Person, Perception, and Place: What Matters to Health and Quality of Life

Interest in understanding how characteristics associated with where people live, in addition to the characteristics of the people themselves, affect health outcomes has risen sharply in recent years. While much of the research examining this question focus on teasing apart effects of place and individual on outcomes, less attention has been paid to examining how individuals’ perceptions of where they live may provide some clues to better understanding the influence of place on outcomes. We present findings from analysis undertaken that incorporate the subjective responses of individuals, residing in three socially contrasting neighbourhoods, to their local environment. Our first question addressed whether perceptions related to neighbourhood and city of residence matter to self rated health and quality of life independent of individual characteristics, while the second question examined whether the perceptions and individual characteristics are modified by the neighbourhood socio-economic context. Our results show that perceived neighbourhood characteristics, in addition to individual sociodemographic factors, are significant correlates of self rated health and quality of life. Moreover, we show that the type of perceived neighbourhood characteristics and the magnitude of their influence on self rated health and quality of life vary depending on whether they live in high- versus low-socioeconomic status neighbourhoods.

Communication in assisted living

This study of communication in an Assisted Living Facility (ALF) focuses on staff's interpretive frameworks and situational tactics for managing elderly residents. It is based on interviews with staff and residents in an ALF together with ethnographic fieldwork. As in other quasi-total institutions, staff members engage in control as well as care, monitoring residents for compliance with rules and directives. Residents, aware of the threat of being moved to a nursing home, also monitor their own behavior and cognition in comparison to other residents. Other communication issues include the infantilization of the elderly by staff, and the race, class, and ethnic prejudices of residents.     

Children’s Psychosocial Rehabilitation: Clinical Outcomes for Youth with Serious Emotional Disturbance Living in Foster Care

Children living in foster care are an especially vulnerable population who often come to the attention of Medicaid mental health providers. These children experience a high incidence of emotional and behavioral disorders and may have specialized treatment needs related to their living arrangement status. This study assessed whether Children’s Psychosocial Rehabilitation could effectively treat youth with severe emotional and behavioral disorders who live in foster care. Analysis of data from an open trial of 218 clinically-impaired youth, aged 3–18 years, revealed no reliable differences in treatment outcome between foster versus non-foster children, with a trend toward more favorable outcomes for foster youth. Findings justify further study of the effectiveness of this Medicaid-funded service for the treatment of youth in care.     

Barriers to Help-seeking for a Gambling Problem: The Experiences of Gamblers Who Have Sought Specialist Assistance and the Perceptions of Those Who Have Not

This paper presents barriers to help-seeking data as reported by users of a national gambling helpline (help-seekers, HS, N = 125) as well as data pertaining to perceived barriers to seeking help as reported by gamblers recruited from the general population (non-help-seekers, NHS, N = 104). All data were collected via a structured, multi-modal survey. When asked to identify actual or perceived barriers to seeking help, responses indicative of pride (78% of HS participants, 84% of NHS participants), shame (73% of HS participants, 84% of NHS participants) or denial (87% of NHS participants) were most frequently reported. These three factors were also most often identified as the real or perceived primary barrier to help-seeking (collectively accounting for 55% of HS, and 60% of NHS, responses to this question) and were the only barriers to be identified by more than 10% of either HS and NHS participants without prompting. It was of note, however, that participants in both groups identified multiple barriers to help-seeking (mean of 6.7 and 12.2, respectively) and that, when presented with a list of 21 possible barrier items, NHS participants endorsed 19 of the listed items significantly more often than their HS counterparts. The implications of these findings, with respect to promoting greater or earlier help-seeking activity amongst problem gamblers, are discussed.

The Development of Peer Interaction in Infancy: Exploring the Dyadic Processes

Peer interaction is an important component of children's social repertoires that is associated with a variety of developmental outcomes and life skills. The present study provides an in‐depth study of early dyadic peer behaviors during the infancy period, during which social competence with peers is first being developed. Results from variable‐centered analyses highlight the effectiveness of behaviors, such as offering objects to peers, and point to the importance of the social context set by a peer's prior social behavior and processes for eliciting peer responses. Findings from person‐centered analyses reveal marked individual differences in the processes through which infants are successful in eliciting responses from their peers, illustrating the presence of multiple pathways to achieving social competence with peers.     

Accent on Teaching Materials

This department includes the two sections New Developments in Statistical Computing and Statistical Computing Software Reviews; suitable contents for each of these sections are described under the respective section heading. Articles submitted for the department, outside the two sections, should not be highly technical and should be relevant to the teaching or practice of statistical computing.

An unbiased estimator of e is used to motivate a simple simulation exercise that requires only observations from the distribution uniform on (0, 1). Antithetic variables are introduced and applied to the simulation problem to give a second unbiased estimator of e with reduced variance.     

Assessment of social work students: Standpoint and strong objectivity

The aim of this paper is to consider epistemological issues relating to the assessment of social work students. It will review the development of social work education and in particular the changes that have occurred in assessing the practice of social work students in England and Wales. It explores models of practice assessment. Factors relating to maintaining professional standards, whilst taking into consideration issues of justice, are addressed. It explores the potential benefits of using a second opinion in the assessment of marginal or failing students on practice placement. Assessment is linked to how students may perform as qualified practitioners; this raises issues related both to the nature of objectivity, and standpoint in assessment.     

Examining the structure of awareness and perceptions of groundnut aflatoxin among Ghanaian health and agricultural professionals and its influence on their actions

This study uses a modified health belief model (HBM) within a socio-economic framework to evaluate the influence of awareness and knowledge on actions to reduce aflatoxin (AF) contamination in groundnuts (peanuts). Data were collected in 2002 through a self-administered questionnaire from a sample of 367 individuals. Socio-economic factors affecting perceptions, awareness, knowledge, and action were examined using structural equation modeling. The perceived benefits of good quality groundnuts and/or groundnut products were the most important determinants of awareness and knowledge of AF among agricultural and health professionals in Ghana. Awareness, in turn, had a significant causal effect on the professionals’ decisions to take actions to increase the level of awareness of AF in the society. Demographic factors, such as gender and level of education significantly influenced knowledge of AF and the perception of the benefits of good quality groundnut. Type of profession had a significant influence on awareness and perceived seriousness of the AF problem. Education was a significant determinant of awareness of AF in groundnuts. The study generates important information for policy decision making when considering resource allocation to reduce food contamination in developing economies.