RESPONSE-TIME MEASUREMENT IN SURVEY RESEARCH A METHOD FOR CATI AND A NEW LOOK AT NONATTITUDES

The paper introduces a methodology for measuring accuratelythe time it takes respondents to answer questions in computer-assistedtelephone surveys. The methodology, which is completely invisibleto respondents, comprises a computer "clock," capable of timingresponses with millisecond accuracy, and a "voice-key" thatconverts sounds emitted by respondents into signals capableof triggering the computer clock. Response times to questionson a range of attitude questions, including stable and unstableattitudes, were measured. The results revealed orderly normsin the latencies associated with various types of survey questions.The latencies associated with the expression of stable and unstableattitudes are discussed in the context of the notion of "nonattitudes"and shed new light on this controversial thesis. Overall, ourresults demonstrate that response latencies can be measuredprecisely and reliably in telephone surveys and that the datafrom such measurement open new windows on the cognitive dynamicsof survey responses.     

An evaluation of socially responsive planning in a new resource town

New resource towns on the Canadian frontier have presented planners with opportunities to experiment with innovative planning ideas which attempt to resolve the persistent problems of such communities. In the planning of Tumbler Ridge, a new coal mining town in British Columbia, socially responsive planning was an attempt to develop a town using principles derived from social science research. In this paper the reactions of residents to selected attributes which reflect the application of these principles are examined five years after settlement began. Ratings of community attributes offer an indication of aspects of residential satisfaction, while the results of a principal components analysis suggest the dimensionality of residents' evaluative structures and provide a useful framework within which to consider planning issues. Issues examined are: the association between employment and the community environment; the suitability of the environment for children; and the social environment. While social aspects of the new community are judged as satisfactory, less positive elements reflect the underlying influence of the economic well-being of the mining company on overall community satisfaction. When compared to indicators of community satisfaction in other western Canadian resource towns, ratings for Tumbler Ridge tend to be fairly low. It is concluded that the inability of planners to adequately control implementation or dontinuity of their ideas has resulted in a community not distinctly different from other resource towns. Efforts have been further hampered by a lack of adequate models of the distinctive dynamics of resource communities.     

Population growth,farmland, and the long-run standard of living

This paper studies the natural-resources element in the theory of population growth over the very long run. In the context of the stock of land and Malthusian crises in earlier times, the model shows how resources have become more available rather than more scarce, even as population and income have increased.The paper sketches a mechanism which, added to the Malthusian system, leads to entirely different conclusions than does the Malthusian system. Using the illustration of food and land, change in knowledge and hence in the stock of resources is made a function of the stock of knowledge and the price of resources. The speed of adjustment depends on the economic and social climate for the development of new knowledge. Population growth first raises food and land prices, which then stimulate the creation of new resources, eventually leading to less scarcity of resources and lower prices than originally prevailed.That is, population growth creates new problems which in the short run constitute additional burdens which, in the longer run, lead to new developments that leave people better off than if the problems had never arisen.This paper benefitted from being presented in earlier draft at a Population Association of America meeting, to the Economic History workshop at the University of Illinois, and to a seminar of the International Union for the Scientific Study of Population in New Delhi. We appreciate valuable comments on earlier drafts from Stanley Engerman, E. L. Jones, William McNeill, and two anonymous referees. Gunter Steinmann acknowledges financial support from the Volkswagen Foundation and a travel grant from Fulbright Commission.     

Estimation of mortality from orphanhood in adulthood

This paper extends earlier research into methods for estimating adult mortality from information on the recent incidence of orphanhood. It presents a series of regression coefficients for estimating female and male mortality from synthetic cohort data on the subsequent orphanhood of those who had a living mother or father at exact age 20. Such information can be obtained either where questions about parental survival have been asked in two inquiries or by asking retrospectively about dates of orphanhood in a single survey. Although the method is somewhat sensitive to errors in the reporting of ages and dates, it is a promising source of up-to-date estimates of adult mortality that are free from bias due to the underreporting of the orphanhood of young children ("the adoption effect").     

Of orphans and balloons

Technologies with significant implications for expenditures continue to reach the health care system. These technologies range from orphan drugs/biologicals used to treat rare diseases to balloons used to treat the common occurrence of benign prostatic hyperplasia (BPH) in aging men. Because payment for these technologies can represent a serious financial drain on third-party payers, utilization has to be carefully evaluated, monitored, and controlled.     

Investigational: what's in a name

The term "investigational" has become the fulcrum upon which coverage decisions turn. All third-party payers, including the federal government, use varying definitions of the term for the purpose of excluding treatments from coverage for payment. Unfortunately, no consistent definition of the term is available to payers to guide them in their coverage decisions.     

Coverage, technology assessment, and the courts

Coverage decisions by third-party payers are relying more and more heavily on the conclusions of technology assessment programs about the safety and effectiveness of technologies applied in specific clinical situations. Assessment programs vary markedly in the sophistication and rigor of their methodology. Payers differ as to how such assessment information is integrated into their decision-making processes. Finally, coverage decisions about a specific technology can vary widely across the country.     

The challenge of world health

2 development specialists have expounded on the demands world health has placed on public health. Striking declines in infant and child mortality occurred with the advent of biomedical and technical interventions in developing countries after World War II. At the same time, these interventions promoted longer lives by curing and/or treating chronic diseases in developed countries. In the 1970s, however, it was apparent that the hospital based, curative approach could not meet health needs and was very costly. In developed countries, biomedical and social sciences showed that chronic diseases did not occur due to modernization but from unhealthy behaviors, diet, and lifestyle. In fact, in 1975, the US Centers for Disease Control announced that unhealthy lifestyles contributed to 50% of all deaths while the medical system was responsible for only 11%. The US and other developed countries then began to promote healthy lifestyles, and in the 1980s, considerable improvements in health occurred, especially among adults. Developing countries which depended on the Western medical model did not experience health gains in the 1970s. Yet developing countries where health systems concentrated on carrying essential services to all people and promoted basic hygiene and sound dietary practices continued to achieve considerable health gains. In 1978, WHO an UNICEF hosted the International Conference on Primary Health Care in Alma Ata, the Soviet Union to hold these developing countries with community based health systems as models of primary health care (PHC). The 1980s witnessed the spread of PHC especially in the form of child survival which focused on oral rehydration therapy and breast feeding. The biomedical and social sciences are needed to move this health policy and program strategy forward. Governments must see to policies that promote healthy people. Political will is needed to make human welfare a high priority.     

RACE-OF-INTERVIEWER EFFECTS IN A PREELECTION POLL VIRGINIA 1989

All published preelection surveys of the 1989 Virginia gubernatorialcontest overestimated the vote share of the black candidateand eventual victor, Douglas Wilder. We offer a "social desirability"interpretation of the polls' inaccuracies and hypothesize thatclaiming support for Wilder was the socially desirable responsefor some whites, especially when the interviewer was black.We show a race-of-interviewer effect on the vote intention ofwhite respondents of 8–11 percentage points in a preelectionsurvey of Virginia voters. The effects were greatest among whiteDemocrats and among whites who were more uncertain of theirvote intention. We discuss the implications of these findingsfor race-of-interviewer research and for improving the accuracyof preelection forecasts in contests with black and white opposingcandidates.