Search results

The aim of this paper is to describe the use of sequence analysis to model trajectories of life‐course economic activity status, within a broader research agenda aimed at improving understanding of the relationship between socioeconomic position and health.

The analysis used data on 288 participants of the Boyd Orr Stratified Sub‐Sample, comprising a combination of prospective and retrospective information on economic activity status, as well as health in early old age. Economic activity was coded as a time‐based sequence of states for each participant based on six‐month periods throughout their lives. Economic activity was classified as: pre‐labour market; full‐time employment; part‐time employment; housewife; made redundant; stopped work due to illness; retired; other unemployed; or not applicable. Optimal matching analysis was carried out to produce a matrix of distances between each sequence, which was then used as the basis for cluster analysis.

The optimal matching analysis resulted in the classification of individuals into five economic activity status trajectories: full‐time workers (transitional exit), part‐time housewives, career breakers, full‐time workers (late entry, early exit), and full‐time housewives.

The paper presents the case for using sequence analysis as a methodological tool to facilitate a more interdisciplinary approach to the measurement of the life‐course socioeconomic position, in particular attempting to integrate the empirical emphasis of epidemiological research with the more theoretical contributions of sociology. This may in turn help generate a framework within which to examine the relationships between life‐course socioeconomic position and outcomes such as health in later life.

The purpose of this paper is to present an exploration of the leadership competencies developed by UK GPs through having undertaken international work and the ability to transfer these competencies back to the UK.

The approach taken is a cross-sectional survey.

A total of 439 UK-based, ranging from GP specialty trainees to retired GPs who had worked overseas, responded to an online survey of UK general practice and international work. Doctors were asked to report competency development through international work using the domains of the Medical Leadership Competency Framework (MLCF). The most common competencies developed, to a “moderate or significant” degree, related to “personal qualities” (89 per cent) and “working in teams” (87 per cent). To a lesser extent Doctors developed competencies in “setting direction” (60 per cent), “managing services” (59 per cent), and “service improvement” (56 per cent), and found these competencies harder to transfer back to the UK. A common reason for limited transfer of competency was the lack of leadership opportunities for Doctors when returning to UK locum roles. Overseas posts were more common in low/middle income countries, and these Doctors reported a greater range of leadership roles, including in health policy, management and teaching, compared to high-income countries. Most doctors felt that they were able to develop their clinical skills overseas whilst relatively few Doctors performed research, especially in high-income countries.

To the authors' knowledge this is the first cross-sectional survey exploring the international work of UK GPs and leadership development using the MLCF domains.

Using data from the linked National Health Interview Survey National Death Index (NHIS‐NDI), a new and unique data set, we examine the interaction of age and self‐rated health as a predictor of overall and cause‐specific mortality. Proponents of wear and tear theories argue that as the body ages, it begins to degenerate, leaving the aged in poor health and vulnerable to their ultimate mortality. We find that although the majority of the elderly rate their health as good or better, low levels of education and income contribute to poor perceived health, and the effect of age on mortality varies by level of perceived health. While the oldest old who report the poorest health experience greater risks of mortality, elders who report good health experience much lower risks. As a larger share of our population survives into old age, it is important to emphasize preventive health care policy, as well as strong economic and health care safety nets, not only to promote health but also to lengthen life.

This article focuses on researching quality of life in old age. Based on a review of the relevant literature, it argues that research has not reflected sufficiently the multifaceted nature of quality of life and has relied too much on the judgements of professionals rather than older people. It concludes that quality of life research in general has under‐emphasised the importance of material factors in people's lives. With regard to older people, research shows that relatively poor quality of life, as reported by older people themselves, is associated with only a minority and, among this minority, twice the proportion of older women to men. The article ends with an outline of the new Economic and Social Research Council (ESRC) Growing Older Research Programme on Extending Quality Life, which in three years time promises to provide usable information for policy makers and practitioners about the determinants of quality of life in old age.

The purpose of this article is to introduce the ESRC's Growing Older Programme and to outline some of the challenges it is facing. I will also put the Programme in context so that its aims, ambitions and potential can be understood. The article opens with a few words about the demographic pressures that overarch this programme and which were influential in its conception.

Despite the long-established importance of infant mental health, internationally this has not been mirrored in the provision of infant mental health services. Within Scotland in the UK, there has been significant recent government investment in developing infant mental health services. However, existing research identifies a massive knowledge and skills gap that could create barriers to implementation. This study aims to use qualitative methods to consider the views of relevant professional stakeholders on education and training within infant mental health.

The authors completed semi-structured interviews with 14 professional stakeholders working in a health board in Scotland. This study used purposive sampling to include a broad range of professionals across health and social care services and analysed the resulting data using Braun and Clarke’s (2006) methodology. This study adopted a reflexive stance throughout, including the research team interviewing each other as part of the process.

Within the theme of education and training, we identified four sub-themes. These included roles for public health and societal education, training for parents, training for professionals and increasing professionals’ experience of infant mental health.

The issues identified are relevant in any area of the UK or internationally in considering the role of education and training in developing and maintaining new infant mental health services. Further research with families and with wider groups of professional stakeholders would be of further benefit.

The purpose of this paper is twofold: to describe and evaluate the life grid as a methodology for historical research; and to provide an example application investigating the dynamics of family meals over a lifetime by pairing life course theory with the life grid method of obtaining oral histories.

To explore how the meanings and processes of meals change, the authors conducted interviews with 15 respondents aged 80 years old and over, on the topic of family meals.

The paper discusses the merits of using the life grid method to analyze lifetime family consumption behavior. The findings of this example study provide insight as to how the roles, responsibilities, and loyalties of our participants had changed through births, deaths, marriages, wars, economic periods, illnesses, and the process of aging, leading to changes in dining.

The benefit of the life grid method described in this paper is its ability to minimize recall bias. In addition, the overt process of cross‐referencing events throughout the course of the interviews via the life grid method proved to be a helpful aid in identifying patterns and symmetries during the interpretation stage.