The commonalities and differences in health professionals’ views on home birth in Tasmania,Australia: A qualitative study

ObjectivesHome birth has attracted great controversy in the current context. There is a need for the public and health professionals to understand why maternity care providers have such different views on home birth, why they debate, what divides them into two opposite sides and if they have anything in common.MethodA qualitative study involving twenty maternity health providers in Tasmania was conducted. It used semi-structured interview which included closed and open-ended questions to provide opportunities for exploring emerging insights from the voices of the participants.FindingsHealth practitioners who support home birth do so for three reasons. Firstly, women have the right to choose the place of birth. Secondly, home birth may be more cost effective compared to hospital birth. Thirdly, if home birth is not supported, some women might choose to have a free birth. Those who opposed home birth argue that complications could occur at childbirth and the transfer time is critical for women's and babies’ safety. These differences in opinions can be due to the differences in the training and philosophy of the maternity care providers. Despite the differing views on home births, health professionals share a common goal to protect the women and the newborns from unexpected situations during childbirth.ConclusionThis article provides some significant insights derived from the study of home birth from the maternity health professionals’ perspectives and could contribute to the enhancement of mutual understanding and collaboration of health professionals in their services to expectant mothers.     

Measuring Attitudes About Intimate Partner Violence Against Women: The ATT-IPV Scale

In lower-income settings, women more often than men justify intimate partner violence (IPV). Yet, the role of measurement invariance across gender is unstudied. We developed the ATT-IPV scale to measure attitudes about physical violence against wives in 1,055 married men and women ages 18–50 in My Hao district, Vietnam. Across 10 items about transgressions of the wife, women more often than men agreed that a man had good reason to hit his wife (3 % to 92 %; 0 % to 67 %). In random split-half samples, one-factor exploratory factor analysis (EFA) (N ₁ = 527) and confirmatory factor analysis (CFA) (N ₂ = 528) models for nine items with sufficient variability had significant loadings (0.575–0.883; 0.502–0.897) and good fit (RMSEA = 0.068, 0.048; CFI = 0.951, 0.978, TLI = 0.935, 0.970). Three items had significant uniform differential item functioning (DIF) by gender, and adjustment for DIF revealed that measurement noninvariance was partially masking men’s lower propensity than women to justify IPV. A CFA model for the six items without DIF had excellent fit (RMSEA = 0.019, CFI = 0.994, TLI = 0.991) and an attitudinal gender gap similar to the DIF-adjusted nine-item model, suggesting that the six-item scale reliably measures attitudes about IPV across gender. Researchers should validate the scale in urban Vietnam and elsewhere and decompose DIF-adjusted gender attitudinal gaps.     

A systematic review of studies on ethnic minority youth development in Hong Kong: an application of the ecological framework

Abstract

Ethnic minority young people play a significant role in the socio-economic growth of an ageing society with a decreasing fertility rate. The successful social integration of individuals with diverse cultural backgrounds within a society is a core value of the social work profession. This study examines the understanding of ethnic minority youth development in Hong Kong using a systematic review methodology. Risk prevention and positive promotion factors were identified using Bronfenbrenner’s ecological framework. Articles were searched through multiple databases in English, and 36 academic articles were reviewed. These studies mainly examined the risks of academic failure of these students in Hong Kong while few focused on the positive directions of multidimensional youth development. Future social work research and practice should examine positive youth development for ethnic minorities which can inform social work practice in Hong Kong and within other East Asian traditionally ethnically homogeneous societies undergoing significant changes in ethnic diversity.     

A Comparison of Methods of Fitting Models to Twin Data

Data on twins are used to infer a genetic component of variance for various quantitative human characteristics. There are several statistical approaches available to analyze twin data. Here we compare three approaches for fitting variance components models to the relationship between height and bi-illiocristal diameter across ages in a sample of male and female Polish twins aged 8–17. Two of the approaches assume a multivariate normal model for the data, with one basing the likelihood on the raw data and the other using the distribution of the sample covariance matrix. The third approach uses a robust modification of the multivariate normal log-likelihood to downweight abnormal observations. The statistical theory underlying the methods is outlined, and the implementation of the methods is discussed.     

2-Distance list $$(\Delta +2)$$ ( Δ + 2 ) -coloring of planar graphs with girth at least 10

Journal of Combinatorial Optimization - Given a graph G and a list assignment L(v) for each vertex of v of G, a proper L-list-coloring of G is a function that maps every vertex to a color in L(v)...     

Inheritances and Bequest Planning: Evidence from the Survey of Consumer Finances

Using data from the Survey of Consumer Finances, this paper documented the positive correlation between the receipt of an inheritance and the expectation of leaving a bequest. Inheritance recipients were found to have a higher probability of planning to leave a bequest relative to households that had not received an inheritance. Conditional on having already received an inheritance, the likelihood of expecting to leave a bequest was even larger for households that anticipated to receive an inheritance in the future. The findings in this paper suggest that inheritances already received or expected to be received may be an important transmission mechanism underlying the bequest motive.     

Multilevel Determinants of Colleges/Universities Enrolment in Vietnam: Evidences from the 15% Sample Data of Population Census 2009

In an increasingly knowledge-based globalized world, higher education, advanced training and skill development are critical priorities for Vietnam. This paper aims to estimate the participation in higher education and its regional distribution in Vietnam, and to identify its determinants at the individual and contextual levels. Data used were from Vietnam Population and Housing Census 2009 linked with Vietnam living standard survey 2009. The participation rate overall in the colleges/universities among 19–22 year olds in Vietnam was 16.3%, but this rate varied significantly across the provinces. Household socioeconomic status, gender, ethnic group, migrant status, and urban/rural residence were significant individual level predictors of participation while indicator of fertility stabilization, income distribution, and average education level were significant predictors at the contextual (provincial) level. The results show that individual, social and regional inequalities are important impediments to higher education participation among the Vietnam youth. The government needs to pay more attention to promoting higher education and training in order to position Vietnam in the global economy.     

Women's maternity care needs and related service models in rural areas: A comprehensive systematic review of qualitative evidence

BackgroundUnderstanding the needs of rural women in maternity care and service models available to them is significant for the development of effective policies and the sustainability of rural communities. Nevertheless, no systematic review of studies addressing these needs has been conducted.ObjectivesTo synthesise the best available evidence on the experiences of women's needs in maternity care and existing service models in rural areas.MethodsLiterature search of ten electronic databases, digital theses, and reference lists of relevant studies applying inclusion/exclusion criteria was conducted. Selected papers were assessed using standardised critical appraisal instruments from JBI-QARI. Data extracted from these studies were synthesised using thematic synthesis.Findings12 studies met the inclusion criteria. There were three main themes and several sub-themes identified. A comprehensive set of the maternity care expectations of rural women was reported in this review including safety (7), continuity of care (6) and quality of care (6), and informed choices needs (4). In addition, challenges in accessing maternity services also emerged from the literature such as access (6), risk of travelling (9) and associated cost of travel (9). Four models of maternity care examined in the literature were medically led care (5), GP-led care (4), midwifery-led care (7) and home birth (6).ConclusionThe systematic review demonstrates the importance of including well-conducted qualitative studies in informing the development of evidence-based policies to address women's maternity care needs and inform service models. Synthesising the findings from qualitative studies offers important insight for informing effective public health policy.