreciated urban wildlife (67%) and actively engaged in wildlife watching (88%), emphasizing the importance of incorporating human dimension values into the management of urban biodiversity. Our study highlights the value of citizen science in providing mechanisms for identifying priority management and conservation efforts at the highly complex human-wildlife interface in an urbanized landscape.     

Factors determining the occupancy of Trumpeter Hornbills in urban-forest mosaics of KwaZulu-Natal,South Africa

Understanding the factors determining the occupancy and detection probability of birds in human dominated environments is important for their conservation. In this study we investigated various environmental variables believed to influence the site occupancy and detection probability of Trumpeter Hornbill (Bycanistes bucinator) in urban-forest mosaics of KwaZulu-Natal, South Africa. Presence/absence data were collected from a total of 50 point count stations established between September 2014 and March 2015 in urban-forest mosaics of Durban, Eshowe and Mtunzini. Mean occupancy rate of Trumpeter Hornbill was 0.40 ± 0.09 with a low detection probability of 0.28 ± 0.04. For Trumpeter Hornbills, large trees influenced their occupancy positively (sum AIC weight (ω _i ) = 79%) while relative human abundance negatively influenced their occupancy (ω _i = 91%). Model selection suggested that housing density had a strong negative influence on detection probability of Trumpeter Hornbills (ω _i ?=?82?%?) and availability of fruiting trees influenced their detection positively (ω _i ?=?29%). With continued changing land use in KwaZulu-Natal, these finding are important for conservation of Trumpeter Hornbills as we provide insight into landscape variables or features that influence Trumpeter Hornbill’s occupancy and detection in areas of urban-forest mosaics.     

Treating mental health problems in primary care: Discrepancies between therapist expectations and clients’ attendance

ABSTRACT

Models of collaborative primary health care were introduced in Ontario in 2005 with the goal of providing comprehensive care, including that of mental health, to patients. While the success of this model of health care delivered through Family Health Teams (FHT) has been established, evidence based guidelines to guide mental health therapists regarding the number of sessions needed to treat common issues such as depression and anxiety seen within this model is lacking. The goal of this study was to gain a better understanding of how therapists conducted therapy, including type of intervention, under a physician determined eight session cap. Questionnaires completed by the therapists after the first session and again when therapy ended, a focus group and a chart review were conducted over an eight month period involving a total of 147 patients. Several key findings were identified including the unanticipated outcome of a discrepancy between how many sessions were initially thought to be required by the mental health therapist compared to how many sessions were determined helpful by the patient. Conversely, it was also identified that eight sessions was insufficient to treat more severe mental health issues such as trauma. Such results suggest that the treatment of mental health issues within Family Health remains a little understood and explored issue, with the authors suggesting better ways of negotiating session caps reflective of mental health issues addressed within this model of care.     

Studying the Motivations Behind Sexual Agreements: A First Look at the Motivations Behind Agreement (MBA) Scale for Male Couples

Sexual agreements are ubiquitous among male couples, yet little is known about motivations behind agreements and their association with sexual risk for human immunodeficiency virus (HIV). Qualitative interviews with 39 couples informed the development of the items in the Motivations Behind Agreement (MBA) scale. The scale was validated via exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) using quantitative data from two (790 and 882 men) independent samples of couples. The EFA yielded two factors: relationship quality enhancement motive (RQEM) and sex life enhancement motive (SLEM). The CFA indicated satisfactory global model data fit. Finally, in predicting sexual risk, RQEM and SLEM showed significant interactions with agreement type. For men with monogamous agreements, higher RQEM was associated with less condomless anal sex (CAS) with an outside partner of discordant or unknown serostatus (aOR = 0.15; 95% CI = 0.05, 0.46). For men with nonmonogamous agreements, higher RQEM was associated with less CAS (aOR = 0.76; 95% CI = 0.60, 0.97) while higher SLEM was associated with greater odds of CAS (aOR = 1.57; 95% CI = 1.18, 2.08). Men whose agreements were highly motivated by relationship enhancement were less likely to engage in sexual risk with outside partners regardless of agreement type. HIV-prevention interventions targeting male couples will benefit from incorporating an understanding of couples’ agreement motivations.     

Quality indicator survey versus traditional survey in New York State: a comparison of results from annual nursing home surveys

Despite the passage of OBRA’87 for nursing home reform, concerns about care in facilities continue. The Centers for Medicare and Medicaid developed new regulations and the Traditional Survey (TS) process for annual nursing home survey. The survey is conducted by state regional offices to determine facility compliance with federal regulations. Despite the regulations and new survey process, the TS inconsistently identified problems. A computerized process called the Quality Indicator Survey (QIS) was subsequently developed. This study was designed to compare results from TS and QIS on overall deficiencies, select quality indicators, high-severity deficiencies, and severity differences of seven quality indicators in New York State over a 6-year period from 2010 through 2015. Results of t-tests determined a significant difference in the overall mean number of deficiencies (p < .001), and on four indicators: choices (p < .001), nursing staff (p < .001), dental (p < .001), and dignity (p < .05). Facilities using the TS showed a higher mean number of harm level or higher deficiencies (p < .001). Chi-square tests for severity levels showed significantly more higher severity deficiencies on two quality indicators: nutrition (p < 0.001) and hydration (p < 0.05). Thus, the QIS produced a greater mean number of deficiencies, while TS produced more higher severity deficiencies in New York State.     

Human Mercury Toxicity and Ice Angler Fish Consumption: Are People Eating Enough to Cause Health Problems?

Mercury contamination of aquatic ecosystems is a global environmental concern. Bioaccumulation of mercury in fish exposes consumers to risk. We interviewed ice anglers on Monona Bay, Wisconsin during the 2001-2002 ice fishing season to determine risk associated with fish consumption and methyl mercury (MeHg) intake. The majority of anglers (95%) were not at risk of mercury toxicity because they ate less fish than would be required to create health problems. The remaining 5% of ice anglers barely exceeded the mercury toxicity threshold, with the exception of one angler who exceeded the threshold by 0.926 ppm. Anglers encountered were all male and predominantly Caucasian. Fish consumption by ice anglers was independent of awareness of consumption advisories, education, income, and age. This suggests that future awareness efforts should (1) identify groups of anglers most at risk and (2) create policies to effectively reach these audiences.     

Adolescents' Characteristics and Parents' Beliefs as Predictors of Parentsapos; Peer Management Behaviors

This study examined parents' reported use of peer management behaviors (i.e., communicating preferences, communicating disapproval, supporting friendships, and information seeking) and linked these behaviors to (a) adolescentsapos; self‐reported psychosocial adjustment and friendships and (b) parents' beliefs about adolescents' peer relationships (i.e., perceived efficacy in managing adolescents' friendships and concerns about adolescents' friendships). The participants were 269 parents (161 mothers, 108 fathers) and their predominantly White adolescents in Grades 6 and 9 (N=177). Results suggest that parents may be more apt to use some behaviors (e.g., communicating disapproval and information seeking) when there are indications that their adolescents are engaged in problem behaviors and have friends who are deviant. In addition, parents' concerns about their adolescents' friends mediate the relationship between adolescent problem behaviors and parents' communications of disapproval. Parents' peer management is promising as a route to understand further the nature of parent–peer linkages.     

Acyclic sets of linear orders via the Bruhat orders

We describe Abello’s acyclic sets of linear orders [SIAM J Discr Math 4(1):1–16, 1991] as the permutations visited by commuting equivalence classes of maximal reduced decompositions. This allows us to strengthen Abello’s structural result: we show that acyclic sets arising from this construction are distributive sublattices of the weak Bruhat order. This, in turn, shows that Abello’s acyclic sets are, in fact, the same as Chameni-Nembua’s distributive covering sublattices (S.T.D.C s). Fishburn’s alternating scheme is shown to be a special case of the Abello/Chameni-Nembua acyclic sets. Any acyclic set that arises in this way can be represented by an arrangement of pseudolines, and we use this representation to derive a simple closed form for the cardinality of the alternating scheme. The higher Bruhat orders prove to be a natural mathematical framework for this approach to the acyclic sets problem. We would like to thank the Editor, Professor Bernard Monjardet, and two anonymous referees for their comments and additional references.