Implementing the ecological approach in tobacco control programs: results of a case study

The ‘new public health’ has stimulated calls to adopt an ecological approach for action aimed at improving population health. However, the implementation of ecological programs has often remained a challenge. The objective of this study was to identify factors facilitating the implementation of ecological tobacco control programming in two Public Health Departments in Québec (Canada) using Scheirer's model of program implementation as a conceptual framework and an exemplary case study design. Analysis revealed two distinct configurations of environmental, organizational and professional characteristics that were related to equally successful implementations of the framework. Key roles for factors such as provincial ministerial guidelines and financial resources, human resources, and relationships and alliances with other organizations, were highlighted. These results replicate findings from quantitative surveys and allow better understanding of the conditions required for planning ecological programming.     

‘La Lenin is my passport’: schooling,mobility and belonging in socialist Cuba and its diaspora

Based on an ethnographic study of transnational networks of alumni of an academically selective boarding school in Havana, this article explores the nexus between mobility, schooling and belonging in the context of socialist Cuba and its diaspora. Drawing on Goffman’s work, I argue that the boarding school experience was transformative; it facilitated or consolidated social mobility for its pupils, which later, for many, led to geographic mobility in the form of study and work outside Cuba. After graduating, alumni continue to identify with the school and to reproduce their alumni identities. The affective webs of belonging forged through family links and friendships fostered at the school constitute emotionally sustaining networks that also provide material support after migrating. I propose that the school represents a site of identification for a globally dispersed non-national diaspora and argue that migration scholars need to embed international migration within people’s lives more broadly.     

Gendered forms of responsibility and control in teenagers' views of alcohol

There has been a shift in the most recent UK Government's Alcohol Strategy (2012) from personal responsibility towards a model of shared responsibility for young people's drinking. On closer examination of the strategy, however, it appears that rather than exonerating young people from blame, governance is merely extended to include wider partners. Using findings from nine focus groups with young people in Liverpool, UK, we explore who they believe are responsible for their drinking behaviours and how they learn to become ‘good drinkers’. Our findings show that while teenagers were aware of dominant alcohol-related messages and maintained a moral position as responsible citizens; they also negotiated and resisted norms about teenage drinking. Although both boys and girls agreed that parents were the primary responsible authority for regulating their drinking, there was gendered disagreement about personal responsibility. The girls described how they were ultimately responsible for any adverse consequences if they drank too much whilst the boys considered a wide range of partners who would be implicated. However, unlike the girls, the boys described a willingness to either abstain or moderate their alcohol intake in order to remain in control and avoid any alcohol-related trouble or harm.     

New Zealanders returning from overseas: how their experiences of xenophobia could help us respond to superdiversity

ABSTRACT

This article draws on qualitative interview data with 42 New Zealanders returning to New Zealand after living overseas, finding they feel more like a ‘migrant’ than someone coming ‘home’. This is in part because New Zealand people and institutions demonstrate an intolerance to difference, theorised here as a form of xenophobia that inhibits the economic, social and political integration of participants. However, the same experiences and ideas that lead many New Zealanders to frame returnees as an ‘out-group’ can be regarded as a national resource. The article concludes that we should embrace – not ignore or disparage – returnees' awareness of integration issues, transnational networks and cross-cultural experiences as we attempt to maintain social cohesion in an increasingly superdiverse world.     

The duration of unemployment in Russia

This paper uses longitudinal survey data to assess factors affecting the duration of unemployment in Russia. We examine four types of marginalised labour force participants, according to ILO guidelines and survey responses, and we estimate duration models for each type. It turns out that the sets of characteristics with the strongest effects on the duration are remarkably similar across the different unemployment definitions and model specifications. Therefore, despite the formidable practical measurement problems, problematic groups of individuals can actually be identified. Received: 27 January 1999/Accepted: 27 January 2000     

Validation of the 12 Item Short form Health Survey in a Sample from Region Central Jutland

In 2010 the Danish regions started a new program of public health surveillance in collaboration with the national and local health authorities using the short form health survey (SF-12) for measuring and reporting on health related quality of life among the Danish adult population. The instrument has not, however, been validated in a Danish setting. The aim of this study was to assess the reliability and validity of the physical component summary (PCS) and the mental component summary (MCS) score of the 12-item short form health survey (SF-12) in a sample from Central Denmark Region. A total of 26,397 persons above the age of 25 were included in the analyses. Reliability was assessed by Cronbach’s α. The validity was assessed using known-groups comparisons and convergent validity. The factor structure was investigated through exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). The Cronbach’s α showed high reliability with a score of 0.90 and 0.85 for PCS and MCS respectively. The SF-12 discriminated well with respect to gender, age, educational status and long term illness. Individual items correlated higher with own hypothesized scales than with other scales and summary measures corroborating the convergent validity. The EFA gave a two-factor structure. Irrespective of the chosen rotation method (varimax and oblimin) the items related to PCS loaded on one factor and the items related to MCS loaded on another factor. The factor structure was validated with acceptable model-fit values in CFA. The SF-12 instrument is a reliable and valid measure of health related quality of life among the population of Central Denmark Region.