Unemployment and mental health among white‐collar workers – a question of work involvement and financial situation?

We examine whether it is a psychosocial or an economic need for employment that affects mental health among the unemployed. The relevance of both aspects are examined, concentrating on two measures of each dimension. Two perspectives of work involvement – the degree of connection to working life and the perceived employment commitment – and two perspectives on financial situation – economic security and perceived economic concern – have been analysed, using empirical data collected by means of a cross-sectional survey of 1297 unemployed white-collar workers from the public sector in Sweden. The degree of connection to working life was not significantly linked to the mental health of the unemployed, although there was a strong link between the perceived employment commitment and mental health among this group. The stronger the perceived employment commitment, the poorer the state of the person's mental health. Perceived economic concern was also tightly linked to mental health: the greater the economic concern, the poorer the mental health. Economic security also played – at least, partly – a moderate but significant role. The results provide strong support for the existence of both a psychosocial need and an economic need for employment. The analysis demonstrates that it is the perceived assessed measures of work involvement and financial situation that are linked to mental health.     

An assessment of the one-child policy in China from 1980 to 1985

An analysis of second and third live birth conceptions, from January 1980 to July 1984, in the two Chinese provinces of Hebei and Shaanxi from the In-Depth Fertility Surveys showed: (1) in urban areas third live birth conceptions were quite rare, and higher economic development was associated with lower second live birth conception risks; and (2) in the countryside the preference for sons was a strong predictor of both second and third live birth conceptions, and higher household income was followed generally by lower risks of second and third live birth conceptions, while other socioeconomic factors had little effect.Des enquêtes approfondies sur la fécondité de deux provinces chinoises de Hebei et Shaanxi ont porté sur la période s'étendant de janvier 1980 à juillet 1984. Une analyse des naissances vivantes de rangs deux et trois montre que: (a) dans les zones urbaines les naissances de range trois sont très rares; de même, plus le développement économique est élevé plus le risque de naissances de rang deux est bas; (2) dans les zones rurales la préférence pour les garçons permet de bien prévoir les naissances vivantes de rang deux et de rang trois; également un revenu plus élevé du ménage entraîne généralement moins de naissances de rangs deux et trois, tandis que d'autres facteurs socio-économiques ont une action négligeable sur cette fécondité.

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An earlier version of this paper was presented at the Annual Meeting of the American Sociological Association in San Francisco, August 9–13, 1989.     

Local Understanding of Fish Consumption Advisory Risks in Michigan's Upper Peninsula: The Role of Structure,Culture, and Agency*

Abstract Fish consumption advisories fail to adequately help communities address the benefits and risks of eating potentially contaminated fish. We engaged community members and relevant institutions in identifying and implementing more effective risk communication in Michigan's rural Upper Peninsula. In 2004–2005, we collected data in four Michigan counties through focus groups, community dinners, public meetings and angler interviews. Residents express a strong affinity toward eating Great Lakes fish, though a minority of participants have read the official fish advisory. Participants lack an understanding of how bioaccumulation affects consumption risk depending on the type of contaminant. We attribute the situation to conditions of post‐normal risk that emerge through interaction of the structural dimensions of science and bureaucracy with a strong natural resource‐based culture that affects the agency of residents. The implications loom large as Michigan's Department of Community Health no longer distributes hard copies of the Michigan Fish Advisory.     

The asymptotic distribution of the partial attributable risk in cross-sectional studies

The partial attributable risk (PAR) has been introduced as a tool for partitioning the responsibility for causing an adverse event between various risk factors. It has arisen from epidemiology, but it is also a valid general risk allocation concept, which can, for example, be applied to data from customer satisfaction surveys. So far, a variance formula for the PAR has been missing so that the confidence intervals were not directly available. This paper provides the asymptotic normal distribution for the PAR determined from a cross-sectional study.     

Accounts of professional and institutional tension in the context of Swedish elderly care

This article describes need assessment dialogues, the circumstances surrounding care, and the provision of residential care and in-home support for the elderly in Sweden, as seen from a communicative perspective. The purpose was to systematically describe and analyse the accounts of welfare officers concerning elderly care. The research questions were: How is the internal care context perceived and constituted through discourse? How do welfare officers manage the daily demands, expectations, tasks, and dilemmas in the encounter with the individual citizen? What significance do the welfare officers give their work and their professional tasks?Eleven interviews with welfare officers from elderly and handicapped care organisation of three municipalities were held, and a discursive analysis was made from the collected data. Four characteristic discursive phenomena in the welfare officers' accounts were observed: (I) the rights of the elderly, (II) living at home, (III) good relations, and (IV) the complaisance. The study shows that the dialogues with elderly contain communicative dilemmas and mixed loyalties. The welfare officers navigate between different perspectives and double approaches. She/he uses the navigating as a strategy and proficiency in their work. However, these proficiencies remain largely unnoticed and unreflected as techniques, strategies, or tools for attaining favourable care.     

The impact of childhood sexual abuse and intimate partner violence on sexually transmitted infections

Childhood sexual abuse (CSA) and adult intimate partner violence (IPV) have both been found to be associated with sexually transmitted infections (STIs) independently, but studies of STIs have rarely looked at victimization during both childhood and adulthood. This paper examines the relationship between CSA, IPV and STIs using data from a nested case-control study of 309 women recruited from multiple health care settings. Overall, 37.3% of women experienced no violence, 10.3% experienced CSA only, 27.3% experienced IPV only, and 25.0% experienced both CSA and IPV. Having ever been diagnosed with an STI was associated with violence (CSA only, odds ratios [OR] = 2.8, 95% confidence intervals [CI] = 1.0-7.5; IPV only, OR = 2.2, 95% CI = 1.0-4.9; CSA and IPV: OR = 4.0, 95% CI = 1.7-9.4), controlling for demographic characteristics. Women who experienced CSA were younger when they were first diagnosed. Understanding how both childhood and adult victimization are associated with diagnosis of STIs is important to reducing the incidence and prevalence of STIs, as well as the associated consequences of STIs.     

Ending aging in the Shteyngart of Eden: Biogerontological discourse in a Super Sad True Love Story

This article broaches the topic of biogerontology as presented in Gary Shteyngart's dystopic novel Super Sad True Love Story (2010) from the perspective of cultural and literary gerontology and examines how the novel manages to challenge predominant discourses in the field of scientific anti-aging studies, especially the notion that old age is a disease that can be cured. It compares the novel's presentation of biogerontological knowledge to current developments in the field, using Cambridge biogerontologist and immortality prophet Aubrey de Grey's book Ending Aging (2007) as an example. Based on the assumption that cultural criticism can and should impact scientific and medical research on aging, this paper asks whether (the analysis of) fictional texts can be seen as a cultural critical intervention into the ageism so often openly displayed in scientific discourses.     

Motherhood status and union formation in Moshi,Tanzania 2002–2003

Age at first union is increasing throughout much of sub-Saharan Africa at the same time that not all couples are waiting for marriage before their first sexual intercourse. We assessed the effect of a premarital first birth on entrance into a first union in an urban area in East Africa—Moshi, Tanzania. The data come from the Moshi Infertility Survey of 2002–2003. Women who spent less than a year in single motherhood were significantly more likely than childless women to enter into a first union, although the magnitude of this relationship was weaker for more recent cohorts. Women who had been single mothers for 5 or more years (about two-thirds of women with a premarital birth) were significantly less likely than women without children to enter into a first union.     

Does female circumcision affect infertility and fertility? A study of the central African Republic, Côte d’Ivoire, and Tanzania

This study explores the association between female circumcision and infertility and fertility, using information from the Demographic and Health Surveys (DHS). In Côte d’Ivoire and Tanzania, circumcised women had lower childlessness, lower infertility by age, and higher total fertility rates than women who were not circumcised; the reverse pattern prevailed in the Central African Republic. In all three countries, however, circumcised women grouped by age at circumcision did not have significantly different odds of infertility nor of having a child than did uncircumcised women, when the effects of covariates were controlled. Thus we find evidence suggesting that the practice of female circumcision does not have a statistically discernible effect on women’s ability to reproduce.