“Drunkorexia”: Understanding eating and physical activity behaviors of weight conscious drinkers in a sample of college students

Objective: Behaviors of weight conscious drinkers (BWCD) include disordered eating, excessive physical activity (PA), and heavy episodic drinking. Considering that approximately 25% of the college students report BWCD, it is important to investigate what characteristics increase the likelihood of college students engaged in BWCD for both moderate and vigorous PAs. Participants: A total of 510 college students were recruited from a large, public southeastern university. Methods: Participants completed a cross-sectional survey during the spring 2015 semester. Results: Of 510 respondents, 11.2% reported moderate PA-based BWCD and 14.7% reported vigorous PA-based BWCD. Weight loss intention, BMI and Greek affiliation predicted both moderate and vigorous BWCD. Conclusions: Study findings suggest that Greek-affiliated students and students with weight loss intentions might be at an increased risk for BWCD. Along with promoting lower levels of alcohol consumption, college practitioners should consider discussing issues of weight and body image with college students as they relate to maladaptive drinking behavior.     

Japanese women's experiences of pharmacological pain relief in New Zealand

BackgroundIn Japan, most women manage labour pain without pharmacological interventions. However, New Zealand statistics show a high percentage of epidural use amongst Asian women. Entonox (a gas mixture of nitrous oxide and oxygen) and pethidine are also available to women in New Zealand. This article investigates how Japanese women in New Zealand respond to the use of pharmacological pain relief in labour.QuestionsThe study was guided by two research questions: (1) How do Japanese women experience and manage labour pain in New Zealand? (2) How do they feel about the use of pharmacological pain relief?MethodsThirteen Japanese women who had given birth in New Zealand were interviewed individually or in a focus group. The conversations were analysed using thematic analysis.FindingsAlthough in Japan very few women use pain relief, nine women received epidural and/or Entonox out of 11 women who experienced labour pain. The contrast between their Japanese cultural expectations and their birth experiences caused some of the women subsequent personal conflict.ConclusionJapanese women's cultural perspectives and passive attitudes were demonstrated to influence the decision-making process concerning pain relief. It was concluded that understanding Japanese cultural worldviews and approaches to the role of pain in labour would help maternity providers in their provision of appropriate care for Japanese women.     

Functional Ability,Neighborhood Resources and Housing Satisfaction among Older Adults in the U.S.

The purpose of this study was to explore neighborhood resources that influence the housing satisfaction of older adults. The study included 10,146 participants from the 2009 panel of the American Housing Survey who were 65 years and older. Hierarchical regression modeling was performed to examine older adults’ perceptions of neighborhood resources and consequently the role these resources play in predicting housing satisfaction among community dwelling and residents of assisted living, controlling for age, sex, ethnicity, education, and housing maintenance. In addition, three levels of physical functioning among residents of assisted living were examined. Results showed that there were differences in housing satisfaction by residences and levels of physical functioning. Subjective evaluations of neighborhoods and the near surrounds were significant predictors of housing satisfaction. Results of the study suggest that policy makers and housing professionals need to continue to consider the role of supportive neighborhoods and social environments in promoting successful aging particularly for frail older adults.     

Women's satisfaction with antenatal care: Comparing women in Sweden and Australia

BackgroundSatisfaction with antenatal care could differ depending on the organisation and the context of care.AimTo compare antenatal care in Australia and Sweden, to identify deficiencies in the content of antenatal care and what aspects contributed most in dissatisfaction with antenatal care.MethodsA longitudinal survey of 123 Australian and 386 Swedish women recruited during one year in regional hospitals in Sweden and Australia. Data collected by three questionnaires.ResultsWomen in Australia had more antenatal visits, less continuity of midwife caregiver but were more satisfied with antenatal education and the emotional aspects of antenatal care. Although the overall satisfaction was high, deficiencies were found in more than half of the studied variables in the content of care. Women in Sweden were more dissatisfied with information about labour and birth (OR 3.1; 1.8–5.3) and information about the time following birth (OR 3.8; 2.2–6.3), but more satisfied with the involvement of the father (OR 0.3; 0.2–0.6). Factors that contributed most to dissatisfaction with antenatal care overall were deficiency in information about pregnancy related issues (OR 3.4; 1.3–8.7) and not being taken seriously by the midwife (OR 4.1; 1.6–10.1).ConclusionSatisfaction with antenatal care was high in both groups of women. Australian women were more satisfied than the Swedish women with the emotional aspects of care. Deficiencies were found in more than half of the variables measured relating to the specific aspects of care. Lack of information and not being treated seriously were important factors for not being satisfied.     

Stressmanagement und Personalentwicklung

Stress management is a main topic of human resources development. This article discusses therefore characteristics of human resources development by means of stress management and starts by presenting theoretical foundations of stress management, intervention concepts, and evaluation results as well as contexts of intervention and target groups. Demands for interventions in the area of human resources development are then specified. These demands touch neglected target groups like low qualified workers and intervention contexts as well as interventions at the workplace. The further development needs of the intervention process are finally highlighted. The intervention process should systematically consider the motivation for participation and not only the motivation of the employees but also the motivation of the managerial decision-makers. Furthermore the relevance of the analysis and its instruments, the intervention methods, didactics and evaluation methods are pointed-out. A new developed intervention concept for stress and resource management for low qualified workers is presented, in which these demands are seized and used.     

The gendered dimensions of bushfire in changing rural landscapes in Australia

This paper examines gender differences in awareness, preparedness and attitudes towards bushfire amongst landholders in rural landscapes affected by amenity-led in-migration in southeast Australia. It considers the potential of conceptualising bushfire not as a gender-neutral natural phenomenon but as an important means by which traditional gender roles and power relations within rural landscapes are maintained. Landholders were found to uphold conventional views of bushfire management as “men’s business” despite changing social circumstances. Consequently, key gender differences exist within landholders’ bushfire risk awareness, bushfire knowledge, the perceived need for bushfire preparedness measures, the willingness to perform certain tasks, and the belief in personal capacity to act. We argue that covert and less visible as well as overt gender roles and traditions are important factors in understanding landholders’ engagement with bushfire management. When gendered dimensions of bushfire are investigated in the context of hegemony, a paradox emerges between women choosing not to take control of their own bushfire safety and women being denied the opportunity to take control. The complex and contradictory actions and attitudes to bushfire that materialise through an analysis of gendered social experiences complicate attempts to create more gender-sensitive frameworks for bushfire management. The tenacious and embedded nature of gender role divisions within both public and private spheres was furthermore found to act as economic, social and political stumbling blocks for empowerment opportunities. Using a mixed-methods research approach, this paper maps out gendered dimensions of bushfire through landholders’ narratives and actions. The implications of these dimensions for bushfire management have direct relevance to recent international discussions of the vulnerability of the growing number of people living in bushfire-prone rural–urban interface areas.     

Theorizing accommodation in supportive home care for older people

This paper examines the issue of what thinking is necessary in order to advance a notion of accommodation in the organization and provision of supportive home care for older people. Accommodation in this context is understood as responsiveness to the singularity of older adults, and we consider how this idea might be used to support opportunities for (independent) living for elders as they age and become frailer. To elaborate the question we draw on examples from our empirical work – ethnographic studies of home care practice undertaken in Canada and Iceland – and consider these examples in light of critical philosophical and social theory, particularly Agamben's (1993) work, The Coming Community. This is a relevant frame through which to consider the potential for the accommodation of the unique needs of older adults in home care because it helps us to problematize the systems through which care is accomplished and the current, dominant terms of relations between individuals and collectives. We argue that giving substance to a notion of accommodation contributes an important dimension to aligned ideas, such as patient-centeredness in care, by working to shift the intentionality of these practices. That is, accommodation, as an orientation to care practices, contests the organizational impulse to carry on in the usual way.     

Modeling whether,what and how much to buy the right way: an empirical analysis with implications for model building

Whether, what and how much to buy are central decisions in consumer goods markets. Marketing research commonly uses a sequential approach where quantity decision is conditional on purchase incidence and brand choice (e.g., Ailawadi et al. in J Mark Res 44:450–467, 2007). This approach assumes separability between decisions and suffers from selectivity bias. The bias can be overcome by explicitly controlling for it (e.g., Zhang et al. in Rev Mark Sci 3(1), 2005) or by using one unifying utility function, a method considered “state of the art in analyzing purchase behavior in a single product category” (e.g., Song and Chintagunta in J Mark Res 44(4):595–612, 2007). However, this latter method puts restrictive assumptions on the influence of prices on choices, which may affect managerial implications derived from the model results. This study investigates the effect of selectivity bias by comparing the sequential approach—with and without explicitly controlling for endogeneity bias—to the unifying utility function approach. Based on household panel data from three categories, we illustrate the extent to which managerial implications from these frameworks differ. We show that the superiority of one framework versus the other depends on the specific category and its characteristics. The managerial implications of using the “wrong” framework are demonstrated by conducting two simulation studies; these show that price elasticities substantially deviate across frameworks.     

‘I am not poor. Poor children live in Africa’: Social identity and children's perspectives on growing up in contexts of poverty and deprivation in the Netherlands

This study focuses on problems children living in contexts of poverty face in daily life and how they perceive poverty. Findings are based on research with children (8–12 years) from impoverished areas in the Netherlands. Besides the problems as identified by the children, such as the poor quality of playgrounds and the lack of money for activities, we identified a striking paradox, namely the taboo on or denial of poverty versus the pervasiveness of poverty. To understand and handle this contradiction, we reflect on representation of children growing up in contexts of poverty through a social identity framework.