Health care segregation and race disparities in infectious disease: the case of nursing homes and seasonal influenza vaccinations

Examining nursing home segregation and race disparities in influenza vaccinations, this study demonstrates that segregation may increase both susceptibility and exposure to seasonal flu for black Americans. Evidence based on the 2004 U.S. National Nursing Home Survey shows that individuals in nursing homes with high percentages of black residents have less personal immunity to flu because they are less likely to have been vaccinated against the disease; they may also be more likely to be exposed to flu because more of their coresidents are also unvaccinated. This implies that segregation may generate dual disease hazards for contagious conditions. Segregation appears to limit black Americans' access to personal preventive measures against infection, while spatially concentrating those people who are most likely to become contagious.     

An exploration of the effects of victim visuals on perceptions and reactions to crisis events

How news media and organizations use visual images in reports of crisis events remains relatively unexplored in spite of possible effects on perceptions of crisis responsibility and reputation. This study assessed the impact of visual condition (no visual, neutral visual, and victim visual) in two product harm crisis scenarios. Results revealed minimal effects for victim visuals. Implications for future research on visual elements and crisis communication are presented.     

Matches and Mismatches: The Contribution of Carers and Children to the Success of Foster Placements

Correspondence to Professor Ian Sinclair, Social Work Research and Development Unit, University of York, York YO10 5DD. E-mail: acs5{at}york.ac.uk Summary Data were collected on 472 foster children at an interval of14 months. The children's social workers, the family placementsocial workers and the foster carers reported on disruptions,and the reasons for placement success or lack of it. These views,combined with comments from the children, led to hypothesesabout the origins of successful placements. Statistical testsof these hypotheses suggested that success depended on threeaspects of the placement. First of these was the children'scharacteristics. Children, who wanted to be fostered (had attractivecharacteristics and low levels of disturbance), did better.Second were the qualities of the foster carer. Placements withwarm, child-oriented carers were more successful. Third wasthe interaction between carer and child. The findings emphasizethe crucial importance of the foster carers to outcomes. Theyalso support the need to pay close attention to children's views,and the potential importance of early intervention to preventnegative spirals of interaction between carer and child.     

Men Who Murder Children Inside and Outside the Family

The focus of this paper is on men who murder children. The dataare drawn from a larger study of Murder in Britain,¹ which examinedall types of murder and included data from a total sample of866 case files of both men and women convicted of murder andserving a life sentence in England or Scotland. This analysisis based on a subset of ninety cases of men convicted of themurder of a child. Two types of child murder are compared: menwho kill children within the family (FM, n = 49) and men whomurder children outside the family context (NFM, n = 41). Thetwo types of murder are compared in terms of the childhood andfamily backgrounds of the perpetrator, the circumstances atthe time of the murder and elements of the murder event itself.The main findings reveal many significant differences betweenthe two groups of perpetrators, indicating a need for more nuancedpolicy and practice responses to the murder of children.     

Integrating service delivery in a regional homelessness service system

All tiers of government in Australia are focused on service integration as a key response to homelessness. However, service integration strategies need to consider particular service system characteristics and location‐specific conditions. This paper reports on an investigation of service integration strategies suitable for a regional context undertaken in 2010 and 2011. A three‐phase participatory action research (PAR) framework was utilised to collect data about the homelessness service system in the Northern Rivers region of New South Wales, and about the existing and potential service integration strategies in the region. The findings suggest that strategies for better integration should take into account specific local conditions and be developed and implemented at a local level with support from government. The paper concludes by presenting an argument that the development and implementation of strategies should be based on a place‐based assessment of demand and suitability.     

Relationship Characteristics and the Relationship Context of Nonmarital First Births Among Young Adult Women

OBJECTIVES: The objectives of this study were to examine whether and how characteristics of the relationship dyad are linked to nonmarital childbearing among young adult women, additionally distinguishing between cohabiting and nonunion births. METHODS: We used the National Longitudinal Survey of Youth, 1997 Cohort and discrete-time event history methods to examine these objectives. RESULTS: Our analyses found that similarities and differences between women and their most recent sexual partner in educational attainment, disengagement from work or school, race/ethnicity, and age were linked to the risk and context of nonmarital childbearing. For example, partner disengagement (from school and work) was associated with increased odds of a nonmarital birth regardless of whether the woman herself was disengaged. Additionally, having a partner of a different race/ethnicity was associated with nonmarital childbearing for whites, but not for blacks and Hispanics. CONCLUSIONS: We conclude that relationship characteristics are an important dimension of the lives of young adults that influence their odds of having a birth outside of marriage.     

Putting the parity into service‐user participation: An integrated model of social justice

Models of service‐user participation have derived from citizenship or consumerist agendas, neither of which has achieved the structural reforms important for the most marginalised social work clients. This article proposes Fraser's model of ‘parity of participation’ as an appropriately multifaceted frame for capturing the social justice aspirations of service‐user participation. A qualitative case study compared the experiences and expectations of people who had used Australian mental health services with a sample who had used Australian homelessness services to examine their expectations of participation at individual and representative levels. The findings reinforce concerns from Fraser's research about the tendency for identity‐based consumerist notions of participation to reify group identity. This leads to tokenistic service‐user involvement strategies that have little impact on participation at a structural level. Fraser's parity of participation is shown to have untested potential to reshape service‐user participation to meet the social justice aspirations of social work clients. Key Practitioner Message: ● Innovative, service‐user driven strategies for collaboration will be those which challenge existing power structures; ● Service users want their contributions to decision making to generate identifiable change in the system of social services; ● The success of service‐user participation strategies might be the extent to which political, economic and cultural opportunities are enhanced.