Generalizability of Holland's structure of vocational interests across ethnicity, gender, and socioeconomic status.

Items from the Vocational Preference Inventory (J. L. Holland; 1985) were administered to a sample of 370 African American and White high school students to investigate differences in the circular structure of RIASEC interests across ethnicity, socioeconomic status, and gender. Analyses using both the randomization test of hypothesized order relations (L. Hubert & P. Arabie; see record 1987-30217-001) and 3-way MDS suggest that there are no differences in interest structure between African American and White high school students. However, structural differences were found when both ethnicity and SES were considered together. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Objective and subjective assessments of socioeconomic status and their relationship to self-rated health in an ethnically diverse sample of pregnant women.

A new measure of subjective socioeconomic status (SES) was examined in relation to self-rated physical health in pregnant women. Except among African Americans, subjective SES was significantly related to education, household income, and occupation. Subjective SES was significantly related to self-rated health among all groups. In multiple regression analyses, subjective SES was a significant predictor of self-rated health after the effects of objective indicators were accounted for among White and Chinese American women; among African American women and Latinas, household income was the only significant predictor of self-rated health. After accounting for the effects of subjective SES on health, objective indicators made no additional contribution to explaining health among White and Chinese American women; household income continued to predict health after accounting for subjective SES among Latinas and African American women. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Racial and ethnic disparities in self-assessed health status: evidence from the National Survey of Families and Households

We examined racial and ethnic disparities in global health assessment and functional limitations of daily activities among whites, blacks and Hispanics, and within the Hispanic origin among Mexicans, Puerto Ricans, Cubans, and 'Others'. Logistic regression were employed to estimate the log odds of reporting 'poor health' and 'having functional limitations' among 12,814 respondents from the 1987-1988 National Survey of Families and Households. Compared with whites, blacks had an increased risk of reporting poor health and functional limitations. Hispanics had even a higher risk of reporting poor health, but did not have an increased risk of reporting functional limitations. Among Hispanics, Mexicans were more likely than whites to report poor health, whereas Puerto Ricans were more likely than whites to experience functional limitations. Both race and ethnicity remain important factors in explaining the disparities in self-assessed health status independent of socioeconomic status (SES). Meanwhile, the way self-assessed health status varies with ethnicity is importantly stratified by SES as measured by income and education. These results suggest that future research should analyze the interplay between ethnicity and SES rather than assuming measuring either captures all the important variation.     

Alterations in cyclin-dependent kinase 2 function during differentiation of primary human keratinocytes

Long-term care for the elderly has recently become an area of great interest for practicing social workers because of the increasing number of aged persons and the important role of government in financing and regulating their care. Therefore, the purpose of this study was to provide a set of estimates on patterns in long-term care service use among older Americans over an eight-year period. This study applied multinomial logistic regression to analyzing the data from the National Long-Term Care Survey of 1982-1989 (NLTCS). The results of this study showed a number of differences from the results with cross-sectional studies. Of the 6,393 sample persons, more than half (56.5%) died over the eight years from 1982 to 1989. The rate of entering nursing homes (12.6%) was low. The rate of using community-based care services was fairly low. About 10.4 percent of the sample received care from helping professional personnel or paid helpers. As expected, the number receiving care from kin and other informal support was high. Long-term care services in the United States were distributed very unequally among various social groups. The indicator of need was not the only determinant of service utilization. Other variables such as number of household members, race, age and education were also important for service utilization. The predictors of deceased versus informal help were need, age, number of household member, gender and marital status. The predictors of nursing home care versus informal help were need, age, number of household members, education, attitude toward nursing home and race. The predictors of community-based help care versus informal help were need, number of household members, and education.     

Is biliary lithogenesis affected by length and implantation of cystic duct? Study of 270 patients with endoscopic retrograde cholangiopancreatography

BACKGROUND: White children have a much higher incidence rate of acute lymphoblastic leukemia (ALL) than do African American children. This discrepancy, coupled with the geographic and temporal variations in the incidence of childhood ALL, have led to speculation that factors associated with socioeconomic status (SES) may play an important role in its etiology. Because most of the variation is accounted for by the occurrence of a peak in incidence between the ages of 2 and 5 years, the purpose of this study was to compare the SES of children diagnosed with ALL between the peak ages of 2-5 years with those children diagnosed at other ages (birth-1 year and 6-14 years). METHODS: Patients included 4210 children who were diagnosed with ALL between January 1, 1989 and December 31, 1991 by a member institution of the Children's Cancer Group or the Pediatric Oncology Group. Of these children, 3614 were white and 596 were African American. The SES of a case was defined as the SES of the child's zip code of residence at the time of diagnosis. Five sociodemographic variable categories for each zip code were obtained from the 1990 U.S. Census including per capita income, number of housing units by household income, number of housing units by level of urbanization, number of persons older than 25 years by educational attainment, and number of persons by occupation. Mean values were compared for white children versus African American children, and peak ages (2-5 years) versus nonpeak ages (birth-1 year and 6-14 years) for both whites and African Americans. In addition, Wilcoxon's rank sum tests were performed. RESULTS: There were statistically significant differences between the means in each of the socioeconomic categories when African Americans were compared with whites. However, within race, the means of the SES variables for white children diagnosed during the peak ages (2-5 years) were not significantly different from children diagnosed at other ages (birth-1 year and 6-14 years). Similarly, all but one of the comparisons for African American children yielded nonstatistically significant results. Similar results were obtained from the Wilcoxon's rank sum tests. CONCLUSIONS: The results of this analysis suggest that age differences in childhood ALL incidence may not be solely accounted for by SES differences.     

Oral disease and physical disability in community-dwelling older persons

OBJECTIVE: The aim of this epidemiologic investigation was to determine whether poor oral health in older persons was associated with physical disability. DESIGN: The study was a cross-sectional survey involving in-home interviews and dental examinations of older persons. SETTING: A random sample of 68 cities and towns was selected from the six New England states, with stratification according to population size. PARTICIPANTS: The study sample consisted of 1,156 community-dwelling (non-institutionalized) individuals aged 70 and over, randomly selected from the Medicare beneficiary lists for each city and town. MEASUREMENTS: Oral health was assessed by three dichotomous indices: edentulism (no teeth); current caries, including either coronal or root decay; and periodontal disease, as measured by gingival pocket depth. Physical disability was indicated by the subject's self-report of difficulty in the areas of personal care (eating, bathing, dressing, and using the toilet) and mobility (walking, bed transfer, getting outside). Additional independent variables included age, sex, number of teeth, education, living alone, oral hygiene practices, and time since last dental visit. RESULTS: We found a direct association between specific areas of physical disability and current caries and edentulism. The risk of poor oral health did not increase with advancing age once the related risk factors were controlled for. Those subjects with mobility disabilities were at increased risk of tooth loss; those with personal care limitations were at increased risk of current caries. CONCLUSIONS: Physical disability should be added to the list of known risk factors for oral disease among the older population. Our findings call attention to the need for health care providers to screen for oral health problems among disabled older persons. Further gerontologic research is needed to identify the mechanisms linking physical disability with oral disease in older persons.     

Does harboring hostility hurt? Associations between hostility and pulmonary function in the Coronary Artery Risk Development in (Young) Adults (CARDIA) study.

Objective: To examine the cross-sectional association between hostility and pulmonary function (PF) and its consistency across race/ethnicity-gender groups. Design: Data were from the Coronary Artery Risk Development in (Young) Adults (CARDIA) cohort study (N = 4,629). Participants were recruited from 4 metropolitan areas in the United States, ages 18-30 years at baseline in 1985-1986, approximately balanced across race/ethnicity (Black, White) and gender. Main Outcome Measures: Main outcome measures were percent predicted values for forced expiratory volume in 1 second (FEV1) and forced vital capacity (FVC). Results: In full-sample multiple linear regression analyses, each 1 standard deviation (SD) increase in hostility was associated with a 0.66% decrease in FEV? (p = .0002) and a 0.60% decrease in FVC (p = .0006). This inverse association of hostility with PF remained after controlling for age, height, current socioeconomic status (SES), participant smoking status, and asthma and is more consistent than that of smoking and PF. In stratified analyses, each 1 SD increase in hostility predicted statistically significant reductions in PF for Black women, White women, and Black men. For White men, hostility showed no statistically significant relation with PF, although the pattern relating hostility to PF was similar to the pattern in the other three groups. Further, both of the post hoc three-way interaction terms for hostility, race/ethnicity, and gender predicting FEV? and FVC were nonsignificant. Conclusion: PF was inversely associated with hostility across race/ethnicity and gender, independent of age, height, current SES, smoking, and asthma. On the basis of these cross-sectional findings, the authors hypothesize that higher hostility will predict a more rapid decline in PF. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of new valproate derivatives on epileptiform discharges induced by pentylenetetrazole or low Mg2+ in rat entorhinal cortex-hippocampus slices

This study examined physician and non-physician prescribed medication use of a growing segment of Brazilian society--the elderly. Personal interviews were conducted with 436 subjects in a stratified random sampling of elderly respondents to the previously completed 1990 Brazilian Old Age Survey (BOAS). The BOAS sample had been stratified according to the socioeconomic status (SES) of three communities within Rio de Janeiro. This study focused on medication use of these subjects as a function of the predisposing, enabling, and need variables which have been found in previous research to predict other types of health services utilization (HSU). The enabling variables of access to care were measured as patient perceived availability, affordability, and acceptability of both medical and pharmacy services. ANOVA results found differences among the different communities in perceived availability and affordability of medical and pharmacy services and acceptability of pharmacy services. Subjects from Santa Cruz, the lowest SES area, consistently reported lesser availability of services, more difficulties with affordability but greater perceived acceptability of pharmacy services than those from the highest SES area. Multivariate regressions modeling both prescribed and non-prescribed medication use for the three areas found that the access-oriented HSU framework was much more effective in explaining the variance in medication use for the lowest SES area (45% and 48% for prescribed and non-prescribed use, respectively) than for the highest SES area where only 16% and 18% of prescribed and non-prescribed medication use was explained.     

Socioeconomic status, race and life expectancy in Arkansas, 1970-1990

Earlier research found that high socioeconomic populations in Arkansas experienced an increase in mean life expectancy over low socioeconomic populations between 1970 and 1990. The possibility that these findings are spurious because of race is tested in this paper. Using multivariate analysis in conjunction with estimates of life expectancy by race and socioeconomic status (SES) we find that between 1970 and 1990: (1) Black populations with high SES gained more than three additional years of life expectancy over Black populations with high SES; and (2) White populations with high SES gained more than .5 years of life expectancy over White populations with low SES. These findings support earlier findings that SES plays an instrumental role in differential life expectancy. They also suggest that the effects of SES on life expectancy are moderated differentially for Blacks and Whites.     

Intergenerational family predictors of the Black–White achievement gap.

The authors examined intergenerational family predictors of the Black–White achievement gap among 4,406 adolescents from the National Longitudinal Survey of Youth. An intergenerational model of the process by which family factors contribute to the achievement gap was also tested. The results showed that the ethnic gaps in socioeconomic status (SES) and achievement had significantly reduced over the past few generations. Moreover, measures of grandparent SES, mothers’ achievement, parent SES, and a comprehensive set of reliable parenting practices explained all of the ethnic differences in achievement scores. Parenting practices such as creating a school-oriented home environment, allowing adolescents to make decisions, and not burdening them with too many chores had particularly important effects on the achievement gap. The authors conclude that adjusting for these differences would eliminate the ethnic achievement gap. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The persistence of race and ethnicity in the use of long-term care

We examine the use of nursing homes, formal personal care, informal Activities of Daily Living (ADL) assistance, and no care to identify racial differences in their use. Using the 1987 National Medical Expenditure Survey of both nursing homes and the community, multinominal logistic regressions controlled for predisposing, enabling, and need variables as well as other types of service use. Additional state-level variables make few changes in race/ethnicity parameters, indicating that race/ethnicity are not simply proxies for state-level variables. Older African Americans are less likely to use nursing homes than similar whites, with the lower institutionalization replaced by a higher use of paid home care, informal-only care, and no care. This suggests that formal in-home community care is not fully compensating for the racial differences in nursing home use. Persistent effects of race/ethnicity could be the result of culture, class, and/or discrimination that may impair equitable access to services.     

Children's comprehension of family role portrayals in televised dramas: Effects of socioeconomic status, ethnicity, and age.

578 middle and lower socioeconomic status (SES), Black and White children in Grades 2, 5, and 8 participated in 2 fully-crossed replications of the same design. They viewed 1 of 2 edited television dramas that portrayed either a White middle-class family (Study 1) or a Black working-class family (Study 2) in similar conflict resolution situations. Ss' comprehension of central (plot-essential) and peripheral content and their inferences about actors' emotions and causes of action were assessed. Memory for content was age-related in both studies. However, in Study 1, middle-SES 2nd graders viewing the middle-class family show scored higher than lower-SES 2nd graders. In Study 2 lower-SES 2nd graders who viewed the working-class family show achieved higher scores than their middle-class counterparts. There were no SES effects among 5th- and 8th-grade participants and no consistent effects of ethnicity at any age. Additional analyses indicated that congruence between televised characters and settings and viewers' own experiences, as indicated by SES, facilitated 2nd graders' processing of program content. Implications of age-related processing skills for social effects of TV are discussed. (20 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Race, class, and the attributional process.

Two experiments examined the process and content of attributional thinking in Black and White children who differed in socioeconomic status (SES). In Exp I, 171 7th graders subdivided into middle-SES Black, middle-SES White, low-SES Black, and low-SES White groups imagined that they succeeded or failed at an examination, with the cause of the outcome specified. Their perceptions of the dimensional properties of causes (locus, stability, and controllability), expectancy for success, teacher evaluation, and affective reactions were reported. Similar judgments were made in Exp II, with 148 of the Ss from Exp I, in response to actual rather than hypothetical success and failure, and Ss' causal attributions for their performance were reported. Analyses revealed that Blacks did not display a less adaptive attributional pattern than did Whites following actual performance, and no differences existed in Ss' understanding of the meaning (dimensional placement) of causes. A linkage between the locus of causes and affect also was documented in all race?×?SES groups. In contrast, race and class differences occurred in Ss' perceptions of predicted stability–expectancy and controllability–evaluation causal linkages. (23 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Children's self-image disparity: Effects of age, socioeconomic status, ethnicity, and gender.

Assessed developmental and experiential determinants of self-image disparity in 80 2nd and 5th graders. There were 8 groups formed on the basis of socioeconomic status (SES), ethnicity, and gender within each grade. Consistent with predictions generated by developmental theory, self-image disparity was found to be positively related to CA. Although the results were not uniform across the 3 self-image instruments employed, the larger disparity in older Ss appeared to be a function of both decreased self-evaluations and increased ideal self-images. Gender, SES, and ethnic group membership—characteristics thought to subsume pervasive experiential differences—were also found to affect self-image. Males had larger self-image disparities than females, Whites had larger disparities and higher ideal self images than Blacks, and SES affected self-image differentially for the 2nd and 5th graders. Findings indicate that an understanding of children's self-images requires a consideration of both developmental and experiential factors. (36 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Managed care in rural markets: availability and enrollment

The objective of this research was to test the hypothesis that urban-rural differences in managed care availability and enrollment are primarily due to differences in population socioeconomic and health system characteristics rather than geographic location, population size, or density. These two groups of variables were entered into a regression equation to determine which group could best account for the variance in managed care availability and enrollment. In general, the results of these analyses indicated that socioeconomic and health system characteristics did a much better job of explaining differences in managed care availability and enrollment. Therefore, focusing on factors such as adjacency to metropolitan areas or population size or density in making managed care policy decisions may be less productive than focusing on the socioeconomic and health system characteristics of an area.     

Are physicians less likely to recommend preventive services to low-SES patients?

BACKGROUND: Do low-SES adult patients visiting private primary care clinics differ from higher SES adult patients in their need for eight preventive services or in receiving either a recommendation for or the needed services? METHODS: Randomly identified adult patients were surveyed within 2 weeks of a visit to 22 clinics in the Minneapolis-St. Paul area. Questions assessed patient recollection of the latest receipt of eight services and whether needed services had been recommended during the visit or received then soon after. RESULTS: Of those surveyed, 4,245 patients (1,650 low SES) responded (84.3%), showing that low SES patients were less likely to be up to date for cholesterol measurement, Pap smear, mammography, breast exam, and flu or pneumonia shots (P < 0.004), but not for blood pressure measurement. Low-SES patients needing services received recommendations to have them and actually received them at the same rate as higher SES patients. CONCLUSIONS: The 22 primary care clinics studied appear to be recommending and providing needed preventive services to visiting patients at the same rate regardless of income or insurance status. The reasons for differences in prevention status by SES are complex but the low proportion of all patients receiving recommendations for needed services suggests the need to take advantage of all visits for updating prevention needs.     

Social class, sense of control, and social explanation.

Lower social class is associated with diminished resources and perceived subordinate rank. On the basis of this analysis, the authors predicted that social class would be closely associated with a reduced sense of personal control and that this association would explain why lower class individuals favor contextual over dispositional explanations of social events. Across 4 studies, lower social class individuals, as measured by subjective socioeconomic status (SES), endorsed contextual explanations of economic trends, broad social outcomes, and emotion. Across studies, the sense of control mediated the relation between subjective SES and contextual explanations, and this association was independent of objective SES, ethnicity, political ideology, and self-serving biases. Finally, experimentally inducing a higher sense of control attenuated the tendency for lower subjective SES individuals to make more contextual explanations (Study 4). Implications for future research on social class as well as theoretical distinctions between objective SES and subjective SES are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social experiences and daily routines of African American infants in different socioeconomic contexts.

Sixty-two 3- to 4-month-old African American infants from lower, middle, and upper socioeconomic status (SES) backgrounds were each observed in naturalistic contexts for 12 hr. The social experiences of infants in the 3 groups were similar in many ways: Infants from all backgrounds slept and were vocalized to for similar amounts of time. However, infants in the upper SES families engaged in more self-play, vocalized less, fussed less, had fewer but longer naps, and fewer but longer bouts of social interaction than did infants in the middle- and lower SES families. Infants in the upper SES families also received more verbal affection and soothing responses to their fussing and crying than did the other infants, whereas infants in the lower SES families interacted more with extended kin than did infants in the upper SES families. These results underscore the need to study African American families in a variety of socioeconomic contexts because families in more advantaged circumstances may greatly differ from those who are more disadvantaged, especially in terms of reliance on extended kin as caregivers. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relationship of subjective and objective social status with psychological and physiological functioning: Preliminary data in healthy, White women.

This preliminary study compared the associations between objective and subjective socioeconomic status (SES) with psychological and physical variables among 157 healthy White women, 59 of whom subsequently participated in a laboratory stress study. Compared with objective indicators, subjective social status was more consistently and strongly related to psychological functioning and health-related factors (self-rated health, heart rate, sleep latency, body fat distribution, and cortisol habituation to repeated stress). Most associations remained significant even after controlling for objective social status and negative affectivity. Results suggest that, in this sample with a moderately restricted range on SES and health, psychological perceptions of social status may be contributing to the SES-health gradient. (PsycINFO Database Record (c) 2010 APA, all rights reserved)