Closing the Loophole: A Case Study of Organizing for More Equitable and Affordable Access to Health Care in San Francisco

This paper presents in-depth case study of a successful hybrid political and community organizing campaign to ensure equitable access to health care through the perspective of a grassroots San Francisco community-based organization, the Chinese Progressive Association (CPA), which has been organizing low-income Chinese immigrants for over four decades. First, it outlines the Health Care Security Ordinance (HCSO), which, since its passage in 2006, has established a near-universal health care access program, helping to make health care accessible and affordable to individuals living and working in San Francisco. Then it presents the campaign to save the HCSO, focusing on CPA’s participation in the HCSO coalition. Finally, it discusses health care as it relates to the San Francisco’s affordability crisis and the political economic context in which it is taking place. Despite the limitations inherent in small case studies like this one, it nevertheless provides a valuable opportunity to better understand how one politically progressive city attempted to address the problem of grossly inequitable health care access through the lens of community organizing, advocacy, and coalition building. San Francisco, like many major American cities today, is being confronted with rapid gentrification and growing economic inequality—the backdrop to the HCSO. Through innovative experiments in social responsibility like the HCSO, however, the city has made leaps in health care access. It concludes with lessons learned from local organizing and advocacy to save the HCSO as these may inform other local efforts to promote health care for all.     

A Novel Approach to Chemical Mixture Risk Assessment—Linking Data from Population‐Based Epidemiology and Experimental Animal Tests

Humans are continuously exposed to chemicals with suspected or proven endocrine disrupting chemicals (EDCs). Risk management of EDCs presents a major unmet challenge because the available data for adverse health effects are generated by examining one compound at a time, whereas real‐life exposures are to mixtures of chemicals. In this work, we integrate epidemiological and experimental evidence toward a whole mixture strategy for risk assessment. To illustrate, we conduct the following four steps in a case study: (1) identification of single EDCs (“bad actors”)—measured in prenatal blood/urine in the SELMA study—that are associated with a shorter anogenital distance (AGD) in baby boys; (2) definition and construction of a “typical” mixture consisting of the “bad actors” identified in Step 1; (3) experimentally testing this mixture in an in vivo animal model to estimate a dose–response relationship and determine a point of departure (i.e., reference dose [RfD]) associated with an adverse health outcome; and (4) use a statistical measure of “sufficient similarity” to compare the experimental RfD (from Step 3) to the exposure measured in the human population and generate a “similar mixture risk indicator” (SMRI). The objective of this exercise is to generate a proof of concept for the systematic integration of epidemiological and experimental evidence with mixture risk assessment strategies. Using a whole mixture approach, we could find a higher rate of pregnant women under risk (13%) when comparing with the data from more traditional models of additivity (3%), or a compound‐by‐compound strategy (1.6%).     

Adult protection and ‘intimate citizenship’ for people with learning difficulties: empowering and protecting in light of the No Secrets review

The government are consulting on the introduction of legislation to give professionals powers to enter the homes of ‘vulnerable adults’ where abuse is suspected and remove the ‘victim’ without their consent . This article considers the consequences of such legislation for the ‘intimate citizenship’ of people with learning difficulties who have capacity to consent to sexual relationships. Proposals of the consultation are considered in terms of their practical relevance, finding that changes can be made with better guidance, resources, policy implementation and a sound evidence base for adult protection. A case is made that proposals contravene human rights, mental capacity laws and the ethos of personalisation, increasing the focus on risk in practice. An ecological model of vulnerability is supported, which offers an approach that can prevent sexual abuse through empowerment without the need for new legislation.     

Friendship Influences During Early Adolescence: The Special Role of Friends' Grade Point Average

This study examines how a wide variety of diverse friendship group attributes affect changes in indicators of school performance, social behavior, and mental health between early seventh and late eighth grade. Nine hundred and one middle school students named their friends. Independent data from these friends were used to construct friendship groups that were then characterized in terms of their mean level on measures of academic performance, social behavior, psychological closeness, and structure. Two novel conclusions emerge from the study. First, nearly all the friendship effects are domain‐specific. That is, peer attributes in the school domain affect individual school performance outcomes, while peer attributes in the social behavior domain affect individual social behavior. Second, friends' grade point average (GPA) is the most powerful single friendship attribute. It has the largest total effect, the most consistent effects within its own school performance domain, and the sole reliable cross‐domain impact—on an index of negative social behavior that taps into acting out and drug use. The within‐domain peer effects mostly replicate past findings, though the methodological controls used here are more extensive than in past studies and so provide a stronger causal warrant.     

Who Experiences Leisure Deficits? Mothers' Marital Status and Leisure Time

The authors used the 2003 to 2012 American Time Use Survey to examine marital status variation in mothers' leisure time. They found that never‐married mothers have more total leisure but less high‐quality leisure when compared with married mothers. Never‐married mothers' leisure is concentrated in passive and socially isolated activities that offer fewer social and health benefits. Black single mothers have the highest amount of socially isolated leisure, particularly watching television alone. Results suggest that differences in the context and type of leisure are salient dimensions of the divergent and stratified life conditions of married, divorced, and single mothers.     

Abusive supervision and work–family conflict: The path through emotional labor and burnout

Building on the theoretical foundations of conservation of resources theory, this research provides insights into the relationship of abusive supervision with work–family conflict (work-to-family and family-to-work). Further, it is the first attempt to incorporate the emotional labor to burnout link as the mediating process between abuse and conflict. Using a sample of 328 individuals working fulltime we examined both the direct relationship of abuse with conflict as well as the indirect relationship through surface acting (emotional labor) and burnout. Our results suggest that abusive supervision influences conflict and the relationship is partially mediated through the surface acting to burnout path.     

Rural‐Urban Differences in Environmental Concern in Canada

Abstract Distinctions between rural and urban populations are well documented in environmental sociology literature. Rural and urban places may exert different influences on participation in environmentally supportive behavior (ESB) as well as on other forms of environmental concern (EC). The influence of these distinct geographies may be due to present circumstances or because of childhood socialization in these places. Using data from a national survey in Canada (n=51 664), we use cognitive (basic values, environmental worldview, and environmental attitude) and behavioral indicators (public and private sphere) of EC to explore differences among rural and urban populations and we include analyses accounting for place of socialization. We extend the conventional private sphere category of ESB by including stewardship behaviors. Results showed few differences between rural and urban residents on indicators of EC. Rural residents, however, scored higher on altruistic values, placed a higher priority on the environment, and reported higher participation in recycling and stewardship behaviors. Analysis that included place of socialization showed differences on environmental worldview, basic values, and some ESB. In terms of ESB, we conclude that residence and place of socialization may be less of a factor than opportunity and highlight the importance of providing services and facilities. We recommend future research on residence and ESB include a variety of behaviors that reflect opportunities for both rural and urban residents.