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Life cycle consumption of a harmful and addictive good 总被引:1,自引:0,他引:1
D Goldbaum 《Economic inquiry》2000,38(3):458-469
This article demonstrates that the endogenous desire to quit smoking can result from a rational consumption path chosen at the time the consumer begins smoking. This result is obtained without relying on hidden costs or unknown preferences. A finite-lived agent chooses a path of consumption of a harmful and addictive good to maximize present discounted utility. The consumer chooses his consumption rate to account for the future health consequence of smoking and the withdrawal costs of quitting. A consumer may choose to smoke even if it means a lowered utility level for the majority of the time spent smoking. 相似文献
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Bathhouses are important venues for providing HIV counseling and testing to high-risk men who have sex with men (MSM), yet relatively few bathhouses routinely provide this service, and few data are available to guide program design. We examine numerous logistic considerations that had been identified in the HIV Alternative Testing Strategies study and that influenced the initiation, effectiveness, and maintenance of HIV testing programs in bathhouses for MSM. Key programmatic considerations in the design of a bathhouse HIV counseling and testing program included building alliances with community agencies, hiring and training staff, developing techniques for offering testing, and providing options for counseling, testing, and disclosure of results. The design included ways to provide client support and follow-up for partner notification and treatment counseling and to maintain relationships with bathhouse management for support of prevention activities. Early detection of HIV infection and HIV prevention can be achieved for some high-risk MSM through an accessible and acceptable HIV counseling and testing program in bathhouses. Keys to success include establishing community prevention collaborations between bathhouse personnel and testing agencies, ensuring that testing staff are supported in their work, and offering anonymous rapid HIV testing. Use of FDA approved, new rapid tests that do not require venipuncture, centrifugation, or laboratory oversight will further decrease barriers to testing and facilitate implementation of bathhouse testing programs in other communities. 相似文献
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St De Lore J Thiede H Cheadle A Goldbaum G Carey JW Hutcheson RE Jenkins RA Golden MR 《Journal of homosexuality》2012,59(4):592-609
To assess HIV disclosure discussions and related sexual behaviors among men who have sex with men (MSM) who meet sex partners online, 28 qualitative interviews with Seattle-area MSM were analyzed using grounded theory methods and themes and behavior patterns were identified. MSM found a greater ease in communicating and could prescreen partners through the Internet. However, no consistent relationship was found between HIV disclosure and subsequent behaviors: some were safer based on disclosure while perceived HIV status led others to risky behaviors. Interventions need to promote accurate disclosure while acknowledging its limitations and the need for men to self-protect. 相似文献
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Robbert PH Snep Jip Louwe Kooijmans Robert GM Kwak Ruud PB Foppen Holly Parsons Monica Awasthy Henk LK Sierdsema John M Marzluff Esteban Fernandez-Juricic Jenny de Laet Yolanda M van Heezik 《Urban Ecosystems》2016,19(4):1535-1550
Following the call from the United Nations Convention on Biological Diversity “Cities & Biodiversity Outlook” project to better preserve urban biodiversity, this paper presents stakeholder-specific statements for bird conservation in city environments. Based upon the current urban bird literature we focus upon habitat fragmentation, limited habitat availability, lack of the native vegetation and vegetation structure as the most important challenges facing bird conservation in cities. We follow with an overview of the stakeholders in cities, and identify six main groups having the greatest potential to improve bird survival in cities: i) urban planners, urban designers and (landscape) architects, ii) urban developers and engineers, iii) homeowners and tenants, iv) companies and industries, v) landscaping and gardening firms, vi) education professionals. Given that motivation to act positively for urban birds is linked to stakeholder-specific advice, we present ten statements for bird-friendly cities that are guided by an action perspective and argument for each stakeholder group. We conclude with a discussion on how the use of stakeholder-specific arguments can enhance and rapidly advance urban bird conservation action. 相似文献
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In this paper, we use the methodology of simulation to evaluate six approaches for handling employee requirements in an LP-based labour tour scheduling heuristic. We model employee requirements both as minimum acceptable staffing levels—where understaffing is unacceptable—and as target staffing levels—where both under- and overstaffing are acceptable. For each representation of employee requirements, we evaluate forms of the heuristic that use problem-specific and problem-independent information on the costs of employee surpluses and, if appropriate, employee shortages. Over an extensive test data set, the target-staffing approach using problem-specific cost information outperformed all other procedures. Specifically, it generated schedules costing less than 87% of those developed using the approach most commonly found in the literature. Its schedules were also almost 5% cheaper than those of its closest competitor. We discuss the managerial and research implications of the findings and provide suggestions for future research. 相似文献
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