This study provides empirical verification that variations in patterns of coping can explain current and future functioning of youth. The study evaluated the methods and styles of coping of inner–city youth and their relation to age, gender, ethnicity, stress levels, and internalizing and externalizing symptom levels. Three hundred seventy–two 12– to 16–year–old adolescents from inner–city schools (67.0% African American, 24.4% Hispanic; 53.41% males) participated. One hundred forty–nine were also included in a follow–up evaluation of the prospective relation of coping to functioning. A seven–factor model of coping methods was identified and found to be applicable across age groups, genders, and ethnic groups. The model was robust over time. Coping methods were categorized through cluster analysis into five styles. Styles were found to relate somewhat to demographic characteristics and stress levels. Controlling for demographic characteristics and stress levels, coping style related concurrently and prospectively to internalizing and externalizing symptom levels. Except in one instance, age, ethnicity, and gender did not interact with coping in predicting symptoms. Implications for further coping research and risk and intervention design are discussed.

Geographic information systems (GIS) are increasingly being used in public health and medicine. Advances in computer technology, the encouragement of its use by the federal government, and the wide availability of academic and commercial courses on GIS are responsible for its growth. Some view GIS as only a tool for spatial research and policy analysis, while others believe it is part of a larger emerging new science including geography, cartography, geodesy, and remote sensing. The specific advantages and problems of GIS are discussed. The greatest potential of GIS is its ability to clearly show the results of complex analyses through maps. Problems in using GIS include its costs, the need to adequately train staff, the use of appropriate spatial units, and the risk it poses to violating patient confidentiality. Lastly, the fourteen articles in this special issue devoted to GIS are introduced and briefly discussed.

We examined the level of hospice knowledge of caregivers of minority elderly hospice patients and determined how it influences the hospice enrollment decision and the decision on the use of hospice services after enrollment. Based on qualitative analysis of medical records and interviews with caregivers of minority elderly hospice patients who received personal care from paid caregivers (eg, other than family caregivers), we found that hospice knowledge increased access to hospice among minority patients who otherwise would not opt for hospice or enroll too late for comprehensive hospice care services. Furthermore,the highest level of knowledge-acquired through caregivers' health care occupations-appears to influence hospice care after hospice enrollment. Caregivers with that level of knowledge made requests for changes in site of care and/or additional services that may enhance the quality of hospice care that their loved ones receive.

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