Preferences for arthritis care among urban African Americans: "I don't want to be cut".

Despite greater disability from knee osteoarthritis among Blacks, Whites are 3-5 times more likely to have total knee replacement (TKR). The authors explored whether beliefs among Blacks about arthritis and surgery contribute to this disparity. Ninety-four Blacks, ages 50 to 89, with knee arthritis underwent semistructured qualitative interviews regarding disability, beliefs about arthritis, beliefs about TKR, and treatment preferences. Content analyses yielded 6 themes: preference for natural remedies, negative expectations of surgery, beliefs about God's control, preference for continuing in their current state, relationships with specialists, and fear of surgery or death. Given its high levels of disability, this cohort had low expectations of TKR. Culturally sensitive educational programs might improve patient altitudes and beliefs regarding TKR, ultimately increasing appropriate usage.     

Legal aspects of decision-enhancing technologies

As advances in computer-based systems (CBS) have continued, development problems can occur which can adversely affect systems developers and users of these technologies, especially those designed to improve or affect decision making. One major difficulty concerns the legal liability that can occur as a result of defective or flawed systems development efforts. This article discusses several types of decision-enhancing technologies and how problems associated with the adequacy of testing of system design and appropriateness of warnings and directions/instructions dealing with CBS could adversely affect CBS developers from a legal perspective. Several propositions and suggested research perspectives are also presented. He received his Ph.D. in computer information systems from Arizona State University. His research interests include the impact on organizations and individuals of information systems and the potential legal liability to systems developers brought about by defective computer-based systems. His research has appeared inMIS Quarterly, Information & Management, AI Expert, AI & Society, Educational andPsychological Measurement andInformation Resources Management Journal. Kathleen Mykytyn is a consultant and research specializing in the impact of information systems and technologies on individuals and organizations. Her research has been published inMIS Quarterly, AI & Society, AI Expert, andInformation & Management.     

Charting new territory: Body esteem, weight satisfaction, depression, and self-esteem among chinese males and females in Hong Kong

This study examined the relationship of body esteem, weight satisfaction, self esteem, and depression among 309 (186 females and 123 males) Chinese university students in Hong Kong. Females were found to have significantly lower body esteem [Body Esteem Scale: S. L. Franzoi and S. A. Shields (1984) “The Body Esteem Scale: Multidimensional Structure and Sex Differences in a College Population,” Journal of Personality Assessment, Vol. 48, pp. 173–178] and higher depression [Center for Epidemiologic Studies Depression Scale: L. S. Radloff (1977) “The CES-D scale: A Self-Report Depression Scale for Research in the General Population,” Applied Psychological Measures, Vol. 2, pp. 385–401] when compared to males, whereas males were found to have significantly more weight dissatisfaction. No significant difference was found in the area of self-esteem [Index of Self-Esteem: W. W. Hudson (1982) Clinical Measurement Package: A Field Manual, Chicago: Dorsey]. Females desired a significantly lower ideal body mass index, whereas, males desired a significantly higher ideal body mass index. The relationship between body esteem, weight satisfaction, and self-esteem was similar for males and females; however, the relationship between body satisfaction and depression was significant only for females. Findings are compared to similar research on European American samples and implications from a cross-cultural perspective are discussed.