Data on survival of recent births as a source of child mortality estimates in the developing world: An assessment of census data

In many less developed countries, household surveys collect full and summary birth histories to provide estimates of child mortality. However, full birth histories are expensive to collect and cannot provide precise estimates for small areas, and summary birth histories only provide past child mortality trends. A simple method that provides estimates for the most recent past uses questions about the survival of recent births in censuses or large household surveys. This study examines such data collected by 45 censuses and shows that on average they tend to underestimate under-5 mortality in comparison with alternative estimates, albeit with wide variations. In addition, the high non-sampling uncertainty in this approach precludes its use in providing robust estimates of child mortality at the country level. Given these findings, we suggest that questions about the survival of recent births to collect data on child mortality not be included in census questionnaires.     

Traumatic Bereavement and Mindfulness: A Preliminary Study of Mental Health Outcomes Using the ATTEND Model

This article presents a quasi-experimental study of a mindfulness-based intervention for traumatically bereaved individuals using a single group with pre-test and post-test design. The intervention consists of the ATTEND model, which is comprised of the following elements practiced by the clinician: attunement, trust, therapeutic touch, egalitarianism, nuance, and death education. The study is based on the charts of 42 clients seeking grief counseling at a mental health agency viewed retrospectively. Participants’ intake scores on the Impact of Event Scale-Revised (IES-R), which measures trauma symptoms, and 25-item Hopkins Symptom Checklist (HSCL-25), which measures depressive and anxious symptoms, were compared to their scores after an average of 14.64 hours of counseling. Paired samples t tests showed a statistically significant decline in trauma symptoms on the IES-R, and in anxious and depressive symptoms on the HSCL-25. These results provide preliminary support for the use of this mindfulness-based approach for difficulties associated with traumatic bereavement, though more extensive research is needed to determine the effectiveness of this approach.     

Heart Disease Risk Perception in College Men and Women

Abstract

The authors sought to assess the perception of risks for coronary heart disease (CHD) in college men and women. They surveyed 470 undergraduates from 2 major 4-year institutions who completed a questionnaire that measured perceived risks for heart disease. Sixty-eight percent of the respondents rated their risks as lower or much lower than those of their peers, indicating a clear optimistic bias. The research also revealed that the students who exercised regularly rated their risk of coronary disease lower than those who did not do so. In addition, women perceived a number of risk markers to be more potent or causative factors than men did. A significant number of participants did not comprehend commonly understood causal relationships associated with heart disease risk. The findings in this preliminary investigation suggest that college men and women do not accurately perceive their risks for developing heart disease.     

New Identities

The transformation of a segment of the Hamilton working class in the space of a couple of decades—from lifestyles supported by good jobs that, given the global demand for steel, seemed certain to last forever, to week-to-week insecurity and shattered gender expectations—came about not only through structural shifts in the global economy, but through the agency of the members of steelworker families as well, all mediated by local cultural ideas and practices. This article considers how we might think about the apparently mundane, everyday actions of women as contributing to—rather than simply responding to—broader shifts. I suggest this means thinking about women's lives as entailing meaningful acts that, through continuous and combined application, gradually alter structural conditions. Sensitivity to the forms of agency that women employ requires a notion of agency that can account for different experiences and, thus, different meanings, which arise from unequal access to wealth and power. Human agency involves a cognitive process of remembering the past, engaging the present, and imagining the future as people reflect on ideas and events, make judgements, and evaluate imagined alternatives. In the distinctively human ability to incorporate imagined futures into decisions over which path to take, we can see a particularly gendered expression of agency. As women reflect on their own experiences of the past and the present, they can rarely avoid confronting gendered forms of inequality. Action rests on a capacity to imagine a future free of (the effects of) gendered inequalities. Imagination thus spurs gendered action.     

Social work supervision of young people

This paper summarizes findings on 50 teenagers supervised by local authority social services (work) departments. Interviews were held with social workers, young people and parents at the start of intervention and about a year later. Pre-tests and post-tests were also used to complement other statistical and qualitative data. After identifying the main reasons for the teenagers being on formal or informal supervision, the paper moves on to discuss the process, content and outcome of supervision as perceived by each of the three key actors. It also outlines what the young people and their parents found positive and helpful about supervision. Finally the paper demonstrates that forms of help and control need not be opposites and that social workers can help some very troubled teenagers. However, in order for services to have an impact, they have to be deployed as part of a package rather than as alternatives.     

On functional central limit theorems for dependent,heterogeneous arrays with applications to tail index and tail dependence estimation

We establish invariance principles for a large class of dependent, heterogeneous arrays. The theory equally covers conventional arrays, and inherently degenerate tail arrays popularly encountered in the extreme value theory literature including sample means and covariances of tail events and exceedances. For tail arrays we trim dependence assumptions down to a minimum leaving non-extremes and joint distributions unrestricted, covering geometrically ergodic, mixing, and mixingale processes, in particular linear and nonlinear distributed lags with long or short memory, linear and nonlinear GARCH, and stochastic volatility.