The Effects of Female Sports Participation On Alcohol Behavior

Most existing research on the effects of girls’ participation in high school sports focuses on short term outcomes without accounting for selection effects. In this research, I examine the effect of athletic participation in high school on longer term outcomes, using Title IX as a source of exogenous variation in athletic participation. I use the change in girls’ sports participation between cohorts within high schools surveyed by the High School and Beyond Survey to measure the effect of participation in high school sports on women's later alcohol behavior. I find that several years after high school, women in cohorts within high schools exposed to more athletics, drink substantially more alcohol than women within the same high school exposed to less athletics. Relative to the mean alcohol behavior of the sample, these differences are both statistically significant and sizable.determinants of health, high school athletics, alcohol, Title IX

Do Response Times Matter? The Impact of EMS Response Times on Health Outcomes

The introduction of technology aimed at reducing the response times of emergency medical services has been one of the principal innovations in crisis care over the last several decades. These substantial investments have typically been justified by an assumed link between shorter response times and improved health outcomes. But, current medical research does not actually show a significant relationship between response time and mortality. In this study, I explain the discrepancy between conventional wisdom and current medical research; existing research fails to account for the endogeneity of incident severity and response time. Analyzing detailed call-level information from the state of Utah's Bureau of Emergency Medical Services, I measure the impact of response time on mortality and hospital utilization using the distance of the incident from the nearest EMS agency headquarters as an instrument for response time. I find that response times significantly affect mortality, but not hospital utilization. A cost benefit analysis suggests that the anticipated benefits of a response time reduction exceed the costs and I discuss free-rider problems that might be responsible for the inefficiently high response times I observe.Emergency Medical Services, response time, mortality, cost-benefit analysis, free-rider

Something wonderful in my back yard: the social impetus for group self- building

The housing crisis in the United Kingdom, as Barker (2004) identifies, has become shorthand for a chronic lack of suitable and affordable housing - in both the home ownership and rental sectors - and the undersupply and diminishment of social housing stock (Barker, 2004; Jefferys et al., 2014). What has also become clear is that the mainstream housebuilding sector - speculative housing development - has not risen to the task of ameliorating this crisis. Consequently, there is increasing marginalisation within the housing and land economy, with many people finding that their housing needs cannot be met by the sector. This chapter focuses on the experiences and perceptions of those who have been involved in group self- build projects, where households are involved in the design and/ or production of homes, either by arranging for their construction or building homes themselves within a group of three or more households (see also Duncan and Rowe, 1993). Against the background of the UK\u27s housing crisis, this focus is particularly timely, as such group self- build projects are widely promoted as offering a route into housing that runs counter to these conditions

Something wonderful in my back yard: the social impetus for group self- building

The housing crisis in the United Kingdom, as Barker (2004) identifies, has become shorthand for a chronic lack of suitable and affordable housing - in both the home ownership and rental sectors - and the undersupply and diminishment of social housing stock (Barker, 2004; Jefferys et al., 2014). What has also become clear is that the mainstream housebuilding sector - speculative housing development - has not risen to the task of ameliorating this crisis. Consequently, there is increasing marginalisation within the housing and land economy, with many people finding that their housing needs cannot be met by the sector. This chapter focuses on the experiences and perceptions of those who have been involved in group self- build projects, where households are involved in the design and/ or production of homes, either by arranging for their construction or building homes themselves within a group of three or more households (see also Duncan and Rowe, 1993). Against the background of the UK\u27s housing crisis, this focus is particularly timely, as such group self- build projects are widely promoted as offering a route into housing that runs counter to these conditions

Welfare Programs That Target Workforce Participation May Negatively Affect Mortality

During the 1990s reforms to the US welfare system introduced new time limits on people’s eligibility to receive public assistance. These limits were developed to encourage welfare recipients to seek employment. Little is known about how such social policy programs may have affected participants’ health. We explored whether the Florida Family Transition Program randomized trial, a welfare reform experiment, led to long-term changes in mortality among participants. The Florida program included a 24–36-month time limit for welfare participation, intensive job training, and placement assistance. We linked 3,224 participants from the experiment to 17–18 years of prospective mortality follow-up data and found that participants in the program experienced a 16 percent higher mortality rate than recipients of traditional welfare. If our results are generalizable to national welfare reform efforts, they raise questions about whether the cost savings associated with welfare reform justify the additional loss of life

The Effect of Small Class Sizes on Mortality Through Age 29 Years: Evidence From a Multicenter Randomized Controlled Trial

Limiting the number of students per classroom in the early years has been shown to improve educational outcomes. Improved education is, in turn, hypothesized to improve health. The authors examined whether smaller class sizes affect mortality through age 29 years and whether cognitive factors play a role. They used data from the Project Student Teacher Achievement Ratio, a 4-year multicenter randomized controlled trial of reduced class sizes in Tennessee involving 11,601 students between 1985 and 1989. Children randomized to small classes (13–17 students) experienced improved measures of cognition and academic performance relative to those assigned to regular classes (22–25 students). As expected, these cognitive measures were significantly inversely associated with mortality rates (P < 0.05). However, through age 29 years, students randomized to small class size nevertheless experienced higher mortality rates than those randomized to regular size classes (hazard ratio (HR) = 1.58, 95% confidence interval (CI): 1.07, 2.32). The groups at risk included males (HR = 1.73, 95% CI: 1.05, 2.85), whites/Asians (HR = 1.68, 95% CI: 1.04, 2.72), and higher income students (HR = 2.20, 95% CI: 1.06, 4.57). The authors speculate that small classes might produce behavior changes that increase mortality through young adulthood that are stronger than the protective effects of enhanced cognition

Impact of Welfare Reform on Mortality: An Evaluation of the Connecticut Jobs First Program, A Randomized Controlled Trial

Objectives. We examined whether Jobs First, a multicenter randomized trial of a welfare reform program conducted in Connecticut, demonstrated increases in employment, income, and health insurance relative to traditional welfare (Aid to Families with Dependent Children). We also investigated if higher earnings and employment improved mortality of the participants. Methods. We revisited the Jobs First randomized trial, successfully linking 4612 participant identifiers to 15 years of prospective mortality follow-up data through 2010, producing 240 deaths. The analysis was powered to detect a 20% change in mortality hazards. Results. Significant employment and income benefits were realized among Jobs First recipients relative to traditional welfare recipients, particularly for the most disadvantaged groups. However, although none of these reached statistical significance, all participants in Jobs First (overall, across centers, and all subgroups) experienced higher mortality hazards than traditional welfare recipients. Conclusions. Increases in income and employment produced by Jobs First relative to traditional welfare improved socioeconomic status but did not improve survival

Early Stages of Alzheimer\u27s Disease: Evolving the Care Team for Optimal Patient Management.

Alzheimer\u27s disease (AD) is a progressive, neurodegenerative disease that creates complex challenges and a significant burden for patients and caregivers. Although underlying pathological changes due to AD may be detected in research studies decades prior to symptom onset, many patients in the early stages of AD remain undiagnosed in clinical practice. Increasing evidence points to the importance of an early and accurate AD diagnosis to optimize outcomes for patients and their families, yet many barriers remain along the diagnostic journey. Through a series of international working group meetings, a diverse group of experts contributed their perspectives to create a blueprint for a patient-centered diagnostic journey for individuals in the early stages of AD and an evolving, transdisciplinary care team. Here, we discuss key learnings, implications, and recommendations

Bostonia: The Boston University Alumni Magazine. Volume 9

Founded in 1900, Bostonia magazine is Boston University's main alumni publication, which covers alumni and student life, as well as university activities, events, and programs