A narrative study on the psycho-social impact of sex trafficking on victim’s parents in the state of Karnataka

Purpose The purpose of this study is to explore the life of the victim’s parents in Karnataka and to gain a better understanding of the consequences or impact of sex trafficking on them. Design/methodology/approach A narrative research design was used in the study. Applying the method of narrative inquiry and the concept of three common spaces, the study explored the actual life situations and experiences of the victim’s parents. The study covered three pairs of parents as participants from two cities, i.e. Mysore and Bangalore in the state of Karnataka. Data was collected through in-depth face-to-face interview, informal conversations, photographs and field notes. Findings The study found that the victims’ parents are living an isolated or socially alienated life with potential symptoms of behavioural, cognitive and emotional disorders. The study also found that the victim’s parents fundamental right to live with dignity and respect have been violated. A significant finding in the study was that the parents did not cite or refer to any substantial efforts undertaken by non-governmental organisations in reintegrating the victim’s families within their communities. There are many rehabilitative services available for the victims. Unfortunately, the victim’s parents mostly remain unnoticed and unattended by therapists, social work practitioners and policymakers. An appeal is made to therapists, social workers, policymakers and individuals to support the victim’s parents. Originality/value All forms of human trafficking, especially sex trafficking has drawn considerable interest from researchers, policymakers, charities and non-government agencies. However, very little is known about the living conditions of the victim’s parents, especially the psycho-social status in their families and neighbourhood. Therefore, it was pertinent to explore the life of the victim’s parents including violation of their human rights. It highlights the importance of support from the society in reintegrating the victim’s families with their communities. This paper contributes to the qualitative literature by providing narrative evidence, which will lead to better policymaking and designing effective support services for the victim’s parents.

The role of tinnitus distress in the development of somatization symptoms among patients: implications for health care in Pakistan

Purpose Tinnitus patients are among the most vulnerable group to develop psychopathological symptoms over time if left unresolved. This study aims to investigate the role of tinnitus distress between tinnitus magnitude, cognitions and functional difficulties in the development of somatization symptoms among male and female patients experiencing ear-related problems due to lack of proper access to health care. Design/methodology/approach This study was based on a purposive sampling technique and sample consisted on 159 patients (97 male, 62 female) having tinnitus complaints, with age range 18–87 (M = 47.94, SD = 17.47) years, recruited from various clinics and hospitals of Islamabad, Pakistan, from December 2020 to July 2021. Findings The findings of this study showed that tinnitus distress is significant positively associated with tinnitus-related magnitude, negative cognitions, functional difficulties and somatization symptoms. Gender-related differences between male and female tinnitus patients revealed that females are more prone to depict higher levels of tinnitus distress, tinnitus magnitude, negative cognitions and somatization symptoms than male patients. Mediation analysis demonstrated that tinnitus distress serves as a mediator between tinnitus magnitude, cognitions, functional difficulties and somatization symptoms. Research limitations/implications Cross-sectional nature and self-reporting measures serve as a limitation of the study. An experimental study appears to be vital to ascertain the time-based relationship with tinnitus magnitude in the development of various psychopathological issues. The findings of this study contribute to the literature by highlighting the role of tinnitus distress in the origination of psychopathological symptoms like somatization and need of upgraded health-care systems in Pakistan. Originality/value This study has explored the mediating role of tinnitus distress between magnitude, cognitions, functional difficulties and somatization symptoms among Pakistani population, specifically mentioning the development of somatization symptoms among this population, which can contribute in the loss of earning and increased health expenses due to unawareness of proper health-care approach.

Eliciting preference for private health services among patients in Iran: evidence from a discrete choice experiment

Purpose The provision of private health-care services by public hospitals is common in Iran. Examining factors associated with patients’ preferences to use private health services and using this knowledge in health planning and policymaking can help expand the use of such services. Thus, this study aims to investigate patients’ preferences for private health services delivered in public hospitals. Design/methodology/approach Based on a discrete choice experiment from a sample of 375 patients in a public training hospital in Qazvin, northwest city of Iran, the authors evaluated participants’ preference over the health-care attributes affecting their choice to use private health-care services delivered in the hospital. The authors also estimated the marginal willingness to pay to determine the maximum amount a patient was willing to pay for the improvement in the level of each health-care attributes. Findings The findings revealed that patients were 2.7 times more likely to choose private hospital services when the waiting time was reduced to less than a week. Furthermore, as patients had complimentary insurance coverage, they were over 60% more likely to receive such services from training hospitals. Finally, continuity of care and reduced health-care tariffs were significant factors that increased patients’ preference to choose private services by 52 and 37%, respectively. Originality/value Examining factors associated with patients’ preferences to use private health services and using this knowledge in policymaking can help expand such services. The findings affirmed that various incentives, including service quality factors, are required to increase the likelihood of patients choosing private services.

Russian and UK Dementia Action Plans: a comparative analysis

Purpose This study aims to compare two national dementia plans and analyse the approach of each state to the issue. Design/methodology/approach Comparative analysis, legal analysis, policy analysis Findings Although research is central to both plans, the practical implementation of the Russian and UK plans differs. The Russian action plan on dementia is advisory in nature and does not propose specific programmes for research funding. Two plans have different approach to the role of education and risk factors. Research limitations/implications Lack of information on Russian regional strategies does not allow to compare regional differences between two countries. Originality/value This study illustrates several weak points in the UK and Russian dementia policies, which should be addressed to tackle the dementia problem in both countries.

Psychometric development and validation of personal growth initiative scale across male and female in early adulthood population in Pakistan: a comparative study

Purpose The active and intentional involvement of a person in changing and developing as a person is a crucial and worth considering phenomenon that comes under the umbrella of positive psychology. There has been a previous study done on personal growth initiative (PGI) but that study did not explain whether this phenomenon exceeds in men or in women. Plus, previous studies were confined to college students only. This study aims to assess how gender influences PGI, to validate the psychometric properties of the PGI scale and to evaluate the relationship of PGI with mental well-being, career orientation and to examine whether this factor dominates in men or women and to critically validate at what age an individual starts initiating personal growth. The other main objective of the study is to work on the limitations and gaps left in previous studies on PGI by establishing a psychometrically reliable and valid scale/instrument. Design/methodology/approach To develop a scale, first, focus group discussions were conducted with six groups. Through random sampling, a sample of 50 men and 50 women were taken for the pilot study and N = 449 (156 men and 293 women) for the main study with ages ranging from 18 to 35 years were taken (M = 42.30, SD = 12.61). The study consisted of focus group discussions followed by thematic analysis and item pool generation which further followed the main study analysis. For the development of the scale, a theoretical basis along with focus group discussion was conducted to establish an item pool of 123 items. Afterward, 7 experts in the surroundings examined those 123 items to perform subject expert matter to establish content validity. Mixed method was used as a research method in which exploratory sequential design was used. Focus groups were used as a data collection technique. Random sampling is used to collect participants for study/methodology/approach – the study consisted of focus group discussions followed by thematic analysis and item pool generation which further followed the main study analysis. A 19 item five-point Likert-type scale is constructed for public administration on a sample of N = 449 (men = 156 and women = 293). Alpha reliability of the scale (0.83), Kaiser-Meyer-Olkin (KMO) (0.88) and Bartlett’s, psychometric properties of study variables skewness (0.47), kurtosis (−0.17). Inter item correlation matrix, item-total correlation, Scree plotting, t-test (t = −1.90) and (p = 0.05) and linear regression analysis are analyzed on the data and items. This scale is kept parsimonious so that it could be understood by the general population as well. Findings A 19 item five-point Likert-type scale is constructed for public administration on a sample of N = 449 (men = 156 and women = 293). High Alpha reliability of the scale (a = 0.83), KMO (0.88) and Bartlett’s, psychometric properties of study variables skewness (0.47), kurtosis (−0.17). Inter item correlation matrix, Scree plotting, t-test (t = −1.90) and (p = 0.05) and linear regression analysis are analyzed on the data and items. Three factors i.e. effectiveness, shaping and aptitude were formed through exploratory factor analysis (EFA). KMO value of 0.88 suggests that the sample is sufficient to perform EFA. Regression analysis suggests that gender is positively predicting PGI as results are statistically. Research limitations/implications Some of the limitations of this scale on which the future researchers can work are that the sample included participants above age 18 only, so for future researchers they could include participants below this age and find out the PGI factor in them. The sample also included mostly unmarried individuals so for future applications they can find out the extent to which being married can affect the PGI factor, as compared to being unmarried. Another thing that should be mentioned is that the main objective was to find out whether PGI differs among men and women and as the results show that it does differ on the basis of gender but for future studies, the researchers could work on if there is also a difference in men and women in the three subscales (formed during EFA). Practical implications This scale is developed using a significant element of human personality called personal growth which is applicable to various categories and settings of the society to measure the aptitude and inclination toward PGI. This scale can be eligibly administered for research purposes for measuring the growth attitude as a reliable predictor in suitable combination with other expected variables like career development. Originality/value The findings suggest the instrument to be psychometrically valid and reliable and can be helpful in many domains such as industrial organizations, career counseling areas and clinical and research settings. Also, the instrument can be beneficial for future studies in identifying other possible relationships with multiple variables. The current study is an original work to assess the level of PGI in men and women as the previous studies did not include participants below 25 and also they did not assess the inclination of PGI comparably in men and women.

Policies and initiatives/programs that promote health and self-care in asylum seekers living in high income countries: a narrative review

Purpose This paper aims to identify health-care entitlements that exist for asylum seekers with chronic non-communicable disease (CNCD) that promote their health and self-care, and to explore health policies, initiatives and programmes with the potential to foster self-care in this populace. Design/methodology/approach Narrative review of literature conducted by searching EMBASE, CINAHL, WEB OF SCIENCE and PSYCINFO databases for articles published from 2010 to 2021. Included articles focussed on policies, programmes or initiatives with the potential to promote health in adult asylum seekers residing in high-income countries. Studies inclusive of other migrant groups such as undocumented migrants and those with mental health conditions were excluded. Eleven studies fitting the inclusion criteria were assessed against the study objectives. Findings Free access to health-care services and pharmaceutical products, free access to food banks and supermarket model food banks, English and cooking lessons, community integration training sessions and culturally competent health-care workers were found to promote health and self-care. There is little research on self-care and health promotion in adult asylum seekers with CNCD. CNCDs represent high burden of disease in asylum seekers but have a low priority in reported research. Originality/value This narrative review is the first to explicitly focus on asylum seekers in high-income countries with CNCD, excluding mental health conditions, and to explore initiatives, programmes and policies that enhance health promotion to facilitate self-care in this populace.

Organizational health between theory and practice field research in the General Company for Petroleum Products

Purpose This study aims to measure the basic foundations of organizational health in the General Company for Food Products and to indicate the extent of its presence or not within the company under investigation. Design/methodology/approach This research was completed using a descriptive and analytical approach using a sample of 97 employees from the General Company for Petroleum Products. Calculating the arithmetic mean, standard deviation, coefficient of variation, and confirmatory factor analysis are all part of the data processing process. Findings The basic components of organization health are present in the General Company for Petroleum Products, but they have not reached high levels to be called regulatory health. Originality/value The findings of this study can provide important information about the impact of basic organizational health components on the general level of companies, particularly the General Company for Oil Products and its prominent role in its leadership in strengthening the organizational climate with a healthy, pressure-free environment that contributes to raising employee and organizational performance levels.

Psychometric development and validation of victim gaslighting questionnaire (VGQ): across female sample from Pakistan

Purpose Gaslighting a form of abusive manipulation both emotional and psychological is a growing phenomenon in recent times. However, as of yet, there is a scarcity of a valid and reliable instrument which can measure the severity of gaslighting in victims of interpersonal relationships abuse. The purpose of this study is the development of an instrument which can effectively measure gaslighting in victims and is psychometrically reliable and valid. Design/methodology/approach Since the aim of the study was the development of a scale first a sample of eight women who were victims of domestic abuse was taken for the focus group. Afterwards using purposive sampling a sample of 20 women for the pilot study and a sample of 150 women for the main study was taken with age range 18–40 (M = 23.38, S.D = 4.03). For the development of scale theoretical basis along with a focus group was conducted to establish an item pool. Afterwards, subject matter experts helped in establishing contend validity followed by Velicer’s minimum average partial (MAP) method and maximum likelihood factor analysis (FA) was performed for the establishment of the factorial structure of the instrument. Findings Velicer’s MAP method and Maximum Likelihood FA suggested two factor structures including peer disagreement and loss of self-trust. Instrument displayed high alpha reliability of α = 0.934, with α = 0.927 and α = 0.854, for the subscale, respectively. Research limitations/implications Though all necessary steps were taken to minimize the limitations of the present study, however, some limitations do exist which needs to be addressed. The foremost limitation of the present scale is that it is being developed with only a female sample, however, the inclusion of a male sample in future studies can help in identifying whether men also are victims of gaslighting from peers and other family members or not. The second limitation is of validity though necessary validities have been established future studies should study on establishing further validities to further refine the instrument. Additionally, the scale has only been validated and tested on female samples future studies should be conducted on other specific groups or samples to develop norms. Moreover, testing the scale on other cultures could also help in establishing cross cultural validation of the instrument. Finally, though the scale assumes a higher level of scores suggests a higher level of victimization, a proper cutoff score can help in further identifying proper victims from the normal level of gaslighting. Practical implications The present instrument has its applicability in several domains the most important being in the criminal justice system as gaslighting comes under gaslighting and even in the UK is considered as a criminal offense. This instrument can help in determining the severity of gaslighting in victims. Likewise, it can be used in clinical settings for psychologists to identify possible cases of gaslighting victims which can enable them to provide specific help and treatment for them. Moreover, researchers can also benefit from the instrument as it can enable them to explore gaslighting with other possible variables which can help them explore the concept of gaslighting even further. Originality/value This paper is a novel study and has been completed with the purpose of evaluating the effects of gaslighting in victims of interpersonal relationships abuse as the earlier measures are either not psychometrically valid or cannot be generalized to a wider population. The present established scale is an effort to construct an instrument that can be used worldwide.

Family level drivers of access to healthcare among persons with disabilities in the Bosomtwe district of Ghana

Purpose The perceptions of disability conditions held by parents and immediate family members directly determine the types of treatments that are likely to opt for persons with disabilities whenever they are ill. Family level drivers of access to healthcare among persons with disabilities in the Bosomtwe district of Ghana. Design/methodology/approach A qualitative case study was conducted in which data were collected from 60 participants selected purposively. Face-to-face interviews were conducted, and the results were presented thematically. Findings The drivers identified have been categorized into positive and negative depending on how they influenced persons with disabilities’ access to health care. Payment of medical bills, physical access support, the narration of health condition to a health-care provider, spiritual support, care and love were the positives while perceived spiritual cause of disability, preference for alternative treatment centers, unwillingness to support reproductive and specialized health care. Research limitations/implications This study had some limitations, and one of such is the non-inclusion of disabled people who had not been registered by the department of social welfare but resided in the district who could have provided rich information to the study. However, their exclusion did not affect the quality of data obtained, as those who were registered and selected for the study gave adequate information about the issues that were considered during the study. Originality/value Family members of persons with disabilities play key roles in promoting their access to health care; therefore, there is the need for stakeholders to put in measures that will limit misconceptions about disability not only for the general public but also for individuals like parents and immediate family members of persons with disabilities.

Women’s health concern in Jordan: knowledge, practice and barriers toward cervical cancer screening

Purpose Cervical cancer (CC) is one of the most important health issues faced by women worldwide. The purpose of this study is to identify Jordanian women’s knowledge, barriers and measures pertaining to risk factors and screening choices of CC (Pap smear tests). Design/methodology/approach This study applied a cross sectional design by collecting data from a convenient sample of 200 women between 20 and 70 years of age in health and public centers in Jordan. Data was then analyzed using the descriptive statistical tools of SPSS, version 21. Findings The findings revealed that 55.5% of the participants had no information about the Pap smear, and 75% did not know the risk factors. Moreover, 50% of the sample did not know where to take the test, and 50% reported a lack of encouragement from the husband to undertake the test. More than half of the participants (56.5%) expressed fear that cervical screening would be a painful examination even though they reported not having any previous experience with the test. Originality/value Based on these findings, public education about CC screening is essential, including advertising and a campaign similar to the breast cancer awareness programs in Jordan, as a way of encouraging early screening to improve the health of women.