Functional consequences of work-related spinal musculoskeletal symptoms in a cohort of Australian midwives

BackgroundEarly evidence suggests spinal musculoskeletal symptoms are as prevalent in Australian midwives as in samples of nurses. Functional consequences of these symptoms include sick leave and functional incapacity, which are costly at both individual and workplace levels. To date there have been no studies of these consequences in midwives.QuestionWhat risk factors are associated with sick leave and functional incapacity among midwives with spinal musculoskeletal symptoms?MethodsWe undertook a cross-sectional study of qualified Australian midwives who completed the baseline survey of the Nurses and Midwives e-Cohort Study. A comprehensive set of independent variables were examined for bivariate associations with the main outcomes of sick leave and functional incapacity due to work-related musculoskeletal symptoms in the neck, upper or lower back. Associations that achieved a p value < .1 were entered into multiple logistic regression models.Findings729 midwives with a mean age of 46 years were eligible for inclusion. Functional incapacity was more than twice as common as sick leave. Severity of worst pain was the explanatory variable most strongly associated with each main outcome and the only one significant for both. Psychological job demands showed a significant association with sick leave, while several individual factors were associated with both outcomes. Only the association of poorer general health with functional incapacity remained significant in all three spinal regions.ConclusionOur sample reported considerable work-related musculoskeletal pain and functional incapacity. Factors associated with sick leave and functional incapacity in midwives should be confirmed by longitudinal studies with the aim of developing tertiary prevention strategies.     

Returns on education amongst men in England and Wales: The impact of residential segregation and ethno-religious background

Individuals’ occupational and educational attainment is influenced by their ethnicity, religion and colour in the UK and elsewhere. In this paper, we analyse the impact of ethnicity, religion and colour along with residential segregation¹ and socio-economic deprivation on returns to education for men in England and Wales. We analyse the 2001 UK census data by employing multi-level logistic regression models. It is found that non-White groups including Christian Black-African, UK born Sikh-Indians and South Asian Muslims are found to suffer an ethnic penalty compared to Christian White-British. While there is evidence to suggest that Muslim men may experience a greater penalty compared to some non-Whites other non-Muslim groups too face ethno-religious penalties, sometimes even more severely such as in the case of Christian Black-Africans. Socio-economic difficulties faced by ethnic minorities are also linked to spatial segregation only when associated with high levels of area deprivation. This suggests that what matters may not be segregation per se, but whether or not it is associated with deprivation.     

Habitat selection by an arboreal lizard in an urban parkland: not just any tree will do

The nocturnal, arboreal Marbled Gecko, Christinus marmoratus, is a common reptile in urban areas in southern Australia. This study compared the demographics and the distribution of geckos occupying different tree species in a modified urban park, the Adelaide Parklands, with those of a population occurring in Ferguson Conservation Park, a nearby native vegetation remnant surrounded by suburbia. The geckos in the modified urban and native remnant parks demonstrated different demographic characteristics. These differences were explained by tree circumference and the amount and type of bark cover on the tree trunk. In the Parkland, geckos were limited by the availability of thick exfoliating bark, its clearly preferred microhabitat as demonstrated by a laboratory choice experiment. The preference for trees with larger circumference, more cover, and thick bark were probably linked to thermoregulation, predator avoidance, and food resources. This study supports the premise that to support populations of urban animals, tree species selection needs careful consideration with regard to its microhabitat capabilities as well as food provision and other resource supports it can provide.     

‘Dirt,Death and Danger? I Don't Recall Any Adverse Reaction …’: Masculinity and the Taint Management of Hospital Private Security Work

Drawing on an ethnographic narrative written by one of the authors following his resignation from a hospital private security team in Ottawa, Canada and interview data gleaned from eight security men (all former colleagues), this article explores how hospital private security officers draw on discourses of masculinity to navigate the ‘dirty’ boundaries of their work, and to preserve their alpha‐guard statuses as controlled, autonomous and authoritative subjects. We found that hospital guards manage and deflect taint status by emphasizing their resiliency, emotional detachment and enthusiasm towards morbid, disturbing and dangerous tasks. Guards who seek to challenge these components of the job may be subject to gender harassment and reprisal from other guards, senior security officials and nursing staff. Overall, these narratives call attention to the necessity of hospital training programmes, de‐briefing exercises and best‐communication practices that promote the physical and emotional well‐being of persons who engage in intensive forms of dirty work.     

Sex education for children in a residential center.

Sex education programs for emotionally disturbed children present special problems. This article emphasizes training of child care workers and their role as teachers.     

The development of social statistics and indicators on the status of women

In developing social statistics and indicators on the status of women, three requirements must be satisfied. First, existing measures of prevalent demographic, socio-economic, and socio-cultural conditions must be more fully utilized. Second, some improvements in these measures, together with certain new measures and data sets are needed. Finally, agreed standards of comparison for gauging the relative status of women must be established. In each of the above subject-areas, some widely available statistics and derived measures are examined with respect to their adequacy for describing women's living conditions and assessing their status. Proposals are then offered for additional measures and new data collection efforts designed to reduce the deficiencies or gaps in existing data and provide a sounder basis for assessing the status of women in different societies.