Self reported morbidity in London and Manchester: Intra-urban and inter-urban variations

Evidence of self reported morbidity from two household surveys, carried out in London and Manchester is discussed. These data permitted intra-urban and interurban comparisons of patterns of morbidity reporting. The morbidity reported in response to two different instruments is compared: for the items used in the British General Household Survey (GHS) Health Section, and for the Nottingham Health Profile. The results from the London survey are analysed in more detail to examine the nature of self reported morbidity in the inner and outer city. The influence of interviewer effects is analysed, showing that the GHS items were more liable to interviewer effect than the NHP. The type and number of illnesses reported in response in response to the GHS also appeared to vary between the inner and outer London samples: The NHP appeared to be less affected by interviewer effects and variation in interpretation.     

Differential Recovery Migration across the Rural–Urban Gradient: Minimal and Short-Term Population Gains for Rural Disaster-Affected Gulf Coast Counties

Places affected or threatened by extreme environmental disturbances confront a number of significant issues, including whether their populations will stay the same or change through migration. Research on Hurricanes Katrina and Rita shows some displaced residents returned to their disaster-affected communities once the built environment was restored, new migrants settled in affected places as part of the rebuilding effort, and the regional migration system grew more urbanized and spatially concentrated during post-disaster years. Research also shows that not all disaster-affected places recovered their populations. Our study examines whether differential recovery is systematically patterned along the rural–urban gradient. Using U.S. Census Bureau estimates and IRS county-to-county migration data, we investigate whether the 2005 hurricane season differentially exacerbated or altered previous migration trends across a rural–urban gradient that incorporates proximity to metropolitan areas and disaster-related housing loss. We find a rural–urban differential in Gulf Coast recovery migration: The disaster boosted migration among non-metropolitan counties, yet these increases were smaller and short-lived compared to the patterns found for metropolitan counties, most especially high loss metropolitan counties. Our findings encourage theories of environmental migration to incorporate spatial differentiation and scenarios of environmental changes to account for differential impacts on settlement patterns across the rural–urban continuum.     

Putting people into dynamic places: the importance of specific contexts in understanding demographic responses to changes in the natural environment

Population and Environment -     

Health insurance literacy: A mixed methods study of college students

Objective: This study examines the health insurance literacy, or the ability to use health insurance effectively, of college students. Participants: A total of 455 students from a large, public university completed an online questionnaire in November 2016. Methods: A questionnaire examined students’ knowledge of commonly encountered health insurance terms and ability to apply that knowledge to determine cost-sharing in a clinical setting. Results: The majority of students were able to correctly identify the most commonly encountered terms, but could not identify terms related to plan types and options. Eighty-eight percent of students could not determine their cost-sharing for two presented scenarios. Approximately half of the students indicated they had been confused about their health insurance plan, with one-quarter of students stopping or delaying medical care due to confusion. Conclusions: Outreach and education for students should target specific deficits in knowledge such as those identified in this study.     

The U.S. Economic Polity,Social Identity,and International Human Rights

In this essay, I provide some complementary perspectives on certain themes that emerge in Judith Blau's (2016) timely and insightful article, “Human Rights: What the United States Might Learn from the Rest of the World and, Yes, from American Sociology.” In response, I offer some very brief reflections structured through two prisms by which we might think further about the United States and human rights. These perspectives pick up on the core issue of Blau's article, the U.S. rejection of socioeconomic rights, and how this issue in turn relates first to the “social identity” of the United States as a whole, and second to the role of the political economy in states' recognition of human rights.     

A variable selection approach to monotonic regression with Bernstein polynomials

One of the standard problems in statistics consists of determining the relationship between a response variable and a single predictor variable through a regression function. Background scientific knowledge is often available that suggests that the regression function should have a certain shape (e.g. monotonically increasing or concave) but not necessarily a specific parametric form. Bernstein polynomials have been used to impose certain shape restrictions on regression functions. The Bernstein polynomials are known to provide a smooth estimate over equidistant knots. Bernstein polynomials are used in this paper due to their ease of implementation, continuous differentiability, and theoretical properties. In this work, we demonstrate a connection between the monotonic regression problem and the variable selection problem in the linear model. We develop a Bayesian procedure for fitting the monotonic regression model by adapting currently available variable selection procedures. We demonstrate the effectiveness of our method through simulations and the analysis of real data.     

Examining the structure of awareness and perceptions of groundnut aflatoxin among Ghanaian health and agricultural professionals and its influence on their actions

This study uses a modified health belief model (HBM) within a socio-economic framework to evaluate the influence of awareness and knowledge on actions to reduce aflatoxin (AF) contamination in groundnuts (peanuts). Data were collected in 2002 through a self-administered questionnaire from a sample of 367 individuals. Socio-economic factors affecting perceptions, awareness, knowledge, and action were examined using structural equation modeling. The perceived benefits of good quality groundnuts and/or groundnut products were the most important determinants of awareness and knowledge of AF among agricultural and health professionals in Ghana. Awareness, in turn, had a significant causal effect on the professionals’ decisions to take actions to increase the level of awareness of AF in the society. Demographic factors, such as gender and level of education significantly influenced knowledge of AF and the perception of the benefits of good quality groundnut. Type of profession had a significant influence on awareness and perceived seriousness of the AF problem. Education was a significant determinant of awareness of AF in groundnuts. The study generates important information for policy decision making when considering resource allocation to reduce food contamination in developing economies.