Contributions to Children by Divorced Fathers

Beyond the payment of child support, relatively little is known about the nature and extent of contributions of divorced fathers to their children. Using nationally representative data from a sample of ever-divorced women taken from the National Longitudinal Study of the High School Class of 1972, the nature and extent of various forms of assistance (in eight areas) provided by divorced fathers are examined. The majority of fathers seldom or never make contributions to their children. Fathers who do contribute to their children have more economic resources and enjoy better relationships with the custodial mother. In addition, there is little support for the notion that fathers substitute other forms of assistance for payment of child support. Rather, other forms of support are provided in addition to making child-support payments

Body Weight, Marital Status, and Changes in Marital Status

In this article, I use 20 years of data taken from the 1979 National Longitudinal Study of Youth to examine the relationship between body weight and both marital status and changes in marital status. I use a latent growth curve model that allows both fixed and random effects. The results show that living without a partner, either being divorced or never married, is associated with lower body weight. Cohabitors and married respondents tend to weigh more. Marital transitions also matter but only for divorce. Gender does not appear to moderate these results

Active-duty military service, cohabiting unions, and the transition to marriage

A small but growing body of research has begun to identify the consequences of military service during the all-voluntary era. In this article, we examine the relationship between military service and the likelihood that cohabiting unions will be converted into marriages. Our paper extends previous research by making a distinction between the effects of active-duty verses reserve-duty service on the transition to marriage using data from the 1979-2004 National Longitudinal Survey of Youth (NLSY). Our findings indicate that there is a positive relationship between active-duty service and cohabitors transitioning to marriage.active-duty military service, cohabitation, marriage, union transitions

Cohabitation and Marital Stability in the United States

Recent evidence from Canada and Sweden indicates that cohabitation prior to marriage significantly increases the risk of subsequent marital dissolution. In this article we present results testing the hypothesis that cohabitation increases marital disruption in the United States. We find that premarital cohabitation increases the risk of subsequent marital instability. However, the effect of cohabitation can be attributed to the fact that cohabitants have spent more time in union than noncohabitants. Once total length of union is accounted for, there is no difference in marital disruption between cohabitants and noncohabitants. We argue that subsequent research comparing cohabitants and noncohabitants with respect to marital behaviors that are duration dependent should account for the total amount of time spent in un

Active-Duty Military Service, Cohabiting Unions, and the Transition to Marriage

A small but growing body of research has begun to identify the consequences of military service during the all-voluntary era. In this article, we examine the relationship between military service and the likelihood that cohabiting unions will be converted into marriages. Our paper extends previous research by making a distinction between the effects of active-duty verses reserve-duty service on the transition to marriage using data from the 1979-2004 National Longitudinal Survey of Youth (NLSY). Our findings indicate that there is a positive relationship between active-duty service and cohabitors transitioning to marriage

Military Service and Alcohol Use in the United States

It is well known that enlistees and veterans in the United States are more likely to use alcohol than civilians. However, most of this research is potentially biased in that it often does not employ control variables (other than age) and is based on cross-sectional data. Much of this research also fails to consider the relationship between military service and alcohol use among women. Using longitudinal data taken from the 1997 National Longitudinal Study of Youth, we investigate the relationship between military service and alcohol consumption employing a fixed-effects approach. We find that military service appears to encourage young men to consume alcohol. It is also the case that the effect of military service is not limited to the time that men spend in the military given that male veterans are also more likely to consume alcohol than are comparable nonveterans. We find, however, that women who serve, both enlistees and veterans, are less likely to drink than their civilian counterparts

Physicians' use of the 5As in counseling obese patients: is the quality of counseling associated with patients' motivation and intention to lose weight?

<p>Abstract</p> <p>Background</p> <p>Physicians are encouraged to counsel obese patients to lose weight, but studies measuring the quality of physicians' counseling are rare. We sought to describe the quality of physicians' obesity counseling and to determine associations between the quality of counseling and obese patients' motivation and intentions to lose weight, key predictors of behavior change.</p> <p>Methods</p> <p>We conducted post-visit surveys with obese patients to assess physician's use of 5As counseling techniques and the overall patient-centeredness of the physician.. Patients also reported on their motivation to lose weight and their intentions to eat healthier and exercise. One-way ANOVAs were used to describe mean differences in number of counseling practices across levels of self-rated intention and motivation. Logistic regression analyses were conducted to assess associations between number of 5As counseling practices used and patient intention and motivation.</p> <p>Results</p> <p>137 patients of 23 physicians were included in the analysis. While 85% of the patients were counseled about obesity, physicians used only a mean of 5.3 (SD = 4.6) of 18 possible 5As counseling practices. Patients with higher levels of motivation and intentions reported receiving more 5As counseling techniques than those with lower levels. Each additional counseling practice was associated with higher odds of being motivated to lose weight (OR 1.31, CI 1.11-1.55), intending to eat better (OR 1.23, CI 1.06-1.44), and intending to exercise regularly (OR 1.14, CI 1.00-1.31). Patient centeredness of the physician was also positively associated with intentions to eat better (OR 2.96, CI 1.03-8.47) and exercise (OR 26.07, CI 3.70-83.93).</p> <p>Conclusions</p> <p>Quality of physician counseling (as measured using the 5As counseling framework and patient-centeredness scales) was associated with motivation to lose weight and intentions to change behavior. Future studies should determine whether higher quality obesity counseling leads to improved behavioral and weight outcomes.</p

Physicians' attitudes about obesity and their associations with competency and specialty: A cross-sectional study

<p>Abstract</p> <p>Background</p> <p>Physicians frequently report negative attitudes about obesity which is thought to affect patient care. However, little is known about how attitudes toward treating obese patients are formed. We conducted a cross-sectional survey of physicians in order to better characterize their attitudes and explore the relationships among attitudes, perceived competency in obesity care, including report of weight loss in patients, and other key physician, training, and practice characteristics.</p> <p>Methods</p> <p>We surveyed all 399 physicians from internal medicine, pediatrics, and psychiatry specialties at one institution regarding obesity care attitudes, competency, including physician report of percent of their patients who lose weight. We performed a factor analysis on the attitude items and used hierarchical regression analysis to explore the degree to which competency, reported weight loss, physician, training and practice characteristics explained the variance in each attitude factor.</p> <p>Results</p> <p>The overall response rate was 63%. More than 40% of physicians had a negative reaction towards obese patients, 56% felt qualified to treat obesity, and 46% felt successful in this realm. The factor analysis revealed 4 factors–<it>Physician Discomfort/Bias, Physician Success/Self Efficacy, Positive Outcome Expectancy</it>, and <it>Negative Outcome Expectancy</it>. Competency and reported percent of patients who lose weight were most strongly associated with the <it>Physician Success/Self Efficacy </it>attitude factor. Greater skill in patient assessment was associated with less <it>Physician Discomfort/Bias</it>. Training characteristics were associated with outcome expectancies with newer physicians reporting more positive treatment expectancies. Pediatric faculty was more positive and psychiatry faculty less negative in their treatment expectancies than internal medicine faculty.</p> <p>Conclusion</p> <p>Physician attitudes towards obesity are associated with competency, specialty, and years since postgraduate training. Further study is necessary to determine the direction of influence and to explore the impact of these attitudes on patient care.</p

Race and Changing Household Structure

The textbook for this course discusses cross-cultural variations in household structure, as well as changes across time in household structure in the United States. The purpose of this exercise is to examine variations in household structure in the United States according to race and historical period. By the end of the exercise students should have a better appreciation of the fact that household structure in the U.S. is very fluid and that changes over time in household structure have not progressed uniformly for all race groups