Addressing obesity in pregnancy: The design and feasibility of an innovative intervention in NSW,Australia

ObjectiveObesity amongst women of child bearing age is increasing at an unprecedented, rate throughout the Western world. This paper describes the design of an innovative, collaborative, antenatal intervention that aims to assist women to manage their weight during pregnancy and, presents aspects of the programme evaluation.Data sources/study settingThe programme was introduced at two sites, one in South East Sydney and, the other on the Central North Coast of NSW. Data were drawn from both sites and pooled for analysis.Study designThis evaluation used mixed methods drawing on qualitative and quantitative data.Data collection methodsFocus groups were held with staff in the antenatal clinic, who were, responsible for recruiting to the new service. Members of staff were also asked to record BMI for all women offered the service and using a simple questionnaire, record the reasons women gave for declining the new service.Principle findingsThe recruitment rate to the new service was 35% though this result should be treated with caution. Those women with a BMI of >35 were twice as likely to elect to participate in the new service as women with a BMI of less than 35. Focus groups with midwives in the antenatal clinic responsible for recruitment identified three themes impacting on recruitment to the service; ‘finding the words’, ‘acknowledging challenges’ and ‘midwives’ knowledge’.ConclusionsAntenatal clinic midwives were unprepared for talking to women about their weight. Increasing the confidence and skills of staff in offering service innovations to eligible women is a major challenge to be met if new models of care are to be successful in addressing overweight and obesity in pregnancy.     

ASSESSING AND TESTING FOR THRESHOLD NONLINEARITY IN STOCK RETURNS

This paper proposes a test for threshold nonlinearity in a time series with generalized autore‐gressive conditional heteroscedasticity (GARCH) volatility dynamics. This test is used to examine whether financial returns on market indices exhibit asymmetric mean and volatility around a threshold value, using a double‐threshold GARCH model. The test adopts the reversible‐jump Markov chain Monte Carlo idea of Green, proposed in 1995, to calculate the posterior probabilities for a conventional GARCH model and a double‐threshold GARCH model. Posterior evidence favouring the threshold GARCH model indicates threshold nonlinearity with asymmetric behaviour of the mean and volatility. Simulation experiments demonstrate that the test works very well in distinguishing between the conventional GARCH and the double‐threshold GARCH models. In an application to eight international financial market indices, including the G‐7 countries, clear evidence supporting the hypothesis of threshold nonlinearity is discovered, simultaneously indicating an uneven mean‐reverting pattern and volatility asymmetry around a threshold return value.     

Safe at home? Housing decisions for women leaving family violence

Internationally, domestic violence policy has shifted towards supporting women to stay at home with the perpetrator of violence excluded. However, the practical realities indicate that this is a complex arena in which the rhetoric of rights for “women and children to stay in their own home” needs to be underpinned by additional support to provide safety and protection for those choosing this option. The current study examines decision making about accommodation options and the role of civil protection orders among 138 women accessing domestic violence support services in Victoria Australia. It shines a light on the intersection between justice responses and the housing needs of women and their children leaving a violent relationship. Our findings reveal that for this sample of women, staying in their own home left them more open to breaches of intervention orders than those who re‐located. In spite of the frequency of breaching, a majority of women believed that they were safer with the protective order in place. We conclude that supporting women to “stay at home” with the perpetrator removed may be a pathway to safety for only a minority of women particularly if support from police and courts is not proactive and reliable.     

Patriarchy: The Predominant Discourse and Fount of Domestic Violence

While supporting the need to make class and other forms of marginalisation more visible in the understanding of, and response to, domestic violence, this article argues that, domestic violence is ultimately a discursive phenomenon and that patriarchal discourse remains the fount of domestic violence. This conclusion was drawn after data from a qualitative study of 24 men, from different cultural groups (ethnic, religious, racial, age and class), who had used violence in an intimate heterosexual relationship was considered, alongside ethnographical accounts of societies in which domestic violence is deemed not to have occurred, or to have been minimal. Whereas egalitarian and respectful attitudes towards women are enshrined in the discourse and social institutions of tribes such as the Semai and Waorani, in which intimate partner violence was absent, the most overwhelming discovery of the qualitative study was that class and cultural differences, evident in an analysis of the men's narratives, seemed to be eclipsed by the preeminence and strength of gendered discourse, in keeping with Western patriarchal dictates.     

Images of self and spinal cord injury: exploring drawing as a visual method in disability research

This article describes the use of drawings in a research project aimed at understanding the personal experience of spinal cord injury. The article briefly reviews the use of visual methods in disability research, and then describes the specific procedures used to elicit and analyze two sets of drawings: ‘draw your self’ and ‘draw how you see spinal cord injury in your mind’. The drawings were a small but essential part of a larger study focused on the community integration and participation of adults (n = 160) with spinal cord injury. Despite the challenges posed by this method for research participants with paralysis, the drawings provided unique insight into the personal meanings of spinal cord injury and how this injury is understood and represented to others. Using examples of participants' own drawings, we show how elicited drawings are a useful adjunct to traditional interview methods in studies of disability.     

The Role of Youth Problem Behaviors in the Path From Child Abuse and Neglect to Prostitution: A Prospective Examination

Behaviors beginning in childhood or adolescence may mediate the relationship between childhood maltreatment and involvement in prostitution. This paper examines 5 potential mediators: early sexual initiation, running away, juvenile crime, school problems, and early drug use. Using a prospective cohort design, abused and neglected children (ages 0–11) with cases processed during 1967–1971 were matched with nonabused, nonneglected children and followed into young adulthood. Data are from in-person interviews at approximately age 29 and arrest records through 1994. Structural equation modeling tested path models. Results indicated that victims of child abuse and neglect were at increased risk for all problem behaviors except drug use. In the full model, only early sexual initiation remained significant as a mediator in the pathway from child abuse and neglect to prostitution. Findings were generally consistent for physical and sexual abuse and neglect. These findings suggest that interventions to reduce problem behaviors among maltreated children may also reduce their risk for prostitution later in life.     

The ugly scholar: Neocolonialism and ethical issues in international research

As a discipline, sociology has had to confront criticism of the nature and ends of sociological research and ethnical dilemmas in the study of social problems and people. Over time guidelines have appeared to aid in protecting subjects and colleagues (e.g., the ASA Code of Ethics) and to guarantee research standards (e.g., the peer-reviewed proposal process, human subjects committees). However, guidelines tend not to address the challenges sociologists face in international research. This results in unpleasant experiences and potentially endangers research and researcher alike. This articles responds to the gap in the literature on ethical issues in international research. It draws on writings by social scientists and from the author’s experience in Latin America.     

Meeting the needs of the adoption triangle through open adoption: The adoptee

Open adoption offers advantages for adopted persons which are not available in traditional adoption. Having access, to information about their biological heritage allows adopted persons to integrate their adoptive, history with their biological history. This integration enables resolution of normal developmental crisis. Openness also helps facilitate communication between the adoptee and the adoptive parents. Adoptive parents are then able to recognize, and provide support, when their child is grieving the loss of the birthparents.