Joint models for mixed categorical outcomes: a study of HIV risk perception and disease status in Mozambique

Two types of bivariate models for categorical response variables are introduced to deal with special categories such as ‘unsure’ or ‘unknown’ in combination with other ordinal categories, while taking additional hierarchical data structures into account. The latter is achieved by the use of different covariance structures for a trivariate random effect. The models are applied to data from the INSIDA survey, where interest goes to the effect of covariates on the association between HIV risk perception (quadrinomial with an ‘unknown risk’ category) and HIV infection status (binary). The final model combines continuation-ratio with cumulative link logits for the risk perception, together with partly correlated and partly shared trivariate random effects for the household level. The results indicate that only age has a significant effect on the association between HIV risk perception and infection status. The proposed models may be useful in various fields of application such as social and biomedical sciences, epidemiology and public health.     

Distributive Justice and Social Policy: Some Reflections on Rawls and Income Distribution

This paper adapts the Rawlsian idea of decision making behind the veil of ignorance in the realm of income transfer systems. As rational decision makers, we would plan a society where the incidence of poverty is low, differences in the level of living between life cycles are small, income differences between the rich and poor are modest, income mobility from poverty to non-poverty is high, and where the living standard of the poor is decent. The results show that income mobility is not greater in those countries which have wide income differences, nor is the situation of the poor any better in countries with huge income disparities than in other countries. Cross-national comparisons indicate that high poverty rates are not associated with more rapid income mobility and higher standards for the poor.     

Impact of support networks for breastfeeding: A multicentre study

Background

The rates of breastfeeding worldwide are slowly improving since 1996. Europe is still trailing behind the global breastfeeding incidence and prevalence rates. Thus, breastfeeding promotion, protection, prolongation and support have become an important challenge as breastfeeding sharply decreases in the first six months of life.

Professional discretion and length of work experience: what findings from focus groups with care managers in elder care suggest

ABSTRACT

Research has explored how care managers in elder care – who often function as ‘street-level bureaucrats’ – regard professional discretion. The way in which length of work experience affects care managers’ use of professional discretion remains, however, unexplored. This article present findings from 12 focus groups with 60 care managers. By bringing attention to how care managers experience the needs assessment process, this article sheds light on how these ‘street-level bureaucrats’ struggle when they try to balance their clients’ needs against institutional frameworks and local guidelines. Length of work experience seems to play a role in how care managers claim to use professional discretion. Experienced care managers describe how they deviate from the guidelines at times in order to create an increased scope of action in their decision-making process. Those with less time in the profession describe greater difficulties in this respect. Findings suggest that research should explore if length of work experience plays a role in the actual way in which care managers assess needs and make decisions. As such, they contribute to our understanding of how needs assessment processes are navigated by professionals while also pointing towards the nature of professional discretion in gerontological social work.     

EU post-accession Polish migrants trajectories and their settlement practices in Scotland

The presence and the apparent permanence of post-accession EU migrants in the UK is of significant interest to both academics and politicians. Studies have debated whether migration from new accession countries to the UK mark a new type of migration often described as ‘liquid’ and ‘open ended’, or whether these migrants will settle in the new destination countries. Based on a qualitative study of Poles who have lived in Scotland for at least six years, we observed four typologies of what we call migrants’ settling practices: (1) stayers, (2) over-stayers, (3) circular and transnational migrants and (4) economic migrants. The findings from this study demonstrate that Polish migrants do not have fixed ideas about the duration of their migration (in terms of a sense of permanence) but instead focus on diverse links, anchors or attachments in Scotland and Poland in describing their settling practices. Thus, the main contribution the article makes is to present an in-depth understanding of what settlement means from the perspective of migrants themselves. This paper concludes by providing a short comment on implications of the outcome of the Referendum on EU membership ‘Brexit’ in June 2016 on Polish migrants settling practices.     

Making social policy work for economic development: the Nordic experience

The Nordic welfare states offer some lessons in a development context. A main achievement has been sustainable poverty reduction. Another important lesson is that, while democratization often leads to greater pressures for social policy expansion, social policy can also contribute to democratization. The Nordic countries further demonstrate that is possible to unify social protection with a competitive and growth-oriented economy. In a number of policy areas, particularly in relation to social services and labor market policy, the Nordic countries have also become leading modernizers. The women-friendly dual-earner model not only combats poverty among families with children, but also enables women to participate in the labor market. The future sustainability of the Nordic model of social policy hinges on the number of taxpayers that can be mobilized. In order to be successful in this, governments need to take a combined, or holistic, approach, and consider both micro motives and macro considerations.     

Italian Children's Understanding of War: A Domain-Specific Approach

Studies of children's conceptions of war, which have been carried out up to now mainly by asking for a definition of war and associating it with other notions, have found few age-related changes after the age of 6. Considering the complexity of the concept, and its embeddedness in the political conceptual domain, which emerges at around 11 years, we expect that greater differences should emerge if children's ideas on the causes and consequences of war, and the actors involved, are carefully assessed. Semi-structured interviews carried out with a total of 80 Italian children from 2nd to 8th grades confirmed this hypothesis. Many 2nd graders described war as a clash between collectives without structure, attributing all decisions about starting, the development of, and ending a war to the individual fighters and explaining these decisions (when they did) as due to emotions such as hatred, envy, revenge, or being tired or unwilling to fight any longer. Most 6th and 8th graders depicted war as a clash between nation-states, attributing decisions about its starting and ending to political authorities on the basis of political and economic reasons, and the actual fighting of battles to an organized army collaborating with, or subordinate to, political authorities. Many 2nd and 4th graders also showed a mixed pattern of answers, involving both political authorities and individual fighters, thus showing that the transition from the rudimentary backward conception to the more advanced one occurs through the piecemeal addition and deletion of concepts and beliefs.     

Body Structure Perception in Infancy

Structural cues, such as the relative size and arrangement of parts, are key aspects of adults' representation of human bodies, and they are used to derive significant social information such as age, sex, and attractiveness. Prior studies have not clearly addressed young infants' sensitivity to these body characteristics. In the current experiments, 3.5‐month‐olds exhibited a preference between images of intact bodies versus those with parts in wrong locations. Infants also discriminated between intact bodies and those with distorted part proportions. In both cases, infants discriminated when images were presented upright but not when they were inverted. These results indicate that infants are sensitive to the arrangement and size of human body parts at least by 3.5 months of age. Thus, contrary to some prior reports, body representation early in life is developed enough to include structural information.