Risk Assessment for Hospital-Acquired Diseases: A Risk-Theory Approach

We introduce a new approach to hospital-acquired disease risk assessment from public health databases. In a spirit similar to actuarial risk theory, we define an adjustment coefficient that can quantify the risk associated with a hospital department, allowing comparisons of similar departments. The adjustment coefficient characterizes the tail of the distribution of the total patient length of stay in a department before the first disease event occurs. We show that this coefficient is the solution of a Lundberg-like equation, and we provide a nonparametric estimation procedure for this measure, based on a Cramér-Lundberg approximation for the tail of the distribution. Using simulations, we provide evidence of the robustness of the approximation to various individual risk models. In addition, we illustrate the relevance of this approach by evaluating the risk associated with a standard patient safety indicator in 20 hospitals of southeastern France.     

Oppositional Girlhoods and the Challenge of Relational Politics

Over the last five years, scholars from a wide variety of disciplines have problematized the discourse of “adolescent female exceptionalism” (Switzer in Fem Theory 14(3):345–360, 2013, p. 4) popularized by the NIKE Foundation’s Girl Effect. Arriving at similar conclusions, scholars point to the artificial neocolonial divisions between ‘the West’ and ‘the rest’ of the world animated by an ‘invest in girls’ logic. This paper endeavors to move beyond the “oppositional girlhoods” (Bent in Sociol Stud Child Youth 16(1):3–20, 2013a, p. 7) bind of girl effects discourse to propose that differentially positioned and experienced girlhoods might be better understood as transnational, relational cultural formations. Drawing from our empirical research with girls in North America and Sub-Saharan Africa, we consider the implications of girls’ increasing global visibility as the ‘saviors of humanity’ from different geopolitical contexts. We then go further to suggest the oppositional girlhoods frame assumes reductive, apolitical, and ahistorical claims of divergence between girlhoods in the Global North and Global South “with highly unequal effects” (Gonick et al. in Girlhood Stud 2(3):1–9, 2009, p. 3). By countering the normative construction of global girlhoods as mutually exclusive forms of personhood and historical experience, our project authorizes a new understanding of girlhoods as mutually constituted and relationally contingent. It is from within this relational framework that we propose new directions for thinking about girlhoods transnationally.     

Characteristics of children in residential treatment in New York State

This study addresses three questions about the population of children and families served in the highest level of care in the child welfare system in New York State residential treatment centers (RTCs): (1) How prevalent are emotional and behavioral problems in the youth entering RTCs? (2) Has the proportion of youth with such problems increased compared to 10 years ago? (3) Are there identifiable subgroups of youth entering RTCs? One-fourth of RTC admissions in fiscal year 2001 were randomly selected from a representative sample of 16 RTCs. The study completed a standardized data collection instrument based on a review of agency records, and included information that was known at the time each child was admitted. The results show significant increases compared to t10 years earlier in the proportion of youth with mental health problems and juvenile justice backgrounds. The findings suggest that youth who traditionally have been served by other systems of care are now being served in the child welfare system. The increased treatment needs of these youth and the heterogeneity of the RTC population have important implications for policies, programs, and practice.     

Environmental changes to increase physical activity: perceptions of older urban ethnic-minority women

Despite the numerous benefits of physical activity, older adults continue to be more sedentary than their younger counterparts, and sedentary behavior is more prevalent among older racial and ethnic minorities than among Whites. This study used the nominal group technique (NGT) to examine participants' perceptions of what neighborhood environmental changes would encourage greater physical activity for older African American and Hispanic women. Participants age 50-75 years were recruited from 2 urban community health clinics. Nine NGT sessions (45 participants) were conducted. The women were asked what changes in their neighborhood environment would encourage them to become more physically active. Responses to the research question were tabulated, and qualitative analysis was used to identify themes and categories. Major categories were physical environment changes, safety, and activities/social support. Although the physical environment received the greatest number of points, concerns for personal safety cut across categories. Participants indicated the need for more facilities in which to be active.     

The increase in marital status differences in mortality up to the oldest age in seven European countries, 1990-99

We investigate mortality differentials by marital status among older age groups using a database of mortality rates by marital status at ages 40 and over for seven European countries with 1 billion person-years of exposure. The mortality advantage of married people, both men and women, continues to increase up to at least the age group 85-89, the oldest group we are able to consider. We find the largest absolute differences in mortality levels between marital status groups are at high ages, and that absolute differentials are: (i) greater for men than for women; (ii) similar in magnitude across countries; (iii) increase steadily with age; and (iv) are greatest at older age. We also find that the advantage enjoyed by married people increased over the 1990s in almost all cases. We note that results for groups such as older divorced women need to be interpreted with caution.     

Win–win urban ecology: near-home fishing promotes diversity of Odonata

Urban Ecosystems - It is generally thought that increased human activity or infrastructure automatically translates to decreased wildlife activity or abundance. We surveyed dragonflies and...     

Effects of demography and urbanization on stress and body condition in urban white-tailed deer

Urban Ecosystems - White-tailed deer (Odocoileus virginianus) are becoming increasingly common in urban environments. How they respond to potential changes (i.e. increased human interactions,...     

“Shifting the Power”: Youth Activists’ Narrative Reframing of the Immigrant Rights Movement

This article explores collective efforts by undocumented youth activists to use storytelling to reframe the debates around immigration reform and discursively position themselves as the rightful leaders of a movement that had been dominated by adult citizen‐advocates. Drawing on 19 months of fieldwork, 37 in‐depth interviews, and hundreds of pages of movement documents, I show how youth activists in the United States worked together to develop stories that: (1) drew into question the legitimacy of adult citizen‐advocates to speak on issues of immigration and (2) cast undocumented immigrant youth as the proper authorities on these matters. I argue that through collective storytelling and character work, the activists were able to subvert adult citizen authority and construct themselves as powerful, new collective actors in the contemporary immigrant rights movement. I conclude by discussing some of the practical implications and limitations of using narrative reframing strategies to advance the social change agendas of marginalized movement factions.     

Legitimacy without Mobilization? How Social Justice Organizations Defend their Democratic Credentials

Qualitative Sociology - This article examines how and with what consequences social justice organizations defend their legitimacy as democratic representatives, especially in circumstances where...     

Patterns of alcohol use and marijuana use among students at 2- and 4-year institutions

Objective: The objective of this study was to understand substance use patterns of alcohol, marijuana, and simultaneous alcohol and marijuana (SAM) use among 2- and 4-year college students. Participants: Participants were 526 young adults aged 18–23 (n?=?355 4-year students; n?=?171 2-year students) recruited from February 2015 to January 2016 who were participating in a larger longitudinal study. Methods: Latent class analysis (LCA) was used to identify past-month classes of alcohol, marijuana, and SAM use. Results: Among both 2- and 4-year students, a four-class solution yielded the best-fitting model, with 2-year classes tending to include greater marijuana use and less alcohol use and 4-year classes tending to include heavy alcohol use. Demographic characteristics were largely similar across classes. Conclusions: Classes of alcohol, marijuana, and SAM use differed by education status. Screening and prevention efforts for 4-year students may need to be tailored for the needs of 2-year students.