A Statistical Examination of the Health Utility Index-Mark III as a Summary Measure of Health Status for a General Population Health Survey

The purpose of this study was to examine the abilityof the Health Utility Index-Mark III (HUI-Mark III) toprovide a summary measure of the physical, mental andsocial dimensions of health assessed in the 1994/5National Population Health Survey (NPHS). The sampleconsisted of 838 (402 male, 436 female) randomlyselected residents of Prince George, British Columbia.An exploratory factor analysis was conducted using themeasures of physical, psychological and social healthincluded in the NPHS. The HUI-Mark III scores werethen regressed on to the factors in an attempt todetermine the proportion of variance in factor scoresaccounted for by the HUI-Mark III. The results suggestthat the HUI-Mark III is primarily a measure ofphysical impairment that does not adequately representthe physical, mental and social dimensions of healthas measured in the NPHS.     

Urban dominance,ecology and community well-being in a Philippine region

There is a strong difference of opinion concerning whether the effects of urban centers are generally beneficial or deleterious to outlying communities. Based on a sample of seventy-three barrios in Cavite Province, this paper examines several basic features of community organization to determine what effects Manila's dominance exerts. The Manila-Cavite metropolitan region is further complicated by a pronounced highland—lowland division. Land tenure, occupational structure, political activity, indebtedness, and measures of community well-being give evidence of both positive and negative effects. However, Manila's dominance does not correspond to uniform gradient patterns. Due to sharp ecological differences, the impact of the city varies between highland and lowland barrios. The fairest conclusion able to be drawn from the evidence is that contact with the city is indispensible and in many ways beneficial, but these benefits are often counterbalanced by economic and social costs for certain communities.     

‘Management Standards’ work-related stress in the UK: practical development

Research commissioned for the UK's Health & Safety Executive (HSE) supports the view that a preventative, risk-assessment based approach would be more effective than case-based methods in achieving a nationwide reduction in work-related stress. The background to this approach is described and discussed in a companion paper in this issue (Mackay, Cousins, Kelly, Lee, & McCaig, ). The present paper describes the development of HSE's new stress Management Standards—which offer organizations continuous improvement through a three-phase stress preventative process—and the development of a supporting ‘Indicator Tool’ (a two-phase questionnaire to assess employee perceptions of working conditions). The Management Standards comprise a series of ‘states to be achieved’, which are statements of good practice in six key stressor areas: demands, control, support, relationships, role and organizational change. For each stressor area there is also a ‘platform statement’ that outlines the main aims to be achieved by the organization. This statement may include a target percentage of employees finding that the organization meets the standard: this matter will be settled after the standards have been assessed in a public consultation campaign. To use the new process, an organization's state can first be assessed using the Indicator Tool; liaising with workers in focus groups enables a further exploration of issues raised; finally, there may be formulation of interventions and subsequent review. It is not intended that the standards will be legally enforceable. HSE's aim is that they and the associated methodology will enable organizations to effectively tackle work-related stress, and subsequently reduce both its incidence and prevalence.     

The Palliative Function of System Justification: Concurrent Benefits Versus Longer-Term Costs to Wellbeing

We examined the extent to which system justification buffered the negative effect of retrospective experiences of active harm from general sources in society on life satisfaction during the same assessment period, and prospectively 1 year later. Results from a nationally representative sample indicated that the retrospective assessment of active harm and quality of life were uncorrelated for people who endorsed system justifying ideology (N = 6,518). Study 2 replicated the concurrent buffering effect of system justification on subjective wellbeing and demonstrated that the effect reversed over time. For people high in system justification beliefs, societal-level harm prospectively predicted lower life satisfaction 1 year later (N = 136 undergraduates). Perceiving the system as fair and legitimate in the face of harm from others in society has opposing short and longer-term effects on wellbeing. We argue that these opposing effects occur because although system justification trumps experiences of harm and buffers life satisfaction in the short-term; the resulting experience-belief conflict engenders a state of ideological dissonance that predicts negative psychological outcomes down the track.     

The impact of outpatient priming for induction of labour on midwives’ work demand,work autonomy and satisfaction

BackgroundInduction of labour often begins with the application of a priming agent to soften the cervix, generally requiring women to stay in hospital overnight (inpatient priming). An alternative is outpatient priming by a midwife, where women are allowed to go home following priming. This approach has the potential to impact, either positively or negatively, on the midwives involved.QuestionTo what extent did the introduction of outpatient priming influence midwives’ work demands, work autonomy, stress and job satisfaction.MethodsA before–after study (with two separate cross-sectional samples) was conducted alongside a randomized controlled trial of outpatient versus inpatient priming, conducted at two metropolitan teaching hospitals in Australia. Midwives completed a questionnaire before the introduction of outpatient priming and again approximately two years later.Findings208 midwives participated (response rates-time 1:81% (87/108); time 2:78% (121/156)). A mixed model analysis test of pre-post intervention differences found no changes in work demand, work autonomy and satisfaction. At time 2, over 80% of midwives reported that the introduction of the practice had reduced or made no difference to their work stress and workload, and 93% reported that outpatient priming had increased or had no impact on their job satisfaction. Furthermore, 97% of respondents were of the opinion that the option of outpatient priming should continue to be offered.ConclusionResults suggest that outpatient priming for induction of labour is viable from a midwifery practice perspective, although more research is needed.     

Colonialism,Disability, and Possible Lives: The Residential Treatment of Children Whose Parents Survived Indian Residential Schools

This article performs an institutional autoethnography of working in a residential treatment center, proposing a moral economy in which the exaltation of white nondisabled professionals is tethered to the denigration of disabled Aboriginal children. It describes how resident and staff resistance, respectively, can be taken up so as to facilitate the smooth continuity of the status quo. And it raises questions about everyday institutional practices such as physical restraints, behavior modification, and life-skills curricula, suggesting they may not do what they are intended to do and may instead wither away knowledge and skills that residents had cultivated before their “intake.”     

Still Among the Missing? A Content Analysis of LGBT Articles in Social Work Journals, 1998–2009

In 2002, Van Voorhis and Wagner published an article that examined how often, between 1988 and 1997, four major social work journals published content on gay and lesbian people. This content analysis is a follow-up to the previous one to see if the findings were different when the same four journals were examined between 1998 and 2009. As with the Van Voorhis and Wagner study, articles were coded depending upon their focus on HIV/AIDS and the gay community or other issues impacting gays and lesbians. Similarly, articles were coded depending on whether they focused on the client, worker, or macro system. This study found a decrease in the number of same-sex articles from 77 in the first analysis to only 50 in the present one. Furthermore, there was a decrease of almost 90% in the number of articles on HIV/AIDS, from 51 to 5. Van Voorhis and Wagner indicated that social work educators would not be able to easily find gay and lesbian content if they had to rely only on the four major journals. This study reaches a similar conclusion.     

Building Community Capacity to Advocate for Policy Change: An Outcome Evaluation of the Neighborhoods Working in Partnership Project in Detroit

This article presents results of the outcome evaluation of Neighborhoods Working in Partnership (NWP), a community-based participatory research project of the Detroit Community–Academic Urban Research Center, designed to enhance policy advocacy skills through training and support, thereby increasing community capacity, engagement, and empowerment of Detroit residents to change policies. Focus groups and conversational interviews were conducted with NWP participants. Results indicate that the workshop empowered participants and enhanced dimensions of community capacity. Participants reported engaging in policy advocacy activities and various policy successes. Participants identified challenges and facilitating factors to their policy campaigns. Recommendations for similar trainings are provided.     

Why Adoption? Gay,Lesbian, and Heterosexual Adoptive Parents’ Reproductive Experiences and Reasons for Adoption

This study aimed to explore the experiences of gay, lesbian, and heterosexual adoptive parents from 130 families. Parents’ reproductive experiences prior to adoption and their reasons for choosing to adopt were compared. Heterosexual couples were more likely to have experienced infertility than same-sex couples. Same-sex couples were more likely to prefer adoption over other routes to parenthood. Parents in all three family types selected their route to parenthood according to normative expectations, attitudes to biogenetic parenthood, ease of access, and moral reasoning. Same-sex couples’ decisions were enabled by the non-discriminatory sociolegal context of the United Kingdom.