Public values, health inequality, and alternative notions of a "fair" response

The fact that disadvantaged people generally die younger and suffer more disease than those with more resources is gaining ground as a major policy concern in the United States. Yet we know little about how public values inform public opinion about policy interventions to address these disparities. This article presents findings from an exploratory study of the public's values and priorities as they relate to social inequalities in health. Forty-three subjects were presented with a scenario depicting health inequalities by social class and were given the opportunity to alter the distribution of health outcomes. Participants' responses fell into one of three distributive preferences: (1) prioritize the disadvantaged, (2) equalize health outcomes between advantaged and disadvantaged groups, and (3) equalize health resources between advantaged and disadvantaged groups. These equality preferences were reflected in participants' responses to a second, more complex scenario in which trade-offs with other health-related values - maximizing health and prioritizing the sickest - were introduced. In most cases, participants moderated their distributive preferences to accommodate these other health goals, particularly to prioritize the allocation of resources to the very sick regardless of their socioeconomic status.     

‘Lovers of liberty’?Prostitution and the Politics of Choice in Emma Donoghue’s Slammerkin

This article explores the way in which Emma Donoghue’s novel Slammerkin (2000) reflects long-standing feminist debates surrounding prostitution. We argue that not only does Donoghue’s portrayal of prostitution resist the pro versus anti dichotomy in which feminist perspectives on sex work are so often narrowly situated, but Slammerkin also foregrounds the complexity with which the politics of choice intersects with women’s decision to sell their bodies.     

Trials,lustration, and clean elections: the uneven effects of transitional justice mechanisms on electoral manipulation

Transitional justice aims to promote democratization, but previous research has found that it has mixed effects. We address this puzzle by focussing on how transitional justice affects a necessary condition for democracy: clean elections. We test for the effects of four transitional justice mechanisms – truth commissions, lustration policies, amnesties, and trials – on two different types of electoral manipulation, using data from 187 post-transition elections held in 63 countries around the world from 1980 to 2004. We find that post-transition trials limit illegal forms of electoral manipulation, such as vote-buying and falsification of results, but have no effect on legal forms of manipulation. By contrast, lustration policies limit legal manipulation tactics, like intimidation and harassment of opponents by the security services, but do not affect illegal tactics. By showing that different aspects of transitional justice can have varying influence on electoral integrity, this project improves understanding of the mechanisms that link transitional justice and democratization.     

Reprecincting and Voting Behavior

Despite the expansion of convenience voting across the American states, millions of voters continue to cast ballots at their local precincts on Election Day. We argue that those registered voters who are reassigned to a different Election Day polling place prior to an election are less likely to turn out to vote than those assigned to vote at the same precinct location, as a new precinct location incurs both search and transportation costs on reassigned voters. Utilizing voter file data and precinct shape files from Manatee County, Florida, from before and after the 2014 General Election, we demonstrate that the redrawing of precinct boundaries and the designation of Election Day polling places is not a purely technical matter for local election administrators, but may affect voter turnout of some registered voters more than others. Controlling for a host of demographic, partisan, vote history, and geospatial factors, we find significantly lower turnout among registered voters who were reassigned to a new Election Day precinct compared to those who were not, an effect not equally offset by those voters turning to other available modes of voting (either early in-person or absentee). All else equal, we find that registered Hispanic voters were significantly more likely to abstain from voting as a result of being reassigned than any other racial group.     

Inequality Matters: Classroom Status Hierarchy and Adolescents’ Bullying

The natural emergence of status hierarchies in adolescent peer groups has long been assumed to help prevent future intragroup aggression. However, clear evidence of this beneficial influence is lacking. In fact, few studies have examined between-group differences in the degree of status hierarchy (defined as within-group variation in individual status) and how they are related to bullying, a widespread form of aggression in schools. Data from 11,296 eighth- and ninth-graders (mean age = 14.57, 50.6 % female) from 583 classes in 71 schools were used to determine the direction of the association between classroom degree of status hierarchy and bullying behaviors, and to investigate prospective relationships between these two variables over a 6-month period. Multilevel structural equation modeling analyses showed that higher levels of classroom status hierarchy were concurrently associated with higher levels of bullying at the end of the school year. Higher hierarchy in the middle of the school year predicted higher bullying later in the year. No evidence was found to indicate that initial bullying predicted future hierarchy. These findings highlight the importance of a shared balance of power in the classroom for the prevention of bullying among adolescents.     

‘I DON'T WANT HER TO BE OVERWEIGHT LIKE I WAS AS A GIRL’

Widespread concern about a childhood obesity ‘epidemic’ has focused attention on the bodies, weight and food behaviours of mothers and their children. In childhood obesity-related discourse, mothers' bodies are framed in relation to the bodies of children, most directly in claims that fat mothers produce fat babies. Drawing on data from a qualitative study involving interviews with mothers of pre-school aged children, this paper examines how the blurring of body boundaries between women and children are translated into responsibilities in feeding. We argue that in the contemporary stigmatisation of fat, the external auditing of maternal feeding and children's bodies connects the bodies of mothers and children in detrimental ways. By focusing on the ways women are held responsible for both their own and children's bodies, we draw attention to how bodily aspirations, conflict and failure, shame, self-surveillance, judgement and guilt connect women to the bodies of their children. We stress the embodied significance of mother/child relations in early childhood nutritional care and we argue that a punitive anti-fat ethic threatens positive health outcomes for mothers and children.     

Book reviews

The following books are reviewed.

Men of letters, writing lives: masculinity and literary auto/biography in the late victorian period TREV LYNN BROUGHTON, 1999 London: Routledge. 213 pp., ISBN 0 415 08211 0 hardback, £60.00 0 415 08212 9 paperback, £19.99

Adapting to Capitalism: working women in the English economy, 1700–1850 PAMELA SHARPE, 1996, 2000 London: Macmillan. xi + 226 pp., ISBN 0 333 91901 7

Women, Gender and Industrialisation in England, 1700–1870 KATRINA HONEYMAN, 2000 London: Macmillan. vii + 204 pp., £15.50

Breadwinning: New Zealand women and the state MELANIE NOLAN, 2000 Christchurch: Canterbury University Press. 386 pp., ISBN 0 908812 97 3, NZ$39.95

Working-class Culture, Women and Britain, 1914–1921 CLAIRE A. CULLERTON, 2000 London: Macmillan. xii + 221 pp., ISBN 0 333 91290 X

Austerity in Britain: rationing, controls, and consumption 1939–1955 INA ZWEINIGER-BARGIELOWSKA, 2000 Oxford: Oxford University Press. xiii + 286 pp., ISBN 0 19 820453 1, £40.00

Seeing History: public history in Britain now HILDA KEAN, PAUL MARTIN, SALLY J. MORGAN (Eds), 2000 London: Francis Boutle. 193 pp., ISBN 0 9532388 9 X, paperback, £10.00

Migrant Daughter: coming of age as a Mexican American woman FRANCES ESQUIBEL TYWONIAK & MARIO T. GARCIA, 2000 Berkeley: University of California Press. 237 pp., ISBN 0 526 21915 5

The Matriarchs of England's Co-operative Movement: a study in gender politics and female leadership, 1883–1921 BARBARA J. BLASZAK, 2000 London, Greenwood Press. ix + 209 pp., ISBN 0 313 30995 7

Dirt and Desire: reconstructing Southern women's writing, 1930–1990 PAULINE YAEGER, 2000 Chicago: University of Chicago Press. xvii+324 pp., ISBN 0 226 94491 3 paperback, £12.53     

Reconciling Nation and Region: Vietnamese Nation Building and ASEAN Regionalism

The article sets out to gauge the usefulness of the concepts of legitimacy, sovereignty and nation in theorising a specific, South-East Asian case of nation building. It looks at the interplay between nation building and regionalist ideology in Vietnam, within the context of the Association of South-East Asian Nations (ASEAN). As one of the world's last communist states, the way in which Vietnam has reconciled hard-won sovereignty with regionalisation is all the more intriguing. The article distinguishes the state-led ideology of regionalism from the macro-level process of regionalisation in charting how sovereignty, legitimacy and nation are constructed in the Vietnamese case, with a view to drawing parallels with experiences in other regions. The first section looks at the concepts of legitimacy, sovereignty and nation and how they underpin the state construct, before relating these to Vietnam's ongoing nation-building project in the second section. The final section evaluates the evolution of these concepts within a regional framework, with specific reference to Vietnam's experience as a member of ASEAN. It concludes that official nation building in Vietnam continues to be based on the premises of state sovereignty and legitimacy, an approach eminently compatible with 'the ASEAN way'. The Vietnamese Communist party seeks to reconcile regionalism with its ongoing nation-building project in a bid to bolster both domestic legitimacy and external sovereignty.     

Fimag: The United Kingdom Disaster Victim/Forensic Identification Imaging System

Abstract:  Imaging is an integral diagnostic tool in mass fatality investigations undertaken traditionally by plain X-rays, fluoroscopy, and dental radiography. However, little attention has been given to appropriate image reporting, secure data transfer and storage particularly in relation to the need to meet stringent judicial requirements. Notwithstanding these limitations, it is the risk associated with the safe handling and investigation of contaminated fatalities which is providing new challenges for mass fatality radiological imaging. Mobile multi-slice computed tomography is an alternative to these traditional modalities as it provides a greater diagnostic yield and an opportunity to address the requirements of the criminal justice system. We present a new national disaster victim/forensic identification imaging system—Fimag—which is applicable for both contaminated and non-contaminated mass fatality imaging and addresses the issues of judicial reporting. We suggest this system opens a new era in radiological diagnostics for mass fatalities.