Stigma, social risk, and health policy: public attitudes toward HIV surveillance policies and the social construction of illness.

Data from a 1999 national telephone survey with a probability sample of English-speaking US adults (N=1,335) were used to assess how support for HIV surveillance policies is related to AIDS stigma and negative attitudes toward groups disproportionately affected by the epidemic. Anonymous reporting of HIV results to the government was supported by a margin of approximately 2-to-l, but name-based reporting was opposed 3-to-l. Compared with other respondents, supporters of name-based surveillance expressed significantly more negative feelings toward people with AIDS, gay men, lesbians, and injecting drug users. More than one third of all respondents reported that concerns about AIDS stigma would affect their own decision to be tested for HIV in the future. Implications for understanding the social construction of illness and for implementing effective HIV surveillance programs are discussed.     

Privacy,autonomy, and public policy: French and North American perspectives

This article raises the question of whether in both the United States and in France, an individual’s autonomy and private decision-making right(s) in matters of health care and access to reproductive technologies can be conciliated with the general interest, and more specifically, the role of the State. Can a full-fledged right to privacy, the ability to exercise one’s autonomy, exist alongside the general interest, and depend neither on financial resources like in the United States nor on centralised government decisions or the medical hierarchy like in France? The contrast between these two modern democracies justify the importance of comparing them. I will demonstrate that overlaps do exist: the free exercise of religion and opinion, freedom of expression, the inherent value of each individual. What differs, however, are the institutions and how they provide, protect, promote, or frame access to and expressions of these democratic principles. The impact of the global economy, the exposure of people around the world to each other via the internet, and the mirror effects of social media, blogs, and other such forums, have created new perspectives that countries project onto one another. For example, does France now seem to tout ‘autonomy’ as a new and important value because it appears to be an ‘American success story’? Does the United States now seem to value human rights and a social-democratic approach because of the ‘French model’? There seems to be some truth behind these assertions, but as this article will demonstrate, the portrayals of what the ‘right to privacy’ is in the United States and what ‘socialised medicine’ is in France are not necessarily fully accurate.     

Careers guidance and social mobility in UK higher education: practitioner perspectives

This paper reveals findings from a small-scale research project which explored how university careers advisers experience their role in guiding clients within a labour market where barriers to social mobility prevail. The research discovers that advisers' daily work gives them a depth of insight into social mobility. The professional turbulence in which advisers operate and the evolution of their role from in-depth work to a focus on breadth is chronicled. University environments vary with regard to the scope advisers have to impact lives, but a strong set of values anchors them. Recommendations are made with regard to how high quality careers information, advice and guidance can support social mobility for traditionally disadvantaged students into the labour market.     

Quality of workplace social relationships and perceived health

Associations between the quality of social relationships at work and mental and self-reported health were examined to assess whether these associations were independent of job strain. The study was based on cross-sectional survey data from 728 employees (response rate 58%) and included the Demand-Control-(Support) (DC-S) model, six items on the quality of social relationships at the workplace, the General Health Questionnaire (30), and an item on self-reported physical health. Logistic regression analyses were used. A first set of models were run with adjustment for age, sex, and socioeconomic group. A second set of models were run adjusted for the dimensions of the DC-S model. Positive associations were found between the quality of social relationships and mental health as well as self-rated physical health, and these associations remained significant even after adjustment for the dimensions. The findings add support to the Health and Safety Executive stress management standards on social relationships at the workplace.     

Race,social relationships,and mental health

Researchers often assume that the extent, quality, and effectiveness of personal relationships explain why African Americans have relatively good mental health despite experiencing high levels of stress. This study tests this assumption using data from the 1990–1992 National Comorbidity Survey. Few racial differences emerge in patterns of social relationships, and the nature and quality of social relationships do not explain African Americans’ resiliency on mental health. Several aspects of social relationships benefit African Americans’ mental health more than Whites’, but these moderating effects are insubstantial. Hence, the data do not support the assumption. If social relationships help explain the lack of racial differences in mental health, their nature and effects must be more adequately conceptualized.     

行为社会政策：“助推”公共福利的实践与探索

行为社会政策是基于人的行为特点而设计, 使用“助推”作为政策工具来执行的社会政策。它是行为科学在社会政策范畴的应用, 其原理在于洞察人们做选择时的行为偏好, 以隐性且非明显经济刺激的方式谋求公众利益。从政策制定者的角度出发, 基于自愿性和信息性的统一, 可将行为社会政策中的助推策略分为增加策略、减少策略和转换策略; 三大策略被用于再住院率、儿童健康、社区养老、入学资助、就业问题、器官移植和精准扶贫等民生领域, 帮助人们做出更好的选择, 提高公共福利。作为一种新兴的方法和技术, 助推并非万能, 需要政策制定者对症下药、精确识别、权衡使用, 规避“行为官僚”, 才能真正实现国家治理现代化和社会利益最大化。     

Parent-school relationships and children's academic and social outcomes in public school pre-kindergarten

Two dimensions of parent-school relationships, parental school involvement and parents' perceptions of teacher responsiveness to child/parent, were examined in state-funded pre-kindergarten classrooms in a large urban school district. Children's social and academic outcomes were individually assessed in the fall and spring. Hierarchical Linear Modeling analyses revealed that parental school involvement positively predicted children's social skills (d = .55) and mathematics skills (d = .36), and negatively predicted problem behaviors (d = .47). Perceived teacher responsiveness to child/parent was positively related to children's early reading (d = .43), and social skills (d = .43), and negatively to problem behaviors (d = .61). All analyses controlled for quality of teacher interaction with children in the classroom, parental home involvement, parental education level, and child race/ethnicity.     

Modelling relationships between cognitive variables during and following public speaking in participants with social phobia

Cognitive models of social phobia predict that several cognitive processes will mediate the relationship between trait levels of social anxiety and the extent of anxiety experienced in a specific social-evaluative situation. The current study aimed to provide a test of these relationships. Over 200 clinical participants with social phobia completed measures of their general social anxiety and a week later performed a brief impromptu speech. They completed a measure of state anxiety in response to the speech as well as questionnaires assessing several cognitive constructs including focus of perceived attention, perceived performance, and probability and cost of negative evaluation. A week later, they completed measures of negative rumination experienced over the week, as well as a measure of the recollection of their perceived performance. Path analysis provided support for a model in which the cognitive factors mediated between general social anxiety and the degree of anxiety experienced in response to the speech. A second model supported the theory that negative rumination mediated between characteristic social anxiety and negative bias in the recollection of performance.     

Sequential analysis of autonomy-interdependence and affiliation-disaffiliation in couples' social support interactions

Sequential patterns of social support interactions between satisfied (n= 33) and dissatisfied (n= 23) husbands and wives were observed as the spouses took turns confiding about personal problems. The interactions were coded with an adaptation of Benjamin's Structural Analysis of Social Behavior, which evaluates interpersonal behaviors along two dimensions of independence-interdependence and affiliation-disaffiliation. Log-linear analysis verified expected complementary sequential exchanges of behaviors that fell in the mid-ranges of independence, interdependence, affiliation, and disaffiliation, although extreme forms of independent and interdependent behavior showed unexpected functional associations with non-complementary behaviors. Dissatisfied wives displayed imbalanced levels of independent and interdependent behaviors, and both spouses showed relatively less support for each other's independent initiative. Dissatisfied spouses also had difficulty providing and accepting assistance in affiliative ways. The findings are discussed in terms of the balance of autonomy and interconnectedness in marriage, and the implications for improving supportive interactions for dissatisfied couples.     

Sustaining work force inclusion and well-being of mothers on public assistance: Individual deficit and social ecology perspectives

This study compared theoretical perspectives on the psychological and paid labor activity implications of mandating mothers initially on US welfare to participate in labor force activities. Data were collected that reflected these areas: government public policy interventions, family social ecology measures, mother’s psychological and human capital, and community capital. A quasi-experimental design was used, and multiple source data was collected over time. In the initial part of the study, 144 welfare mothers and one of their children between 9 and 13 years were interviewed. Results indicated that having high levels of individual human and psychological capital and lower levels of family social ecological barriers predicted higher levels of maternal paid labor market activity and psychological well-being. Using archival records, additional analyses involved a 32-month review of state records for nearly 1200 mothers initially on welfare. Results revealed that the lower one’s initial capital—either educational (lacking GED or high school diploma) or community-based (residents spending a high percentage of gross income on rent), the greater one’s economic dependence on public welfare, regardless of whether one was assigned to a welfare to work program or to a control group. Thus, mandating labor market activity as a government public policy was not effective as an isolated strategy to uphold employability over time. These results suggest that employers and government leaders need to provide individual human capital and community capital investments to sustain work force inclusion of low-income mothers.     

Polling and public policy

This commentary distinguishes five reasons why one might want to conduct a survey concerning people's beliefs about death and the permissibility of harvesting organs: (1) simply to learn what people know and want; (2) to determine if current law and practice conform to the wishes of the population; (3) to determine the level of popular support for or opposition to policy changes; (4) to ascertain the causes and effects of popular beliefs and attitudes; and (5) to provide guidance in determining which law and practices are ethical. The commentary expresses qualms about how well surveys in general can perform with respect to the fifth objective, and it provides specific reasons to doubt whether this survey is informative from the perspective of a moral philosopher concerned with the nature of death and the contours of a permissible system of organ procurement.     

Church-based social relationships, belonging, and health among older Mexican Americans

The purpose of this study is to explain how church-based emotional support influences the health of older Mexican Americans. This issue is evaluated with a theoretical model that contains the following core linkages: (1) older Mexican Americans who go to church more often will be more likely to receive emotional support from fellow church members; (2) older Mexican Americans who receive more support from their fellow church members will be more likely to feel they belong in their congregation; (3) older Mexican Americans who feel they belong in their congregation are likely to have a stronger sense of personal control; and (4) older Mexican Americans who have a stronger sense of personal control are likely to enjoy better health. Data from a recent nationwide survey of older Mexican Americans provide support for each of these relationships.