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Household Survey (household + survey)
Kinds of Household Survey Terms modified by Household Survey Selected AbstractsMethamphetamine use among Australian workers and its implications for preventionDRUG AND ALCOHOL REVIEW, Issue 3 2008Professor ANN M. ROCHE Director Abstract Introduction and Aims. Little attention has been directed to the use of methamphetamine among Australian workers. To address this, a study was conducted that examined drug consumption patterns of the Australian work-force. Design and Method. A secondary analysis of the 2004 National Drug Strategy Household Survey (NDSHS) data was undertaken that focused on methamphetamine use among those in paid employment. Results. Methamphetamine use in the past 12 months was reported by 4.0% of workers compared to 2.2% of respondents not in the paid work-force. A larger proportion of male (4.8%) than female workers (3.0%) used methamphetamine. The highest prevalence occurred among 18,29-year-old workers (11.2%; males: 12.6%; females: 9.4%), and among workers in hospitality (9.5%), construction (5.4%) and transport (5.4%) industries and among tradespeople (6.5%). Significantly more methamphetamine users reported absenteeism compared to users of other illicit drugs and non-drug users. Among respondents reporting methamphetamine use, 13.4% reported absenteeism due to illicit drug use, while 56.8% reported absenteeism due to any illness or injury. Significantly more methamphetamine users (32.9%) reported going to work under the influence than users of other illicit drugs. Compared to users of other illicit drugs, methamphetamine users were also significantly more likely to drive a car, operate heavy machinery or abuse someone while under the influence. Discussion and Conclusions. The specific details of the profile of workers using methamphetamine and the impact it has on work performance allows for the development of targeted interventions and tailored prevention strategies previously not possible. [source] Heroin users in Australia: population trendsDRUG AND ALCOHOL REVIEW, Issue 1 2004C. YALÇIN KAYA Senior Lecturer Abstract The aim of this paper is to identify certain important population trends among heroin users in Australia for the period 1971 , 97, such as: population growth, initiation, i.e. the number who were initiated to heroin in a given year, and quitting, i.e. the number that quit using heroin. For this purpose, we summarize and extract relevant characteristics from data from National Drug Strategy Household Survey (NDSHS 1998) conducted in Australia in 1998. We devise a systematic procedure to estimate historical trends from questions concerning past events. It is observed from our findings that the size of the heroin user population in Australia is in a sharp increase, especially from the early 1980s onwards. The general trend obtained for the period 1971 , 97 is strikingly similar to that obtained by Hall et al. (2000) for the dependent heroin user population in Australia, even though their study was based on different datasets and a different methodology. In our reconstruction of the time history we also detect a levelling-off prior to 1990. Initiation is also observed to be on a sharp increase. The latter trend is accompanied by a similar trend of quitting, perhaps indicating a relatively short heroin use career. A sharp decrease in both initiation and quitting is observed after 1990. In conclusion, in the case of the trend in the population of heroin users a high rate of growth has been identified that is consistent with the existing literature. In the process, we demonstrated that even a static survey such as NDSHS 1998 can, sometimes, be used to extract historical (dynamic) trends of certain important variables. [source] The epidemiology of cannabis use and cannabis-related harm in Australia 1993,2007ADDICTION, Issue 6 2010Amanda Roxburgh ABSTRACT Aims To examine trends in patterns of cannabis use and related harm in the Australian population between 1993 and 2007. Design Analysis of prospectively collected data from: (1) the National Drug Strategy Household Survey (NDSHS) and Australian Secondary Student Alcohol and Drug Survey (ASSADS); (2) the National Hospital Morbidity Database (NHMD); and (3) the Alcohol and Other Drug Treatment Services National Minimum Dataset (AODTS-NMDS). Participants Australians aged 14 years and over from the general population; students aged 12,17 years; public and private hospital in-patients; public and private in-patients and out-patients attending for drug treatment. Measurement Prevalence of 12-month cannabis use among the general population and secondary students. Proportions in the general population by age group reporting: daily cannabis use; difficulties in controlling cannabis use; and heavy cannabis use on each occasion. Number of hospital and treatment presentations for cannabis-related problems. Findings Prevalence of past-year cannabis use has declined in the Australian population since the late 1990s. Among those reporting past-year use, daily use is prevalent among 40,49-year-olds, while heavy patterns of use are prevalent among 14,19-year-olds. Hospital presentations for cannabis-related problems reflect similar trends. Past-year cannabis use has decreased among the 10,19-year age group, but those who are daily users in this age group report using large quantities of cannabis. Conclusions Despite declines in the prevalence of cannabis use, continued public health campaigns warning of the harms associated with cannabis use are essential, aimed particularly at users who are already experiencing problems. The increasing demand for treatment for cannabis problems in Australia suggests the need for more accessible and more effective interventions for cannabis use disorders. [source] Predicting the life-time benefit of school-based smoking prevention programmesADDICTION, Issue 6 2010Mark Jit ABSTRACT Aim School-based smoking prevention programmes may delay the age of smoking initiation, but do not appear to achieve lasting reductions in smoking prevalence beyond school-leaving age. We explored whether delaying the age at which someone initiates smoking may have life-time benefits by increasing the likelihood of quitting in later life. Design and setting Data from the General Household Survey of Great Britain were used in a logistic regression model to examine the association between age at which someone initiates regular smoking and the probability that the person will quit smoking later in life. The effect of confounding variables (sex, ethnicity, socio-economic class, education and geographical location) was taken into account. The predicted relationship was used in a cohort model to estimate the life-time reduction in smoking prevalence and all-cause mortality of a school-based smoking prevention programme. Results Age of regular smoking initiation was associated strongly with the probability of quitting later in life (coefficient ,0.103, P < 0.001). The strength of the association was slightly reduced but still significant when confounding variables were included (coefficient ,0.075, P < 0.001). An intervention that delays smoking initiation without decreasing smoking prevalence at age 18 may reduce adult smoking prevalence by 0.13,0.32% (depending on age) and all-cause mortality by 0.09% over the life-time of the sample. Conclusion School-based smoking prevention programmes have potential for a beneficial effect over the life-time of the participants even if they have no apparent effect at school-leaving age. [source] Possible age-associated bias in reporting of clinical features of drug dependence: epidemiological evidence on adolescent-onset marijuana useADDICTION, Issue 1 2003Chuan-Yu Chen ABSTRACT Aims, To probe recent evidence on apparent excess occurrence of marijuana dependence when marijuana smoking starts in adolescence. Design and participants, A national sample of recent-onset marijuana users was identified within public data files of the National Household Survey on Drug Abuse (NHSDA), 1995,98 (1866 adolescents and 762 adults). Measurements, Marijuana dependence was assessed via seven standardized questions about its clinical features, such as being unable to cut down. Multivariate response models (GLM/GEE and MIMIC) were used to evaluate adolescent excess risk and possible item biases. Findings, Among people who had just started to use marijuana, clinical features of marijuana dependence occurred twice as often among adolescents compared to adults, even with statistical adjustment for other covariates (P < 0.01 from GLM/GEE). MIMIC analyses suggest that adolescent-onset users have somewhat higher levels of marijuana dependence, and they also provide evidence of age-associated response bias for some but not all clinical features of marijuana dependence. That is, even with level of marijuana dependence held constant, adolescent recent-onset users were more likely than adults to report being unable to cut down (P = 0.01) and tolerance (P = 0.029). Conclusion, Nosologic, methodological and substantive reasons for observed age-related excess in occurrence of marijuana dependence problems among early onset users deserve more attention in future research. [source] Suboptimal provision of preventive healthcare due to expected enrollee turnover among private insurersHEALTH ECONOMICS, Issue 4 2010Bradley Herring Abstract Many preventive healthcare procedures are widely recognized as cost-effective but have relatively low utilization rates in the US. Because preventive care is a present-period investment with a future-period expected financial return, enrollee turnover among private insurers lowers the expected return of this investment. In this paper, I present a simple theoretical model to illustrate the suboptimal provision of preventive healthcare that results from insurers ,free riding' off of the provision from others. I also provide an empirical test of this hypothesis using data from the Community Tracking Study's Household Survey. I use lagged market-level measures of employment-induced insurer turnover to identify variation in insurers' expectations and test for the effect of turnover on several different measures of medical utilization. As expected, I find that turnover has a significantly negative effect on the utilization of preventive services and has no effect on the utilization of acute services used as a control. Copyright © 2009 John Wiley & Sons, Ltd. [source] A prevalence study of suicide ideation among older adults in Hong Kong SARINTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 11 2003Paul S. F. Yip Abstract Objective The objective of this paper is to ascertain estimates of the prevalence, and associated risk factors for, suicidal ideation among community-dwelling older adults in Hong Kong. Method The study was conducted as part of the General Household Survey (GHS), using face to face interviews of ethnic Chinese people aged 60 or above living in the community. Elders living in institutions or elderly homes were excluded from the study. Results Six percent of the sample was found to have ever had suicide ideation. The results showed that poor physical health, including poor vision, hearing problems, and a greater number of diseases; and poor mental health, especially in the form of depression, are predictors of suicidal ideation in the elderly population. Also, statistical analysis by linking individual factors to depression showed that financial and relationship problems are significant risk factors as well. Older adults who engaged in active coping, that is, those who actively seek to manage or control the negative events in their lives, fare better with lower levels of suicidal ideation than those who use passive coping styles. Conclusions The prevalence of suicidal ideation is similar among elders in Hong Kong and western countries. Factors that contribute to risk for suicidal ideation span physical and mental health, social, and psychological domains. Although the association of suicidal ideation to self-destructive acts remains to be determined, these findings indicate a variety of potential foci for late life suicide prevention efforts. Copyright © 2003 John Wiley & Sons, Ltd. [source] Evidence for a hallucinogen dependence syndrome developing soon after onset of hallucinogen use during adolescenceINTERNATIONAL JOURNAL OF METHODS IN PSYCHIATRIC RESEARCH, Issue 3 2006A.L. Stone Abstract This study uses latent class methods and multiple regression to shed light on hypothesized hallucinogen dependence syndromes experienced by young people who have recently initiated hallucinogen use. It explores possible variation in risk. The study sample, identified within public-use data files of the 1999 National Household Survey on Drug Abuse (NHSDA), consists of 1186 recent-onset hallucinogen users, defined as having initiated hallucinogen use within 24 months of assessment (median elapsed time since onset of use ,12 to 13 months). The recent-onset users in this sample were age 12 to 21 at the time of assessment and were between the ages of 10 and 21 at the time of their first hallucinogen use. The NHSDA included items to assess seven clinical features often associated with hallucinogen dependence, which were used in latent class modelling. Latent class analysis, in conjunction with prior theory, supports a three-class solution, with 2% of recent-onset users in a class that resembles a hallucinogen dependence syndrome, whereas 88% expressed few or no clinical features of dependence. The remaining 10% may reflect users who are at risk for dependence or in an early stage of dependence. Results from latent class regressions indicate that susceptibility to rapid transition from first hallucinogen use to onset of this hallucinogen dependence syndrome might be influenced by hallucinogenic compounds taken (for example, estimated relative risk, RR = 2.4, 95% CI = 1.6, 7.6 for users of MDMA versus users of LSD). Excess risk of rapid transition did not appear to depend upon age, sex, or race/ethnicity. Copyright © 2006 John Wiley & Sons, Ltd. [source] Social capital, age and religiosity in people who are lonelyJOURNAL OF CLINICAL NURSING, Issue 3 2006William Lauder PhD Aims and objectives., The aims of the study were to (i) investigate age and loneliness, (ii) investigate the association between religiosity and loneliness, and (iii) and explore the relationship between social capital and loneliness. Background., Loneliness is the subjective experience of social isolation and is a risk factor for a wide range of health problems including heart disease and depression. Poor self-rated health, domestic violence and poor economic conditions are associated with greater loneliness. Design., The study was a cross-sectional survey of a random sample of adults aged 18 years and over. Methods., A random sample of 1289 subjects was interviewed by computer-assisted telephone interviewing. This interview included the Loneliness Scale and items from the Social Capital Module of the General Household Survey. Findings., Loneliness is more common in men and people without strong religious beliefs. An income-loneliness gradient is evident. Little support was found for the association between social capital and loneliness. Conclusion., The prevalence of loneliness is relatively stable in this population. Loneliness is linked to income and unemployment and as such pathways between socio-economic factors, loneliness and health need to guide interventions and future research. Relevance to clinical practice., Loneliness is linked to a range of social and economic factors. Current Health Visiting practice recognizes the importance of tackling the effects of poverty and social deprivation and places community building at the core of much Health Visiting practice. This broad community level approach can usefully transfer into all community nursing and health promotion activity. [source] Is off-farm income reforming the farm?AGRICULTURAL ECONOMICS, Issue 2 2009Evidence from Mexico Agricultural production; Household models; Off-farm income; Rural Mexico Abstract Does access to off-farm income complement or compete with agricultural production? This article explores the effect of off-farm income on agricultural production activities, using data from the 2003 Mexico National Rural Household Survey. We first discuss the theoretical conditions under which access to off-farm income may influence production in an agricultural household model. Instrumental-variable (IV) estimation methods are then used to test whether agricultural production activities, technologies, and input use differ between households with and without access to off-farm income. We find that off-farm income has a negative effect on agricultural output and the use of family labor on the farm, but a positive impact on the demand for purchased inputs. There is also a slight efficiency gain in households with access to off-farm income. Findings offer insights into how household production evolves as rural households increasingly engage in off-farm income activities. [source] Natural resource-collection work and children's schooling in MalawiAGRICULTURAL ECONOMICS, Issue 2-3 2004Flora J. Nankhuni Abstract This paper presents results of research that investigates if long hours of work spent by children in fuel wood and water-collection activities, i. e., natural resource-collection work, influence the likelihood that a child aged 6,14 attends school. Potential endogeneity of resource-collection work hours is corrected for, using two-stage conditional maximum likelihood estimation. Data from the 1997,1998 Malawi Integrated Household Survey (IHS) conducted by the Malawi National Statistics Office (NSO) in conjunction with the International Food Policy Research Institute (IFPRI) are used. The study finds that Malawian children are significantly involved in resource-collection work and their likelihood of attending school decreases with increases in hours allocated to this work. The study further shows that girls spend more hours on resource-collection work and are more likely to be attending school while burdened by this work. Consequently, girls may find it difficult to progress well in school. However, girls are not necessarily less likely to be attending school. Results further show that presence of more women in a household is associated with a lower burden of resource-collection work on children and a higher probability of children's school attendance. Finally, the research shows that children from the most environmentally degraded districts of central and southern Malawi are less likely to attend school and relatively fewer of them have progressed to secondary school compared to those-from districts in the north. [source] Religion, social mobility and education in ScotlandTHE BRITISH JOURNAL OF SOCIOLOGY, Issue 3 2006Lindsay Paterson Abstract The relationship among religion, education and social mobility in Scotland is analysed statistically using the Scottish Household Survey of 2001. The large sample size allows much greater statistical power for this purpose than any previous source, and thus allows a more reliable assessment of claims that the stratifying effect of religion in Scotland may have declined. The questions investigated are as follows. What are the religious differences in the distributions of class origins and class destinations, in the movement between these (absolute mobility), and in the association of these (relative mobility, or social fluidity)? Do changes in social fluidity across cohorts vary among people with different religious affiliation? Are there religious differences in the association of origins and education, in the association of education and destinations, or in the role of education in social fluidity, and do any of these vary over cohorts? The conclusions are that, in younger cohorts, there is no religious difference in social status, and that in older cohorts Catholics are generally of lower status than Protestants and the non-religious. Social fluidity does not, however, vary among religious groups, even for older cohorts, and does not change over time. The reason for convergence in social status of religious groups over time is probably the equalizing of educational attainment among the groups: there is no evidence for any of the cohorts that the labour-market rewards to education differ by religion. [source] Wages, participation and unemployment in the economic transition of urban China,THE ECONOMICS OF TRANSITION, Issue 3 2010Jun Han Wages; participation rates; unemployment rates; economic transition Abstract Wages, participation and unemployment are major topics for researchers of the labour market. How have these measures evolved in the economic transition of urban China? Have they evolved in accordance with those in the Statistical Yearbook of China (produced by the National Bureau of Statistics, China) and previous studies? We find that the estimated wage level based on Urban Household Survey (UHS) data was higher than that in the Statistical Yearbook in earlier years, but the relationship has reversed since 1999. Our estimated participation rate is lower than that of Giles et al. (2006) but higher than Dong et al. (2007) and Maurer-Fazio et al. (2007). The analysis shows that the unemployment rate is lower than that estimated with the China Urban Labor Survey data in Giles et al. (2005). Our estimation results on unemployment rates turn out to be more similar to those in Dong et al. (2007) but are different from those in Hu and Sheng (2007). This analysis provides the first systematic comparison of the wage level from different sources, and supplements the existing estimates on participation and unemployment using a more representative dataset for urban China. [source] Vulnerability to Poverty in Papua New Guinea in 1996ASIAN ECONOMIC JOURNAL, Issue 3 2010Raghbendra Jha C21; C23; C26; I32 This paper uses cross-section data from the 1996 Papua New Guinea Household Survey to assess household vulnerability to poverty in Papua New Guinea. Vulnerability varies across regions, household size, gender and level of education of households. We use a simple empirical model that permits estimation of vulnerability to poverty assuming that households have the same conditional distribution of consumption in a stationary environment. Although this approach does not capture all dimensions of vulnerability, it at least raises the policy interest that vulnerability should be considered alongside poverty. [source] Lifetime Earnings, Discount Rate, Ability and the Demand for Post,compulsory Education in Men in England and WalesBULLETIN OF ECONOMIC RESEARCH, Issue 3 2002Daniel JohnsonArticle first published online: 16 DEC 200 Human capital theory suggests educational investments are made based on expected returns over the lifetime. Most other work in this field, particularly using British data, is based on demand models estimated in reduced form, with no earnings measures, or crudely constructed earnings measures, based on one or two earnings observations per individual. We present a structural model of demand for educational investment which includes estimates of earnings paths for educational options as determinants of educational choice. This provides us with directly interpretable parameter estimates. The discount rate is also determined within our demand model. Ability controlled earnings profiles are estimated by matching individuals from the General Household Survey to individuals in similar occupations from the National Child Development Survey (NCDS). Our results show that expected earnings profiles vary according to observed ability and educational choice. Results from the demand model show that expected lifetime earnings have a significant impact on educational choice. Other socio,demographic factors, particularly social class, also exhibit significant influences on the education decision. We estimate the discount rate to be lower than reported in other studies. [source] The effects of price and policy on marijuana use: what can be learned from the Australian experience?HEALTH ECONOMICS, Issue 2 2004J. Williams Abstract This research examines the responsiveness of the demand for marijuana to changes in its money price and criminal status using data on individuals from the Australian National Drug Strategy's Household Surveys (NDSHS). The results suggest that both the prevalence of marijuana use and the conditional demand for marijuana in the general population are responsive to changes in its money price. Significant differences are found in the effect of price on participation in marijuana use across age-groups, with participation by youth more price sensitive than participation by older age-groups. Similarly, the effect of the legal status of marijuana use on the participation decision is found to differ across age-groups and gender. Specifically, decriminalisation is associated with an increases in the prevalence of use by males over the age of 25. There is no evidence that decriminalisation significantly increases participation in marijuana use by either young males or females, or that decriminalisation increases the frequency of use among marijuana users. Copyright © 2003 John Wiley & Sons, Ltd. [source] Social Protection and the Labour Market in Latin America: What can be Learned from Household Surveys?INTERNATIONAL SOCIAL SECURITY REVIEW, Issue 2-3 2005Leonardo Gasparini Most social protection is provided through contribution-based programmes, which means that protection is usually linked to employment conditions in the formal economy. This article describes the levels, trends and structure of social protection for workers in Latin America, highlighting the relationship between protection and employment conditions. The study is based on a selection of household surveys carried out in various countries in the region: Argentina, Brazil, Bolivia, Chile, Ecuador, Guatemala, Mexico, Nicaragua and Peru. It emphasizes the usefulness of household surveys as sources of information for representative studies on social protection and employment, in spite of the problems of coverage and comparability that they raise. [source] Cannabis, Alcohol and Cigarettes: Substitutes or Complements?THE ECONOMIC RECORD, Issue 236 2001Lisa Cameron This paper uses individual level data from the National Drug Strategy Household Surveys to estimate the price responsiveness of participation in cannabis, alcohol and cigarette use. In addition to own price effects, we estimate cross price effects and the impact of decriminalizing cannabis use. We find that participation is responsive to own prices. There is some evidence that cannabis is a substitute for alcohol and a complement to cigarettes, and that alcohol and cigarettes are complements. The liberalization of cannabis laws in South Australia may have led to a temporary increase in cannabis use among the over-30 age group. [source] Estimating angling effort and participation in a multi-user, inland fishery in South AfricaFISHERIES MANAGEMENT & ECOLOGY, Issue 1 2010B. R. ELLENDER Abstract, Angler counts, on-lake interviews and a household survey were used to estimate angler effort and participation in Lake Gariep, South Africa's largest inland water body. Annual fishing effort was estimated from instantaneous counts at 16392 angler day,1 yr,1. Recreational and subsistence anglers contributed 41 and 59% to the total annual fishing effort, respectively. Household surveys in lakeshore settlements estimated that ,914 anglers fished the lake and minimum daily fishing effort in one of the fishing areas assessed was 77 anglers. As a result of recall bias, these estimates were almost twice as high as those determined by direct counts. A low cost method of assessing participation by applying a mark,recapture model to the proportion of anglers whom had been previously interviewed during eight bimonthly sampling events was tested. The model converged in three of four applications (2 areas × 2 sectors). The mark,recapture method revealed similar numbers of anglers to the estimate of regular anglers (fishing 1,3 times a week) from the household survey and was considered an appropriate estimator for the number of subsistence anglers. Regardless of the assessment method the results show that the resource is of importance to subsistence livelihoods, which is an important management consideration in future fisheries development and rights allocation processes. [source] Even the ,Rich' are Vulnerable: Multiple Shocks and Downward Mobility in Rural UgandaDEVELOPMENT POLICY REVIEW, Issue 1 2005Kate Bird Poverty data rarely capture processes of change, limiting our ability to understand poverty trajectories at the individual or household levels. This article uses a household survey, village-level participatory studies and indepth life-history interviews to examine people's poverty trajectories and to identify what drives and maintains chronic poverty. Composite shocks can propel previously non-poor households into severe and long-term poverty. Poverty is hard to escape, and people born into chronically poor households find few opportunities for accumulation and wealth creation. The analysis highlights the importance of poverty interrupters, including the end of conflict and the re-integration of internally displaced people, and suggests that state-led interventions would be needed to provide real opportunities to the chronically poor. [source] Continuous, categorical and mixture models of DSM-IV alcohol and cannabis use disorders in the Australian communityADDICTION, Issue 7 2010Andrew J. Baillie ABSTRACT Aims To apply item response mixture modelling (IRMM) to investigate the viability of the dimensional and categorical approaches to conceptualizing alcohol and cannabis use disorders. Design A cross-sectional survey assessing substance use and DSM-IV substance use disorders. Setting and participants A household survey of a nationally representative sample of 10 641 Australia adults (aged 18 years or older). Measurements Trained survey interviewers administered a structured interview based on the Composite International Diagnostic Interview (CIDI). Findings Of the 10 641 Australian adults interviewed, 7746 had drunk alcohol in the past 12 months and 722 had used cannabis. There was no improvement in fit for categorical latent class nor mixture models combining continuous and categorical parameters compared to continuous factor analysis models. The results indicated that both alcohol and cannabis problems can be considered as dimensional, with those with the disorder arrayed along a dimension of severity. Conclusions A single factor accounts for more variance in the DSM-IV alcohol and cannabis use criteria than latent class or mixture models, so the disorders can be explained most effectively by a dimensional score. [source] Access to Telephone Services and Household Income in Poor Rural Areas Using a Quasi-natural Experiment for PeruECONOMICA, Issue 304 2009ALBERTO CHONG We take advantage of a quasi-natural experiment in Peru in which a privatized telecommunications company was required by the government to randomly install and operate public pay phones in small rural towns throughout the country. Using an especially designed household survey for a representative sample of rural towns, we are able to link access to telephone services with household income. We find that, regardless of income measurement, most characteristics of public telephone use are positively linked with income. Remarkably, the benefits are given at both non-farm and farm income levels. The findings hold when using propensity score matching methods. [source] Factors associated with the use of aids to cessation in English smokersADDICTION, Issue 8 2009Daniel Kotz ABSTRACT Aims To assess factors associated with the use of smoking cessation aids among smokers trying to quit in a country where these aids are widely available and free or cheap to access. Design Cross-sectional household survey, the ,Smoking Toolkit Study'. Setting England. Participants A total of 3767 respondents who smoked and made at least one serious quit attempt in the past 12 months were interviewed from November 2006 to April 2008. Measurements We analysed differences across socio-demographic and smoking characteristics in the use of nicotine replacement therapy (NRT) over the counter or on prescription, bupropion, varenicline, telephone support and the National Health Service Stop Smoking Service (NHS-SSS) which combines behavioural support with medication. Findings More than half of smokers trying to quit (51.2%) had used any kind of treatment; 48.4% had used some form of medication but only 6.2% had used the NHS-SSS. The use of some form of smoking cessation treatment was higher in female than in male smokers [odds ratio (OR): 1.24, 95% confidence interval (CI): 1.08, 1.43] and increased with age (OR: 1.19, 95% CI: 1.14,1.25) and cigarettes smoked per day (OR = 1.05, 95% CI = 1.04,1.06). There was no association with social grade. Smokers who planned their quit attempt were more likely to have used all types of smoking cessation treatments, except for telephone support. Conclusions In England, half of all attempts to quit smoking are aided by some form of pharmacological or behavioural treatment. However, the use of the most effective treatment option (the NHS-SSS) is low, despite it being free of charge. Factors associated with an increased use of aids to cessation were female sex, older age, more cigarettes smoked per day and planning a quit attempt. Research is needed into how to increase utilization rates, particularly among males and younger smokers. [source] Under-reporting of alcohol consumption in household surveys: a comparison of quantity,frequency, graduated,frequency and recent recallADDICTION, Issue 8 2004Tim Stockwell ABSTRACT Aim To compare alternative survey methods for estimating (a) levels of at risk alcohol consumption and (b) total volume of alcohol consumed per capita in comparison with estimates from sales data and to investigate reasons for under-reporting. Setting The homes of respondents who were eligible and willing to participate. Participants A total of 21 674 Australians aged 14 years and older. Design A 2001 national household survey of drug use, experiences and attitudes with weights applied for age, sex, geographic location and day of week of interview. Measures Self-completion questionnaire using quantity,frequency (QF) and graduated,frequency (GF) methods plus two questions about consumption ,yesterday': one in standard drinks, another with empirically based estimates of drink size and strength. Results The highest estimate of age 14 + per capita consumption of 7.00 l of alcohol derived from recall of consumption ,yesterday' or 76.8% of the official estimate. The lowest was QF with 49.8%. When amount consumed ,yesterday' was recalled in standard drinks this estimate was 5.27 l. GF questions yielded higher estimates than did QF questions both for total volume (5.25 versus 4.54 l) and also for the proportion of the population at risk of long-term alcohol-related harm (10.6%versus 8.1%). With the detailed ,yesterday' method 61% of all consumption was on high risk drinking days. Conclusions Questions about typical quantities of alcohol consumed can lead to underestimates, as do questions about drinking ,standard drinks' of alcohol. Recent recall methods encourage fuller reporting of volumes plus more accurate estimates of unrecorded consumption and the proportion of total alcohol consumption that places drinkers at risk of harm. However, they do not capture longer-term drinking patterns. It is recommended that both recent recall and measures of longer-term drinking patterns are included in national surveys. [source] Estimating angling effort and participation in a multi-user, inland fishery in South AfricaFISHERIES MANAGEMENT & ECOLOGY, Issue 1 2010B. R. ELLENDER Abstract, Angler counts, on-lake interviews and a household survey were used to estimate angler effort and participation in Lake Gariep, South Africa's largest inland water body. Annual fishing effort was estimated from instantaneous counts at 16392 angler day,1 yr,1. Recreational and subsistence anglers contributed 41 and 59% to the total annual fishing effort, respectively. Household surveys in lakeshore settlements estimated that ,914 anglers fished the lake and minimum daily fishing effort in one of the fishing areas assessed was 77 anglers. As a result of recall bias, these estimates were almost twice as high as those determined by direct counts. A low cost method of assessing participation by applying a mark,recapture model to the proportion of anglers whom had been previously interviewed during eight bimonthly sampling events was tested. The model converged in three of four applications (2 areas × 2 sectors). The mark,recapture method revealed similar numbers of anglers to the estimate of regular anglers (fishing 1,3 times a week) from the household survey and was considered an appropriate estimator for the number of subsistence anglers. Regardless of the assessment method the results show that the resource is of importance to subsistence livelihoods, which is an important management consideration in future fisheries development and rights allocation processes. [source] The impact of quality on the demand for outpatient services in CyprusHEALTH ECONOMICS, Issue 12 2004Kara Hanson Abstract Health policy reforms in a number of countries seek to improve provider quality by sharpening the incentives they face, for example by exposing them to greater competition. For this to succeed, patients must be responsive to quality in their choice of provider. This paper uses data from Cyprus to estimate the effect of quality on patients' choice between public and private outpatient care. It improves on the existing literature by using a more comprehensive set of quality attributes which allows the dimensions of quality that have the largest effect on patient choice of provider to be identified. We also introduce an innovative way of measuring patients' perceptions of quality in a household survey. We find that patients' choice of provider is sensitive to quality, and that interpersonal quality is more important than either technical quality or system-related factors. Copyright © 2004 John Wiley & Sons, Ltd. [source] Survey Conditioning in Self-Reported Mental Health Service Use: Randomized Comparison of Alternative Instrument FormatsHEALTH SERVICES RESEARCH, Issue 2 2007Naihua Duan Objective. To test the effect of survey conditioning (whether observed survey responses are affected by previous experience in the same survey or similar surveys) in a survey instrument used to assess mental health service use. Data Sources. Primary data collected in the National Latino and Asian American Study, a cross-sectional household survey of Latinos and Asian Americans residing in the United States. Study Design. Study participants are randomly assigned to a Traditional Instrument with an interleafed format placing service use questions after detailed questions on disorders, or a Modified Instrument with an ensemble format screening for service use near the beginning of the survey. We hypothesize the ensemble format to be less susceptible to survey conditioning than the interleafed format. We compare self-reported mental health services use measures (overall, aggregate categories, and specific categories) between recipients of the two instruments, using 2 × 2 ,2 tests and logistic regressions that control for key covariates. Data Collection. In-person computer-assisted interviews, conducted in respondent's preferred language (English, Spanish, Mandarin Chinese, Tagalog, or Vietnamese). Principal Findings. Higher service use rates are reported with the Modified Instrument than with the Traditional Instrument for all service use measures; odds ratios range from 1.41 to 3.10, all p -values <.001. Results are similar across ethnic groups and insensitive to model specification. Conclusions. Survey conditioning biases downward reported mental health service use when the instrument follows an interleafed format. An ensemble format should be used when it is feasible for measures that are susceptible to survey conditioning. [source] Availability of Safety Net Providers and Access to Care of Uninsured PersonsHEALTH SERVICES RESEARCH, Issue 5 2004Jack Hadley Objective. To understand how proximity to safety net clinics and hospitals affects a variety of measures of access to care and service use by uninsured persons. Data Sources. The 1998,1999 Community Tracking Study household survey, administered primarily by telephone survey to households in 60 randomly selected communities, linked to data on community health centers, other free clinics, and safety net hospitals. Study Design. Instrumental variable estimation of multivariate regression models of several measures of access to care (having a usual source of care, unmet or delayed medical care needs, ambulatory service use, and overnight hospital stays) against endogenous measures of distances to the nearest community health center and safety net hospital, controlling for characteristics of uninsured persons and other area characteristics that are related to access to care. The models are estimated with data from a nationally representative sample of uninsured people. Principal Findings. Shorter distances to the nearest safety net providers increase access to care for uninsured persons. Failure to account for the endogeneity of distance to safety net providers on access to care generally leads to finding little or no safety net effects on access. Conclusions. Closer proximity to the safety net increases access to care for uninsured persons. However, the improvements in access to care are relatively small compared with similar measures of access to care for insured persons. Modest expansion of the safety net is unlikely to provide a full substitute for insurance coverage expansions. [source] Factors explaining the abundance of rodents in the city of Luang Prabang, Lao PDR, as revealed by field and household surveysINTEGRATIVE ZOOLOGY (ELECTRONIC), Issue 1 2008Prasartthong PROMKERD Abstract A field and a household survey, the latter of which included inspections and interviews with the residents of a total of 1370 properties, were conducted in 2004 in 30 villages of the city of Luang Prabang, Lao PDR, in order to assess the degree of rodent infestation and to identify potential factors influencing infestations. Roof rats, Rattus rattus, and the Polynesian rat, Rattus exulans, were the only rodents found in the city, and trapping results showed a clear dominance of roof rats (80,90% of all individuals). Measurements of rodent activity using tracking patches correlated positively with the trapping data, and revealed a significantly higher degree of rat infestation during the rainy season (September) than during the dry season (November). If households in the vicinity of the sampling locations were considered, villagers' accounts of indoor rodent infestations recorded during the household survey correlated positively with measurements of rodent activity. At least every second household reported indoor infestations. Using explorative statistical analyses (classification trees, factor analysis) we checked the predictive or explanatory value of up to 28 variables assessed during household inspections for villagers' observations on rodent infestation as the dependent variable. Trophic factors such as exposed food (indoors) and garbage (outdoors), and structural features such as open ceilings (indoors) and rat harborage in gardens (outdoors) ranked highest as explanatory variables. Assessment of a small sample of roof rat droppings collected inside houses revealed the presence of the potential disease agents Salmonella javiana, Cryptosporidium parvum, Giardia duodenalis and the parasitic nematode Calodium hepaticum (syn. Capillaria hepatica). These results underline the need for an appropriate rodent management strategy for the city, whereby simple sanitation and rodent-proofing measures could be cheap means of reducing rat infestation rates. [source] Prevalence and correlates of eating disorders in Latinos in the United StatesINTERNATIONAL JOURNAL OF EATING DISORDERS, Issue S3 2007Margarita Alegria PhD Abstract Objective: To present national estimates and correlates of lifetime and 12-month DSM-IV eating disorders for Latinos. Method: Data come from the National Latino and Asian American Study (NLAAS), a national epidemiological household survey of Latinos in the United States. Results: Latinos have elevated rates of any binge eating and binge eating disorder but low prevalence of anorexia nervosa and bulimia nervosa. The US born and those living a greater percentage of their lifetime in the US evidenced higher risk for certain eating disorders while severe obesity and low levels of education were significant correlates. Rates of treatment utilization were exceedingly low. Conclusion: Standard eating disorder criteria may not be appropriate for understanding psychological morbidity of eating disorders for Latinos, particularly less acculturated Latinos, due to cultural differences in the presentation of eating disorder symptoms. Criteria for disturbed eating patterns that are more reflective of the illness experience of Latinos should be developed. © 2007 by Wiley Periodicals, Inc. [source] | |||||||||||||||||||||||||||||||||||||||||||