Community engagement in the Aboriginal Families Study: Strategies to promote participation

Background

Aboriginal women and families are under-represented in Australian research on pregnancy and childbirth. The Aboriginal Families Study aimed to investigate the views and experiences of a representative sample of women giving birth to an Aboriginal baby in South Australia between July 2011 and June 2013, using methods designed to respect Aboriginal culture and communities.

Feeling Close to Fellow Citizens in Hong Kong,Korea, Taiwan,and Thailand

Feeling close to fellow citizens in the city is a feature of social cohesion that is worth investigation among East Asian societies for exploring societal conditions for the closeness. Because of the variation of such conditions among the societies, differentials in the closeness among the societies are possible. As the variation of societal conditions can translate into differences in personal characteristics and experiences, such differences are likely to explain differentials in the closeness. This likelihood is a focus for the present study, which surveyed 4,087 adult citizens in Hong Kong (n = 681), South Korea (n = 1,006), Taiwan (n = 1,200), and Thailand (n = 1,200). Results revealed significant differentials in the closeness among the societies, showing that it was highest in Thailand and lowest in Taiwan. Furthermore, these differentials were largely due to differences in personal and characteristics among citizens in the four societies. Among the significant predictors of the closeness, work-family conflict and the costliness of medical expense are two experiences. The two experiences, as well as other predictors, champion a conflict or social force explanation for citizens’ closeness. Accordingly, conflict or social force that is incapacitating would estrange the incapacitated individual from others. The results and explanation imply that relieving work and family conflicts is relevant to lifting citizens’ closeness. In conclusion, the East Asian societies manifested differentials in citizens’ social cohesion, and the differentials are explicable by differentials in resources and conflicts among the societies.     

Extractive workload: a mixed-method approach for investigating the socially differentiated effects of land-use/land-cover changes in a southern Zambian frontier

In rural regions across the globe, local natural resources (i.e., “bush” resources) are central to meeting daily household needs. Culturally-influenced gender- and age-based divisions of labor guide the harvesting of these resources and, as a result, shifts in resource availability will differentially affect women, men, girls, and boys. This research brief presents results of an innovative pilot project designed to assess the socially differentiated effects of land-use/land-cover changes (LULCC) on Gwembe Tonga migrants living in Kulaale, an agricultural frontier in southern Zambia. Integrating existing analyses of remotely sensed imagery with a seasonal resource survey and mapping exercise (n = 20 homesteads), this study finds the average extractive workloads (mean annual distance traveled for the collection of bush resources) of women, men, girls, and boys to be both unequal and contrary to recent speculations about the distinctive vulnerability of adult women to environmental change. Drawing on qualitative ethnographic methods—including semi-structured interviews (n = 101), a homestead labor survey (n = 38), participant observation, and references to over fifty years of anthropological research—the author identifies additional variables—including the demographic structure of Kulaale homesteads and the flexible division of subsistence labor—that color Gwembe Tonga migrants’ aged and gendered experiences of LULCC. The study adds important nuance to our understanding of natural resource practices and individual-level vulnerability, particularly in the face of contemporary environmental change.     

Factors associated with breastfeeding initiation and maintenance for Aboriginal and Torres Strait Islander women in Australia: A systematic review and narrative analysis.

BackgroundAustralian Aboriginal and Torres Strait Islander (hereafter referred to as Aboriginal) women breastfeed at lower rates than non-Aboriginal women. Little is known about factors associated with breastfeeding specific to Aboriginal women and infants.AimDetermine the protective and risk factors associated with breastfeeding for Aboriginal women in Australia.MethodsCINAHL, Medline, EMBASE, SCOPUS, PsycINFO, and the Cochrane library were searched for peer-reviewed literature published between 1995 and 2021. Quantitative studies written in English reporting protective and risk factors associated with breastfeeding for Aboriginal women or women having an Aboriginal infant were included. Ten percent of papers were co-screened, and two reviewers completed data extraction. Narrative data synthesis was used.FindingsThe initial search identified 12,091 records, with 31 full text studies retrieved, and 17 reports from 14 studies met inclusion criteria. Protective factors included living in a remote area, attending an Aboriginal-specific service, attending a regional service, higher levels of education attainment, increased maternal age, living in larger households, being partnered, and having a higher reported number of stressful events and social health issues. The identified risk factors were smoking in pregnancy, admission to SCN or NICU, and being multiparous.ConclusionThis review identified factors associated with breastfeeding for Aboriginal women. Government focus, support, and consistent funding are required to plan and implement evidence-based interventions and services for Aboriginal women and infants in urban, rural, remote, and very remote locations. Rigorous research is required to understand the Aboriginal-specific factors associated with breastfeeding to improve rates and health outcomes for Aboriginal women and infants.     

Changes in Social Exclusion Indicators and Psychological Distress Among Homeless People Over a 2.5-Year Period

Although homelessness is inherently associated with social exclusion, homeless individuals are rarely included in conventional studies on social exclusion. Use of longitudinal survey data from a cohort study on homeless people in four major Dutch cities (n = 378) allowed to examine: changes in indicators of social exclusion among homeless people over a 2.5-year period after reporting to the social relief system, and associations between changes in indicators of social exclusion and changes in psychological distress. Multinomial logistic regression analysis was applied to investigate the associations between changes in indicators of social exclusion and changes in psychological distress. Improvements were found in various indicators of social exclusion, whereas financial debts showed no significant improvement. Changes in unmet care needs, health insurance, social support from family and relatedness to others were related to changes in psychological distress. This study demonstrated improvements in various indicators of social exclusion among homeless people over a period of 2.5 years, and sheds light on the concept of social exclusion in relation to homelessness.     

Sleep quality at 3 months postpartum considering maternal age: A comparative study

Background

Poor sleep quality is related to old age among the general population, but few studies have focused on postpartum women of advanced maternal age. The present study aimed to describe and compare sleep quality between women younger or older than 35 years of age at 3 months postpartum, and to examine the related factors.

Review of online breastfeeding information for Aboriginal and Torres Strait Islander women

BackgroundBreastfeeding provides the healthiest start to life, but breastfeeding rates amongst Aboriginal and Torres Strait Islanders is lower than non-Indigenous women.AimTo assess the accuracy, quality and appropriate presentation of online breastfeeding information for Aboriginal and Torres Strait Islander women in Australia.MethodsAn online search conducted in Google, Bing and Yahoo search engines to identify any breastfeeding websites that provided information for Aboriginal and Torres Strait Islander women. Relevant websites were evaluated against: a) National Health and Medical Research Council clinical guidelines, b) the quality of health information on the Internet by using DISCERN instrument, and c) appropriate key design features for Aboriginal and Torres Strait Islander women.ResultsThe search located 348 sites with 31 being eligible for inclusion. Websites from governmental organizations had the highest accuracy while YouTube videos had the lowest accuracy. Three quarters (74%, n = 23) of sites incorporated the national clinical guidelines adequately, and most of the sites (77.8%, n = 24) were considered high quality. Only 23% (n = 7) of sites had sufficient key design features appropriate for Aboriginal and Torres Strait Islander women. Four websites were considered exemplary for their accuracy, quality and cultural appropriateness of information for Aboriginal and Torres Strait Islander women.ConclusionSome websites are tailored to provide breastfeeding information and support to Aboriginal and Torres Strait Islander women. However, only a few contain culturally appropriate key design features. Further participatory action research is required to design online platforms for women from different cultural backgrounds that take into account cultural principles, beliefs and values.     

Adaptation and Dissonance in Quality of Life: A Case Study in Mekelle,Ethiopia

This study aimed to determine predictability of life satisfaction by focusing on social support, substance abuse, socio-demographic factors as well as received health services from medical and traditional centers in the elderly with dementia. The subjects were 1,210 non-institutionalized Malaysian elderly with cognitive problems. In addition, age, ethnicity, sex differences, marital status, educational level, social support, substance abuse and receiving health services were evaluated to predict the risk of falls in samples. Social support was measured by Lubben score. Substance abuse was referred to smoking per day, addiction to alcohol consumption as well as dependency to medications. Health care supports, which were received by individuals included medical and traditional treatments. Life satisfaction was measured by asking in general ‘Are you satisfied with your current life’. The multiple logistic regression analysis was used to determine the effects of contributing variables on life satisfaction in respondents. Approximately 83 % of subjects reported that they were satisfied with their current life. The results of multiple regression analysis showed that marital status (OR = 1.98), traditional treatments (OR = 0.43), social support (OR = 2.28) and educational level (OR = 1.79) significantly affected life satisfaction in samples (p < 0.05). Furthermore, age, ethnicity, sex differences, substance abuse and medical treatments were not significant predictors of life satisfaction (p > 0.05). It was concluded that social support, being married and education increased life satisfaction in subjects but traditional treatments decreased life satisfaction.     

Parental Resources, Schooling Achievements, and Gender Schooling Gaps: Evidence of Change over 25 years in Rural Guatemala

We use village census data and linear regression models to examine changes between 1975 and 2002 in the associations of parental resources with boys’ and girls’ schooling in four rural Guatemalan villages. Levels of schooling in 1975 were universally low for children 7–17 years. Large increases in schooling achievements occurred between 1975 and 2002. By 2002, schooling levels were comparable for younger boys and girls (7–12 years, N = 3,525) and favored older boys compared to older girls (13–17 years, N = 2,440) by about 0.5 grades. The associations of household standard of living and maternal schooling with schooling among girls diminished over time and became more comparable with these associations among boys, and the associations of household standard of living with schooling among older boys declined and became more comparable with these associations among girls. Thus, as increased social investments reduce the costs of schooling or increase the supply and quality of schooling to families, the magnitudes of the associations between parental resources and children’s schooling decline and become more gender equitable at all ages. However, our results show that older boys may benefit more than older girls from social investments in schooling. These changes suggest potential needs to monitor gender gaps in schooling retention among older children, to insure gender equitable access to social investments in schooling, and to encourage parents to invest in schooling as joint measures to achieve greater schooling achievements of girls and boys.     

Neighborhood Coethnic Immigrant Concentrations and Mexican American Children’s Early Academic Trajectories

We use data from the Early Childhood Longitudinal Study, Kindergarten Class of 1998–1999 as well as neighborhood data from the 2000 U.S. Census to examine relationships between neighborhood Mexican immigrant concentration and reading (n = 820) and mathematics (n = 1,540) achievement among children of Mexican descent. Mixed-effects growth curves show that children living in immigrant-rich communities enter school at an achievement disadvantage relative to children in neighborhoods with fewer coethnic immigrant families. However, these disparities are driven by lower-SES families’ concentration in immigrant-heavy neighborhoods as well as these neighborhoods’ structural disadvantages. Controlling for children’s generation status and socioeconomic status, as well as neighborhood-level measures of structural disadvantage, safety, and social support, neighborhood immigrant concentration demonstrates a modest positive association with mathematics achievement among children of Mexican immigrant parents at the time of school entry. However, we do not find strong positive associations between Mexican American children’s rate of achievement growth over the elementary and middle school years and their neighborhoods’ concentration of Mexican immigrants.     

Wula (Voices) of Aboriginal women on barriers to accepting smoking cessation support during pregnancy: Findings from a qualitative study

Aim

To gather Aboriginal women’s stories of smoking and becoming pregnant to identify the barriers in accepting smoking cessation support during pregnancy.

Breastfeeding initiation for Aboriginal and Torres Strait Islander women in Victoria: analysis of routinely collected population-based data

Background

Increasing breastfeeding rates is one way of improving the short and long term health of Aboriginal and Torres Strait Islander children (hereafter referred to as Aboriginal). Despite the benefits of breastfeeding and recommendations for strategies to increase breastfeeding among Aboriginal people, there is a lack of available population data.

Scrutinizing Homophobia: A Model of Perception of Homosexuals in Russia

We aimed to develop and validate a model of associations of perceived threat of homosexuals with lay beliefs about causes of homosexuality, group entitativity of homosexuals, approval of social action strategies targeting homosexuals, and support for their rights using original Russian-language measures. We tested the model in two samples of social network users (n = 1,007) and student respondents (n = 292) using structural equation modeling and path analysis. Attribution of homosexuality to social causes was a positive predictor of perceived threat of homosexuals, whereas biological causes showed an inverse effect. Perceived threat predicted approval of discriminatory strategies targeting homosexuals and lack of support for their rights and fully mediated the effects of causal beliefs on these variables. Group entitativity of homosexuals was a positive predictor of perceived threat and a significant moderator of its effects on support for punishment and medical treatment of homosexuals. We discuss the findings with reference to the Russian social context.     

Paperbark and pinard: A historical account of maternity care in one remote Australian Aboriginal town

Background and aimMaternity care in remote areas of the Australian Northern Territory is restricted to antenatal and postnatal care only, with women routinely evacuated to give birth in hospital. Using one remote Aboriginal community as a case study, our aim with this research was to document and explore the major changes to the provision of remote maternity care over the period spanning pre-European colonisation to 1996.MethodsOur research methods included historical ethnographic fieldwork (2007–2013); interviews with Aboriginal women, Aboriginal health workers, religious and non-religious non-Aboriginal health workers and past residents; and archival review of historical documents.FindingsWe identified four distinct eras of maternity care. Maternity care staffed by nuns who were trained in nursing and midwifery serviced childbirth in the local community. Support for community childbirth was incrementally withdrawn over a period, until the government eventually assumed responsibility for all health care.ConclusionsThe introduction of Western maternity care colonised Aboriginal birth practices and midwifery practice. Historical population statistics suggest that access to local Western maternity care may have contributed to a significant population increase. Despite population growth and higher demand for maternity services, local maternity services declined significantly. The rationale for removing childbirth services from the community was never explicitly addressed in any known written policy directive. Declining maternity services led to the de-skilling of many Aboriginal health workers and the significant community loss of future career pathways for Aboriginal midwives. This has contributed to the current status quo, with very few female Aboriginal health workers actively providing remote maternity care.     

Quality of Life in College Students with and without Social Phobia

Prior studies demonstrating quality of life impairment in phobia and anxiety disorders have relied upon epidemiological samples or clinical data. Using the same quality of life scale, the Short Form 36-item Health Survey (SF-36), in Iranian college students allowed us to study the impact of social phobia (SP) on quality of life among the college students. This report summarizes findings from a cross sectional study on Iranian students with social phobia studying at Shahed University. Quality of life was measured using the Short Form 36-item Health Survey (SF-36) which is a widely used and valid questionnaire to measure quality of life in cross-sectional and longitudinal studies. Three standard instruments were used to measure social phobia severity, namely Social Phobia Inventory, Social Interaction Anxiety Scale, and Brief version of the Fear of Negative Evaluation Scale. The sample consisted of 202 college students, 72 with SP and 130 without SP. The main finding of this study was that students with social phobia reported significantly lower quality of life, particularly in general health (P = 0.02), vitality (P < 0.0001), social functioning (P < 0.0001), role functioning—emotional (P < 0.0001), and Mental health (P = 0.001) dimensions. Standardized summed scores for mental health components of the SF-36 showed that 36.2% of all the s with SP were severely impaired while 16.0% of the students in control croup were severely impaired. Findings demonstrated that Iranian socially anxious college students reported extensive functional disability, and lower well-being compared to those without SP. These findings should encourage education officers to implement systematic efforts to prevent and treat social anxiety among students.     

Does care matter? Care capital and mothers’ time to paid employment

The aim of this study is to introduce the concept of care capital and provide an example of its application in the context of childcare and maternal employment using the currently most suitable American data. We define care capital as the nexus of available, accessible, and experienced resources for care. The American setting is an ideal context to investigate the linkages between child care capital and maternal employment as the patterns of child care use tend to be more diverse compared to other national contexts. In the presented application of care capital, we examine mothers’ entry to paid employment during the first 36 weeks following a birth, and its association with the experience of non-parental child care use before labour force entry. Using data from the Early Childhood Longitudinal Survey—Birth Cohort (N = 10,400 mothers), results from discrete-time hazard models show that use of non-parental child care prior to employment is independently and positively associated with entry into maternal employment. This finding applies both to first-time mothers (n = 3,800) and to mothers of multiple children (n = 6,600). Although data currently available for investigating child care capital are limited with regard to care availability and access, our results suggests that childcare availability, access, and use, understood as a form of capital alongside economic and human capital, should be considered in future studies of maternal employment.     

Correlating Post-disaster Support Network Density with Reciprocal Support Relation Satisfaction: An Elderly Cohort Within One Year of the 2011 Japan Disasters

While there has been much empirical investigation into how social support networks improve mental health in post-disaster communities, network density—the extent members within a network are acquainted—remains under-researched. This study examines correlations between support network density and support reciprocity satisfaction in an elderly sample (N = 221), and the influence on post-disaster depression and trauma symptomology in a fishing community south of the Fukushima nuclear plant within 1 year of the March 11, 2011 Japan earthquake. The Brief Inventory of Social Support Exchange Network (BISSEN) taps support network density, support source by relational category, tangible and emotional type, and providing or receiving direction of social support. Density measurement convergent validity was established from questionnaire responses. After confirming network density construct and criteria validity, and extracting components reciprocal support relationship satisfaction, correlation between these two variables was moderate at r = 0.34. However, reciprocity satisfaction moderately explained mental health variance, but results were not significant for density nor interaction between predictors. These results question the assumption that support network density and support reciprocity can be validly incorporated into a construct of “social capital” necessarily promoting mental health.     

Reliability and Validity of the Personal Social Capital Scale 16 and Personal Social Capital Scale 8: Two Short Instruments for Survey Studies

Rapid developments in social capital and health research require short instruments for large-scale survey studies. The Personal Social Capital Scale (PSCS) is a theory-based and empirically tested instrument with reliability and validity established in the US and China, but it is too long for large-scale survey research. In this study, we described two short versions of the instrument: the PSCS-16 and PSCS-8. The two short scales were evaluated with survey data collected among an adult sample (N = 259) in China. The sample consisted of rural-to-urban migrants and non-migrant rural and urban residents. Cronbach’s alpha coefficients were .90 for the PSCS-18 and .83 for the PSCS-8. Both short instruments satisfactorily fit a two-factor model comprising the bonding capital and bridging capital subscales. The two short scales were highly correlated with the original PSCS (r = .95 for the PSCS-18 and .93 for the PSCS-8 respectively, p < .001 for both); significantly distinguished the migrant subsample from the two non-migrant subsamples; and significantly predicted social capital investment and stress level. In conclusion, the two short instruments PSCS-16 and PSCS-8 were reliable and valid, and can be used in large-scale survey studies to assess personally owned social capital. Further research is needed to replicate their reliability and validity in different cultural settings and to establish the test–retest reliability.     

The Determinants of Life Satisfaction Among Adolescents: The Role of Metacognitive Awareness and Self-Efficacy

This study investigated the associations among the life satisfaction, metacognitive awareness and perceived self-efficacy. It also investigated whether life satisfaction, metacognitive awareness and perceived self-efficacy vary according to gender. The study was performed with 492 students attending high schools. The Life Satisfaction Scale, Cognitive Awareness Scale, Self-Efficacy Scale and an Individual Data Form were used for data collection. Pearson correlation coefficient results revealed that life satisfaction was significantly positively correlated with metacognitive awareness (r = .36, p < .001) and self-efficacy (r = .28, p < .001). Multiple regression analysis revealed that metacognitive awareness and self-efficacy accounted for 15 % of life satisfaction (F_(2,489) = 45.25, p < .001). Metacognitive awareness (ß = .29, p < .001) and self-efficacy (ß = .16, p < .001) make a significant original contribution to the model. In addition, the results show that adolescents do not vary according to life satisfaction (F = .10, p = .74, η²= .00), metacognitive awareness (F = .01, p = .91, η² = .00) or self-efficacy (F = 2.21, p = .13, η² = .00). The study results show that metacognitive awareness and self-efficacy are significant predictors of life satisfaction in adolescents.