Effects of government policies on the work of home care personnel and their occupational health and safety

The health sector in Québec (Canada) is dealing with profound macro-economic and macro-organizational changes. This article is interested in the impact of these changes on the work of home health aides (HHAs) and home care nurses and their occupational health and safety (OHS). The study was carried out in the home care services (HCS) of four local community service centres (CLSC) with different organizational characteristics. It is based on an analysis by triangulation of 66 individual and group interviews, 22 observed workdays and 35 observed multidisciplinary or professional meetings, as well as on administrative documents. HHAs are experiencing an erosion of their job because the relational and affective aspects of their work are disappearing. This may be due to an increase in their physical workload, leading to an increase in musculoskeletal problems and, to a lesser extent, in psychological health problems. Nurses are seeing an increase in the volume of invisible work that they have to do, which also has the effect of decreasing the relational aspects of their activity. The increasingly numerous psychological health problems are the consequence of this change in their profession. This study also shows that managers' decisions at the local level can reduce or increase the work constraints of HHAs and nurses. Examples of good practices for HHAs are the stabilization of clienteles and the possibility of organizing their itinerary, while for nurses, it is in how clientele follow-up tools are implemented. This article discusses the effects of government policies and decisions on the work and OHS of home care personnel. To address this subject, we use a specific analysis of the workload of home health aides (HHAs) and nurses. We will show the relationships between managers' organizational choices to respond to governmental constraints and the resulting work changes. We will also look at their consequences on occupational health and safety (OHS) and on the work of different personnel.     

Transition and Foreign Aid Policies in the Visegrád Countries: A Path Dependant Approach

The paper argues that the current emerging international development policies of the Visegrád (V4) countries are heavily influenced by the certain aspects of the Communist past and the transition process. Due to these influences, the V4 countries have difficulties in adapting the foreign aid practices of Western donors and this leads to the emergence of a unique Central and Eastern European development cooperation model. As an analytical background, the paper builds on the path dependency theory of transition. A certain degree of path dependence is clearly visible in V4 foreign aid policies, and the paper analyses some aspects of this phenomenon: how these new emerging foreign aid donors select their partner countries, how much they spend on aid, how they formulate their aid delivery policies and institutions and what role the non-state actors play. The main conclusions of the paper are that the legacies of the Communist past have a clear influence and the V4 countries still have a long way to go in adapting their aid policies to international requirements.

Participation in Bridging and Bonding Associations and Civic Attitudes: Evidence from Flanders

Current scientific research and recent policy initiatives reveal an intense interest in the effect of social capital on a broad range of socioeconomic outcomes both at the individual level (e.g., civic attitudes) and the societal level (e.g., democratic or economic performance). Despite persistent argumentation in this debate that voluntary associations are of crucial importance in this process, empirical research usually reveals but a weak relation between membership and democratic (or civic) attitudes. In this paper, we follow recent arguments that various types of associations may play different roles. Specifically, we empirically distinguish between bridging and bonding associations based on the socioeconomic diversity within an association. Using a dataset on association membership in Flanders, we find empirical support for the view that individuals’ values and attitudes indeed differ across members in (predominantly) bridging or bonding associations.

Older adults' exercise behavior: roles of selected constructs of social-cognitive theory

Exercise is consistently related to physical and psychological health benefits in older adults. Bandura's social-cognitive theory (SCT) is one theoretical perspective on understanding and predicting exercise behavior. Thus, the authors examined whether three SCT variables-self-efficacy, self-regulation, and outcome-expectancy value-predicted older adults' (N = 98) exercise behavior. Bivariate analyses revealed that regular exercise was associated with being male, White, and married; having higher income, education, and self-efficacy; using self-regulation skills; and having favorable outcome-expectancy values (p < .05). In a simultaneous multivariate model, however, self-regulation (p = .0097) was the only variable independently associated with regular exercise. Thus, exercise interventions targeting older adults should include components aimed at increasing the use of self-regulation strategies.     

Reward-Sensitivity,Inhibition of Reward-Seeking,and Dorsolateral Prefrontal Working Memory Function in Problem Gamblers not in Treatment

Given the central role of perseverative chasing in problem gambling, the present study sought to find evidence for three hypothesized components of perseveration in problem gamblers: reward-sensitivity dominance, deficient inhibition of reward-seeking behavior, and working memory deficits. This was the first attempt to examine working memory deficits in problem gamblers using a conditional association task, which is associated with posterior-dorsolateral prefrontal functioning. In a sample that was not in treatment, and representative in terms of comorbidity, problem gamblers performed significantly worse on the conditional association working memory tasks after controlling for general memory function, compared to demographically-matched controls. This is significant because deficits in the dorsolateral prefrontal region have been consistently associated with perseveration, which suggests that problem gamblers’ perseverative chasing may be associated with a working memory deficit. Problem gamblers were not significantly higher than at-risk gamblers in terms of reward-sensitivity dominance (measured as a personality trait in terms of extraversion) suggesting that it may not be specifically associated with problem gambling. Sensation-seeking was also not associated with problem gambling in a sample that corrected for the methodological problems of previous studies which examined it. The need for gambling research to focus specifically on the perseverative inability to stop gambling is emphasized, and the present findings of specific working memory deficits in problem gamblers suggest the need for further examination of working memory as a potential risk factor for problem gambling. We propose that subsequent studies examine working memory in terms of the self-regulatory capacity for goal maintenance where attention must specifically be allocated to resist interference.     

Youth Future Civic Participation in Europe: Differences Between the East and the Rest

European countries were economically and politically separated during the Cold War, but since its end processes of globalization and the formation of the European Union have contributed to blur the borders. Previous studies suggest that the social transformations have affected differently civic participation of youths, but shortage of more recent data has precluded researchers from examining the differences in a country-comparative fashion. Along these lines, this paper has two main objectives: to explore the differences in the levels of expected civic participation across Europe, and to evaluate the fit of a theoretical model of civic participation in regard to the different points in time their democracies were established. To achieve these goals, data from 22 European educational systems (9 post-communist and 13 established democracies) participating in the International Civic and Citizenship Study (2009) conducted by International Association for the Evaluation of Educational Achievement is used. The results, in accordance with the literature, suggest differentiated patterns of future civic participation between the new and established democracies, but they are not that clear, suggesting that convergence between the two groups is ongoing. However, the tested empirical model of civic participation functions in a better way in the established than in the new democracies. In contrast with previous findings, differences in levels of expected civic participation seem to be related not only with the countries’ experience with democracy, but also with their cultural similarities and common history.     

Building Weighted-Domain Composite Indices of Life Satisfaction with Data Envelopment Analysis

The specialised literature has frequently addressed the relationship between life domains and people’s satisfaction with life. Some researchers have posed questions regarding the importance of domains, therefore interpreting them as weightings and creating domain satisfaction indices. This paper illustrates how Data Envelopment Analysis (DEA) and Multi-Criteria-Decision-Making (MCDM) techniques can be employed to compute domain-based composite indices of life satisfaction and weightings for life domains. Furthermore, an empirical application is performed on a sample of 178 people living in a rural community in Yucatan (Mexico). One of the main features of the aforementioned techniques is that weightings might differ from one individual to another. Accordingly, several weighting schemes are used to compute different life satisfaction indices, in addition to a constant equally-weighted index. Based on the goodness-of-fit criteria commonly used in this literature, our main result is that DEA-MCDM indicators of life satisfaction do not improve the relationship with self-reported life satisfaction in comparison to the equally-weighted index.     

Ethnic identity, majority norms, and the native–immigrant employment gap

Earlier studies do not agree on whether ethnic identity, i.e., immigrants’ attachment to the home country and the host country, can explain lower employment outcomes among immigrants. This study investigates the relationship between employment and ethnic identity and complements the literature by capturing a novel dimension of ethnic identity: openness to majority norms. Reproducing measures from earlier studies, I find that immigrants’ employment outcomes do not systematically associate with their ethnic identity. However, immigrants who share social norms with the majority experience significantly better employment outcomes, particularly first-generation immigrant women. Furthermore, I show that interethnic differentials in majority norms could account for up to 20 % of the explained part of the employment gap between natives and first-generation immigrants. Those results shed more light on the interethnic employment gap and aspects of immigrants’ identity relevant to economic integration.     

The Recent Mortality Decline in Russia: Beginning of the Cardiovascular Revolution?

The health situation in Russia has often been characterized as a long‐running crisis. From the 1960s until the beginning of the 2000s, the declining life expectancy trend was substantially interrupted only twice: once in the mid‐1980s as a result of Gorbachev's anti‐alcohol campaign, and again at the end of the 1990s as a result of the “rebound” effect following the dramatic rise in mortality associated with the acute socioeconomic crisis. In both cases, the progress made proved to be short‐lived. A third mortality decline in Russia began in 2003 and is still ongoing. We investigate the components and driving forces of this new development, in particular the role played by cardiovascular diseases. Using cause‐specific mortality data, we identify the main features of the recent improvements and compare these features with those observed in selected European countries, specifically France, Poland, and Estonia. Our aim is to gauge whether the features of the improvements in these countries are similar to those of the recent advancements made in Russia. Although the recent improvements in Russia have features in common with initial stages of prior mortality declines in other countries and may support optimism about the future, a return to mortality stagnation cannot be ruled out.