Sexual violence at first intercourse against women in Moshi, northern Tanzania: prevalence, risk factors, and consequences

To explore the relationship between sexual violence at first intercourse and later sexually transmitted infections (STIs) in Moshi, Tanzania, we analysed data from a representative household survey that comprised face-to-face interviews with 1,835 women and tests for six STIs on biological samples from 1,235 of these women. Overall, 10.9 per cent report forced first intercourse and 15.3 per cent report unwanted first intercourse. Unadjusted analysis shows a relationship between forced first intercourse and STIs (OR: 1.72, 95 per cent CI: 1.19-2.51). Life-course variables mediate this relationship. Significant predictors of having an STI include older age, more sexual partners, and a partner who has children with other women. Coerced first intercourse appears to be associated with changes in the life course of women and with a heightened risk of contracting an STI.     

Gambling and Problem Gambling in Sweden: Changes Between 1998 and 2009

Gambling participation and rates of problem gambling change over time in response to a variety of factors including gambling availability, demographic changes and adaptation at individual and societal levels. These relationship are complex and only partially understood. The major aim of the present study was to provide general population estimates of gambling participation and problem gambling for Sweden and compare these estimates with estimates from a previous national study. The study was also designed to identify risk factors for problem gambling including change in these factors over time. Data are from the first phase of the Swedish Longitudinal Gambling Study (Swelogs) in which a representative sample of 8,165 people was assessed using validated problem gambling and other measures to facilitate comparison with findings from the 1997/1998 Swedish Gambling Study (Swegs). Overall, it was found that gambling participation reduced markedly, although in some population sectors increases were evident for some forms including poker and electronic gaming machines. Lifetime prevalence of probable pathological gambling increased; however, past 12 months probable pathological and problem gambling prevalence did not. Males, younger adults and people born outside Sweden were at high risk in both studies. Significant prevalence increases were evident for people aged 18–24 and those with low levels of education. The results indicate that relationships between gambling exposure, participation and problems are dynamic with shifting implications for public health and social policy.     

Loneliness,immigration background and self-identified ethnicity: a nationally representative study of adolescents in Denmark

Migration is an increasing worldwide phenomenon that creates multicultural societies with a growing number of adolescents who have experienced a process of migration or who have an ethnic background other than that of the majority. Migration may lead to loss of social relations and create challenges related to acculturation in the new country. These experiences may induce feelings of loneliness. Research on ethnic and migrant disparities in loneliness among adolescents is limited and inconsistent. The purpose of this study was to examine how adolescents’ immigration background and self-identified ethnicity are associated, independently and combined, with loneliness. We used data from the Danish 2010 Health Behaviour in School-aged Children survey which included a representative sample of 3083 13- and 15-year-olds. The results suggest that immigrants but not descendants of immigrants have an increased risk of loneliness compared to adolescents with a Danish origin. The results also suggest that adolescents’ self-identified ethnicity plays an essential role but differently for immigrants and descendants: identifying with the Danish majority was protective against loneliness among immigrants, whereas identifying with an ethnic minority group was protective against loneliness among descendants.     

Reluctant participation – the experiences of adolescents with disabilities of meetings with social workers regarding their right to receive personal assistance

The aim of this study was to improve understanding of the experiences of adolescents with disabilities concerning meetings that affect their possibility to receive personal assistance in Sweden. Qualitative inductive content analysis was used to describe their experiences. Overall adolescents were found to be reluctant to participate in meetings. Two main approaches could be discerned – taking part and taking part by proxy. The adolescents who took part in meetings tried to adapt their self-presentation to fit with the social workers’ requirements by presenting their worst self, giving requested information, using support and raising their voices. The adolescents who choose to participate by proxy were either being involved or not being involved. Being involved implied involvement before and/or after the meeting. The meaning of participants’ strategies was examined through a social constructivist lens. The results indicate that ‘performing disability’ during the meetings is a prerequisite for obtaining personal assistance. In its current form adolescents’ participation is reduced to tokenism and this raises questions about how to implement a child perspective.     

Structural invariance and stability of sense of coherence: A longitudinal analysis of two groups with different employment experiences

This 5-year follow-up study investigated the structure and the factorial invariance of the 13-item sense of coherence (SOC) scale (Antonovsky, 1987a) in two employment groups (unemployment/lay-off experiences vs. continuous full-time employment) and across two measurement times. In addition, the stability of SOC between these two employment groups was compared. The postal questionnaire data was collected twice, in 1992 and in 1997. The participants were Finnish technical designers (N=352) aged between 25 and 40 years in 1992. A total of 51% of the investigated participants had been employed full-time during the 5-year follow-up period and 49% had been unemployed and/or laid off for a total period of at least one month during the follow-up. The confirmatory factor analysis indicated that the SOC scale measured one general second-order SOC factor consisting of three, first-order factors of meaningfulness, comprehensibility, and manageability. The results also indicated that the scale was best used as an 11-item measure. The factorial invariance of the scale across time and across the two employment groups was supported by the data. Unexpectedly, the stability of SOC did not differ between the two employment groups. However, those participants who had experienced unemployment and/or been laid off during the follow-up period had a weaker SOC at both measurement times than those who had been employed throughout the follow-up.     

The Transformation of Gendered Work: Dualistic Stereotypes and Paradoxical Reality

The article focuses on the paradoxes of gender stereotypes: how they need to be understood in order to make sense of the situation and how at the same time and for the same reason they need to be dissolved. Three stories derived from an ethnographic study of a Swedish housing company provide insights into both the absurdity and necessity of gender stereotypes. The process of men entering traditionally female work was neither the same nor the reverse process as women entering male arenas. Totally different patterns emerged when men entered traditionally female work arenas from when women entered traditionally male ones. Also, in this transformation process, traditional dualistic gender stereotypes were present and absent, being the very ground and dissolved at the same time. The stories challenge traditional dichotomous views of gender; to highlight this, three genders are introduced. Through this narrative device of creating three genders, a paradoxical process of resistance to change and real change becomes clearer. This article regards gender stereotypes as an invisible interpretive screen enabling theoretical sense-making; such a screen is both real and not real, functioning as resistance to change and allowing change to occur at the same time. Through this paradoxical complexity, the stories become as easy to understand as they actually are from a more practical, ethnographic perspective.     

The stability of job and family involvement: Applying the multi-wave,multi-variable technique to longitudinal data

The main aim of the study was to examine the stability of job and family involvement, applying multi-wave, multi-variable modelling within the framework of LISREL models. The abbreviated job and family involvement scales based on Kanungo's (1979, 1982) motivational model were examined on the basis of 3-year longitudinal data. The study was carried out by means of questionnaires, which were filled in by Finnish employees (n = 109) on three occasions. The results show that both job and family involvement remained relatively stable during the follow-up period. Further, the scales showed reasonable unidimensionality across time. In addition, the item reliability of the scales was found to be adequate. Of the demographic characteristics studied (i.e. gender, age, socioeconomic status, presence of children at home, age of the youngest child) only gender had a significant effect on involvement: men were found to be more involved with their jobs than were women.     

Autonomy and Control in Everyday Life in Care of Older People in Nursing Homes

Self-control and autonomy are not guaranteed when people age and are in need of help from others, especially in institution-based housing. This occurs despite the fact that it is a generally accepted belief that care should be delivered with the greatest possible degree of independence and autonomy. This article discusses older people's experiences with and the opportunities for autonomy in institution-based housing. Through focus group interviews and observations, the daily lives of residents at two nursing homes in Sweden were studied through a comparative approach using the theoretical framework of organizational culture. Three themes emerged showing how autonomy was not a reality for the residents. The first theme revealed an ambivalent mission, indicating ambiguity as to whether the nursing home was a place to live in or a place in which to be cared for. The second theme was symbolic power, which encompassed the staff's power embedded in the organization. The third theme was the ageist approach to care, which was noted in the way staff considered the residents to be old people who were unable and unwilling to strive for autonomy. The three themes were embedded in the organizational culture and were created and recreated in the interaction between residents and staff. A key question for further research is how to change the culture to strengthen the residents’ autonomy.     

Work-home interaction from a work psychological perspective: Development and validation of a new questionnaire,the SWING

Abstract

This paper reports upon an investigative study of stress in the Ambulance Service. The aims of the research were in part methodological and in part substantive. Methodologically, the study sought to validate as measurable constructs the perceptions of sources of stress reported by ambulance staff in response to questionnaire items. Substantively, it sought to identify these possible sources of stress and to measure the relationship between their perceived importance and such moderating variables as personality characteristics, length of service, and urban or rural location of operation and rank. Both aspects of the study are reported.