Secrecy Surrounding the Physical Abuse of Child Athletes in Australia

Over the past two decades there has been a growing awareness that sport may not be a positive experience for all children. For example, we know that some children experience sexual abuse in the context of organised sport, and that these offences are often committed by trusted adults, including coaches and club officials. However, less attention has been given to the physical abuse of child athletes. This paper presents a study that explored children's experiences of organised sport, as recounted by young people between the ages of 18 and 25 years in Australia. The study explored the experience of child physical abuse in organised sport including violence, overtraining, and training while injured. A mixed methods research design produced 107 survey responses and 10 in-depth interviews with young adults. Most respondents reported the positive impact that participating in sport had had on their development, but more than a third of the respondents also described experiences of overtraining, being forced to train when injured or of direct physical violence. Drawing upon a thematic analysis of the qualitative data, a conceptual model has been developed and is presented to assist in the understanding of the dynamic of secrecy, which may facilitate ongoing physical harm to children in this context.     

Marital Quality,Socioeconomic Status,and Physical Health

Recent efforts to promote marriage among the socioeconomically disadvantaged are based on the assumption that marriage is equally beneficial for persons with varying levels of socioeconomic status. Using 3 waves of data from a sample of married adults (the National Survey of Families and Households; N = 1,849), the authors evaluated whether the health benefits of marital happiness and the health costs of marital conflict might vary by education and income levels. They found that increases in marital happiness were associated with increases in self‐rated health for individuals with more education. In addition, increases in marital conflict were linked to greater increases in functional impairment for persons with lower income. Although the results were not consistent and effect sizes were modest, the evidence nonetheless tentatively suggests that higher levels of marital happiness may be less beneficial for health and that higher levels of marital conflict may be more detrimental to health among persons with lower socioeconomic status.     

Antibiotics

Abstract

This study of a college population showed that group A streptococcal pharyngitis accounted for 0.6%–2.5% of total visits to the student health service for the academic years 1977–78, 1978–79, and 1979–80. Streptococcal pharyngitis accounted for 4.0%–13.6% of all throat cultures performed. The prevalence of reported acute rheumatic fever (ARF) in this population was virtually nonexistent.

Review of medical records for 346 cases of streptococcal pharyngitis for academic year 1979–80 revealed that 253 (73%) were treated with oral penicillin V potassium. Nine (4.8%) repeat positive cultures occurred in 188 persons presenting for reculture after completing their course of therapy. All of the repeat positive cases had been treated with oral antibiotics, and almost all responded to a second course of oral treatment. It appeared that oral penicillin was adequate as primary prevention of ARF in this population.

Despite pitfalls of the bacitracin disc method, results of negative cultures prevented unnecessary antibiotic treatment in a population at low risk for ARF. The incidence of penicillin allergy approached 1%, supporting other studies that the risk of penicillin allergy is greater than the risk of ARF.     

Women’s microfinance participation and HIV literacy in Bangladesh: results from a nationally representative study

ABSTRACT

This study evaluated the association between microfinance participation and HIV literacy within a nationally representative sample of 3,614 married women aged 15–49 years from the Bangladesh Demographic and Health Survey, 2011. Using logistic regression, we assessed the relationship between microfinance participation and HIV literacy. Controlling for demographic factors such as wealth, age, and education, we found that microfinance participants were 30% more likely to be HIV literate, in comparison with women who did not participate in microfinance. These results suggest that microfinance is a cost-effective way to enhance HIV literacy for poor, less educated women in rural areas of Bangladesh.     

Assessing the “Good Life” in a Military Context: How Does Life and Work-Satisfaction Relate to Orientations to Happiness and Career-Success Among Swiss Professional Officers?

The study examines work- and life satisfaction along with orientation to happiness, and their relation to subjective but also objective career success, among Swiss military professional officers. They frequently report worsening of their working conditions due to two reforms that have recently been conducted. A total of N = 221 Swiss career officers (mainly Land Forces; from Colonel to First Lieutenant) completed several questionnaires in an online survey. As expected, pleasure, engagement and meaning were positively related to satisfaction with life and the meaningful life also correlated with the (overall) work satisfaction. Higher subjective career success was related to higher satisfaction with life, content-related aspects of work satisfaction, and higher endorsements to the engaged and the meaningful life. Belonging to the general staff was considered as an objective criterion of career success and those who were in the general staff, were higher in their overall work satisfaction, content-related aspects of their work and, again, higher inclination to the life of engagement and the life of meaning. The study suggests that variables of positive psychological functioning are useful additions in the field of military psychology and that they might hold a key for the development of strategies for improving both, work- and life satisfaction among military personnel.     

Impact of marital and psychological distress on therapeutic alliance in couples undergoing couple therapy

In this study, we describe the psychometric properties of the Couple Therapy Alliance Scale--revised (CTAS-r) and investigates the impact of marital and psychiatric distress on alliance. Seventy-nine couples in therapy completed a French version of the Dyadic Adjustment Scale and of the Psychiatric Symptoms Index at session one, and a French version of the CTAS-r at session three. Results indicate that the French version of the CTAS-r has adequate psychometric properties, although the subscales of the instrument are highly intercorrelated. Furthermore, marital adjustment predicts alliance scores, whereas psychiatric symptoms do not. Finally, male marital adjustment and female psychiatric symptoms are lower in couples where spouses have divergent perceptions of the alliance. Future research directions are discussed.     

Association between sex,race/ethnicity,season, day of week,and alcohol use and related risks in college student athletes and nonathletes

Objective: To examine personal and social constructs (eg, sex, race) and external influences (ie, competition schedules) that are associated with the pattern and amount of alcohol consumption by student athletes compared to nonathletes. Participants: Students (n?=?2,984; 57% female, 61% white, 16% athlete) on a single campus were surveyed in Fall 2011 and Spring 2012. Methods: Anonymous surveys included demographics, alcohol use, and related problems. Results: Student athletes consumed more alcohol than nonathletes, with male and white athletes posing the highest levels of risk for heavy consumption. Expanded examination of in- and out-of-season athletes found out-of-season athletes drink more frequently and more per occasion than their in-season peers. Athletes were more likely than nonathletes to drink on specific days of the week and daily patterns differed between in- and out-of-season athletes. Conclusions: The risk of athlete status is moderated by sex, race, season, and day of the week.     

Which Life Domains Impact Most on Self-Rated Health? A Cross-Cultural Study of Switzerland and its Neighbors

General life satisfaction (GLS) is a strong health correlate and can be conceptualized as an aggregate of satisfactions in different life domains and as a proxy for quality of life. Little is known about which life domains—measured as domain satisfactions—contribute most to GLS and are the best predictors of self-rated health (SRH) and whether these associations differ between countries and/or language areas. We used stepwise logistic regression models to investigate how domain satisfactions, GLS and SRH are interrelated and compared German-speaking and French/Italian-speaking Switzerland with the corresponding neighboring countries of Germany, Austria, France and Italy. The associations of domain satisfactions with GLS and SRH varied significantly in magnitude and between countries and language areas. GLS was strongly related to self-rated health in all populations, but more so in the German-speaking than the French/Italian-speaking regions. Adjusted for all domain satisfactions, satisfaction with one’s financial situation and job satisfaction showed independent effects on SRH and were the most important predictors of GLS, although no clear geographical pattern emerged. Domain-specific satisfactions were similarly associated with GLS and SRH, but the strength of the association varied between German-, French- and Italian-speaking populations. Any similarity between Swiss language areas and neighboring countries was limited to German-speaking populations. Country- and language-specific life domain satisfactions may provide useful pointers for targeting policies in the respective domains.     

Women’s participation in microfinance: Does it increase their control over resources?

This study drew on asset theory to explore the influence of microfinance participation on control over resources among women in Bangladesh. The association between microfinance participation and control over resources among women in Bangladesh was examined. Prevalence ratios were estimated for a sample of 9,614 women between the ages of 15 and 49 years drawn from the Bangladesh Demographic and Health Surveys of 2007, 2011, and 2014, controlling for potential confounders, including urban dwelling, the presence of wealth assets, exposure to media, the number of household members, gender of household head, religion, and demographic factors. The results showed that control over resources was positively associated with microfinance participation (PR = 1.03; p < 0.05), upholding asset theory’s prediction that asset accumulation—in this case via microfinance—enhances human capital.     

Investigating recruitment and completion mode biases in online and door to door electronic surveys

Electronically assisted survey techniques offer several advantages over traditional survey techniques. However, they can also potentially introduce biases, such as coverage biases and measurement error. The current study compares the relative merits of two survey distribution and completion modes: email recruitment with internet completion; and door to door recruitment with either tablet or internet completion. Presentation mode is held constant so that we are able to separate the impacts of recruitment mode and completion mode on responses. Recruitment mode appeared to influence both response rates and which socio-demographic groups were represented. However, the difference between the two recruitment modes was relatively small. Completion mode appeared to have little or no impact on responses although it did influence completion times. The email distributed survey performed better with regard to time costs and the number of respondents obtained. Differences between the two survey modes appeared to be largely due to recruitment method rather than completion mode.