Factors Associated with Physician Discussion of Health Behaviors with Adolescents

Behaviors developed in adolescence influence health later in life. The purpose of this study was to investigate the frequency of health care provider's discussion of health behaviors with overweight and non-overweight adolescents and identify demographic and health behaviors related to exercise, hours of television viewing, and weight issues associated with these discussions. A Cross sectional survey of urban adolescents was conducted. Trained interviewers administered surveys over a three month period in 2001 at an urban academic pediatric and adolescent clinic. The 252 adolescents surveyed had a mean age of 15 with 49% categorized as being at risk for overweight/overweight and 51% as normal weight using the CDC percentiles for BMI. While 16% of the adolescents reported that their physician or nurse discussed the amount of television they watched, rates of discussion related to exercise (58%), and weight (54%) were much higher. In multivariate analyses, health care provider discussions with adolescents regarding exercise were more common for overweight (O.R.=2.42, 95% C.I. [1.28–4.57]) and at risk for overweight (O.R.=1.98, 95% C.I. [1.03–3.81]) adolescents, whereas physician discussion of television viewing was not associated with weight. Discussions of weight were more common for female (O.R.=2.18, 95% C.I. [1.21–3.95]), African-American (O.R.=2.53, 95% C.I. [1.40–4.57]), and overweight (O.R.=3.92, 95% C.I. [1.97–7.81]) adolescents. Even after adjusting for weight, race and gender strongly influenced the frequency of discussions about weight in physician offices. Although health care providers frequently address weight and exercise with adolescents, more discussions related to sedentary behaviors such as television viewing may be warranted to address adolescent obesity.Received PhD in Epidemiology from University of California, San Diego. Research interests include smoking prevention and cessation among adolescents and health promotion interventions.Received MD from University of Missouri-Kansas City and MPH from Johns Hopkins University. Research interests include health services research and research in support of measurable, systematic improvements in the quality of medical care.Received medical degree from Christian Medical College, Punjab, India and Master of Public Health from University of Kansas School of Medicine. Research interests include diet and physical activity behaviors, role of the environment in obesity and obesity prevention, especially among children and adolescents.Received MBBS from Allama Iqbal Medical College, Punjab University, Lahore, Pakistan and MPH from University of Kansas Medical Center. Research interests include smoking cessation, database design, implementation, data management and analysis, and use of information technology in health care settings.Director, Cancer Prevention, Control, and Population Sciences, Kansas Cancer Institute. Received MD/MPH from Tulane University and MS from Harvard School of Public Health. Research interests include disparities in healthcare; smoking cessation among underserved populations, specifically African Americans; diet, nutrition, obesity, and physical activity.     

Interpersonal Sensitivity, Romantic Stress, and the Prediction of Depression: A Study of Inner-City, Minority Adolescent Girls

The role of interpersonal sensitivity in the relation between romantic stress and depression was examined in 55 adolescent girls from an inner-city high school. Depression, interpersonal sensitivity, and chronic and episodic romantic stress were measured at two time points, 6 months apart. Interpersonal sensitivity was found to moderate the longitudinal relation between romantic stress (both chronic and episodic) and depression. In contrast, interpersonal sensitivity did not potentiate depressive responses to non-romantic interpersonal stress, suggesting particular importance of stress in the romantic domain for adolescent girls. Results indicate that girls' sensitivities to romantic relationship stress should be specifically addressed in depression prevention and intervention programs.Received her PhD from the University of Southern California. Research interests include the influence of romantic relationship factors, such as romantic stress and dating violence, on the development of depression during adolescence.Received her PhD from the University of California, Los Angeles. Research interests include the interplay between adolescent depression, personality disorder symptoms, and interpersonal variables including adjustment in friendships and romantic relationships.Research interests include cognitive and interpersonal factors in adolescent depression.     

Coping with energy insecurity: China’s response in global perspective

Already the world’s second largest energy consumer, China has accounted for more than a third of the increase in global oil demand since 2000. Due to infrastructural bottlenecks as well as supply shortages, intensified by sustained growth, the PRC is likely to become an increasingly important factor in global oil and gas markets, and to pursue an increasingly active energy diplomacy. Reducing energy vulnerability will be a key imperative. The PRC is striving to reduce its energy vulnerability by: (1) promoting energy efficiency; (2) diversifying away from its heavy reliance on coal and oil, toward nuclear power and natural gas; (3) improving domestic energy infrastructure; (4) promoting national energy champions; (5) deepening reliance on congenial nations; and (6) reducing reliance on sea lanes dominated by the U.S. Navy. Kazakhstan, Iran, Russia, Venezuela, Australia, and African energy producers are special priority targets of its energy diplomacy, which is likely to become more salient in China's overall foreign policy in coming years.     

A Longitudinal Investigation of Associations Between Boys’ Pubertal Timing and Adult Behavioral Health and Well-Being

To extend research linking pubertal timing and adolescent health outcomes, this study examines boys’ pubertal timing and subsequent interpersonal success and health behaviors in mid adulthood. Past research has shown that boys’ pubertal timing is associated with both positive and negative developmental outcomes in the short term, and so it is unclear how pubertal timing is consequential for adjustment across the long term. Data from 460 boys from the Terman Life-Cycle Study were examined over a 39-year period to relate age of pubertal onset to later marital success, career success, and adult health behaviors. Boys who reached puberty earlier than their peers achieved greater success in their careers and experienced more satisfaction in their marriages. Early-developing boys were not found to be more likely than their peers to smoke cigarettes or drink alcohol as adults. Findings are discussed in terms of the importance of pubertal timing for life-span development.Keiko Taga is a doctoral student at the Department of Psychology at University of California, Riverside. Her major research interests are social and psychological predictors of health and longevityCharlotte Markey is an Assistant Professor of Psychology at Rutgers University. She received her Ph.D. from the University of California at Riverside in 2002. Her research focuses on social and personality influences on healthHoward S. Friedman is Distinguished Professor of Psychology at the University of California, Riverside, where he directs a large project on health and longevity across the life-span. He has authored or edited ten books, with a focus on health psychology, personality, and nonverbal charisma     

The Asian Rejection?: International Refugee Law in Asia*

The majority of Asian states have not signed onto the major international refugee law instruments which promote refugee recognition and protection. Yet, second to Africa, the Asian region has had the highest number of refugees since the Second World War. Three explanations are usually offered to explain this puzzle —“good neighbourliness”, “economic costs” and “social disruption”. In this article I argue that each is flawed in important ways and then develop an alternative by explaining how limited Asian involvement in the drafting of international refugee law has led Asian states to reject Eurocentric refugee recognition practices.     

我国违法少年的处遇方式及其反思

我国法律对于违法少年的处遇主要包括工读教育、治安处罚、收容教养、劳动教养、收容教育、强制戒毒等方式,从现状来看,这些制度体现出执行主体的行政性、程序的不正当性、目的的惩罚性、依据的违法、违宪性等特点,与当今少年司法的理念背道而驰。改革违法少年的处遇方式,将其纳入少年司法的范畴,成为今后我国完善少年法的重大课题之一。     

Explaining Taiwan's Revisionist Diplomacy

Taiwan is a revisionist power. Its independence movement challenges a vital status-quo interest of mainland China's opposition to a de jure Taiwan declaration of independence and maintaining, however ambiguously, Taiwan's commitment to the ‘one-China’ formulation. Why is it that a small and vulnerable island off the coast of a great power has continued to challenge the vital interest of that great power and risk war? Adopting a ‘levels of analysis’ approach to Taiwan's mainland policy, this paper addresses this question by examining four prevalent explanations for Taiwan's revisionist diplomacy: (1) the mainland deterrent is ineffective, reflecting Taiwan doubts about either mainland capabilities or mainland resolve to wage a retaliatory war; (2) in an example of the security dilemma in alliance politics, US commitment to Taiwan, although aimed at deterring PRC use of force, encourages Taiwan to challenge the status quo because the Taiwan leadership is confident of US intervention and US ability to defend Taiwan; (3) because of the development of a ‘Taiwan identity’ and of corresponding domestic political pressures, the Democratic Progressive Party has been compelled to adopt a pro-independence policy; (4) Chen Shui-bian has a personal commitment to Taiwan independence and has been willing to challenge the mainland's interest in one-China, despite risk of heightened conflict and regardless of domestic political considerations.     

Does Performance Budgeting Work? An Examination of the Office of Management and Budget’s PART Scores

In this paper, the authors use the Bush administration's management grades from the Program Assessment Rating Tool (PART) to evaluate performance budgeting in the federal government—in particular, the role of merit and political considerations in formulating recommendations for 234 programs in the president's fiscal year 2004 budget. PART scores and political support were found to influence budget choices in expected ways, and the impact of management scores on budget decisions diminished as the political component was taken into account. The Bush administration's management scores were positively correlated with proposed budgets for programs housed in traditionally Democratic departments but not in other departments. The federal government's most ambitious effort to use performance budgeting to date shows both the promise and the problems of this endeavor.