Sterilization: Whose Right to Choose?

As there is presently no safe, freely available and fully effective mode of contraception, voluntary sterilization remains a matter of importance in this sphere. The legal right to such a choice has slowly evolved and it now seems clear that there is no legal barrier to such a choice by a competent adult. Yet, at a practical level, it seems that hospitals and medical practitioners will not readily accede to a request by an individual for such an operation and usually insist on the consent of the spouse if the person is married. The disparity between the law and existing practice is examined. It is argued that an adult individual should basically have a right to determine what shall be done with his own body, and that the onus is heavily on those who exceptionally seek to justify intervention.     

A Translation and Validation Study of the Life Orientation Test Revised in the Greek Speaking Population of Nurses among Three Hospitals in Athens and Ioannina

The life orientation test-revised (LOT-R) (Scheier et al. in Journal of Personality and Social Psychology 67:1063–1078, 1994) is a brief measure for assessing dispositional optimism. The aim of this study was to develop a Greek language version of the LOT-R and to assess the instrument’s psychometric properties. The LOT-R was translated and culturally adopted in Greek language, and the final version was administered, along with a questionnaire consisting socioeconomic characteristics and a single item measuring optimism, to 276 Greek speaking, hospital nurses (222 female, 54 male), aged 22–65 years (mean 37.8, SD 8.3). Results showed that the LOT-R has good internal consistency (Cronbach’s α = .71 and item total correlation coefficients from .27 to .73, a unitary structure, and stability over a 3-months period (r = .66). Moreover, the Greek version of the scale exhibited good convergent validity with single-item optimism scale (r = .73). Principal components analysis revealed a two-factor structure representing the constructs of optimism and pessimism. The Greek life orientation test revised appears to be a valid tool in assessing dispositional optimism in Greek speaking people and is expected to facilitate the examination of optimism in Greek speaking populations.     

The impact of mortality development on the number of centenarians in England and wales

The world is ageing both at an individual and a population level, and population ageing is truly a global phenomenon. Life expectancies at birth have increased at the global level from 47 years in the mid-20th century to around 70 years today, and are expected to rise to 76 years by the mid-21st century. The proportion of the world’s population aged 60 years and over has increased from 8 % in the mid-20th century to 12 %, and by 2050 it is expected to reach 21 %. The emergence of large numbers of centenarians has accompanied this development. This paper outlines this emergence historically and the likely growth in the number of centenarians in the 21st century, in particular in England and Wales, analysing mortality trends since 1840 and the rise in the number of centenarians in the 20th and 21st centuries. The number of centenarians in England and Wales increased from around 160 in 1922 to almost 12,500 by 2012, but if mortality at all ages had remained constant from 1912 to 2012, then by 2012 the number of centenarians would only have been around 720. By 2100, the number of centenarians is expected to reach around 1.4 million, but if future mortality at all ages were to remain constant, then by 2100 the number of centenarians would be around 78,000. However, if predicted mortality for those aged 55 years and over was to decrease by an additional 5 % every 5 years until 2100, then the number of centenarians in England and Wales would reach around 1.8 million by the end of the century.     

Seroadaptive Strategies of Vancouver Gay and Bisexual Men in a Treatment as Prevention Environment

British Columbia’s treatment as prevention policy has provided free access to highly active antiretroviral therapy (HAART) to all HIV-positive provincial residents since 1996. One outcome is an increase in HIV-positive gay and bisexual men (GBM) with suppressed viral loads. Previous cross-sectional analyses indicated that some Vancouver GBM now recognize condomless anal sex with men on HAART who report a suppressed viral load as a seroadaptive strategy. To test the hypothesis that this new strategy, termed viral load sorting (VLS), is recognized and used among by GBM in the Momentum Health Study, we analyzed longitudinal data for HIV-negative/unknown (n = 556) and HIV-positive (n = 218) serostatus participants. Analyses indicated that both groups reported VLS, and that serostatus and Treatment Optimism Scale scores were significant determinants in frequency and use. Results exemplify the medicalization of sex and Rogers’ Diffusion Of Preventative Innovations Model, and they have important implications for HIV research and GBM sexual decision-making.     

Trust in American Government: Longitudinal Measurement Equivalence in the ANES, 1964–2008

For over 50 years (1958–2012) the American National Election Studies (ANES) survey has been measuring citizens’ evaluations of the trustworthiness of the “government in Washington”—an indicator that has been widely used to monitor the dynamics of political trust in the US over time. However, a critical assumption in using attitudinal constructs for longitudinal research is that the meaning-and-interpretation of such items should be comparable across groups of respondents at any one point in time and across samples over time. Using multigroup confirmatory factor analysis for ordered-categorical data, we test the measurement equivalence assumption with data collected by the ANES from 1964 to 2008. The results confirm that the ANES’ political trust scale has the same basic factorial structure over time. But for two key items, several threshold parameters were found to be different across time points, indicating that the meaning-and-interpretation of these questions, and especially the question about whether the government in Washington wastes money that people pay in taxes, varies significantly over time.

     

Kumaraswamy Marshall-Olkin Exponential distribution

In this paper, a new generalization of the Kumaraswamy distribution namely, the Kumaraswamy Marshall-Olkin Exponential distribution (KwMOE) is introduced and studied. Various properties are explored. The structural analysis includes various aspects such as limiting behaviour, shape properties, moments, quantiles, mean deviation, Renyi entropy, order statistics and stochastic ordering. Some useful characterizations of the family are also obtained. The method of maximum likelihood is used to estimate the model parameters. Monte Carlo simulation study is being conducted. An application to a real data set is presented for illustrative purposes.     

Mixture structure analysis using the Akaike Information Criterion and the bootstrap

Given i.i.d. observations x1,x2,x3,...,xn drawn from a mixture of normal terms, one is often interested in determining the number of terms in the mixture and their defining parameters. Although the problem of determining the number of terms is intractable under the most general assumptions, there is hope of elucidating the mixture structure given appropriate caveats on the underlying mixture. This paper examines a new approach to this problem based on the use of Akaike Information Criterion (AIC) based pruning of data driven mixture models which are obtained from resampled data sets. Results of the application of this procedure to artificially generated data sets and a real world data set are provided.     

The limitations of using school league tables to inform school choice

Summary. In England, so-called 'league tables' based on examination results and test scores are published annually, ostensibly to inform parental choice of secondary schools. A crucial limitation of these tables is that the most recent published information is based on the current performance of a cohort of pupils who entered secondary schools several years earlier, whereas for choosing a school it is the future performance of the current cohort that is of interest. We show that there is substantial uncertainty in predicting such future performance and that incorporating this uncertainty leads to a situation where only a handful of schools' future performances can be separated from both the overall mean and from one another with an acceptable degree of precision. This suggests that school league tables, including value-added tables, have very little to offer as guides to school choice.