Influence of Satisfaction with Services on Assisted Living Resident Satisfaction

The purpose of our investigation was to provide insight into the service domains that most heavily influenced self-reported resident satisfaction among residents in assisted living facilities. Data was gathered from the 2008 Press Ganey Assisted Living Survey. Satisfaction with service domains was measured using 7 subscales addressing the areas of activities, staff attentiveness, meals, apartment space, facility attractiveness, personal issues, and management. Generalized linear mixed models were specified to assess the influence of demographics, functional status, self-rated health, and satisfaction with service domains on resident satisfaction. In the final multivariate model self-rated health, independence with laundry and finances, and satisfaction with aides, meals and management demonstrated a significant positive effect on resident satisfaction. As the number of assisted living facilities continues to increase, senior management would be wise to consider which domains of service are particularly salient in assisted living environments.     

Women's sexual experience during the menstrual cycle: identification of the sexual phase by noninvasive measurement of luteinizing hormone

Imprecise measures of ovulation obscure the relationship between women's sexuality and the menstrual cycle, as does studying women with different contraceptive goals in different social contexts. Here we present a novel noninvasive method to precisely pinpoint the preovulatory surge of Luteinizing Hormone (LH), demarcating hormonally distinct cycle phases with greater than 95% reliability. Women were more sexually active on days prior to and including the preovulatory (LH) surge. This pattern was evident only when women initiated sexual activity and not when their partners did, indicating an increase in women's sexual motivation rather than attractiveness. A second study replicated the 6-day increase in sexual activity beginning 3 days before the LH surge, accompanied by stronger sexual desire and more sexual fantasies. We propose the term 'sexual phase' of the cycle, since follicular phase is over inclusive and ovulatory phase is not sufficient. These findings are striking because the women were avoiding pregnancy and were kept blind to the hypotheses, preventing expectation bias. The sexual phase was more robust in women with regular sexual partners, although the increase in sexual desire was just as great in nonpartnered women, who also reported feeling less lonely at this time. We use these results to evaluate potential neuroendocrine mechanisms underlying women's sexual motivation and activity.     

Jocks, gender, race, and adolescent problem drinking

Alcohol remains the drug of choice for many adolescents; however, the nature of the relationship between athletic involvement and alcohol misuse remains ambiguous. In this article, we used a longitudinal sample of over 600 Western New York adolescents and their families to explore the gender-specific and race-specific relationships between identification with the "jock" label and adolescent alcohol consumption, specifically problem drinking. Operationalization of problem drinking included frequency measures of heavy drinking, binge drinking, and social problems related to alcohol (e.g., trouble with family, friends, school officials over drinking). Self-identified adolescent "jocks" were more likely to engage in problem drinking than their non-jock counterparts, even after controlling for gender, age, race, socioeconomic status, physical maturity, social maturity, and frequency of athletic activity. Jock identity was strongly associated with higher binge drinking frequency in Black adolescent girls. This study underscores the need to distinguish between objective and subjective meanings of athletic involvement when assessing the relationship between sport and adolescent health-risk behavior.     

Perceptions of Financial Well-Being among American Women in Diverse Families

This study investigated the financial well-being of American women using data from a nationwide web survey of 368 women between the ages of 30 and 65 with household incomes of at least $40,000. Specifically, we examined perceptions of financial well-being among women with and without children who lived in different family forms including marriage, cohabitation, stepfamilies, as well as women who were single. The majority of women reported they had conservative buying behaviors, desired financial independence, had a somewhat negative view of their current financial situation, had worries about retirement and their financial futures, and considered long-term care insurance a necessity. Women in nontraditional families (single mothers, cohabitors, and stepfamilies) had significantly greater worries about their financial futures than women in first marriages. Single mothers were less likely to say that they had their financial house in order and were more likely to express concern that their money would not last through retirement. Cohabiting women were significantly more likely to express fears about becoming a burden. All three groups were more likely than women in first marriages to agree that long-term care insurance is a necessity. Women who were older, were more educated, had higher income, and who contributed more money to the household income had more positive perceptions of their financial situation.     

What Habituates in Infant Visual Habituation? A Psychophysiological Analysis

Despite the use of visual habituation over the past half century, relatively little is known about its underlying processes. We analyzed heart rate (HR) taken simultaneous with looking during infant‐controlled habituation sessions collected longitudinally at 4, 6, and 8 months of age with the goal of examining how HR and HR‐defined phases of attention change across habituation. There were four major findings. First, the depth and topography of decelerations and proportion of sustained attention (SA) did not vary across habituation at any age, which suggested (in contrast to the tenets of comparator theory) the persistence of substantial cognitive activity at the end of visual habituation. Second, attention termination (AT) robustly declined across trials, suggesting that, contrary to prior thinking, AT might be a sensitive indicant of visual learning. Third, infants at all ages showed an HR increase (startle) to stimulus onset on the first trial, the magnitude of which was associated with subsequent delayed HR deceleration and less SA; thus, stimulus events affect processing during trials. Finally, mean overall HR reliably increased across trials for all ages. This last finding implies the need to distinguish between “phasic” HR changes (e.g., decelerations during looks) and longer term “tonic” HR changes (mean increases across trials) during habituation, and raises the question of what processes the tonic increases might reflect within the habituation paradigm.     

Parental Investments in College and Later Cash Transfers

Parents often provide generous financial transfers to their adult children, perhaps assisting with college expenses, recognizing major life course events, or cushioning against negative financial shocks. Because resources are limited, a transfer made to one child likely affects transfers made to others in the family. Despite such possibilities, data limitations have led previous authors to focus almost exclusively on a single type of transfer made at a single point in time. Using data from the Health and Retirement Study, we examine the relationships among parental transfers for college and later cash transfers to all children within a family. We find that parents typically spend differentially on the postsecondary schooling of their children but find no evidence that this differential spending is offset by later cash transfers.     

The Decline of Monarchy in Nepal,the Ascendancy of the Professional Middle Class and the Event that Transformed Them

In the years leading up to the dissolution of absolute monarchy in Nepal in 1990, resistance to political authority proceeded fitfully. Opposition to the crown gained momentum after the involvement of the professional middle class. Using Max Weber's theory on legitimate power and class, this paper analyzes the erosion of the legitimacy of absolute monarchy, the ascendancy of the professional middle class, and how one event, a peaceful forum that ended in mass arrest, created momentum for the People's Movement by transforming the political subjectivity of the professional middle class, who, in turn, helped catalyze opposition to absolute rule.     

Cultural Schemas of Religion,Science, and Law in Talk About Social Controversies

We analyze cultural schemas of religion, science, and law reflected in the way ordinary citizens discuss contemporary social controversies and assess whether these schemas accord with a modernization narrative or whether people's experiences with each of these institutional arenas lead them to adopt realistic or critical schemas not predicted by modernization accounts. Focus group participants in three metropolitan areas were asked to talk about one of three vignettes on faith‐based prison ministries, parents’ refusal of medical treatment for a child on religious grounds, or preimplantation genetic diagnosis of human embryos. We find that people's everyday experiences, grounded in specific institutional contexts, produce perceptions of the domains of religion, science, and law that are not fully captured by the modernization account. Further, our findings illustrate that schemas of law, science, and religion are varied and evoked by social context and the specific issues under consideration. Schemas that do not fit the modernization framework provide a way for people to address concerns about power and effectively level the playing field between more and less rationalized social domains. Future research on a broader range of issues is needed to develop a theory of when different schemas of law, science, and religion are activated.     

Older Hispanic Women and Breast Cancer Screening: Do Cultural Factors Matter?

High morbidity and mortality cancer rates among older minority adults underscores the importance of identifying and addressing health disparities related to age and cultural factors that may influence participation in cancer screening and early detection of disease. Disparities for Hispanic women exist in part due to behavior, including lower participation in cancer screenings. Using data from the 2008 wave of the Health and Retirement Study, this study investigated the relationships among cultural factors, time orientation, and uncertainty avoidance among Hispanic women. Results indicate that time orientation and uncertainty avoidance predicted older Hispanic women’s participation in breast cancer screening services.