Community-level characteristics of high infant mortality: A tool to identify at-risk communities

Infant mortality (IM) rate is a key indicator of population health and has been gradually improving in the United States. However, it is still a public health problem among minority and low-income communities. Maternal factors explain some of the variation, but community-level factors may also be a contributor. This study examines measures to identify a set of indicators that explain variations in IM at the community-level. Data for 77 communities in a city were obtained from local health databases. We used multivariable linear regression models to examine the strength of the association between IM and maternal, population, community wealth, and social capital characteristics. Community-level IM rates ranged from 2.1 – 25.6 deaths per 1,000 live births in 2000-2002. The final model explained 75% of the variation in IM rates at the community-level (R2=0.75). The model included a high percentage of low birth weight babies, a decline in mothers who began prenatal care in the second trimester, an increase in the percentage of Hispanics, increased unemployment rates, an increase in the percentage of veterans, an increased rate of foreign-born residents, and smaller average family sizes. Social capital variables, homicide rate and vacant housing, were also significant in the final model. Identifying communities at risk for high IM rates is imperative to improve maternal and child health outcomes because of shortages in public health resources. The development of a parsimonious set of community-level indicators can assist public health practitioners in targeting their resources to prevent infant mortality in high-risk communities

When Do (and Don’t) Normative Appeals Influence Sustainable Consumer Behaviors?

The authors explore how injunctive appeals (i.e., highlighting what others think one should do), descriptive appeals (i.e., highlighting what others are doing), and benefit appeals (i.e., highlighting the benefits of the action) can encourage consumers to engage in relatively unfamiliar sustainable behaviors such as “grasscycling” and composting. Across one field study and three laboratory studies, the authors demonstrate that the effectiveness of the appeal type depends on whether the individual or collective level of the self is activated. When the collective level of self is activated, injunctive and descriptive normative appeals are most effective, whereas benefit appeals are less effective in encouraging sustainable behaviors. When the individual level of self is activated, self-benefit and descriptive appeals are particularly effective. The positive effects of descriptive appeals for the individual self are related to the informational benefits that such appeals can provide. The authors propose a goal-compatibility mechanism for these results and find that a match of congruent goals leads to the most positive consumer responses. They conclude with a discussion of implications for consumers, marketers, and public policy makers

Exploring Predictors of First Appointment Attendance at a Pain Management Service

Background: Individual characteristics such as gender, employment and age have been shown to predict attendance at pain management services (PMS). The characteristics of those who drop out of pain management programmes have also been explored, but as yet no studies have analysed the characteristics of those who do not attend the service following referral. Purpose: To explore the characteristics and predictors of those who attend and those who do not attend their first appointment with a PMS. Method: Predictive factors in the two groups – attenders (n = 425) and non-attenders (n = 69) – were explored using logistic regression. Results: Non-attendance was significantly predicted by the patient being a smoker and the appointment being in the morning. Non-attenders also scored higher on the Modified Somatic Perception Questionnaire, indicating higher levels of somatic pain. Discussion: Predictors of non-attendance were different from those for individuals who drop out of pain services. Implications and recommendations are made for PMS

Stress and Well-being at the Consumer-Employee Interface

Although stress has become a prominent research theme in consumer behavior and occupational health, to the authors knowledge there is only one review on the relationship between consumer behavior and stress (i.e., when internal and external factors exceed an individual’s resources and endangering the individual’s well-being) and this was published 10 years ago. Further, research on occupational stress has yet to be fully integrated into the consumer stress literature. In this chapter, the authors attempt to advance research on consumer stress by a drawing on a satisfaction mirror framework which outlines that consumers and employees influence each other through a “mirror” where they positively and cyclically influence each other in a service environment. The authors argue that consumers and employees may likewise mirror each other in a negative cycle of stress and well-being depletion. First, the authors describe how stress is viewed in consumer behavior and marketing. Second, the authors review evidence that consumption serves as a form of coping with stress. Third, the authors discuss the role of consumption as a stressor that may drive consumer stress. Finally, the authors introduce the satisfaction mirror model and outline the bi-directional influence on increased stress and well-being depletion at the consumer–employee interface in service encounters. The model introduced in this chapter serves as a framework for organizing findings related to stress and well-being in the fields of consumer behavior and occupational health. In addition, the model serves as a springboard for developing propositions for future research. Ultimately, the authors hope this chapter both updates and builds upon previous findings on stress and consumer behavior, as well as grounds future research on stress and well-being at the intersection of consumers and employees

How Co-Creation Increases Employee Corporate Social Responsibility and Organizational Engagement: The Moderating Role of Self-Construal

This research merges literature from organizational behavior and marketing to garner insight into how organizations can maximize the benefits of Corporate Social Responsibility (CSR) for enhanced CSR and organizational engagement of employees. Across two field experiments, the authors demonstrate that the effectiveness of employee co-creation activities in increasing employees’ positive CSR perceptions is moderated by self-construal (i.e., whether an individual views the self as relatively independent from or interdependent with others). In particular, the positive effect of co-creation on CSR perceptions emerges only for employees with a salient interdependent self-construal (either measured as an individual difference or experimentally manipulated). Moreover, the results demonstrate that increased positive CSR perceptions then predict increased CSR engagement and organizational engagement. The research thus highlights the need to consider self-construal when trying to utilize co-creation to predict CSR engagement and organizational engagement, via CSR perceptions

When Public Recognition for Charitable Giving Backfires: The Role of Independent Self-Construal

This research examines the effectiveness of public recognition in encouraging charitable giving, demonstrating that public recognition can sometimes decrease donations. While previous work has largely shown that making donations visible to others can motivate donors, the present research shows that the effectiveness of public recognition depends on whether potential donors are under an independent (i.e., separate from others) or interdependent (i.e., connected with others) self-construal. Across seven experimental studies, an independent self-construal decreases donation intentions and amounts when the donor will receive public recognition compared to when the donation will remain private. This effect is driven by the activation of an agentic motive, wherein independents are motivated to make decisions that are guided by their own goals and self-interests, rather than being influenced by the opinions and expectations of others. This research contributes to the understanding of the nuanced roles of both public recognition and self-construal in predicting donation behavior

A Framework for Considering Dissociative Identity Effects in Consumption

This chapter examines the mirror image of the identity association principle: dissociation. While the association principle posits that stimuli associated with a positively regarded identity receive more positive evaluations, the dissociation principle suggests that stimuli associated with negatively regarded identities will receive negative evaluations and be abandoned. The authors focus on the nature of dissociative reference groups or groups that the consumer is motivated to avoid association with, and present a framework outlining how dissociative influence can impact consumer behavior. They review the literature on dissociative influence and note that although dissociative reference groups often spur avoidance behaviors, they can sometimes induce approach behaviors. They then turn to a discussion of how dissociative associations can lead to polarizing reactions in real-world domains, such as politics. Finally, they draw on their theorizing to outline some suggested directions for future research in this regard

Lumped dynamic analysis and design of a high-performance reciprocating-piston expander

A spatially - lumped dynamic model of a reciprocating - piston expander is presented in this paper. The model accounts for the three main loss mechanisms in realistic piston machines, namely: pressure losses through the intake and exhaust valves, heat transfer between the gas and the surrounding cylinder walls, and the mass leakage between the compression/expansion chamber and the crankcase throu gh the piston rings. The model also accounts for real - gas effects with the fluid properties calculated from t he NIST database using REFPROP. The numerical calculations are first compared with experimental pressure - volume - temperature data obtained on a cust om reciprocating - piston gas spring over a r ange of oscillation frequencies. The comparison between numerical and experimental results shows good agreement. It also allows the most accurate heat transfer correlation to be selected for calculating the gas - to - wall in - cylinder heat transfer. The semi - heuristic modelling tool is then used to design an expander for specific pressure ratio s and mass flowrate, and to predict the thermodynamic performance of the piston device over a range of part - load conditions

Making the World a Better Place: How Crowdfunding Increases Consumer Demand for Social-Good Products

Crowdfunding has emerged as an alternative means of financing new ventures wherein a large number of individuals collectively back a project. This research specifically looks at reward based crowdfunding, where those who take part in the crowdfunding process receive the new product for which funding is sought in return for their financial support. This work illustrates that consumers make fundamentally different decisions when considering contributing their money to crowdfund versus purchase a product. Six studies demonstrate that compared to a traditional purchase, crowdfunding more strongly activates an interdependent mindset and, as a result, increases consumer demand for social-good products (i.e., products with positive social and/or environmental impact). The research further highlights that an active involvement in the crowdfunding process is necessary to increase demand for social-good products: When a previously crowdfunded product is already to market, the effect is eliminated. Finally, it is demonstrated that crowdfunding participants exhibit an increased demand for social-good products only when collective efficacy (i.e., one’s belief in the collective’s ability to bring about change is high