Difficult Data: Boundary Dynamics,Public Engagement and Bridging Technologies in a Science/Policy Controversy

In 2001, the New Zealand Ministry of Health (MoH) contracted the Institute of Environmental Science and Research Ltd. (ESR) to undertake a serum dioxin study to determine exposure (current and historical) to dioxins for residents living in close proximity to the former Ivon Watkins Dow chemical plant in Paritutu, New Plymouth. In the years that the plant had operated, a number of activist groups had organised in the community to ask the government to respond to their concerns about possible exposure and any links to adverse health effects. The members of these groups were angry and frustrated. They distrusted industry and the various government agencies involved, and felt that previous scientific studies had marginalised their concerns. This paper explores the processes that enabled ESR to work with the community to produce a robust scientific study. Key dynamics, lessons, methods and mechanisms critical to the success of this intervention are appraised. This paper offers theoretical reflection on boundary work between science, policy and community and focuses on the challenges in including local knowledge to produce ‘useable knowledge’ in this case.     

Through Civil War, Food Crisis and Drought: Trends in Fertility and Nuptiality in Post-Soviet Tajikistan

This article has two objectives. First, it aims to complement and extend existing research on post-socialist demographic change, which has thus far tended to focus on Central and Eastern Europe. It does this by describing the nature of post-Soviet trends in nuptiality and fertility in Tajikistan, the republic with the highest rate of population growth during the Soviet period. It finds evidence for a decrease in period fertility after independence: initially, through a decline at higher orders; then, through a significant decrease in the rate of first births, associated with a dramatic decrease in the rate of first union formation since the mid-1990s. Second, it aims to contribute to the demography of conflict and of food crisis. Most clearly, it finds strong evidence for a decrease in nuptiality and fertility associated with the 1995 food crisis.     

Rumour and decertification in exile politics: evidence from the Egyptian case

ABSTRACT

Does exile affect activism and if so how? In this paper, the case of Egyptian activists exiled in England is taken as illustrative of processes typical of exiled activism. The case study draws on primary and secondary sources including a series of biographical interviews with exiled activists. The analysis compares activism in Egypt with exiled activism in England using the participants’ critical self-reflections to explain the mechanisms mediating the changes. Contrary to reasonable expectations that exile is a spontaneous response to a change in political context, the conditions for exile predate banishment and lie within the institutions of dictatorship which decertify activism. Decertification continues throughout the exile process as fear of repression becomes internalized within the movement. Within the sanctuary of the host country, a process of brokerage counteracts decertification expanding and modifying the exile repertoire.     

Veteran-nonveteran differences in alcohol and drug misuse by tobacco use status in Alabama SBIRT

ABSTRACT

Alcohol and substance use can challenge military veterans who live in rural communities. In 2016, the screening, brief intervention, and referral to treatment in Alabama (AL-SBIRT) program was implemented in west Alabama. The primary aim of this study was to determine whether current tobacco use modified the relationship between veteran status and substance misuse. Self-reported wellness data was collected regarding substance, alcohol, or tobacco consumption. Risk levels for alcohol and drug use were measured using the United States Alcohol Use Disorders Identification Test (US-AUDIT) and the Drug Abuse Screening Test (DAST)-10. Substance and tobacco use were significantly and positively correlated. Veterans had a higher US-AUDIT and DAST score than nonveterans, and tobacco appeared to be an exacerbating factor. Effective evidence-based interventions are needed in rural settings. Technology based programs and motivational interviewing with trained clinicians may serve as beneficial and cost-effective interventions for tobacco use prevention and cessation efforts.     

From Hospital to Home with NDIS Funded Support: Examining Participant Pathway Timeframes Against Discharge Expectations

ABSTRACT

For patients with disability who require funded supports to leave hospital, the introduction of the National Disability Insurance Scheme (NDIS) represents opportunity and challenges. At a time of major reform, timely and supported discharge is reliant on overcoming interface complexities. The purpose of this study was to examine the NDIS participant pathway timeframes against discharge expectations for hospitalised adults with spinal cord injury (SCI) or acquired brain injury (ABI) and interrogate delays for the two groups. Administrative data on 54 participants (ABI?=?18 and SCI?=?36) were analysed. Both groups experienced delays to discharge and significant variability in timeframes between NDIS pathway processes and extent of delays. Group differences were identified regarding inefficiencies across the continuum, with type of support a factor to investigate further. This study has uncovered critical points in the NDIS pathway that could impact discharge of participants and where collaboration and adaptive strategies could be targeted to improve processes.

IMPLICATIONS

• Ensuring the National Disability Insurance Scheme (NDIS) pathway operates effectively in the hospital setting is critical to the timely discharge of people with complex needs who require funded supports.

• Monitoring implementation of the NDIS in the health setting is important to avert interface problems that impede timely discharge and access.

     

Circular economy and the city: an urban political economy agenda

ABSTRACT

The circular economy (CE) has become a matter of urban development. A literature review shows that the CE debate is biased toward technology-driven industrial change, while bracketing broader socio-political interests. We address this gap by exploring the political economy of scale of the CE. Looking into the case of Brussels (Belgium), a city that has recently adopted the CE as part of its socio-economic strategy, we explore how the anticipated transition to a ‘circular city’ chimes with long-standing urban development agendas. While there is little evidence of stable growth coalitions between corporate and political elites, we argue that the CE provides an ‘urban sustainability fix’ by selectively incorporating ecological goals in urban governance strategies. We further scrutinise the landscape of diverse and heterogenous CE practices in food and transport, highlighting how they are regulated and organised, what labour conditions they offer, and how they are anchored in urban space.     

Oral health among student veterans: Effects on mental and physical health

Abstract

Objective: The purpose of this study was to explore differences in oral health among students by military service status in postsecondary settings. Participants: Secondary data were obtained from the American College Health Association’s 2011–2014 National College Health Assessment II. Method: Demographic characteristics of the study sample were explored by calculating frequencies and percentages by military service status. Research questions were explored with maximum likelihood multiple logistic regression. Results: Service member and veteran students are at greater risk for neglecting health behaviors associated with positive oral health, including that they were less likely to get dental exams and that those who deployed in the past were the least likely to be practicing good oral health. Conclusions: The results suggest that improving oral health will contribute to improving health and mental health outcomes in this population, and provide important information for health specialists working with service members and veterans on college campuses.