An empirical study of the consolidation of local public health services in Connecticut

This study contributes to the literature by empirically examining the decision of Connecticut communities to consolidate the delivery of public health services. As theory suggests, the prospect of scale economies is found empirically to increase the likelihood that a community consolidates public health services. In addition, differences across communities are found to inhibit the consolidation of public health services. Overall, the results imply that financial incentives may be necessary to encourage more regional districts because localities may underestimate the true minimum efficient scale for public health services and because heterogeneity among jurisdictions impedes regional cooperation.     

Examination of images in Australian standardised writing assessments: a case for recognising social and cultural disadvantage

From a socio-cultural perspective, individuals interpret meaning from images depending on multiple factors including life experience, values, attitudes, interests and background. As such, engagement with, preference for and interpretation of images differs amongst viewers. From this premise, it seems unlikely that one visual writing assessment prompt will effectively suit all participants. This paper offers new research into the use of image in large-scale referenced-based narrative writing assessments over a 10-year period in Australia reporting on phase one of a comparative case study. Findings identify changes in prompt design and content each year, with significant changes accompanying the introduction of the National Writing Assessment in 2008. Conclusions drawn from the analysis state that while image is a powerful communicator of meaning, providing visual representations in national assessment plan for literacy and numeracy may privilege some participants over others, and in doing so, impact on student outcomes and contribute to stratifying disadvantage.     

Professionalism and the Millbank Tendency: A Response to Webb and Fisher

This short response examines critically both the analysis and data provided in the Webb and Fisher article concerning the trends towards professionalisation. It calls for a more thorough understanding of the idea of professionalisation and a more careful use of the word when applied to particular organisational contexts.     

Roles of neighborhood race and status in the middle stages of juror selection

This study investigated impacts of neighborhood race, status, and stability on the likelihood that summoned citizens would appear at the courthouse for jury duty using a full year of geocoded summoning data from Philadelphia, Pennsylvania (n = 256,204). A theoretical model based on jury selection models and the sociology of settlement patterns connected potential juror yield or turnout with neighborhood stability, and racial and status composition. Multilevel models using census block groups as neighborhoods and controlling for spatial autocorrelation found, as predicted, that yield varied significantly across neighborhoods, and was lower in lower status neighborhoods, less stable neighborhoods, more predominantly Asian neighborhoods, and more predominantly Hispanic neighborhoods. As predicted by work on neighborhood integration, effects of African-American racial composition depended on the stage of neighborhood integration. Overall, the net effect of increasing African-American neighborhood racial composition was to increase yield. A significant spatial lag effect suggested localized dynamics operating beyond neighborhood boundaries.     

Paan and Gutka Use in the United States: A Pilot Study in Bangladeshi and Indian-Gujarati Immigrants in New York City

Smokeless tobacco and areca nut are popular with South Asians and South Asian immigrants, most commonly used as paan and gutka. Their regular use leads to oral cancer. The South Asian community in the U.S. is rapidly growing, where paan and gutka are readily available. The study was the first exploration of the migration of the paan and gutka habits, and their use in the U.S.A 108-item questionnaire on paan and gutka usage and beliefs was administered to 138 first-generation Bangladeshi and Indian-Gujarati immigrant adults at community sites in the New York metropolitan area. Forty-five percent Indian-Gujaratis reported ever-regular paan use; of which 5% are current users. Thirty-one percent reported ever-regular gutka use; of which 77% are current users. Thirty-five percent Bangladeshis reported ever-regular paan use; of which 70% arc current users. Nine percent reported ever-regular gutka use; of which 67% are current users. Bangladeshis are more likely to identify paan as causing oral cancer. Indian-Gujaratis are more likely to identify gutka as causing oral cancer.Between the two communities, there were significant differences in paan and gutfca usage, migration effects, and oral career risk perception. There is a need for comprehensive migration studies on the determinants of usage, and for community-specific interventions for these carcinogenic products.