Associations between intimate partner violence and emotional distress among pregnant women in Durban, South Africa

Intimate partner violence (IPV) during pregnancy has been associated with multiple negative health outcomes including emotional distress during pregnancy. However, little is known about IPV during pregnancy and its association with emotional distress among South African women. The objectives of this study were to determine the prevalence of both emotional distress and IPV during pregnancy, to identify whether different exposures of violence were associated with emotional distress and to assess whether social support attenuated the relationship between IPV and emotional distress. Pregnant women enrolled in the South Africa HIV Antenatal and Posttest Support Study (SAHAPS) who completed the baseline survey were included in this cross sectional analysis. We used logistic regression models to explore bivariate and multivariate relationships between the proposed covariates and emotional distress. Nearly a quarter of women experienced some type of IPV during the current pregnancy, with psychological violence being the most prevalent. The odds of emotional distress was 1.41 times (95% CI: [1.26, 1.57]) higher for each additional episode of psychological violence and 2.01 times (95% CI: [1.16, 3.77]) higher for each additional episode of sexual violence during pregnancy, adjusting for other covariates. Physical violence was only marginally associated with increased odds of emotional distress. Finally, social support was marginally significant as a main effect but did not attenuate the relationship between IPV and emotional distress. The high prevalence of IPV among South African women and its association with emotional distress during pregnancy suggest that interventions that reduce violence during or prior to pregnancy are needed.     

An Administrative Manifesto for Survival in the Twenty-First Century

Professor Ali Farazmand has written a manifesto for administrative action in an effort to improve public governance and administration capacity not only for today but also for tomorrow, which is highly volatile and uncertain. Farazmand's earlier works, especially his essay "Globalization and Public Administration" (PAR, November/December 1999), are familiar to many students and scholars in public administration around the world.     

The ecology of adolescent activity and experience

Twenty-five adolescents reported their daily activities and the quality of their experiences for a total of 753 times during a normal week, in response to random beeps transmitted by an electronic paging device. In this sample adolescents were found to spend most of their time either in conversation with peers or in watching television. Negative affects were prevalent in most activities involving socialization into adult roles. Television viewing appears to be an affectless state associated with deviant behavior and antisocial personality traits. The research suggests the importance of a systemic approach which studies persons' activities and experiences in an ecological context. The experiential sampling method described in this paper provides a tool for collecting such systemic data.The research reported herein was partially funded through PHS Grant 5-R01MH-22883-03.Received his Ph.D. from the University of Chicago. Latest books includeBeyond Boredom and Anxiety (1975), dealing with the experience of enjoyment, andThe Creative Vision (1976), about problem finding in art.Current interests are problems of juvenile delinquency and aging.Received her Ph.D. from the University of Chicago. Research interests include the sociology of science and the role of women.     

The bazaar in ruins: rent and fire in Barakholka,Almaty

ABSTRACT

Since 2013, there have been multiple fires in bazaars in Almaty, Kazakhstan. Most of these fires have occurred in Barakholka, the largest bazaar in Central Asia, known for wholesaling in apparel, shoes and low-quality household and office supplies. Ownership of Barakholka is opaque. Using recurrent Barakholka fires as my point of departure, this article contributes to scholarship by describing how the clearing of old bazaars is followed by new property developments and the imposition of new rent regimes. In doing so, I argue that fire – a form of ruination that not only destroys property but also severs networks and people's relationship to a place – is illustrative of how the bazaar, as a new institution within an emerging post-Soviet market economy, was moulded by private interests, and repeated, often ruinous assertions of control over property. I also argue that this process was embedded in a larger political economy that sought to ‘civilize’ the earlier marketplaces. This article is based on ethnographic interviews and repeated visits to the Barakhola between 2016 and 2018, and media accounts of the fires.     

A vindication of the rights of girls: surviving girlhood in the 21st century

ABSTRACT

Between 2014 to 2016 we conducted mixed-methods research exploring girls’ experiences of growing up in the UK in the 21st century. We spoke to girls and young women between the ages of 10 and 24 in England, Wales, Scotland and Northern Ireland to gain a qualitative snapshot of what matters to girls. We also conducted the first quantitative study of a range of quality of life indicators disaggregated by age and gender in the UK to garner a statistical view of geographically-based experiences of growing up girl. The study was commissioned by Plan International UK and The State of Girls’ Rights report was launched in September 2016. What struck us at the time of writing the report was the resonance between challenges girls raised in 2016 and those proclaimed by Wollstonecraft in her 1792 treatise, A Vindication of the Rights of Woman published over 200 years earlier. Here we bring together these voices from the 18th and 21st centuries to consider the continuing legacy and resonance of Wollstonecraft’s ideas in thinking about growing up girl in Britain.     

Understanding the physician-owned specialty hospital phenomenon: the confluence of DRG payment methodology and physician self-referral laws

Physician-owned specialty hospitals have flourished in today's healthcare arena, but also have been the subject of a great deal of controversy. The author argues that the rise of specialty hospitals has been the result of a confluence of two healthcare policies: (1) skewed DRG payment methodologies and (2) the misapplication of exemptions to the Stark Law's ban on physician self-referral. This Article examines the aspects of these healthcare policies that have allowed for the explosion of specialty hospitals, as well as the arguments for and against the creation and need for specialty hospitals. The Article also analyzes the reform proposals to correct the Stark and DRG methodologies and how those proposals will affect both specialty and general hospitals.     

Mothers on Trial: Discourses of Cot Death and Munchausen’s Syndrome by Proxy

This article explores some of the issues raised by Munchausens Syndrome by Proxy (MSbP) and the relationship between medicine and law, specifically the discourses which feature in the courtroom portraying motherhood and expectations of parenting. These discourses are often hidden yet play a determining role in prosecutions for alleged maltreatment of children involving medically unexplained infant death syndrome. We offer a critique of MSbP and seek to unveil the assumptions about mothers, the parent predominantly affected by the diagnosis, and mothering that underlie the association of women accused of deliberating harming their children. We suggest such insights are valuable because although the syndrome has never acquired a clear medical or legal definition, it has had repeated appearances in the literature and courtroom over the last 25 years and has more recently attracted attention from government, health care practitioners, academics and the media. We explore these issues through an examination of two recent Court of Appeal decisions in England: those of Sally Clark and Angela Cannings.     

The use of pornography during the commission of sexual offenses

The goal of this study was to examine the use of pornographic materials by sex offenders during the commission of their crimes. A sample of 561 sex offenders was examined. There were 181 offenders against children, 144 offenders against adults, 223 incest offenders, 8 exhibitionists, and 5 miscellaneous cases. All but four cases were men. A total of 96 (17%) offenders had used pornography at the time of their offenses. More offenders against children than against adults used pornography in the offenses. Of the users, 55% showed pornographic materials to their victims and 36% took pictures, mostly of child victims. Nine cases were involved in the distribution of pornography. Results showed that pornography plays only a minor role in the commission of sexual offenses, however the current findings raise a major concern that pornography use in the commission of sexual crimes primarily involved child victims.     

Is domestic violence relevant?: An exploratory analysis of couples referred for mediation in family court

Mediation is an essential component of custody evaluation and reconciliation services in domestic courts. Data from 306 couples with and without a reported history of domestic violence (DV) who were ordered to attend an assessment for mediation were analyzed to determine differences in the mediation process. More than one third reported a history of DV. Chi-square analysis showed that differences in the mediation process exist between couples reporting DV and couples reporting no DV. A greater proportion of couples with reported DV (a) actually attended the court-mandated assessment session, (b) were deemed unsuitable to participate in the mediation process, (c) were in default of child-support payments, and (d) reported drug and alcohol abuse. No significant differences were found between the two groups in the measured mediation outcomes. Implications for the use of mediation with couples who reported DV and recommendations for future research are discussed.     

When Efficiency Is Unbelievable: Normative Lessons from 30 Years of City–County Consolidations

We use a new model of city-county consolidation to analyze 12 local government consolidation attempts during the last three decades. Using a rigorously designed comparative case study, we identify the critical variables that explain why some consolidations succeed and others fail. Arguments for consolidation typically fail when they focus on the increased equity to be gained from the redistribution of revenues from the suburbs to central cities. Traditional arguments that are based on increased efficiency are also unsuccessful. Instead, the essential element of a successful consolidation is a group of civic elites who define the economic development vision for the community, determine that the existing political structure is incapable of supporting and implementing that vision, and convince the voters that city–county consolidation is the key to economic development that will benefit the whole community, not just the elites.