HIV/AIDS and homelessness

This article describes the results of research on the demographic, housing, psychosocial characteristics, and service needs of a sample of homeless people with HIV disease. Results show that respondents are similar in demographic and housing characteristics to the general homeless population. On average, respondents report high levels of stress and depression, moderate satisfaction with perceived social support availability, moderate beliefs in their ability to influence health related outcomes, moderate levels of self-efficacy, and low levels of physical and psychosocial disability. A range of services was identified as both helpful and useful in supporting a stable living arrangement. Implications for social policy, service provision, and research are discussed.     

Disadvantage and Discrimination Compounded: the experience of Pakistani and Bangladeshi parents of disabled children in the UK

This paper discusses a qualitative and quantitative study of the circumstances of 20 Pakistani and Bangladeshi families with one or more severely disabled children living in Birmingham, England. Parents and other adult carers were interviewed using a combination of structured questionnaires and a semi-structured interview schedule focusing on the families' material circumstances, their use of formal services, informal care arrangements, and aspects of the parents' social and psychological well-being. The study suggests that previous national surveys of disabled families may have under-estimated the extent of material disadvantage, while it confirms that health and social care professionals should not assume that Pakistani and Bangladeshi parents have recourse to high levels of extended family support. The combination of disadvantaged circumstances and difficulties in securing access to appropriate services, which are found for the majority of families with a disabled child, was particularly acute for these ethnic minority families, suggesting the additional dimension of institutional racism.     

Children's services in the UK 1997–2003: problems,developments and challenges for the future

This article reviews developments in children's services since 1997 and considers their effect on children in need by examining government statistics, recent additions to the evidence‐base, and data from two studies conducted by the authors. It shows that there has been extensive service development, mainly beyond the Department of Health, and considerable effort to improve assessment and administrative data. The limits to what can be demonstrably achieved by children's services, particularly in a short period, are acknowledged, and it is argued that the approach of providing predominantly low level interventions to large groups may need re‐thinking if significant and lasting changes to children's development are to be secured. Copyright © 2003 John Wiley & Sons, Ltd.     

Quantifying socio-environmental impacts of predator control policies

Quantitative indices of the socio-environmental impacts of predator control were derived from a mathematical synthesis of public perceptions and physical measures of environmental change. A nationwide survey of the U.S. public yielded cardinal measures of preference for the acceptability, primary and secondary effects on other wildlife, and cost effectiveness of control policies. To determine the public evaluation of a particular policy, the preference values were used to weight social indicators describing the physical impacts of a policy. Policymakers will be able to use the resulting values to view the tradeoffs between economic and socio-environmental costs and benefits of various policy alternatives.     

Awareness of Listeriosis and Methylmercury toxicity public health recommendations and diet during pregnancy

Background

Awareness of Listeriosis and Methylmercury toxicity recommendations are associated with decreased intake of high-risk foods. Whether awareness of the recommendations affect dietary quality of pregnant women in Australian is unknown.

The experiences of breastfeeding mothers returning to work as hospital nurses in Pakistan: A qualitative study

Background

Pakistan has a higher infant mortality rate than countries with comparable economies, with around half of all under-5 deaths occurring in the first month of life. Breastfeeding is known to improve infant morbidity and mortality, but rates of formula feeding in Pakistan are increasing. Maternal employment is recognised globally as a major barrier to the continuation of breastfeeding.

The movement to represent Francophone minority groups: the future of health services in French

The Action Plan for Official Languages launched in 2003 intends to revitalize the country's linguistic duality. Among the priority areas, health is the focus in order to ensure the training of health professionals to serve official language minority communities and to network the main actors concerned about the organization of services in the minority language. The aim of this paper is to report representations of Francophones in minority with respect to the future of health services in French. The study is based on a participatory methodology: concept mapping to identify the conceptual universe of a given problem.     

Migrants' social networks and weak ties: accessing resources and constructing relationships post‐migration

Within migration studies literature there is a tendency to assume that migrants have ready access to kin and friendship networks which facilitate the migration and settling processes. Through tight bonds of trust and reciprocity, these networks are considered to be sources of social capital, providing a counter‐balance to the disadvantages that migrants may encounter in the destination society. This paper argues that more attention is needed to the ways in which migrants access, maintain and construct different types of networks, in varied social locations, with diverse people. I suggest that the often simplistic dichotomy of bonding and bridging capital needs to be re‐appraised and instead offer an alternative way of thinking about these social ties. The distinction between them tends to be understood on the basis of the ethnicity of the people involved – bonding involves close ties with ‘people like us’ while bridging involves links beyond ‘group cleavages’. Insufficient attention has been paid to the actual resources flowing between these ties or the kinds of relationship developing between the actors involved. The nature of these social networks may be better understood by focusing on the relationship between the actors, their relative social location, and their available and realisable resources. Data from a qualitative study of Polish migrants in London is used to illustrate this approach.     

Don't just do something, stand there: responding to unrelieved patient suffering

Nurses are taught a variety of interventions to relieve patient suffering. They are often more comfortable with patient suffering that is physical in nature rather than psychological, existential, and spiritual. Remaining present for patients and families whose suffering cannot be easily relieved is particularly challenging. This article describes how an expert nurse responded to unrelieved suffering and offers insight into ways of being present for patients and families.