Multilevel community health promotion: How can we make it work?

The need for multilevel, comprehensive health promotion programmeshas become widely accepted, as has the importance of communityapproaches. However, many health promotion programmes focuson change at the individual level, no doubt partly due to thedifficulty of implementing all-inclusive health promotion. Thispaper discusses two strategies for guiding multilevel projects:multiple methods for community assessment and charting projectactivities by level of change (a possibility framework). Thesestrategies help ensure a multilevel focus and provide valuableinformation that can assist with the implementation of multilevelhealth promotion research projects in specific community contexts.Our primary purpose, therefore, is not to focus on theory orresearch findings. Rather, our goal is to make visible two strategiesthat have been helpful in one health promotion research projectin Victoria, British Columbia, Canada.     

Why ownership matters

The main argument of this article is that corporate planners have tended to concentrate on subjects such as control of business strategies, financial management and global economic assessment; they have paid too little attention to the ownership of corporate entities. Apart from the overwhelming economic and social arguments in favour of dispersed ownership, there is increasing evidence that companies which adopt a positive planning approach to the ownership of their business will derive wider benefits. Much more statistical and attitudinal evaluation is required; individual companies need to support the macro-work of academic research with detailed micro-studies at the company level. If these studies continue to support the basic argument, there are positive steps which each company will be able to take to support the cause of wider ownership.     

Scaling Back and Finding Flexibility: Gender Differences in Parents' Strategies to Manage Work–Family Conflict

Studies show that fathers report work–family conflict levels comparable to mothers. The authors examine gender differences in work‐related strategies used to ease such conflicts. The authors also test whether the presence of young children at home shapes parents' use of different strategies. They address these focal questions using panel data from the Canadian Work, Stress, and Health study (N = 306 fathers, 474 mothers). The authors find that mothers with young children are more likely to scale back on work demands when compared with fathers with young children, but mothers and fathers with older children are equally likely to pursue these strategies. Furthermore, women with young children and men with older children are more likely to seek increased schedule control as a result of work–family conflict when compared with their parent counterparts. The authors situate these findings in the vast literature on the consequences of work–family conflict.     

Family Responsibilities,Productivity, and Earnings: A Study of Gender Differences Among Canadian Lawyers

This study examines whether men and women invest in different determinants of productivity and whether these investments affect productivity and salary in different ways. Hypotheses are tested from human and social capital theories that include more direct measures for family responsibilities and family-friendly firm arguments. Data from 670 law firm lawyers were used given they report a standardized measure of productivity in billable hours. Despite men investing more in their careers and women investing more in their families, both report similar productivity and their productivity is affected similarly by these factors. In addition, equally productive men and women are paid the same. The findings further our understanding of productivity and salary and the relevance of family responsibilities and family-friendly firms.

Gay,Lesbian, and Heterosexual Couples About to Begin Couples Therapy: An Online Relationship Assessment of 40,681 Couples

We currently have little idea of precisely who goes for couples therapy. This is a report of the results of a validated online assessment of relationship and individual functioning based on 39,251 heterosexual, 1,022 lesbian, and 438 gay couples about to begin couples therapy. Using validated and reliable questionnaires of relationship and individual functioning, this report presents and compares, for each sexual-orientation, the percentage of couples, pre-therapy, who are coping with a variety of relationship problems. To test for the replicability of results, the sample was divided randomly into two subsamples and statistical tests were performed on each sample. Couples initiating therapy suffer from greater distress and many more co-morbidities than has been presumed in previous literature, and same-sex couples present a particular set of both strengths and challenges compared to heterosexual couples. Gay-male and lesbian couples were very different on trust and monogamy, as were heterosexual and lesbian couples. Based on this epidemiologically sized sample, the challenge to our field may be to create interventions with much larger effect sizes than we currently have.