Fit for Work? The Influence of Sick Pay and Job Flexibility on Sickness Absence and Implications for Presenteeism

Recent developments in UK policy on health and employment have sought to change perceptions about what constitutes ‘fitness for work’. With the aim of reducing the incidence and duration of sickness absence, a range of initiatives, including the introduction of the ‘fit note’, are challenging the belief that it is necessary to be 100 per cent well in order to be at work. However, this article suggests that contextual factors independent of health may also influence people's decisions about whether or not to attend work at times of reduced wellness. Drawing upon data from a qualitative study of mental health and employment, this article illustrates how the terms and conditions of a person's employment may influence sickness absence decisions in a number of ways. It is argued that sick pay provisions, size of employer and nature of work may influence both decisions to take time off and decisions about when to return to work. The degree of flexibility to manage one's workload around times of poorer health may also have a bearing on whether people feel able to carry on with their work without recourse to sickness absence. Therefore, it may be important for policy interventions to consider not only health circumstances but also structural/contextual influences on conceptualizations of being ‘fit for work’. The implications of such contextually‐influenced decision‐making for ‘presenteeism’ are also considered. It is suggested that current conceptualizations of presenteeism are somewhat ambiguous; employees coming to work despite ill health is simultaneously presented as a problem and an aspiration.     

Identifying Male College Students' Perceived Health Needs,Barriers to Seeking Help,and Recommendations to Help Men Adopt Healthier Lifestyles

Abstract

Seven focus groups at a university campus were formed to identify college men's health concerns, barriers to seeking help, and recommendations to help college men adopt healthier lifestyles. Content analysis was used to identify and organize primary patterns in the focus-group data. Results of the study revealed that the college men were aware that they had important health needs but took little action to address them. The participants identified both physical and emotional health concerns. Alcohol and substance abuse were rated as the most important issues for men. The greatest barrier to seeking services was the men's socialization to be independent and conceal vulnerability. The most frequently mentioned suggestions for helping men adopt healthier lifestyles were offering health classes, providing health information call-in service, and developing a men's center. Implications of the results are discussed.     

Fictions and Facts about Parents and Parenting Older First-Time Entrants to Foster Care

Knowledge about the parents of older first-time entrants into foster care is embedded in fictions created by media images, anecdotal stories of professionals in the child welfare system, as well as reports and observations of youths who have experienced foster care. Even though there are caring and effective nonrelatives who are foster parents, the public perception of non-relative foster parents is sometimes quite negative. In order to separate some of the facts from some of the fictions about the parents/caregivers of older first-time entrants to foster care, this article will describe the parents and relative caregivers (grandparents and others) of older first-time entrants to foster care in an urban public welfare agency by examining maltreatment data.     

Maternal mental health in Australia and New Zealand: A review of longitudinal studies

AimThe aim of this paper is to describe the factors that impact on the mental health of Australian and New Zealand (NZ) women in the perinatal period (pregnancy and the year following birth), and to determine the impact of perinatal mental health on women's subsequent health by summarising findings from prospective longitudinal studies conducted in Australia and NZ.MethodsA systematic search was conducted using the databases, Scopus, Medline, PsychInfo and Health Source to identify prospective longitudinal studies focused on women's social and emotional health in the perinatal period. Forty-eight papers from eight longitudinal studies were included.ResultsThe proportion of women reporting depressive symptoms in the first year after birth was between 10 and 20% and this has remained stable over 25 years. The two strongest predictors for depression and anxiety were previous history of depression and poor partner relationship. Importantly, women's mood appears to be better in the first year after birth, when compared to pregnancy and five years later. Becoming a mother at a young age is by itself not a risk factor unless coupled with social disadvantage. Women report a high number of stressors in pregnancy and following birth and the rate of intimate partner violence reported is worryingly high.ConclusionMidwives have an important role in the identification, support and referral of women experiencing mental health problems. As many women do not seek help from mental health services, the potential for a known midwife to impact on women's mental health warrants further examination.     

Hurricane Katrina and New Orleans: What Might a Sociological Embeddedness Perspective Offer Disaster Research and Planning?

The Hurricane Katrina and New Orleans situation was commonly called a "natural disaster"—an anomalous "event" that disrupted lives, spaces, and organizations. Research and planning attention then focused on particular aspects of the event and on restoring order. In contrast, sociologists and similar-thinking scholars have increasingly viewed disaster situations from multiple locations and histories, often using systems theory. Here, reanalysis of empirical material from ethnographic research in New Orleans pre- and post-Katrina suggests that a sociological embeddedness perspective illustrates the dynamic seamlessness of past, present, and future economic contexts and social actions. The perspective's constitutive concepts of weak, strong, and differentiated ties highlight the role of local knowledge, intermediary-led workforce networks, and sustained participatory planning in creating a robust economic environment. Toward this end, disaster research, planning, and theory building could incorporate network tie assessments into social vulnerability protocols, compare embeddedness with other perspectives, and learn from related international experiences.     

What Women Do,Believe in,and Financially Contribute—What Matters More in Couples' Decision Making? Gender Inequality in Ghana's Small-Scale Fisheries☆

Studies of couple's decision-making power consistently show that women disproportionately occupy subordinate positions. Using survey data (N = 400) from an ethnographic study on Ghanaian female fisherfolk, we examine the influences of women's financial contributions, ownership of production assets and gender role attitudes, and how they interact with the bodily capacities required to perform different fishery tasks to shape women's decision-making power. Findings show that financial contributions and ownership of production assets remain salient determinants of women's fishery decision-making power. However, their participation in strenuous tasks dampens the positive relationship between their financial contributions, gender role attitudes and decision-making power, such that financial contributions become insignificant. Women's decision-making power varies according to the sex-typed division of labor in small-scale fishing, and those who violate it are ‘punished’—as evident in their decreased decision-making power. Attention to the co-implications of socio-economic forces and material factors such as women's embodied experiences highlights (1) the specificities of occupational sex segregation and decision-making in agricultural sectors of developing economies and (2) how such entanglements can be reconfigured to enhance women's decision-making power in such contexts.     

Redefining antiracism: Learning from activists to sharpen academic language

People have fought against racism for as long as it has existed and yet it persists in diverse and materially impactful ways. The primary challenge to eradicating racism is likely the power of white privilege. This paper argues that another important obstacle to progress has been the lack of a clear definition of antiracism that movement activists and scholars can collaboratively use to ensure that antiracist scholarship and efforts meet the full measure of the term's intention. While academia has struggled to converge on a definition, “lay race theorists” and movement activists—Black women in particular, have been participating in discourse online and through other venues where consensus appears to be developing around a definition. This article attempts to summarize activist discourse in defining antiracism as “the commitment to eradicate racism in all its forms” and individual antiracism as “the commitment to eradicate racism in all its forms, by (1) building an understanding of racism and (2) taking action to eliminate racism “within oneself, in other people, in institutions, and through actions outside of institutions,” noting that “antiracism is an ongoing practice and commitment that must be accountable to antiracist Black people, Indigenous people, and other People of Color and consider intersectional systems of oppression.” While research on the public conversation benefits from its easy access and limited additional burdens on movement activists, future research should test these definitions with movement activists to ensure that definitions and metrics are as relevant to the antiracist movement as possible.     

Trajectory of quality of mother-child interactions: Prospective links with child socioemotional functioning

Research shows that the quality of mother-child interactions is a robust antecedent of child socioemotional functioning. Yet, relatively little is known about the evolution of this relational quality over time, and even less about how changes in relational quality may bear on child adjustment. This study aimed to describe the trajectory of quality of mother-child interactions between ages 2 and 7 and to investigate associations between individual differences in this trajectory and child socioemotional functioning at age 8. In a sample of 233 mother-child dyads primarily comprised of White French-Canadian mothers, the quality of interactions was assessed during 10-min play sequences when children were aged 2, 4, and 7 years. Child internalizing, externalizing, and prosocial behaviors were reported by a subsample of 171 teachers at age 8. The results showed that on average, quality of mother-child interactions decreased over time. In terms of individual differences, children who experienced a slower decrease in the quality of interactions with their mother from 2 to 7 years showed less internalizing behavior at age 8, over and above initial quality at 2 years. Children involved in higher quality interactions with their mother at 2 years showed more prosocial and less externalizing behavior at age 8, independent of the subsequent decrease in the quality of those interactions. The findings suggest that initial levels and subsequent changes in the quality of mother-child interactions are two distinct indicators of their relationship with potentially different implications for child adjustment.     

On residual approximation in solution extension problems

The solution extension variant of a problem consists in, being given an instance and a partial solution, finding the best solution comprising the given partial solution. Many problems have been studied with a similar approach. For instance the Pre-Coloring Extension problem, the clustered variant of the Travelling Salesman problem, or the General Routing Problem are in a way typical examples of solution extension variant problems. Motivated by practical applications of such variants, this work aims to explore different aspects around extension on classical optimization problems. We define residue-approximations as algorithms whose performance ratio on the non-prescribed part can be bounded, and corresponding complexity classes. Using residue-approximation, we classify problems according to their residue-approximability, exhibit distinct behaviors and give several examples and first interesting results.