Income Inequality and Chronic Health Conditions: A Multilevel Analysis of the U.S. States

Recently, scholarly work has examined the effect of rising income inequality on health outcomes. However, this work is somewhat inconclusive. The mechanisms that could produce such an association are still being sorted out. Much of this work focuses on mortality outcomes with little attention to how this process operates for actual health conditions, including chronic health problems—arguably the main public health concerns of the developed world. In a series of multilevel binary logistic regression models using data from the 2005 and 2007 Behavioral Risk Factor Surveillance System, we examine the association between state-level income inequality, poverty, and social welfare measures on spending and policy to examine the association between these factors for three chronic health outcomes: diabetes, hypertension, and coronary heart disease. We find that income inequality is conditionally positively related only to the diagnosis of diabetes and hypertension, and only in 2007. However, absolute poverty is related to the outcome across all three dependent variables. Certain social welfare measures attenuate the effects of both income inequality and absolute poverty, suggesting that some policies reduce this association.     

Racial Residential Segregation,Perceived Neighborhood Conditions,and Self-Rated Health: The Case of Houston,Texas

Previous research has linked racial residential segregation to a number of poor health outcomes. Yet, the mechanisms that could account for this association remain poorly understood and have seldom been empirically tested in the literature. In an analysis of the Houston area, we test one potential mechanism—perceived neighborhood conditions, as measured by two indices for neighborhood disorder and environmental quality. Using individual-level health data from a survey of Houston residents and neighborhood-level sociodemographic data from the U.S. Census, we estimate a series of multilevel models. We find that black and Latino segregation are linked to the perceived neighborhood disorder index, but no such relationship for the environmental quality index. Moreover, we find that both indices are related to poor self-rated health in that residents who evaluate their neighborhood conditions negatively are more likely to evaluate their health as poor. We also find a direct effect of black and Latino segregation on poor self-rated health, and that perceived neighborhood disorder partially mediates this relationship. We do not find a mediation effect for environmental quality. The results suggest that in order to improve the health of these communities, both residential segregation and neighborhood conditions need to be addressed.     

Attentional Control Explains Covariation Between Symptoms of Attention‐Deficit/Hyperactivity Disorder and Anxiety During Adolescence

Symptoms of attention‐deficit/hyperactivity disorder (ADHD) and anxiety are common during adolescence and frequently co‐occur. However, the genetic and environmental influences that underlie this co‐occurrence are understudied. Using a large twin sample (N = 1,017), we examined cross‐sectional genetic and environmental influences on ADHD and anxiety symptoms during childhood. We also explored whether these influences were shared with attentional control, a putative mechanism for symptom comorbidity. We found evidence for common genetic and nonshared environmental influences on the covariation among attentional control, ADHD, and anxiety symptoms, supporting the putative role of attentional control as a mechanism by which comorbid problems may develop. Genetic factors also accounted for symptom co‐occurrence after controlling for covariation with attentional control, suggesting the presence of additional unmeasured mechanisms.     

Adolescent Offenders' Qualitative Reflections on Desistance From Crime

Although many young offenders desist from crime during adolescence, little is known about this process. This study used a qualitative approach to elucidate adolescent offenders' experiences in desisting from crime. Thirty‐nine male adolescent offenders (M_age = 16.59 years) participated in a semistructured interview about the desistance process. One of four themes characterized adolescents' reflections on their own desistance: having a psychological reorientation, reacting to consequences, persisting, or being in the wrong place at the wrong time. Adolescents discussed five agentic moves they make to facilitate desistance: seeking and maintaining supportive relationships, navigating peer groups, working toward long‐term goals, structuring time, and finding sanctuaries from the outside. These findings highlight adolescents' strengths, resources, and active role in desisting from crime.     

The Current Landscape of Teaching Analytics to Business Students at Institutions of Higher Education: Who is Teaching What?

Business analytics continues to become increasingly important in business and therefore in business education. We surveyed faculty who teach statistics or whose institutions offer statistics to business students and conducted web searches of business analytics and data science programs that are offered by these faculties associated with schools of business. The intent of the survey and web searches was to gain insight on the current landscape of business analytics and how it may work synergistically with data science at institutions of higher education, as well as inform the role that statistics education plays in the era of big data. The study presents an analysis of subject areas (Statistics, Operations Research, Management Information Systems, Data Analytics, and Soft Skills) covered in courses offered by institutions with undergraduate degrees in business analytics or data science influencing statistics taught to business students. Given the notable contribution of statistics to the study of business analytics and data science and the importance of knowledge and skills acquired in statistics-based courses not only for students pursuing a major or minor in the discipline, but also for all business majors entering the current data-centric business environment, we present findings about who is teaching what in business statistics education.     

Opportunities and challenges of the digital lifespan: views of service providers and citizens in the UK

Information about UK citizens’ use of digital technologies is often expressed in statistics – x% lack Internet access; y% get online to engage in online banking, update social media sites, or participate in online auctions. There are many social implications to digital technology use, however – individuals may communicate online as a major way to stay in touch with friends and family, and as Internet access rises and government and public sector budgets shrink, online services become an increasingly attractive way for government and public sector service providers to communicate with citizens. This paper presents selected results of an exploratory study designed to investigate the digital personhood of UK citizens through interviews with participants at three life transitions: leaving secondary school, becoming a parent, and retiring from work. Digital personhood in this paper implies identity information online, and some interaction with others around that information. We then report on our presentation of a selection of these results to thirteen stakeholders who represented UK government departments, public sector organisations, and industry. We found that citizen and stakeholder concerns were quite different, especially at the new parent life transition, and that stakeholders tended to underestimate the willingness and ability of citizens to become involved online with the government and public sector, and overestimate citizens’ vulnerability online. Future research should investigate practical strategies for increasing communication between stakeholders and citizens, and also how to encourage stakeholders to work together to benefit their common clientele – the citizens.     

Effects of chronic illness on daily life and barriers to self-care for older women: A mixed-methods exploration

This mixed-methods study examined the subjective experience of living with chronic illness and identified barriers to self-care. Community-dwelling older women with chronic illness completed an initial (N = 138) and follow-up mailed survey 6 months later (N = 130). On average, participants reported four comorbid health conditions and the corresponding physical pain, activities curtailed or relinquished, and time and energy focused on managing health. Only 34% of participants practiced all 10 key self-care behaviors. Reported barriers to self-management included pain, lack of financial resources, and worry. In the regression analysis, having more depressive symptoms was a significant predictor of challenges with self-care behaviors.     

Investigating demographic processes using innovative combinations of remotely sensed and demographic data

Population and Environment -     

Socializing the Silent Treatment: Parent and Adult Child Communicated Displeasure,Identification, and Satisfaction

Responding to evidence that the silent treatment is a relational-harming means of communicating disappointment in interpersonal relationships, this study focused on the silent treatment’s role and transmission within the family. Adult children’s (N = 182) self-reported silent-treatment behaviors were negatively related to their own self-esteem, and the satisfaction they reported for their primary parent was negatively related to that parent’s silent treatment. The parent’s admitting displeasure, however, was positively related to this satisfaction and positively associated with the child’s feelings of control. Revealed sex differences were minor and outside of gendered expectations for communicating disappointment. In testing parent socialization of the silent treatment, parent silent-treatment use was positively associated with the adult child’s silent-treatment use, with no demonstrated mediation by parent identification.