The natural history and risk factors of musculoskeletal conditions resulting in disability among US Army personnel

We describe the natural history of 13 musculoskeletal conditions requiring hospitalization and identify demographic, behavioral, psychosocial, occupational, and clinical characteristics most strongly associated with disability discharge from the Army. Subjects included 15,268 active-duty personnel hospitalized for a common musculoskeletal condition between the years 1989-1996 who were retrospectively followed through 1997. Back conditions had the greatest 5-year cumulative risk of disability (21%, 19%, and 17% for intervertebral disc displacement, intervertebral disc degeneration, and nonspecific low back pain, respectively). Cox proportional hazards models identified the following risk factors for disability among males: lower pay grade, musculoskeletal diagnosis, shorter length of service, older age, occupational category, lower job satisfaction, recurrent musculoskeletal hospitalizations, more cigarette smoking, greater work stress, and heavier physical demands. Among females, fewer covariates reached statistical significance, although lower education level was significant in more than one model. Modifiable risk factors related to work (job satisfaction, work stress, physical demands, occupation) and health behaviors (smoking) suggest possible targets for intervention.     

Drinking and other risk taking behaviors of enlisted male soldiers in the US Army

High-risk drinking is among the top three prevention priorities of the Department of Defense. Research suggests that enlisted male soldiers are particularly at risk for unhealthy drinking behaviors. 292,023 enlisted male soldiers who responded to a Health Risk Appraisal (HRA) survey between 1990 and 1998 were dichotomized into high and low-risk drinking groups. Logistic regression analysis showed that high-risk drinkers wore seatbelts less frequently, were more likely to drive > 15 mph over the speed limit, and to smoke more than 20 cigarettes/day. This high-risk group was predominately young (< 25), Caucasian, high school educated or less, and most likely employed as infantrymen or craftsworkers. The two highest risk occupational groups (infantrymen and craftsworkers) differ from each other, and from other Army occupations. Intervention programs should include safe driving habits and smoking cessation, as well as high-risk drinking, and should be tailored to the specific needs of the group at highest risk.     

Innovations in care for children separated from parents: Transitioning from residential to family models of service

Research suggests that children develop best in families, but millions currently reside in residential care centers. Many residential care centers have transitioned their programmes from a to a family care model. Using a mixed methods design, the current study examined (1) antecedents to transition, (2) key elements in the process and (3) outcomes of transitioning models of care. Participants included 39 non-government organizations that had fully or partially transitioned to family care. Programmes collectively served 12 325 children and 29 499 families in 22 countries annually. Data revealed programmes perceived the change in the model was better for the families and children served.     

School Order,Justice, and Education: Climate,Discipline Practices,and Dropping Out

There is a growing body of research that explores how school climate, order, and procedural justice are related to violence within American public schools. What remains in the background, however, is how school climate, order, and justice are related to aspects of education such as dropping out. This study uses multilevel analysis, drawing from the Educational Longitudinal Study of 2002, to examine the effect of school climate, order, and justice on dropping out. Results indicate that, when considering the various dimensions of school climate, order, and justice, a student receiving a formal school sanction remains the strongest factor related to the likelihood of a student dropping out of school. These results underscore the importance of careful design and implementation of school discipline and safety policies.     

A guideline for designing experimental studies in marketing research and a critical discussion of selected problem areas

Experiments are a well-suited method for empirically studying cause-and-effect relationships. This article provides a guideline for designing experiments. We develop an integrative framework that illustrates the key decisions in designing experimental studies. With this framework, we discuss important problem areas in the design of experiments (e.g., determining the experimental setting, choosing participants). Finally, for the different decisions and identified problem areas, we derive concrete recommendations for designing experimental studies in marketing research.     

Women's adjustment to widowhood: does social support matter?

Widowhood is a stressful event for women, often coinciding with health, financial, and relationship losses. Researchers have considered many aspects of women's adjustment to widowhood, typically including social support in analyses. This study analyzed relationships between social support and adjustment from 19 previous widowhood studies. Contrary to intuition and most researchers' assumptions, the majority of relationships did not show that social support positively impacted adjustment. Analyses examined whether type of support or study methods affected the likelihood of finding a significant relationship between support and adjustment. Chi-square statistics indicated that neither of these factors influenced the effect of social support on women's adjustment to widowhood.     

Young women's experiences and perceptions of cunnilingus during adolescence

Recent studies indicate that cunnilingus may be as prevalent as fellatio among American adolescents. Despite this approximate equivalence in rates, there is an imbalance in the amount and type of attention paid to fellatio and cunnilingus. Furthermore, there has been little empirical examination of young women's experiences and perceptions of cunnilingus during adolescence. Two studies in response to this gap in knowledge were conducted. In Study 1, regression analyses indicated that a young woman's sexual assertiveness was linked to having more lifetime cunnilingus partners, as well as more cunnilingus experiences in the past three months. Study 2 explored young women's perceptions of cunnilingus and their speculations about their male partners' perceptions thereof. Linear mixed modeling revealed that participants had highly favorable impressions of cunnilingus, which they believed their male partners shared. These findings are considered in terms of positive adolescent sexual development and cultural norms regarding female sexuality.     

Multiple Response System: Evaluation of Policy Change in North Carolina's Child Welfare System

Systemic challenges within child welfare have prompted many states to explore new strategies aimed at protecting children while meeting the needs of families, but doing so within the confines of shrinking budgets. Differential Response has emerged as a promising practice for low or moderate risk cases of child maltreatment. This mixed methods evaluation explored various aspects of North Carolina's differential response system, known as the Multiple Response System (MRS), including: child safety, timeliness of response and case decision, frontloading of services, case distribution, implementation of Child and Family Teams, collaboration with community-based service providers and Shared Parenting. Utilizing Child Protective Services (CPS) administrative data, researchers found that compared to matched control counties, MRS: had a positive impact on child safety evidenced by a decline in the rates of substantiations and re-assessments; temporarily disrupted timeliness of response in pilot counties but had no effect on time to case decision; and increased the number of upfront services provided to families during assessment. Qualitative data collected through focus groups with providers and phone interviews with families provided important information on key MRS strategies, highlighting aspects that families and social workers like as well as identifying areas for improvement. This information is useful for continuous quality improvement efforts, particularly related to the development of training and technical assistance programs at the state and local level.