The Effects of Mandatory Seat Belt Laws on Motor Vehicle Fatalities in the United States

Objective . This article assesses the effectiveness of mandated seat belt usage. The theory of offsetting behavior asserts that when drivers feel safer, they compensate by driving less cautiously. As a consequence, any lifesaving effects from mandated safety devices such as seat belts could be significantly diminished or entirely offset. Methods . This article uses regression analysis and two years (1988 and 1997) of state-level data to test for the presence of offsetting behavior by estimating models explaining total and nonoccupant motor vehicle deaths. In addition to accounting for several factors generally acknowledged as being determinants of highway deaths, the models control for the impact of primary and secondary seat belt laws. Results . The findings suggest the existence of offsetting behavior by drivers of motor vehicles. Conclusions . We need to recognize the probability of such compensatory behavior and direct our efforts at ways of ameliorating the adverse effects.     

Longitudinal Event-Level Analysis of Gay and Bisexual Men’s Anal Sex Versatility: Behavior,Roles, and Substance Use

Gay and bisexual Men Who Have Sex with Men (GBM) are sexually unique in that they can practice penile-anal sex versatility, i.e. engage in insertive and receptive anal sex. Individual-level versatility is extensively researched both as a sexual behavior linked to HIV/STI transmission, and as a GBM identity that can change over time. However, there is a dearth of research on event-level versatility (ELV), defined as taking the receptive and insertive role in the same sexual encounter. We analyzed event-level data from 644 GBM in the Momentum Health Study from February 2012-February 2017 to identify factors associated with ELV prevalence, the relationship between ELV and anal sex role preference, and sero-adaptive and sexualized drug use strategies. Univariate analysis revealed ELV prevalence rates between 15% and 20%. A multivariate generalized linear mixed model indicated ELV significantly (p < .05) associated with versatile role preference and condomless sex. However, the majority of ELV came from GBM reporting insertive or receptive role preferences, and there was significantly higher condom use among sero-discordant partners, indicating sero-adaptation. Multivariate log-linear modeling identified multiple polysubstance combinations significantly associated with ELV. Results provide insights into GBM sexual behavior and constitute empirical data useful for future HIV/STI transmission pattern modeling.     

‘To return to the bosom of their fatherland’: Brazilian immigrants in nineteenth‐century Lagos

This article explores the southern prison system during the expansion of slavery in the nineteenth-century USA, to reveal struggles over landscape and geography. It suggests connections between diverse institutions such as plantation jails, county and city jails, workhouses, state penitentiaries and slave pens that have not been conceptualized as part of a carceral system supporting slavery. Slaveholders' various means of using these institutions are outlined as are their perceptions of these prisons. The article concludes by discussing the perspective of enslaved peoples, arguing that prisons were the site of considerable resistance as slave geographies were unable to be completely confined by the expanding carceral system.     

Epistemological inclusiveness in researching the African American community

Abstract

African American communities have experienced negative effects from a history of medical abuse, lack of proper research procedures, and misinterpretations of study findings because of racism. These past injustices have led to a mistrust of research and researchers. This paper focuses on how some methodological challenges, in a study funded by a National Institutes of Health grant on two low-income African American communities in Kentucky, were mediated through the collaboration of a multi-racial/ethnic team of researchers engaged in cross-disciplinary research. The information for this paper is based on the reflections of key members of the research team. The reflections show that having researchers with different epistemologies resulted in a culturally aware and sensitive study in which emic and etic research approaches were adopted. The inclusion of race-based epistemologies and close community ties were found to be particularly useful in building trust and getting the support of the two communities. However, these outcomes were only possible because research team members provided each other latitude for intellectual freedom and leadership.     

Grim reapers: ghostly narratives of masculinity and killing in drone warfare

This article embraces the spectral turn and sociological framework of “Haunting” to investigate the gendered implications of armed drones for the individuals who crew them. Introducing original interview data from former British Reaper drone crews and focusing on their experiences of conducting lethal operations, this article builds on feminist and queer theorizing to illuminate the instability of the binary distinction between masculinity and femininity as traditionally understood. Developing “Haunting,” I draw out three themes: complex personhood, in/(hyper)visibility, and disturbed temporality as the frames through which the intersection of gender and drone warfare can be examined. I draw upon the conceptual metaphor of the ghost to explore the dead that is also alive, the absent that is also present, and that silence that is also a scream. Through this, I argue that Haunting provides a framework for both revealing and destabilizing gendered binaries and is therefore a useful tool for feminist security and international relations scholars.     

A Peek Inside the Box: How Information Flows Through Substance Abuse Treatment Agencies

This article describes how integrated health information technology affects the collection and flow of client-level intake and assessment data within substance abuse treatment agencies. We combined process mapping and qualitative inquiry methods to analyze staff interviews (N = 54) from eight agencies in four U.S. states. Integrated health information technology was related to expedited and improved flow of information, while nonintegrated health information technology systems were associated with double data entry, multiple eligibility screenings, and different intake processes across levels of care. Process mapping is an effective tool to identify barriers to efficient client-level data management and opportunities to leverage health information technology to streamline the intake process of substance abuse treatment agencies, improve staff productivity, and enhance the accuracy and information flow.     

Melancholy Femininity and Obsessive—Compulsive Masculinity: Sex Differences in Melancholy Gender

The author offers a revision of melancholy gender (Butler, 1995 Butler, J. 1995. Melancholy gender.. Psychoanal. Dial., 5: 165–180. [Taylor & Francis Online] , [Google Scholar]) in which sex differences are theorized. Drawing on contemporary psychoanalytic feminist theory that emphasizes the mother's role as primary caretaker and as pre-Oedipal object for both boys and girls, the author suggests that, in heterosexual development and within heterosexual cultures, same-sex object-desire is likely to be unavowedly lost for girls but preemptively foreclosed for boys. While the theory of melancholy gender does not differentiate between loss and foreclosure, the author argues that this is an important distinction such that Freud's two preconditions of melancholy—unavowed loss and ambivalent identification—are more likely to be part of female development than of male development, leading to melancholy femininity in girls and obsessive-compulsive masculinity in boys. This argument allows the theory of melancholy gender to speak to the empirical and clinical finding that femininity and depression tend to be associated whereas masculinity and depression do not.     

Reverse exchange of healthcare devices: the case of hearing aid equipment in the UK

Abstract

Reverse exchange (RE) in dealing with the return, recycle and reuse of products is receiving a growing focus. When properly handled, RE in healthcare can deliver an economic benefit of cost minimisation and has extensive positive impacts on both human health and the environment (Li and Olorunniwo 2008 Li, X., and F. Olorunniwo. 2008. “An Exploration of Reverse Logistics Practices in Three Companies.” Supply Chain Management: An International Journal 13 (5): 381–386. doi:10.1108/13598540810894979[Crossref], [Web of Science ®] , [Google Scholar]) but to date, RE research is mostly limited to pharmaceutical return. This paper investigates the potential for RE benefits in the UK National Health Service (NHS) supply chain for medical devices. Hearing aids supplied to adults with hearing loss are used as an illustrative example. This research applied a consensus approach through the use of dispersed nominal groups in order to obtain qualitative data on information, barriers, solutions and priorities to support findings. Findings illustrate that the end user behaviour of returning the device, and the requirement by NHS Procurement for manufacturers to meet RE targets are secondary to the importance of audiology departments who have the autonomy to design RE processes and successfully implement initiatives. A schematic highlighting the information and materials flow of the supply chain and the barriers and facilitators to RE is presented for hearing aid devices with potential for transferability to other small medical device supply chains.     

Does civil society speak for the people? evidence from a survey of Scottish teachers

It has been claimed by many writers recently that civil society can lead a process of political renewal in the liberal democracies. However, the extent to which civil society is in touch with popular feeling has been challenged from both the right and the left. The paper examines one currently fluid case: civil society in Scotland, which in 1999 acquired its first parliament for three centuries following an emphatic referendum vote in 1997 in favour of setting up such an institution. The paper discusses the general issues and themes concerning civil society, explains the significance of the Scottish case, and then uses survey data to compare the views of one segment of Scottish civil society (school teachers) with those of the Scottish population generally. Teachers are studied because of the several key roles which they play in civil society and in social reproduction. The paper concludes that this segment of civil society is indeed close to the views of the general population (probably closer than Scottish members of the UK parliament), and that the new Scottish parliament will have to respect the legitimacy of the established civic institutions if it is to engage with popular concerns.