Multiparous women's confidence to have a publicly-funded homebirth: a qualitative study

Background

Hospital birth is commonly thought to be a safer option than homebirth, despite many studies showing similar rates of safety for low risk mothers and babies when cared for by qualified midwives with systems of back-up in place. Recently in Australia, demand has led to the introduction of a small number of publicly-funded homebirth programs. Women's confidence in having a homebirth through a publicly-funded homebirth program in Australia has not yet been explored.

Aim

The aim of the study was to explore the reasons why multiparous women feel confident to have a homebirth within a publicly-funded model of care in Australia.

Methods

Ten multiparous English-speaking women who chose to have a homebirth with the St George Hospital Homebirth Program were interviewed in the postnatal period using semi-structured, open-ended questions. Interviews were transcribed, then a thematic analysis was undertaken.

Results

Women, having already experienced a normal birth, demonstrated a strong confidence in their ability to give birth at home and described a confidence in their bodies, their midwives, and the health system. Women weighed up the risks of homebirth through information they gathered and integration with their previous experience of birth, their family support and self-confidence.

Discussion

Women choosing publicly-funded homebirth display strong confidence in both themselves to give birth at home, and their belief in the health system's ability to cope with any complications that may arise.

Implications for practice

Many women may benefit from access to publicly-funded homebirth models of care. This should be further investigated.     

Does More Schooling Reduce Hospitalization and Delay Mortality? New Evidence Based on Danish Twins

Schooling generally is positively associated with better health-related outcomes—for example, less hospitalization and later mortality—but these associations do not measure whether schooling causes better health-related outcomes. Schooling may in part be a proxy for unobserved endowments—including family background and genetics—that both are correlated with schooling and have direct causal effects on these outcomes. This study addresses the schooling-health-gradient issue with twins methodology, using rich data from the Danish Twin Registry linked to population-based registries to minimize random and systematic measurement error biases. We find strong, significantly negative associations between schooling and hospitalization and mortality, but generally no causal effects of schooling.     

The unequal impact of Covid-19 on the lives and rights of the children of modern slavery survivors,children in exploitation and children at risk of entering exploitation

This article discusses the unequal impact of Covid-19 on the lives of the children of survivors of modern slavery, child victims of exploitation and children at risk of exploitation in the UK. It draws on research that has analysed the risks and impacts of Covid-19 on victims and survivors of modern slavery. It explores how pandemic responses may have hindered these children's rights to education, food, safety, development and participation and representation in legal processes. It suggests that the pandemic should be used as an impetus to address inequalities that existed pre-Covid-19 and those that have been exacerbated by it.     

Sexuality,romantic orientation,and masculinity: Men as underrepresented in asexual and aromantic communities

This study examines men as a minority in asexual (experiencing low/no sexual attraction) and aromantic (experiencing low/no romantic attraction) communities. First, we situate our research in existing literature on asexuality, compulsory sexuality/compulsory romance, and hegemonic masculinities. In our analysis, we use survey data from the 2020 Asexual Community Survey (n = 4974) and 2020 Aromantic Census (n = 3018) to provide evidence that asexual and aromantic men are demographic minorities within asexual and aromantic communities. Next, we turn to two interview samples with 39 individuals who identify as aromantic and 77 individuals who identify as asexual. We analyzed these interviews to explore how sexuality and romance contribute to the construction of hegemonic masculinities. Our interviews reveal several important themes that highlight how asexual and aromantic men navigate their masculinity and identity amid asexual and aromantic communities as majority-woman spaces. We focus on three main themes: (1) masculinity as inherently sexual; (2) masculinity, heteronormativity, and the gendered construction of romance; and (3) asexual/aromantic identity, masculinity, and the split attraction model. Taken together, our results show how (hetero)sexuality and romantic relationship formation are fundamental to hegemonic masculinity. We find that asexual and aromantic men face cultural pressures and social stigma around initiating sex and performing romance. Asexual men must contend with managing a sexual identity that runs counter to men's supposedly innate sexual desire, thus situating them as inadequately masculine. Aromantic men, meanwhile, must manage inhabiting an identity that is conflated with the fuckboy/player trope, situating them as excessively masculine. This study demonstrates how centering asexual and aromantic perspectives reveals complexities in the ways hegemonic masculinity relies on participation in both sex and romance. We conclude by relating our findings to larger conversations on gender and sexualities as well as implications for future research on marginalized sexual identities.     

Leadership efficacy: Review and future directions

The concept of leader efficacy has received relatively little attention in the leadership literature. This is somewhat surprising given that effective leadership requires high levels of agency (i.e., deliberately or intentionally exerting positive influence) and confidence. This review uses existing theory and research on leader efficacy as a point of departure for proposing an expanded and multi-level framework for understanding the domain of leadership efficacy that includes leader, follower, and collective efficacies. The primary goals are to provide a conceptual framework to stimulate future theory and research on building efficacious leadership and to understand how such leadership develops and has implications for effective performance.     

Efficient estimation for incomplete multivariate data

We review the Fisher scoring and EM algorithms for incomplete multivariate data from an estimating function point of view, and examine the corresponding quasi-score functions under second-moment assumptions. A bias-corrected REML-type estimator for the covariance matrix is derived, and the Fisher, Godambe and empirical sandwich information matrices are compared. We make a numerical investigation of the two algorithms, and compare with a hybrid algorithm, where Fisher scoring is used for the mean vector and the EM algorithm for the covariance matrix.     

Temporal stability of entries and predictors for entry into out-of-home care before the third birthday: A Danish population-based study of entries from 1981 to 2008

Objective

Placing a child in out-of-home care is one of the most radical measures a child protection system can decide to take. There is an essential interest in understanding the probability of entering care and what circumstances are related to the decision to place a child in out-of-home care. This study investigates the temporal stability of rates and predictors for entry into care.

Method

Data were obtained by linking several registration systems. The study population was defined as all children entering care before their third birthday from birth cohorts 1981–2008 (N = 11,034). Furthermore, a control population consisting of a randomly assigned quarter of the Danish child population from the same birth cohorts was used (N = 515,773). Rates of entry and Cox regression models from six periods from 1981 to 2008 were used to model co-variates associated with entry into out-of-home care.

Results

The overall likelihood for entering care is found to be decreasing over time. Furthermore, results reveal two trends: relative rates of entry are significantly decreasing for children whose mother has a psychiatric history prior to the child's birth; relative rates are significantly increasing for children whose mother or father was unemployed in the year prior to the child's birth.     

Social work through collaborative autoethnography

This paper discusses a research project involving five MA Social Work Students and one member of Social Work Academic Staff. Using narrative and taking a collaborative autoethnographical approach, this project highlights some of the feelings that students articulated following a 70-day placement experience. Findings include anxiety, powerlessness and frustration, together with growing confidence, recognition of their skills and a deeper understanding of the role of ‘self’ in social work. Raising issues of preparedness for practice placement, this paper has implications for both social work practice and social work education. Autoethnography (AE) is both a method of carrying out research and a methodology, specifically a qualitative methodology linked to ethnography and narrative inquiry. AE results in highly personalized narrative accounts of the researcher’s engagement with specific sociocultural contexts in the pursuit of knowing more about a phenomenon. Applying such a methodology to explore collaboratively issues of student lived experience of placement is a new and innovative use of this method.     

SHORT REVIEWS

Books reviewed in this article: Iris Chi, Neena L. Chappell, and James Lubben (eds.), Elderly Chinese in Pacific Rim Countries: Social Support and Integration Wayne A. Cornelius, Thomas J. Espenshade, and Idean Salehyan (eds.), The International Migration of the Highly Skilled: Demand, Supply, and Development Consequences in Sending and Receiving Countries Bimal Ghosh (ed.), Managing Migration: Time for a New International Regime? Institute of Medicine, Forum on Emerging Infections, Emerging Infectious Diseases from the Global to the Local Perspective: Workshop Summary Hans‐Peter Kohler, Fertility and Social Interaction: An Economic Perspective David Kyle and Key Koslowski (eds.), Global Human Smuggling: Comparative Perspectives Brian C. O'Neill, F. Landis Mackellar, and Wolfgang Lutz, Population and Climate Change Neil J. Smelser and Paul B. Baltes (eds.), International Encyclopedia of the Social & Behavioral Sciences Thomas Spira, Nationalism and Ethnicity Terminologies: An Encyclopedic Dictionary and Research Guide, vol. 1 Li Zhang, Strangers in the City: Reconfigurations of Space, Power, and Social Networks within China's Floating Population