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Since the outbreak of Covid-19 health communicators around the globe have had to reach, urge, and persuade individuals and communities to adopt appropriate health protective behaviors. They have used a mix of communication channels, including outdoor media and public signage which are the focus of this paper. Drawing on a comparative linguistic landscape analysis, this paper critically examined the amount, content, and prominence of Covid-19 signage in Hackney, a London borough severely hit by the first wave of the pandemic. Having analyzed 1288 signs collected between May and July 2020, we found significant differences in Covid-19 signage between deprived and less deprived areas. These differences (e.g., in messaging about staying at home) have created inequalities in access to Covid-19 related health information and guidance. We also explored the changes in Covid-19 signage over time and the tailoring of risk and health messages to minority communities. [ABSTRACT FROM AUTHOR]

This paper examines populous perspectives of the government's responsibility to intervene in situations of possible parental neglect of children in England, Finland, Norway, and California (USA), and ask if institutional context, defined as child protection system and children´s wellbeing situation, are formative for people's perspectives on government responsibility for children in vulnerable situations and how they view children´s future. With representative samples of populations responses to a survey vignette using ordered logistic regression, findings indicate that the institutional context shed some light on differences on state responsibility. However, similarly to welfare state research, there are differences and contradictions in important dimensions that require further investigation, especially on citizens perceptions of neglect and on intrusive interventions. Citizens with a comparatively higher education are evidently much more supportive of state responsibility for children and child protection interventions than other citizens. This finding is similar to those of other studies of state responsibility. Overall, there is a high level of support in populations for the provision of public services to children and families in vulnerable situations. [ABSTRACT FROM AUTHOR]

Older carers play a vital role supporting population health and protecting health and social care systems, yet there has been little research on understanding the effect of the pandemic on this group. In this paper, we investigate caring as a factor contributing to mental and self-rated health. We investigate cross-sectional and longitudinal associations between provision of family care and mental health and wellbeing using longitudinal data from 5,149 members of the English Longitudinal Study of Ageing who responded to Wave 9 (2018/2019) and two COVID-19 sub-studies (June/July 2020; November/December 2020). We use logistic or linear regression models depending on outcome measures, controlling for pre-pandemic socioeconomic, demographic, and health-related variables. Before the pandemic, 21% of respondents cared for family or friends. Older people caring for someone inside the household mostly continued to provide care during the pandemic, with more than a quarter reporting an increase in the amount of care provided. Co-resident carers were disproportionately female, older, in the lowest wealth quintile, and more likely to report disability and chronic conditions. Both cross-sectional and longitudinal analyses suggest that, compared to those caring for people living outside the household, co-resident carers were significantly more likely to report poorer mental health and self-rated health. The health of older carers worsened disproportionately in the first year of the pandemic, a period also characterised by disruptions to support and closure of respite services. Support for carers' mental and physical health requires greater policy attention, especially in pandemic conditions. [ABSTRACT FROM AUTHOR]

Developing professional identity is a key aim of social work education. This paper argues that the Professional Capabilities Framework (PCF) – a holistic, capability approach to student assessment used in England’s social work education programmes – is ideally placed to promote the development of students’ professional identities. The paper discusses two research studies, each of which was stimulated by significant policy changes in England’s social work profession. The author draws out the implications of both studies for supporting social work students to develop their professional identities. It is concluded that the PCF is valued by practice educators as an assessment and teaching tool, while acknowledging that its future is uncertain due to the lack of continuity impacting on England’s social work profession. This paper is equally of relevance for social work educators outside the UK who may be developing and evaluating their assessment approaches and also for those experiencing the impact of rapid policy changes in their own countries. [ABSTRACT FROM AUTHOR]

People who are seeking asylum often have lived experience of their personal boundaries and human rights being violated. For this reason, it is especially important that we consider the impact of boundaries in therapeutic work with this population. This paper explores work with a woman with a severe trauma history who was seeking asylum in England. Examples of perceived boundary crossings in the therapeutic relationship are examined. Considerations for other clinicians working with asylum seekers are discussed. These include: addressing socio-political factors; being sensitive to cultural differences; the importance of supervision and reflective practice; the personal impact of such work; and using critical thinking and warmth to manage boundaries rather than rigidly following rules. [ABSTRACT FROM AUTHOR]

Using data from the 2001 Census Special Migration Statistics, this paper explores ethnic variations in the propensity to migrate, the effectiveness of net migration in redistributing ethnic populations, and the connectivity between places that results from ethnic migration. London has by far the largest concentration of ethnic minority populations in Great Britain and plays a key role in the national internal migration system. By decomposing the net migration balances of boroughs into those within and across London's outer metropolitan boundary, the paper reveals different spatial processes of decentralisation and dispersal as well as centralisation when comparing ethnic groups. [ABSTRACT FROM AUTHOR]

Research suggests that intimate relationship violence and coercive control are prevalent in young people's relationships. Furthermore, young people often fail to recognise such behaviour as abuse. While such findings indicate the normalisation of controlling and coercive behaviours amongst young people, there is little focus on how these behaviours are normalised. This paper presents findings from a study exploring young people's experiences and expectations of intimate relationships. Focus groups were conducted with young people (aged 13 to 18 years) in schools in the West Midlands, England. Young people talked of navigating precarious and competitive heterosexual relationships. Their expectations and negotiations of these relationships often upheld and reinforced gender double standards around dating practices. Young people's discussion also highlighted how they came to accept and rationalise controlling and coercive behaviours as 'love', 'care' and 'protection', legitimising these practices as reasonable. Heteronormativity remains a dominant discourse shaping young people's experiences and expectations of relationships with coercion and control being defining features of this discourse. Supporting young people to critically examine constructs of heterosexuality and gender norms should be a key component of England's forthcoming statutory Relationship and Sex Education. [ABSTRACT FROM AUTHOR]

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In the UK, in common with many developed countries, there is a crisis in the provision of adequate, affordable and quality housing. This paper discusses how an unprecedented rise in the privately rented housing sector has impacted on housing security for vulnerable adults and the challenges for social work emerging from this situation (The core definition of 'vulnerable adult' from the 1997 Consultation 'Who Decides?' issued by the Lord Chancellor's Department, is a person: 'Who is or may be in need of community care services by reason of disability, age or illness; and is or may be unable to take care of unable to protect him or herself against significant harm or exploitation'. This definition of an adult covers all people over 18 years of age.). We report on a scoping review of the relevant literature and a subsequent online survey of practitioner's views on the challenges and possible solutions to this issue. Together these provide a snapshot of practice issues and concerns which can be used to promote further debate and help shape recommendations. [ABSTRACT FROM AUTHOR]

Today more and more children are living with complex health care needs, many of these children are living with life limiting and/or threatening conditions, some are medically fragile. To live a childhood these children must live in communities and with their families. In most cases this means the child’s carers, their parents, most often their mothers, are required to undertake a great deal of the child’s care. During a project on parental coping I became aware of the ways in which parents were restructuring their working lives in order to meet the demands of the nursing and medical care needs of their children. In this paper I relate the stories we discovered in this qualitative study and discuss the tensions between parental and state’s responsibility for children, carers and the political and cultural rights and responsibilities pertaining to children’s care. I use Margret Urban Walker’s ideas of expressive collaborative morality to argue that the care of life limited and life threatened children should be framed in a negotiation between the state and the carers, both informal and professional. That such an agreement should include a covenant to assist parents and siblings when a child dies to recover and adjust to their loss, in recognition of the work they have performed in caring for the child during their child’s life and their death. [ABSTRACT FROM PUBLISHER]

This paper describes the conceptual underpinnings, structure and operations of a novel service, the City and Hackney Primary Care Psychotherapy Consultation Service – a service set up partly with the aim of addressing the needs of patients who present with ‘medically unexplained symptoms’. As part of the Tavistock and Portman NHS Trust, this service moves its clinical base, staff members and daily work, as well as the foundations of psychoanalytic thinking that define the Trust's work, into the heart of a community, and provides psychoanalytically informed clinical practice and consultation to patients and general practitioners in the City and Hackney, one of London's (and the UK's) most deprived and ethnically diverse boroughs. The authors describe the psychoanalytical underpinnings of the model, the design and structure of the service, patient demographics and preliminary outcome data, as well as an example of consultation work with general practitioners. The authors propose that psychoanalytic applications have a place in primary care and that psychoanalytic thinking can help general practitioners and patients alike, even when the clinical interventions offered are not solely based on psychoanalytic technique or therapeutic approaches. The paper concludes with thoughts about the model, its origins and its future. [ABSTRACT FROM PUBLISHER]

The paper reports a study of children's attitudes to school based on a questionnaire survey of 845 pupils in their first year of secondary school in England, together with interviews with a sample of the children. A clearly structured set of attitudes emerged from a factor analysis which showed a distinction between instrumental and affective aspects of attitudes but also dimensions within these, including a sense of teacher commitment and school as a difficult environment. Virtually all children had a strong sense of the importance of doing well at school. However, a substantial minority were not sure that they would stay on after 16. There were few differences between boys and girls or between children from different socio-economic backgrounds but children planning to leave at 16 enjoyed school less and were less sure that it had anything to offer them. There was an almost universal commitment to the value of education but, for a minority, an ambivalence about the experience and relevance of schooling for them. [ABSTRACT FROM AUTHOR]

This paper presents some results from a review of evidence on the barriers to participation in further and higher education in England, organised around the life-course of an individual from birth to the decision to participate in FE/HE at the traditional age. It is clear that inequalities between socioeconomic groups appear early in life and remain important in attainment at school, in the range of the options available and selected at age 14 and 16, qualifications at age 18 and in the decision to participate in higher education or not. Overcoming the identified barriers to participation may be an important step for some individuals, but the evidence is that the role of these barriers is marginal. Also marginal, therefore, is the role of institutions in widening participation during the transition at ages 16 and 18. Policy levers to widen participation must be applied elsewhere. [ABSTRACT FROM AUTHOR]

The South Asian diaspora and its impact on the lives of dispersed communities is a complex phenomenon finding expression in a range of issues and debates. However, the nature and scale of the challenges and issues vary in each case and context, and even over generations. These issues become more sensitive and poignant when underpinned by cultural and belief systems. This paper debates the impact of dominant discourses and values on schooling choices and the related concerns to explore issues linked to girls’ education among Pakistani diaspora in England, drawing on relevant literature and the evidence from a recent study of single-sex schooling. It argues that multiple emotional, social, cultural, historical, political, economic and other affiliations influence the patterns of behaviour and the terms of civic engagement in the adopted country leading to a struggle over meanings and competing positions over values and practices that are fluid and dynamic. [ABSTRACT FROM PUBLISHER]

The genre of drum 'n' bass emerged in early 1990s England, as part of a burgeoning yet underground electronic dance music scene. The musical characteristics of drum 'n' bass reflected the dire socioeconomic conditions of inner city London, as well as the social and cultural dislocation experienced by its producers. Ideologies of Afrofuturism, as well as sound clips, affects and themes from science fiction film served as a means of expression in drum 'n' bass, and producers drew upon the genres of funk, hip-hop, techno and ambient, utilizing sounds and techniques pioneered by dub reggae producers. In this paper, I will uncover the sonic history of science fiction in drum 'n' bass, and examine sci-fi's musical manifestations within drum 'n' bass. Ultimately, I will focus on how the incorporation of science fiction creates emotional complexity and narrative in drum 'n' bass. [ABSTRACT FROM AUTHOR]

Background: Grouping students into classes by ability on a subject-by-subject basis, also known as setting, is a common practice in many educational systems. An important issue is therefore the way in which setting decisions are made. While educators and policy-makers favouring setting claim that ability or achievement is the sole criterion used, critics counter that there is a tendency for factors such as pupils' socio-economic status background, gender and ethnicity to influence teachers' setting decisions. Purpose: This paper aims to examine the extent to which factors other than prior achievement influence setting decisions in England. In particular, we wish to study both schools' declared policies on setting and what data may reveal as to predictors of which set pupils will be placed in at year 7, the first year of secondary school. Research questions are therefore: (1) what factors do teachers say influence setting decisions in their schools; and (2) what variables are significant predictors of set membership of students? Sample: To test these hypotheses, we conducted a survey of schools and analysed national datasets. Twelve Local Authorities (LAs) in England were selected on a purposive basis to represent areas of ethnic diversity and social disadvantage. Within these LAs, 100 secondary schools were randomly sampled and contacted with a request to complete a survey consisting of questions on whether the schools set, how setting decisions were made, how often sets were reviewed and which pupils were in which sets (using Unique Pupil Numbers). In total, 44 surveys were returned completed. Methods: Data from the questionnaires was linked to data from the National Pupil Database. Pupil level analyses were conducted using statistical tests and multinomial logistic regression models in which set membership was regressed on prior attainment (National Curriculum Test Scores at the end of primary school), social background, special educational needs (SEN) status, ethnicity and gender. Results: In the survey, schools indicated that setting decisions were based on prior attainment and ability. Results showed that prior attainment was indeed the main predictor of the probability of being assigned to a particular set for both English and mathematics. However, although mentioned by respondents as being the main factor in their decisions regarding setting along with ability, it was a relatively poor predictor. Social background (as measured through ACORN categories and free school meals eligibility) and SEN were also significant predictors of probability of set assignment. Conclusion: These findings suggest that over and above the effect of attainment, pupils with no SEN and pupils from higher socio-economic status backgrounds are more likely to be assigned to higher sets and less likely to be assigned to lower sets. [ABSTRACT FROM AUTHOR]

This paper problematises the official discourse of economic competitiveness and social inclusion used by the 2007 Education and Skills Bill to justify the proposal to extend compulsory participation in education and training in England to the age of 18. Comparisons are drawn between this attempt to raise the age of compulsion and previous attempts, which took place in a significantly different socio-economic context. It is argued that the needs of those most likely to be affected by the current proposal – young people not in education, employment or training (NEET) – are subordinated to the needs of an English economy that is increasingly based upon low-skill, low-pay work relations. [ABSTRACT FROM AUTHOR]

Hosting large events has long been associated with the physical regeneration of cities. To supplement these 'hard' impacts, cities are now attempting to use events to stimulate 'softer' social and economic regeneration. This paper evaluates the impacts of the Legacy Programme adopted in conjunction with the 2002 Commonwealth Games held in Manchester, UK. Alongside its emphasis on social and economic regeneration, this programme was unusual in that the projects were games-themed, rather than being directly linked to the event. Despite some concerns about the organisational structures employed and the sustainability of impacts, target beneficiaries have received valuable assistance from the programme. Thus it appears that there are valuable lessons that other cities can learn from this example of event-themed regeneration. [ABSTRACT FROM AUTHOR]

Healthcare services for people living with dementia (PLWD) are stretched, and government promises of increased funding remain undelivered. With the UK dementia population to surpass 1 million by 2024, and dementia care costs predicted to almost treble by 2040, it is essential we understand differences in healthcare use among PLWD. This study aimed to explore social and spatial variations in healthcare use among people diagnosed with dementia (2002–2016). Data were derived from Electronic Health Records of Clinical Practice Research Datalink GP patients in England (n = 142,302). To standardise healthcare contacts, rates of healthcare contacts per year were calculated for three primary (GP observations and medications) and three secondary healthcare types [Accident & Emergency (A&E) attendances and, emergency and elective hospital admissions]. Fully-adjusted generalised linear regression models were used to identify healthcare use variation by social and spatial groups. Twelve models were generated, one for each healthcare type in early- and late-onset populations separately. This study highlights numerous social and spatial variations in healthcare use among PLWD. Among PLWD, several groups tended to have healthcare service use more closely associated with negative outcomes, including a greater likelihood of A&E attendances and emergency and elective hospital admissions. These groups include: men, people from White ethnicity groups and people from more deprived and rural areas. Systemic and social measures are needed to reduce variations in healthcare use inequalities in PWLD. These include greater healthcare continuity, health checks and medicines reviews, culturally appropriate services, better and more accessible treatment and improved infrastructure. [ABSTRACT FROM AUTHOR]

Research into the Divorce and Matrimonial Causes Act 1857 has revealed surprising and unexpected findings, particularly surrounding the accessibility of the Divorce Courts, and the relatively slow uptake of English and Welsh couples who sought to legally dissolve their unions. The aftermath of this process – when the dust of the court room had settled and the litigation was (one way or another) complete – has received significantly less attention, with our knowledge of post-divorce life limited predominately to brief discussion of remarriage statistics. This article uses divorce petitions, census returns, probate records, newspaper reports, and parish records, to reconstruct five case studies to explore what happened to couples after their divorce petitions had been heard and a judgment made. Although in some cases divorce could represent a distinct end point in a relationship and the start of a new stage of the lifecycle, for others an appearance before the Divorce Court was a further step in a longer series of litigation, as well as an event that continued to exert influence on their socio-economic opportunities and prospects. These case studies reveal important new information about how individual understanding of the law influenced the decision-making processes of the men and women whose marriages had ended and indicate the wealth of research waiting to be carried out. [ABSTRACT FROM AUTHOR]

To establish whether ethnic inequalities exist in levels of self-reported hearing difficulty and hearing aid use among middle-aged adults. Cross-sectional data from the UK Biobank resource. 164,460 participants aged 40–69 who answered hearing questions at an assessment centre in England or Wales. After taking into account objectively assessed hearing performance and a corresponding correction for bias in non-native English speakers, as well as a range of correlates including demographic, socioeconomic, and health factors, there were lower levels of hearing aid use for people from Black African (OR 0.36, 95% CI 0.17–0.77), Black Caribbean (OR 0.38, 95% CI 0.22–0.65) and Indian (OR 0.60, 95% CI 0.41–0.86) ethnic groups, compared to the White British or Irish group. Men from most ethnic minority groups and women from Black African, Black Caribbean and Indian groups were less likely to report hearing difficulty than their White British or Irish counterparts. For equivalent levels of hearing loss, the use of hearing aids is lower among ethnic minority groups. Inequalities are partly due to lower levels of self-reported hearing difficulty among minority groups. However, even when self-reported hearing difficulty is considered, hearing aid use remains lower among many ethnic minority groups. [ABSTRACT FROM AUTHOR]

The label of ‘intellectual disability’ can be a very blurred concept, because for those on the borders their label often arises from the interaction of the individual with their environment, from their socio-economic status, and from the social role which they choose to undertake. This paper explores the contested notion of intellectual disability in the context of people who have been in trouble with the law in England, and contrasts their situation with that of people who have been protected by best interests decisions under the Mental Capacity Act (England and Wales). People who are on the ‘borderline’ of having an intellectual disability, like any citizens, have a range of intersecting identities. Drawing on the notions of ‘interactional’ disability theory, we reflect on the shifting, relative nature of intellectual disability, and the need for the law to focus on support needs, rather than on impairment. [ABSTRACT FROM AUTHOR]

This study aimed to identify the prevalence and predictors of current fatigue and fatigue at 1-year follow-up, in people with HIV. Participants were recruited from HIV outpatient clinics in London, England. We explored a range of bio-psychosocial factors associated with current fatigue severity, identifying the most salient factors in a multifactorial model. A prospective study explored the predictive value of specific psychological and behavioral factors in predicting fatigue severity at one year. Sixty-four of 131 (49%) participants met the criteria for clinically significant fatigue at baseline. Psychological and behavioral variables, but not immune-virologic markers or antiretroviral treatment, were associated with current fatigue severity. In the multifactorial model, catastrophizing and distress independently predicted current fatigue severity. Higher levels of fatigue at 1 year was predicted by baseline catastrophizing, symptom focusing, distress and sleep quality, when controlling for baseline fatigue, clinical and demographic variables. These findings suggest psychological and behavioral factors are important in the maintenance of fatigue in people with HIV and identify potential opportunities for treatment. Future interventions for fatigue in HIV should not only address anxiety, depression and distress but could be optimized by targeting psychological processes such as catastrophic thinking styles and symptom focusing. [ABSTRACT FROM AUTHOR]

Objective: This study's principal aim was to describe the lived reality for people with cardiovascular disease (CVD) and other chronic health conditions, who live in economically deprived neighbourhoods in a city in North West England. Methodology: This is a qualitative, exploratory study based on in-depth, semi-structured interviews with participants experiencing compromised cardiovascular health, conducted in August 2017. The study sample comprised 14 adults (3 females) aged 54 to 76. Thematic analysis was used for data analysis, and the biographical disruption concept was used as theoretical reference to explore the results. Wider health inequalities literature supplemented the individual experiences of chronic illness. Results: Four main themes were developed from the data: (1) chronic illness as a disruptive experience; (2) struggling for money; (3) lifestyle and health risks; and (4) reflections on current inequalities. The varied nature of participants' narratives about their chronic illness indicated that the experience of biographical disruption depends on the wider socioeconomic and cultural factors of the individual. Discussion: This study suggests that biographical disruption theory combined with health inequalities contexts highlights the role of hidden suffering and enhances the understanding of chronic illness experiences and thus informs clinical management, service and public health planning. [ABSTRACT FROM AUTHOR]

Objective: The aim of the present study was to investigate whether students' financial concerns predicted subsequent changes in their mental and physical health. In addition the opportunity was taken to test for reverse causality, by exploring whether initial levels of health predicted subsequent changes in financial concern. Design: The study employed a prospective correlational design. Main Outcome Measures: Undergraduate students at a British university (N = 337) completed measures of financial concern and health at two time points, approximately 8 weeks apart. Results: Regression analyses indicated that experiencing greater financial concern at baseline was associated with subsequent deteriorations in health on the following outcomes: role limitation due to physical problems, role limitation due to emotional problems, social functioning, mental health, general health perception and change in health. By contrast, there was no evidence that initial health influenced subsequent changes in financial concern. Conclusion: Findings suggest that financial concern might adversely impact mental and physical health outcomes in student populations. [ABSTRACT FROM AUTHOR]

Pre-exposure prophylaxis (PrEP) is currently being trialed for seronegative gay and other men who have sex with men (GMSM) at risk of HIV infection in England. However, research from other countries where PrEP is available shows limited literacy and uptake by GMSM at risk of HIV. We collected focus group data from 18 GMSM (13 HIV− and 5 HIV+) from Leicester, an ethnically diverse city in the English Midlands. Data were analysed using thematic analysis and three themes are presented. The first theme 'I can't get my head around people like that': Representations of PrEP users within and beyond gay communities explores how PrEP users are vilified by some GMSM and the wider media. The second theme, 'There's a culture of anti-trust': PrEP, stigma and the interpersonal politics of HIV disclosure discusses how PrEP influences HIV disclosure and sexual decision-making in casual sero-discordant sexual encounters in a context where seropositive men experienced pervasive HIV stigma and HIV− men were suspicious of HIV+ sexual partners. In the final theme, 'I'm still suspicious': Discourses of doubt and distrust participants voiced concern over the safety of PrEP and the motives of drug companies, healthcare agencies and PrEP activists. We consider these findings through a critical lens of wider theorising around the relationship between public health agencies and GMSM communities and consider the impact of these perspectives on likely engagement with PrEP in an English context. We call for more critically informed and nuanced ways of promoting health and well-being amongst men from these communities. [ABSTRACT FROM AUTHOR]

Aims: The main aim of our study was to produce an understanding of factors contributing to drug-using trajectories among men and women from a Bangladeshi background living in East London. Methods: Fifteen semi-structured, one-to-one interviews were conducted with male and female Bangladeshi drug users accessing treatment services. A macro-structural lens was adopted to interpret participants' accounts of their drug use and explored the intersecting factors that at a micro, meso, and macro level impacted on their drug-using trajectories. Findings: Problem drug use (heroin and crack cocaine) among participants was the result of inter-related factors such as their friendship networks and the embeddedness of drugs in drug-using networks, the structural disadvantages participants experienced, and the need for concealment of their drug use which impacted on participants' effective utilisation of drug treatment services. Problem drug use was a functional way of responding to and dealing with social, economic, and cultural disconnection from mainstream institutions as participants faced severe multiple disadvantages engendering stigma and shame. Conclusions: We propose a 'life-focused' intervention aimed at creating extra opportunities and making critically-needed resources available in the marginalised environment of the study's participants, which are key to restoring and maintaining agency and sustaining well-being. [ABSTRACT FROM AUTHOR]

Despite previous research suggesting that social class influences experiences of and attitudes to abortion, there is a dearth of research which studies the intersection of abortion and social class in England. Across the UK, abortion rates and experiences differ by region and socio-economic status, reflecting broader health inequalities. Contemporary austerity in the UK creates an imperative for new research which contextualises the experience of abortion within this socio-historical moment, and the worsening inequalities which have accompanied it. Whilst work on abortion and social inequality exists, it has often approached class as an a priori category. I argue that contemporary post-structural work on class provides a framework to go beyond this approach by examining how these social classifications occur; who has the power to classify; and how these classifications might be resisted. This framework is demonstrated with emerging findings from a life history study of abortion experiences in England. The applications of this to the work on abortion are potentially rich, because the act of ending a pregnancy invites classification from many quarters, from the legal (legal/illegal) to the medical (early/late) to the moral (deserved/undeserved). This work, therefore, speaks to public health concerns about access to and stigma around abortion and social inequalities. [ABSTRACT FROM AUTHOR]

Building on work on post-Fordist affect, we argue that the group-based and person-centered forms of production in mining and milling, respectively, produce contingent conceptualizations of culture, identity, and personhood and, in turn, of dying and death. The “communal solidarism” characteristic of post-mining milieu engenders senses of dying and death entailing a communal merging of erstwhile individual selfhoods. In post-milling milieu dying and death are conceptualized as individuated, but subject to social evaluation. The evaluative criterion in this regard is ability to “perform” dying and death in ways that reflect the valorized essence of local culture, identity, and personhood, “resilient autonomy.” [ABSTRACT FROM AUTHOR]

Introduction and Aims: The United Kingdom has witnessed a shift from drinking in bars to drinking at home; to date, this phenomenon has received little international attention. The aim of this study was to examine the predictors of hazardous drinking (HD) levels when drinking at home. Design: An internet survey of university staff (n= 488) was given. Methods: Following an elimination process (p≤ 0.05), a regression analysis was conducted using AUDIT scores as cutoffs of ≥6 females, and ≥8 males; these are consistent with most international research. Results: There were 286 hazardous drinkers (HD) (181, females 63.3%) and (105, males 36.7%). The variables that predicted HD were female (OR = 5.42 95% CI 1.87–15.66), younger age, greater frequency of consuming alcohol at home, preloading (drinking before going out), purchasing alcohol in an off license, and drinking alcohol at home because it is cheaper than drinking out. Discussion and Conclusions: These findings point to an interaction of gender, age purchasing patterns, and motivations contributing to hazardous drinking at home and indicate further profitable areas of national and international research. [ABSTRACT FROM PUBLISHER]

In England gambling provision has a distinct spatial pattern, with gambling venues clustering in areas of greater deprivation. Previous attempts to identify areas with people vulnerable to gambling problems have relied on mapping places of greater socio-economic deprivation. Indices of deprivation only include a narrow range of characteristics and represent the resident population only. This study used a broader range of local data on vulnerable groups to consider both the profile of local residents and the location of various services for vulnerable people which draw at-risk groups into certain localities. Using raster overlay spatial analysis, risk indices have been produced for two areas in England, Manchester and Westminster (London) which model the risk of the local population to gambling problems. Data included in the geo-spatial models includes the numbers of young people, those from minority ethnic groups, the unemployed, residents with certain mental health diagnoses, the location of substance abuse/misuse treatment centres, food banks, homelessness shelters, educational establishments and payday loan shops. Data are synthesised to produce a single, weighted risk index. Results reveal a number of different areas with an elevated risk profile, with the drivers of risk varying for each area. Areas of greater risk do not necessarily mirror those of greatest deprivation. This is because some relatively affluent areas have a high number of services for vulnerable people, attracting risk populations to these locations. Focus on deprivation alone when mapping areas where people may be at greater risk of gambling problems misses important local patterns. [ABSTRACT FROM PUBLISHER]

Aims: Unintentional home injuries are a significant global public health issue and are a major cause of mortality and morbidity. Within each country, injuries disproportionately affect children from low income families. Recent guidance issued in the UK recommends actions to be taken by local authorities to reduce injury rates and inequalities. This study aimed to describe and quantify child home injury prevention activities of local authorities (LAs) in England and health boards (HBs) in Wales. Methods: A questionnaire was sent to Directors of Public Health in all 153 upper-tier LAs in England and 7 HBs in Wales. The questionnaire covered the five broad areas recommended for injury prevention activities by NICE guidelines. Results: A response rate of 58% was achieved. NICE guidance (75%) and Public Health England guidance (57%) were most commonly used to support child injury prevention decision-making. Half (50%) of respondents had a child injury prevention alliance in their area. One fifth (19%) reported that their area had a written child injury prevention strategy. Fewer than half of responders provided training to practitioners about child unintentional injury prevention (43%), home safety assessments (43%) or an equipment scheme (43%). Of the 43% of areas with equipment schemes, most (59%) were small scale, supplying up to 200 families per year with equipment. Conclusions: Although some LAs/HBs show implementation of recent guidance on preventing home injuries in childhood, most do not. LAs/HBs are likely to need support to implement guidance in order that child injury rates and inequalities can be reduced. [ABSTRACT FROM AUTHOR]

Purpose: To explore the association between children’s self-reported contact with people with disabilities and attitudes towards them, as well the potential mediating influence of anxiety about interacting with people with disabilities and empathy for them.Method: 1881 children, aged 7–16 years, from 20 schools in South West England completed a survey assessing their contact with people with disabilities and their attitudes towards them. Anxiety about interacting with people with disabilities and empathy towards them were examined as potential mediators. Gender, school year, perceived similarity between people with and without disabilities, proportion of children with additional needs at the school and socioeconomic status (SES) were assessed as moderators. A random effects (“multilevel”) regression model was used to test the contact–attitude association and moderation, and path analysis was used to test for mediation.Results: Participants with more self-reported contact reported more positive attitudes towards disability (p < 0.001). Less anticipated anxiety and greater empathy together mediated around a third of this association. Only school year moderated the contact–attitude association (affective attitudes), with stronger contact–attitude associations in primary school children than secondary school children.Conclusions: Self-reported contact was observed to be associated with more positive attitudes towards disability, which was partially mediated by empathy and anxiety. Providing opportunities for contact with people with disabilities that reduces anxiety and increases empathy may improve attitudes to disability and merits evaluation in interventions.Implications for RehabilitationChildren who reported greater levels of contact with people with disabilities had more positive attitudes towards disability.Anxiety about interacting with people with disabilities and empathy towards them partially mediated the contact–attitude associations.Providing opportunities for contact with people with disabilities, reducing anxiety and increasing empathy may improve children’s attitudes to disability. [ABSTRACT FROM PUBLISHER]

Objectives.In this study we aimed to test the associations between area-level ethnic density and health for Pakistani and White British residents of Bradford, England. Design.The sample consisted of 8610 mothers and infant taking part in the Born in Bradford cohort. Ethnic density was measured as the percentage of Pakistani, White British or South Asian residents living in a Lower Super Output Area. Health outcomes included birth weight, preterm birth and smoking during pregnancy. Associations between ethnic density and health were tested in multilevel regression models, adjusted for individual covariates and area deprivation. Results.In the Pakistani sample, higher own ethnic density was associated with lower birth weight (β= −0.82, 95% CI: −1.63, −0.02), and higher South Asian density was associated with a lower probability of smoking during pregnancy (OR = 0.99, 95% CI: 0.98, 1.00). Pakistani women in areas with 50−70% South Asian residents were less likely to smoke than those living in areas with less than 10% South Asian residents (OR = 0.39, 95% CI: 0.16, 0.97). In the White British sample, neither birth weight nor preterm birth was associated with own ethnic density. The probability of smoking during pregnancy was lower in areas with 10−29.99% compared to <10% South Asian density (OR = 0.79, 95% CI: 0.64, 0.98). Conclusion.In this sample, ethnic density was associated with lower odds of smoking during pregnancy but not with higher birth weight or lower odds of preterm birth. Possibly, high levels of social disadvantage inhibit positive effects of ethnic density on health. [ABSTRACT FROM PUBLISHER]

Objectives.This study aimed to investigate the associations between migration status and health-related outcomes and to examine whether and how the effect of migration status changes when it is disaggregated by length of residence, first language, reason for migration and combined with ethnicity. Design.A total of 1698 adults were interviewed from 1076 randomly selected households in two South London boroughs. We described the socio-demographic and socio-economic differences between migrants and non-migrants and compared the prevalence of health-related outcomes by migration status, length of residence, first language, reason for migration and migration status within ethnic groups. Unadjusted models and models adjusted for socio-demographic and socio-economic indicators are presented. Results.Migrants were disadvantaged in terms of socio-economic status but few differences were found between migrant and non-migrants regarding health or health service use indicators; migration status was associated with decreased hazardous alcohol use, functional limitations due to poor mental health and not being registered with a general practitioner. Important differences emerged when migration status was disaggregated by length of residence in the UK, first language, reason for migration and intersected with ethnicity. The association between migration status and functional limitations due to poor mental health was only seen in White migrants, migrants whose first language was not English and migrants who had moved to the UK for work or a better life or for asylum or political reasons. There was no association between migration status and self-rated health overall, but Black African migrants had decreased odds for reporting poor health compared to their non-migrant counterparts [odds ratio = 0.15 (0.05–0.48),p< 0.01]. Conclusions.Disaggregating migration status by length of residence, first language and reason for migration as well as intersecting it with ethnicity leads to better understanding of the effect migration status has on health and health service use. [ABSTRACT FROM PUBLISHER]

As work and employment transitions become more frequent and difficult, the demand for formal career guidance increases. Women are likely to experience structural labour market disadvantage and may benefit from formal support that is sympathetic to their particular needs. Yet the traditional psychological paradigms that dominate career guidance practice have assumed homogeneity. To contribute both to broader debates about careers services for adults and the development of more relevant theoretical frameworks for career practice for women, results are presented from an international, comparative qualitative investigation of the career trajectories of older women (aged 45 to 65) in Australia, England and South Africa. These results confirm a need for career guidance that is nuanced and differentiated for women. [ABSTRACT FROM PUBLISHER]

This article traces links between subjectivity, peer relations and neighbourhood risk for a group of boys living in an area of London with high levels of crime, gang activity and socio-economic inequality. Drawing on data from a qualitative study of young people and neighbourhood risk, we use a psycho-social approach to analyse how gendered subjectivities are shaped by the specific social context. We found that tough masculinities were performed by boys across different social arenas of school, neighbourhood and in the context of a weekly research group. But the boys were also troubled by these masculinities, and their own engagement in data analysis illuminated some of their fears. While the tough masculine ideal is revealed often to be a masquerade, it nevertheless exerts a powerful and pernicious influence over the subjectivities of young men trying to navigate safely through a context of everyday risks. [ABSTRACT FROM AUTHOR]

As part of a large-scale study of children's development, 7390 children were assessed on a range of speech tasks. These were used to identify three groups of children with speech errors within the sample: persistent speech disorder (PSD); speech errors but below the threshold for classification as persistent speech disorder (non-PSD); and common clinical distortions only (CCD). These three groups were compared on demographic factors, performance on IQ, non-word repetition, and diadochokinetic tests. Findings showed that the PSD group and the non-PSD group were most similar for gender, socio-economic status, IQ, and non-word repetition. In the diadochokinetic tasks, the PSD group and the CCD groups were more similar. Implications for these findings in terms of clinical practice are discussed. [ABSTRACT FROM AUTHOR]

In this article we connect migration for waged work in post-industrial economies and debates about work-life balance. Migrant workers undertake much of the service sector work which makes others' work-life balance possible and yet their own work-life balance negotiations are often neglected. We use the narratives of migrants working in London's healthcare and hospitality sector collected in semi-structured interviews to begin to address this omission. The workers we talked to engaged in diverse and complex negotiations and strategies to balance paid work and their caring responsibilities. We consider what these workers' experiences reveal about the adult worker model, which underpins contemporary workfare policy and framings of the appropriate balance between productive and reproductive work, arguing that it is left looking overly simplistic and morally wanting. [ABSTRACT FROM AUTHOR]

Multiple contexts interact to position any school on a spectrum from cumulatively advantaged to cumulatively disadvantaged. This article discusses a study of the contextual advantages and disadvantages experienced by primary schools in the south east of England, concentrating especially on schools in the least deprived 5% of schools nationally. The research highlights the central influence of advantaged socioeconomic contexts on day-to-day school processes and on the related perspectives and beliefs of head teachers as well as variations on this theme related to other external and internal contextual variables. It illustrates that England's most socially advantaged primary schools are likely to have much in common including a high level of parent involvement, a strong focus on student learning and progress, considerable ability to raise funds, very good reputations and only a handful of students with serious learning or behavioural problems. They also have in common middle class forms of transience and profiles of special needs. The article concludes that while contextual variations amongst socially advantaged schools do exist and are talked up by head teachers, they usually have an impact that can be managed. [ABSTRACT FROM AUTHOR]

The study, designed as a pilot, aimed to explore lay perceptions of air quality from participants who were selected to represent three different social categories: age; health status; and geographical location. We compared responses from younger with older participants who held memories of about air quality prior to the Clean Air Act (1956). We also explored possible differences in perception due to health status by including some participants who identified themselves as having asthma. Finally, we compared possible differences in perception between two economically and geographically distinct areas of Greater Nottingham in England. Semi-structured interviews were carried out with 22 participants recruited through schools, church groups and residential homes. Our findings suggest that no air (apart from the seaside) is perceived as automatically safe and therefore healthy. We found that perceptions of 'good' air seem to vary with age and health whereas experiences of air quality are associated with socio-economic status. Perceptions of air are shown to be suffused with historical significance, as well as embodying projections embedded from within the local environment and material context. [ABSTRACT FROM AUTHOR]

Background: The BioMedical Admissions Test (BMAT) forms part of the undergraduate medical admission process at the University of Cambridge. The fairness of admissions tests is an important issue. Aims: Aims were to investigate the relationships between applicants' background variables and BMAT scores, whether they were offered a place or rejected and, for those admitted, performance on the first year course examinations. Method: Multilevel regression models were employed with data from three combined applicant cohorts. Admission rates for different groups were investigated with and without controlling for BMAT performance. The fairness of the BMAT was investigated by determining, for those admitted, whether scores predicted examination performance equitably. Results: Despite some differences in applicants' BMAT performance (e.g. by school type and gender), BMAT scores predicted mean examination marks equitably for all background variables considered. The probability of achieving a 1st class examination result, however, was slightly under-predicted for those admitted from schools and colleges entering relatively few applicants. Not all differences in admission rates were accounted for by BMAT performance. However, the test constitutes only one part of a compensatory admission system in which other factors, such as interview performance, are important considerations. Conclusion: Results are in support of the equity of the BMAT. [ABSTRACT FROM AUTHOR]

Background. Irish people living in Britain face a significant health disadvantage when compared to the white British host population. Objectives. Using recent survey data, determine whether there is an 'Irish health disadvantage' independent of socio-economic factors and explore whether there is an Irish ethnic identity effect which operates on health. Design. Data from the Census 2001 Individual Licensed SARs was analysed using binary logistic regression to study the relationship between the self-reported Irish ethnicity measure (which is presumed to reflect self-identification with Irish culture and community), considering country of birth subgroups, and the self-reported health measures of general health and limiting long-term illness. The analysis was adjusted for key demographic and socio-economic factors. Results. When compared to the white British reference population, the self-reported 'white Irish' population overall, the Irish born in Northern Ireland, and UK-born Irish, show a significantly increased risk of both self-reported poor general health and limiting long-term illness. The increased risk of poor health of the Irish born in the Republic of Ireland is greatly diminished after the socio-economic adjustments, and only statistically significant in the case of general health. Finally, the Irish born in Northern Ireland who self-report as Irish are significantly more likely than those who self-report as British to report poor general health, which may suggest an Irish ethnic identity effect. Conclusions. The findings demonstrate a persistent ethnic health disadvantage for first generation and UK-born Irish people living in England with respect to self-reported general health and limiting long-term illness, which cannot be fully explained by demographic and key socio-economic factors. Aspects of ethnicity related to both structure and identity may affect Irish self-reported health. [ABSTRACT FROM AUTHOR]

This article focuses on the influence of economic, cultural and intellectual changes on teacher education. Different social groups have their different agendas for teacher education. In some countries, the governments try to reduce the expenditure on teacher education whilst retaining control over it. However, the governments must ensure that its interventions are both necessary and appropriate for teacher educators. Therefore, teacher educators try to protect their interests against what they see as heavy-handed interventions by the state, especially, in England, by the Teacher Training Agency. In England, the very term used to describe the teacher educator is the provider. And it suggests that if government-defined national criteria can be met, then it is open to any provider to come up with the goods. In other countries such as the United States and Australia, professional bodies have constructed their own national standards. In the postmodernist culture, teachers educators are caught between governments which seek cheap certainties and also try to curb public expenditure. However, they must also consider the effects of deeply-rooted structural changes which are at once economic, cultural and intellectual.

The Joint Matriculation Board of the Universities of Birmingham, Leeds, Liverpool, Manchester and Sheffield operates a special matriculation procedure for candidates over 21 years of age who do not possess the usual entry qualifications. Each year there are numerous enquiries, but usually less than half are followed through. Lack of confidence, financial problems and personal or family circumstances seem to have deterred some potential applicants, while others opted for universities, polytechnics and courses elsewhere with simpler entrance requirements. [ABSTRACT FROM AUTHOR]