Profiling Lady Luck: An Empirical Study of Gambling and Problem Gambling Amongst Female Club Members

This paper helps to address a deficiency of gender-specific research into gambling. It focuses on gambling participation, gaming machine play, and problem gambling amongst 1,257 female respondents to a telephone survey of 3,000 members selected randomly from the membership lists of six of the largest clubs in Sydney, Australia. Using predominantly non-parametric tests, results identify a range of behaviors that characterize the gambling activities of female club members when compared to their male counterparts. Testing four hypotheses revealed that, when compared to male club members, the females had a higher preference for bingo, lotto, lotteries, pools, and gaming machines; they gambled less frequently on off-course and on-course betting, casino table games and hotel gaming machines, but more frequently on bingo; they were more likely to display patterns of gaming machine play that maximize playing time; and they experienced problem gambling at levels comparable to males. Further research questions arising from the study's findings are discussed.     

Informing Debate or Fuelling Dispute? Media Communication of Reconfiguration in Scotland's Rural Maternity Care

Public reaction to the UK's ongoing health sector reform often results in dilution of policy‐makers’ goals. Public participation in health service decision‐making is advocated in policy, but precisely how to do it and what role public opinion should have in formulating reform strategy is ambiguously described. Public opinion is formed through many influences, including media reporting. This paper examines how reconfiguration at a rural maternity unit at Caithness General Hospital in Wick, Scotland, was communicated in national and local media and considers potential implications of media communication on public participation in policy decision‐making. Content analysis of arguments for and against change revealed a high level of reporting of commentators against change in regional newspapers. Qualitative analysis identified emergent themes about how maternity service reconfiguration was portrayed. These included framing opposition between management and local people, and change drivers receiving superficial coverage. Findings suggest that media portrayal of the public role in change may promote an adversarial rather than a participative stance. More finely tuned understanding of the relationship between the reporting of change and public reaction should be attained as this could affect how planned social policy evolves into actual practice.     

Engaging with families in child protection: lessons from practitioner research in Scotland

This paper reports findings from practitioner-led research on engagement with families in the child protection system in Scotland. Engagement is here defined in a participative sense, to mean the involvement of family members in shaping social work processes. Key findings include the importance of workers building trusting relationships; the value of honest and clear communication, information, and explanation; and the potential for formal structures such as reports and meetings to hinder family engagement. These findings contribute to a growing critique of managerialism in social work.     

A review of the research priorities of practitioners working with children in social care

It has been argued both that research in social care is insufficiently relevant to practice, and that a clearer steer is needed from the social work community in shaping national research priorities. The work reported here systematically searched for and analysed findings from studies that asked practitioners working with children for their suggestions for research. Eight studies were found, and authors gave us access to the primary data from four of these, to which we added responses from the What Works for Children? website survey of practitioners’ research priorities. Responses were analysed in terms of both topic and type of research. Family support, parenting and child protection research were among the most frequently requested child‐focused topics. In terms of question type, almost half the research suggestions concerned the effectiveness of interventions. These findings suggest that a commitment to outcomes, and to robustly researched interventions to attain those outcomes, are increasingly important to practitioners. These views from the front line may well be useful in assisting decision‐makers in social work, and research funders, to set priorities.     

Delayed Hospital Discharge and Mental Health: The Policy Implications of Recent Research

In 2003, the Community Care (Delayed Discharges etc.) Act introduced charges for social services departments unable to discharge patients from hospital within agreed timescales. As details of this reimbursement policy have begun to emerge, it has become apparent that the new system may also be extended to mental health services. In response, this narrative review of the literature on delayed hospital discharges and mental health reports findings from 12 studies, which raise important and timely concerns about the feasibility of reimbursement. Although a significant number of people experience delayed discharges from acute psychiatric services, the task of defining delayed discharges is complex and subjective, dependent on the professional background and seniority of the person making the judgement. Reasons behind delayed discharges are also multi‐factorial in nature and cannot be attributed to social services departments alone.     

Why do English-speaking countries have relatively high fertility?

In broad terms, the division in Europe between countries with very low fertility and countries with sustainable fertility matches Esping-Anderson’s classification of the same countries into ‘conservative’ and ‘social democratic’ (Esping-Anderson 1990). A central difference between these two types relates to their preferred models of the family. The conservative countries hold more to the ‘breadwinner’ model of the family while the social democratic countries seek higher levels of gender equity within the family and in the workplace. State support in both conservative and social democratic countries is designed to be consistent with these differing views of the family. Would we then not expect fertility to be very low in Esping-Anderson’s third group of countries, the ‘liberal’ countries, essentially English-speaking countries? By the Esping-Anderson definition, liberal countries are notable for their lack of support for families from public sources. Instead, according to Esping-Anderson, families must rely upon market provision for the services that they may need to combine work and family and they must rely on market employment to generate the income required to support their children. Contrary to this theory, whether measured by contemporary cross-sectional fertility or completed cohort fertility, with the exception of Canada, English-speaking countries now have the highest fertility rates among the countries that were classified by Esping-Anderson. Given the strength of theoretical explanation that arises from comparative studies of fertility in Europe, the paper examines why fertility in English-speaking countries seems not to follow expectation.     

Risk Factors for Problem Gambling Among Indigenous Australians: An Empirical Study

Despite a long history of gambling amongst many Indigenous peoples, knowledge about contemporary Indigenous gambling is sparse. In Australia, previous studies of Indigenous gambling have been severely limited in number, scope and rigour. The research reported in this paper is based on the first Indigenous-specific quantitative gambling research undertaken in Australia since 1996 and draws on the largest sample to date. This study examined numerous aspects of gambling among Indigenous Australians. After appropriate consultations and permission, the study collected surveys from 1,259 self-selected Indigenous adults in 2011 at three Indigenous festivals, online and in several Indigenous communities. This paper draws on these data to identify problem gambling risk factors by comparing selected socio-demographic characteristics, early exposure to gambling, gambling motivations, gambling behaviour, gambling cognitions, and substance use while gambling, amongst non-problem, low risk, moderate risk and problem gamblers. A logistic regression investigated the difference between problem gamblers and all other PGSI groups. Risk factors associated with being a problem gambler were: being older, commencing gambling when under 10 years old, always being exposed to adults gambling as a child, using alcohol and/or drugs while gambling, having family and friends who gamble, having an addiction to gambling and not gambling to socialise, having a high expenditure on commercial gambling, and living in a state or territory other than NSW or QLD. Public health measures to address these risk factors are identified.     

Physical and psychosocial indicators among office workers from public sector with and without musculoskeletal symptoms

Work-related musculoskeletal disorders (WRMD) are the result of the combination of different risk factors. They are very common among computer workers, mainly when neck and upper limbs are considered. Forty-two office workers from a public university participated in this study. They were divided into two groups: Symptomatic Subjects (SS, n=20) and Asymptomatic Subjects (AS, n=22), according to the Nordic Musculoskeletal Questionnaire (NMQ). Psychosocial indicators were assessed using the Job Content Questionnaire (JCQ) and Utrecht Work Engagement Scale (UWES). Workplaces were evaluated according to the Ergonomic Workplace Analysis (EWA), proposed by the Finnish Institute of Occupational Health. The NMQ showed higher weekly prevalence of complaints on neck, shoulders and wrist/hands (p=0.00) among SS. The annual prevalence of symptoms on wrist/hands was also higher among SS (p=0.02). The JCQ did not show any difference between groups (p>0.05). Higher proportion of servers with 'high level' of engagement, dedication and absorption, according to UWES, was identified among SS (p<0.01). EWA showed worse scores for 'Work Site', 'Job Content' and 'Repetitiveness of the Work' among SS (p<0.05). Servers are exposed to physical and psychosocial risk factors that can contribute to the development of WRMD. Work conditions need to be change in order to improve musculoskeletal health.