Belonging and the uses of difference: young people in Australian urban multiculture

This paper examines how young people of migrant background in Australia make meaning of cultural, ethnic and racial difference to work out belonging in times of super-diversity. It asks what functions difference still has for a generation growing up within conditions of proliferating diversity that demand and accommodate competing constructions of cultural identities. It suggests that young people's narratives about difference depend on the space of belonging, and explores how young people use difference differently depending on whether they are articulating membership in the local community, the nation or youth culture.     

‘Next Steps’ for Equality?: The Impact of Organizational Change on Opportunities for Women in the Civil Service

The ‘Next Steps’ restructuring programme (1988) has had a fundamental impact on the management and organization of the Civil Service, and on the practice of equal opportunities. The fragmentation of the service into semi-autonomous agencies has resulted in greater managerial autonomy in relation to staffing issues. Equality initiatives such as part-time and flexible working patterns, ‘family friendly’ policies, women-only training programmes and the provision of nurseries are coming under threat due to increased discretion over decision-making in these areas. Other aspects of restructuring — such as ‘downsizing’— have resulted in a reduction of the middle management layer, making it more difficult for women to breach the ‘glass ceiling’ and access senior posts. The persistence of a hostile managerial sub-culture to equal opportunities has been instrumental in pushing equality issues to the bottom of the agenda in the current climate of change because of ‘more important’ organizational pressures. Within this context, equality of opportunity for women in the Civil Service has reached a critical stage.     

Immigrants and Social Networks in a Job‐Scarce Environment: The Case of Germany1

Though information about jobs passed through personal networks has been central to the labor market integration of immigrants in the United States, its role in the economic absorption of immigrants in Germany, where jobs are scarcer and employers more likely to demand formal qualifications, is less clear. Through analysis of German Socio‐Economic Panel data, we discovered that nearly half of all immigrant‐origin job changers found their positions through networks and that the most vulnerable to unemployment – the young and the less educated – were especially likely to rely on them. Also, jobs found through networks were as likely to lead to improved working conditions as jobs acquired through more formal means. These findings have implications both for debates about assimilation and for social policy.     

Health and the Quality of Life

The aim of this investigation was to explain theimpact of peoples self-reported health on theirlevels of satisfaction with their health, and theimpact of these things plus satisfaction with otherspecific domains of their lives on the perceivedquality of their lives. The latter was operationalized as general happiness, satisfactionwith life as a whole and overall satisfaction with thequality of life. Seven hundred and twenty-three (723)usable questionnaires returned from a mailout randomsample of 2500 households of Prince George, BritishColumbia in November 1998 formed the working data-setfor our analyses. Among other things, mean respondentscores on the SF-36 health profile were found to belower than published norms from the UK, USA,Netherlands and Sweden, but higher than scores fromAberdeen, Scotland. Mean scores on the CES-Ddepression scale also indicated that our respondentstended to have more depressive symptoms thancomparison groups in Winnipeg and the USA. A review oftrends in mean scores on 17 quality of life items(e.g., satisfaction with family life, financialsecurity, recreation, etc.) from 1994, 1997 and 1998revealed that there were only 7 statisticallysignificant changes across the four year period andthey were all negative. Multivariate regressionanalysis showed that health status measured with avariety of indicators could explain 56% of thevariation in respondents reported satisfaction withtheir health. A combination of health status plusdomain satisfaction indicators could explain 53% ofthe variation in respondents reported happiness, 68%of reported life satisfaction and 63% of reportedsatisfaction with the overall quality of life. Sixtypercent of the explained variation in happiness scoreswas attributable to self-reported health scores, whileonly 18% of the explained variation in satisfactionwith life and with the overall quality of life scoreswas attributable self-reported health scores.     

Perspectives of Youth in Care in Serbia

In the context of evaluating child protection reform in Serbia, we explored the concept of positive youth development as well as how they experienced and understood the experience of placement. We sought to understand how youth perceive their strengths, the role of the care system, their views on how life experiences affect their strengths and how they see their future. Our position is that the way in which children see their situation is equally valuable as any other point of view, and that their doubts, questions and views should be learned in the research process. We used the methodology of semi-structured in-depth interviews conducted with 16 young people in care aged 13–18 years. Results indicate their limited involvement in the process of making decisions related to their life and future. There is a strong need for meaningful involvement of children and young people in order to ensure their positive development.     

Does Weighting Capture What’s Important? Revisiting Subjective Importance Weighting with a Quality of Life Measure

The present study evaluated subjective importance weighting using data collected with the Injection Drug User Quality of Life Scale (IDUQOL). Weighted and unweighted IDUQOL scores from 241 adults were correlated with convergent, discriminant, and criterion measures. Regression analysis was used to examine the contribution of importance ratings to scores on a global measure of life satisfaction and the corrected weighted IDUQOL total scores. Overall, the results showed that weighted scores did not perform better than unweighted scores in measuring quality of life. However, the mean satisfaction ratings for important domains correlated significantly higher with convergent measures than did the mean satisfaction ratings for unimportant domains. This finding suggests further attention needs to be paid to the meaning and measurement of subjective importance and how it may be incorporated more effectively into measures of quality of life.     

Screening for depression after cardiac events using the Beck Depression Inventory-II and the Geriatric Depression Scale

Despite findings that depression is a risk factor for heart disease and for death following cardiac events and that depressed cardiac patients experience significantly reduced quality of life and are less likely to follow treatment regimens, depression is neither adequately identified nor treated in cardiac patients. Recent calls in the literature for the use of standardized screening measures and sensitivity/specificity studies to identify useful measures compelled us to examine the sensitivity and specificity of the Beck Depression Inventory-II (BDI-II) and Geriatric Depression Scale (GDS) and recommend appropriate cut-scores for identifying depression in post-myocardial infarction or unstable angina patients. A total of 119 patients who met criteria for either acute myocardial infarction or unstable angina pectoris were recruited from coronary care units at three hospitals and interviewed in their homes approximately 2 weeks post-admission. The criterion used in the study was the Structured Clinical Interview for DSM-IV-TR Axis I Disorders (SCID-I/NP). Administration of the SCID-I/NP, BDI-II, and GDS was counterbalanced using a digram-balanced approach and blinded comparison was used. Alphas were .89 for BDI-II and .88 for GDS. For major depression, a BDI-II cut-score of 10 produced a sensitivity = 100%, specificity = 75%, and PPV = 18% whereas a GDS cut-score of 14 produced sensitivity = 100%, specificity = 94%, and PPV = 50%. For major/double depression, a BDI-II cut-score of 10 produced sensitivity = 100%, specificity = 75%, and PPV = 21% whereas a GDS cut-score of 13 produced sensitivity = 100%, specificity = 91%, and PPV = 41%. Although both measures demonstrated excellent reliability and sensitivity, the GDS showed better specificity and PPV and is recommended as the better screen for major depression or double depression with cardiac patients.     

Changing methods of disclosure. Literature review of disclosure to children with terminal illnesses,including HIV

More than 30 years after the first discovery of the deadly HIV virus, and in the wake of increased knowledge of transmission, treatment and behavioral intervention development, parents are still faced with the difficult task of whether, when and how to inform their child about her or his HIV status. Except for some general ethical considerations, there are no national or international guidelines available for handling HIV status disclosure to a child by parents and health professionals. Most studies on disclosure address the problem of stigma and the barriers to disclosure of HIV-positive status by adults to their sexual partners, caretakers, families and communities, but very few studies focus on disclosure to HIV-positive children. The majority of the studies that address disclosure to children limit themselves to stipulating reasons for barriers to such disclosure instead of the skills and knowledge necessary for effective disclosure to a child. Increasing availability of therapy for HIV across the world presses the issue of disclosure to the child. Even so, disclosure for children who are HIV-positive due to vertical transmission continues to be very difficult. There is a lack of interventions that consider guidelines for healthcare professionals, parents or persons involved with taking care of HIV-positive children. These interventions should be designed in an understanding manner towards the culture where they might be implemented and be as appropriate in the view of integrating different family structures and the child's development.     

Sensitivity analysis for unobserved confounding in causal mediation analysis allowing for effect modification,censoring and truncation

Statistical Methods & Applications - Causal mediation analysis is used to decompose the total effect of an exposure on an outcome into an indirect effect, taking the path through an...