Does Nursing Home Ownership Change Affect Family Ratings on Experience with Care?

Person-centeredness may suffer in nursing homes (NHs) with recent ownership changes. This study identifies associations between ownership change and reported care experiences, important measures of person-centered care for long-term residents in Maryland NHs. Care experience measures and ownership change data were collected from Maryland Health Care Commission reports, which reported data on 220 Maryland NHs from 2011 and 2012. Facility and market covariates were obtained from 2011 NH Compare and Area Health Resource Files. Linear regression was used to examine whether ownership change in 2011 was associated with lower care experience ratings reported during April to June 2012. Dependent variables were overall care rating (scale 1–10), percentage of respondents answering that they would recommend the NH, and assessments of five care and resident life domains (scale 1–4). Care experiences reported in 2012 were high; however, after controlling for covariates, ownership change was associated with significant decreases in 6 out of 7 measures, including a 0.39-point decrease in overall care rating (p = .001). NH managers and policy makers should consider strategies to improve patient-centeredness after ownership change.     

Examining concepts of power and agency in research with young people

Concepts of power and agency have become increasingly prominent in the youth studies literatures and related research. A focus of the research to date has been an examination of how a better understanding of young people's lived experiences can reveal possibilities for young people's agency to emerge. Despite increased interest in the term agency, much less has been said about how the concept is defined and recognized in research with young people, including what the concept may entail but crucially, how the term is linked to and underpinned by the related concept of power. This paper seeks to contribute to our understanding of power and agency as utilized in research with young people. The discussion that follows identifies the possible ways in which different theoretical positions shape our understanding of how power and agency are investigated and how these understandings inform the ways we interpret young people's perspectives and actions as holding potential for ‘agency’. Drawing on recent empirical examples, we consider how varying interpretations of power and/or agency shape not only the ways in which young people's agentic experiences are theorized (and the related ontological and epistemological assumptions these positions imply) but also the presumed effects of that agency.     

Investigating Differences in How the News Media Views Homosexuality Across Nations: An Analysis of the United States,South Africa,and Uganda

While there is a wealth of information about the extent to which people across the world disapprove of homosexuality, we know a lot less about the lenses through which they view same‐sex relations. The aim of this study is to understand better how homosexuality is framed in the public press, and how religion and economic development may combine to shape this discourse. Through an analysis of almost 400 newspaper articles, this study compares how homosexuality is framed in Uganda, South Africa, and the United States. Because these nations have high levels of religious belief, but differ in their level of economic development and democracy, we can assess how these factors interact to shape portrayals. Drawing on work from cultural sociology and the sociology of religion, this study shows that the United States is much more likely than Uganda to frame homosexuality as a civil rights issue and use entertainers as claimsmakers. Conversely, articles from Uganda are more likely than those from the United States or South Africa to frame homosexuality as a religious issue and draw on religious claimsmakers. Likewise, Uganda is much more likely than South Africa to discuss homosexuality in the context of Western influences.     

Convergent and Discriminant Validity of the WHOQOL-BREF Using a Multitrait-Multimethod Approach

The WHOQOL-BREF is a commonly used questionnaire in quality of life research. Previous research has shown that the four domains of the WHOQOL-BREF (physical health, psychological health, social relationships, and environmental health) are highly related. Whether these high correlations reflected the true relations across the domains or the influence of common method effect; however, is still unknown. This study examines the convergent and discriminant validity of the four domains of the WHOQOL-BREF by using the multitrait-multimethod (MTMM) approach to control the method effect. Two different samples, with a total of 186 and 201 adults, respectively, were used in the present study. Each participant filled out the WHOQOL-BREF questionnaires using four different scaling methods (Likert-type scale, visual analogue scale, pie scale, and partner rating). The covariance matrix of the MTMM result was analyzed with confirmatory factor analysis modeling. Two models were applied, including the correlated traits-correlated uniqueness (CTCU) model and the uncorrelated traits-correlated uniqueness (UTCU) model. Results showed that the CTCU model fit the data better than did the UTCU model, suggesting that the variables tapping the four domains of the WHOQOL-BREF have excellent convergent validity; the four domains have moderate correlations, indicating that the four domains are related but not identical.     

The cycle of cyberbullying: Some experience required

Findings from a survey of 1,602 middle school and high school students suggests despite heavy use of social media, adolescents believe they are less likely than peers to be victims of cyberbullying and less likely to bully others. The results suggest a cycle of perceptions and behaviors: victims of cyberbullying bully others. Adolescents who believe they are likely to be bullied acknowledge they are likely to continue bullying others and are also likely to blame victims for “bringing it on themselves.”     

The Special Historical Section of the Journal of American College Health

Abstract

Objective: To identify human papillomavirus (HPV) infection and HPV vaccine–related attitudes among college-aged women and the relationship between HPV vaccine uptake and subsequent sexual behaviors. Methods: PubMed, MEDLINE, CINAHL, and Google Scholar searches were performed from 2006, the date after the first HPV vaccine became available, to present. Results: Of the 13 studies identified, most were cross-sectional. College-aged women saw HPV infection as serious and had positive attitudes toward the HPV vaccine. Barriers (ie, cost, lack of insurance coverage) existed that prevented women from obtaining the vaccine and many women did not see themselves at risk for HPV. The vaccine uptake rate, although increasing, has been slow. Conclusion: College-aged women in the United States may need unbiased information about HPV and HPV vaccine. Studies that focus on risk perception and the relationship between knowledge, attitudes, vaccine uptake, and sexual behaviors are needed to inform interventions and public health programs.     

Informed Public Preferences for Electricity Portfolios with CCS and Other Low‐Carbon Technologies

Public perceptions of carbon capture and sequestration (CCS) and other low‐carbon electricity‐generating technologies may affect the feasibility of their widespread deployment. We asked a diverse sample of 60 participants recruited from community groups in Pittsburgh, Pennsylvania to rank 10 technologies (e.g., coal with CCS, natural gas, nuclear, various renewables, and energy efficiency), and seven realistic low‐carbon portfolios composed of these technologies, after receiving comprehensive and carefully balanced materials that explained the costs and benefits of each technology. Rankings were obtained in small group settings as well as individually before and after the group discussions. The ranking exercise asked participants to assume that the U.S. Congress had mandated a reduction in carbon dioxide emissions from power plants to be built in the future. Overall, rankings suggest that participants favored energy efficiency, followed by nuclear power, integrated gasification combined‐cycle coal with CCS and wind. The most preferred portfolio also included these technologies. We find that these informed members of the general public preferred diverse portfolios that contained CCS and nuclear over alternatives once they fully understood the benefits, cost, and limitations of each. The materials and approach developed for this study may also have value in educating members of the general public about the challenges of achieving a low‐carbon energy future.