Thomas Mangione

Thomas Mangione
JSI Research & Training Institute, Inc. | JSI · Health Services

Ph.D.

About

76
Publications
11,151
Reads
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4,274
Citations
Additional affiliations
February 1985 - present
Harvard University
Position
  • Lecturer
Description
  • Teach class in Survey Research Methods
September 1975 - present
Boston University
Position
  • Professor (Associate)
Description
  • Teach Survey Research Methods class
April 1992 - present
JSI Research & Training Institute, Inc.
Position
  • Senior Researcher

Publications

Publications (76)
Article
Drowning is the most common cause of death in recreational boating. Life jackets prevent drowning, yet adult wear rates remain relatively low on most types of boats. Canoes and kayaks are among the least used boat types, yet maintain the third and first highest annual boating-related drowning rates in 2012, respectively. This 1999–2017 study collec...
Article
Introduction: In 2015, drowning accounted for 68% of the 626 recreational boating related deaths in the United States. Although life jackets are estimated to prevent between 50% to 80% of boating deaths, approximately 83% of sailboat-related drowning victims were reported to not be wearing life jackets. Life jacket use among adult boaters has rema...
Article
Methods: Observational survey of swimmers and waders at designated swim sites at lakes and rivers evaluated them by age group, sex, type of flotation used (life jacket vs substandard flotation, eg, water wings, noodles, inflatables) and, for children <6 years, being within arm's reach of an adult. Results: Of 1967 swimmers/waders observed, 37% u...
Article
Objective To explore factors that might lead to delays in appropriate cervical cancer screening and diagnosis among Black women in Massachusetts. DesignQualitative using focus groups. SettingHospitals, health centers, and community-based organizations in Boston, Massachusetts. ParticipantsSixty-four participants including Black, non-Hispanic women...
Article
Full-text available
Background and objectives: Larger weight gain and higher ultrafiltration rates have been associated with poorer outcomes among patients on dialysis. Dietary restrictions reduce fluid-related risk; however, adherence is challenging. Alternative fluid mitigation strategies include treatment time extension, more frequent dialysis, adjunct peritoneal...
Article
In the United States during 1999-2012, about 4 per cent of adults wore life jackets while engaged in recreation on powerboats. Educational campaigns have promoted life jacket use. Mandatory use regulations target primarily children or boaters on personal watercrafts or water skiing. We describe findings from two interventions - 'Wear It California!...
Conference Paper
Background. Between 1999 and 2011, boating accident and fatality statistics from the United States Coast Guard showed over 9,200 deaths, with an average of 709 or 5.6 deaths per 100,000 boaters each year. About 71% were drownings; among these, 87% were not wearing life jackets. There is a debate as to the best approach to increase wear ratesmandato...
Conference Paper
Background. During 1999-2011, about 3.3% of boating-related fatalities annually in the United States involved children under age 13; many resulted from drowning. Since 2003, federal law mandated life jacket wear among children age<13 on boats underway to cover states without wear regulations. The federal law did not supersede state statutes, so var...
Article
We report results from 12 years of US observational data on life jacket use among recreational boaters based on more than 480,000 boaters in 175,000 boats between 1999 and 2010. The overall wear rate was 21.7 per cent, with sharp differences by age and boat types. We found strong increasing trends in wear rates among youth boaters, but among adults...
Chapter
Full-text available
In 1991 there were 4600 drowning fatalities in the United States1including 924 boating deaths.2For reasons that are unclear, drowning fatalities have decreased substantially over recent decades. Nevertheless, drowning remains the fourth most common cause of unintentional injury death for all ages and third for ages 5-44 yr.1Although the extent of m...
Article
A great deal of controversy surrounds the writing and enforcement of antigambling laws. In large part, this is due to a lack of consensus among citizens, police departments, and prosecutors in defining the objectives of antigambling laws and the methods of enforcing them. It is suggested that since standards of appropriate behavior vary from place...
Article
This study investigated pediatrician-reported practices in identifying, assessing, and treating traumatic exposure and posttraumatic stress disorder (PTSD) in children. Focus groups guided the development of a survey that was mailed to primary care pediatricians in Massachusetts in 2005. Descriptive statistics and multivariate analyses were used to...
Article
Full-text available
To examine the relationship between two alternative psychosocial work exposure measurement frameworks (i.e., job alienation and job stress) and three drinking behaviours (frequent, heavy and drinking and work). A cross-sectional survey was conducted among 3,099 US drinking workers. Job stress conditions were assessed according to the Karasek's job...
Article
Full-text available
Previous studies on worksite drinking norms showed individually perceived norms were associated with drinking behaviours. To examine whether restrictive drinking social norms shared by workgroup membership are associated with decreased heavy drinking, frequent drinking and drinking at work at the worker level. The sample included 5338 workers with...
Article
Sri Lanka is one of the Asian countries most affected by mosquito-borne diseases, especially malaria. This 18-month study assessed the effectiveness of a new community-based ecosystem management programme to control mosquito vectors in the country's rice ecosystem. Farmers in a malaria-prone village were educated and motivated to engage in source r...
Article
Mosquito-borne diseases are a major public health threat in Sri Lanka. A 20-week pilot education program to improve community knowledge and mosquito control with participatory and non-chemical approaches was developed, implemented, and evaluated using pre-educational and post-educational surveys in two intervention and two comparison villages. Corr...
Chapter
Mail surveys are much less costly to conduct than telephone surveys or in-person surveys and therefore are an attractive method of data collection for researchers. However, in general, mailed surveys have suffered from low response rates which limits their applicability. Extensive research conducted over the past few decades has documented a variet...
Article
In 1998, community leaders prompted members of the Black and Hispanic Congressional Caucuses to urge President Clinton to declare HIV/AIDS a crisis in the African American and Latino communities; their advocacy resulted in the formation of the Minority AIDS Initiative. As part of this initiative, the Center for Substance Abuse Prevention (CSAP) of...
Article
The US Department of Transportation (DOT) regulates on-the-job alcohol use by operators of certain categories of commercial transport. For aircraft, trains, and commercial vessels, operators are subject to sanctions for having ≥0.04 g% blood alcohol concentration (BAC). This study examines the effects of alcohol (between 0.04 and 0.05 g% BAC) on si...
Article
This study examined the relationship between certain workgroup characteristics and the experience of abuse in the workplace. Data were collected from 6540 workers at sixteen work sites among six Fortune 500 companies. Workgroup cohesiveness, workgroup interdependence, supervisory concern, supervisory presence and the percent of women in the workgro...
Article
Under current US Department of Transportation (DOT) regulations, some commercial vehicle operators are subject to sanctions for having > or = 00.04 g% blood alcohol concentrations (BACs) on the job. This study investigated the effects of alcohol (between 0.04 and 0.05 g% BAC) on the simulated operation of a commercial ship's power plant. A balanced...
Article
Studies suggest that women are at greater risk than men for sports and training injuries. This study investigated the association between gender and risk of exercise-related injuries among Army basic trainees while controlling for physical fitness and demographics. Eight hundred and sixty-one trainees were followed during their 8-week basic trainin...
Article
Identify associations between lack of formal boater training, drinking and boating, and other unsafe boating practices. A telephone survey queried respondents (age 16 or older in continental United States) about boating experience, type of boat used, and training. Of the 3,042 boaters surveyed (70% response), most had no formal training (73%). Boat...
Article
Background: Studies suggest that women are at greater risk than men for sports and training injuries. This study investigated the association between gender and risk of exercise-related injuries among Army basic trainees while controlling for physical fitness and demographics.Methods: Eight hundred and sixty-one trainees were followed during their...
Article
AIMS: Under current U.S. Department of Transportation (DOT) regulations, some commercial vehicle operators are subject to sanctions for having  .04 gm% blood alcohol concentrations (BACs) on the job. This study investigated the effects of alcohol (between .04 and .05 gm% BAC) on the simulated operation of a commercial ship's power plant. DESIGN: A...
Article
AIMS: Under current U.S. Department of Transportation (DOT) regulations, some commercial vehicle operators are subject to sanctions for having  .04 gm% blood alcohol concentrations (BACs) on the job. This study investigated the effects of alcohol (between .04 and .05 gm% BAC) on the simulated operation of a commercial ship's power plant. DESIGN: A...
Article
Full-text available
The purpose of this study was to examine the independent effects of a variety of drinking indicators on self-reported work performance. Data from a cross-sectional mailed survey (response rate = 71%) of managers, supervisors and workers (N = 6,540) at 16 worksites were analyzed. Average daily volume was computed from frequency and usual quantity re...
Article
Full-text available
This study assessed current levels of sunbathing and sunscreen use in the United States. From a general-population telephone survey of aquatic activities among adults in 3042 US households, we examined responses by the 2459 Whites. Most adults (59%) reported sunbathing during the past year, and 25% reported frequent sunbathing. Of the subsample who...
Article
The purpose of this analysis is to describe barriers to workplace interventions in cases of alcohol abuse. A survey of 7255 supervisors in 114 worksites across seven major corporations was completed (79% responded). Information about barriers to intervention was elicited by 12 questions. Cluster analysis revealed three analytically independent clas...
Article
Few studies have been published on how employees feel about work-site alcohol testing. By mail, we surveyed employees (n = 6370) at 16 corporate work sites stratified by type of work force, industrial setting, and managerial tolerance toward drinking. We queried respondents about their drinking on the job and support for work-site alcohol testing u...
Article
Few studies have been published on how employees feel about work-site alcohol testing. By mail, we surveyed employees (n = 6370) at 16 corporate work sites stratified by type of work force, industrial setting, and managerial tolerance toward drinking. We queried respondents about their drinking on the job and support for work-site alcohol testing u...
Article
To assess cross-work-site variation in the general drinking behaviors (on and off the job) of employees, we conducted a cross-sectional survey of managers (n = 7255) at 114 places of work located throughout the continental United States. The work-site mean for the total number of drinks consumed on a typical drinking day ranged from 1.4 to 3.17, a...
Article
Full-text available
Public policy has treated drinking and boating as though it were analogous to drinking and driving. Accordingly, recent Federal and state laws to prevent drinking and boating have focused solely on alcohol use by the boat operator. This study was designed to determine boaters' knowledge about the epidemiology of boating fatalities and how boaters p...
Article
The medical surveillance requirements of the Occupational Safety and Health Administration's (OSHA) ethylene oxide (EtO) standard became effective in 1985. However, little is known about the nature of the response of EtO users to this regulatory requirement. In an effort to begin to understand this, we conducted a survey of EtO health and safety in...
Article
Full-text available
An in-depth survey of ethylene oxide (EtO) health and safety was conducted in Massachusetts hospitals (n = 92) to investigate the determinants of the provision of medical surveillance for EtO exposure. We have evaluated the relationships between provision of EtO medical surveillance and (1) activating OSHA-specified triggers for providing EtO medic...
Article
Full-text available
Men have higher drowning rates than women for most age groups. Data from a 1991 national household survey (n = 3042) on aquatic activities were used to examine hypotheses about differential drowning rates by sex. Men and women were compared by (1) exposure to aquatic environments; (2) frequency of aquatic activities involving or potentially involvi...
Article
This article is intended as a guide for all who propose to intervene in patients with symptomatic lower extremity arterial occlusive disease. It reviews the natural history of and therapies for intermittent claudication. The results of a survey of claudicants are summarized; this survey gathered data on claudicants' general health, comorbid conditi...
Article
Full-text available
PUBLIC policy has approached drinking and boating as though they are analogous to drinking and driving. Accordingly, recent federal and state laws to prevent drinking and boating have focused solely on alcohol use by the boat operator. Similarly, boating safety campaigns conducted by the alcohol industry have promoted the strategy of the "designate...
Article
Full-text available
Purpose of Proposal A consolidated framework is proposed to highlight modifiable factors in work organizations that may contribute to alcohol-related problems. This research model serves to organize existing knowledge, highlight pathways for new research initiatives, and offer insights into the design of primary and secondary preventive strategies....
Article
The "second public health revolution" targets factors in the environment, together with lifestyle, to prevent illness and untimely death. Yet the growth of the "wellness movement" has driven a wedge between public health advocates who argue for environmental solutions and those whose major focus is individual behavior. This tension is nowhere more...
Article
Physicians have a major role to play in the prevention of AIDS transmission. Promotion of health behaviors needs to be expanded beyond the traditional AIDS high risk populations; however, little information is available on the AIDS education practices of physicians. A survey of Massachusetts physicians in four specialty groups, Family Medicine Prac...
Article
Full-text available
The investigators considered the relationship between participation in aquatic activities and the consumption of alcohol, with their implications for the risk of drowning. In a telephone survey with random-digit dialing, interviewers asked Massachusetts residents ages 20 years and older how often they engaged in various aquatic activities, in what...
Article
This archival study examined the court records and relevant police reports for 617 drunk-driving cases drawn from the greater metropolitan areas of Boston, Denver, and Los Angeles. Cases were selected to include roughly equal proportions of guilty pleas, guilty verdicts, and not-guilty verdicts. Objective coding of the arrest reports revealed a fai...
Article
Incl. bibliographical references, index, biographical notes on the authors
Article
Full-text available
In October 1987, 1,323 Massachusetts residents were randomly interviewed by telephone to explore their exposure to AIDS educational efforts, levels of knowledge about AIDS, and whether that knowledge modified their behavior. Gay/bisexual males, iv drug users and heterosexual respondents were compared as were blacks, Hispanics, and whites. While 81%...
Article
• As a preliminary step in the development of a school-based educational intervention to promote bicycle helmet use among children, focus group encounters were conducted with fourth, fifth, and sixth graders at three elementary schools in the Boston, Mass, area. Analysis of transcripts of encounter tape recordings indicated that (1) the prevalence...
Article
In November 1986, the Massachusetts mandatory seat belt use law repealed in a referendum by a 53 per cent to 47 per cent vote. In an anonymous random digit telephone survey of 1,046 adults in Massachusetts in summer 1986, while the law was in effect, 61 per cent of respondents had said they would vote in favor of the law. A post-repeal follow-up of...
Article
Full-text available
In 1981, Maine passed a drunk driving law with mandatory penalties and a new civil charge to increase the conviction rate. One year later, Massachusetts increased drunk driving penalties, particularly for repeat offenders and intoxicated drivers involved in fatal crashes. In Maine, single-vehicle nighttime fatal crashes declined 22 per cent the yea...
Article
A symptom prevalence survey was conducted of a neighborhood exposed to airborne hazardous wastes. Residents' responses were compared to those of a nearby control population. The results revealed that the exposed group had more self-reported complaints referable to the respiratory system (wheezing, shortness of breath, chest discomfort, persistent c...
Article
The 1979 Massachusetts law raising the legal drinking age from 18 to 20 is examined--the effects on the drinking, drinking and driving, and nonfatal and fatal crash involvement of 16-17 yr-olds, teenagers immediately younger than those targeted by the law. Data from Massachusetts are compared with those from New York State, where the drinking age r...
Article
Forty-five percent of the parents of 60 infants being retested in a newborn screening program for metabolic disorders understood that their infant was undergoing retesting because the first test result was abnormal. Fifty-five percent had incorrect or incomplete information, believing that retesting was routine, or that mistakes had been made in th...
Article
Determinants of sex differences in psychological distress are explored through estimating additive and interactive regression models. The absence of employment or marriage is associated with depression for both men and women. Also, for this measure of distress, an additive model of social-role effects accounts for the observed sex difference, sugge...
Article
Full-text available
On April 16, 1979, Massachusetts raised its legal drinking age from 18 to 20 years. Massachusetts was compared with New York State, exclusive of New York City and Nassau County. New York State retained an 18-year-old drinking age. Random telephone surveys with approximately 1,000 16-19 year olds in each state were undertaken prior to the law's enac...
Article
The behavior and motivation of Boston area residents who sought help for their drinking problems and those who did not are compared. Three areas were examined: (1) Factors which respondents indicated influenced their decision to seek or not to seek help, the length of time they took to decide, the nature of their decisions and the action they took...
Article
Anonymous random digit dialing telephone surveys of nearly 6000 16–19 year old respondents were conducted in Massachusetts and Upstate New York in 1979–1981. These surveys explored frequency of driving after using marijuana, driving after drinking, respondent accident involvement in the year prior to the interview, and a variety of other respondent...
Article
Results from studies that compare different methods of data collection may be confounded in many instances because of differences in response rates or sampling frames. Two alternatives to in-person interviewing were designed to overcome these confounding factors. One strategy utilized the telephone with in-person interviewing as a back-up when phon...
Article
Laborers, operatives and skilled workers drank more heavily than other workers, in part because these occupations included disproportionate numbers of men and persons under age 25. Stress on the job and boredom on the job were related to drinking.
Article
Average daily consumption of alcohol was related to level of satisfaction with marital or romantic relationships, but not with satisfaction with work role, children, finances, family relations, friendships or leisure activities.
Article
Data from a survey of 928 older Bostonians show that there is a negative correlation between age and alcohol consumption among older adults: i.e., "old-old" people- those who are seventy-five years old or older-are more likely to abstain and less likely to drink in any quantity than the "younger-old"-those age sixty-seventy-five years old. Since th...
Article
Full-text available
Conducted a study of 1,327 wage and salaried workers to determine whether the ecologically based inference that counterproductive behavior and drug use at work are symptoms of job dissatisfaction. There was a significant association between job satisfaction and self-reports of counterproductive behavior only among men 30 yrs old or older. Similar r...
Article
Data obtained from a national probability sample of 1533 American workers were used to assess the validity of ten methods of weighting job satisfaction ratings by importance ratings. The methods varied systematically in terms of the input they employed, scale treatment, and the types of mathematical operations used for weighting. Each method was ev...

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