Does It Matter How You Slice It? The Relationship Between Population Ageing and Use of Hospital and Posthospital Care in the United States

1996 ◽  
Vol 16 (2) ◽  
pp. 205-232
Author(s):  
Andrea Steiner
Keyword(s):  
United States ◽  
Home Health Care ◽  
Demographic Transition ◽  
The United States ◽  
Population Ageing ◽  
Structural Constraints ◽  
Individual Level ◽  
Medicare Patients ◽  
Very Old Age ◽  
The Relationship

AbstractIn the context of demographic transition, one would expect public health planners to allocate resources according to changing needs. This paper explores the effects that definitions of population ageing have on the images of, and subsequent responses to, demographic transition in the United States. Data are drawn from the 1988 U.S. Census and from a 20-percent national random sample of Medicare patients during the same period (n = 1.9 million). Main findings are that supply and use of acute services do differ according to definitions and the way in which population ageing has occurred; that, regardless of definition, older people in high-ageing states make far greater use of posthospital home health care than in low-ageing states; and that, although individual-level clinical factors appear central to rehabilitative decisions, all states seem to use very old age (85-plus) as a proxy to determine who goes where, with low-ageing states also affected by structural constraints at the hospital and market levels.

scholarly journals Rising Ethnic Diversity in the United States Accompanies Shifts Toward an Individualistic Culture

2020 ◽  
pp. 194855062096723
Author(s):  
Alex C. Huynh ◽  
Igor Grossmann
Keyword(s):  
United States ◽  
Ethnic Diversity ◽  
Experimental Studies ◽  
Ethnically Diverse ◽  
The United States ◽  
Living Alone ◽  
Individual Level ◽  
Relational Structures ◽  
Individualistic Culture ◽  
The Relationship

We investigate the relationship between ethnic diversity and the rise of individualism in the United States during the 20th and 21st centuries. Tests of the historical rates of ethnic diversity alongside individualistic relational structures (e.g., adults living alone, single-/multi-child families) from the years 1950 to 2018 reveal that societal and regional rates of ethnic diversity accompanied individualistic relational structures. These effects hold above and beyond time-series trends in each variable. Further evidence from experimental studies ( N = 707) suggests that the presence of, and contact with, ethnically diverse others contributes to greater individualistic values (e.g., the importance of uniqueness and personal achievement). Converging evidence across societal-, regional-, and individual-level analyses suggests a systematic link between ethnic diversity and individualism. We discuss the implications of these findings for sociocultural livelihood in light of the rising rates of ethnic diversity across the globe.

scholarly journals Rising ethnic diversity in the United States accompanies shifts toward an individualistic culture

2020 ◽  
Author(s):  
Alex Huynh ◽  
Igor Grossmann
Keyword(s):  
United States ◽  
Ethnic Diversity ◽  
Experimental Studies ◽  
Ethnically Diverse ◽  
The United States ◽  
Living Alone ◽  
Individual Level ◽  
Relational Structures ◽  
Individualistic Culture ◽  
The Relationship

We investigate the relationship between ethnic diversity and the rise of individualism in the United States during the 20th-21st centuries. Tests of the historical rates of ethnic diversity alongside individualistic relational structures (e.g., adults living alone, single/multi-child families) from the years 1950-2018 reveal that societal and regional rates of ethnic diversity accompanied individualistic relational structures. These effects hold above and beyond time series trends in each variable. Further evidence from experimental studies (N = 707) suggest that the presence of, and contact with, ethnically diverse others contributes to greater individualistic values (e.g., the importance of uniqueness and personal achievement). Converging evidence across societal, regional, and individual-level analyses suggests a systematic link between ethnic diversity and individualism. We discuss the implications of these findings for socio-cultural livelihood in light of the rising rates of ethnic diversity across the globe.

scholarly journals Cognitive Habits Linked to Resilience: Surprising Commonalities across the United States

2020 ◽  
pp. 1-14
Keyword(s):  
United States ◽  
Regional Differences ◽  
Secondary Analysis ◽  
The United States ◽  
Individual Level ◽  
Interaction Terms ◽  
Life Challenges ◽  
Appraisal Processes ◽  
The Relationship ◽  
The Way

Abstract: Background: Research has documented many geographic inequities in health. Research has also documented that the way one thinks about health and quality of life (QOL) affects one’s experience of health, treatment, and one’s ability to cope with health problems. Purpose: We examined United-States (US) regional differences in QOL appraisal (i.e., the way one thinks about health and QOL), and whether resilience-appraisal relationships varied by region. Methods: Secondary analysis of 3,955 chronic-disease patients and caregivers assessed QOL appraisal via the QOL Appraisal Profile-v2 and resilience via the Centers for Disease Control Healthy Days Core Module. Covariates included individual-level and aggregate-level socioeconomic status (SES) characteristics. Zone improvement plan (ZIP) code was linked to publicly available indicators of income inequality, poverty, wealth, population density, and rurality. Multivariate and hierarchical residual modeling tested study hypotheses that there are regional differences in QOL appraisal and in the relationship between resilience and appraisal. Results: After sociodemographic adjustment, QOL appraisal patterns and the appraisal-resilience connection were virtually the same across regions. For resilience, sociodemographic variables explained 26 % of the variance; appraisal processes, an additional 17 %; and region and its interaction terms, just an additional 0.1 %. Conclusion: The study findings underscore a geographic universality across the contiguous US in how people think about QOL, and in the relationship between appraisal and resilience. Despite the recent prominence of divisive rhetoric suggesting vast regional differences in values, priorities, and experiences, our findings support the commonality of ways of thinking and responding to life challenges. These findings support the wide applicability of cognitive-based interventions to boost resilience

scholarly journals COGNITIVE HABITS LINKED TO RESILIENCE: SURPRISING COMMONALITIES ACROSS THE UNITED STATES

2020 ◽  
pp. 1-14
Keyword(s):  
United States ◽  
Regional Differences ◽  
Secondary Analysis ◽  
The United States ◽  
Individual Level ◽  
Interaction Terms ◽  
Life Challenges ◽  
Appraisal Processes ◽  
The Relationship ◽  
The Way

Background: Research has documented many geographic inequities in health. Research has also documented that the way one thinks about health and quality of life (QOL) affects one’s experience of health, treatment, and one’s ability to cope with health problems. Purpose: We examined United-States (US) regional differences in QOL appraisal (i.e., the way one thinks about health and QOL), and whether resilience-appraisal relationships varied by region. Methods: Secondary analysis of 3,955 chronic-disease patients and caregivers assessed QOL appraisal via the QOL Appraisal Profile-v2 and resilience via the Centers for Disease Control Healthy Days Core Module. Covariates included individual-level and aggregate-level socioeconomic status (SES) characteristics. Zone improvement plan (ZIP) code was linked to publicly available indicators of income inequality, poverty, wealth, population density, and rurality. Multivariate and hierarchical residual modeling tested study hypotheses that there are regional differences in QOL appraisal and in the relationship between resilience and appraisal. Results: After sociodemographic adjustment, QOL appraisal patterns and the appraisal-resilience connection were virtually the same across regions. For resilience, sociodemographic variables explained 26 % of the variance; appraisal processes, an additional 17 %; and region and its interaction terms, just an additional 0.1 %. Conclusion: The study findings underscore a geographic universality across the contiguous US in how people think about QOL, and in the relationship between appraisal and resilience. Despite the recent prominence of divisive rhetoric suggesting vast regional differences in values, priorities, and experiences, our findings support the commonality of ways of thinking and responding to life challenges. These findings support the wide applicability of cognitive-based interventions to boost resilience.

Proportion of Individuals With Past-Year Suicidal Ideation Who Attempted Suicide Over the Past 10 Years in the United States, and the Influence of Age and Sex

Crisis ◽  
2020 ◽  
pp. 1-5
Author(s):  
Shannon Lange ◽  
Courtney Bagge ◽  
Charlotte Probst ◽  
Jürgen Rehm
Keyword(s):  
United States ◽  
Suicidal Ideation ◽  
Random Effects ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
The United States ◽  
Individual Level ◽  
The Past ◽  
Meta Analyses ◽  
Age Category

Abstract. Background: In recent years, the rate of death by suicide has been increasing disproportionately among females and young adults in the United States. Presumably this trend has been mirrored by the proportion of individuals with suicidal ideation who attempted suicide. Aim: We aimed to investigate whether the proportion of individuals in the United States with suicidal ideation who attempted suicide differed by age and/or sex, and whether this proportion has increased over time. Method: Individual-level data from the National Survey on Drug Use and Health (NSDUH), 2008–2017, were used to estimate the year-, age category-, and sex-specific proportion of individuals with past-year suicidal ideation who attempted suicide. We then determined whether this proportion differed by age category, sex, and across years using random-effects meta-regression. Overall, age category- and sex-specific proportions across survey years were estimated using random-effects meta-analyses. Results: Although the proportion was found to be significantly higher among females and those aged 18–25 years, it had not significantly increased over the past 10 years. Limitations: Data were self-reported and restricted to past-year suicidal ideation and suicide attempts. Conclusion: The increase in the death by suicide rate in the United States over the past 10 years was not mirrored by the proportion of individuals with past-year suicidal ideation who attempted suicide during this period.

Abusive Men's Use of Children to Control Their Partners and Ex-Partners

2007 ◽  
Vol 12 (1) ◽  
pp. 54-61 ◽  
Author(s):  
Marisa L. Beeble ◽  
Deborah Bybee ◽  
Cris M. Sullivan
Keyword(s):  
United States ◽  
Intimate Partner Violence ◽  
Partner Violence ◽  
Emotional Abuse ◽  
The United States ◽  
Intimate Partner ◽  
Anecdotal Evidence ◽  
Multiple Variables ◽  
The Relationship

While research has found that millions of children in the United States are exposed to their mothers being battered, and that many are themselves abused as well, little is known about the ways in which children are used by abusers to manipulate or harm their mothers. Anecdotal evidence suggests that perpetrators use children in a variety of ways to control and harm women; however, no studies to date have empirically examined the extent of this occurring. Therefore, the current study examined the extent to which survivors of abuse experienced this, as well as the conditions under which it occurred. Interviews were conducted with 156 women who had experienced recent intimate partner violence. Each of these women had at least one child between the ages of 5 and 12. Most women (88%) reported that their assailants had used their children against them in varying ways. Multiple variables were found to be related to this occurring, including the relationship between the assailant and the children, the extent of physical and emotional abuse used by the abuser against the woman, and the assailant's court-ordered visitation status. Findings point toward the complex situational conditions by which assailants use the children of their partners or ex-partners to continue the abuse, and the need for a great deal more research in this area.

The United States and the Iranian Nuclear Programme

2018 ◽  
Author(s):  
Steven Hurst
Keyword(s):  
United States ◽  
Decision Making ◽  
Domestic Politics ◽  
The United States ◽  
Nixon Administration ◽  
Comprehensive Plan ◽  
The Us ◽  
Nuclear Issue ◽  
The Relationship

The United States, Iran and the Bomb provides the first comprehensive analysis of the US-Iranian nuclear relationship from its origins through to the signing of the Joint Comprehensive Plan of Action (JCPOA) in 2015. Starting with the Nixon administration in the 1970s, it analyses the policies of successive US administrations toward the Iranian nuclear programme. Emphasizing the centrality of domestic politics to decision-making on both sides, it offers both an explanation of the evolution of the relationship and a critique of successive US administrations' efforts to halt the Iranian nuclear programme, with neither coercive measures nor inducements effectively applied. The book further argues that factional politics inside Iran played a crucial role in Iranian nuclear decision-making and that American policy tended to reinforce the position of Iranian hardliners and undermine that of those who were prepared to compromise on the nuclear issue. In the final chapter it demonstrates how President Obama's alterations to American strategy, accompanied by shifts in Iranian domestic politics, finally brought about the signing of the JCPOA in 2015.

Violence, Social Movements, and Black Freedom Struggles

Contention ◽  
2021 ◽  
pp. 1-9
Author(s):  
AK Thompson
Keyword(s):  
United States ◽  
Social Movements ◽  
The United States ◽  
United States Today ◽  
Black Freedom ◽  
Current Events ◽  
Research Agendas ◽  
Ambivalent Relationship ◽  
The Relationship ◽  
Freedom Struggles

George Floyd’s murder by police on 26 May 2020 set off a cycle of struggle that was notable for its size, intensity, and rate of diffusion. Starting in Minneapolis, the uprising quickly spread to dozens of other major cities and brought with it a repertoire that included riots, arson, and looting. In many places, these tactics coexisted with more familiar actions like public assemblies and mass marches; however, the inflection these tactics gave to the cycle of contention is not easily reconciled with the protest repertoire most frequently mobilized during movement campaigns in the United States today. This discrepancy has led to extensive commentary by scholars and movement participants, who have often weighed in by considering the moral and strategic efficacy of the chosen tactics. Such considerations should not be discounted. Nevertheless, I argue that both the dynamics of contention witnessed during the uprising and their ambivalent relationship to the established protest repertoire must first be understood in historical terms. By considering the relationship between violence, social movements, and Black freedom struggles in this way, I argue that scholars can develop a better understanding of current events while anticipating how the dynamics of contention are likely to develop going forward. Being attentive to these dynamics should in turn inform our research agendas, and it is with this aim in mind that I offer the following ten theses.

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