Uptake of Breast Screening is Influenced by Current Religion and Religion of Upbringing

Research has shown that individuals with a current religious affiliation are more likely to use preventive health services. The aim of this study was to determine whether breast screening uptake in Northern Ireland is higher amongst women with a current affiliation to an organised religion and, for those with no current affiliation, to examine whether their religion of upbringing is associated with uptake of breast screening. The Northern Ireland Longitudinal Study (NILS) was used to link Census and national breast screening data for 37,211 women invited for routine breast screening between 2001 and 2004. Current religious affiliation, religion of upbringing and other demographic and socio-economic characteristics were as defined on the Census form. Multivariate logistic regression was used to determine the relationship between religion affiliation and attendance. Uptake of breast screening is about 25% lower for those without a current religious affiliation. There are modest differences between Catholics and Protestants, with the latter about 11% more likely to attend for screening. For those with no current religion, the religion of upbringing appears to positively influence attendance rates. These differences remain after adjustment for all of the socio-demographic and socio-economic factors that have been shown to influence uptake rates of breast screening in the UK to date. Record linkage is an efficient way to examine equity across demographic characteristics that are not routinely available. The lower uptake amongst those with no religious affiliation may mean that screening services may find it difficult to maintain or improve uptake rate in an increasingly secularised society.     

Reading and Social Imagination: What Relationally Oriented Reading Instruction Can Do for Children

Twenty-two second and third grade children experiencing difficulties with social relationships and reading comprehension participated in small group Relationally Oriented Reading Instruction for eight weeks. Developmental and literacy assessments done before and after the reading intervention showed statistically significant improvements in the understanding of text and in social imagination. Analysis of writing samples resulted in a typology of relationally oriented response. Together these data provide initial evidence linking the understanding of texts to the development of other relational capacities like social imagination, and indicate that purposeful use of picture books within relationally oriented reading instruction may enhance this development.     

Capes on the W-Defense

According to the principle of alternative possibilities (PAP), a person is morally responsible for what he has done only if he could have done otherwise. Widerker (Philosophical Perspectives 14: 181-201, 2000) offers an intriguing argument for PAP as it applies to moral blameworthiness. His argument is known as the “What-should-he-have-done defense” of PAP or the “W-defense” for short. In a recent article, Capes (Philosophical Studies 150: 61-77, 2010) attacks Widerker’s argument by rejecting the central premise on which it rests, namely, the premise that a person is blameworthy for his action only if in the circumstances it would be morally reasonable to expect him not to have acted as he did. In this paper, I show that Capes’ criticism does not undermine this premise and, to this extent, Widerker’s argument is safe from Capes’ attack.     

Examining the role of parental self-regulation in family physical activity: A mixed-methods approach

Physical activity (PA) is essential for good health. However, parents risk becoming less active because of the demands of parenting. This has consequences for children as parents are role models. The present study used a mixed-methods approach to explore parental self-regulation associated with PA. Data were collected from 36 parents with preschool-aged children. They were interviewed about their PA and their family’s PA. Parents also completed PA and self-regulation questionnaires and wore an accelerometer for five days. Qualitative data were examined using an inductive approach to thematic analysis. It showed that parents felt that they had limited time for personal PA. Mothers’ self-regulation was driven by an ethic of care and subjective norms, whereas fathers’ self-regulation was driven by beliefs about the importance of autonomy. Nevertheless, both parents saw caring for their children as the main priority. Quantitative data were examined using multiple regression analyses. Results showed that different self-regulatory behaviours predicted the PA of mothers and fathers. Which predictors were significant depended on the type of activity and how it was measured. The findings warrant longitudinal research that would enable the effect of family dynamics on self-regulation associated with PA to be assessed.     

Juggling roles and expectations: dilemmas faced by women talking to relatives about cancer and genetic testing

Health professionals do not inform their patients’ kin about BRCA1/2 test results or genetic testing without their written consent. Thus, the onus is on women attending genetic counselling to talk to relatives about the family history and their potential increased risk. This communication process within the family is largely unexplored and provides the focus of the present study. Fifteen healthy women attending a genetics clinic for predictive testing were interviewed prior to receiving their test result and again 6 months later. A grounded theory approach was used. Findings illustrate the dilemmas women faced in juggling social roles and expectations, which had an impact on communication within the family in the context of predictive genetic testing. Tensions between responsibilities towards themselves and others and their fulfilment of social roles had an impact on who women informed and on how they did so. These factors should be considered when assigning patients the role of information provider.     

Expertise differences in a video decision-making task: Speed influences on performance

Video clips of different speeds were used in a simulation of decision-making in Australian football to test the effects on decision accuracy and decision time. Elite and sub-elite and novice Australian footballers watched videos in six speeds (0.75, 1.0, 1.25, 1.5, 1.75 and 2.0 times normal speed). Participants responded by using a mouse-click to indicate where they would pass the ball for that particular video clip. The elite and sub-elite groups also rated each clip for how ‘game-like’ the decision-making felt. The elite group was significantly more accurate than the sub-elite and novice groups, and the sub-elite group was more accurate than the novice group. Within-speed analysis showed the elite group excelled at the faster video speeds. The use of speeded video delineated clear expertise differences between the groups at the 1.5 speed. Elite and sub-elite players identified the 1.25 and 1.5 speeds as most ‘game-like’ for decision-making. These results show that athletes perceive moderately speeded video as more game-like. Speeded video is further speculated to have allowed elite athletes to perform more automatically, with a faster processing efficacy, a key characteristic of elite performance. This study suggests the use of speeded video as a potential new research paradigm to explore expertise and a viable method for future training interventions for decision-making.     

Accounting for taste: Individual differences in preference for harmony

Although empirical research on aesthetics has had some success in explaining the average preferences of groups of observers, relatively little is known about individual differences in preference, and especially about how such differences might covary across different domains. In this study, we identified a new factor underlying aesthetic response—preference for harmonious stimuli—and examined how it varies over four domains (color, shape, spatial location, and music) across individuals with different levels of training in art and music. We found that individual preferences for harmony are strongly correlated across all four dimensions tested and decrease consistently with training in the relevant aesthetic domains. Confirmatory factor analysis revealed that cross-domain preference for harmony is well-represented as a single, unified factor, with effects separate from those of training and of common personality measures.     

How people think “if only …” about reasons for actions

When people think about how a situation might have turned out differently, they tend to imagine counterfactual alternatives to their actions. We report the results of three experiments which show that people imagine alternatives to actions differently when they know about a reason for the action. The first experiment (n = 36) compared reason – action sequences to cause – effect sequences. It showed that people do not imagine alternatives to reasons in the way they imagine alternatives to causes: they imagine an alternative to an action more than an effect, and to a cause more than a reason. The second experiment (n = 214) and the third experiment (n = 190) both show that different sorts of reasons have different sorts of effects on how people imagine alternatives to actions. People imagine an alternative to an action (the protagonist went to a ball) less often when they know the reason for the action was an obligation (he had to participate in fundraising) compared to when they know about a weaker reason (he wanted to meet a famous violinist) or no reason. The second experiment shows the effect for a social obligation and the third experiment replicates and extends it to a health obligation. We interpret the results in terms of the possibilities that people keep in mind about actions and their reasons.