Are there crisis-led fertility declines? Evidence from central Cameroon

Past demographic transitions have beenobserved with and without economic progress, but thereis little empirical record of crisis-driven fertilitytransitions. In recent years, several authors haveargued that conditions for such transitions are met inAfrican countries under economic crisis and structuraladjustment. Using retrospective family histories,this study examines fertility responses to crisis inCameroon, a country with a particularly abrupteconomic reversal. The thesis of a crisis-led declineis tested on the basis of five criteria includingtiming of the decline, statistical and substantivesignificance, rural-urban response differentials andsocial salience. Findings are consistent with acrisis-led effect.     

Depression screening,education, and treatment at the workplace: A pilot study utilizing the CDC Health Scorecard

Depression is a significant health issue for many Americans, ranking among the top worksite issues resulting in referrals to Employee Assistance Programs (EAPs) with prevalence rates in the working population of more than 6%. This study was part of a larger statewide assessment conducted using the Centers for Disease Control and Prevention (CDC) Worksite Health Scorecard. The purpose of this study is to examine the number of Kentucky workplaces currently offering screening, education, and treatment related to depression. The study also aims to compare the number of Kentucky workplaces offering these elements by size and industry type. The one-time, cross-sectional assessment surveyed a random sample of 1,200 worksites to examine worksite offerings of screening, education, counseling, management training, and health insurance coverage related to depression. Results showed that the majority of worksites do not provide employee depression screening, education and counseling, management training on identifying warning signs of depression, or comprehensive treatment and follow-up for employees with depression. Smaller worksites (<250 employees) were even less likely than larger companies to provide screening, education, counseling, training, and insurance coverage for depression. Increasing the provision of these wellness components at the worksite has potential to improve the quality of life for employees and reduce the financial burden to employers.     

America’s Churning Races: Race and Ethnicity Response Changes Between Census 2000 and the 2010 Census

A person’s racial or ethnic self-identification can change over time and across contexts, which is a component of population change not usually considered in studies that use race and ethnicity as variables. To facilitate incorporation of this aspect of population change, we show patterns and directions of individual-level race and Hispanic response change throughout the United States and among all federally recognized race/ethnic groups. We use internal U.S. Census Bureau data from the 2000 and 2010 censuses in which responses have been linked at the individual level (N = 162 million). Approximately 9.8 million people (6.1 %) in our data have a different race and/or Hispanic-origin response in 2010 than they did in 2000. Race response change was especially common among those reported as American Indian, Alaska Native, Native Hawaiian, Other Pacific Islander, in a multiple-race response group, or Hispanic. People reported as non-Hispanic white, black, or Asian in 2000 usually had the same response in 2010 (3 %, 6 %, and 9 % of responses changed, respectively). Hispanic/non-Hispanic ethnicity responses were also usually consistent (13 % and 1 %, respectively, changed). We found a variety of response change patterns, which we detail. In many race/Hispanic response groups, we see population churn in the form of large countervailing flows of response changes that are hidden in cross-sectional data. We find that response changes happen across ages, sexes, regions, and response modes, with interesting variation across racial/ethnic categories. Researchers should address the implications of race and Hispanic-origin response change when designing analyses and interpreting results.     

Health care professionals' perspectives on barriers to elder abuse detection and reporting in primary care settings

The purpose of this study was to explore health care professionals' perspectives on elder abuse to achieve a better understanding of the problems of reporting and to generate ideas for improving the detection and reporting process. Through a mailed survey, nurses, physicians, and social workers were invited to participate in an interview. Nine nurses, 8 physicians, and 6 social workers were interviewed, and thematic analysis was used to identify the following core themes: preconceptions, assessment, interpretation, systems, and knowledge and education. Participants suggested a reorganization of the external reporting system. More frequent and pragmatic education is necessary to strengthen practical knowledge about elder abuse.     

Building bridges: the interface between adult mental health and child protection

Bringing together two distinct professional systems such as adult mental health and child protection challenges our strategies for making effective working together/working in partnership arrangements. And yet failures to make these arrangements increase the risk for children who may be suffering or likely to suffer significant harm as an outcome of their parents'/carers' mental health problems. This paper offers an analysis of the challenges inherent in bringing these systems together at the assessment interface, and offers some insights into the contribution each system can make to an integrated assessment process for children and their families. Copyright © 1999 John Wiley & Sons, Ltd.     

Preschool-aged children's responses to unfairness and subsequent sharing behavior in dyadic contexts

Recent research implicates the importance of social and contextual factors in children's fair behavior. Here, we explored the social and emotional influences that might contribute to fair behavior in young children. We examined 79 pairs of 3- to 5-year-old children (N = 158; 85 female; M = 4.3 years; Range = 3.03–5.54) in a naturalistic sharing interaction to measure their verbal, emotional, and behavioral responses to an unfair distribution of rewards, as well as their subsequent sharing behavior. Children who received fewer rewards responded verbally, behaviorally, and emotionally as predicted, protesting the unfair distribution. However, children who received more rewards either failed to notice their partner's responses, or they failed to consider these responses when given the chance to behave prosocially and correct the unfair distribution. The only cue that predicted prosociality was a negative affective response from the disadvantaged peer.     

The Gender Gap in Attitudes About Childlessness in the United States

Acceptance of childlessness has increased since the 1970s, with women reporting greater acceptance than men. Using the National Survey of Families and Households (1987 – 1988; N = 10,648) and the General Social Survey (1994; N =1,395), we examined this gender gap as it relates to both structural and sociocultural factors, including religion, gender attitudes, and other attitudes about gender and family. Women were more likely than men to hold positive attitudes about childlessness, and women’s less traditional attitudes about marriage, gender equality, and women’s employment only partially explained this difference. In the childbearing ages, positive attitudes were strongly related to intentions to remain childless and showed a greater gender gap at higher education levels. The findings highlight important differences in men’s and women’s experiences of family, work, and gender issues.     

Current Views on the Oral Bioavailability of Inorganic Mercury in Soil: Implications for Health Risk Assessments

Due to the presence of mercury at a number of major contaminated sites in the United States, the bioavailability of inorganic mercury in soil following ingestion has emerged as an important public health issue. Studies of the leachability/solubility of inorganic mercury in soil have shown that it is largely immobile, thereby suggesting that it will not be readily available for absorption in the gastrointestinal tract. Ignoring the effect of the soil matrix on decreasing bioavailability may result in a substantial overprediction of risks due to ingestion of contaminated soil. This paper discusses current knowledge about the oral bioavailability of inorganic mercury in soil and offers suggestions about how these data may be applied in human health risk assessment. Though precise estimates are not available, in vivo and in vitro estimates of the bioavailability of different inorganic mercury species in different matrices suggest that the bioavailability of mercury in soil is likely to be significantly less, on the order of at least three- to tenfold, than the bioavailability of mercuric chloride, the species used to derive the toxicity criteria for inorganic mercury. Because bioavailability can vary significantly with soil type, soil aging, the presence of co-contaminants and other factors, it is suggested that whenever the fiscal aspects justify a more precise estimate of bioavailability, site-specific estimates be developed. To develop a database for identifying a less expensive and more efficient method for estimating bioavailability, it is suggested that in vivo studies be conducted concurrently with in vitro studies. However, due to the lack of precision associated with the derivation of the most widely-used health guidance value for inorganic mercury (the US EPA RfD), additional work to address the uncertainties in the RfD is recommended.     

Efficiencies in Variance Estimation for Complex Survey Data

Data from complex survey designs require special consideration, with regard to variance estimation and analysis, because of design components that include unequal selection probabilities, stratification, and clustering. Using data from the National Medical Care Expenditure Survey, which is characterized by a complex survey design, four variance estimation programs are compared: SESUDAAN/RATIOEST, SUPERCARP, PSALMS, and HESBRR. The comparisons concentrate on program capabilities, computational efficiency, and user facility.