Association of sexual abstinence in adolescence with mental health in adulthood

We examined whether adolescent sexual abstinence predicts better adult mental health. 1,917 adolescents, recruited from middle schools at age 13, were surveyed at ages 13, 18, 23, and 29. In bivariate analyses, adolescent sexual abstinence was associated with better mental health at age 29 for females, but not males; three adolescent factors, educational prospects, family bonding, and unconventionality were investigated as explanatory variables of this relationship. The abstinence-mental health relationship was nonsignificant when educational prospects was included in multivariate models, and marginally significant when family bonding and unconventionality were included; all three explanatory factors accounted for significant proportions of the variance in adult mental health. Girls who are uninvolved in school, have weak family backgrounds, and exhibit unconventionality may have poor adult mental health, whether or not they abstain from sex in adolescence. Interventions that strengthen adolescents' connections to families and schools may reduce risk for long-term mental health problems.     

Obesity and hospitalization over the adult life course: does duration of exposure increase use?

Consistent with a new genre of research on life-course analyses of health-service use, this study explores the consequences of long-term exposure to a risk factor. Drawing from cumulative-disadvantage theory, the study examines whether obesity, especially chronic obesity, increases hospitalization admission and length of stay. Analyses make use of hospital records abstracted over 20 years from a national survey of adults 41 to 77 years of age at baseline (n = 4,574). Multiple measures of body weight are used to calculate adult obesity duration. Results reveal that obesity increased hospital admissions and length of stay over the 20 years studied. Among persons obese at any time during the study, years of obesity also led to longer stays. The findings highlight the utility of measures of the duration of risk exposure for both life-course studies of health and tests of cumulative-disadvantage theory.     

Cell Phone Survey Feasibility in The U.S.: Sampling and Calling Cell Numbers Versus Landline Numbers

In 2004, we conducted a nationwide dual frame survey of landlineand cell phone numbers to evaluate the feasibility of includingcell phone numbers in a random digit dial telephone survey.Households with both landline and cell phones were eligiblefor selection in both samples. This article describes our designand data collection methods; compares the results from the twosamples (with an emphasis on operational characteristics); andpresents the outcomes of two experimental manipulations designedto improve the cell phone response rate.     

Sampling Telephone Numbers and Adults, Interview Length, and Weighting in The California Health Interview Survey Cell Phone Pilot Study

This article describes several features included in a CaliforniaHealth Interview Survey cell phone pilot study that differ fromearlier cell phone surveys conducted in the United States. Onedifference is that the study used a screening design and onlyadults living in cell-only households were interviewed. Mostof the previous studies used dual frame designs. Another differencewas the development and implementation of a within-householdadult sampling procedure to cover adults when cell phones wereshared in the household. The study was also intended to determineif conducting a cell phone interview of the same scope and lengthas a regular telephone interview was feasible. Most previoussurveys were focused on cell phone topics and were shorter thanthe comparable landline surveys. We then explore some interestingproblems that arise in weighting a cell phone survey using ascreening design. We conclude with a discussion of planninga new cell phone survey in 2007 that incorporates findings fromthis study.     

Characteristics of children in residential treatment in New York State

This study addresses three questions about the population of children and families served in the highest level of care in the child welfare system in New York State residential treatment centers (RTCs): (1) How prevalent are emotional and behavioral problems in the youth entering RTCs? (2) Has the proportion of youth with such problems increased compared to 10 years ago? (3) Are there identifiable subgroups of youth entering RTCs? One-fourth of RTC admissions in fiscal year 2001 were randomly selected from a representative sample of 16 RTCs. The study completed a standardized data collection instrument based on a review of agency records, and included information that was known at the time each child was admitted. The results show significant increases compared to t10 years earlier in the proportion of youth with mental health problems and juvenile justice backgrounds. The findings suggest that youth who traditionally have been served by other systems of care are now being served in the child welfare system. The increased treatment needs of these youth and the heterogeneity of the RTC population have important implications for policies, programs, and practice.     

Intergenerational class mobility in contemporary Britain: political concerns and empirical findings

In Britain in recent years social mobility has become a topic of central political concern, primarily as a result of the effort made by New Labour to make equality of opportunity rather than equality of condition a focus of policy. Questions of the level, pattern and trend of mobility thus bear directly on the relevance of New Labour's policy analysis, and in turn are likely be crucial to the evaluation of its performance in government. However, politically motivated discussion of social mobility often reveals an inadequate grasp of both empirical and analytical issues. We provide new evidence relevant to the assessment of social mobility - in particular, intergenerational class mobility - in contemporary Britain through cross-cohort analyses based on the NCDS and BCS datasets which we can relate to earlier cross-sectional analyses based on the GHS. We find that, contrary to what seems now widely supposed, there is no evidence that absolute mobility rates are falling; but, for men, the balance of upward and downward movement is becoming less favourable. This is overwhelmingly the result of class structural change. Relative mobility rates, for both men and women, remain essentially constant, although there are possible indications of a declining propensity for long-range mobility. We conclude that under present day structural conditions there can be no return to the generally rising rates of upward mobility that characterized the middle decades of the twentieth century - unless this is achieved through changing relative rates in the direction of greater equality or, that is, of greater fluidity. But this would then produce rising rates of downward mobility to exactly the same extent - an outcome apparently unappreciated by, and unlikely to be congenial to, politicians preoccupied with winning the electoral 'middle ground'.     

"Little" and "Big" Pictures in Our Heads: Race, Local Context, and Innumeracy About Racial Groups in the United States

Americans do not know what percentage of the nation's residentsare whites, blacks, Hispanics, Asians, and American Indians.Using the 2000 General Social Survey, I find that respondentsof all races underestimate the percentages of whites and overestimatethe percentages of racial/ethnic minority groups and multiracialAmericans in the United States; however, they perceive theirlocal communities quite differently. As a first step towardunderstanding this discrepancy, I test whether individuals’local surroundings serve as a source of information for theirpictures of the United States. I examine the relationship between"objective" data and respondents’ subjective perceptionsof where they live, and compare their respective effects onAmericans’ perceptions of the nation. Multivariate multilevelanalyses show that respondents’ perceptions of differentracial group sizes in their communities are the strongest predictorsof innumeracy at the national level, while "objective" racialcontext measured at the local level has less of an effect. Thesefindings have important implications for research on racialcontext, which assumes that census numbers for respondents’locales are good proxies for their perceptions of the size ofracial/ethnic groups in their communities. Furthermore, thesefindings suggest that scholars need to start thinking aboutwhy whites and non-whites have similar "big pictures" of thenation, why their "little pictures" vary a great deal, and whythe motivations for over- and underestimation may differ byracial/ethnic group.     

Mitofsky Waksberg: Learning From The Past

Warren Mitofsky and Joseph Waksberg were two of the most influentialresearchers in telephone surveys and survey research methods.Their development of the Mitofsky–Waksberg method forrandom digit dialing sampling revolutionized telephone samplingand surveys. Jointly and separately, Waksberg and Mitofsky wereinstrumental in the development of many innovative methods andapplications. This article reviews some of their contributionsand discusses how their approaches to these problems may bea model for addressing issues that are being encountered currentlyin the United States in cell phone research.     

Health care risks and access within the community of Michigan over-the-road truckers

This mixed methods study explored health care access problems faced by long-distance truck drivers. Thirty trucking professionals were interviewed at truck-stops in Michigan about health status and health care access. Thirty of the 88 drivers approached participated. The most common illnesses they reported concerned the eye, back, excessive stress at work and painful joints or arthritis. Most respondents had a family doctor; for those who did not, cost was a major contributing factor. More than one third stated their health is "not excellent" because of poor accessibility to healthcare on the road. Almost unanimously, drivers desired to have access to health care clinics in truck-stop areas and described particular access problems; the solution may be as simple as making the existing health care system more amenable to those driving large truck rigs.     

Assessing the Playing Field: A Prospective Longitudinal Study of Internet Sports Gambling Behavior

Internet gambling is growing rapidly, as is concern about its possible effect on the public’s health. This paper reports the results of the first prospective longitudinal study of actual Internet sports gambling behavior during eight study months. Data include recorded fixed-odds bets on the outcome of sporting contests and live-action bets on the outcome of events within contests for 40,499 Internet sports gambling service subscribers who enrolled during February 2005. We tracked the following primary gambling behaviors: daily totals of the number of bets made, money bet, and money won. We transformed these variables into measures of gambling involvement. We analyzed behavior for both fixed-odds and live-action bets. The median betting behavior of the 39,719 fixed-odds bettors was to place 2.5 bets of €4 (approximately $5.3 US) every fourth day during the median 4 months from first to last bet. This typical pattern incurred a loss of 29% of the amount wagered. The median betting behavior of the 24,794 live-action bettors was to place 2.8 wagers of €4 every fourth day during the median duration of 6 weeks at a loss of 18% of the amount wagered. We also examined the behavior of empirically determined groups of heavily involved bettors whose activity exceeded that of 99% of the sample.