Factors Influencing use of Bicycle Helmets among Undergraduate Students

Abstract

Undergraduate bicyclists' attitudes toward using helmets were surveyed, using a 66-item questionnaire. The authors identified a series of factors that would increase the likelihood of students' using the protective devices and suggest interventions to be considered in developing programs to decrease morbidity and mortality in the bicycle-riding population.     

An Examination of the Woodwork Effect Using National Medicaid Long-Term Services and Supports Data

A common concern in long-term services and supports (LTSS) policy is the “woodwork effect,” which has two components: (1) more people will use publicly funded services if access to home- and community-based services (HCBS) is expanded; and (2) the additional beneficiaries will increase the growth rate of LTSS expenditures. Medicaid LTSS beneficiary and utilization data starting in 1999 indicate modest growth in beneficiaries and expenditures, after adjusting for inflation and the number of people with functional impairments. The data do not provide strong evidence that the shift in Medicaid funding toward HCBS significantly increased or decreased overall Medicaid LTSS spending.     

The racialisation of asylum in provincial England: class,place and whiteness

This article examines the discursive racialisation of asylum-seekers by residents of Portishead, a small English town, a process demonstrating a classed and placed set of expressions of whiteness. I study the racialisation of a diverse group of people from the bottom-up, through an analysis of residents’ letters of objection to the Government’s request for planning permission to turn a building into an asylum processing centre in 2004. Three registers of language are presented: ‘technocratic’, ‘resentful’ and ‘conjectural’. Racialisation is expressed through shared ideas about the type of space in Portishead, and the type of people appropriate for it. The space is constructed as white and middle-class: the asylum-seekers are produced discursively as neither and therefore as not belonging. I suggest that the phenomenon of relatively powerful groups constructing themselves as weak and beleaguered can be conceptualised as a form of ‘defensive engagement’.     

The Structure of Empathy in Social Work Practice

This article presents a detailed theoretical framework demonstrating how empathy is used in the practice of social work. This consists of affective, cognitive, and behavioral dimensions of empathy and delineates six latent constructs that make up these dimensions. These constructs are (1) caring, (2) congruence, (3) interpersonal sensitivity, (4) perspective taking, (5) altruism, and (6) the therapeutic relationship. Evolutionary, sociological, and neuroscience theories are used to describe empathy's origins as a historically adaptive and interactional process, and social work theories emphasize empathy as an interpersonal helping strategy and organizing principle essential to the practice of social work.     

Participation and partnerships in research: Listening to the ideas and experiences of a parent-carer

This paper discusses the aims and compromises that ensued in the design of a project investigating the obstacles faced by migrants in professional occupations when they move between countries in the European Union. A qualitative approach was selected because of the virtual absence of statistical and empirical data on the mobility and barriers to skilled/qualified migrants in the EU, in specific professions. Central to the research design was a series of guided interviews with regulatory bodies, employers' representatives and native workers, and 60 semi-structured interviews with women migrants.     

Gambling behaviours and associated familial influences among 9-year old Pacific children in New Zealand

There is a paucity of research investigating child gambling, particularly studies that do not use retrospective designs. The presented findings provide cross-sectional data of the gambling behaviours of 874 9-year old Pacific children from a birth cohort study (recruited from one hospital) investigating health, developmental and social outcomes for Pacific children and their families in New Zealand. Structured interviews were administered to participants (mothers and children), face to face, in their homes (mothers) or school (children). Child gambling behaviours and associations with some maternal behaviours were investigated; five gambling participation questions were included in the child interview. Almost all child respondents (96%) reported having played card games with family or friends and 60% reported participation in housie (bingo), although only 27% reported having bet with money. Associations were noted between child gambling and household deprivation, and effectiveness of parental monitoring. There was no association between children's gambling and mothers' gambling. This is the first research to examine gambling in Pacific children at 9 years of age within a familial context. It will allow exploration of links between parental gambling and child development of gambling behaviours, as well as risk and protective factors for problem gambling at future data collection phases of the study.     

Recurrent events analysis in the presence of time-dependent covariates and dependent censoring

Summary.  Recurrent events models have had considerable attention recently. The majority of approaches show the consistency of parameter estimates under the assumption that censoring is independent of the recurrent events process of interest conditional on the covariates that are included in the model. We provide an overview of available recurrent events analysis methods and present an inverse probability of censoring weighted estimator for the regression parameters in the Andersen–Gill model that is commonly used for recurrent event analysis. This estimator remains consistent under informative censoring if the censoring mechanism is estimated consistently, and it generally improves on the naïve estimator for the Andersen–Gill model in the case of independent censoring. We illustrate the bias of ad hoc estimators in the presence of informative censoring with a simulation study and provide a data analysis of recurrent lung exacerbations in cystic fibrosis patients when some patients are lost to follow-up.     

Development of a screen for ongoing intimate partner violence

A five-question Ongoing Abuse Screen (OAS) was developed to evaluate ongoing intimate partner violence. Our hypothesis was that the OAS was more accurate and more likely to reflect ongoing intimate partner violence than the AAS when compared to the Index of Spouse Abuse (ISA). The survey included the ISA, the OAS, and the AAS. During the busiest emergency department hours, a sampling of 856 patients completed all aspects of the survey tool. Comparisons were made between the two scales and the ISA. The accuracy, positive predictive value, and positive likelihood ratio were 84%, 58%, and 6.0 for the OAS and 59%, 33%, and 2.0 for the AAS. The OAS was more accurate, had a better positive predictive value, and was three times more likely to detect victims of ongoing intimate partner violence than the AAS. Because the OAS was still not accurate enough, we developed a new screen, based on the ISA, titled the Ongoing Violence Assessment Tool (OVAT).     

FOUR USEFUL INTERVENTIONS IN BRIEF FAMILY THERAPY*

At the Brief Family Therapy Center we have developed some interventions that have repeatedly been found useful. Once a generalizable intervention is designed for a particular case and found effective, the team attempts to replicate by using it in other appropriate situations. When a pattern of usefulness emerges, it is time to think about and study what is going on that makes the intervention useful. The purpose of this paper is to describe four such interventions, the situations in which to use them or not use them, and our thinking about what is going on in each example.