Building Health Insurance Literacy: Evidence from the Smart Choice Health Insurance™ Program

With the passage of the Patient Protection and Affordable Care Act (ACA) of 2010, the health insurance literacy of Americans became a critical issue. In response, a consumer education program was created and tested by university researchers and educators associated with Cooperative Extension. This article draws extensively on the emerging literature on health insurance literacy and on data from participants in the Smart Choice Health Insurance? program. The intent of the study was to understand socio-demographic and environmental variables that predict initial health insurance literacy and gains in health insurance literacy. A standardized instrument measuring health insurance literacy was used to collect the data. Multivariate analysis showed higher income consumers demonstrated greater initial health insurance literacy scores compared to middle income consumers, whereas younger, male and lower educated consumers reported lower initial health insurance literacy. After participating in the Smart Choice Health Insurance? program, consumers who made greater gains in their health insurance literacy tended to be female, higher income, and consumers residing in states that showed supportiveness of the ACA. The findings highlight the importance of considering sociodemographic characteristics in program design and delivery, as well as how contextual issues, such as the political environment, might impact the delivery of educational efforts. Findings from the analyses help inform ways to adapt and tailor educational opportunities that focus on health insurance literacy for a range of consumers.     

Parallel inference for massive distributed spatial data using low-rank models

Due to rapid data growth, statistical analysis of massive datasets often has to be carried out in a distributed fashion, either because several datasets stored in separate physical locations are all relevant to a given problem, or simply to achieve faster (parallel) computation through a divide-and-conquer scheme. In both cases, the challenge is to obtain valid inference that does not require processing all data at a single central computing node. We show that for a very widely used class of spatial low-rank models, which can be written as a linear combination of spatial basis functions plus a fine-scale-variation component, parallel spatial inference and prediction for massive distributed data can be carried out exactly, meaning that the results are the same as for a traditional, non-distributed analysis. The communication cost of our distributed algorithms does not depend on the number of data points. After extending our results to the spatio-temporal case, we illustrate our methodology by carrying out distributed spatio-temporal particle filtering inference on total precipitable water measured by three different satellite sensor systems.     

Work-family conflict in comparative perspective: The role of social policies

This study focuses on the role of social policies in mitigating work-family incompatibilities in 27 countries. We ask whether work-family conflict is reduced in countries that provide family-friendly policies and flexible employment arrangements, and whether women and men are similarly affected by such policies. The study, based on the ISSP 2002, demonstrates considerable variation among countries in the perceived work-family conflict. In all but two countries, women report higher levels of conflict than men. At the individual level, working hours, the presence of children and work characteristics affect the perception of conflict. At the macro level, childcare availability and to a certain extent maternity leave reduce women's and men's sense of conflict. Additionally, the availability of childcare facilities alleviates the adverse effect of children on work-family balance for mothers while flexible job arrangements intensify this effect.     

The Effects of the Political Environment On Public Relations in Bulgaria

The purpose of this article is to examine the relationship between Web characteristics and perceptions toward relational components. A 2 (low interactivity and high interactivity) x 2 (text-oriented and multimedia-oriented) between-group experiment was designed with 197 participants to investigate this question. The outcomes showed that interactivity has significant effects on relationship building. However, the interaction effects between interactivity and medium arrangement suggest that nonessential arrangement of interactivity and multimedia did not enhance positive perceptions of relationships with the organizations. Interactivity, however, showed that the main effect, multimedia orientation, did not. The application of interactivity on the Web was discussed for better relationship building.     

Predictors of retention in an alcohol, tobacco, and other drug prevention study

This article explored retention patterns, as well as factors that predicted these patterns, in the evaluation of a relationship-based substance abuse prevention intervention study that targeted inner-city African American youth. A total of 851 contacts were made to retain 82% (n = 104) of the baseline sample (N = 127) in the evaluation. Results from multinomial regression analyses indicated that participants who were retained in the evaluation were more likely to perceive alcohol, tobacco, and other drug use as less risky and were more likely to report higher levels of family supervision than were evaluation attrits. Those who were easy to retain reported lower family conflict and fewer family relocations during the past year than those who were difficult to retain. Implications of these findings for developing retention strategies, as well as future research, are discussed.     

Estimation of Current-Quarter Gross National Product by Pooling Preliminary Labor-Market Data

Two methods of using labor-market data as indicators of contemporaneous gross national product (GNP) are developed. The establishment survey data are used by inverting a partial-adjustment equation for hours. A second GNP forecast can be extracted from the household survey by using Okun's law. Using preliminary rather than final data adds about .2 to .4 percentage point to the expected value of the root mean squared errors and changes the weights that the pooling procedure assigns to the two forecasts. The use of preliminary rather than final data results in a procedure that assigns more importance to the Okun's-law forecast.     

Fear of Intimacy and Hardiness Among Single Mothers by Choice: A Comparison to Divorced and Married Mothers

The phenomenon of nonmarital motherhood among upper-middle-class, educated women has increased dramatically over the last few decades in most industrialized countries. The purpose of the current research is to examine how women who elect nonmarital motherhood compare with women who elect other family configurations with respect to their personality characteristics. This research compares the fear of intimacy in close heterosexual relationships and hardiness of 61 single mothers by choice to that of 53 divorced and 60 married mothers in Israel. The findings indicate that single mothers by choice have a significantly higher level of fear of intimacy in heterosexual relationships compared to married mothers. No significant differences were found between the three groups of mothers in hardiness. Limitations and implications of the findings are discussed.     

Human Development Education for Social Workers in Multicultural Societies

In many countries, social workers are faced with the challenge of tailoring their practice to the diverse needs of children and families in multicultural realities. Our training and teaching practices, however, lag behind in their readiness to face this challenge. Attempts to reconcile cultural perspectives and postmodernism with the traditional goals of human development education are generally premised on the following assumptions: (a) postmodernist education fosters the ability to think critically and question assumptions underlying claims to knowledge; (b) theories should be evaluated for their usefulness and applicability to a more equitable society; and (c) a dialogic model of education in human development highlights the ‘inherently polysemous’ nature of human existence rather than transmitting a codified body of knowledge. The paper calls attention to the challenges of cross‐cultural psychology, indigenous psychology and postmodern critique and offers the means of confronting these challenges. Examples are based on teaching experiences in Israel and the US.