Are Area-Level Measures of Employment Associated with Health Behaviours and Outcomes?

Accessible employment suited to residents’ needs is an important equity issue and social determinant of health and wellbeing, and a balanced jobs-housing ratio within a region has the potential to provide health benefits. This paper aims to provide evidence on the associations between employment and health, and the potential pathways, as well as identifying spatial indicators that can be used to measure urban employment, a construct of liveability. We used 2011 census data to create and test two area-level spatial measures of urban employment with geo-coded population health behaviour and outcome data (2011 VicHealth survey) in 5206 employed adults living in urban Victoria, Australia. Those living in areas with higher levels of local employment had reduced odds of a longer commute (OR 0.87). The odds of a longer commute time was also greater for those who lived in an area where more people commuted to work by private vehicle (OR 1.20), and less for those who lived in local areas where more people travelled to work by public transport (OR 0.85) or active travel (OR 0.80). The odds of reporting longer sitting times was less for those who lived in a local area where more people commuted to work by private vehicle (OR 0.65). Those who had a longer commute times, regardless of travel mode, had greater odds of reporting more sitting during a typical weekday (OR 1.67). In turn, those who spent more time sitting had significantly greater odds of reporting poorer self-rated health (OR 1.34). Such work provides evidence to policy-makers to help build the argument for which area-level attributes are needed to support urban employment across a region.     

Social Closure and Educational Attainment

This article examines how network closure among parents affects adolescents’ educational attainment. First, we introduce a distinction between informal closure and school‐based closure. Second, we investigate whether and how the effect of informal and school‐based parental network closure varies across social contexts. Findings from the National Longitudinal Study of Adolescent Health (Add Health) and multilevel models show that parental network closure modestly impacts educational outcomes. Moreover, educational benefits of informal closure in parent networks are contingent on social context. Closure only benefits educational attainment in low‐poverty schools. In high‐poverty schools, informal closure in parent networks lowers educational attainment. The social closure generated in informal connections among parents thereby contributes to the encapsulation of disadvantage in areas of concentrated poverty, which is not the case for school‐based closure.     

Child Protection in a Low‐Resource Setting: Experiences From Paediatric Professionals in Kenya

Key Practitioner Messages:

• Child protection is a significant issue in global child health.
• There is an established legal framework for the protection of children globally and in Kenya.
• This study has given an insight into the current experience of child protection amongst healthcare professionals in Kenya.
• There was limited training reported at both undergraduate and postgraduate levels.
• It has highlighted the need and desire for formal child protection training for all professionals working with children.

     

European Youth Gang Policy in Comparative Context

The past decade has seen increased reports of street gangs across a range of contexts. In Europe, anxieties over street‐based youth has led to the development of gang‐specific policies across a range of jurisdictions, most notably the UK. Following a similar pattern of policy mobility in criminal justice, many of these policies have origins in the US system. In this review of international gang policy developments, we critically examine a number of these policies in a comparative context ‐ including gang policing units and intelligence databases ‐ and interrogate their efficacy. Drawing on cogent examples from the UK, we argue for caution in adopting US gang intervention tactics due to the lack of empirical evidence relating to their applicability or efficacy, and the corresponding potential for discrimination toward the most marginalised and socially excluded children and young people in society.     

Reframing agrarian citizenship: Land,life and power in Brazil

This paper investigates the changing relationship between land, citizenship, and power in Brazil, where land-related policies have historically served to situate political and economic rights in the hands of an elite land-owning minority. In response, contemporary grassroots movements in Brazil, including the Landless Rural Workers Movement (Movimento dos Trabalhadores Rurais Sem Terra, or MST) advocate the substantive transformation of what I develop here as a new form of “agrarian citizenship”, in which political participation, local food production, and environmental stewardship redefine the ongoing constitution of the relationship between land, state, and rural society. Based on extensive interviews, participant observation and document analysis from 2004–2006, this ethnographic study examines the contours of how changing notions of agrarian citizenship are negotiated among members of a growing body of social groups demanding land redistribution and reasserting agrarian culture in Brazil. By developing and enacting new forms of political participation that involve the transformation of personal and collective values and practices, rural activists such as the MST envision the redistribution of land as a material right, but also view the transformation of the land-society relation as an equally public responsibility.     

Assessment-Informed Intervention for Aphasia in an Older Adult: Transfer of Stimulus Control Procedure Considerations

The purpose of this study was to contribute to the small but growing literature on the rehabilitation of language for older adults, as well as evaluate the clinical utility of a functional approach to language assessment. The study included an assessment-based response profile that informed individualized treatment targets and prompt selection, and a multiple-baseline design across behaviors with an embedded multielement design was used to systematically compare two transfer of stimulus control procedures. Results suggested that the prompt-delay procedure resulted in positive treatment outcomes and provided valuable information on the implications of basing treatment goals on functional assessment.     

The politics of marginality in Wallowa County,Oregon: Contesting the production of landscapes of consumption

The state of Oregon’s (USA) land use planning framework has long been characterized by tensions between state and local authority, between traditionally-defined “urban” and “rural” concerns, and between the competing interests of various landowners. An examination of Wallowa County, Oregon’s implementation of House Bill 3326, a 2001 law giving counties the power to define certain agricultural lands as “marginal,” and therefore exempt from restrictions on subdivision and development, illustrates the ways in which these tensions become magnified as rural communities attempt to govern private land use in the context of rural restructuring. Implementation of HB3326 highlighted the tensions between landowners interested in capitalizing on development opportunities afforded by HB3326, neighboring producers concerned about interference from future amenity migrants, and existing amenity migrants with interests in protecting their rural idyll. Contestations over nonfarm development took place in the context of a strong agricultural community identity, concerns about the effects of economic restructuring on producers, and local resistance to the rural gentrification process. The process of defining marginality came to encompass not only technical issues of land productivity, but also broader community contestations over the continuation of traditional land uses and the legitimacy of various actors to govern private land.     

The Perfect Storm of Trauma: The experiences of women who have experienced birth trauma and subsequently accessed residential parenting services in Australia

Background

There appears to be a chasm between idealised motherhood and reality, and for women who experience birth trauma this can be more extreme and impact on mental health. Australia is unique in providing residential parenting services to support women with parenting needs such as sleep or feeding difficulties. Women who attend residential parenting services have experienced higher rates of intervention in birth and poor perinatal mental health but it is unknown how birth trauma may impact on early parenting.