Validation of the Short Gambling Harm Screen (SGHS): A Tool for Assessment of Harms from Gambling

It is common for jurisdictions tasked with minimising gambling-related harm to conduct problem gambling prevalence studies for the purpose of monitoring the impact of gambling on the community. However, given that both public health theory and empirical findings suggest that harms can occur without individuals satisfying clinical criteria of addiction, there is a recognized conceptual disconnect between the prevalence of clinical problem gamblers, and aggregate harm to the community. Starting with an initial item pool of 72 specific harms caused by problematic gambling, our aim was to develop a short gambling harms scale (SGHS) to screen for the presence and degree of harm caused by gambling. An Internet panel of 1524 individuals who had gambled in the last year completed a 72-item checklist, along with the Personal Wellbeing Index, the PGSI, and other measures. We selected 10 items for the SGHS, with the goals of maximising sensitivity and construct coverage. Psychometric analysis suggests very strong reliability, homogeneity and unidimensionality. Non-zero responses on the SGHS were associated with a large decrease in personal wellbeing, with wellbeing decreasing linearly with the number of harms indicated. We conclude that weighted SGHS scores can be aggregated at the population level to yield a sensitive and valid measure of gambling harm.     

Relationships between urban green land cover and human health at different spatial resolutions

Relationships between landscape patterns and ecological processes can vary with changing resolution. Many studies in ecosystem services and human health rely on spatial-dependent data, yet the effects of changes in spatial resolution on the linkages between landscape and human health are underexplored. This study seeks to address the research gap by exploring the relationships of green land cover and pattern metrics at 1 m, 10 m, and 30 m with life expectancy in the City of Baltimore, Maryland, USA. Spearman’s rho correlation and stepwise and hierarchical regression models were applied. Results showed that the effects of resolution change did not emerge for percent green land cover but were evident in other pattern metrics. Multivariate relationships showed that metrics at 1 m explained the most variability of the relationships between green land cover and life expectancy after controlling for potential confounding factors (adjusted R²?=?0.776, and 0.752 at 10 m and 0.747 at 30 m). Edge density of coarse vegetation was significantly associated with life expectancy at 1 m (adjusted odds ratio [AOR]?=?1.012, 95%CI?=?1.004–1.024, p?<?0.01) and 10 m (AOR?=?1.018, 95%CI?=?1.009–1.027, p?<?0.001) but not at 30 m. Euclidean distance of fine vegetation had a strong positive association with greater life expectancy at 1 m (AOR?=?2.067, 95%CI?=?1.185–4.072, p?<?0.05) but not at 10 m and 30 m. These findings underscore the importance of acknowledging the effects of resolution on the interpretation of landscape-human health relationships and the need for caution when results are used in planning and management decisions.

     

Why were the 1980s “millenarian”? Style,repertoire, space and authority in South Africa’s black cities

This paper argues that some of the key determinants of the style and repertoire of the South African township revolts of the mid-eighties lie in the changing configurations of race, class and authority within townships over a long period of time. One major and pivotal change in these relationships is identified, and the paper employs ideal-typical constructions of the nature of townships in the two crucial eras concerned: what could broadly be described as the era of "welfare paternalism" and succeeding it after a period of complex change, the equally broadly characterized era of "racial modernism". Though both eras were racist, exploitative, and engendered class and community struggles they differed from one another in important stylistic and spatial ways. This paper suggests that the move from the one era to the other constitutes the move from a mode of "governability" to one of "ungovernability", and highlights the form, repertoire and style of rebellion.     

There's More Than Meets the Eye: The Nuances of Case Management

In this exploratory study, 50 mental health case managers from 2 Midwestern states were interviewed to capture their observations about the consumers they serve; aspects of the job they like and dislike; and their beliefs about the concept, process, and possibility of recovery from mental illness. The nature of the professional relationship in case management is described from the perspective of these professionals, as well as the methods these informants identify as key to the helping process. It is argued that effective case management requires complex and nuanced professional skills that might go unrecognized and underappreciated in community mental health.     

The effects of high HIV prevalence on orphanhood and living arrangements of children in Malawi, Tanzania, and South Africa

Using longitudinal data from three demographic surveillance systems (DSS) and a retrospective cohort study, we estimate levels and trends in the prevalence and incidence of orphanhood in South Africa, Tanzania, and Malawi in the period 1988-2004. The prevalence of maternal, paternal, and double orphans rose in all three populations. In South Africa - where the HIV epidemic started later, has been very severe, and has not yet stabilized - the incidence of orphanhood among children is double that of the other populations. The living arrangements of children vary considerably between the populations, particularly in relation to fathers. Patterns of marriage, migration, and adult mortality influence the living and care arrangements of orphans and non-orphans. DSS data provide new insights into the impact of adult mortality on children, challenging several widely held assumptions. For example, we find no evidence that the prevalence of child-headed households is significant or has increased in the three study areas.     

Providing perinatal loss care: satisfying and dissatisfying aspects for midwives

PURPOSE: There is limited midwifery research that focuses on midwives experiences and attitudes to providing care for women who experience the death of a baby. There is also limited research investigating care components, and evidence to inform the basis of clinical practice in Australia and internationally. This paper presents the qualitative findings of a small study that aimed to investigate midwives experience, confidence and satisfaction with providing care for women who experienced perinatal loss. PROCEDURE: Eighty-three Western Australian midwives responded to an open ended question asking them to describe the most and least satisfying aspects of their role when providing care to women who experienced a perinatal loss. Thematic analysis was used to analyse the data. FINDINGS: The analysis revealed that Australian midwives gained most satisfaction from providing skilled midwifery care that they considered made a difference to women. This was enabled when midwives were afforded the opportunity to provide continuity of midwifery carer to women throughout the labour, birth and early postnatal period. In terms of the least satisfying aspects of care, midwives identified that they struggled with the emotional commitment needed to provide perinatal loss care, as well as with how to communicate openly and share information with women. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Within the context of the study setting, midwifery care for women following perinatal loss reflects the care components espoused in the literature. There are, however, organisational issues within health care that require commitment to continuity of care and further education of practitioners to enhance outcomes for clients.     

Refining the Conceptualization and Measurement of Women’s Empowerment in Sub-Saharan Africa Using Data from the 2013 Nigerian Demographic and Health Survey

The measurement of women’s empowerment has long eluded academics and practitioners alike. A key challenge relates to the way researchers construct measures of empowerment, pairing indicators together in either composite indices, or multiple dimensions. This study tests three commonly found measurement models of women’s empowerment using data from the 2013 Nigerian Demographic and Health Survey. Model fit statistics indicate that a seven factor first order Functional Scales of Empowerment model best fits the data. Implications following from this study’s findings include that simplification into composite indices, a commonly used method to aggregate indicators of empowerment may lead to erroneous conclusions regarding the effect of empowerment on development and health outcomes and hamper comparative research. The results from this study contribute to the highly important and often ignored discussion regarding measurement of women’s empowerment.     

A Reflection on Critical Methodology: Accountability and Beneficiary Participative Evaluation in Third Sector Research

VOLUNTAS: International Journal of Voluntary and Nonprofit Organizations - Enabled by the underpinnings of critical theory, this article discusses research methodology developed with the aim of...