Using the 1980 to 2002 General Social Survey, a repeated cross-sectional study that has been linked to the National Death Index through 2008, this study examines the changing relationship between self-rated health and mortality. Research has established that self-rated health has exceptional predictive validity with respect to mortality, but this validity may be deteriorating in light of the rapid medicalization of seemingly superficial conditions and increasingly high expectations for good health. Yet the current study shows the validity of self-rated health is increasing over time. Individuals are apparently better at assessing their health in 2002 than they were in 1980 and, for this reason, the relationship between self-rated health and mortality is considerably stronger across all levels of self-rated health. Several potential mechanisms for this increase are explored. More schooling and more cognitive ability increase the predictive validity of self-rated health, but neither of these influences explains the growing association between self-rated health and mortality. The association is also invariant to changing causes of death, including a decline in accidental deaths, which are, by definition, unanticipated by the individual. Using data from the final two waves of data, we find suggestive evidence that exposure to more health information is the driving force, but we also show that the source of information is very important. For example, the relationship between self-rated health and mortality is smaller among those who use the internet to find health information than among those who do not.
Self-rated health is a valid and efficient measure of physical and mental health across the European continent, with significantly greater concurrent validity among women.
Police stops are stressful experiences that may be harmful for health. The present study examines the association between police stops and symptoms of depression in the National Longitudinal Survey of Adolescent to Adult Health. The study sample included non-Hispanic Black ( n = 2,118) and White ( n = 5,629) adults aged 18–26 years surveyed in 1996 and 2001/2002. Both Black and White young adults who have been stopped by police had more symptoms of depression compared to their never stopped counterparts. Among Blacks, the association was attenuated but persisted after controlling for criminal behavior and justice contact. In contrast, among Whites, the association between police stops and depression was smaller in magnitude, and it was explained by self-reported criminal behavior. Given the frequency and the number of people in contact with police, we point to the need to sensitize police departments to potential mental health consequences of proactive policing, and the decreased willingness of the public to seek police help as a result of previous distressing encounters.
Advanced methods for panel data analysis are commonly used in research on family life and relationships, but the fundamental issue of simultaneous time‐dependent confounding and mediation has received little attention. In this article the authors introduce inverse‐probability‐weighted estimation of marginal structural models, an approach to causal analysis that (unlike conventional regression modeling) appropriately adjusts for confounding variables on the causal pathway linking the treatment with the outcome. They discuss the need for marginal structural models in social science research and describe their estimation in detail. Substantively, the authors contribute to the ongoing debate on the effects of incarceration on marriage by applying a marginal structural model approach to panel data from the National Longitudinal Survey of Youth 1997 (N = 4,781). In line with the increasing evidence on the collateral consequences of contact with the criminal justice system, the authors find that incarceration is associated with reduced chances of entering marriage.
A substantial increase in religious identification has been observed in most European post-communist countries. As religiosity has been associated with sexually transmitted infection (STI) and HIV vulnerability among young people, this article examined the impact of religious upbringing and personal religiosity (religiousness) on sexual risks among University of Zagreb first-year undergraduate students, using data collected in 1998, 2003, and 2008. Female participants who reported strict religious upbringing were less knowledgeable about human sexuality than other women. Religiousness was negatively correlated with basic knowledge of human sexuality, but again only among women. Contrary to expectations, no significant associations were found between religious upbringing or religiousness and condom use. Both measures of religiosity, however, were related to decreased odds of sexual debut among young women. In the case of male participants, the impact of religiosity was marginal. Religious upbringing was associated (negatively) with sexual literacy and sexual debut-but only at the beginning of the observed period. Overall, religiosity does not seem to substantially reduce STI- and HIV-related risk-taking, particularly among men. Since the observed increase in the proportion of sexually active students during the 1998 through 2008 period was not matched by an increase in condom use, reducing STI and HIV vulnerability among Croatian youth remains an essential task.
Croatia has a low-level HIV epidemic and, as in a number of other Central and SoutheasternEuropean countries, sex between men accounts for most HIV infections. This study examines sexual behavior and the correlates of condom use in a snowball sample of 342 HIV noninfected men who have sex with men (MSM) in Zagreb. The median age of participants in the sample was 27 years. The majority of participants (81%) reported using condom at last anal sex with casual partner and 56% claimed to have used condoms consistently at anal sex with casual partners in the last 12 months. HIV risk self-assessment and number of sexual partners were significantly correlated with condom use at last anal sex with casual partner. Selfassessed HIV-risk and heterosexual activity were found associated with consistent condom use at anal sex with casual partners. To sustain a low-level HIV epidemic, targeted intervention among young MSM is needed in Croatia.
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