Social determinants and risk factors for non-communicable diseases (NCDs) in South Asian migrant populations in Europe

In Europe, policies, strategies and interventions to address the growing burden of non-communicable diseases have generally neglected to take into consideration the impact of migration on health outcomes of increasingly multicultural and diverse societies. Research has shown that migrants of South Asian origin living in Europe are more at risk of acquiring non-communicable diseases than their counterparts in their country of origin or than the host European population. Using the example of migrants of South Asian origin, this paper highlights the migration-related social determinants of health and risk factors for non-communicable diseases. This paper calls for a more integrated, multi-sectoral approach to promote migrant-friendly health and social services to address non-communicable diseases in South Asia and Europe.     

Race,Ethnicity, and Perceived Minority Police Presence: Examining Perceptions of Criminal Injustice Among Los Angeles Residents

Although the conventional wisdom holds that increasing the number of minority officers will enhance residents' perceptions of police and the criminal justice system, further systematic investigation of this hypothesis may be needed. Building on the group‐position thesis, the representative bureaucracy theory, and prior research, this study investigates whether perceived minority police presence within residents' neighborhoods affects residents' perceptions of criminal injustice, whether this effect is more pronounced for minority residents and in minority neighborhoods, and whether perceived minority police presence has a stronger effect on perceptions of criminal injustice for minority residents in more integrated and white neighborhoods than minority residents in minority neighborhoods. Analyses of data collected from Los Angeles, CA, show that residents perceive a lower level of criminal injustice when they report that officers in their neighborhoods are not white‐dominated, and this finding is not dependent on the respondent's race/ethnicity or the racial/ethnic composition of the neighborhood. In addition, perceived minority police presence seems to have a weak to no effect on residents' perceptions of criminal injustice for Hispanic communities. We discuss these findings and their implications for theory, research, and policy.     

An evaluation of the effectiveness of positive behavioural support within a medium secure mental health forensic service

A number of recent influential reports recommend the use of proactive and preventative approaches such as Positive Behavioural Support (PBS) in the management of challenging behaviours. Although evidence supporting the use of PBS is mainly drawn from studies of learning disability and child populations, it is recognised that PBS could have a much wider utility. In this study, PBS was implemented in a medium secure forensic mental health service, a novel context. Impact was evaluated using an adapted version of the Checklist of Challenging Behaviour at baseline and then at 3 monthly intervals for a year. Significant reductions were observed in aggression frequency, management difficulty and severity and other challenging behaviour frequency and management difficulty. Reductions in challenging behaviour were still evident after six months for the full group and twelve months for the sub-group with the exception of other challenging behaviour management difficulty. In contrast, no such significant differences were found for a control group. This study indicated that PBS was an effective intervention in the management of challenging behaviour in this forensic mental health context.     

Multiple perpetrator rape in Ghana: offenders,victims and offence characteristics

Multiple perpetrator rape (MPR) is criminalised in Ghana but there is a dearth of research and official statistics on the phenomenon. This study explores some of the key characteristics of MPR in Ghana as reported in the media. Keyword search of the news archives of 9 Ghanaian media outlets generated 57 cases of MPR reported from January 2000 through June 2016. Content analysis of the cases showed 61 all-female victims and 57 all-male perpetrator groups. The average victim age was 17.9 years and the modal perpetrator-group size was two. The majority of the victims knew at least one member of the perpetrator groups. The perpetrator groups approached their victims outdoors but raped them indoors, using violent techniques to compel compliance. Although the characteristics of MPR in Ghana, as observed in this study, are comparatively similar to those found in other African countries, further studies are recommended for a nuanced understanding of MPR in Ghana.     

Health care report cards: implications for vulnerable patient groups and the organizations providing them care

Standardized public reporting on the quality of health care (report cards) offers an opportunity to empower purchasers and consumers so that they can make choices that can result in better health care for less money. However, not all population subgroups are equally well served by the publication of such data. In particular, vulnerable patient groups such as the poor, the less educated, the chronically sick, and members of ethnic or linguistic minorities may find issues of importance to them largely neglected. In addition, the way that report card data are collected, analyzed, and presented may further marginalize the experiences of these groups who in any case are already underserved by the health system. This observation also has important implications for health care providers who serve primarily large numbers of vulnerable patients. The differential impacts of report card data on vulnerable patient groups (and their providers) need to be addressed by researchers and policy makers if access issues are not to be damaged further by the providers' pursuit of quality and value.