Domestic violence and child abuse: developing sensitive policies and guidance

Domestic violence is everywhere and nowhere. No statutory organization or health service has work with either perpetrators or survivors of domestic violence (usually women and children) as the primary focus of their service, yet all agencies will have very significant numbers among their clients/service users. It is therefore crucial that the policy framework is developed both within and between agencies to address the need, and scope, of intervention in this area and particularly the impact on children. Currently, significant steps have been taken by some agencies in the UK to address this previously neglected issue, though the developments are patchy. This paper draws on a UK‐wide research study which mapped the extent and range of service provision for families where there is domestic violence and also developed a framework of good practice indicators for provision in this area. This article examines one of the indicators of good practice arising from the research—that of policy development—within social service departments and within the multi‐agency arena. Copyright © 2001 John Wiley & Sons, Ltd.     

Bayesian methods for the cross-design synthesis of epidemiological and toxicological evidence

Summary.  Systematic review and synthesis (meta-analysis) methods are now increasingly used in many areas of health care research. We investigate the potential usefulness of these methods for combining human and animal data in human health risk assessment of exposure to environmental chemicals. Currently, risk assessments are often based on narrative review and expert judgment, but systematic review and formal synthesis methods offer a more transparent and rigorous approach. The method is illustrated by using the example of trihalomethane exposure and its possible association with low birth weight. A systematic literature review identified 13 relevant studies (five epidemiological and eight toxicological). Study-specific dose–response slope estimates were obtained for each of the studies and synthesized by using Bayesian meta-analysis models. Sensitivity analyses of the results obtained to the assumptions made suggest that some assumptions are critical. It is concluded that systematic review methods should be used in the synthesis of evidence for environmental standard setting, that meta-analysis will often be a valuable approach in these contexts and that sensitivity analyses are an important component of the approach whether or not formal synthesis methods (such as systematic review and meta-analysis) are used.     

Father Involvement in Infancy: Influences of Past and Current Relationships

Men's childhood experiences with their parents, their current relationship with their partners, and demographic factors were examined in relation to father‐infant interactions. Participants were 60 racially and ethnically diverse, inner‐city men and their 6‐ to 11‐month‐old infants. Father‐infant interactions were videotaped during semistructured free play in participants' homes. The quality of men's interactions with their infants was assessed using Likert ratings of their responsive‐didactic and negative‐overbearing behaviors. Men engaged in significantly more responsive‐didactic behaviors than negative‐overbearing behaviors. A cumulative score of protective demographic factors (i.e., men residing with their infants, being married, completing high school, and obtaining income above the sample's median level) and men's experiences of childhood acceptance from their fathers uniquely predicted their responsive‐didactic behaviors. Men's relationships with their partners were homogeneously strong and unrelated to fathering behaviors. This study builds on extant literature by providing a broader conceptualization of father‐infant relationships and applying observational methods to the study of fathering in minority, low‐income men.     

New Trends in Measuring Environmental Attitudes: Measuring Endorsement of the New Ecological Paradigm: A Revised NEP Scale

Dunlap and Van Liere's New Environmental Paradigm (NEP) Scale, published in 1978, has become a widely used measure of proenvironmental orientation. This article develops a revised NEP Scale designed to improve upon the original one in several respects: (1) It taps a wider range of facets of an ecological worldview, (2) It offers a balanced set of pro- and anti-NEP items, and (3) It avoids outmoded terminology. The new scale, termed the New Ecological Paradigm Scale, consists of 15 items. Results of a 1990 Washington State survey suggest that the items can be treated as an internally consistent summated ratingscale and also indicate a modest growth in pro-NEP responses among Washington residents over the 14 years since the original study.