The South Oaks Gambling Screen: a review with reference to Australian use

The South Oaks Gambling Screen (SOGS) is a psychometric instrument widely used internationally to assess the presence of pathological gambling. Developed by Lesieur and Blume (1987) in the United States of America (USA) as a self-rated screening instrument, it is based on DSM-III and DSM-III-R criteria. This paper describes the origins and psychometric development of the SOGS and comments critically in relation to its construct validity and cutoff scores. Reference is made to the use of the SOGS in the Australian setting, where historically gambling has been a widely accepted part of the culture, corresponding to one of the highest rates of legalised gambling and gambling expenditure in the world. An alternative approach to the development of an instrument to detect people who have problems in relation to gambling is proposed.     

Factors that may influence midwives work-related stress and burnout

Research questionTo determine the incidence and level of work-related stress and burnout in midwives and contributing and protective demographic factors that may influence those levels.Participants and methodAll registered midwives (152) working in two public hospital maternity units within the same health service district in NSW completed the Maslach Burnout Inventory Human Services Survey and a demographic survey including care model, shift work, lifestyle data and exercise level.FindingsThere was a response rate of 36.8% with 56 (56/152) midwives completing the surveys. Almost two thirds (60.7%) of midwives in this sample experienced moderate to high levels of emotional exhaustion, a third (30.3%) scoring low personal accomplishment and a third (30.3%) experiencing depersonalization related to burnout. Significant differences were found among groups of midwives according to years in the profession, shifts worked, how many women with multiple psychosocial issues were included in the midwife's workload and the midwife's uptake of physical exercise. Those midwives who had spent longer in the profession and exercised scored low burnout levels.ConclusionThe impact of years in the profession, shifts worked, how many women with multiple psychosocial issues were included in their workload and the midwife's level of exercise significantly affected how these midwives dealt with burnout and provided care for women. As the response rate was low, and the study cannot be generalised to the entire midwifery workforce but provides important insights for further research. Understanding factors related to burnout can benefit health care institutions financially and in terms of human costs, especially in view of consistent international shortages of midwives.     

Mothers' and Fathers' Work Hours,Child Gender,and Behavior in Middle Childhood

This study examined the association between typical parental work hours (including nonemployed parents) and children's behavior in two‐parent heterosexual families. Child behavior was measured by the Child Behavior Checklist (CBCL) at ages 5, 8, and 10 in the Western Australian Pregnancy Cohort (Raine) Study (N = 4,201 child‐year observations). Compared to those whose fathers worked fewer hours per week, children whose fathers worked 55 hours or more per week had significantly higher levels of externalizing behavior. This association was not explained by father–child time during the week, poorer family functioning, or overreactive parenting practice. Further, when stratifying the analysis by child gender, this association appeared to exist only in boys. Mothers' work hours were unrelated to children's behavioral problems. The role of parent and child gender in the relationships between parental work hours and children's behavioral problems, together with mediating factors, warrants further investigation.     

How parents' income,time and job quality affect children's health and development

The advent of the Global Financial Crisis reminds us that modern epidemiological research has consistently demonstrated links between the socio‐economic circumstances of families and children's health and development. Drawing on data from the Longitudinal Study of Australian Children, this article firstly examines the evidence for intergenerational transmission of socio‐economic disadvantage from parents to young children. It then examines parents' jobs as another source of social inequality. Results confirm that children's healthy development is affected by family income, by parents' hours of work and by the quality of parents' jobs. Job combinations that include long work hours of mothers and fathers and poorer quality jobs are associated with elevated rates of parental mental health problems, less time spent in developmentally important activities with children, and socio‐emotional developmental difficulties for children. The evidence suggests that these effects are greater within low income families. These findings highlight the need for social and economic policies to move beyond simplistic notions of promoting parental workforce participation as a way of reducing the adverse effects of social disadvantage. A more nuanced approach is required that considers the additional impacts of the quality and characteristics of jobs, especially for the parents of young children.     

Long Hours and Longings: Australian Children's Views of Fathers' Work and Family Time

Using two waves of paired data from a population sample of 10‐ to 13‐year‐old Australian children (5,711 father–child observations), the authors consider how the hours, schedules, intensity, and flexibility of fathers' jobs are associated with children's views about fathers' work and family time. A third of the children studied considered that their father works too much, one eighth wished that he did not work at all, and one third wanted more time with him or did not enjoy time together. Logistic regression modeling revealed that working on weekends, being time pressured, being unable to vary start and stop times, and working long hours generated negative views in children about fathers' jobs and time together. The time dilemmas generated by fathers' work devotions and demands are salient to and subjectively shared by their children.     

Developing Prospective Measures of Adversity Among Australian Families with Young Children

Most studies of children’s development and parents’ wellbeing have not dealt effectively with the complexity of multiple disadvantage. Traditional approaches have typically used a limited set of outcomes and predictors. Even studies utilizing multiple risk factors have often treated these as confounders, adjusting for their influence, while concentrating on a primary association of interest. Such strategies do not illuminate the real world essence of disadvantage, i.e. that adversities co-occur more than expected by chance and that multiple disadvantage is common. The main aim of the present paper is to address this neglected topic and develop summary measures of adversity using the 2004–2005 data from Wave 1 of the Longitudinal Study of Australian Children. Information was obtained from families of 5,107 babies (0–1 years) and families of 4,983 children (4–5 years). The prevalence of multiple disadvantage among families with young children and the degree to which summary adversity measures are associated with each other and with family and child outcomes is then estimated. Using factor analysis, 12 lower-order constructs and two higher-order components of adversity were developed, labelled (1) material and (2) psychosocial adversity. Findings show that the two component scores were more strongly associated with outcomes than were the more specific construct scores and that psychosocial adversity was somewhat more relevant to family wellbeing and child development than material adversity.     

Santé au travail en Thaïlande: le processus de transition

La Thaïlande a connu une transition économique rapide, de l'agriculture aux secteurs manufacturier et tertiaire, puis vers l'emploi plus formel. Toutefois, la réglementation du marché du travail et la représentation des salariés sont moins affirmées que dans les pays développés, où cette transition s'est effectuée graduellement et plus lentement, il y a plusieurs décennies. Les auteurs examinent le renforcement des politiques et de la législation thaïlandaise sur la sécurité et la santé au travail en réponse aux normes internationales du travail, à l'adoption d'une nouvelle constitution démocratique, à la crainte d'embargos commerciaux étrangers et aux accidents mortels du travail. Ils concluent en identifiant les principaux défis auxquels sont confrontés les décideurs politiques, y compris l'application de la législation et les méthodes pour mesurer les nouveaux risques professionnels sur la santé mentale et physique des travailleurs.