Same-sex sexual behaviour: US frequency estimates from survey data with simultaneous misreporting and non-response

Survey-based research concerning sexual behaviour almost inevitably confronts the simultaneous problems of misreporting and non-response. These problems lead to disparities among estimates of the number and characteristics of those who engage in same-sex sexual behaviour. This paper proposes a statistical model to consistently estimate the frequency of same-sex sexual behaviour in the presence of non-ignorable misreporting and non-response. The model is fitted using 1991–2000 General Social Survey data. Frequency estimates corrected for simultaneous misreporting and non-response are reported. According to the model, 7.1% of US males and 4.1% of females – 15.8 million individuals – are not exclusively heterosexual. Allowing for misreporting and non-response increases the estimated same-sex frequency by more than four million. The model reveals new patterns between misreporting and non-response probabilities and standard demographic variables such as age and income.

The relationship between healthcare staff wellbeing and patient care: it’s not that simple

Expecting happier and healthier staff to provide better care may make intuitive sense, but this is not always the case. This chapter highlights the complexity of the relationship between healthcare staff wellbeing and patient care, and we introduce the “happy-productive worker” hypothesis which postulates that happy and healthy workers are more productive. Here, we initially review the evidence for this relationship among workers in various sectors and consider some of the limitations of our understanding of this association. We then examine the research looking at the links between healthcare staff wellbeing and the quality of patient care at both the individual and organisational level. This is followed by a reflection on the inconsistency of this relationship, and how measurement, moderators, and context influence the presence and strengths of this association. Finally, we consider the implications for research, practice, and policy—including the Healthy Healthcare concept