RAND Corporation

About: RAND Corporation is a nonprofit organization based out in Santa Monica, California, United States. It is known for research contribution in the topics: Population & Health care. The organization has 9602 authors who have published 18570 publications receiving 744658 citations.

Content analysis of gender roles in media: Where are we now and where should we go?

Abstract: This paper provides a commentary regarding the quantitative content analyses of gender roles in media published in the two special issues of Sex Roles (Rudy et al. 2010a, 2011). A few themes and some overarching lessons emerge from the wide variety of data presented. First, it is clear that women are under-represented across a range of media and settings. Second, when women are portrayed, it is often in a circumscribed and negative manner. Women are often sexualized—typically by showing them in scanty or provocative clothing. Women are also subordinated in various ways, as indicated by their facial expressions, body positions, and other factors. Finally, they are shown in traditionally feminine (i.e., stereotyped) roles. Women are portrayed as nonprofessionals, homemakers, wives or parents, and sexual gatekeepers. Although the studies generally support these conclusions, some interesting moderating factors are identified, such as race. It is suggested that next steps involve the development of theory and a body of empirical evidence regarding the effects of exposure to under-representation of women. Data concerning the effects of exposure to sexualized or stereotypical portrayals on young audiences is also lacking. Finally, content analyses of new media, including those created and distributed by users, are recommended as a next step. It is concluded that, while increasing the representation of women in media may be valuable, it is also critical that the manner in which they are portrayed be simultaneously considered to avoid increasing negative or stereotypical depictions that may be particularly harmful to viewers.

Mother or market? Effects of maternal employment on the intellectual ability of 4-year-old children.

Abstract: This article uses the 1986 Children of the National Longitudinal Survey of Youth data set to investigate the impact of maternal employment on children's intellectual ability, as measured at the age of 4 by using the Peabody Picture Vocabulary Test (PPVT). Results from multivariate regression analysis show a statistically significant adverse effect of mother's employment on children's intellectual ability, but only for boys in higher income families. Furthermore, the negative impact was related to the timing of maternal employment: employment during the boys' infancy had a statistically significant negative effect on PPVT scores at the age of 4. This pattern was not found for girls, for children in low-income families, or for families in which mothers resumed their employment after the child's first year of life. The impact of other demographic trends in recent years—declining fertility and rising marital instability—are also investigated. The results show an adverse effect of the presence of other siblings on children's PPVT scores; but holding family income constant, the effect of the parents' marital status on children's intellectual ability is not statistically significant. In addition, several family background factors are highly correlated with children's test scores.

Dying with Lung Cancer or Chronic Obstructive Pulmonary Disease: Insights from SUPPORT

Abstract: CONTEXT: Many are calling for patients with advanced chronic obstructive pulmonary disease (COPD) to receive hospice care, but the traditional hospice model may be insufficient. OBJECTIVE: To compare the course of illness and patterns of care for patients with non-small cell lung cancer and severe COPD. DESIGN: Prospective cohort study of seriously ill, hospitalized adults. SETTING: Five teaching hospitals in the United States. PATIENTS: Patients with Stage III or IV non-small cell lung cancer (n = 939) or acute exacerbation of severe COPD (n = 1008). MAIN OUTCOME MEASURES: Patients' preferences for pattern of care and for ventilator use; symptoms; life-sustaining interventions; and survival prognoses. RESULTS: Sixty percent in each group wanted comfort-focused care; 81% with lung cancer and 78% with COPD were extremely unwilling to have mechanical ventilation indefinitely. Severe dyspnea occurred in 32% of patients with lung cancer and 56% of patients with COPD and severe pain in 28% of patients with lung cancer and 21% of patients with COPD. Patients with COPD who died during index hospitalization were more likely than patients with lung cancer to receive mechanical ventilation (70.4% vs 19.8%), tube feeding (38.7% vs 18.5%), and cardiopulmonary resuscitation (25.2% vs 7.8%). Mechanical ventilation had greater short term effectiveness in patients with COPD, based on survival to hospital discharge (76% vs 38%). Patients with COPD maintained higher median 2-month and 6-month survival prognoses, even days before death. CONCLUSIONS: Hospitalized patients with lung cancer or COPD preferred comfort-focused care, yet dyspnea and pain were problematic in both groups. Patients with COPD were more often treated with life-sustaining interventions, and short-term effectiveness was comparatively better than in patients with lung cancer. In caring for patients with severe COPD, consideration should be given to implementing palliative treatments more aggressively, even while remaining open to provision of life-sustaining interventions.

Principles of survey research: part 5: populations and samples

Abstract: This article is the fifth installment of our series of articles on survey research. In it, we discuss what we mean by a population and a sample and the implications of each for survey research. We provide examples of correct and incorrect sampling techniques used in software engineering surveys.

Review: immigrants and health care access, quality, and cost.

Abstract: Inadequate access and poor quality care for immigrants could have serious consequences for their health and that of the overall U.S. population. The authors conducted a systematic search for post-1996, population-based studies of immigrants and health care. Of the 1,559 articles identified, 67 met study criteria of which 77% examined access, 27% quality, and 6% cost. Noncitizens and their children were less likely to have health insurance and a regular source of care and had lower use than the U.S. born. The foreign born or non-English speakers were less satisfied and reported lower ratings and more discrimination. Immigrants incurred lower costs than the U.S. born, except emergency department expenditures for immigrant children. Policy solutions are needed to improve health care for immigrants and their children. Research is needed to elucidate immigrants' nonfinancial barriers, receipt of specific processes of care, cost of care, and health care experiences in nontraditional U.S. destinations.