Respiratory symptom reporting error in occupational surveillance of older farmers.

Objective: Agricultural health studies often use respiratory symptom report as a surrogate measure of disease and exposure; little data exists on the accuracy of symptom report in a work-motivated population.

Methods: Screening spirometry and telephone survey data for Kentucky male farmers >55 year (n = 134) in the NIOSH Farm Family Health and Hazard Surveillance Project were compared to investigate the accuracy of symptom report as a measure of respiratory disease risk in older farmers.

Results: The prevalence of reported obstructive respiratory symptoms was 0.

Child custody mediation in cases of domestic violence: empirical evidence of a failure to protect.

Mediation of child custody disputes is mandated in several states. Investigators have averred that victims of domestic violence (DV) are greatly disadvantaged in mediation. The present study empirically evaluated outcomes and found that mediators failed to recognize and report DV in 56.