Graphical representation of survival curves in the presence of time-dependent categorical covariates with application to liver transplantation

Graphical representation of survival curves is often used to illustrate associations between exposures and time-to-event outcomes. However, when exposures are time-dependent, calculation of survival probabilities is not straightforward. Our aim was to develop a method to estimate time-dependent survival probabilities and represent them graphically. Cox models with time-dependent indicators to represent state changes were fitted, and survival probabilities were plotted using pre-specified times of state changes. Time-varying hazard ratios for the state change were also explored. The method was applied to data from the Adult-to-Adult Living Donor Liver Transplantation Cohort Study (A2ALL). Survival curves showing a ‘split’ at a pre-specified time t allow for the qualitative comparison of survival probabilities between patients with similar baseline covariates who do and do not experience a state change at time t. Time since state change interactions can be visually represented to reflect changing hazard ratios over time. A2ALL study results showed differences in survival probabilities among those who did not receive a transplant, received a living donor transplant, and received a deceased donor transplant. These graphical representations of survival curves with time-dependent indicators improve upon previous methods and allow for clinically meaningful interpretation.     

Measuring Child Poverty in South Africa: Sensitivity to the Choice of Equivalence Scale and an Updated Profile

This paper offers evidence on the sensitivity of child poverty in South Africa to changes in the adult equivalence scale (AES) and updates the child poverty profile based on the Income and Expenditure Survey 2005/06. Setting the poverty line at the 40th percentile of households calculated with different AESs the scope and composition of child poverty are found to be relatively insensitive to the scale used. The rankings of children of different ages, girls versus boys, racial groupings and children living in rural versus urban areas are unaffected by choice of AES, although some provincial rankings on the poverty headcount measure are. The proportions of children and households ‘correctly’ identified as poor for the full range of scales is extremely high. These findings support the argument that it may be appropriate for profiling poverty in South Africa to use a poverty line based on a per capita welfare measure. For the construction of the child poverty profile, per capita income is used as the welfare indicator with the poverty line set at the 40th percentile of household. The profile suggests that poverty amongst children is more extensive than amongst the population or adults even after the massive injection of transfers into households with poor children through the child support grant. The child poverty headcount, depth and severity are all highest amongst children age 0–4 and lowest amongst those aged 15–17, who are not yet beneficiaries of the grants. They are also highest amongst African and Coloured children. Large variations across provinces remain. The analysis underlines the importance of prioritising children in the fight against poverty, particularly in their earliest years.     

Use of Redundant Industrial Buildings as Injections into the Cultural Sector in Norway

Prime aim is to examine the way the culture sector reuses industrial buildings to instigate cultural activities in the municipalities. The discussion of various actors’ motivation for engagement is based on results from a case study, supplemented with findings from a coarse-meshed telephone survey. At national level overarching political guidelines can be traced back to white papers concerning cultural policy, urban transformation and cultural heritage, and the municipalities’ cultural policies mirror these guidelines. What tends to decide if such initiatives are considered successful are local abilities to cross sectorial divisions and instigate cooperation between municipal planners, private entrepreneurs and NGOs.     

Poverty and educational achievement in the US: A less-biased estimate using PISA 2012 data

In the current paper, we employ the most recent Programme for International Student Assessment (PISA) data to calculate a less-biased estimate of poverty on US achievement. The PISA was specifically chosen as it is an assessment removed from a specific curriculum and instead focuses on concepts that students should know in order to participate in a global economy. Using a propensity score matching approach, our findings suggest that US students in poverty have notable educational attainment deficiencies compared to a matched group of students who are not in poverty. In other words, when we select two students who have a great deal in common but for the fact that one comes from a poverty background, the student in poverty is expected to perform nearly 28 points, or about a quarter of a standard deviation lower, on the PISA assessment. In real terms, this puts math achievement for children not in poverty on-par with the Organisation for Economic Co-operation and Development (OECD) average, while children in poverty are well below the OECD average.     

Attitudinal and behavioral differences between cigarette users who do and do not identify as “smokers”

Objective: The current research aimed to understand differences in smoking-related identity among college students and to illustrate the distinct characteristics of nonidentified smokers (NIS). Participants: Students from 2 colleges in Massachusetts (N = 538; April 2016). Methods: Respondents reported by online survey whether or not they had smoked a cigarette in the past 30 days and if they self-identified as smokers. Nonsmokers (NIS) and identified smokers (IS) were then compared on their smoking attitudes and behavior. Results: NIS made up 12.5% of the sample and 64% of all tobacco users. NIS perceived themselves as less addicted and were more confident in their ability to quit smoking. They also were less likely to smoke alone, buy their own cigarettes, or have friends who smoked. Conclusions: College health officials can best motivate NIS to quit smoking by focusing on peer norms and the potential of long-term addiction.     

Sociopolitical and Cultural Correlates of Internalized Homonegativity in Gay and Bisexual Men: Findings from a Global Study

Objectives: Based on the premise that internalized homonegativity (IH) is a product of the incorporation of environmental heterosexism, the authors examined the influence of sociopolitical and individual influences on IH. Methods: The cross-sectional study consisted of 109,382 gay and bisexual men across 77 countries. Results: Variables at the (European) country-level that were associated with higher levels of IH included lack of laws recognizing same-sex relationships and perceived and actual negative gay-related public opinion about homosexuals. Individual-level variables significantly associated with IH were public opinion about homosexuals and exposure to gay-related victimization/discrimination. Conclusions: An improved sociopolitical climate for LGB individuals is needed.     

Planners’ Perceptions of Why Canadian Communities Have Too Many Plans

A survey of Canadian planners explored perceptions about factors contributing to the growing number of plans communities have adopted recently. The results suggest that practitioners see themselves as responding to current community concerns, as well as to requirements imposed by higher levels of government. Neoliberal practices that force compliance with accountability frameworks to enable transfer payments increase demands for new plans. Professional practices within planning have encouraged specialization—in fields such as urban design—that often leads to plan-making activities. With many plans to coordinate, and limited staff resources and time available, practitioners face increasing implementation challenges.     

Managers in the Global Economy: A Multilevel Analysis

We examine individual‐ and country‐level determinants of managerial employment, using data from the 1989 to 2009 waves of the World Values and European Values Surveys (n = 89,336 employed adults in 59 countries). Reflecting the rise of the transnational capitalist class, we find that factors related to globalization and international political institutions are most strongly associated with opportunities to join the managerial class relative to factors related to the business‐cycle or development. Additionally, in a subset of countries with detailed occupational information, we find that global trade has a particularly strong, positive association with the odds of being a corporate manager in a large firm.