An inconvenient truth: why evidence-based policies on obesity are failing Māori,Pasifika and the Anglo working class

Public health initiatives around obesity have generally worked well for middle class Australians and New Zealanders. This message has not had the same impact in Anglo working class areas and certain CALD communities, especially Māori and Pasifika, where obesity rates remain highest. This paper employs qualitative data from interviews with eighty-five Māori and Pasifika migrants to Australia to explore attitudes to food purchasing and consumption behaviours and associated health risks. It is evident the individual, medicalised approach to improving obesity rates has not been effective and there needs to be a new culturally responsive structural approach. This would require governments to prioritise population health over existing relationships with commercial food manufacturers – especially in relation to spatial domination of commercialised fast food outlets in low socio-economic status districts and in the areas of sports and education sponsorship. We also explore the assumptions of evidence-based health policy more generally, providing a critique of who is represented and served by the commercial solicitation and management of health research. This includes what constitutes ‘evidence’, who is conducting and funding the research, who appraises and compares the data and how is it interpreted and employed.     

The Case for Better Maps of Social Service Provision: Using the Holy Cross Dispute to Illustrate More Effective Mapping

Third-sector organizations provide essential services, but not all types of organizations operate equally well given different intensities of public problems. This article argues for maps that would help social service funding bodies. Those maps would include three elements: (1) a measure of service demanded by a community, (2) data on the full range of organizations able to supply those services, and (3) a chart that identifies those organizations that provide services at different intensities of need. By providing information about the supply of organizations in a community, with measures of demand for services, state funding bodies, foundations, and individual philanthropists can make informed decisions about where to allocate funds. An ideal map is illustrated by using the case of the Holy Cross Dispute (2001), whereby a host of voluntary sector organizations provided a voice for residents in this divided Belfast community. The result is a call for more intensive mapping exercises of voluntary sector social service provision.     

Network knowledge and the use of power

Complementing recent work on the effects of power on network perceptions, we offer a theory specifying how knowledge of network structures and exchange processes differentially affect the use of power by advantaged and disadvantaged positions. We argue that under certain conditions, network knowledge is beneficial to occupants of low-power positions, but not to occupants of high-power positions. Any low-power actor can benefit from having superior information, but if all low-power actors have equally sound knowledge, then all are worse off—a type of social trap. We tested these arguments by manipulating power and the availability of information on network structure and exchange processes in an experimental exchange network setting. The results were supportive.     

The workforce challenges of end-of-life issues

Health care organizations, along with non-health-related industries, need to do a better job helping workers who are caring for sick or elderly relatives.     

Feeling at Risk Matters: Water Managers and the Decision to Use Forecasts

Experts contend that weather and climate forecasts could have an important role in risk management strategies for community water systems. Yet, most water managers make minimal use of these forecasts. This research explores the determinants of the use of weather and climate forecasts by surveying managers of community water systems in two eastern American states (South Carolina and the Susquehanna River Basin of Pennsylvania). Assessments of the reliability of weather and climate forecasts are not driving their use as water managers who find forecasts reliable are no more likely to use them than are managers who find them unreliable. Although larger systems and those depending on surface water are more likely to use forecasts for some (but not all) purposes, the strongest determinant of forecast use is risk perceptions. Water managers who expect to face problems from weather events in the next decade are much more likely to use forecasts than are water managers who expect few problems. Their expectations of future problems are closely linked with past experience: water managers who have had problems with specific types of weather events (e.g., flood emergencies) in the last 5 years are likely to expect to experience problems in the next decade. Feeling at risk, regardless of the specific source of that weather-related risk, stimulates a decision to use weather and climate forecasts.     

Development of a Standard Soil-to-Skin Adherence Probability Density Function for Use in Monte Carlo Analyses of Dermal Exposure

It has recently been suggested that "standard" data distributions for key exposure variables should be developed wherever appropriate for use in probabilistic or "Monte Carlo" exposure analyses. Soil-on-skin adherence estimates represent an ideal candidate for development of a standard data distribution: There are several readily available studies which offer a consistent pattern of reported results, and more importantly, soil adherence to skin is likely to vary little from site-to-site. In this paper, we thoroughly review each of the published soil adherence studies with respect to study design, sampling, and analytical methods, and level of confidence in the reported results. Based on these studies, probability density functions (PDF) of soil adherence values were examined for different age groups and different sampling techniques. The soil adherence PDF developed from adult data was found to resemble closely the soil adherence PDF based on child data in terms of both central tendency (mean = 0.49 and 0.63 mg-soil/cm²-skin, respectively) and 95th percentile values (1.6 and 2.4 mg-soil/cm²-skin, respectively). Accordingly, a single, "standard" PDF is presented based on all data collected for all age groups. This standard PDF is lognormally distributed; the arithmetic mean and standard deviation are 0.52 ± 0.9 mg-soil/cm²-skin. Since our review of the literature indicates that soil adherence under environmental conditions will be minimally influenced by age, sex, soil type, or particle size, this PDF should be considered applicable to all settings. The 50th and 95th percentile values of the standard PDF (0.25 and 1.7 mg-soil/cm²-skin, respectively) are very similar to recent U.S. EPA estimates of "average" and "upper-bound" soil adherence (0.2 and 1.0 mg-soil/cm²-skin, respectively).     

AESTHETICS AND PRAGMATICS OF FAMILY THERAPY REVISITED

After reacting specifically to Simon's (1992) proposal for the integration of first and second-order therapies, I note how he, as well as Anderson and Goolihian (1988, 1990), focus primarily on deliberate, intentional ways to promote a respectful stance in therapy. Although a consideration of which intentional stances and strategies will promote the most helpful conversations in therapy is important, an even more critial question concerns the possible limitations of intentional efforts and the relation of conscious mind to other natural orders of mind in the living world. I suggest that deliberate efforts on the part of theapists toward any intended therapeutic outcomes must be comlemented by instictive and intuitive ways of participating with clients.     

Antisocial Behavior of Adoptees and Nonadoptees: Prediction from Early History and Adolescent Relationships

This study examined the contribution of demographic characteristics, early maltreatment, and peer and family relationships during adolescence to the prediction of aggressive and nonaggressive antisocial behavior (AASB and NAASB, respectively) during young adulthood; and determined whether adoption status has additional ability to predict ASB, once background, early experience, peer, and family variables were controlled. Data from adolescent and parent interviews were used from Waves 1 (predictors) and 3 (outcomes) of the National Longitudinal Study of Adolescent Health (Add Health). The sample included 337 adopted and 10,339 nonadopted adolescents whose mean ages were 15.8 at W1 and 21.7 at W3. Although AASB and NAASB were predicted by background characteristics, early maltreatment, peer relations, and family relationships, adoption status had little to no additional predictive power once the other variables were controlled.     

Youthful Violence: Problems and Prospects

This is a study of 758 adolescents, aged 13 to 18 years, randomly selected from two public high schools in the South. The purpose is to examine the relative relationships between several predictors and violence in two age groups (ages 15 and younger versus 16 and older), and to investigate interactions between several of the predictors within these age groups. As hypothesized, there are differences in which factors predict violence according to age, and interactions between these predictors also differ between the two age groups. The social work practice implications of these findings are discussed.