The Relationship between Health Survey and Medical Chart Review Results in a Rural Population

The objective of this study was to understand the relationship between health survey and medical chart based information. The study population consisted of adult patients (17 years of age and older) attending the Bella Coola Medical Clinic who also completed a detailed Health and Quality of Life Survey. A total of 674 adults completed the Health and Quality of Life Survey. Demographically there was excellent agreement between self-report and clinic data for age, sex, height, weight and Aboriginal ancestry. For morbidity, there was excellent agreement between self-reported and clinically recorded diabetes. Good agreement was observed for diagnoses of cancer, heart problems, hypertension, arthritis and breathing problems. Poor agreement was observed for diagnoses of depression, back/neck problems, eye problems, walking problems, stroke, hearing problems and bone/joint problems. There was poor agreement between the number of self-reported and charted clinic visits. Excellent agreement was shown between self-reported height and weight and clinic height and weight. When BMI was calculated good agreement was achieved between self-report and chart data. It can be concluded that the relationship between chart review and self-report health information observed in this rural population is similar to findings from other populations. Researchers who use self-report data on co-morbidity and obesity measures should be aware of possible error in their estimates and how these errors could affect their findings.     

Temporal and spatial variation in age-specific net migration in the United States

As fertility differences in the United States diminish, population redistribution trends are increasingly dependent on migration. This research used newly developed county-level age-specific net migration estimates for the 1990s, supplemented with longitudinal age-specific migration data spanning the prior 40 years, to ascertain whether there are clear longitudinal trends in age-specific net migration and to determine if there is spatial clustering in the migration patterns. The analysis confirmed the continuation into the 1990s of distinct net migration "signature patterns" for most types of counties, although there was temporal variation in the overall volume of migration across the five decades. A spatial autocorrelation analysis revealed large, geographically contiguous regions of net in-migration (in particular, Florida and the Southwest) and geographically contiguous regions of net out-migration (the Great Plains, in particular) that persisted over time. Yet the patterns of spatial concentration and fragmentation over time in these migration data demonstrate the relevance of this "neighborhood" approach to understanding spatiotemporal change in migration.     

A modification of a continuous time model for first conception

The interval between marriage and the first conception leading to a live birth plays an important role in the determination of fertility components. Several probability models (Potter and Parker, 1964; Singh, 1961, 1964, 1967) based on varying sets of assumptions relating to this interval have been propounded in the recent past. All of them are based on the assumption that the females under study are susceptible to conception at the time of marriage. However, in certain situations, where some of the females already pregnant at the time of marriage report to have conceived within a short interval following marriage, this condition is not satisfied and these models become unsuitable. A probability distribution which is an inflated form of the continuous model proposed by Singh, for the time of the first conception leading to a live birth, is presented in this paper. It describes reasonably well the data on first conception times in the context of premarital conceptions. Simple expressions for the maximum likelihood estimators of the parameters involved in the model are obtained and a method for finding the asymptotic covariance matrix of the estimators is outlined. The model is applied to four sets of data.     

Population planning in Asia in the 1970s

Summary To what extent is family planning integrated with broader population planning in the countries of East Asia and South Asia? To what degree do these countries combine population planning with economic and social planning in their development plans? An attempt to answer these questions suggests that, despite variability from country to country in development goals and policy implementation, family planning has been largely separated from economic planning, and birth control programmes have often been substituted for intermediate and long-range population planning. Demographic factors have been treated as exogenous variables rather than as integral parts of social-economic-demographic plans. Such comprehensive planning is difficult for both technical and political reasons, but in any case is unlikely to be achieved so long as family planning and population planning continue to be confused.     

Hazardous Times for Monetary Policy: What Do Twenty‐Three Million Bank Loans Say About the Effects of Monetary Policy on Credit Risk‐Taking?

We identify the effects of monetary policy on credit risk‐taking with an exhaustive credit register of loan applications and contracts. We separate the changes in the composition of the supply of credit from the concurrent changes in the volume of supply and quality, and the volume of demand. We employ a two‐stage model that analyzes the granting of loan applications in the first stage and loan outcomes for the applications granted in the second stage, and that controls for both observed and unobserved, time‐varying, firm and bank heterogeneity through time*firm and time*bank fixed effects. We find that a lower overnight interest rate induces lowly capitalized banks to grant more loan applications to ex ante risky firms and to commit larger loan volumes with fewer collateral requirements to these firms, yet with a higher ex post likelihood of default. A lower long‐term interest rate and other relevant macroeconomic variables have no such effects.     

Confronting the Material Convoy in Later Life

We adapt a metaphor from life course studies to designate the whole of one's possessions, across time, as a convoy of material support. This dynamic collection of things supports daily life and the self, but it can also present difficulty in later life. To alleviate the purported burdens of the material convoy, a discourse has arisen that urges elders and their family members to reduce the volume of possessions. An analysis of 11 such possession management texts shows authors addressing two distinct audiences about elders' need to downsize: family members and elders themselves. Authors who speak to family members do so with an urgent, unsentimental tone that echoes mainstream clutter-control advice about disorderly, overfull households. In texts for elders, the standard critique about consumption and unruly lives is gentler, more sensitive to the meaning of things, and underplays the emotions of divestment. There is stress on the responsibility to spare the next generation and control one's legacy. These latter texts seem to respect that downsizing in later life symbolizes a narrowing of the life world.     

Cultural mechanisms and the persistence of neighborhood violence

Sociologists have given considerable attention to identifying the neighborhood-level social-interactional mechanisms that influence outcomes such as crime, educational attainment, and health. Yet, cultural mechanisms are often overlooked in quantitative studies of neighborhood effects. This paper adds a cultural dimension to neighborhood effects research by exploring the consequences of legal cynicism. Legal cynicism refers to a cultural frame in which people perceive the law as illegitimate, unresponsive, and ill equipped to ensure public safety. The authors find that legal cynicism explains why homicide persisted in certain Chicago neighborhoods during the 1990s despite declines in poverty and declines in violence city-wide.     

Personality, drug preference, drug use, and drug availability

This study examined the relationship between drug preference, drug use, drug availability, and personality among individuals (n = 100) in treatment for substance abuse in an effort to replicate the results of an earlier study (Feldman, Kumar, Angelini, Pekala, & Porter, 2007) designed to test prediction derived from Eysenck's (1957, 1967) theories. Drug preference was measured by the method of paired-comparison and personality was measured with the Zuckerman-Kuhlman Personality Questionnaire-50 CC. Contrary to expectations, high compared with low scorers on Sociability and Impulsive-Sensation Seeking preferred depressants. Surprisingly, low compared with high scorers on neuroticism did not differ in preference for alcohol. As in the previous study, drug preference, use, and availability were highly correlated, although ease of availability was slightly more predictive of drug use than drug preference. Clinical and theoretical implications are discussed.     

Stimulating Early Adoption of New Products through Channel Disintegration

Conventional wisdom holds that adding layers to a distribution channel is detrimental to the interests of consumers and the channel that serves them. In contrast, our study indicates that a disintegrated channel structure can be desirable in some instances. When consumers have valuation uncertainty prior to consuming a product, having an independent retailer may boost both channel profits and consumer surplus relative to direct selling by an integrated firm. The quandary in selling such products is that after early adopters make their purchase decisions, the seller may alter prices in such a way that makes early adopters' decisions appear suboptimal in hindsight. Since the seller cannot credibly commit to future prices, customers are reluctant to adopt early, choosing instead to delay their purchase decisions. This delay is certainly detrimental to the interest of the distribution channel, but the rejection of the early adoption discount can equally reduce consumer surplus. This problem can be mitigated by introducing an independent retailer. The familiar double marginalization “problem” from channel disintegration can credibly assure customers of unfavorable future prices for late adoption. This assurance attracts more customers to seek early adoption, leading to lower overall retail prices, increased supply, and higher consumer and producer surpluses.