Drugs,Alcohol And Respiratory Diseases And Social Class in Sydney Western Metropolitan Areas: A Research Note

An analysis of social and health data available from the 1986 census and hospital records for the Western Metropolitan Region of Sydney, indicated that there was a wide variation in social class ratio, percent of Australian born people, respiratory disease and drug and alcohol morbidity. There was a significant negative correlation between social class and percent of Australian born people. There was no relationship between mortality rates from respiratory diseases and social class ratio or percent of Australian born people. However there was a significant correlation of drug and alcohol morbidity with the social class ratio. External and internal factors may explain these findings.     

Ethnicity as a risk indicator for musculoskeletal disease, long consultation times and care utilization A prospective visitor study of 438 consecutive adult consultations of a primary health care centre

This article shows the influence of ethnicity (people born outside Sweden and in Sweden) and social class (socioeconomic class) on the distribution of diagnoses, consultation time and health care utilization in primary health care controlled for sex, age, marital status and educational level. The study was designed as a prospective primary health care utilization study during 7 consecutive weeks. Of a total of 439 adults who lived in the residential area, 290 were born in Sweden and 149 were born elsewhere. The data were analysed unmatched with logistic regression and Poisson regression in main effect models. People born outside Sweden received significantly more diagnoses per consultation than people born in Sweden. The strongest independent risk indicator for musculoskeletal disease was being born outside Sweden, with an estimated odds ratio (OR) of 5.01, 95% confidence interval (CI) = 2.70–8.72. Age over 44 was associated with increased odds for musculoskeletal disease. Respiratory disease, as an indicator of less serious disease, were significantly less common among people born outside Sweden (OR = 0.53, 95% CI = 0.33–0.87). Being born outside Sweden was a risk indicator for consultations longer than 30 minutes (OR = 3.03, 95% CI=1.18–7.43). There were no differences between people born in Sweden and those born elsewhere in health and utilization. Social class was not associated with any of the dependent variables.     

Sense of coherence and social support – Resources for subjective well-being and health of the aged in Finland

In this study we explored if the psychological and social resources of aged people (over 75 years) in Finland predict their subjective well-being and experienced state of health (n = 348). Data were taken from a larger Finnish survey on living conditions. Based on previous research on younger people we formed a model where morbidity, experienced quality of social support and sense of coherence together with economic resources are the predictors of both experienced state of health and subjective well-being. LISREL (8) path analysis was used to test the model. The model providing the most parsimonious explanation of the data suggested that a strong sense of coherence and high experienced quality of social relationships are strongly related to subjective well-being. Experienced state of health was associated with morbidity and subjective well-being, but there was no significant relationship between subjective well-being and morbidity.     

The social role of alcohol in Russian culture

The year 1995 marks the tenth anniversary of the beginning of perestroika in Russia. The country has paid with its health for all the social, economic and political reforms. The chronic state of social stress, which is already in its tenth year, has led to a sharp growth in alcoholism and drug addiction, an increasing prevalence of neurosis and psychosomatic diseases and an increase in the death rate and decrease in the birth rate. This is the degeneration of the Russian nation. Alcohol stimulates and alcoholism indicates the process of self-destruction of the population. Unfortunately, there are no accurate statistics on alcohol consumption and problems in Russia today, as there is no state monopoly on alcohol production and sale and no common drug treatment service for the whole country. According to generalized estimates from epidemiological investigations, the average prevalence of alcoholism is 200–250 per 1000 adults, but this differs significantly in different professional groups: 10% of the workers in the nuclear energy industry suffer from alcoholism, 35% of the sailors, 22% of the workers in the machine-tool industry and 42% of the people working in the woodworking industry. There is one woman alcoholic for each 5 men. On average, only 1 of every 7 alcoholics seeks medical and social aid. The main cause of alcoholism is alcoholism itself -its uncontrolled and expanding reproduction. The investigation of alcoholism is being intensively removed from the clinical to the social sphere. It can be explained by understanding the role of social and psychological factors in the origin and development of alcoholism and the harsh socio-economic consequences and moral damage. The appearance of a new class of specialists - social workers - in Russia in 1991 was predetermined by these factors. The main objective of social workers is to fight social diseases and alcoholism in particular as the most terrible social disease of the Russian Federation. The history and place of alcohol in modern Russian culture, the stages and forms of the development of alcoholism and its ethnocultural peculiarities in different social strata of the population are described in this article. The reasons for and consequences of alcoholism are systematized, and the principles and directions of the activity of the social services in dealing with the treatment of alcoholism and rehabilitation of the diseased are defined.     

“NO YOBBOS HERE”: EDUCATION AS A VEHICLE FOR SOCIAL CLASS TRANSITION

Five people, after spending their early adult lives working as tradespersons, set about achieving a major identity change. These people are now or have recently been practising academics in Australian universities. This article encompasses their recollections of experiences during a major period of that change; undergraduate teacher education. This was a time when they were confronted by an alternative social class that both confronted their working class identities and offered them alternatives. The following discussion reviews their move from a working class culture to, what is essentially, a middle class work environment, considering the assistance they received and the hurdles they encountered on the way. In tracing this transition, some of the status and cultural differences that distinguish Australian social classes are highlighted.     

Anglo‐Australian and non‐Anglophone middle classes: ‘foreign accent’ and social inclusion

Building on the concept of ‘multicultural middle class’, this paper explores social inclusion of professionally educated and employed non‐Anglophone immigrants in Australia. We focus specifically on the perceptions and implications of ‘foreign accent’ in the interaction between two groups of middle‐class Australians: non‐Anglophone immigrants and Anglo‐Australians. ‘Non‐Anglophone immigrants’ are defined as those who arrived in Australia as adults, grew up speaking a language other than English, and therefore usually speak English with a ‘foreign accent’. ‘Anglo‐Australians’ are defined as people born in Australia who grew up in families/households where only English was spoken, therefore speaking with a ‘native Australian’ accent. Through a survey of a targeted sample of respondents, the two groups were asked about their intergroup communication, wider interaction (e.g., intermarriage, friendships and working together) and mutual perceptions. Our findings indicate high levels of agreement between the two groups that Anglophone/non‐Anglophone communication is minimally hindered by comprehension problems due to foreign‐accented speech and cultural differences. Although the positive picture that emerges may reflect specific experiences and attitudes of middle‐class professionals and may not be generalisable, increased contact of the 'multicultural middle class' with its Anglo‐Australian counterpart is likely to be a factor in dissociating foreign accent and negative stereotyping.     

Policy Development for the Reduction of Alcohol and Other Drug Problems at an Australian University

Universities, as with other workplaces, experience problems related to alcohol and other drug use by staff and students. There is little published information about the prevalence of these problems among students in the university setting in Australia as compared with the availability of information from the USA. Curtin University of Technology's experience with alcohol-related problems seems to be documented better than most other Australian institutions, and the available evidence indicates that the level of student alcohol consumption and reported alcohol-related problems is cause for concern. However, this is not to say that Curtin's problems may be any greater than those of any other Australian university with alcohol available on the premises. Many years of involvement in health promotion teaching and research, combined with identification of alcohol and drug related problems on campus, were thought to be the primary factors preceding the university's decision to begin the process of formulating comprehensive alcohol and other drug policy for staff and students. The absence of clear and consistent alcohol and other drug policy can lead to 1) undermining of the educational environment, 2) confusion about appropriate behaviour, 3) dealing with drug-related problems by inaction or arbitrary and inappropriate action. Alcohol and other drug policy has two main goals: problem reduction and better management of problems.     

CONTESTING FAIRNESS AND FRAGMENTING GROUPS: CULTURAL NARRATIVES OF TAXATION AND CITIZENSHIP IN GLOBALISING AUSTRALIA

This paper explores the relationship between culturally mediated narratives of fairness, conceptions of the state, group and individual identities, citizenship and debates about globalisation in Australian perspectives on tax administration. It is based on a qualitative analysis of 2374 responses to a survey of attitudes to the Australian tax system. This paper emphasises that taxpayer's statements can be read as cultural acts that enrich our understanding of how people give meaning and significance to their lives. The majority of respondents reported that taxation should be levied fairly across social groups. However, this sense of fairness is being eroded by the widespread perception that the wealthy are avoiding their “fair share” of taxes. However, although citizens view tax administration as increasingly unfair, there is no evidence of wholesale disengagement from the system. The majority of people believe that the tax system has legitimacy and that it can be reformed. There is still scope for policy innovation that reinstates a sense of fairness, equity and balance to the tax system.     

The influence of social and ethnic segmentation on consultation in primary health care

This paper analyses the utilization of primary health care by a population of whom 28% were not born in Sweden. The study emphasizes the impact of demography, housing and economic factors on the structure of the residential area. Households with meagre financial resources, large families and most of the immigrant population were tenants in multiple-occupancy blocks. Further, when demographic development was analysed over a decade, high turnover and a low median age were found in 2 of the multiple-occupancy areas, indicating social instability. The study revealed a process of both socioeconomic and ethnic segmentation (non-spatial segregation in a residential area). The age- and sex-standardized relative risks (RR) showed that the population in subareas consisting of multiple-occupancy housing in socially unstable areas also had an increased risk of having to visit primary health care. There were no differences in the number of visits to primary health care between people born in Sweden and those born outside Sweden (relative risk (RR) = 1.09,95% confidence interval (CI) = 0.90–1.30), but those born outside Sweden more often made visits that lasted longer than 30 minutes (odds ratio (OR) = 3.75, 95% CI = 2.09–6.71).     

Theoretical Model with Reciprocal Effects of Youthful Crime and Drug Use

ABSTRACT

The purpose of this study of 1,093 adolescents from six public high schools was to see if a social control model with several reciprocal relationships between social learning elements and delinquency was useful. The same hypothesized model was applied to criminal behavior, alcohol use, and other drug use.

Whereas the hypothesized theoretical model does explain considerable variation in frequency of alcohol use and of criminal behavior (22% and 24%, respectively), it does not account for much variance in drug use (6%). On the other hand, there are several reciprocal relationships in common across these forms of delinquency. The study clearly supports the need to formulate and test models with reciprocal effects. The social work implications of these findings are discussed.     

The role of research in drug policy in Hong Kong: highlighting life satisfaction from two longitudinal studies of drug abusers

ABSTRACT

This paper examines the role of research in the development of drug policy in Hong Kong. The upsurge of the prevalence of psychoactive drug abuse in young people since the mid-1990s had brought about a great demand for medical and social science research on psychoactive drugs and users. Among a large number of Beat Drugs Fund-funded projects, two longitudinal studies, conducted between 2000 and 2002 and between 2009 and 2011, respectively, were used to illustrate the possible contributions of research findings to treatment and rehabilitation services. The most salient finding present in both studies was the significant and negative relationship between life satisfaction and continuation of drug use. The finding suggested that subjective well-being should be incorporated into treatment programmes, and there is a need to provide post-treatment services to young rehabilitated psychoactive drug abusers in the form of life planning programmes and organisation of sustainable social activities in the community.     

English proficiency in Australia, 1981 to 2016

Using Australian census data, the paper examines the incidence of poor English competency in Australia from 1981 onwards. The paper examines English competency in relation to various characteristics such as sex, age, language spoken, visa type, citizenship, duration of residence and location. It finds that there was a sharp rise in the numbers of people not speaking English well between the 2011 and 2016 Censuses and special attention is given to this rise in the paper. Recently, the Australian Government unsuccessfully legislated for the introduction of a requirement of English competency at the level of IELTS 6 (the commonly used university entrance level) as a condition for the award of Australian citizenship. The paper argues that this test would have led to a very large number of disenfranchised Australian permanent residents and this would be a highly undesirable result. Nevertheless, employment and social participation are strongly influenced by English competency and residents with poor English are disadvantaged. The policy suggestion is made that participation in a course of English language training for those without functional English skills could be made a precondition of the award of permanent residence—without the application of a passing grade.     

Confidence in Australian Institutions 1983–2005

This paper examines changes in the level of institutional confidence in Australia between 1983 and 2005. The principal aim of the paper is to disaggregate the general trend in social trust and overall institutional confidence. Using data drawn from three waves of the World Values Survey undertaken in 1983, 1995 and 2005 we examine whether social trust and confidence have declined and the differing patterns of confidence for different birth cohorts in Australia. The results show a significant decrease in social trust and a large decline in confidence between 1983 and 1995. There was little change in confidence between 1995 and 2005, but social trust returned to the 1983 level over that period. A cohort analysis shows that the oldest cohort, those born before WWII, reported the largest decline in confidence, while by 2005 the baby boomers (or middle cohort born between 1944 and 1955) were the most confident, with the oldest group reporting the least confidence. Throughout the 1990s and early 2000s confidence has been at a much lower level than in the early 1980s.     

Graduating from the child welfare system: a comparison of the UK and Australian leaving care debates

Historically, insufficient resources and assistance have been provided to young people leaving state care. Care leavers have been found to experience significant health, social and educational deficits including homelessness, disproportionate involvement in juvenile crime and prostitution, poor social supports and early parenthood. This paper compares the UK and Australian debates around improving outcomes for care leavers. Whilst there are some minor differences in the respective legislative frameworks and responses, the similarities are far greater. Both countries have failed to provide the range of in-care, transitional and post-care supports and services required to ensure improved outcomes for care leavers.     

Australian Social Security Appeals

Early developments in the Australian system of provision for poor people led first to voluntary charitable assistance and then to a more generalized system of social security. A national scheme of old age pensions came in only in 1908; and social assistance schemes, as well as demogrants for defined statuses have gradually spread throughout the Australian Commonwealth. Specific provisions to meet crisis situations remain the responsibility of individual States. There are strong discretionary elements in the whole system. The arrangements for appeals against administrative decisions, and the reviews of these arrangements recently made, are then examined critically.     

Labour market integration of unemployed youth from a life course perspective: the case of Norway

The aim of this article is to analyse the labour market integration of previously unemployed youth in a life course perspective. 'Work, Lifestyle and Health' is a longitudinal panel survey following a sample of nearly 2,000 individuals who are representative of the Norwegian cohorts born between 1965 and 1968. The survey was first conducted in 1985 with follow-ups in 1987, 1989, 1993 and again in 2003. Unemployment among young people does not necessarily lead to marginalisation and social exclusion. Long-term effects will be dependent upon how the youths cope with unemployment, the duration of the unemployment period, their mental health status and educational qualifications. Many young unemployed people are not entitled to unemployment benefits because they lack work experience. Consequently, they are dependent on support from their family and/or social assistance. However, there is still much to learn about the long-term consequences of youth unemployment, e.g. whether or not the youths have received social assistance and what are the long-term consequences for their future labour market career and labour market integration.     

How has the relationship between parental education and child outcomes changed in Australia since the 1980s?

This paper examines how the relationship between parents' educational achievement (a marker of their socio‐economic status) and children's early developmental outcomes has evolved in Australia since the early 1980s. The specific focus of this paper is whether the gradient in children's early developmental outcomes by parents' education has changed since the 1980s. A comparative analysis of two surveys is undertaken that follows Australian cohorts of children through their early years – the Australian Temperament Project (following children born in Victoria in the early 1980s) and the Longitudinal Study of Australian Children (following a representative sample of children born in Australia in 1999). The analysis shows that the relationship between parental education and children's early developmental outcomes does not in general appear to have changed greatly over the years. The gradient associated with behaviour difficulties, persistence in behaviour difficulties over time, and in reading skills has either remained the same or strengthened somewhat, while the gradient associated with social skills has weakened. The paper concludes with a discussion of issues that might explain these trends.     

Public Opinion On Taxes And Government Spending

This article analyses egalitarian attitudes as well as opinions concerning taxation and government spending. Australians would prefer to have their taxes reduced than to increase government spending on social services, if faced with such an alternative. Typical welfare programs have a low priority, but the public would like to see increased spending on education and science, health services, roads improvements, military defence, and fighting against drug addiction. An individual's opinions about government spending are influenced by his or her socio-economic characteristics, with unemployed people and urban dwellers being more supportive of government spending on social programs.     

Patterns of deviant career in the history of female methadone clients: an exploratory study

The aim of this article is to describe the drug career of 71 severely opioid-dependent women who had a history of selling sex and were enrolled in methadone maintenance treatment. Data were collected through semi-structured interviews, from medical records and reports from social agencies and correctional institutions. The sequential pattern could be described in the following order: initiation of the first drug of abuse, opioid onset, initiation of selling sex, first non-methadone treatment episode, first sentence and, finally, methadone maintenance treatment. There were significant age differences and correlations between most of the events. The main correlation ( r = 0.70) was the one between debut of opioid use and selling sex, which was confirmed in a stepwise multiple regression analysis. In addition, a history of running away from home advanced the age at which the women started selling sex for those with an onset of opioid use at an older age than the mean of 18.4 years.     

Ethical Dilemmas and Areas of Social Work Intervention in Spain

Abstract

The purpose of this study is to identify the types of ethical dilemmas that Spanish social workers face in their respective areas of intervention. The intervention areas that have been studied are health, children, immigrants, women, family, marginalized persons, ethnic minorities, young people, prisoners, elderly people, refugees and asylum seekers, schools and social and employment-related integration, mental health, disability and drug addictions. A quantitative methodology was chosen using a version of the questionnaire prepared by Eileen J. Ain in a sample of 700 Spanish social workers. The statistical analysis shows the correlation between the different areas of intervention in Social Work and the most significant ethical dilemmas that such professionals have to solve. The most pertinent ethical dilemmas are found in the healthcare sector (confidentiality, disclosure of personal information and patient autonomy). The article is an important contribution for Social Work at the national level that emphasizes the importance of the ethics of Social Work in social interventions. It is proposed to deepen the investigation of each of the areas of intervention for future research, as well as to carry out comparative studies between different countries.