The community competence scale in the placement of the deinstitutionalized mentally ill

Little systematic research has been directed towards the determination of appropriate residential placements for deinstitutionalized psychiatric patients. A previous study suggested that the Community Competence Scale (CCS), a 124-item multiscale instrument, had potential utility for community placement decisions. In the present study, the CCS was administered to 52 deinstitutionalized patients placed in an urban boarding home, a rural boarding home, and urban apartments. No significant differences on the CCS occurred attributable to urban vs. rural setting; accordingly, the urban and rural boarding home groups were combined. The CCS discriminated between patients placed in boarding home and apartment settings after variability between the groups associated with age and diagnosis had been removed. The CCS discriminated more effectively between the groups than did prior hospitalization, subsequent rehospitalization, or the Social Competence Scale (SCS). The CCS was significantly positively correlated with the SCS and significantly negatively correlated with previous hospitalization and age.     

人际关系状况与学龄前流动儿童的问题行为

以北京市40所幼儿园的336个班级的3430名儿童为被试, 构建多层线性模型, 分析亲子关系、班级师幼关系氛围对学龄前城市和流动儿童问题行为的影响。发现亲子冲突和班级师幼冲突氛围显著正向预测儿童的内、外向问题行为; 班级师幼亲密和冲突氛围对城市儿童内向问题行为的预测作用相比流动儿童更大; 班级师幼冲突氛围对亲子冲突高的流动儿童的外向问题行为的消极作用降低, 高亲子亲密缓解了班级师幼冲突氛围对流动儿童内向问题行为的消极作用。     

Sleep loss and change detection in driving scenes

Driver sleepiness is a significant road safety problem. Sleep-related crashes occur on both urban and rural roads, yet to date driver-sleepiness research has focused on understanding impairment in rural and motorway driving. The ability to detect changes is an attention and awareness skill vital for everyday safe driving. Previous research has demonstrated that person states, such as age or motivation, influence susceptibility to change blindness (i.e., failure or delay in detecting changes). The current work considers whether sleepiness increases the likelihood of change blindness within urban and rural driving contexts. Twenty fully-licenced drivers completed a change detection ‘flicker’ task twice in a counterbalanced design: once following a normal night of sleep (7–8 h) and once following sleep restriction (5 h). Change detection accuracy and response time were recorded while eye movements were continuously tracked. Accuracy was not significantly affected by sleep loss; however, following sleep loss there was some evidence of slowed change detection responses to urban images, but faster responses for rural images. Visual scanning across the images remained consistent between sleep conditions, resulting in no difference in the probability of fixating on the change target. Overall, the results suggest that sleep loss has minimal impact on change detection accuracy and visual scanning for changes in driving scenes. However, a subtle difference in response time to change detection between urban and rural images indicates that change blindness may have implications for sleep-related crashes in more visually complex urban environments. Further research is needed to confirm this finding.     

Self-Concept and Sociometric Outcomes: A Comparison of Only Children and Sibling Children From Urban and Rural Areas in the People's Republic of China

We investigated differences in self-concept between 360 only children and 555 sibling children in the sixth grade of three urban schools and three rural schools in the People's Republic of China. Peer perceptions and teacher perceptions were also collected using sociometric measures. Self-concept was determined by the Self-Perception Profile for Children (Harter, 1985). Comparisons of sibling children and only children showed no differences on self-concept; however, urban residents had higher self-concept scores than children from rural areas, and boys scored higher than girls. No significant interaction effects between sibling status, gender, and residence were found.     

Sex differences in household labor time a comparison of rural and urban couples

A sample of 440 full-time employed couples from 11 states was examined to determine the differences between time spent on housework by husbands and wives in rural and urban areas. More time is spent in housework in rural families than in urban families because time spent in housework is greater for rural women than for urban women, while rural and urban husbands' times do not differ. Education of spouses, job status differentials, and age of the younger child do not significantly interact with rural-urban residence and sex of the spouse. However, family income does significantly influence the relationship between time spent on housework for rural and urban husbands and wives.     

HIV-positive pregnant women attending the prevention of mother-to-child transmission of HIV/AIDS (PMTCT) services in Ethiopia: economic productivity losses across urban-rural settings

HIV/AIDS impacts significantly on pregnant women and on children in Ethiopia. This impact has a multiplier effect on household economies and on productivity losses, and is expected to vary across rural and urban settings. Applying the human capital approach to data collected from 131 respondents, this study estimated productivity losses per HIV-positive pregnant woman–infant pair across urban and rural health facilities in Ethiopia, which in turn were used to estimate the national productivity loss. The study found that the annual productivity loss per woman–infant pair was Ethiopian birr (ETB) 7,433 or United States dollar (US$) 378 and ETB 625 (US$ 32) in urban and rural settings, respectively. The mean patient days lost per year due to inpatient admission at hospitals/health centres was 11 in urban and 22 in rural health facilities. On average, urban home care-givers spent 20 (SD = 21) days annually providing home care services, while their rural counterparts spent 23 days (SD = 26). The productivity loss accounted for 16% and 7% of household income in urban and rural settings, respectively. These high and varying productivity losses require preventive interventions that are appropriate to each setting to ensure the welfare of women and children in Ethiopia.     

Self-concept and sociometric outcomes: a comparison of only children and sibling children from urban and rural areas in the People's Republic of China.

We investigated differences in self-concept between 360 only children and 555 sibling children in the sixth grade of three urban schools and three rural schools in the People's Republic of China. Peer perceptions and teacher perceptions were also collected using sociometric measures. Self-concept was determined by the Self-Perception Profile for Children (Harter, 1985). Comparisons of sibling children and only children showed no differences on self-concept; however, urban residents had higher self-concept scores than children from rural areas, and boys scored higher than girls. No significant interaction effects between sibling status, gender, and residence were found.     

Antecedents and Consequences of Victimization of Lesbian, Gay, and Bisexual Young People: A Structural Model Comparing Rural University and Urban Samples

Research indicates that antigay victimization is widespread and that lesbian, gay, and bisexual young people may be very vulnerable to such victimization. The current study builds upon previous work by Hershberger and D'Augelli (1995), who studied the consequences of sexual orientation-based victimization in 194 urban lesbian, gay, and bisexual youths. Using structural equation modeling, the present study models both antecedents and consequences (including psychological distress, self-esteem, and suicidality) of victimization via a secondary analysis of their data set. In addition, a second sample of 54 lesbian, gay, and bisexual youths from a rural university setting was examined to cross-validate and generalize the relationships found in urban settings. Results indicated that a revised model of victimization exhibited sufficient fit to the urban sample data and provided preliminary support for the generalizability of the model beyond the initial sample. Additional similarities were found between the urban and rural university community samples, including a high prevalence of reported suicide attempts: 42% of the urban sample and 32% of the rural university sample had attempted suicide at least once. Results indicated that victimization based on sexual orientation has similar correlates for young people in different community settings.     

Identity and sociocultural change: Comparing young indigenous people in Chiapas who have different sociodemographic trajectories

One of the most commonly used distinctions in cross‐cultural studies is the one between individualism and collectivism. One of the criticisms levelled at this distinction is that it fails to incorporate the differences that may exist when comparing people from a rural context with little formal education to people from the same group who live in an urban context where formal education is the norm. Bearing in mind these sociodemographic factors, we have compared the self‐concepts among 104 young indigenous people in Chiapas (Mexico), having divided them into three groups: “rural‐traditional,” “rural–urban” and “urban.” These people's self‐concepts were analysed using a task that contrasts personal self‐concept with social self‐concept and a technique in which participants draw themselves along with the things and people they consider most important to them. The results reveal significant differences between the three groups. The personal categories are given a higher value in the “urban” group while the social categories score higher in the “rural‐traditional” group. Regarding the results of the indigenous self‐portraits, from the content analysis of the drawings, 16 categories emerged. These findings are discussed in the light of Greenfield's theory of social change and human development.     

Self-Reported Differences in the Experience and Expression of Anger Between Girls and Boys

Gender differences with regard to the emotion of anger were studied using elementary school-aged children in an urban, a suburban, and a rural school district. Both the suburban and rural samples were predominantly white (88% and 82%, respectively) while the urban sample was predominantly black (57%). Five hundred and fifty seven 4th and 5th grade children (287 boys and 270 girls) were given a self-report anger questionnaire. No significant differences were found between boys and girls in the self-reported total anger level However, item analysis indicated that some of the specific hypothetical situations that elicited anger differed in boys and girls. In addition, there were significant differences in the expression of anger between boys and girls. Consistent with previous research, boys reported significantly higher levels of aggressive responses. The location in which the children attended school emerged as an important variable with regard to the experience and expression of anger. As a group, urban youngsters reported significantly higher levels of anger than children who attended school in rural or suburban settings.     

Implementing a Comprehensive Program for the Prevention of Conduct Problems in Rural Communities: The Fast Track Experience

Childhood conduct problems are predictive of a number of serious long-term difficulties (e.g., school failure, delinquent behavior, and mental health problems), making the design of effective prevention programs a priority. The Fast Track Program is a demonstration project currently underway in four demographically diverse areas of the United States, testing the feasibility and effectiveness of a comprehensive, multicomponent prevention program targeting children at risk for conduct disorders. This paper describes some lessons learned about the implementation of this program in a rural area. Although there are many areas of commonality in terms of program needs, program design, and implementation issues in rural and urban sites, rural areas differ from urban areas along the dimensions of geographical dispersion and regionalism, and community stability and insularity. Rural programs must cover a broad geographical area and must be sensitive to the multiple, small and regional communities that constitute their service area. Small schools, homogeneous populations, traditional values, limited recreational, educational and mental health services, and politically conservative climates are all more likely to emerge as characteristics of rural rather than urban sites (Sherman, 1992). These characteristics may both pose particular challenges to the implementation of prevention programs in rural areas, as well as offer particular benefits. Three aspects of program implementation are described in detail: (a) community entry and program initiation in rural areas, (b) the adaptation of program components and service delivery to meet the needs of rural families and schools, and (c) issues in administrative organization of a broadly dispersed tricounty rural prevention program.     

Urban–Rural Variation in Satisfaction with Life: Demographic, Health, and Geographic Predictors in Halifax, Canada

This paper examines how satisfaction with life (SWL) varies in four zones of the urban–rural continuum, for 1,971 residents of the county-sized municipality of Halifax, Nova Scotia, Canada. It also examines whether the predictors of SWL themselves vary by rural–urban. Data are from the STAR project, which is an innovative GPS-assisted time diary survey. ‘Global’ SWL varies significantly by urban–rural zones, being highest in the inner city (IC), and lowest in the outer commuter belt (OCB). Self-rated health is a significant bivariate correlate, as are age, whether married, household size, and household income (all of which vary significantly by U-R zones). Several geographic variables co-vary significantly with SWL, particularly community belonging (strong in IC, weak in OCB), unsafe after dark (worst in IC, best in OCB), and commuting time (least in IC, most in OCB). A regional multivariate model yielded significant predictors related to physical health, mental health, and community geography, but excluded socio-demographic variables. Separate models for each urban–rural zone showed that SWL is more predictable at the zonal level than for the region as a whole, and the predictors vary considerably by zone. Physical health is an important predictor in the inner city and suburbs, unsafe after dark is significant only in the suburbs, and travel-related variables are very important in the inner commuter belt.     

The impact of a rural or urban context in eating awareness and self‐regulation strategies in children and adolescents from eight European countries

Complex relationships exist between eating behaviour and personal and environmental factors. Rural and urban geographic contexts seem to play a role in eating behaviour, and therefore deserve a deeper study. A healthy eating behaviour and the conditions that promote it are a major issue in the promotion of adolescent health. The study aims to investigate the associations between the area of residence (urban vs. rural), self‐regulation strategies (TESQ‐E) and eating behaviours among children and adolescents. A total of 11,820 adolescents (50.6% girls) participated in the study, with a mean age of 13.30 years (SD= 2.13). Nine countries (The Netherlands, United Kingdom, Poland, Portugal, Denmark, Romania, Germany, Finland and Belgium) completed a questionnaire in the school context, asking about the use of self‐regulation strategies, eating behaviour awareness/care and sociodemographic questions such as age, gender and residential area. Both areas of residence (urban vs. rural) are associated with eating awareness/care in Romania and Portugal, controlling for age, gender and self‐regulation strategies. In some European countries at least, and most probably around the world, health promotion should focus on an ecological approach that includes the understanding of the effect of both environmental factors and personal skills on eating behaviour/awareness.     

Rural‐Urban Differences in Suicide Rates for Current Patients of a Public Mental Health Service in Australia

Rural versus urban rates of suicide in current patients of a large area mental health service in Australia were compared. Suicide deaths were identified from compulsory root cause analyses of deaths, 2003–2007. Age‐standardized rates of suicide were calculated for rural versus urban mental health service and compared using variance of age‐standardized rates with 95% confidence intervals. There were 44 suicides and the majority (62%) were rural. Only urban patients used jumping from heights as a method of suicide (4/17; p = 0.02). Rural patients had 2.7 times higher rates of suicide, similar to findings for rural versus urban community suicides and may reflect the underlying community rates, differences in mental health service delivery, or socioeconomic disadvantage.     

Cognitive, Linguistic, and Social Aspects of Adults' Noun Definitions

Low-income, rural adults and middle-income, urban adults provided oral definitions for eight common nouns. Two general issues were addressed: (1) whether the rural adults' definitions would conform to the well-documented Aristotelian form typically found among middle-class, well-educated adults; and (2) whether different definitional types would emerge for two different noun classes, social vs. object nouns. Participants' definitions were examined for conceptual content and linguistic form. Among rural participants, the mean proportion of definitions conforming to the Aristotelian model was .13, contrasted with .69 for the urban participants. Also, rural adults were significantly less likely to cast definitions in the conventional linguistic form than were urban adults. On other measures of definitional skill as well, rural participants demonstrated less mastery. There were no significant differences in definitional form between social and object nouns. Various explanations for the findings are considered.     

Profile of urban vs rural drivers detected drink driving via Roadside Breath Testing (RBT) in Queensland,Australia, between 2000 and 2011

ProblemIn Australia, as in many other countries, a disproportionate number of drink driving crashes occur on rural roads.Aims and methodThe study used Queensland Police Random Breath Testing (RBT) data from 2000–2011 to (a) comparing drink driving rates and RBT efficacy in areas of increasing remoteness (b) compare drink driver factors and the circumstances of apprehensions in rural and urban areas.ResultsGenerally, rural areas had a higher detection rate per RBT intercepts and a greater number of apprehensions per licensed drivers than the state average. Main effects showed that rural drivers were more likely to be male and to be a reoffender but less likely to be apprehended between midnight and 5.59 am and after visiting a licensed venue. Urban drivers were more likely to be aged 17–49 years and to be apprehended with a BAC < 0.15%.ConclusionDifferences in RBT effectiveness and drink driving factors and circumstances exist between rural and urban areas.Practical applicationThe greater number of drink drivers in rural areas signal a need for targeted interventions in these areas. To increase the effectiveness of such interventions, further research should examine the mechanisms responsible for these observed differences between rural and urban drink driver.     

The impact of navigation system display size and environmental illumination on young driver mental workload

Driver distraction is a major cause of road crashes and has a great influence on road safety. In vehicles, one of the common distracting sources is navigation systems (NSs). The navigation system (NS) can distract the driver due to following directions and reading the provided information through its display. These tasks take the driver’s attention from the primary task of driving and may cause poor driving performance, increasing the risk of crashes. In this paper, the effect of the environment (i.e., urban areas and rural areas), the navigation system display (NSD) size, environmental illumination, and gender on young drivers between the ages of 18 and 29 years mental workload was investigated using a simulated driving experiment. To evaluate each driving condition, the NASA-TLX (NASA Task Load Index) workload assessment tool, and a distraction evaluation element, were introduced and used to assess the overall workload, the workload subscales and the distraction by the NSD. The assessment showed a higher perceived overall workload for urban areas and night driving as compared to a rural areas and daytime driving. Moreover, the results showed a greater perceived distraction by the NSD in urban areas compared to driving in rural areas. The subjects also felt distracted when using the small NS compared to using the large NS. The study concluded that urban areas driving, and night driving creates higher perceived workload than rural areas and daytime driving. Furthermore, small NSD leads to more perceived distraction than large NSD while driving. The NSD designers may utilize this research findings to optimize NSD designs to improve driving safety, performance and comfort. Moreover, this study contributes to our understanding of the effect of the NSD size on driving workload and distraction.     

Inequalities in daily variations of deaths from suicide in Lithuania: identification of possible risk factors

The aim of this study was to analyze daily variations in mortality from suicides of Lithuanian urban and rural populations in two different periods of economic and political development of the country (1988-1990 and 1998-2000). The highest proportion of suicides occurred on Mondays and during the first days after the major public holidays, especially in men. Suicide mortality in rural areas was significantly higher in comparison to urban; nevertheless, daily variation was more marked in urban areas. Developing market economy and rising unemployment did not increase daily variation in suicides.     

Protective Factors for Deviance: A Comparison of Rural and Urban Youth

Based on data from the 2010, 2012, and 2014 Communities that Care Youth Survey, the authors examine the protective factors associated with rural and urban students in grades 6 through 12 across several domains. This research is based on the literature that associates rural areas with a more protective environment and resulting lower rates of deviance. Findings were mixed, but overall rural youth had higher protective factor scores. A summary of all 84 protective factor scores follows: 26 factors shown no significant different between rural and urban students; on 42 protective factors rural youth had higher scores, as opposed to urban youth with higher protective scores on only 16 factors. Implications of findings for crime and delinquency are discussed.     

The Śrī Maṅkala Vināyakar Satsaṅg Group: Religious Practice and Middle-Class Status in Tamil Nadu,South India

This article presents an organized group of middle-class, multicaste Hindu housewives living in the suburbs of Madurai, Tamil Nadu—the ?rī Ma?kala Vināyakar Satsa?g (SMVS) Group. Hindu satsa?g groups are common throughout India and revolve primarily around devotional singing, although the word satsa?g also denotes a grouping/community specifically organized around a guru and their students. Using my experiences participating in and observing this specific satsa?g group and its practices, I demonstrate how caste, class, and Hindu religious practice intersect in contemporary urban Tamil Nadu. Through an examination of how religious knowledge is shared and learned in the SMVS Group, I show that what are viewed as high-caste Hindu performances of piety (for example, Sanskrit recitation) are formative in many Hindu women’s perceptions and constructions of their middle-class identities. Further, I highlight the study of multicaste women’s social networks, both urban and rural, as a nuanced and valuable lens through which to study middle-class identity in India.