Birth Outcome Measures and Infant Mortality

Recent studies have proposed alternative birth outcome measures as means of assessing infant mortality risk; nevertheless, there hasn’t yet been an integrated analysis of these approaches. We review 14 strategies, including various combinations of birth weight, gestational age, fetal growth rate, and Apgar scores—as predictors of early neonatal, late neonatal, and postneonatal mortality, and infant mortality. Using the NCHS linked birth/infant death file for 2001, we construct multivariate logit models and assess the associations between each of the 14 key birth outcome measures and four mortality outcomes. We find that all evaluated birth outcome measures are strong predictors, but Apgar scores are the strongest among all models for all outcomes, independent of birth weight and gestational age. Apgar scores’ predictive power is stronger for Mexican-, white-, and female-infants than for black- and male-infants. Second, all birth outcome measures remain significantly associated with mortality, but their predictive power reduces drastically over time. These findings suggest a rule of thumb for predicting infant mortality odds: when available, Apgar scores should always be included along with birth weight (or LBW status) and gestational age. Additionally, these findings argue for the continued study of low birthweight, gestational age, and Apgar scores as independently salient health outcomes.     

Psychometric Evaluation of the Hebrew Language Version of the Satisfaction with Life Scale

The satisfaction with life scale (SWLS) is a widely accepted and widely used tool for measuring well-being. Although its potential as a cross-cultural index is recognized, an introduction and systematic validation of the Hebrew version is needed. Thus, the purpose of this study is: (1) to describe the process of developing the Hebrew version of the SWLS, and (2) to examine its construct validity as well as its internal consistency. Four hundred and eighty seven working adults completed the following self reported Hebrew language versions of the: (1) SWLS, (2) positive affect and negative affect scales (PANAS), and (3) the self-rated health (SRH) scale. In addition, as way of gathering additional evidence of validity, the SWLS was completed by proxy (i.e., each participant’s life partner or significant other). Confirmatory factor analysis supported a single-factor structure with significant correlations between the SWLS and the rest of the measures—PANAS scores, the SRH scores as well as the SWLS scores as measured by proxy. In addition, item-analysis supports the internal consistency of the scale. The Hebrew version of the SWLS is a valid and reliable scale and can be utilized in the Israeli context.     

Trajectory of Life Satisfaction and its Relationship with Subjective Economic Status and Successful Aging

The aim of the study was to explore the relationship between subjective economic status and indicators of successful aging to life satisfaction trajectories among the elderly in Taiwan. Data were from the four waves of “Survey of Health and Living Status of the Elderly in Taiwan”. Hierarchical linear modeling was conducted. Subjective economic status was measured by childhood economic status and time-varying economic satisfaction. Time-varying physical, mental, and social successful aging variables and demographics were also used to describe the trajectory of life satisfaction. Life satisfaction showed a slightly decreasing but generally stationary trend across time. The concurrent economic satisfaction was associated with life satisfaction trajectory, but childhood economic status was not significant. The time-varying depressive symptoms, cognitive function and social support were related to the life satisfaction trajectory. Policy on the elderly should take particular account of the economic security, mental health, and social support of the elderly.     

Arts and the Perceived Quality of Life in British Columbia

The aims of this investigation were (1) to measure the impact of arts-related activities on the perceived quality of life of a representative sample of British Columbians aged 18 years or more in the spring of 2007, and (2) to compare the findings of this study with those of a sample of 1,027 adults drawn from five B.C. communities (Comox Valley, Kamloops, Nanaimo, Port Moody and Prince George) in the fall of 2006. Seven hundred and eight British Columbians responded to a mailed out questionnaire, and the working data set was weighted by age and education to match the 2006 census statistics for the province, yielding a fairly representative sample. Speaking quite generally, about 62.0% of the results for the two samples are very similar. In particular, in both surveys we found that (a) among arts-related activities in which people participate relatively infrequently (i.e., participation is counted in times per year rather than in hours per week), live theatre is supreme in the strength of its positive correlation with respondents’ perceived quality of life measured in 7 different ways, and (b) compared to 4 demographic variables (age, education, household income and body mass index), household income had the highest average, positive correlation with 7 different measures of respondents’ overall life assessments, namely, self-assessed general health, satisfaction with life as a whole (single item), happiness, satisfaction with the quality of life, satisfaction with life as a whole (5-item index), contentment with life (5-item index) and subjective wellbeing (4-item index). Different results were found in the province-wide versus the five-communities survey for the following, among other things, (a) compared to all 7 life assessment measures, for the province, satisfaction with the quality of life and happiness had the largest number of significant correlations with arts-related activities measured in hours per week engaged, while for the five communities, the single measure of satisfaction with the quality of life had the largest number of significant correlations, and (b) For the province, compared to all 7 life assessment measures, satisfaction with the quality of life had the largest number of significant correlations with arts-related activities measured in times per year engaged; for the five communities, compared to all 7 life assessment measures, self-assessed general health had the largest number of significant correlations with arts-related activities measured in times per year engaged.     

Small Area Indices of Multiple Deprivation in South Africa

This paper presents the Provincial Indices of Multiple Deprivation that were constructed by the authors at ward level using 2001 Census data for each of South Africa’s nine provinces. The principles adopted in conceptualising the indices are described and multiple deprivation is defined as a weighted combination of discrete dimensions of deprivation. The methodological approach used is outlined and key findings are presented for one province—the Eastern Cape. The paper summarises the ways in which the research is being developed further and the potential uses of these tools for policy and research.     

Sri Lankan female domestic workers overseas: mothering their children from a distance

Sri Lanka is one of three countries in Asia, along with the Philippines and Indonesia, where women migrants constitute between 60 and 70% of legal migrants; these female migrants are mainly employed overseas as domestic workers. Since the 1980s, the out-migration of Sri Lankan females for employment abroad surpassed that of males and the major destination has been countries in the Middle East. The majority of these women are married and have at least one child; they leave their children in the care of other family members in their absence. While they usually make arrangements to accommodate the spatial separation forced by migration, their migration poses many challenges to themselves and their children left behind. Recently, the issue of children left behind by migrant mothers has attracted growing attention from policy makers in Sri Lanka. Since the social and emotional ramifications of mothering from a distance and how these mothers cope with them are inadequately investigated, this article uses data collected from a 2008 survey of 400 Sri Lankan female migrant families to examine the effects of mothers’ migration on how they are mothering their children from a distance, and how they perceive the effects on their children. The article concludes with some suggested policy recommendations.     

Semantic analysis of natural language processing in a study of nurse mobility in the Northern Territory,Australia

In lieu of diverse consequences in the demand and supply of health care professionals such as nurses and midwives in Australia and the world, a firm understanding of the characteristics of staff mobility and the factors influencing their retention could lead to achieving enhanced service delivery, greater job satisfaction, and the establishment of a more stable and robust workforce. The research reported in this paper attempts to shed light on qualitative aspects of mobility in health care professional staff in the Northern Territory of Australia. It builds upon an existing survey study of the quantitative factors that determine why nurses and midwives come to the Northern Territory, why some stay and why many leave, by analysing additional qualitative textual responses of participants using semantic network approaches to natural language processing. Our results illustrate the methodological and policy significance of semantic approaches to knowledge acquisition and representation, especially in complementing findings of traditional survey analysis techniques, and in analysing the broader social settings, effects and consequences of staff retention and mobility.     

Does generosity beget generosity? The relationships between transfer receipt and formal and informal volunteering

This paper examines whether receipt of public or private assistance is associated with recipients’ own generosity in the form of formal and informal volunteering. Using matched data from the 2007–2011 American Time Use Survey and the Annual Social and Economic Supplement to the Current Population Survey, this paper finds that receipt of private assistance from friends and relatives is negatively associated with the time women spend caring for non-household adults and the time men spend caring for non-household children. Receipt of public assistance is found to be negatively associated with men’s care of non-household adults. No associations are found between either type of assistance and time spent volunteering for a formal organization.     

The Effects of Merit-Based Scholarships on Educational Outcomes

This paper analyzes the effect of a statewide merit-based scholarship program on educational outcomes in Arizona. It tests whether Arizona’s Instrument to Measure Standards (AIMS) scholarship has an effect on a comprehensive set of educational outcomes such as the number of applicants, student admissions, first-year first-time enrollment, ACT scores of entering freshman, retention rates, as well as on the level of tuition and fees at the three schools targeted by the program; Arizona State University, University of Arizona and Northern Arizona University. Both difference-in-differences estimation as well as synthetic control methods shows that AIMS has an economically and statistically significant effect enrollment. Enrollment effects are greatest among African American and Hispanic students and are significant for both men and women. While point estimates suggest that AIMS also lead to increases in tuition and fees, these results are not robust to placebo tests.