Risk factors for preterm,low birthweight and small for gestational age births among Aboriginal women from remote communities in Northern Australia

Objective

To identify the risk factors for preterm birth, low birthweight and small for gestational age babies among remote-dwelling Aboriginal women.

Controlled and dependent: experiences of living on social assistance in Sweden

Marttila A, Whitehead M, Canvin K, Burström B. Controlled and dependent: experiences of living on social assistance in Sweden
Int J Soc Welfare 2010: 19: 142–151 © 2009 The Author(s), Journal compilation © 2009 Blackwell Publishing Ltd and the International Journal of Social Welfare. This study explored experiences of people receiving social assistance in 21st‐century Sweden, based on 33 in‐depth interviews conducted in 2005 and 2006. Two overarching themes emerged from the accounts, encompassing both a material and a psychosocial dimension of living on social assistance. Recipients reported that social assistance was generally sufficient for their basic material needs but allowed for no extras. It was possible to live on social assistance for a short time, but became difficult in the longer term. Perceptions of powerlessness, hopelessness and dependency were common and had the most damaging consequences for the recipients' perceived wellbeing. Some recipients believed that society at large had negative perceptions of people living on social assistance; it was something to be ashamed of but, at the same time, it was the recipients' only possible source of income. Findings of this study are partly similar to previous studies conducted in Sweden, suggesting that improvement in services should take into account the experiences of social assistance recipients.     

Creating stabilizers and safety nets for successor executives' high‐wire act

This article explores executive succession planning in a nonprofit health care organization with a strong values‐based culture. Case study research was used to explore how retiring executives have prepared the organization for their departure and have used various strategies in an attempt to limit any potentially negative impact.     

Variations in Child Care by Grandparents During the First Three Years

Routine child care by grandparents was examined for 1,229 children who were participants in the National Institute of Child Health and Human Development (NICHD) Study of Early Child Care. Four groups were identified: extended full‐time care, extended part‐time care, sporadic care, and no routine care during the first three years. The odds of sporadic child care by grandparents were higher when mothers were relatively young and worked nonstandard hours. The odds of extended full‐time grandparent care versus extended part‐time grandparent care were higher for mothers of color and mothers with more extensive full‐time employment. All types of grandparent care were more likely when a grandparent lived in the household. These findings suggest that grandparent care is heterogeneous and may occur in response to different family circumstances.     

Smoking reduction & cessation: a hospital based survey of outpatients' attitudes

1. Most people with mental illnesses have made at least one attempt to quit smoking on their own. 2. Psychiatric diagnosis and degree of nicotine dependence do not appear to be predictive of ability to quit. 3. People with mental illnesses are aware of nicotine replacement therapy (NRT), but do not combine it with a behavioral program, possibly contributing to the higher rates of recidivism in this population. 4. The lack of participation of mental health care providers in promoting smoking cessation is a complex issue.