Nursing Home Deficiencies: An Exploratory Study of Interstate Variations in Regulatory Activity

This study examines nursing home regulatory activity by the states, assesses interstate variations in the volume and severity of nursing home deficiencies, and explores state-level factors that may account for these differences. Nursing home deficiency citation data over a 5-year period (2000–2004) were obtained from the Centers for Medicare and Medicaid Services. We examined interstate variations in regulatory activity and identified predictors of deficiency volume and severity at the state level (demographics, elected officials, industry characteristics, etc.) using the linear mixed model. Deficiency volume remained stable across the 50 states from 2000 to 2004, while deficiency severity decreased significantly. California had the highest volume of deficiencies per nursing home; Wisconsin had the lowest. New Hampshire had the highest percentage of severe deficiencies; California had the lowest. Higher deficiency volume was found in states with lower median household income, a lower proportion of residents aged 85 and older, and a Democratic legislature. Higher deficiency severity was associated with higher median household income and a higher proportion of Medicaid nursing home residents in a state. In contrast, greater state agency funding, higher state standards for nursing home administrators, and a Democratic and more professional legislature predicted lower deficiency severity. Nursing home residents in the United States receive unequal protection from abuse and neglect, and this is partly due to their state of residence. Interstate variations in deficiency volume and severity are due to a complex set of factors beyond nursing home quality.     

The spread of primary schooling in Sub-Saharan Africa: implications for fertility change

In 1980 Caldwell hypothesized that the time of the onset of the fertility transition in developing countries would be linked with the achievement of “mass formal schooling.” This article applies Demographic and Health Survey data to assess schooling patterns and trends for 23 sub‐Saharan African countries, using the percentage of 15–19‐year olds who have completed at least four years of schooling as an indicator of progress in education. As background to that assessment, the article includes a review of the sparse literature on the links between children's schooling and fertility decline. The analysis strongly supports Caldwell's hypothesis with empirical evidence of the much stronger negative relationship between fertility decline and grade 4 attainment in those countries that have attained mass‐schooling levels than in those that have not yet achieved such levels.     

High Fertility and Children's Schooling in Ghana: Sex Differences in Parental Contributions and Educational Outcomes

This paper explores the linkages at the family level between sustained high fertility and children's schooling in Ghana, in the context of a constrained economic environment and rising school fees. The unique feature of the paper is its exploration of the operational significance of alternative definitions of “sib size” – the number of “same-mother” siblings and “same-father” siblings – in relation to enrolment, grade attainment, and school drop-out for boys and girls of primary and secondary school age. The analysis is based on the first wave of the Ghana Living Standards Measurement Survey (GLSS) data, collected in 1987–88. The results of the statistical analysis lead to the conclusion that the co-existence of high fertility, rising school costs, and economic reversals is having a negative impact on the education of girls, in terms of drop-out rates and grade attainment. Some of the costs of high fertility are borne by older siblings (particularly girls) rather than by parents, with the result that children from larger families experience greater inequality between themselves and their siblings by sex and birth order. Because fathers have more children on average than mothers, the inequality between their children appears to be even greater than between mothers' children, particularly given the importance of fathers' role in the payment of school fees. The paper concludes that the greatest cost for children in Ghana of sustained high fertility is likely to be the reinforcement of traditional sex roles, largely a product of high fertility in the past.     

Associations between gambling,substance misuse and recidivism among Canadian offenders: a multifaceted exploration of poor impulse control traits and behaviours

Moderate correlations among gambling, substance use and crime suggest these three behaviours may each be indicators of a single underlying problem trait, such as poor impulse control. We tested whether self-reported traits prospectively predicted future criminal recidivism, when accounting for incarcerated adult offenders' past criminal behaviour, substance use and gambling behaviour. We took a multi-construct approach to measuring components of impulse control, utilizing three questionnaires that assess sensation seeking, poor premeditation, and reward sensitivity. Male participants incarcerated in two federal institutions were invited to complete self-report booklets; participation was self-selected and fully voluntary. Results indicated moderate correlations between measures of trait impulse control, self-reported drug use, and official criminal history (N = 140). Gambling problems prospectively predicted post-release criminal recidivism (n = 83), even when accounting for past criminal behaviour, impulse control traits and substance misuse. Although they represent a small percentage of this sample, results suggest offenders with high gambling problems represent a particularly at-risk group for future crime, who were more than four times likely to reoffend compared to offenders without problem gambling. These results suggest there may be mutual impact of problem behaviours on life outcomes above the contribution of poor impulse control.     

The Dewey-Mead analysis of emotions

At the turn of the century, John Dewey and George Herbert Mead collaboratively analyzed emotion. Building on Dewey's reintegration of the Charles Darwin and William James analyses, Mead viewed emotion as a parallel process of goal-oriented social acts. Further elaborations extended the analysis downward into the physiology of the actor and upward into the social structure through the mediation of values.     

EFFECTIVE CONDITIONING

The ultimate aim of conditioning is to obtain a more relevant estimate of estimation precision by separating experiments of higher precision from those of lower precision. The cost is the information, if any, contained in the conditioning variable. This paper considers the problem of quantifying the costs and benefits of conditioning. Several examples are studied and some of the asymptotic consequences explored.