Childless Elders in Assisted Living: Findings from the Maryland Assisted Living Study

We compared data drawn from a random sample of 399 current assisted living residents and a subsample of 222 newly admitted residents for two groups: childless residents and residents with children. The percentage of childless residents (26%) in our study was slightly higher than U.S. population estimates of childless individuals aged 65 years and older (20%). In the overall sample, the two groups differed significantly by age, race, and women's years of education. The childless group was slightly younger, had a higher percentage of African American residents, and had more years of education than the group with children. In the subsample, we looked at demographic, functional, financial, and social characteristics and found that childless residents reported fewer diagnoses of dementia and fewer visits from a relative but more reported paying less money per month for assisted living and having private insurance than residents with children. As childlessness among older adults continues to increase, it will become increasingly important to understand how child status affects the need for and experience of long-term care.     

Toward total student health: A qualitative pilot study

Objective: Colleges should aim to cultivate healthy behaviors among students by addressing alterations in wellness students view as important. The purpose of this study was to determine the self-perceived wellness-related concerns and behaviors of college students. Participants: Thirty-seven undergraduate students participated in this study between January and March 2017. Methods: Focus groups served as a data collection method. Groups were recorded and transcribed verbatim. Directed and conventional approaches to data analyses were employed. Results: Participants expressed concern regarding four campus wellness topics: nutrition, economics, mental health, and campus safety. Participants offered solutions for improving campus wellness, representing a fifth theme. Conclusions: Health concerns for college students and realistic solutions to address concerns were identified across focus groups. Overall, students cared about their own health, as well as the well-being of other students. Future directions include conducting a Web-based survey among students to assess prevalence and impact of select health and wellness topics.     

Preliminary evaluation of contingent meals and telephone use to improve evidence-supported family therapy session attendance in mothers referred by Child Protective Services for substance abuse

Persons referred by Child Protective Services (CPS) for substance abuse evidence high rates of nonattendance to therapy sessions, taxing systems of care and exacerbating outcomes. This study examined the influence of two telephone-based incentive programs on therapy session attendance in mothers who were referred by CPS for substance abuse. After baseline therapy session attendance was established in an evidence-based clinic that incorporated a telephone engagement intervention (Phase I), participants were provided free cellular telephones with limited minutes and permitted to order free meals delivered by the therapist during upcoming sessions (Phase II). The third phase was similar to Phase II, but participants were provided unlimited minutes. Results indicated that participants’ attendance was significantly improved when meals and cellular telephone minutes were contingent on attendance. Although the percentage of sessions attended by participants during Phase III was higher than Phase II, unlimited minutes and meals did not significantly enhance attendance relative to limited minutes and meals. Session attendance for significant others of these participants was significantly higher during Phase III as compared with Phase I. Session attendance of significant others was statistically similar between Phase I and II and between Phase II and Phase III. Study implications and recommendations for future research and practice are discussed in light of the findings.     

Nationwide Newspaper Coverage of Detainee Rights at Guantanamo Bay: A Community Structure Approach

A community structure analysis compared community characteristics and coverage of detainee rights and Guantanamo Bay in leading newspapers in 28 major cities nationwide, sampling all relevant 250+ word articles from September 12, 2001, to September 11, 2012. The resulting 359 articles were coded for “prominence” and “direction,” then combined into a “Media Vector” score for each newspaper (range = .6034 to ?.2500). About four out of five (82%) newspapers supported detainee rights. Stakeholder and buffer clusters were important. Pearson correlations revealed that stakeholders (the proportions and concerns of which are expected to be reflected in media coverage) were significant, with percentage of Mainline Protestant (r = .550, p = .001) linked to favorable media coverage of detainee rights and percentage of age 65 and older (r = ?.321, p = .048) linked to unfavorable coverage. The buffer hypothesis (associating higher proportions of privileged groups with coverage receptive to human rights claims) was also confirmed, with percentage of college educated correlating with favorable coverage (r = .409, p = .015). Regression analysis yielded two significant variables—percentage Mainline Protestant, 33%, and percentage professional/technical occupational status (another “buffer” measure), 27%, totaling 59.9%, both linked to favorable coverage. Unexpectedly, the Midwest displayed more media support for detainee rights than any other region of the United States.     

How Do Heterosexual Undergraduate Students Define Having Sex? A New Approach to an Old Question

This study examined how people define having sex utilizing a new approach to this area of research. A total of 267 men and 327 women rated their degree of confidence that engaging in each of 21 physically intimate behaviors (e.g., penile-vaginal intercourse) counted as “having sex” and then qualitatively explained their reasoning. Separate ratings were made for each behavior when engaged in by the respondent and by his or her partner with someone else. Results showed that, as in previous studies, for both sexes, some behaviors (e.g., penile-vaginal intercourse) were far more confidently rated (i.e., “definitely sex”) than were others (e.g., oral-genital stimulation). Further, both men and women were significantly more certain that a behavior counted as “having sex” when considering their partner's behavior outside the relationship than when they considered their own behavior. Finally, the order in which the two scenarios (i.e., self versus partner) was presented significantly affected participants’ certainty. Qualitative results, paired with quantitative findings, suggest that individuals consider a variety of contextual factors when making these definitional decisions. The methodological and sexual health implications of these results are discussed.     

E-Capacities and the Ellsberg Paradox

Ellsberg's (1961) famous paradox shows that decision-makers give events with known probabilities a higher weight in their outcome evaluation. In the same article, Ellsberg suggests a preference representation which has intuitive appeal but lacks an axiomatic foundation. Schmeidler (1989) and Gilboa (1987) provide an axiomatisation for expected utility with non-additive probabilities. This paper introduces E-capacities as a representation of beliefs which incorporates objective information about the probability of events. It can be shown that the Choquet integral of an E-capacity is the Ellsberg representation. The paper further explores properties of this representation of beliefs and provides an axiomatisation for them.     

When Precaution Creates Misunderstandings: The Unintended Effects of Precautionary Information on Perceived Risks,the EMF Case

In the past decade, growing public concern about novel technologies with uncertain potential long‐term impacts on the environment and human health has moved risk policies toward a more precautionary approach. Focusing on mobile telephony, the effects of precautionary information on risk perception were analyzed. A pooled multinational experimental study based on a 5 × 2 × 2 factorial design was conducted in nine countries. The first factor refers to whether or not information on different types of precautionary measures was present, the second factor to the framing of the precautionary information, and the third factor to the order in which cell phones and base stations were rated by the study participants. The data analysis on the country level indicates different effects. The main hypothesis that informing about precautionary measures results in increased risk perceptions found only partial support in the data. The effects are weaker, both in terms of the effect size and the frequency of significant effects, across the various precautionary information formats used in the experiment. Nevertheless, our findings do not support the assumption that informing people about implemented precautionary measures will decrease public concerns.     

Control charts for monitoring the median in non-negative asymmetric data

Statistical Methods & Applications - Control charts are commonly used for monitoring the mean of processes. However, there are practical applications in which asymmetric data are the standard....     

Utility and the individual: An analysis of internal conflicts

Herbert Simon has argued that economic agents do not maximise a transitive ordering but rather adopt what he calls satisficing behaviour. He argues that such behaviour is rational. This paper aims to provide a theory to support Simon's viewpoint. Because of social choice problems an individual with multiple objectives may find it impossible to construct a transitive ordering and hence may have to adopt satisficing type behaviour. We show that whether or not an individual adopts satisficing behaviour depends on the information available.I would like to thank Amartya Sen, the members of a seminar in Oxford, and an anonymous referee for their comments on previous drafts of this paper.