War-wounded refugees in Sweden

Sixty-one newly arrived war-wounded refugees were interviewed about their background and flight while treated at the Medical Center for Refugees, University Hospital, Linköping, Sweden. They came from 9 countries in Asia, Africa and Latin America. Spinal cord injuries, nerve lesions, amputations and fractures were the most frequent injuries. The group was heavily burdened with regard to factors that might be of significance for wellbeing and integration in Swedish society: torture (51%), imprisonment (49%), loss of kin in war (62%), difficulties while growing up (54%), little or no schooling (48%), not having made the decision to flee oneself (46%) and having to leave the family behind (90%). This study is a first step in a longitudinal research project to shed light upon the situation of war-wounded refugees on arrival in Sweden and after 2 years.     

Exploration of the life histories and future of war-wounded Salvadoran and Iranian Kurd quota refugees in Sweden: a qualitative approach

This study explores the life histories of ten Salvadoran and twelve Iranian Kurd refugees. Both groups came to Sweden as war-wounded quota refugees and their migration was forced. They had spent many years in guerilla movements and were experienced soldiers despite their youth. They were interviewed during hospitalisation shortly after arrival in Sweden, and followed-up after two years. The findings suggest that repatriation is a recurrent theme in the future plans of these refugees. The reconstruction of identity may take many forms due to a background as youth soldiers as well as their different experiences of the culture in the host country. Longitudinal studies of how refugees rebuild their lives are needed, and comprehensive analysis from different theoretical perspectives is a necessary complement to general adaptation models.     

Is disability pension related to quality of life?

The aim of this study was to investigate the quality of life (QL) among early retired pensioners (ERPs) granted a disability pension due to musculoskeletal disorders. A questionnaire was sent to 450 ERPs and to a control group of the same size living in the municipality of Kristianstad, Sweden. Interviews were performed with ERPs with positive and progressing QL (n = 29) and ERPs with negative and declining QL (n = 26). The QL among ERPs was lower than among controls. ERPs below 55 years of age and immigrant ERPs had higher odds for a low/declining QL than older and Swedish ERPs, respectively. The most important domain influencing the QL among ERPs was the relationship or lack of relationship with family and others. ERPs with low/declining QL pointed out that poor subjective health status and economic problems were crucial reasons for their low QL.     

Prediction of outcome in coerced and voluntarily treated alcoholics

The study concerns multivariate prediction of the short-term outcome of alcoholism in a coercive treatment setting in Sweden. One hundred and twenty-one patients (87 men, 34 women) with a mean age of 41 (range 26–63) years attended a 5-week program. They were for the most part severely alcohol-dependent and socially unstable. Compulsorily committed patients ( n -32) were less socially stable but did not differ from the voluntary patients ( n =89) in the type of drugs abused. Nine months (mean) after treatment, a follow-up was performed by mailing questionnaires to the patients and to the referring social workers. The improvement data in the questionnaires were checked with other data. Data on alcohol abuse were available for 116 (96%) of the patients; 55% improved. Of these, 13% had remained entirely abstinent. Using multivariate logistic regression, participation in a self-help group and first-time admission were found to be significant factors for overall improvement, while having a family and more than primary education were significant for abstinence. Compulsory commitment to treatment was not related to the short-term drinking outcome. Undergoing voluntary treatment and having previous treatment experience were significant factors for participation in self-help groups.     

SKILLS RECOGNITION AND REFUGEES: MIGRANTS WITHOUT OPTIONS

In the post-war years, Australia has accepted more refugees on a per capita basis than any other country. Refugees are unlike other migrants in that they are forced to move. They have no option. They arrive unprepared for settlement. They have more difficulty finding employment, especially at an appropriate level, than other immigrants. They often come without format documents, with limited English language ability and with few supports. All of these factors make skills recognition even more difficult than for other non-English speaking background immigrants. Different training models, continued chauvinism about Australian training versus overseas training, inadequate attention to existing skills and the protectionist policies of some employers, professional bodies, etc all militate against refugees slotting into the labour market at a level commensurate with their pre-flight level. Australia needs to do more than select people and then leave them to their own devices. Carefully planned and ongoing programs are needed to help refugees integrate satisfactorily into the labour market. There is still a perception among refugees that Australia only wants them as labourers.     

Empowering refugees and asylum seekers in the Italian agriculture sector by linking social cooperative entrepreneurship and social work practices

The present study investigated the potential of social cooperative activities and social work practices in the Italian agriculture sector in promoting sustainable integration forms for refugees and asylum seekers. The study adopted a qualitative approach using case study as the main research method. As the results show, the complexity and diversity of needs of refugees and asylum seekers make collaboration between formal and informal actors increasingly necessary for generating a common knowledge and support networks. The article argues that integrated approaches to refugees’ socio‐economic integration are needed to free them from the need for assistance and thereby help them regain their autonomy. The case study presented gives insight into the potential of small‐step experiences towards sustainable development and, linked to this, the integration of refugees and asylum seekers based on self‐organisation and cooperation, considering the well‐being of all citizens in the broader context.     

A marketization process in dispute: An analysis of serviced housing for the elderly in Finland, 2000–14

Marketization can be viewed as a potential response to the economic challenges of the public sector. The present study is focused on the development of marketization in serviced housing for the elderly in municipalities within Finland. Marketization is approached by asking the question: What kind of municipality‐level factors are associated with marketization and its development? The data consist of 290 municipalities and cover the years 2000–14. According to the study, the size of the municipality, the political distribution of the municipality council, and the economic situation of the municipality are found to be associated with marketization. More preciesly, the municipality size was found to be a kind of prism, which creates two different realities when it is linked with political distribution and transfers. In the case of big municipalities, the big share of Green‐Left council members on municipality councils has been associated with a low level of marketization. However, in the case of small‐ and medium‐sized municipalities, the low level of marketization has been associated with the government statutory transfers between the state and municipalities, which has helped smaller municipalities to avoid fiscal stress. In a policy context, the present study suggests that the marketization process can be slowed down by supporting the economically weakest municipalities to avoid fiscal stress. On the other hand, the marketization process can be supported by creating bigger municipalities which are then attractive enough to create an effective market mechanism.     

THE LABOUR MARKET EXPERIENCE OF CAMBODIANS: POLICY IMPLICATIONS FOR SETTLEMENT SERVICES

A proportion of the annual migrant intake now comprises persons accepted under the Refugee and Special Humanitarian Program entry categories, for reasons other than the direct contribution their skills can make to economic growth. This paper examines the labour market experience of Cambodians, and considers the policy implications for resettlement services for refugees. Cambodians experience high rates of unemployment, and have low levels of English language proficiency, low levels of educational attainment, and few possess post-school qualifications. Reluctance to develop settlement services for refugees, to make special provisions for access within existing services, or even to ensure equitable access to existing services has contributed to the long term economic dependency of a sizeable proportion of this group. It is recommended that they be given greater access to basic, advanced and job related English language tuition. They, and other refugees with similar disadvantages also require special access to job search skills programs, vocational training, and wage subsidy and special employment programs.     

Making ends meet: perceptions of poverty in Sweden

During the era after the Second World War, Sweden has built a welfare system based on labor market participation and income maintenance. Low unemployment and decent wages are supposed to guarantee people a labor market income or income maintenance, which in turn should provide a proper standard for everyone. However, a rapid increase in unemployment and economic problems have made the future of the Swedish welfare state more uncertain than ever. These circumstances have, among other things, led to the suggestion that Sweden should abandon the income maintenance policy and create a social policy system with the more limited ambition of guaranteeing everyone a minimum income. In that case, one central question must be answered: what constitutes a decent minimum income in today's Sweden? Where should we draw the poverty line under which people will not be forced to live? These questions are central in the current debate. The consensual poverty line method is used in this article to derive a poverty line relevant for today's Sweden. The results shows that more than every fifth household has an income below the consensual poverty line. That is, they have an income that most Swedes would argue is too low to make ends meet. The level of the consensual poverty line was compared with the National Board of Health and Welfare's guidelines for social assistance. The consensual poverty line was shown to be more generous to small households and the norm for social assistance was more generous to larger households. Finally, the expenditure for guaranteeing all Swedish household a minimum income equal to the consensual poverty line was estimated: more than SEK 25 billion per year. The results in the article casts serious doubt on the ability of the Swedish welfare state to secure a decent income to all citizens.     

Unemployment and economic security for young adults in Finland,Norway and Sweden: From unemployment protection to poverty relief

In this study, we investigated if there has been a displacement in the type and coverage of welfare services available for young unemployed adults in Finland, Norway and Sweden over the last two decades. This question is important because a number of studies have argued that the generous unemployment benefits and extensive labour market intervention found in the Nordic welfare states shield young people from the most severe consequences of economic inactivity. In this article, we instead show that during this period, less generous means‐tested unemployment and social assistance benefits have become the most important form of income protection for young people. In evidence, earnings‐related unemployment benefits now cover only 10 per cent of unemployed Swedes and Finns and 45 per cent of unemployed Norwegians aged 24 years or younger. This development marks a significant change in our understanding of unemployment protection for young people in Nordic countries.     

Activation Reform and Inter‐Agency Co‐operation – Local Consequences of Mixed Modes of Governance in Sweden

Organizational reform has become a recurring solution to problems of social exclusion and unemployment. In Europe, and other parts of the world, there is a trend towards policies of ‘activation’ in employment and social policy. The idea of flexible, individualized and tailor‐made services is coupled with managerial and market‐based reforms as well as collaborative governance. In these complex structures of service provision, coordination and inter‐agency co‐operation have become key concerns. Based on a study of a recent reform of programmes for newly arrived refugees in Sweden (Etableringsreformen), this article seeks to contribute to the literature on governance of ‘activation’ by examining the consequences of mixed modes of governance (market and collaborative) on local inter‐agency co‐operation. Drawing on data from in‐depth case studies in two municipalities, it is demonstrated how the coupling of managerial practices and quasi‐markets with existing collaborative arrangements has created barriers for inter‐agency co‐operation. The results indicate that institutional tensions between governance forms represent an important factor for explaining governance failure in this policy area.     

Appearance Culture in Nine- to 12-Year-Old Girls: Media and Peer Influences on Body Dissatisfaction

Little research has investigated sociocultural factors in the development of body dissatisfaction in preadolescent girls. This study examined the combined influence of media and peer factors. The participants were 100 girls aged nine to 12 years. The girls completed questionnaire measures of media exposure (television and magazines), peer influences (appearance norms, appearance conversations), internalization and body dissatisfaction. Their height and weight were also measured. About half (49 percent) of the girls displayed a desire to be thinner. The influence of sociocultural factors was confirmed in addition to biological determinants, such as body mass index. Their exposure to appearance‐focused media was not directly related to their body dissatisfaction, but was indirectly related via their conversations about appearance among peers. The path analysis showed that peer appearance conversations demonstrated a significant relationship with internalization of thin ideals, which was, in turn, significantly related to body dissatisfaction. Like their adolescent counterparts, preadolescent girls are also exposed to appearance ideals presented in the media and manifested among peers. The results provided evidence for the existence of an ‘appearance culture’ consisting of interrelated media and peer influences among girls as young as nine to 12 years of age.     

Mortality after care among young adult foster children in Sweden

This exploratory study looks at mortality after care among 13,100 former Swedish foster children, placed before their teens. Sources used are two national databases, on child welfare interventions and causes of death. Risk ratios of death for foster children are compared with those of their peers in the general population and with a comparison group, consisting of 10,668 young adults from adverse home backgrounds, who never entered foster family care before their teens. Both ex-foster children and the comparison group were young adults (19–26 years old) at time of follow-up. Results show a moderately elevated risk ratio for both groups compared with peers in the general population, mainly due to more frequent unnatural deaths, especially suicides. Time at first placement was not related to mortality among men, but there was a weak tendency of a higher risk ratio for girls placed at age 7–12. Information on time spent in care is used with caution, due to possible problems with reliability. Almost all comparisons between the foster care and the comparison group fell short of statistical significance. For foster children who had spent more than five years in care, the risk ratio tended to be higher than for foster children with shorter care experience, and similar to that of the comparison group. Foster children who had been in care for less then six years thus tended to have a lower risk ratio than the comparison group.     

人力资本、劳动力市场分割与收入分配

关于收入不平等的解释,学界有个人主义和结构主义两种理论取向。笔者整合两种理论解释,同时考虑人力资本和劳动力市场结构,以及两者之间的交互效应,提出一个影响收入分配的基本模型。用“中国综合社会调查”（CGSS2003）数据对这一模型的检验表明,人力资本是决定收入分配的主要因素,但市场部门对劳动力的分割所产生的影响也不可忽视;人力资本和市场部门之间存在交互作用,人力资本越多的劳动力越容易进入国有部门（垄断或非垄断）;同时,国有部门（垄断或非垄断）也能为内部劳动力提供更多提升人力资本的机会。     

The historical patterns of occupational attainment of racial minorities in Massachusetts: An analysis of the 1974–2002 Current Population Survey Data

In the past three decades numerous studies have been conducted to document structural changes in the labor market and their impacts on occupational attainment at the national level. However, few systematic studies have been conducted to assess racial disparity in the labor market at the state level over time. As Massachusetts has become more racially diverse than ever before and is prepared for greater challenges in the global economy, the state has to make sure that its labor force is ready to embrace the challenges. Thus, it is critically important to review the historical patterns of racial disparity in the state labor market over time and to explore factors that may help address occupational disparity. Relying on the human capital theory, this study will use the state data from the Current Population Surveys to assess the extent of labor market segmentation and examine factors that may contribute to racial occupational attainment over time.     

Social risks and public pension in South Korea

This study investigated how traditional and new social risks have emerged in South Korea and how policies have coped with them, focusing on the public pension program. Using national statistics data and publicly published government reports, factors such as marital status, economic activity, and the insurance trend of the public pension by age and gender for the last decade were examined. Main results are as follows. Women's labor force participation has slightly increased; however, career discontinuity remains and new family risks have increased. Second, women's public pension coverage as a percentage of the employment rate has substantially increased, implying that old labor market risks have largely been reduced for female workers. Third, the public pension insured rate among male workers has decreased to a small degree, which implies that new labor market risks are increasing for male workers. Consequently, the gender gap in risk has been reduced; however, policies established to deal with new risks have introduced some gender effects     

Social Support from Sponsorships as a Moderator of Acculturative Stress: Predictors of Effects on Refugees and Asylum Seekers

N = 63 refugees and asylum seekers, 27 women and 36 men with a mean age of 33.08 years (SD = 10.3) from Chechnya and Afghanistan were granted sponsorships for six months and were randomized to an intervention and a waiting-list control group. Only participants with a history of traumatization benefited from the intervention. For the traumatized sub-sample, sponsorships led to a significant and stable decrease in anxiety, depression, and psychological problems as compared to the control group, with effect sizes comparable to those of psychotherapy. The effects being rather palliative than instrumental, however, sponsorships did not instigate improvements in acculturation, societal contact, or coping capability. Women benefited more from the intervention than men, and Afghans more than Chechen.     

Assessing mental health and service needs among refugees in Malaysia

Refugees in Malaysia often experience economic insecurity and poverty, poor health, poor mental wellbeing and limited legal rights. Using a survey with quantitative measures and open‐ended questions, we assessed socio‐demographic characteristics, mental health (RHS‐15), and service needs, including interest in group support services, among 86 Dari‐ and Arabic‐speaking refugees living in Kuala Lumpur. High levels of emotional distress were found, as nearly all participants scored positive for distress and average scores were 2.5 times above the cut‐off signifying distress. Distress scores did not vary based on most factors examined, although being married was associated with lower levels of distress. All but one participant expressed interest in participating in a support group. Barriers to potential participation included childcare, sickness and transportation. Additional mental health and social supports are needed among refugees residing in Malaysia. Key Practitioner Message: ? Emotional distress is high among Dari‐ and Arabic‐speaking refugees sampled in Malaysia; ? Participants expressed strong interest in accessing supportive mental health services, including group supports.     

Can Education Make Us Healthier? An Urban-Rural Comparative Analysis Based on the Chinese General Social Survey of 2010

In modern society, educational achievement’s impact on individual lives is reflected not only in economic benefits in the labor market but also in various “intangible returns.” Based on national data from the Chinese General Social Survey of 2010, our analysis of the urban- rural disparity and mediating factors in the health benefits of educational achievement shows that education has positive returns in terms of health for both urban and rural residents, but the returns to compulsory education and senior middle school differ for the two groups. This difference may be caused by the gap in the quality of compulsory education between urban and rural areas. Therefore, a linchpin of the relevant education policies should be encouragement of “urban-rural integration” in terms of the quality rather than just the quantity of education and the universalizing of senior middle school education in rural areas.     

Quality attributes of home help services in Sweden and Canada – a consumer view

The ranking pattern of quality attributes among the respondents of the sample from Canada was very different from those comprising the sample from Sweden. Both samples were drawn from city populations and some similarities were expected. In Sweden, continuity and personal suitability (personal qualities and professional competence) were the most important general quality attributes followed by personal relationship, times/availability and influence. The Canadian sample ranked personal suitability and the time/availability variables as the most important quality attributes followed by influence, continuity and personal relationship. Background factors linked to each sample appeared to affect the ranking pattern. In the Swedish sample, the ranking pattern was affected mainly by the same independent background variable, while in the Canadian sample the ranking pattern was a little more diversified. There were also differences in the satisfaction arising from home help services received by the two samples. The Swedish sample generally experienced a higher level of satisfaction for individual attributes of home help, but overall satisfaction with the home helper and the home services were similar, with both groups being "rather to very satisfied". Good subjective health in the Swedish group was significantly related to positive overall judgment of the home help. In the Canadian population, high age and low charge for the home help services were significantly related to positive evaluation of the home help. The policy implications of the results for the future are discussed.