Marketing and Quality of Life: A Model for Improving Perinatal Health Status

Introduction: A marketing/business model using non-traditional Quality of Life measures was developed to assess perinatal health status on a micro-geographic level. This perinatal health status needs assessment study for Georgia South Central Region was conducted for the years 1994–1999. The model may be applied to any geographic unit in the U.S. – from a block group level to a state or a region. Methodology: An Infant Health Risk Score was created for each county and census tract by calculating the Z-scores of various Medical, Lifestyle, and Access variables so as to construct a Quality of Life Index. The scores identified the areas in the region that were at high risk for certain medical, lifestyle, and access variables (i.e., high risk for preterm births, low education levels, and poor access to perinatal services). A marketing tool, Claritas PRIZM Clusters, was used to identify a specific cluster and associated marketing information for each census tract within the region. Results: The Infant Health Quality of Life Risk Scores were linked with the PRIZM cluster marketing data to target areas in the region that exhibit high risk medical, lifestyle, and access scores. Health promotion and disease prevention strategies were developed using a marketing/business model. Specifically, media usage and consumer behavior purchasing patterns were identified and processed for every high risk area in the region. The categories for media usage were television, radio, and magazines and the categories for consumer behavior included restaurants, food items, and shopping locations. Discussion: The Perinatal Region is developing strategies to implement the media usage and consumer behavior marketing information to focus their prevention efforts to the high risk areas in the region based on the Quality of Life Measurements. Linking marketing business tools with a Quality of Life health status needs assessment has significant potential for improving the planning, the evaluation, and the focus of prevention efforts.     

Can child fatalities,end product of child abuse,be prevented?

Study of a sample of child abuse/neglect families where a child fatality has occurred suggests several indicators for identifying potential child fatalities. In contrast to families where child abuse is not followed by a child fatality, child abuse cases where a fatality does occur are characterized by abuse of more than one child in the family, a more chaotic family constellation, the mother as perpetrator of the abuse, and high levels of both human and milieu stress. The study also identifies gaps in services to sample families and suggests changes.     

Working with advanced dementia patients in a day care setting

Alzheimer's disease and most other causes of dementia are regressive by nature. As such one can expect patients with such types of mental impairment to gradually decline in function and ability to participate in day care activities. This paper attempts to show that with the right kind of orientation, staff can "tune into" the more advanced dementia patients, find the key to their personal needs, desires and remaining abilities and design a program that allows them not only to continue to participate in a social and therapeutic framework, but also to gain some meaningful human contact and quality of life despite their cognitive deterioration.     

Population and Upland Crop Production in Nang Rong,Thailand

This paper estimates village-level models of the effects of population variables on the area devoted to upland crop production in Nang Rong district, Thailand. The expansion of upland crops is part of the growth of market agriculture in Nang Rong, and a correlate of deforestation in this setting, The results show that population density (measured as density of village settlement) negatively affects area in upland crops while population growth has a positive effect. Changes in land use associated with population change appear to radiate outward from nuclear village centers. As cash economies are established in rural settings, household formation requires a source of income as well as a subsistence stake. Growth in the population of households is a stronger predictor of the area in upland crops than growth in the number of persons.     

Health Insurance Coverage and Access to Care by Sexual Orientation and Marital/Cohabitation Status: New Evidence from the 2015–2018 National Health Interview Survey

Population Research and Policy Review - Disparities in health insurance coverage and access to care are well documented between sexual minority adults and their heterosexual peers. Much less...     

Investigation of Change in Adolescent Perceptions of Mothers' and Fathers' Contributions to Interparental Discord From 7th to 9th Grades

The purpose of the present study was to examine whether adolescent perceptions of mothers' and fathers' contributions to interparental discord changed from early to middle adolescence and if the changes were related to adolescent negative mood. Data were drawn from the National Longitudinal Survey of Youth 1997. Adolescents who were in 7th grade at the Wave 1 assessment and lived with both biological parents during Waves 1–4 were included in this research (n=812; 55% boys; 69% White). Findings indicated that adolescents' perceptions of their mothers' and their fathers' contributions to interparental discord increased at similar rates from early to middle adolescence. The largest increases in adolescent perceptions of mothers' and fathers' contributions to interparental discord from 7th to 9th grades were associated with the largest increases in adolescent negative mood from 7th to 10th grades. Girls' perceptions of their fathers' contributions to interparental relationship problems increased at a steeper rate compared with boys. Findings are discussed in the context of the sensitization hypothesis.     

Supplier Encroachment as an Enhancement or a Hindrance to Nonlinear Pricing

The objective of this study was to extend existing understanding of supplier encroachment to contexts in which there is information asymmetry and the supplier can use nonlinear pricing. Prior research has shown that supplier encroachment can mitigate double marginalization and thus benefit both the supplier and the reseller. However, under symmetric information, this benefit disappears if the supplier can use nonlinear pricing. In our model, the reseller observes the true market size while the supplier knows only the prior distribution, that is, a seemingly ideal setting for implementing mechanism design through nonlinear pricing. We first show that, because encroachment capability enables the supplier to make an ex post output decision, it fundamentally alters the structure of the optimal nonlinear pricing policy. In addition to the usual downward distortion effect, where the reseller may purchase less than the efficient quantity, we also have the possibility for upward distortion. Thus, under asymmetric information and nonlinear pricing, supplier encroachment has two opposing effects. On one hand, the ability to shift sales to the direct channel allows the supplier to reduce information rents with less sacrifice of efficiency; but on the other hand, by introducing the possibility of her own opportunistic behavior, it can result in upward distortion of the quantities sold through the reselling channel, which is a new source of inefficiency. Depending upon the relative efficiency of the reselling channel and the demand distribution, either of these two effects may dominate and the supplier's ability to encroach may either benefit or hurt both the supplier and the reseller.