{"title":"Public knowledge, attitudes, and behavior toward Kansas mandatory seatbelt use: implications for public health policy.","authors":"M. Adeyanju","doi":"10.1300/J045V03N02_07","DOIUrl":"https://doi.org/10.1300/J045V03N02_07","url":null,"abstract":"State law and policies established by legislative bodies represent an important machinery for amplifying the effects of behavior change efforts in individuals and groups. This study shows the inter-relationships of public health policy, behavior, attitude, knowledge of the general public and how their outcomes can affect health and safety, policy formulation, enactment, implementation, policy evaluation and its revision or repeal. Observational and interview surveys of the driving public were conducted over an eighteen month period (1987-1989) in Kansas. Results showed major differences in the public's knowledge, attitudes, and behavior toward the new mandatory seatbelt law across different geographic locations of metropolitan, urban and suburban areas. The new law had the support of more than half of those interviewed. The public's knowledge and attitude on the seatbelt use and law were far from being ideal. Much work is needed to convince about 27% of the driving public who declared they never use their seatbelts and would ignore any law/policy that would force them to comply.","PeriodicalId":73764,"journal":{"name":"Journal of health & social policy","volume":"3 2 1","pages":"117-35"},"PeriodicalIF":0.0,"publicationDate":"2008-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J045V03N02_07","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66306022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Providing Behavioral Incentives for Improved Health in Aging and Medicare Cost Control","authors":"D. Mpa","doi":"10.1300/J045V13N04_05","DOIUrl":"https://doi.org/10.1300/J045V13N04_05","url":null,"abstract":"Abstract This paper examines policy options for addressing health care challenges posed by the aging of the baby boom generation. Universal Medical Savings Accounts (UMSAs) are proposed. UMSAs are defined-contribution vouchers coupled with medical savings accounts. The proposal includes significant equity protections for those with low income/wealth, including balance billing limits and stop-loss protections, together with subsidies for risk-adjustment. The policy would control costs while promoting quality, accessible, and affordable health care. UMSAs provide new behavioral incentives, both for cost-conscious health care decision-making and for healthy lifestyle choices.","PeriodicalId":73764,"journal":{"name":"Journal of health & social policy","volume":"81 1","pages":"75-90"},"PeriodicalIF":0.0,"publicationDate":"2008-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J045V13N04_05","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66307191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acknowledgments","authors":"","doi":"10.1300/j045v22n03_b","DOIUrl":"https://doi.org/10.1300/j045v22n03_b","url":null,"abstract":"","PeriodicalId":73764,"journal":{"name":"Journal of health & social policy","volume":"52 1","pages":"xxv - xxv"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/j045v22n03_b","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66308306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Erin Fries Taylor, Michael Chernew, Catherine McLaughlin
{"title":"Do determinants of medicare supplemental coverage choice vary by income.","authors":"Erin Fries Taylor, Michael Chernew, Catherine McLaughlin","doi":"10.1300/J045v22n01_01","DOIUrl":"https://doi.org/10.1300/J045v22n01_01","url":null,"abstract":"<p><p>Using data from the Community Tracking Study Household Survey (1998-99), we estimate the relationship between Medigap premiums and senior Medicare beneficiaries' supplemental coverage decisions. All seniors are more likely to be enrolled in an HMO in markets with higher Medigap prices. Lower income seniors are particularly sensitive to Medigap premiums and are more likely to have no supplemental coverage when faced with higher Medigap premiums. As Medicare supplemental options evolve in response to the 2003 Medicare Modernization Act, it is important to consider that lower income beneficiaries may respond to price changes and other factors differently than their higher income counterparts.</p>","PeriodicalId":73764,"journal":{"name":"Journal of health & social policy","volume":"22 1","pages":"1-18"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J045v22n01_01","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26469777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Addressing racial disparities in social welfare programs: using social equity analysis to examine the problem.","authors":"Susan T Gooden","doi":"10.1300/J045v22n02_01","DOIUrl":"https://doi.org/10.1300/J045v22n02_01","url":null,"abstract":"<p><p>The Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) allows states considerable discretion in developing and implementing their Temporary Assistance for Needy Families (TANF) programs. Little research so far has compared the implementation of TANF programs across racial groups. Without such analysis, it is difficult to interpret program outcomes. Using client survey data from a large Manpower Demonstration Research Corporation (MDRC) study, the Project on Devolution and Urban Change, this article compares African-American, Hispanic and White Clients' experiences with diversion, case management, sanctioning, exiting welfare, and dispute resolution. Using residual differences analysis, this article identifies significant differences in treatment among racial and ethnic groups.</p>","PeriodicalId":73764,"journal":{"name":"Journal of health & social policy","volume":"22 2","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J045v22n02_01","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26514408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Anabolic Steroid Control Act of 2004: a study in the political economy of drug policy.","authors":"Bryan E Denham","doi":"10.1300/J045v22n02_04","DOIUrl":"https://doi.org/10.1300/J045v22n02_04","url":null,"abstract":"<p><p>This article examines the processes by which the Anabolic Steroid Control Act of 2004, an act that added steroid precursors such as androstenedione to the list of Schedule III Controlled Substances in the United States, came to pass in both the House of Representatives and the Senate. Grounded theoretically in political economy, the article addresses, in the abstract, how the interplay of political pressures and economic influences stands to affect the actions of public officials, and how \"tougher\" drug policies-those touted to be more substantive and efficacious than existing regulations-often fail to effect change. The article concludes with implications for those involved in the regulation of anabolic steroids and steroid precursors.</p>","PeriodicalId":73764,"journal":{"name":"Journal of health & social policy","volume":"22 2","pages":"51-78"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J045v22n02_04","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26514411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Nurses respond to healthcare restructuring: the transformation of the Massachusetts Nurses Association.","authors":"Beth Wilson, Craig Slatin, Michael O'Sullivan","doi":"10.1300/J045v21n04_03","DOIUrl":"https://doi.org/10.1300/J045v21n04_03","url":null,"abstract":"<p><p>The most recent period of Massachusetts healthcare system reorganization began in the early 1980s. In part, this has been a response to soaring healthcare costs, countering them with diminished reimbursements. To decrease labor costs and survive in an increasingly competitive and market-driven healthcare environment, hospitals downsized and laid off nursing staff. Patient care and safety has concomitantly suffered. These efforts severely challenged nurses' status. Radicalized rank and file members of the Massachusetts Nurses Association mobilized against the association leadership's weak efforts to protect nurses' social and economic interests and the deteriorating quality of care. They transformed an association whose main focus was supporting nursing's professional image to one which became an activist labor union of professional workers. The history of this often contentious transformation is presented here within the context of these healthcare system changes. The MNA's successes and pending challenges within the Massachusetts healthcare system are also discussed.</p>","PeriodicalId":73764,"journal":{"name":"Journal of health & social policy","volume":"21 4","pages":"51-72"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J045v21n04_03","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26111862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Race, welfare reform and caseworkers' treatment of welfare recipients: an examination of an alternative service delivery system-the Wisconsin Works (W-2) Program.","authors":"Michael Bonds","doi":"10.1300/J045v22n01_04","DOIUrl":"https://doi.org/10.1300/J045v22n01_04","url":null,"abstract":"<p><p>This study examined how welfare recipients in the Wisconsin Works Program were treated by community-based organizations' caseworkers, as opposed to government agencies, to determine if racial disparities existed. The same racial disparities found with public agencies existed. And CBOs were not providing Blacks with services needed to get off welfare.</p>","PeriodicalId":73764,"journal":{"name":"Journal of health & social policy","volume":"22 1","pages":"39-57"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J045v22n01_04","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26413053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Grandparents communicating with grandchildren:fostering intergenerational understanding.","authors":"Cheryl E Waites","doi":"10.1300/j045v22n03_10","DOIUrl":"https://doi.org/10.1300/j045v22n03_10","url":null,"abstract":"<p><p>With the onset of increased longevity, intergenerational relationships are ever more common. These transactions by which persons of different generations interact with one another, are multidimensional and play an important role in family strengths, resilience and solidarity. Using an intergenerational framework this paper explores grandparents' experiences with intergenerational relationships with their grandchildren and discusses strategies for fostering communication and understanding across generations. Feedback from older adults who attend three senior centers provide insight and suggestions for enriching intergenerational communication. doi:10.1300/J045v22n03_10.</p>","PeriodicalId":73764,"journal":{"name":"Journal of health & social policy","volume":" ","pages":"149-65"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/j045v22n03_10","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40962942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psychocultural influences on health care acceptability among elderly U.S. Pacific Islanders.","authors":"Michael J Stoil, Susmita Murphy, Ford H Kuramoto","doi":"10.1300/J045v22n01_05","DOIUrl":"https://doi.org/10.1300/J045v22n01_05","url":null,"abstract":"<p><p>There is widespread recognition of the influence of ethnic variation on immigrant response to health care services, but far less is known about source of variation among nonimmigrant ethnic enclaves. Pacific Islander populations under U.S. administration for more than a century illustrate the potential influences of cultural factors on health care. Focus groups among elderly Samoan, Native Hawaiian, and Chamorro residents of southern California in 2002 found ethnic variation in such characteristics as expectations of publicly financed health care and in the willingness to discuss alternative sources of help with clinicians. These variations appear influenced by the colonial health care experience of these U.S. territories and, in the case of Samoan women, in distinctive perceptions of the role of prayer and traditional healing methods in care. Such psychocultural factors appear more potent than English language proficiency as an influence on the acceptability of health care among Pacific Islander elders.</p>","PeriodicalId":73764,"journal":{"name":"Journal of health & social policy","volume":"22 1","pages":"59-75"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J045v22n01_05","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26413054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}