Chronic conditions, couple-level factors and union dissolution

This paper examines the association between chronic illness and union dissolution by examining rich, longitudinal data from the Household, Income and Labour Dynamics in Australia (HILDA) survey. Using competing-risks discrete-time event-history models on longitudinal, dyadic data, we find the risk of union dissolution to be approximately 40 percent higher when either partner reports an illness than in the absence of an illness. We then examine whether the observed associations are mediated by variations in paid work, housework, financial stress and time stress. Financial stress is the factor that contributes most to the indirect associations between dissolution and partner's health condition, but overall these factors account for only 18.5 percent of the association between chronic illness and relationship dissolution. Our results provide further insight into the factors undermining relationship stability and highlight the importance of reducing financial stress associated with chronic illness.

Sexual Minority Women in Longitudinal Survey Research: Is Attrition a Problem?

As more longitudinal surveys collect information on sexual orientation, evaluating the quality of these data and understanding how sexual minorities engage with the survey process are increasingly important endeavors. This study constitutes the first systematic analysis of sexual orientation as a predictor of attrition from longitudinal surveys. Drawing upon the minority stress model, we developed testable hypotheses about how sexual identity and sexual identity change relate to panel attrition. These hypotheses were subsequently tested using data from two national cohorts of Australian women from the Australian Longitudinal Study on Women's Health (one born 1973-1978, n = 11,262, and one born 1989-1995, n = 16,689). In the older cohort, sexual minority women were more likely to attrit from the survey than exclusively heterosexual women-largely due to noncontact rather than noncooperation. The associations faded once sociodemographic and health-related covariates were included in the models. Further, higher rates of noncontact were observed among women who changed their sexual identity in a more same-sex-oriented direction, compared to women with a stable sexual identity. None of these associations were apparent in the younger cohort. Taken together, our results suggest that sexual minority status may be a risk factor for panel attrition among older but not younger cohorts of women and that improved efforts to locate and contact participants who are generally vulnerable could increase the retention of sexual minorities in longitudinal studies. Effect sizes were nevertheless small, suggesting that existing research on sexual orientation using longitudinal surveys is unlikely to be biased by non-random attrition of non-heterosexual individuals.

Global variation in the prevalence of suicidal ideation, anxiety and their correlates among adolescents: A population based study of 82 countries

BACKGROUND

Suicidal ideation and anxiety are common among adolescents although their prevalence has predominantly been studied in high income countries. This study estimated the population prevalence of suicidal ideation and anxiety and their correlates with peer support, parent-adolescent relationship, peer victimization, conflict, isolation and loneliness across a range of low-income, lower-middle-income, upper-middle-income countries and high-income countries (LMIC-HICs).

METHODS

Data were drawn from the Global School-based Student Health Survey (GSHS) of adolescents aged 12-17 years between 2003 and 2015 in 82 LM-HICs from the six World Health Organization (WHO) regions. For those countries with repeated time point data in this study, we used data from the most recent survey. We estimated weighted prevalence of suicidal ideation and anxiety by country, region and at a global level with the following questions:-"Did you ever seriously consider attempting suicide during the past 12 months?" and "During the past 12 months, how often have you been so worried about something that you could not sleep at night?". We used multiple binary logistic regression to estimate the adjusted association between adolescent age, sex, socioeconomic status, peer support, parent-adolescent relationship, peer victimization, conflict, isolation and loneliness with suicidal ideation and anxiety.

FINDINGS

The sample comprised of 275,057 adolescents aged 12-17 years (mean age was 14.6 (SD 1.18) years of whom 51.8% were females). The overall 12 months pooled prevalence of suicidal ideation and anxiety were 14.0% (95% CI 10.0-17.0%) and 9.0% (7.0-12.0%) respectively. The highest pooled prevalence of suicidal ideation was observed in the Africa Region (21.0%; 20.0-21.0%) and the lowest was in the Asia region (8.0%, 8.0-9.0%). For anxiety, the highest pooled prevalence was observed in Eastern Mediterranean Region (17.0%, 16.0-17.0%) the lowest was in the European Region (4.0%, 4.0-5.0%). Being female, older age, having a lower socioeconomic status and having no close friends were associated with a greater risk of suicidal ideation and anxiety. A higher levels of parental control was positively associated with a greater likelihood of experiencing suicidal ideation (OR: 1.65, 1.45-1.87) and anxiety (1.53, 1.30-1.80). Parental understanding and monitoring were negatively associated with mental health problems. Similarly, the odds of experiencing suicidal ideation and anxiety were higher among adolescents who had been experiencing peer conflict (1.36, 1.24-1.50; 1.54, 1.40-1.70), peer victimization (1.26, 1.15-1.38; 1.13, 1.02-1.26), peer isolation (1.69, 1.53-1.86; 1.76, 1.61-1.92) and reported loneliness (2.56, 2.33-2.82; 5.63, 5.21-6.08).

INTERPRETATIONS

Suicidal ideation and anxiety are prevalent among adolescents although there is significant global variation. Parental and peer supports are protective factors against suicidal ideation and anxiety. Peer based interventions to enhance social connectedness and parent skills training to improve parent-child relationships may reduce suicidal ideation and anxiety. Research to inform the factors that influence country and regional level differences in adolescent mental health problems may inform preventative strategies.

FUNDING

None.

Global variation in the prevalence of bullying victimisation amongst adolescents: Role of peer and parental supports

BACKGROUND

Bullying victimisation is a global public health problem that has been predominantly studied in high income countries. This study aimed to estimate the population level prevalence of bullying victimisation and its association with peer and parental supports amongst adolescents across low and middle income to high income countries (LMIC-HICs).

METHODS

Data were drawn from the Global School-based Student Health Survey of school children aged 12-17 years, between 2003 and 2015, in 83 LMIC-HICs in the six World Health Organization (WHO) regions. We estimated the weighted prevalence of bullying victimisation at country, region and global level. We used multiple binary logistic regression models to estimate the adjusted association of age, gender, socioeconomic status, and parental support and peer support, and country level variables (GDP and government expenditure on education) with adolescent bullying victimisation.

FINDINGS

Of the 317,869 adolescents studied, 151,036 (48%) were males, and 166,833 (52%) females. The pooled prevalence of bullying victimisation on one or more days in the past 30 days amongst adolescents aged 12-17 years was 30·5% (95% CI: 30·2-31·0%). The highest prevalence was observed in the Eastern Mediterranean Region (45·1%, 44·3-46·0%) and African region (43·5%, 43·0-44·3%), and the lowest in Europe (8·4%, 8·0-9·0%). Bullying victimisation was associated with male gender (OR: 1·21; 1·11-1·32), below average socio-economic status (OR: 1·47, 1·35-1·61), and younger age (OR: 1·11, 1·0-1·24). Higher levels of peer support (0·51, 0·46-0·57), higher levels of parental support (e.g., understanding children's problems (OR: 0·85, 0·77-0·95), and knowing the importance of free time spent with children (OR: 0·77, 0·70-0·85)), were significantly associated with a reduced risk of bullying victimisation.

INTERPRETATIONS

Bullying victimisation is prevalent amongst adolescents globally, particularly in the Eastern Mediterranean and African regions. Parental and peer supports are protective factors against bullying victimisation. A reduction in bullying victimisation may be facilitated by family and peer based interventions aimed at increasing social connectedness of adolescents.

The 'developmental gradient' revisited: Australian children's time with adult caregivers from infancy to middle childhood

Children's time use patterns represent a potentially important mechanism for the transmission of disadvantage across generations. Recent international research indicates that more educated mothers tailor the content of time with children to favour activities that are particularly important at different developmental stages - a finding that has been termed the 'developmental gradient'. Using time diary data for a sample of Australian children, this paper seeks to extend previous work in several ways. We first establish whether a 'developmental gradient' exists in Australian children's time with mothers, comparable to the results from international studies. We go further, however, by extending the analysis to consider time investments provided by fathers and other adult caregivers, and examining the importance of resources for explaining the patterns of time use. Consistent with theory, our results indicate that educational gaps in time spent 'teaching' are largest in the 4-5 age group, gaps in 'play' time with fathers are largest for toddlers (2-3), and gaps in 'enrichment' are largest for 6-7 and 8-9. Time with parents appears to be the primary driver of observed patterns of time spent 'teaching' and 'playing', while for 'enrichment,' differences are distributed across caregivers, but largest for non-parent caregivers. These results are not driven by differential access to resources. Our results suggest that the developmental gradient represents a plausible mechanism for the transmission of intergenerational disadvantage in Australia, and that policy responses focussed on better educating parents to understand the developmental needs of their children are likely to be an effective response.

Not in Employment, Education or Training (NEET); more than a youth policy issue

Background with rationaleAustralians who are Not in Employment, Education or Training (NEET) and receive income support span a wide spectrum of working ages. Australian research has concentrated on NEETs aged 15–29 years, in line with international standards. This paper investigates extending the NEET concept to include all working age persons 15–64 years and the value added to welfare policy through analysis of a new linked dataset. Main AimTo determine whether the NEET concept is policy relevant when applied to all working ages. Methods/ApproachIndividuals aged 15-64 years recorded as receiving Department of Social Services (DSS) income support payments from September 2011 were linked with Australian Bureau of Statistics (ABS) Census data from August 2011 to create a linked dataset for analysis. Descriptive analyses were undertaken of NEET status by Census socio-demographic characteristics, and we modelled the adjusted likelihood of NEET status by Census demographics. ResultsSome 1.37 million or 45.2% of linked DSS payment recipients qualified as NEET. Of NEETs, more than twice as many were female, nearly half were aged 45–64 years, and under 1-in-5 were aged 15–29 years. Multivariate analyses showed that NEETs were more likely to be older, have low educational attainment, have a disability, and to be Indigenous. ConclusionYoung NEETs aged 15–29 years represented less than 20 per cent of linked DSS payment recipients classified as NEET, suggesting that standard NEETs reporting neglects information on around 80 per cent of the working age NEET population in Australia. Combined with other demographic insights, these results have implications for welfare policy, and indicate a wider range of demographics should be considered under the NEET classification. This may also have implications for OECD reporting.

Gender disparities and psychological distress among humanitarian migrants in Australia: a moderating role of migration pathway?

BACKGROUND

The role of migration pathway (refugees vs. asylum seekers) is seldom addressed in extant literature that looks at gender and mental health of humanitarian migrants. The aim of this study is to assess the relationship between gender and psychological distress among humanitarian migrants in Australia including the potential moderating role of migration pathway.

METHODS

We analyse data from 2399 humanitarian migrants that participated in the first wave of Building a New Life in Australia, a survey of humanitarian migrants in Australia, using Ordinary Least Squares multivariate regression.

RESULTS

Women report significantly higher psychological distress than men. Migration pathway moderates the relationship between gender and psychological distress with women asylum seekers reporting higher psychological distress. There is also a significant association between pre-migration trauma, settlement arrangements (particularly those associated with finance, housing, getting used to life in Australia and loneliness) and psychological distress.

CONCLUSIONS

Findings indicate higher psychological distress among asylum seeking women and suggest the importance of migrant status in predicting psychological distress. Settlement arrangements are key predictors of psychological distress among humanitarian migrants. While strategies aimed at addressing their mental health are warranted, policies aimed at the broader social determinants of health are needed to alleviate some of their mental distress especially in light of the recent changes to the Australian Refugee and Asylum-seeking policies.

Birth cohort, ageing and gender ideology: Lessons from British panel data

Individuals' gender attitudes influence their behaviors, and adherence to traditional gender ideology is an important mechanism contributing to the (re)production of gender inequalities. In developed nations, the 'gender revolution' was accompanied by marked societal shifts towards gender-egalitarian attitudes, but these trends have recently stalled. In this paper, we re-examine the role of birth cohort and ageing in influencing gender ideology through the lens of life-course theory and leveraging British panel data. We contribute to the field by considering cohort-differences in ageing effects on gender ideology and documenting within-cohort variability in such effects. We find that (i) people from older cohorts hold comparatively more traditional gender attitudes, (ii) the effect of ageing on gender ideology is positive, (iii) there are cohort-differences in these ageing effects, (iv) gender-attitude trajectories are less predictable in younger than older cohorts, and (v) factors capturing life-course experience explain little of the cohort differences. Our findings highlight important avenues for future research on gender ideology change, and offer insights into the likely pace and direction of social movements towards gender egalitarianism.

The scars of the past? Childhood health and health differentials in later life

This study estimates multilevel mixed effects models of three retrospective measures of childhood health – self-rated childhood health, exposure to parental smoking growing up, and missing school for 30 or more consecutive days due to a health event – on levels and changes in physical functioning at age 50 and beyond. Using data from 15 waves of the Household, Income and Labour Dynamics in Australia survey, the results show that variation in the level of later-life physical functioning is associated with childhood health. Poor childhood health however is not associated with the rate of physical functioning decline. Respondents who reported poor childhood health and were migrants to Australia from a non-English speaking country reported better physical functioning in later life, compared with non-Indigenous Australian-born respondents who reported poor childhood health. In contrast, women who reported poor self-rated childhood health reported worse physical functioning compared with men who reported poor self-rated childhood health. These findings are robust to the inclusion of a range of measures of childhood and adult characteristics and circumstances. These results suggest that Australia, with arguably a strong and supportive health care system as compared with the U.S., may mitigate the accumulation of disadvantages to those who reported poor childhood health. We note that though functional health differences due to childhood health are not exacerbated in later life, neither are they eliminated.

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Poor childhood health is associated with worse physical functioning in later life.

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This association is stronger for women, as compared with men.

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Association weaker for migrants non-English speaking countries, vs. native-born.

Large-area electrode design for vertical electrical impedance scanning of concrete bridge decks

Vertical electrical impedance (VEI) testing is a method that was developed specifically for quantifying the level of protection against chloride ingress in concrete bridge decks. A significant operational difficulty associated with VEI testing has been establishing the required rebar tap as a ground reference. As described in this work, the use of a large-area electrode (LAE) can potentially remove the need for a rebar tap and therefore significantly simplify and accelerate the VEI testing process. The specific objective of the research was to develop both theoretical and practical guidance for the design of an LAE for VEI testing. To investigate several variables that can affect the accuracy of VEI measurements obtained using an LAE connection, including various combinations of deck cover and water resistivity values, electrode separation distance, counter electrode (CE) effective area, and area ratio between the LAE and the CE, an analytical model (AM) and a finite-element model (FEM) were developed and validated with laboratory and field experiments. From the results of the AM and FEM simulations and the results of the laboratory and field experiments, LAE design considerations were developed for each of these variables that should allow proper implementation of a VEI measurement system using an LAE connection.

The power of linked data: Evaluating diverse multi-program projects designed to reduce welfare dependence

This presentation showcases the innovative use of linked government administrative data in Australia to evaluate a range of diverse social interventions aimed at supporting vulnerable groups to achieve economic independence. The interventions were developed and funded as part of the Australian Priority Investment Approach to Welfare, an approach supported by actuarial analyses of administrative data designed to deliver targeted support for groups at-risk of long-term welfare dependence. In 2018, the Australian Government, commissioned an impact evaluation to assess the effectiveness of the approach in achieving its intended outcomes. The evaluation is based on analyses of linked administrative data to assess the extent to which the new interventions enabled pathways out of welfare dependence. Our presentation will outline the strengths and weaknesses of using government administrative data to evaluate the outcomes. Strengths include easy comparison across diverse programs designed to achieve the same goals; reduced respondent reporting burdens; robust quasi-experimental techniques such as a matching design based on exact matching on a few key characteristics and/or propensity score matching on a broad range of pre-program characteristics; and evidence-based investment practice decisions. Weaknesses include the adoption of an observational rather than experimental design and the lack of information on some social characteristics such as orientations to work, attitudes and social values. The presentation not only assesses the compilation of administrative data used for the first time to evaluate multi-program projects, it will also describe how these data feed into visual interactive dashboards used to monitor the outcomes of the interventions.

Prevalence of Mental Disorders Among Children and Adolescents of Parents with Self-Reported Mental Health Problems

This paper provides Australian population-level estimates of the prevalence of parental self-reported lifetime mental disorders and past 12 month mental disorders in their children. It leverages unique data from the 2013-2014 Australian Child and Adolescent Survey of Mental Health and Wellbeing (Young Minds Matter) (n = 6310). Mental disorders were assessed in 4-17 year-olds using the Diagnostic Interview Schedule for Children Version IV. Primary carer (PC) and secondary carer mental health was based on PC-reported lifetime diagnoses. Over one-third of 4-17 year-olds had a PC with a lifetime diagnosis. The prevalence of all disorders was significantly higher amongst these children than children whose PC reported no diagnoses, and highest when the PC had comorbid and more severe disorders. Assessing mental health needs at a family level is important to identify children who are particularly vulnerable to developing mental disorders, to develop targeted interventions, and to understand the intergenerational transmission of risk.

Maternal employment and children's socio-emotional outcomes: an Australian longitudinal study

OBJECTIVES

Among children, poor socio-emotional functioning leads to poor health and well-being during childhood and later in life, and so understanding its social determinants is important. This study's objective is to examine how maternal employment influences children's socio-emotional outcomes in an Australian sample of families with two biological parents, testing the mediating role of maternal mental health, parenting practices, and parental income.

METHODS

We analyze six waves of panel data from the Longitudinal Study of Australian Children (n = 7524 children, 29,701 observations) using random-effect models.

RESULTS

Children of employed mothers display better socio-emotional outcomes than children of non-employed mothers, though the effect magnitude is only moderate. Associations are stronger for internalizing than externalizing problems, and not mediated by parental mental health, parenting practices, or household income.

CONCLUSIONS

Our findings can inform sociopolitical debates on the social value of maternal labor force participation and its impacts on children. They suggest that incentivizing maternal employment should bear no detrimental consequences on their children's socio-emotional functioning. The different associations found for children's internalizing and externalizing problems stress the value of distinguishing these constructs.

An unsettled bargain? Mothers' perceptions of justice and fairness in paid work

Mothers' return to work following childbirth is widely recognized as a key stage in establishing employment arrangements that disadvantage them in the long run. This article investigates why mothers accept these unequal arrangements using data from a qualitative study of 109 Australian mothers. It focuses on mothers' perceptions of the fairness and justice of the flexibility of arrangements they commonly enter into upon return to work. The article draws attention to the importance of different justice frameworks, distributive, procedural and interactional, in understanding women's acceptance of gender inequality in paid work. The results indicate that most mothers view their workplace arrangements as fair, consistent with a distributive justice framework. Many women also place great importance on interactional justice, particularly in their experiences in negotiating flexibility. The article also identifies differences across employment type with women in jobs with career prospects more likely to invoke interactional justice frameworks than women in jobs with few career prospects.

Heavy Alcohol Use in the Couple Context: A Nationally Representative Longitudinal Study

BACKGROUND

For young couples, a partner's heavy alcohol use may be a point of conflict and relationship distress, particularly when there are disparities in the severity of drinking across partners.

OBJECTIVE

The aim was to examine the longitudinal impact of discrepancies in heavy alcohol use, particularly in couples with parenting responsibilities.

METHODS

Data were obtained from 554 heterosexual couples (with at least one partner aged between 18 and 30 years of age) over two assessments from a well-established longitudinal study of Australian households.

RESULTS

Multilevel analyses (examining time within partners within couples) indicated a high level of couple-level variation in individual reports of relationship satisfaction. Discrepancies in heavy alcohol use were negatively associated with relationship satisfaction over the assessment period and this was significantly moderated by parenthood. More specifically, heavy drinking discrepancies were associated with lower relationship satisfaction amongst parents more than nonparents.

CONCLUSION

Among dissatisfied couples, managing discrepancies in alcohol use and helping heavy drinking partners may be an important intervention focus, particularly when providing professional support for young parents.

Gender and Class Analysis: The Position of Women in the Class Structure

Stratification theory has traditionally focused exclusively on the position of men in the occupational system, either ignoring women completely, or locating them through male heads of families. Recent feminist research has criticised the assumptions underlying this approach, arguing that sex-based inequalities are an inherent feature of the class system, and must therefore be incorporated into class analysis. At a theoretical level feminists have argued that to treat the family as a single unit in which all members belong to the same class position, ignores the existence of sexual inequalities within the fam ily. At an empirical level the increasing numbers of married women entering the workforce undermines the notion of the male head of household. This paper examines some of these issues focusing on the 'Goldthorpe debate' ( Sociology, 1983). It also draws on data col lected in Brisbane in 1984 to examine the existence of 'cross-class' families in which husband and wife occupy different class positions. The implications of the existence of cross-class families are dis cussed in relation to class theory.

Gender, justice and work: a distributive approach to perceptions of housework fairness

Most women and men report that the division of domestic labor in their household is fair, despite women undertaking approximately seventy percent of housework. This raises questions about how fairness is evaluated within partnerships. We explore how parenthood and relationship transitions affect perceptions of housework fairness using panel data from the Household, Income and Labour Dynamics in Australia Survey and panel regression models. Our results indicate that net of actual housework divisions, socio-demographic factors, time availability and relative resources, the transition to parenthood increases women's perceptions of housework fairness immediately following the birth of a child, but decreases them in the long run. Relationship transitions have no independent effects. Our findings suggest that parenthood transitions are associated with changes in women's identity, cognitive evaluations of fairness and feelings of entitlement, as indicated by distributive justice theory.