Negotiating Emotional Support: Sober Gay Latinos and Their Families

This study explores how sober gay Latino men obtain support from their families. Familial ties can be a protective health factor, yet many gay Latinos experience rejection from family members because of their sexuality. There are very few studies that examine the extent and quality of emotional support from kin for this population. Understanding family dynamics within the context of recovery and sexuality can increase our understanding of how to leverage family ties to develop alcohol abuse interventions. The study was conducted via semistructured interviews with 30 sober gay Latinos using a grounded theory approach. Analyses of the qualitative data identified the following themes: family values shaped the participants’ perception of their range of choices and emotional responses; participants reported feeling loved and supported even when sexuality was not discussed with parents; and family support for sobriety is essential. Findings suggest that familial ties shape perceptions of support and importance of disclosing sexual identity. Family support often results from agreements about sexual identity disclosure, and some families can overcome cultural and religious taboos on sexuality. Future studies should investigate families that negotiate acceptance with their gay members, and whether they exhibit heterosexual biases that may influence the psychological stress of gay Latino men who wish to be sober.     

On Measuring Segregation in a Multigroup Context: Standardized Versus Unstandardized Indices

Social Indicators Research - There has been little discussion about the consequences of using standardized, rather than unstandardized, segregation measures when comparing societies with different...     

Political History and Disparities in Safe Motherhood Between Guatemala and Honduras

Each year, worldwide, more than 500,000 women die of complications from childbirth, making this a leading cause of death globally for adult women of reproductive age. Nearly all studies that have sought to explain the persistence of high maternal mortality levels have focused on the supply of and demand for particular health services. We argue that inquiry on health services is useful but insufficient. Robust explanations for safe motherhood outcomes require examination of factors lying deeper in the causal chain. We compare the cases of Guatemala and Honduras to examine historical and structural influences on maternal mortality. Despite being a poorer country than Guatemala, Honduras has a superior safe motherhood record. We argue that four historical and structural factors stand behind this difference: Honduras's relatively stable and Guatemala's turbulent modern political history; the presence of a marginalized indigenous population in Guatemala, but not in Honduras, that the state has had difficulty reaching; a conservative Catholic Church that has played a larger role in Guatemala than Honduras in blocking priority for reproductive health; and more effective advocacy for maternal mortality reduction in Honduras than Guatemala in the face of this opposition.     

Small Fish in a Big Pond or Big Fish in a Small Pond? The Effects of Educational Mismatch on Subjective Wellbeing

This paper analyzes the effects of educational mismatch on subjective wellbeing. We first analyze whether a discrepancy exists between the aspirations associated with the level of education acquired by the individuals and the opportunities found in the labor market. Consistent with education generating certain aspirations, we find that educational mismatch has a sizable significant negative impact on life satisfaction for over-educated individuals while the effect is positive for under-educated workers. Next, we focus on workers with different educational levels but who perform similar jobs. In this case we only find under-education to negatively affect life satisfaction levels, a result which is consistent either with the existence of an inferiority complex or a struggle to perform a job for which the individual is not adequately trained. The effects are economically relevant and amount between one-fifth and one-fourth of the impact produced by other negative life events such as unemployment.     

Confidence Intervals of Weighted Kappa Coefficient of a Binary Diagnostic Test

Sensitivity and specificity are classic parameters to assess the performance of a binary diagnostic test. Another useful parameter to measure the performance of a binary test is the weighted kappa coefficient, which is a measure of the classificatory agreement between the binary test and the gold standard. Various confidence intervals are proposed for the weighted kappa coefficient when the binary test and the gold standard are applied to all of the patients in a random sample. The results have been applied to the diagnosis of coronary artery disease.