Life with and without disease: women experience more of both

This paper examines gender differences in life with and without six major diseases, including both mortal and morbid conditions. Disease prevalence and health behavior data are from the 1993-1995 National Health Interview Surveys for the United States. Vital registration data are the source of mortality rates used in computing life expectancy. The Sullivan method is used to estimate life lived with and without disease and risky behavior for men and women at various ages. Women live more years with each of the diseases examined, and, for arthritis, the extended years with disease are greatest. Women also live more years than men free of each of these diseases with the exception of arthritis. Gender differences in life without two health-risk behaviors are also discussed. Men spend more years of their lives overweight and have fewer years during which they see a doctor.     

Patterns of Racial and Educational Assortative Mating in Brazil

Exchange of racial for educational status has been documented for black/white marriages in the United States. Exchange may be an idiosyncratic feature of U.S. society, resulting from unusually strong racial boundaries historically developed there. We examine status exchange across racial lines in Brazil. In contrast to the United States, Brazil features greater fluidity of racial boundaries and a middle tier of “brown” individuals. If exchange is contingent on strong racial boundaries, it should be weak or non-existent in Brazilian society. Contrary to this expectation, we find strong evidence of status exchange. However, this pattern results from a generalized penalty for darkness, which induces a negative association between higher education and marrying darker spouses (“market exchange”) rather than from a direct trading of resources by partners (“dyadic exchange”). The substantive and methodological distinction between market and dyadic exchange helps clarify and integrate prior findings in the status exchange literature.     

Profiles of Systems Involvement in a Sample of High-Risk Urban Adolescents with Unmet Treatment Needs

This study examined profiles of involvement in four systems (education, child welfare, legal, and treatment) in a sample of 253 high-risk urban adolescents with unmet behavioral health needs. Self-report data were collected on multiple dimensions of involvement within each system, demographics, and DSM-IV diagnoses. Latent class analysis revealed four profiles: Education System: Academic and Disciplinary, Education System: Academic Only, Legal/Juvenile Justice Involved, and Multiple Systems/Child Welfare. Profiles differed based on gender and psychiatric diagnoses. Boys were overrepresented in Education System: Academic and Disciplinary and Legal/Juvenile Justice Involved, and girls were overrepresented in Multiple Systems/Child Welfare. The two education system focused classes were characterized by depressive disorders and ADHD. Youth in Legal/Juvenile Justice Involved and Multiple Systems/Child Welfare were characterized by conduct disorder and substance abuse. Implications for assessment and treatment planning for high-risk youth and for the organization of community-based behavioral health services are discussed.     

Transgender Individuals' Perceptions of Maternal Support in Central Appalachia

The psychosocial experiences of transgender individuals are shaped by specific cultural beliefs and values that influence family and community interactions. Using a constant-comparative approach to thematic analysis, we analyzed in-depth interviews with 25 transgender-identified adults in Central Appalachia and discovered that their mothers play a crucial role in their social support experiences. Participants described supportive and unsupportive interactions with their mothers and how their mothers' attitudes and behaviors evolved in positive directions over time. They also perceived that their mothers played a key role in influencing how other family and community members behaved toward them. Participants gave meaning to their mothers' behaviors by placing them in the context of strong cultural values about distinct gender roles, family loyalty, religious conservatism, and pride of place. These findings serve as a reminder to family mental health practitioners and health service providers to directly assess family and community strengths and draw on these resources to facilitate the well-being of clients from stigmatized and under-resourced populations.     

Work-family conflict among IT specialty workers in the US

Specialty workers are a source of critical, locally scarce technical skills. This study aimed to understand the experience of work-family conflict among specialty workers in the US by exploring the process of transitioning from working in their home countries to working in the US. While participants perceived initial difficulties in adapting to the new environment, over time, they experienced lower work-family conflict in the US compared to working in their own home countries. In their home countries, where work and family domains were considered separate and culturally defined boundaries separating these domains are rigidly maintained; these participants relied heavily on family support to manage work-family conflict. Moving to the US, where greater integration of work and family domains is prevalent, these participants managed work-family conflict by revisiting altered demands, accessing alternate organizational resources and learning new skills to create and maintain work-family boundaries. This study contributes to the nascent body of literature on work-family relations in the context of international migration by highlighting a specific case of Indian specialty workers who adopt different boundary-spanning strategies to manage work-family conflict in changed social and working conditions. In essence, participants managed work-family conflict by using enhanced autonomy to increase flexible working and accessing other resources such as supervisory support and organizational flexible working policies.     

Maternal enhancing responses to adolescents’ positive affect: Associations with adolescents’ positive affect regulation and depression

Mounting evidence indicates that deficits in positive affect (PA) regulation are implicated in youth depression. Although parental responses to youths’ PA expressions have been linked to youth regulation of negative affect, no study has directly examined whether parental responses are linked with youth PA regulation strategies. The present study utilized a novel observational measure to test whether maternal active‐constructive responses to youths’ PA were uniquely associated with youth effective PA regulation strategies and, subsequently, depressive symptoms. Ninety‐two adolescents between the ages of 11 and 18 (M_age = 14.22, Girls = 62%) and their primary female caregivers (M_age = 41.40, 88% biological mothers) completed a series of questionnaires and engaged in a Plan a Day Trip interaction task. Results revealed that observed maternal active‐constructive responses to adolescents’ PA were uniquely associated with adolescents’ effective PA regulation strategies which, in turn, were related to lower depressive symptoms. These findings underscore the importance of parental responses to PA when sharing positive experiences for specifically targeting adolescents’ responses that generate and sustain PA.     

Confidence intervals for the difference between independent binomial proportions: comparison using a graphical approach and moving averages

This paper uses graphical methods to illustrate and compare the coverage properties of a number of methods for calculating confidence intervals for the difference between two independent binomial proportions. We investigate both small‐sample and large‐sample properties of both two‐sided and one‐sided coverage, with an emphasis on asymptotic methods. In terms of aligning the smoothed coverage probability surface with the nominal confidence level, we find that the score‐based methods on the whole have the best two‐sided coverage, although they have slight deficiencies for confidence levels of 90% or lower. For an easily taught, hand‐calculated method, the Brown‐Li ‘Jeffreys’ method appears to perform reasonably well, and in most situations, it has better one‐sided coverage than the widely recommended alternatives. In general, we find that the one‐sided properties of many of the available methods are surprisingly poor. In fact, almost none of the existing asymptotic methods achieve equal coverage on both sides of the interval, even with large sample sizes, and consequently if used as a non‐inferiority test, the type I error rate (which is equal to the one‐sided non‐coverage probability) can be inflated. The only exception is the Gart‐Nam ‘skewness‐corrected’ method, which we express using modified notation in order to include a bias correction for improved small‐sample performance, and an optional continuity correction for those seeking more conservative coverage. Using a weighted average of two complementary methods, we also define a new hybrid method that almost matches the performance of the Gart‐Nam interval. Copyright © 2014 John Wiley & Sons, Ltd.