Obtaining multistate life table distributions for highly refined subpopulations from cross-sectional data: A bayesian extension of sullivan’s method

Multistate life table methods are often used to estimate the proportion of remaining life that individuals can expect to spend in various states, such as healthy and unhealthy states. Sullivan’s method is commonly used when panels containing data on transitions are unavailable and true multistate tables cannot be generated. Sullivan’s method requires only cross-sectional mortality data and cross-sectional data indicating prevalence in states of interest. Such data often come from sample surveys, which are widely available. Although the data requirements for Sullivan’s method are minimal, the method is limited in its ability to produce estimates for subpopulations because of limited disaggregation of data in cross-sectional mortality files and small cell sizes in aggregated survey data. In this article, we develop, test, and demonstrate a method that adapts Sullivan’s approach to allow the inclusion of covariates in producing interval estimates of state expectancies for any desired subpopulation that can be specified in the cross-sectional prevalence data. The method involves a three-step process: (1) using Gibbs sampling to sample parameters from a bivariate regression model; (2) using ecological inference for producing transition probability matrices from the Gibbs samples; (3) using standard multistate calculations to convert the transition probability matrices into multistate life tables.     

Family boundary ambiguity and the measurement of family structure: the significance of cohabitation

We used data from the first wave of the National Longitudinal Study of Adolescent Health to examine family boundary ambiguity in adolescent and mother reports of family structure and found that the greater the family complexity, the more likely adolescent and mother reports of family structure were discrepant. This boundary ambiguity in reporting was most pronounced for cohabiting stepfamilies. Among mothers who reported living with a cohabiting partner, only one-third of their teenage children also reported residing in a cohabiting stepfamily. Conversely, for those adolescents who reported their family structure as a cohabiting stepfamily, just two-thirds of their mothers agreed. Levels of agreement between adolescents and mothers about residing in a two-biological-parent family, single-mother family, or married stepfamily were considerably higher. Estimates of the distribution of adolescents across family structures vary according to whether adolescent, mother, or combined reports are used. Moreover, the relationship between family structure and family processes differed depending on whose reports of family structure were used, and boundary ambiguity was associated with several key family processes. Family boundary ambiguity presents an important measurement challenge for family scholars.     

Associations of eldercare and competing demands with health and work outcomes among manufacturing workers

Employees juggling eldercare and work report work–family conflicts and poor health-related outcomes, but little is known about eldercare demands (ECDs) in the context of competing demands in the manufacturing workforce. This study determines how ECDs vary by age, gender, income, and job category, and how ECDs and competing demands are associated with health-related and work-related outcomes, among manufacturing workers. Employees from six manufacturing companies completed questionnaires. ECDs were defined as providing assistance to an adult aged 65 and older due to disability or chronic illness; those with ECDs were asked how many care-hours per week and whether assistance included personal care. Workers over age 45 were more likely than younger workers to report ECDs. After adjusting for competing demands and socio-demographic characteristics, ECDs were associated with greater depressive symptoms and family-to-work conflict (FWC), providing 5 or more hours of eldercare weekly was associated with greater depressive symptoms, and providing personal care was associated with greater FWC.     

Multisystemic Therapy for Disruptive Behavior Problems in Youths With Autism Spectrum Disorders: A Progress Report

Youths with autism spectrum disorders (ASD) often engage in serious disruptive behaviors that interfere with their ability to successfully manage day‐to‐day responsibilities and contribute to relationship problems with caregivers, peers, and teachers. Effective treatments are needed to address the factors linked with disruptive behavior problems in this population of youths. Multisystemic therapy (MST) is a comprehensive family‐ and community‐based treatment approach that has been effective with other difficult‐to‐treat populations of youths and holds promise for youths with ASD. In this article, we review the broad range of factors associated with disruptive behaviors among youths with ASD and discuss how MST interventions can be adapted to address those factors. We also present a framework for our adaptation of the MST model for youths with ASD. This framework includes a recently completed pilot study as well as an ongoing efficacy trial that together have served to identify key interventions for our adaptation of the MST model.     

A Content Analysis of Career Development Theory,Research, and Practice—2013

This annual review of the career counseling and development literature presents a content analysis of refereed journal articles published in 2013. Four research questions guided the analysis: (a) What content topics were included in career development articles published in refereed journals in 2013? (b) To what extent are theory, research, and practice integrated in career development articles published in refereed journals in 2013? (c) What variation exists in the characteristics of career development articles published in refereed journals in 2013? and (d) What variation exists in the content included in theory, research, and practice articles? A total of 360 unique topics were identified in 357 articles from 24 journals. Results indicated that topic content in journals evolved slowly with limited integration of theory, research, and practice. Implications are suggested for (a) future topic content; (b) better integration of theory, research, and practice; (c) education and training; (d) journal editorial policy; and (e) future content analyses of journal articles.     

Women and citizenship post‐trafficking: the case of Nepal

This article analyses the relationship between gender, sexuality and citizenship embedded in models of citizenship in the Global South, specifically in South Asia, and the meanings associated with having – or not having – citizenship. It does this through an examination of women's access to citizenship in Nepal in the context of the construction of the emergent nation state in the ‘new’ Nepal ‘post‐conflict’. Our analysis explores gendered and sexualized constructions of citizenship in this context through a specific focus on women who have experienced trafficking, and are beginning to organize around rights to sustainable livelihoods and actively lobby for changes in citizenship rules which discriminate against women. Building from this, in the final section we consider important implications of this analysis of post‐trafficking experiences for debates about gender, sexuality and citizenship more broadly.