Is Asian ethnicity an independent risk factor for severe perineal trauma in childbirth? A systematic review of the literature

ObjectiveTo undertake a systematic review of the literature to determine whether Asian ethnicity is an independent risk factor for severe perineal trauma in childbirth.MethodOvid Medline, CINAHL, and Cochrane databases published in English were used to identify appropriate research articles from 2000 to 2010, using relevant terms in a variety of combinations. All articles included in this systematic review were assessed using the Critical Appraisal Skills Programme (CASP) ‘making sense of evidence’ tools.FindingsAsian ethnicity does not appear to be a risk factor for severe perineal trauma for women living in Asia. In contrast, studies conducted in some Western countries have identified Asian ethnicity as a risk factor for severe perineal trauma. It is unknown why (in some situations) Asian women are more vulnerable to this birth complication. The lack of an international standard definition for the term Asian further undermines clarification of this issue. Nevertheless, there is an urgent need to explore why Asian women are reported to be significantly at risk for severe perineal trauma in some Western countries.ConclusionCurrent research on this topic is confusing and conflicting. Further research is urgently required to explore why Asian women are at risk for severe perineal trauma in some birth settings.     

Referent Group Proximity,Social Norms,and Context: Alcohol Use in a Low-Use Environment

Abstract

Objective: The purpose of this study was to investigate the relationship between perceived normative use of alcohol and reported consumption in an environment where relatively little alcohol use occurs. Participants: A total of 585 undergraduate students completed an online survey on alcohol use in March 2006. Methods: Participants reported personal alcohol use and perceptions of use by “friends,” “the average student,” and “the average student who drinks.” Results: Due to the large number of students reporting zero alcohol use, zero-inflated negative binomial regression was used to analyze the data. Results showed that perceptions of use and beliefs about the acceptability of use by proximal groups were strongly and positively correlated with personal alcohol use. Perceptions of distal groups were either not correlated or were correlated negatively with personal use. Conclusion: These findings suggest that the use of distal referent groups for a social norms campaign in a low-use environment may have paradoxical effects.     

Elder Abuse and Neglect in South Africa: A Case of Marginalization,Disrespect, Exploitation and Violence

ABSTRACT

The problem of elder abuse and neglect in South Africa is widespread, but the definition of abuse remains problematic. An expanded typology is needed to classify certain types of abuse reported commonly, such as marginalization, disrespect, exploitation and violence. The history of elder abuse and responses is traced, relevant legislation and selected intervention programs are reviewed, and research and the status of elder abuse are evaluated. Interventions to address sociostructural factors that impact elders' settings, increase their vulnerability, and diminish their ability to realize human rights can contribute to an improvement in their condition and a reduction in abuse and rights violations in the long-term.     

An Andragogical Application to the Training of Social Workers

This paper presents a critical consumer model for teaching social work research. Critical consumption is defined as the ability to understand, evaluate, utilize, and apply the results of social work research. The authors describe the use of this approach in their classroom and summarize a battery of “critical questions” they have used successfully to teach the skills of critical consumption. Although this model was developed in an undergraduate context, it has considerable relevance for teaching social work research at other educational levels as well.     

The Teaching of Listening as an Integral Part of an Oral Activity: An Examination of Public-Speaking Texts

This article presents the results of a content analysis of 10 current public-speaking textbooks to determine the nature and extent to which they teach listening in an integrated approach with public speaking as an oral activity. Lewis and Nichols (1965 Lewis, T. R. and Nichols, R. G. 1965. Speaking and listening: A guide to effective oral-aural communication, Dubuque, IA: W.C. Brown.  [Google Scholar]) predicted that listening would increasingly be taught especially in an integrated approach with speaking. Beyond the prediction, they established a template for the pedagogy that emphasized the oral modality. Their prediction has not proved accurate. Ample research illustrates the lack of listening instruction. The current study sought both to replicate these findings and to examine the emphasis on the oral modality as reflected in public-speaking texts. Six research questions asked about listening inclusion and concentration, differences in written and oral modalities, delivery, development via writing, discussion of the oral modality, and pedagogy. The results of this analysis confirmed that these texts do contain treatments of listening but with one exception, only to a slight degree. Listening was seldom integrated with the teaching of speech within these texts. Second, with two exceptions, the texts seldom developed instruction with an emphasis on speech as an oral activity. Overall, the texts failed to reflect the pedagogy for teaching the oral modality essential to listening instruction. The results are discussed in terms of the extent to which the texts advance the teaching of listening and speaking as an interdependent oral activity. The conclusions indicate that the pedagogy advanced through these texts focus too greatly on writing to appropriately advance an understanding of the oral aspects essential to listening education.     

The photo‐survey research method: capturing life in the city

Recent promotion of city centre living within UK policy has led to a commensurate interest in city centre conditions and the opinions and experiences of the people who live there. An apposite, straightforward method to capture city centre residents' experiences and views is described in this article. We successfully combined a novel, under‐utilized visual technique (self‐directed photography) with qualitative methods (log‐sheets and interviews) in the form of a ‘photo‐survey’. A background to visual methodologies is presented in this article, alongside a critique of using the photo‐survey with 84 city centre residents to investigate environmental conditions and perceptions within three of the UK's major cities. The method provided a rich, detailed set of data, but also brought a number of noticeable benefits to the data collection process. The photo‐survey not only effectively captured and documented life in the city but also acted as an ‘agent for change’, evoking thoughts and feelings which ultimately encouraged participants to reflect on their existing perceptions and urban experiences. The study also raises some important considerations for future work undertaken with this method and with using photographs as a set of data, and proposes techniques for minimising potential problems.     

Understanding human ambivalence about sex: The effects of stripping sex of meaning

We offer a theoretical perspective to provide insight into why people are ambivalent about sex and why cultures regulate sex and attach symbolic meaning to it. Building on terror management theory, we propose that sex is problematic for humankind in part because it reminds us of our creaturely mortal nature. Two experiments investigated the effects of reminding people of the similarity between humans and other animals on their reactions to the physical aspects of sex. In Study 1, priming human‐animal similarities led to increased accessibility of death‐related thoughts after thinking about the physical but not romantic aspects of sex. In Study 2, when participants were reminded of similarities between humans and other animals, mortality salience resulted in decreased attraction to the physical but not romantic aspects of sex. In each study, priming thoughts about how humans are distinct from animals eliminated the association between sex and death.     

The case for critical social gerontology in social work education and older women1

This article argues the case for the application of critical social gerontological theory and research to social work education and older women, both as a way of heightening student social workers' awareness and understanding of the complex and diverse experiences of older women who make use of personal social services AND to develop anti‐ageist and anti‐sexist practice. In presenting this ‘case for social gerontology’, the paper will draw on findings from the author's recent research with older widows.     

Travelling hopefully: Anti-racist practice and practice learning opportunities

This article has been written in response to the current developments in social work education which seek to make anti-racist practice a central requirement of social work training and to make it into a central component of good social work practice. In the present context in which social work is undertaken this will not be an easy goal to achieve without considerable commitment and attention to the detailed content and process of social work and the learning opportunities it offers.

The article focuses on how the teaching of anti-racism on social work courses is then followed through in placement experience and highlights the difficulties that can occur. It describes part of an on-going development and monitoring process initiated with college and practice based teachers at Bath University which is seeking to improve practice at a local level.

It includes a questionnaire sent to practice teachers and students, a practice teaching workshop and the development of a monitoring system for use in future placements. The research attempts to understand better what level of anti-racist practice can be expected of students in short placements and how this might be assessed. It also looks at the issues which arise for practice teachers in their agencies, the importance of management commitment in developing new forms of practice, and the support that is needed for individuals. It concludes with a tentative attempt to put forward a model for developing and assessing anti-racist practice in a placement.     

Naturally Occurring Retirement Community (NORC) Residents Have a False Sense of Security That Could Jeopardize Their Safety in a Disaster

High-rise apartments bring unique challenges in emergency situations. To better understand the needs of apartment-dwelling seniors in emergency situations and potential sources of support available, a novel collaborative community development approach was used with seniors living in a naturally occurring retirement community (NORC) in London, Ontario, Canada (N = 2500; mean ± SD age = 79 ± 9.53 years). A surprising finding was a false sense of security, with seniors expecting that management would take care of all needs. This finding reinforces the critical need for better public messaging for seniors, as well as targeted emergency management plans for frailer older individuals living in the community.