LGBT Health in the Midlands: A Rural/Urban Comparison of Basic Health Indicators

Research into the health and wellbeing of rural lesbian, gay, bisexual, and transgender (LGBT) populations is limited. A community-based participatory research (CBPR) approach was used to develop an online survey for LGBT Nebraskans. The 770 participants replied to an array of questions on social determinants of health and basic health outcomes. Only significant differences in having health insurance were found between urban and rural participants. Social determinants of health were explored. Results of this study suggest that regional culture may be more salient to health for lesbian, gay, bisexual, and transgender persons living in the Midwest than rural or urban residence.     

Who Gets an Early Education? Family Income and the Enrollment of Three‐ to Five‐Year‐Olds from 1968 to 2000*

Objectives. Has inequality in access to early education been growing or lessening over time? Methods. Using the October Current Population Survey education supplement from 1968 to 2000, we look at three‐, four‐, and five‐year‐olds' enrollment in early education—including center‐based care, Head Start, nursery school, prekindergarten, and kindergarten. Results. Our analysis shows a strong link between family income and early education enrollment for three‐ and four‐year‐olds, especially when we compare the bottom two and the top two income groups. These differences remain even after controlling for a large variety of factors, including race/ethnicity, maternal employment, family structure, and parental education. Conclusions. Inequality in early education by income group varies by age of child: it is most pronounced for three‐year‐olds, who have been the least likely to benefit from public early childhood education programs; it has diminished in the past decade for four‐year‐olds, who have been increasingly likely to have access to public prekindergarten programs; and it has all but disappeared for the five‐year‐olds, who now largely attend public kindergarten. This pattern suggests a potentially important role for public policy in closing the gap in early education between children of different income groups.     

Counterintuitive behavior of social systems

This paper addresses several issues of broad concern in the United States: population trends; the quality of urban life; national policy for urban growth; and the unexpected, ineffective, or detrimental results often generated by government programs in these areas.The author does attempt to indicate how multiloop feed-back systems (to which our social systems belong) mislead us because our intuition and judgement have been formed to expect behavior different from that actually possessed by such systems. At times programs cause exactly the reverse of desired results.It is now possible to explain how such contrary results can happen. There are fundamental reasons why people misjudge the behavior of social systems. There are orderly processes at work that frequently lead people to wrong decisions when faced with complex and highly interacting systems. Until we come to a much better understanding of social systems, we should expect that attempts to develop corrective programs will continue to disappoint us.     

The Gamma Distribution as a Mixture of Exponential Distributions

A gamma distribution with arbitrary scale parameter θ and shape parameter r < 1 can be represented as a scale mixture of exponential distributions.     

Premarital Sex,Premarital Cohabitation,and the Risk of Subsequent Marital Dissolution Among Women

Using nationally representative data from the 1995 National Survey of Family Growth, I estimate the association between intimate premarital relationships (premarital sex and premarital cohabitation) and subsequent marital dissolution. I extend previous research by considering relationship histories pertaining to both premarital sex and premarital cohabitation. I find that premarital sex or premarital cohabitation that is limited to a woman's husband is not associated with an elevated risk of marital disruption. However, women who have more than one intimate premarital relationship have an increased risk of marital dissolution. These results suggest that neither premarital sex nor premarital cohabitation by itself indicate either preexisting characteristics or subsequent relationship environments that weaken marriages. Indeed, the findings are consistent with the notion that premarital sex and cohabitation limited to one's future spouse has become part of the normal courtship process for marriage.     

Low-Income Children's Participation in a Public Health Insurance Program in Georgia

To expand health care coverage to uninsured, low-income children, the Congress created the State Children's Health Insurance Program (SCHIP) in 1997. Given ample evidence that state Medicaid programs have failed to enroll many eligible children, experts questioned whether SCHIP could successfully enroll low-income children. Using Georgia state SCHIP data, we analyzed enrollment patterns and identified factors contributing to program enrollment. This study found that the children's enrollment is explained by perceived costs and benefits of joining the program as well as the underlying family structure, demographic factors, and health status. We discuss implications of these findings on the participation of low-income families in public sector programs.     

A Typical American Family? How Adoptive Families Acknowledge and Incorporate Chinese Cultural Heritage in their Lives

When a child from China is adopted by U.S. parents, the adoptive family must address questions about if, when, how, and how much to acknowledge the birth cultural heritage of their child. This paper addresses these concerns by presenting findings of a study that examined ways families address the myriad issues surrounding cultural heritage. Drawing on work by H. David Kirk, D. M. Brodzinsky (Brodzinsky, Schechter, & Henig, 1992. Being adopted: The lifelong search for self. New York: Anchor Books), and others, a conceptual framework is presented to aid in understanding the dynamics involved in emphasizing (or de-emphasizing) cultural heritage Second, results of a web-based survey that extends the results of earlier work on cultural heritage in families with children adopted from China (Rojewski & Rojewski, 2001. Intercountry adoption from China: Examining cultural-heritage and other post-adoption issues. Westport, CT: Bergin & Garvey) are presented. Specific findings reveal the range of actions taken by adoptive parents on (a) how families cope with family-child differences, (b) how families acknowledge the child’s birth culture and heritage (e.g., acknowledging birth cultural heritage and culturally-related events, having contact with other Chinese children and adults), and (c) the perceived benefits and importance of incorporating Chinese cultural heritage into family life. Results add to an emerging baseline for understanding the range of responses adoptive families have to address issues of Chinese heritage, as well as trends in the reasoning parents use when deciding about cultural heritage-related issues.     

Altruism and social solidarity: Envisioning a field of specialization

Conclusion This article has presented a vision of what a field of altruism and social solidarity could potentially involve. An additional perspective on the nature of this field and how it could contribute to the discipline and to society is provided by the science of psychology. In the last decade a fundamental new orientation has developed in this discipline, growing from the pioneering work of Martin E.P. Seligman. Generally identified as “positive psychology” it represents a shift from a focus on trying to understand and find solutions to mental illness and various pathologies of thought and behavior in a “disease model” to a focus on human strengths, virtues, and other positive characteristics. This shift in focus is regarded as making a direct contribution to understanding what is best in human emotions and traits and how society can support the psychological flourishing of individuals. This new perspective in turn provides increased awareness of how the problems studied in the disease model can more effectively be prevented (Seligman, 2003, 2005). The importance of this focus on the positive for sociology and a call to action is stated by Seligman (2003): The third pillar of positive psychology is the study of positive institutions and positive communities.     

THERAPIST-CONDUCTED CONSULTATION: USING CLIENTS AS CONSULTANTS TO THEIR OWN THERAPY

Using qualitative research methodology, the authors developed an in-session therapeutic procedure called the therapist-conducted consultation (TCC) which is designed to enhance the therapist-client collaborative relationship. In the TCC, the therapist and client(s) relinquish their traditional roles and discuss the client's treatment. During this process, clients are invited to (a) share their perspective of treatment, (b) assess whether treatment is meeting their goals, and (c) suggest how treatment could change to improve their experience. The three-stage model of the TCC that resulted from the research is presented with a case example.