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1 – 10 of 15Katherine S. Virgo, Chun Chieh Lin, Amy Davidoff, Gery P. Guy, Janet S. de Moor, Donatus U. Ekwueme, Erin E. Kent, Neetu Chawla and K. Robin Yabroff
To examine associations by gender between cancer history and major health insurance transitions (gains and losses), and relationships between insurance transitions and access to…
Abstract
Purpose
To examine associations by gender between cancer history and major health insurance transitions (gains and losses), and relationships between insurance transitions and access to care.
Methodology
Longitudinal 2008–2013 Medical Expenditure Panel Survey data were pooled yielding 2,223 cancer survivors and 50,692 individuals with no cancer history ages 18–63 years upon survey entry, with gender-specific sub-analyses. Access-to-care implications of insurance loss or gain were compared by cancer history and gender.
Findings
Initially uninsured cancer survivors were significantly more likely to gain insurance coverage than individuals with no cancer history (RR: 1.25; 95% CI: 1.08–1.44). Females in particular were significantly more likely to gain insurance (unmarried RR: 1.16; 95% CI: 1.06–1.28; married RR: 1.09; 95% CI: 1.02–1.16). Significantly higher rates of difficulty accessing needed medical care and prescription medications were reported by those remaining uninsured, those who lost insurance, and women in general. Remaining uninsured, losing insurance, and male gender were associated with lack of a usual source of care.
Research implications
Additional outreach to disadvantaged populations is needed to improve access to affordable insurance and medical care. Future longitudinal studies should assess whether major Affordable Care Act (ACA) provisions enacted after the 2008–2013 study period (or those of ACA’s replacement) are addressing these important issues.
Originality
Loss of health insurance coverage can reduce health care access resulting in poor health outcomes. Cancer survivors may be particularly at risk of insurance coverage gaps due to the long-term chronic disease trajectory. This study is novel in exploring associations between cancer history by gender and health insurance transitions, both gains and losses, in a national non-elderly adult sample.
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Edgar Pacheco and Neil Melhuish
The nature and extent of adults' engagement in diverse manifestations of technology-facilitated aggression is not yet well understood. Most research has focused on victimization…
Abstract
The nature and extent of adults' engagement in diverse manifestations of technology-facilitated aggression is not yet well understood. Most research has focused on victimization. When explored, engagement in online aggression and abuse has centered on children and young people, particularly in school and higher education settings. Drawing on nationally representative data from New Zealand adults aged 18 and over, this chapter explores the overall prevalence of online aggression with a focus on gender and age. Our findings support the need to also understand adult aggressors' behaviors to better address the distress and harm caused to targets through digital communications. The chapter discusses the implications of the results for policy and practice and proposes some directions for future research.
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In the 1980s, the National Collegiate Athletic Association (NCAA) passed several eligibility rules to address concerns about the academic and personal development of its…
Abstract
In the 1980s, the National Collegiate Athletic Association (NCAA) passed several eligibility rules to address concerns about the academic and personal development of its participants (Gaston-Gayles, 2009). Despite garnering publicity, fostering school pride, providing entertainment, and generating billions of dollars in revenue for the Division I-affiliated institutions they attend (Sylwester, M., & Witosky, T. (2004). Athletic spending grows as academic funds dry up. USAToday.com , February 18. Retrieved from http://www.usatoday.com/sports/college/2004-02-18-athletic-spending- cover_x.htm), student-athletes are prevented from receiving compensation beyond athletic scholarships by the NCAA’s amateurism principle. Consequently, the ethical question at the center of college sports is: how do participants benefit from the college experience relative to their non-sport peers? While the NCAA typically reports benefits, research that disaggregates the data by sport, division, race, and sex reveals long-standing and pervasive inequities (Harper, Williams, & Blackman, 2013). Accordingly, this chapter juxtaposes NCAA’s rhetoric, principles, and espoused goals with the lived realities of the most populous demographic group within high revenue-generating collegiate sports, Black male student-athletes.
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The initial jurisprudential response to the gig economy above has included the exploration of two new legal personae: algorithmic persons and dependent contractors. The author…
Abstract
The initial jurisprudential response to the gig economy above has included the exploration of two new legal personae: algorithmic persons and dependent contractors. The author uses the word ‘exploration’ here, because neither figure has become an established character on the legal landscape in the United States – yet. Given the sector’s claims of absolute novelty, it may seem that the best way to develop regulations is to identify new positions and actors, define them, and then apply existing regulations and expectations or develop new ones accordingly. This chapter explains why this approach is misguided. First, legal personae have only a tangential relationship with actually existing human beings. Much regulatory energy could be caught up in elaborate definitions and descriptions intended to develop robust regulation, only to find that they create the blueprint for future business models that avert these very frameworks. Second, these legal personae are developed within the existing frameworks of employment law and corporate regulation, which in the United States, are determined by a phantasmagoric understanding of ‘the market’. Unless this basic framework is questioned, one can expect that these new legal personae will fail to protect actual workers and consumers.
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Ngozi Igbokwe, Sarah Smith, Colton Hart, Elizabeth Hergert, Ellen Reter, Marguerite Wildermuth, Ryan Bouda, Tiffany Phillips and Cristina Wildermuth
Leaders have a profound impact on the work lives of the employees they supervise. This chapter explores the experiences of employees whose leaders exhibit toxic behaviors and the…
Abstract
Leaders have a profound impact on the work lives of the employees they supervise. This chapter explores the experiences of employees whose leaders exhibit toxic behaviors and the impact of this toxicity on employee engagement. The authors report the findings of a qualitative study involving in-depth interviews with 13 participants. First, the authors describe the participants’ experiences before and after experiencing toxicity. Next, the authors outline three critical toxic leadership styles: the nightmare (leaders who have unbalanced emotional control and who are overly fond of power), the pretender (leaders whose authenticity and integrity seem low, who play different characters depending on the circumstances), and the runaround (leaders who change directions too often or give unclear instructions). Finally, the authors address organizational, leadership, and individual strategies to identify and remove toxic leaders from the workplace.
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This chapter explores children’s agency in using mobile technologies at home and in school. Supporting children’s agency has been offered as a rationale for adopting personalised…
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This chapter explores children’s agency in using mobile technologies at home and in school. Supporting children’s agency has been offered as a rationale for adopting personalised education worldwide. Children’s agency is also drawn upon as a justification for children’s use of personal mobile devices. This chapter considers children’s agency in light of the personalised education in one UK primary school and the children’s use of mobile technologies at school and at home. The findings are based on eight days of observations of classroom practice and interviews with six case study children in the Year 6 classroom. In sessions that were supported with mobile technologies, children’s learning was personalised to each child, but constrained by the amount of time that the activity lasted and that the technology was available for. Based on children’s accounts, their use of mobile technologies at home was constrained by their parents’ restrictions and monitoring practices. The chapter discusses the reality of children’s agency in light of adults’ mediation and children’s actual experiences of personalised learning.
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Shenja van der Graaf, Le Anh Nguyen Long and Carina Veeckman