Eliciting Survival Expectations of the Elderly in Low-Income Countries: Evidence From India

We examine several methodological considerations when eliciting probabilistic expectations in a developing country context using the Longitudinal Ageing Study in India (LASI). We conclude that although, on average, individuals are able to understand the concept of probability, responses are sensitive to framing effects and to own versus hypothetical-person effects. We find that overall, people are pessimistic about their survival probabilities compared with state-specific life tables and that socioeconomic status does influence beliefs about own survival expectations as found in previous literature in other countries. Higher levels of education and income have a positive association with survival expectations, and these associations persist even when conditioning on self-reported health. The results remain robust to several alternative specifications. We then compare the survival measures with objective measures of health. We find that activities of daily life, height, and low hemoglobin levels covary with subjective expectations in expected directions.     

A residual-based test for autocorrelation in quantile regression models

Quantile regression (QR) models have been increasingly employed in many applied areas in economics. At the early stage, applications in the QR literature have usually used cross-sectional data, but the recent development has seen an increase in the use of QR in both time-series and panel data sets. However, testing for possible autocorrelation, especially in the context of time-series models, has received little attention. As a rule of thumb, one might attempt to apply the usual Breusch–Godfrey LM test to the residuals of a baseline QR. In this paper, we demonstrate analytically and by Monte Carlo simulations that such an application of the LM test can result in potentially large size distortions, especially in either low or high quantiles. We then propose a correct test (named the QF test) for autocorrelation in QR models, which does not suffer from size distortion. Monte Carlo simulations demonstrate that the proposed test performs fairly well in finite samples, across either different quantiles or different underlying error distributions.     

We're GRAND: a qualitative design and development pilot project addressing the needs and strengths of grandparents raising grandchildren

Custodial grandparents play a significant role in sustaining healthy families, but the caregiving is demanding. A social research design and development process informed a school district‐university partnership project responding to the needs of a group of custodial grandparents. Three phases of the project are described: (i) needs assessment; (ii) design and implementation of a psychoeducational group facilitated by social work faculty and a school district administrator; and (iii) evaluation of programme impact. Major themes from the needs assessment and evaluation are presented. Discussion highlights the need for school and family engagement, recognition of the significant changes in family role required for grandparents, and viewing custodial grandparents as leaders and engaged caregivers. The meaning of diversity in group intervention for this population is also explored.     

Daily use of sildenafil 50mg at night effectively ameliorates nocturia in patients with lower urinary tract symptoms associated with benign prostatic hyperplasia: an exploratory multicenter,double-blind,randomized, placebo-controlled study

Purpose: To compare the efficacy and safety of sildenafil 25?mg qd, 25?mg bid or 50?mg qd – on treating lower urinary tract symptoms with benign prostatic hyperplasia (LUTS/BPH).

Materials and methods: Men aged?>?45 years with LUTS/BPH were randomly assigned to receive sildenafil 25?mg qd (n?=?42), bid (n?=?41), 50?mg qd (n?=?38) or placebo (n?=?41) for 8 weeks. Changes from baseline in International Prostate Symptom Score (I-PSS), maximum urinary flow rate (Qmax) and postvoid residual urine volume (PVR) were assessed at week 4 and week 8.

Results: Sildenafil 25?mg qd (-7.3?±?5.8) and 25?mg bid (-7.0?±?5.7) exhibited significant improvements of I-PSS compared to placebo (-5.2?±?6.4) (p?=?0.020, 0.025, respectively). In particular, voiding domain was more affected than storage domain. Only sildenafil 50?mg qd improved nocturia significantly (versus placebo, p?=?0.027). Quality of life score was improved in all treatment groups. Q_max and PVR did not change significantly in all groups. All regimens were well tolerated.

Conclusions: Sildenafil 25?mg qd, 25?mg bid and 50?mg qd are safe and effective to improve LUTS/BPH in long term, along with coexisting ED. In particular, nocturia is most well-controlled by 50?mg qd.     

Brief Report: Who has a Sexual Agreement Among Mixed-Sex Partnered Adults in the U.S.?

Little is known about how common sexual agreements (SAs) are among mixed-sex couples. Data from 555 partnered, mixed-sex adults who completed a 1-time web survey were used to describe who had a SA in their current relationship and associated factors. Sixty-two percent reported having a SA. Having a SA was associated with identifying as bisexual or questioning, owning a smartphone, and recently having anal sex in the current relationship. Further research is needed to assess whether SAs may be an ideal platform to assist mixed-sex couples with their sexual health needs, which could include HIV/STD prevention and family planning.     

When Do People Speak Out? Integrating the Spiral of Silence and the Situational Theory of Problem Solving

Combining spiral of silence theory with the situational theory of problem solving, this study explores the extent to which publics differ in their willingness to express their opinions in hostile social situations. Based on analysis of a survey among 369 college students about their willingness to express opinions on 2 controversial topics (gun possession and climate change), 3 key findings emerge: (a) Fear of isolation suppresses people's willingness to express their opinions in public; (b) active publics are more likely than other types of publics to express their opinions; and (c) there is no interaction effect between fear of isolation and types of publics. In addition to several theoretical contributions, the findings provide public relations practitioners with a model for predicting which types of publics would be more or less likely to express their opinion.     

Prevalence of Sexual Dysfunction and Associated Risk Factors in Middle-Aged and Elderly Korean Men in Primary Care

Although several studies have individually investigated the risk factors for erectile dysfunction (ED), premature ejaculation (PE), and late-onset hypogonadism (LOH), few studies have considered ED, PE, and LOH as categories of sexual dysfunction (SD) within the same population. We therefore aimed to investigate the prevalence of SD and its associated risk factors among men in primary care. Study participants were enrolled by 18 family physicians from 15 hospital-based family practices in Korea between August 2010 and May 2011. Participants answered a questionnaire regarding their demographic characteristics and lifestyle factors as well as the Korean versions of the Androgen Deficiency in the Aging Male, the International Index of Erectile Function, and the Premature Ejaculation Diagnostic Tool questionnaires. SD prevalence was 64.9% among study participants who were ≥ 40 years of age. ED prevalence was 43.7%, PE prevalence was 38.6%, and LOH prevalence was 16.8%. SD prevalence was significantly associated with increased age, overweight, hypertension, diabetes, and depression. These findings highlight the importance of screening questions for SD in primary care, especially among older male patients with the identified risk factors.     

Leader motive profiles in eight types of organizations

McClelland (1975) introduced the leadership motive pattern (LMP), a motivational configuration found to contribute to leader performance in traditional bureaucratic organizations. Using McClelland's general theory of motivation and Miner's work on organizational sociology, we refine McClelland's original leadership motive pattern, develop leader motive profiles for eight classical and new types of organizations, and advance eight testable propositions for empirical verification. We conclude with implications for future research and practice.