Attributes, Ethical Attitudes and Behaviors of Tax Evaders in a Permissive Collection Society

Tax evasion remains a fascinating research topic, as it is more often committed by individuals considered by society to be “ethical.” The purpose of this study is to explore the various attitudes of tax evaders and examine them in relation to their personal moral philosophies. The results of the current study found that tax evaders possessed several attributes, and their personal moral philosophy attitudes (idealism or relativism) influenced their ethical behavior. Idealism was found to be negatively associated with self-interest tax evasion behavior while relativism had the opposite effect. Idealism was also found to be positively related to tax evasion attitudes stemming from perceived “injustice” of the tax system. The results were explained with respect to the study’s setting of a permissive tax collection society and lower moral intensity of respondents. Managerial implications of this study explained, among others, why individuals who obeyed the idealistic moral philosophy often sought tax evasion

Waterpipe tobacco use in college and non-college young adults in the US Running head: Non-college hookah smoking

Background. Waterpipe tobacco smoking (WTS or “hookah”) is common among adolescents and college students in the United States. However, there has not yet been a large-scale, nationally-representative study independently examining WTS among young adults who are not in college. Objective. This study sought to examine associations between attitudes, normative beliefs, certain socio-demographic factors and current WTS among young adults not in college and compare them to young adults in college. Methods. A total of 3131 US adults ages 18 to 30 completed an online survey about WTS behavior, attitudes, normative beliefs, and relevant socio-demographic factors. Multivariable logistic regression was used to examine independent associations between these variables and current WTS stratified by student status. Results. Ever WTS was reported by 29% of young adults not in college and by 35% of those in college, and current use rates were 3% and 7%, respectively. Multivariable models demonstrated that positive attitudes and perceived peer acceptability of WTS were significantly associated with increased current WTS for both young adults not in college (AOR=2.72; 95% CI, 2.00-3.71 and AOR=2.02; 95% CI, 1.50-2.71, respectively) and young adults in college (AOR=3.37; 95% CI, 2.48-4.58 and AOR=2.05; 95% CI, 1.49-2.83, respectively). The magnitude of these associations was not significantly different when comparing individuals in college and not in college. Conclusions. Among young adults, WTS is common in non-college-based populations as well as in college-based populations. Therefore, prevention programming should extend to all young adults, not only to those in college

Social media use, personality characteristics, and social isolation among young adults in the United States

Although increased social media use (SMU) has been linearly associated with increased real-life social isolation (SI), it is unknown whether these associations differ by personality characteristics. With a nationally-representative sample of 1,768 U.S. young adults aged 19–32, we assessed SI using a 4-item Patient-Reported Outcomes Measurement Information System scale, and personality using the 10-item Big Five Inventory. Using ordered logistic regression, we evaluated multivariable associations between SMU, personality characteristics, and SI. Extraversion and agreeableness were associated with lower odds of SI, while neuroticism was associated with higher odds. A significant interaction term demonstrated that the association between SMU and SI differed by conscientiousness. Among those with low conscientiousness, compared with the lowest quartile of SMU, those in the highest quartile had more than three times the odds (AOR=3.20, 95% CI=1.99, 5.15) for increased SI, but there was no significant association among the high conscientiousness group. Interaction terms between SMU and the other four personality characteristics were not significant. Conscientious individuals may approach social media in a way that helps maintain good face-to-face social interactions, reducing perceived SI

The Association between Social Media Use and Eating Concerns among US Young Adults

Background. Although the etiology of eating concerns is multi-factorial, exposure to media messages is considered to be a contributor. While traditional media, such as television and magazines, have been examined extensively in relation to risk for eating concerns, the influence of social media has received relatively less attention. Objective. To examine the association between social media use and eating concerns in a large, nationally representative sample of young adults. Design. Cross-sectional survey. Participants/setting. Participants were 1765 young adults ages 19-32, who were randomly selected from a national probability-based online non-volunteer panel. Outcome measures. An eating concerns scale was adapted from two validated measures: the SCOFF Questionnaire and the Eating Disorder Screen for Primary Care (ESP). Social media use was assessed using both volume (time per day) and frequency (visits per week). Statistical analyses. To examine associations between eating concerns and social media use, ordered logistic regression was used, controlling for all covariates. Results. Compared to those in the lowest quartile, participants in the highest quartiles of time per day and visits per week had significantly greater odds of having eating concerns (AOR = 2.18, 95% CI = 1.50 - 3.17 and AOR = 2.55, 95% CI = 1.72 - 3.78, respectively). There were significant overall linear associations between the social media use variables and eating concerns (P < 0.001). Conclusions. The results from this study indicate a strong and consistent association between social media use and eating concerns in a nationally-representative sample of young adults ages 19 to 32. This association was apparent whether social media use was measured using time per day or visits per week. Further research should assess the temporality of these associations. It would also be useful to examine more closely the influence of specific characteristics of social media use—including content-related and contextual features

Knowledge, Perception, Attitudes and Behavior on Influenza Immunization and the Determinants of Vaccination

BACKGROUND: We sought to determine the knowledge of, perception, attitudes, and behaviors toward influenza virus and immunization, and the determinants of vaccination among students, patients, and Healthcare Workers (HCWs) at the American University of Beirut and its affiliated Medical Center. METHODS: We conducted a cross-sectional study between October 2016 and January 2017 utilizing a self-administered questionnaire that was provided to 247 randomly selected adult participants. Data collected included socio-demographic characteristics, prior vaccination against influenza, knowledge, perception, attitudes, and behaviors toward influenza and influenza immunization. A multivariable regression model was used to evaluate for independent associations between the different variables and regular or yearly vaccination as a primary outcome. RESULTS: The overall survey response rate was 77%. A substantial proportion of respondents (47.4%) had never received the influenza vaccine. Only 10.2% of students, 19.1% of patients, and 35.6% of HCWs reported regular or yearly influenza vaccine uptake. HCWs had the lowest knowledge score about influenza and its vaccine despite high self-reported levels of knowledge. Barriers to vaccinations included lack of information (31%), fear of adverse effects (29%), and a perception of not being at risk (23%). Several factors were independently associated with regular or yearly vaccination uptake including having children (adjusted OR = 3.8; 95% CI 1.2-12.5), a "very good" self-reported level of knowledge (OR = 16.3; 95% CI 1.4-194.2) and being afraid of the consequences of influenza (OR = 0.2; 95% CI 0.1-0.6). CONCLUSION: Adherence rates with regular or yearly vaccination against influenza remain low across all study groups. We were able to identify predictors as well as barriers to vaccination. Future awareness and vaccination campaigns should specifically aim at correcting misconceptions about vaccination, particularly among HCWs, along with addressing the barriers to vaccination. Predictors of vaccination should be integrated in the design of future campaigns

Association between Social Media Use and Depression among U.S. Young Adults

Importance: Social media use is rapidly increasing among U.S. young adults. While some research suggests that social media exposure may help depressed individuals cope with their condition, other studies indicate that social media use may actually be associated with increased depression. Objective: To assess the association between social media use and depression in a nationally-representative sample of young adults. Design: Cross-sectional study. Setting: General community. Participants: We surveyed 1,787 U.S. young adults between the ages of 19 to 32 regarding social media use and depression. Participants were recruited via random digit dialing and address-based sampling. Data were collected from October to November 2014. Exposure: Social media use was assessed by self-reported total time per day on social media, average number of social media site visits per week, and the score on a global frequency scale adapted from the Pew Internet Research Questionnaire. Main Outcome Measures: Depression was assessed using the Patient-Reported Outcomes Measurement Information System (PROMIS) Depression Scale Short Form. Results: In the weighted sample, 50.3% were female and 57.5% were White. Compared to those in the lowest quartile of total time per day spent on social media, participants in the highest quartile had significantly increased odds of depression (Adjusted Odds Ratio [AOR] = 1.66, 95% Confidence Interval [CI] = 1.14-2.42), even after controlling for all covariates. Similarly, in multivariable models, compared with those in the lowest quartile, depression was more common among those in the highest quartiles of social media site visits per week (AOR = 2.74, 95% CI = 1.86-4.04) and the global frequency score (AOR = 3.05, 95% CI = 2.03-4.59). All associations between independent variables and depression demonstrated strong dose-response relationships (P < .001), and results were robust to all sensitivity analyses. Conclusion and Relevance: In this cross-sectional study, multiple measures of social media use were significantly associated with increased depression. Given the proliferation of social media and the morbidity and mortality associated with depression worldwide, identifying the mechanisms and direction of this association is critical for informing interventions that address social media use and depression

The theory of agency and breastfeeding

Objective: In this paper, we apply psychological agency theory to women’s interviews of their breastfeeding experiences to understand the role of agency in relation to breastfeeding initiation, maintenance and duration. Design: Qualitative, video interviews were collected from 49 women in the UK from a wide range of ethnic, religious, educational and employment backgrounds about their breastfeeding experiences. We undertook secondary analysis of the data focusing on their accounts of vulnerability and agency. Findings: Women’s agency was impacted by a variety of factors including their own vulnerability, knowledge, expectations and experience, the feeding environment and the support of health professionals in sharing decision-making and dealing with uncertainty. Conclusion: Health professionals as co-agents with women are well positioned to maintain, enhance or restore women’s sense of agency. Breastfeeding goals should be included in women’s birth plans. Training related to agency, continuity of care, and staffing and workload management supported by national breastfeeding policies could improve breastfeeding rates and experiences

WASP family members and formin proteins coordinate regulation of cell protrusions in carcinoma cells

We examined the role of the actin nucleation promoters neural Wiskott-Aldrich syndrome protein (N-WASP) and WAVE2 in cell protrusion in response to epidermal growth factor (EGF), a key regulator in carcinoma cell invasion. We found that WAVE2 knockdown (KD) suppresses lamellipod formation and increases filopod formation, whereas N-WASP KD has no effect. However, simultaneous KD of both proteins results in the formation of large jagged protrusions with lamellar properties and increased filopod formation. This suggests that another actin nucleation activity is at work in carcinoma cells in response to EGF. A mammalian Diaphanous–related formin, mDia1, localizes at the jagged protrusions in double KD cells. Constitutively active mDia1 recapitulated the phenotype, whereas inhibition of mDia1 blocked the formation of these protrusions. Increased RhoA activity, which stimulates mDia1 nucleation, was observed in the N-WASP/WAVE2 KD cells and was shown to be required for the N-WASP/WAVE2 KD phenotype. These data show that coordinate regulation between the WASP family and mDia proteins controls the balance between lamellar and lamellipodial protrusion activity

The association between valence of social media experiences and depressive symptoms

Background: Social media (SM) may confer emotional benefits via connection with others. However, epidemiologic studies suggest that overall SM is paradoxically associated with increased depressive symptoms. To better understand these findings, we examined the association between positive and negative experiences on SM and depressive symptoms. Methods: We conducted a cross-sectional survey of 1,179 full-time students at the University of West Virginia ages 18–30 in August of 2016. Independent variables were self-reported positive and negative experiences on SM. The dependent variable was depressive symptoms as measured using the Patient-Reported Outcomes Measures Information System. We used multivariable logistic regression to assess associations between SM experiences and depressive symptoms controlling for socio-demographic factors including age, sex, race/ethnicity, education, relationship status, and living situation. Results: Of the 1,179 participants, 62% were female, 28% were non-White, and 51% were single. After controlling for covariates, each 10% increase in positive experiences on SM was associated with a 4% decrease in odds of depressive symptoms, but this was not statistically significant (AOR=0.96; 95% CI=0.91-1.002). However, each 10% increase in negative experiences was associated with a 20% increase in odds of depressive symptoms (AOR=1.20; 95% CI=1.11-1.31). When both independent variables were included in the same model, the association between negative experiences and depressive symptoms remained significant (AOR=1.19, 95% CI=1.10-1.30). Conclusion: Negative experiences online may have higher potency than positive ones because of negativity bias. Future research should examine temporality to determine if it is also possible that individuals with depressive symptomatology are inclined toward negative interactions

Pennsylvania policymakers’ knowledge, attitudes and likelihood for action regarding waterpipe tobacco smoking and electronic nicotine delivery systems

INTRODUCTION Use of waterpipe tobacco smoking (WTS, or hookah smoking) and electronic nicotine delivery systems (ENDS, such as e-cigarettes) is rapidly increasing. However, legislatures have been slow to update policy measures related to them. Therefore, we aimed to assess knowledge, attitudes and likelihood to take future action regarding WTS and ENDS among Pennsylvania legislators. METHODS We approached all Standing Members of key Pennsylvania House and Senate health and welfare committees to complete a survey about substances of abuse, including WTS and ENDS. Closed-ended knowledge, attitude and action items used a 100-point scale. Responses to open-ended items were assessed using thematic analysis by three independently working researchers. RESULTS We received responses from 13 of 27 eligible policymakers (48%). Participants answered a mean of only 27% (SD=20%) of knowledge items correctly. When asked to rank by priority eight issues in substance abuse, WTS ranked eighth (least urgent) and ENDS ranked fifth. Participants reported low likelihood to introduce legislation on WTS (mean=29, median=25) and/or ENDS (mean=28, median=10). Thematic analysis revealed that participants readily acknowledged lack of understanding of WTS and ENDS, and were eager for additional information. CONCLUSIONS Policymakers exhibit a lack of knowledge concerning newer forms of tobacco and nicotine delivery systems and consider them to be relatively low legislative priorities. However, respondents expressed a desire for more information, suggesting the potential for public health entities to promote effective policy development via improved dissemination of information