Malaria eradication and its effect on mortality levels: A comment

Abstract In his article 'Malaria eradication and its effect on mortality levels' (Population Studies d21, 3, November 1967) Dr. S. A. Meegama criticised the approach followed by Professor Peter Newman in an earlier investigation of the effects of malaria eradication in Ceylon. In the present series of comments and rejoinders, Professor Newman and Dr. Meegama discuss in detail their interpretations of the data and the methods they have used in assessing the role of malaria eradication.     

Subjective Distributions

A decision maker has to choose one of several random variables whose distributions are not known. As a Bayesian, she behaves as if she knew the distributions. In this paper we suggest an axiomatic derivation of these (subjective) distributions, which is more economical than the derivations by de Finetti or Savage. Whereas the latter derive the whole joint distribution of all the available random variables, our approach derives only the marginal distributions. Correspondingly, the preference questionnaire needed in our case is less smaller.     

Ovulatory shifts in female sexual desire

Women's reproductive biology imposes heavy obligatory costs of parental investment, creating strong selective forces hypothesized to shape female mating psychology around critical decisions such as the choice of partner, the timing of sexual intercourse, and the timing of reproduction. We propose that female sexual desire has evolved as one adaptation among several designed to regulate these decisions. We hypothesize (a) an increase in desire as conception probability increases, but only among women who are in committed long-term relationships; and (b) a shift in the desire for a primary partner as compared with extra-pair partners as ovulation approaches, dependent upon a woman's evaluation of her primary partner's relative quality. We tested several predictions derived from these hypotheses in a study of 173 women who were not taking oral contraceptives. Results confirmed Hypothesis 1: An ovulatory peak in sexual desire was found only for mated women; for unmated women, conception probability and sexual desire were uncorrelated. Hypothesis 2 was partially supported. Among mated women, those with higher conception probability exhibited higher levels of in-pair sexual desire relative to those at lower conception probability. Conception probability and relationship length interacted significantly to predict extra-pair desires, such that women in longer relationships were more likely to experience desire for extra-pair partners during periods of high conception probability. The pursuit of an in-pair conceptive strategy (as opposed to an extra-pair conceptive strategy) was also associated with the occurrence of sexual activity in the relationship.     

The voter who wasn’t there: Referenda,representation and abstention

We analyze single binary-choice voting rules and identify the presence of the No-Show paradox in this simple setting, as a consequence of specific turnout or quorum conditions that are included in actual rules. Since these conditions are meant to ensure a representative outcome, we formalize this concern and reach our main result: no voting rule can ensure representation if abstention is possible, unless restrictive assumptions are made on the preference domain of abstainers. We then focus on the main referendum systems and show that appropriate restrictions do make them compatible with representation. The main purpose of our paper is, however, to provide a tool for referendum design: rather than imposing arbitrary restrictions on the preference domain of non-voters, we recommend instead that a conscious choice be made on how abstention is to be interpreted and that this choice be used to derive the corresponding referendum rule.The idea for this paper started with some jocose but insightful notes written by José João Marques da Silva at the time of the first referendum held in Portugal (1998). When José João passed away in August 2000, ISEG lost a bright, interested and friendly scholar. May we dedicate this paper to his memory. This paper was presented at the 2002 Annual Meeting of the Public Choice Society and Economic Science Association, San Diego, CA and a preliminary version was presented at the 2001 Annual Meeting of the European Public Choice Society, Paris. We would like to thank Mathew Braham, Moshé Machover, Eric Maskin, Vincent Merlin, Hannu Nurmi, Katri Sieberg, Frank Steffen, and two anonymous referees for helpful comments. The usual proviso applies.     

Food insufficiency and physical and mental health in a longitudinal survey of welfare recipients

Food insufficiency is a significant problem in the United States, and poor African American women with children are at especially high risk. An inadequate household food supply can potentially affect the well-being of household members, but it is difficult to distinguish the effects of food insufficiency from risk factors for poor health that are also common among the food insufficient, such as poverty. We examined food insufficiency and physical and mental health among African American and white women (n = 676) who were welfare recipients in 1997. Controlling for common risk factors, women who reported food insufficiency in both 1997 and 1998 were more likely to report fair or poor health at the later date. Food insufficiency in 1998 was significantly associated with meeting the diagnostic screening criteria for recent major depression. Food insufficiency at both times and in 1998 only was related to women's sense of mastery. These findings add to growing evidence that household food insufficiency is associated with poor physical and mental health.     

Public attitudes toward the use of psychiatric medications for children

Psychiatric medication use for children has increased dramatically over the past three decades. Despite substantial media attention to the issue, little is known about how the lay public feels about the use of psychiatric medications for children. Drawing on theories of medicalization, we describe and analyze Americans' attitudes towards the use of psychiatric medications generally and Prozac specifically for children described as having three types of behavioral problems. Using data from the 1998 General Social Survey's Pressing Issues in Health and Medical Care Module, we find that more Americans (57%) are willing to use psychiatric medications for children who have expressed suicidal statements than for "oppositional" behaviors (34.2%) or for hyperactivity (29.5%). Across the board, respondents are less willing to give Prozac than the general class of psychiatric medications. While socio-demographics do little to identify Americans with differing positions, the strongest and most consistent correlates of willingness to give psychiatric medications to children are trust in personal physicians, general attitudes towards psychiatric medications, and the respondent's expressed willingness to take psychiatric medications herself or himself.     

Evaluation of two school-based HIV prevention interventions in the border city of Tijuana, Mexico

This research project examined the individual and combined effectiveness of an HIV prevention workshop and a free condom distribution program in four high schools in Tijuana, Mexico. Adolescents (N = 320) completed baseline measures on sexual practices and theoretical correlates and participated in a two-part study. In Study 1, students were randomly assigned to an HIV prevention workshop or a control condition, with a 3-month follow-up assessment. Results indicate three significant workshop benefits regarding HIV transmission by altering sexual initiation, access to condoms, and traditional beliefs regarding condoms. In Study 2, we set up a condom distribution program at two of the participating schools, and students completed a 6-month follow-up assessment. Results indicate that exposure to the workshop followed by access to the condom distribution program yielded two beneficial results for reducing HIV transmission: moderating sexual initiation and increasing condom acquisition. Access to the condom distribution program alone had no effects on behavioral and psychosocial correlates of HIV transmission. We discuss implications of these results.     

Determinants of sexual arousal and accuracy of its self-estimation in sexually functional males

Men with and without sexual dysfunction present with varying patterns of agreement between subjective estimates of sexual arousal and more objective psychophysiological measures of the same construct. This relative accuracy seems to be associated with sexual function, with men who have sexual dysfunction presenting less accurate estimations (mostly reporting below measured arousal levels). The purpose of this study is to clarify the processes underlying sexual arousal and the accuracy of its self-estimation. We looked at potential predictors of sexual arousal (subjective and physiological) and accuracy in estimating objective sexual arousal in a sample of 60 sexually functional males. Predictors included pre-existing sexual attitudes (erotophobia), both trait and state positive and negative affect, self-focused attention, and interoceptive awareness. Results indicate that this sexually functional sample generally reported below their own erection level. Interestingly, trait negative affect was associated with somewhat lower levels of subjective arousal and higher levels of physiological arousal. On the other hand, state positive affect facilitated both subjective and objective arousal and increased somewhat the accuracy of estimates of erectile responding. Pre-existing sexual attitudes as well as variations in self-focused attention and interoceptive awareness evidenced little effect on sexual arousal or the accuracy of its estimation.