Informing Public Health Policy and Practice: The Strategic Management of Research Processes and Organizations

Better health depends on how well federal public health organizations perform both scientifically and organizationally. The performance challenges of public health science organizations are not carbon copies of those facing public service organizations. This article examines how one federal science agency in the public health field has instituted a performance orientation over a dozen years, offering a detailed illustration of how the in-principle advantages of the "managing for performance" approach can be realized in practice. In taking science more seriously as a basis for public policy, the new administration should not lose sight of lessons it can learn from its predecessors about managing science organizations for performance.     

STRESSFUL LIFE EVENTS AND DELINQUENCY ESCALATION IN EARLY ADOLESCENCE*

A recent emphasis in criminology has been on trajectories, life transitions, and turning points that affect the escalation, stabilization, or desistance of deviant behavior. The purpose of this article is to describe and examine one potential pathway of delinquency escalation in early and mid-adolescence. It draws upon Agnew's general strain theory and research on adolescent stress to describe a significant transitory stage of the life course. A key organizing principle underlying the proposed pathway is that although stressful life events are highly variable among adolescents, experiencing a persistent or increasing number over time can lead to an escalation of delinquency. Using four years of sequential data from the Family Health Study (651 adolescents aged 11–14 during year one), we estimate a hierarchical growth-curve model that emphasizes the effects of life events on delinquency. The model assumes that delinquency is distributed as an overdispersed Poisson random variable. The results indicate that experiencing a relatively high number of life events over time is related to a significant “growth” of delinquency but that this relationship is not affected by sex, family income, self-esteem, or mastery.