Individual change in rejection of equal opportunities for foreigners among adolescents and young adults in Switzerland: Testing realistic conflict theory from a dynamic perspective.

This study's objective is to test one of the key theoretical orientations in the literature on intergroup relations, realistic conflict theory, from a dynamic perspective. In this study, we focus on adolescents who are, according to the 'impressionable years'-hypothesis, most likely to change in their rejection of equal opportunities. Realistic conflict theory is applied in a dynamic way by taking into account economic characteristics related to the adolescent and the household. We employ Swiss panel data covering the period 1999-2017, containing information of both adolescents and the household they live in. Results demonstrate that there is relatively little variation within adolescents in rejection of equal opportunities for foreigners. Despite of using a broad range of characteristics related to adolescents' as well as the household's economic situation, the changes that do occur within individuals could hardly be explained by those economic changes. Socialisation theories on direct parental influences appeared to better explain changes in rejection of equal opportunities.

Assessing the 'Why' in Volunteering for Refugees: Exploring Volunteer Motivations.

This article addresses what motivations volunteers have for volunteering for refugees and whether these motivations differ from or complement motivations to volunteer in general, such as included in the widely used measurement instrument, the Volunteer Function Inventory (VFI). We organized eight focus groups with volunteers for refugees (N = 44) and interviewed five involved coordinators, all working in one city in the Netherlands. Results show that humanitarian concerns and social justice were highly relevant for people's motivations, next to volunteering to obtain or improve knowledge and skills. We find support for the earlier suggested extension of the VFI with the social justice motivation. Next, the current study expands existing analysis on volunteer motivations by identifying four areas that require further attention: (1) volunteers for refugees seek a meaningful role in life; (2) are motivated by the pragmatism of this volunteer work; (3) have emotional reasons; and (4) are motivated by media exposure.

How Religiosity Shapes Rejection of Homosexuality Across the Globe.

This study investigates to what extent different dimensions of religiosity are differentially related to rejection of homosexuality in countries around the world and, moreover, to what extent these relationships can be explained by particular mediators: authoritarianism and traditional gender beliefs. The theoretical framework includes in particular socialization and integration theories. Hypotheses are tested by employing multilevel models, using data from the World Values Survey, covering 55 countries around the world for the period 2010-2014. The results indicate that every dimension of religiosity has a positive relationship with rejection of homosexuality, rejecting some of our hypotheses: those who adhere to any denomination more often attend religious services and have stronger religious particularistic beliefs, or those who are more religiously salient do reject homosexuality more strongly. Sobel tests and bootstrapping procedures indicate that the relationships between the dimensions of religiosity and rejection of homosexuality are partially explained by authoritarianism and traditional gender beliefs.

Re-Understanding Religion and Support for Gender Equality in Arab Countries.

Much is said about Middle Eastern and North African (MENA) publics opposing gender equality, often referring to patriarchal Islam. However, nuanced large-scale studies addressing which specific aspects of religiosity affect support for gender equality across the MENA are conspicuously absent. This study develops and tests a gendered agentic socialization framework that proposes that MENA citizens are not only passively socialized by religion but also have agency (within their religiosity). This disaggregates the influence of religiosity, highlights its multifacetedness, and theorizes the moderating roles that gender and sociocognitive empowerment play via gendered processes of agentic dissociations. Using 15 World Values Surveys and multilevel models, our analyses show that most dimensions of religiosity fuel opposition to gender equality. However, the salience of religion in daily life is found to increase women's support for gender equality and cushion the negative impact of religious service attendance. Also, gender and education moderate the impacts of several religiosity dimensions; for instance, women's (initially greater) support for gender equality more sharply declines with increased service attendance than men's. Altogether, this study finds that religious socialization is multifaceted and gendered, and that certain men and women are inclined and equipped to deviate from dominant patriarchal religious interpretations.

The Paradox of Rising Ethnic Prejudice in Times of Educational Expansion and Secularization in the Netherlands, 1985-2011.

We aim to clarify a puzzling paradox: while shares of highly educated and non-religious individuals-who generally hold less prejudice-have increased in the Netherlands, levels of prejudice against ethnic minorities have yet risen over time. To solve the paradox, we use cross-sectional data from 1985 to 2011 in counterfactual analyses. In these analyses we simulate that levels of ethnic prejudice within categories of education, church membership, and church attendance are kept constant at the 1985 level and a new simulated trend in prejudice is estimated for the 1985-2011 period. Our findings show that changing levels of prejudice within categories of education are partly responsible for the trend. We conclude that the increasing share of highly educated individuals has not resulted in a decline of prejudice in the Netherlands over time, because all Dutch have become more prejudiced over the years and in particular the higher educated.

The relationship between societal change and rising support for gender egalitarianism among men and women: Results from counterfactual analyses in the Netherlands, 1979-2012.

This study examines the relationship between important social, cultural, economic, and demographic changes and the rise of support for gender egalitarianism within the Dutch population between 1979 and 2012. Cohort replacement, educational expansion, secularization, and the feminization of the labor force are important processes that have taken place in western societies in ways that may have fostered support for gender egalitarianism. Using unique data from 16 repeated cross-sectional surveys in the Netherlands, we estimate age-period-cohort regression models, and the outcomes are subsequently applied in counterfactual simulation designs. Our results show that the social, cultural, economic, and demographic changes explain only a small part of the modest rise in support for gender egalitarianism for men, while they provide a much better explanation of the stronger rise among women. Especially the replacement of older female cohorts by younger ones seems to have propelled support for gender egalitarianism among women throughout the years.

The Impact of Adolescents' Classroom and Neighborhood Ethnic Diversity on Same- and Cross-Ethnic Friendships Within Classrooms.

This study examines how classroom and neighborhood ethnic diversity affect adolescents' tendency to form same- versus cross-ethnic friendships when they enter middle school. Hypotheses are derived from exposure, conflict, and constrict theory. Hypotheses are tested among 911 middle school students (43 classrooms, nine schools) in the Netherlands. Multilevel (p2) social network analyses show that students were more likely to engage in same-ethnic rather than cross-ethnic friendships. In line with conflict theory, greater classroom and neighborhood diversity were related to stronger tendencies to choose same-ethnic rather than cross-ethnic friends, among both ethnic majority and minority students. Diversity did not hamper reciprocity, as students in more ethnically diverse classrooms were even more likely to reciprocate friendships.

Positive and negative contact and attitudes towards the religious out-group: Testing the contact hypothesis in conflict and non-conflict regions of Indonesia and the Philippines.

This study examines the relationship between interreligious contact and negative attitudes towards the religious out-group. It uses unique survey data collected by the authors among Christian and Muslim students in Maluku and Yogyakarta (Indonesia) and Mindanao and Metro Manila (the Philippines). Even after taking self-selection effects into account, interreligious friendships reduce negative attitudes towards the religious out-group. However, casual interreligious contact increases negative out-group attitudes. Also individuals who experienced interreligious violence have more negative out-group attitudes than those without such experience. The experience of interreligious violence has no influence on the effect of interreligious friendships but it further deteriorates the relationship between casual interreligious contact and out-group attitudes. Perceived group threat is an important mechanism explaining the effects of both positive and negative interreligious contact. [125].

Media Exposure and Health in Europe: Mediators and Moderators of Media Systems.

This study examined media exposure as an explanatory factor for individual and cross-national differences in self-assessed general health. In studying media exposure, traditional media (television, radio, and newspapers) and contemporary media (internet) were separately considered. Aside from hypotheses about the relation between media exposure and general health, we also tested hypotheses regarding the mediating role of social isolation and mean world syndrome as well as the moderating role of different media systems across countries. Therefore, we used European Social Survey 2010, covering 25 European countries (n = 36,692). The results of our multilevel regression analyses indicated that exposure to television was negatively related to general health, whereas exposure to radio and newspapers were positively related to health. For contemporary media, findings indicated consistent positive relations between internet exposure and health across. Furthermore, limited support was found for the mediating role of social isolation and the mean world syndrome in the link between media exposure and health. Across media systems, findings for the relations between exposure to the various types of media and health proved to be robust.

At which geographic scale does ethnic diversity affect intra-neighborhood social capital?

The claim that ethnic diversity within the living environment would hamper bonding and bridging social capital has been studied extensively, producing highly inconsistent findings. We studied whether ethnic diversity effects depend on the geographic scale at which ethnic diversity is measured. We examined ethnic diversity effects on intra- and inter-ethnic contacts in the neighborhood, respectively on opposition to ethnic in- and out-group neighbors. Hypotheses were derived from Blau's meeting opportunities thesis and contact theory, ethnic competition theory, and constrict theory. Using information about 2545 Dutch respondents with their locality defined as egohoods and administrative units, we found that ethnic diversity effects vary with the geographic scale. Ethnic diversity of smaller localities is positively associated with bridging social capital. At larger scales, the findings are mixed: ethnic diversity is positively related to inter-ethnic contacts and opposition to out-group neighbors. Ethnic diversity of smaller localities is negatively related to bonding social capital. In contrast to often-made claims that diversity within the local context would matter most, estimates of diversity effects are not always stronger when diversity measures are aggregated to smaller geographic areas.

Change in primary midwife-led care in the Netherlands in 2000­2008: A descriptive study of caesarean sections and other interventions among 807,437 low-risk births.

OBJECTIVE: to study whether an increase in intrapartum referrals in primary midwife-led care births in the Netherlands is accompanied by an increase in caesarean sections. DESIGN: nationwide descriptive study. SETTING: The Netherlands Perinatal Registry. PARTICIPANTS: 807,437 births of nine year cohorts of women with low risk pregnancies in primary midwife-led care at the onset of labour between 2000 and 2008. MEASUREMENTS: primary outcome is the caesarean section rate. Vaginal instrumental childbirth, augmentation with oxytocin, and pharmacological pain relief are secondary outcomes. Trends in outcomes are described. We used logistic regression to explore whether changes in the planned place of birth and other maternal characteristics were associated with the caesarean section rate. FINDINGS: the caesarean section rate increased from 6.2 to 8.3 per cent for nulliparous and from 0.8 to 1.1 per cent for multiparous women. After controlling for maternal characteristics the year by year increase in the caesarean section rate was still significant for nulliparous women (adj OR 1.03; 95% CI 1.02­1.03). The vaginal instrumental birth declined from 18.2 to 17.4 per cent for nulliparous women (multiparous women: 1.7­1.5 per cent). Augmentation of labour and/or pharmacological pain relief increased from 23.1 to 38.1 per cent for nulliparous women and from 5.4 to 9.6 per cent for multiparous women. CONCLUSION: the rise in augmentation of labour, pharmacological pain relief and electronic fetal monitoring in the period 2000­2008 among women in primary midwife-led care was accompanied by an increase in caesarean section rate for nulliparous women. The vaginal instrumental deliveries declined for both nulliparous and multiparous women. IMPLICATIONS FOR PRACTICE: primary care midwives should evaluate whether they can strengthen the opportunities for nulliparous women to achieve a physiological birth, without augmentation or pharmacological pain relief. If such interventions are considered necessary to achieve a spontaneous vaginal birth, the current disadvantage of discontinuity of care should be reduced. In a more integrated care system, women could receive continuous care and support from their own primary care midwife, as long as only supportive interventions are needed.

Does relative out-group size in neighborhoods drive down associational life of Whites in the U.S.? Testing constrict, conflict and contact theories.

We test whether a larger percentage of non-Whites in neighborhoods decreases associational involvement and build on earlier research in three ways. First, we explicitly consider the ethnic composition of organizations, distinguishing involvement in bridging (with out-group members) and bonding (only in-group members) organizations. Second, we start from constrict theory and test competing sets of predictions derived from conflict and contact theories to explain these relationships. Third, we examine whether relative out-group size affects involvement in different types of voluntary organizations equally. Using data from the 2005 U.S. 'Citizenship, Involvement, Democracy' survey, the percentage of non-Whites in neighborhoods is largely unrelated with associational involvement or perceived ethnic threat. However, perceiving ethnic threat is consistently negatively related with involvement in bridging organizations. Simultaneously, a larger percentage of non-Whites fosters intergroup contact, which is negatively related with perceptions of ethnic threat and involvement in bonding leisure organizations. Our results shed more light on the relationship between the relative out-group size in neighborhoods and associational involvement as well as underlying explanations for this link.

Variation in intrapartum referral rates in primary midwifery care in the Netherlands: a discrete choice experiment.

OBJECTIVE: in midwife-led care models of maternity care, midwives are responsible for intrapartum referrals to the obstetrician or obstetric unit, in order to give their clients access to secondary obstetric care. This study explores the influence of risk perception, policy on routine labour management, and other midwife related factors on intrapartum referral decisions of Dutch midwives. DESIGN: a questionnaire was used, in which a referral decision was asked in 14 early labour scenarios (Discrete Choice Experiment or DCE). The scenarios varied in woman characteristics (BMI, gestational age, the preferred birth location, adequate support by a partner, language problems and coping) and in clinical labour characteristics (cervical dilatation, estimated head-to-cervix pressure, and descent of the head). SETTING: primary care midwives in the Netherlands. PARTICIPANTS: a systematic random selection of 243 practicing primary care midwives. The response rate was 48 per cent (117/243). MEASUREMENTS: the Impact Factor of the characteristics in the DCE was calculated using a conjoint analysis. The number of intrapartum referrals to secondary obstetric care in the 14 scenarios of the DCE was calculated as the individual referral score. Risk perception was assessed by respondents׳ estimates of the probability of eight birth outcomes. The associations between midwives׳ policy on management of physiological labour, personal characteristics, workload in the practice, number of midwives in the practice, and referral score were explored. FINDINGS: the estimated head-to-cervix pressure and descent of the head had the largest impact on referral decisions in the DCE. The median referral score was five (range 0-14). Estimates of probability on birth outcomes were predominantly overestimating actual risks. Factors significantly associated with a high referral score were: a low estimated probability of a spontaneous vaginal birth (p=0.007), adhering to the active management policy Proactive Support of Labour (PSOL) (p=0.047), and a practice situated in a rural area or small city (p=0.016). KEY CONCLUSIONS: there is considerable variation in referral decisions among midwives that cannot be explained by woman characteristics or clinical factors in early labour. A realistic perception of the possibility of a spontaneous vaginal birth and adhering to expectant management can contribute to the prevention of unwarranted medicalisation of physiological childbirth. IMPLICATIONS FOR PRACTICE: awareness of variation in referrals and the associated midwife-related factors can stimulate midwives to reflect on their referral behavior. To diminish unwarranted variation, high quality research on the optimal management of a physiological first stage of labour should be performed.

Change in primary midwife-led care in the Netherlands in 2000-2008: a descriptive study of caesarean sections and other interventions among 789,795 low risk births.

OBJECTIVE: to study whether an increase in intrapartum referrals in primary midwife-led care births in the Netherlands is accompanied by an increase in caesarean sections. DESIGN: nationwide descriptive study. SETTING: the Netherlands Perinatal Registry. PARTICIPANTS: 789,795 births of nine year cohorts of women with low risk pregnancies in primary midwife-led care at the onset of labour between 2000 and 2008. MEASUREMENTS: primary outcome is the caesarean section rate. Vaginal instrumental delivery, augmentation with oxytocin, and pharmacological pain relief are secondary outcomes. Trends in outcomes are described. We used logistic regression to explore whether changes in the planned place of birth and other maternal characteristics influenced the caesarean section rate. FINDINGS: the caesarean section rate did not increase and was 5.5 per cent (range 4.9-6.3 per cent) for nulliparous women, and 1.0 per cent (range 0.8-1.1 per cent) for multiparous women. After controlling for the decline in planned home births and other maternal characteristics no increase in the caesarean section rate was found. The vaginal instrumental birth rate showed no increase, and was 18.1 per cent (range 17.9-18.5 per cent) for nulliparous women and 1.5 per cent (range 1.4-1.7 per cent) for multiparous women. Augmentation of labour and/or pharmacological pain relief increased from 24.0 to 38.8 per cent for nulliparous women, and from 5.4 to 10.0 per cent for multiparous women. CONCLUSION: the rise in intrapartum referrals was not accompanied by an increase in caesarean section rate over the period 2000-2008. Despite a considerable rise in the use of pain relief and augmentation, the rate of spontaneous vaginal birth remained high for low risk women who started labour in primary midwife-led care. IMPLICATIONS FOR PRACTICE: the current strict role division between primary care midwives and the obstetrician-led team increasingly results in a change in care provider during labour. In a more integrated care system, more women can receive continuous support of labour from their own primary care midwife, as long as only supportive interventions are needed.

Persisting rise in referrals during labor in primary midwife-led care in the Netherlands.

BACKGROUND: There are concerns about the Dutch maternity care system, characterized by a strict role division between primary and secondary care. The objective of this study was to describe trends in referrals and in perinatal outcomes among labors that started in primary midwife-led care. METHODS: We performed a descriptive study of all 789,795 labors that started in primary midwife-led care during 2000 to 2008 in The Netherlands. Referrals to obstetrician-led care or pediatrician were classified as urgent or nonurgent. Perinatal safety was described by perinatal mortality (intrapartum or neonatal 0-7 days), admission to neonatal intensive care unit 0-7 days, and Apgar score < 7 at 5 minutes. RESULTS: The proportion of referrals during labor or after birth declined from 52.6 to 42.6 percent for nulliparous women and from 83.2 to 76.7 percent for multiparous women. Especially nonurgent referrals during the first stage increased, for nulliparous women from 28.7 to 40.7 percent and for multiparous women from 10.5 to 16.5 percent. Referrals were less frequent in planned home births. Perinatal mortality was 0.9 per thousand births for nulliparous women, and 0.6 per thousand for multiparous women. A low Apgar score was registered in 8.6 per thousand births for nulliparous women, and 4.1 per thousand for multiparous women. CONCLUSIONS: There was a considerable rise in nonurgent referrals to obstetrician-led care in primary midwife-led care during labor. Perinatal safety did not improve significantly over time. The persisting rise in referrals challenges the sustainability of the current strict role division between primary and secondary maternity care in The Netherlands.

Health and happiness among homosexual couples in Europe.

Data from five waves (2002-10) of the European Social Survey were examined to see the extent to which heterosexual and homosexual couples differ in their health and happiness. Homosexual people had lower levels of self-rated health and happiness. We suggest that those who experience discrimination are more strongly integrated in their gay community, which, in turn, may bring positive effects in terms of happiness due to a sense of belonging, but may be accompanied by the specific health risks associated with this community.

Ethnic composition of school classes, majority-minority friendships, and adolescents' intergroup attitudes in the Netherlands.

The relationships between the proportion of ethnic minority adolescents in school classes, the proportion and quality of majority-minority friendships and intergroup attitudes were examined using multi-level analysis (N = 2386 adolescents in 117 school classes in the Netherlands). In school classes with high proportions of ethnic minority adolescents, both ethnic majority and ethnic minority adolescents reported more negative out-group attitudes. Moreover, in these school classes, ethnic majority adolescents showed more positive in-group attitudes, whereas ethnic minority adolescents showed less positive in-group attitudes. The proportion of majority-minority friendships was related to less negative out-group attitudes for ethnic majority adolescents only. The quality of majority-minority friendships was related to less negative out-group and in-group attitudes for both the ethnic majority and ethnic minority adolescents. The results are discussed in the light of contact theory and ethnic competition theory.

Are there inequalities in choice of birthing position? Sociodemographic and labour factors associated with the supine position during the second stage of labour.

OBJECTIVE: to establish which factors are associated with birthing positions throughout the second stage of labour and at the time of birth. DESIGN: retrospective cohort study. SETTING: primary care midwifery practices in the Netherlands. PARTICIPANTS: 665 low-risk women who received midwife-led care. MEASUREMENTS AND FINDINGS: a postal questionnaire was sent to women 3-4 years after birth. The number of women who remained in the supine position throughout the second stage varied between midwifery practices, ranging from 31.3% to 95.9% (p<0.001). The majority of women pushed and gave birth in the supine position. For positions used throughout the second stage of labour, a stepwise forward logistic regression analysis was used to examine effects controlled for other factors. Women aged 36 years and highly educated women were less likely to use the supine pushing position alone [odds ratio (OR) 0.54, 95% confidence intervals (CI) 0.31-0.94; OR 0.40, 95% CI 0.21-0.73, respectively]. Women who pushed for longer than 60 minutes and who were referred during the second stage of labour were also less likely to use the supine position alone (OR 0.32, 95% CI 0.16-0.64; OR 0.44, 95% CI 0.23-0.86, respectively). Bivariate analyses were conducted for effects on position at the time of birth. Age 36 years, higher education and homebirth were associated with giving birth in a non-supine position. KEY CONCLUSIONS: the finding that highly educated and older women were more likely to use non-supine birthing positions suggests inequalities in position choice. Although the Dutch maternity care system empowers women to choose their own place of birth, many may not be encouraged to make choices in birthing positions. IMPLICATIONS FOR PRACTICE: education of women, midwives, obstetricians and perhaps the public in general is necessary to make alternatives to the supine position a logical option for all women. Future studies need to establish midwife, clinical and other factors that have an effect on women's choice of birthing positions, and identify strategies that empower women to make their own choices.

Women's positions during the second stage of labour: views of primary care midwives.

AIM: This paper is a report of a study to explore the views of midwives on women's positions during the second stage of labour. BACKGROUND: Many authors recommend encouraging women to use positions that are most comfortable to them. Others advocate encouragement of non-supine positions, because offering 'choice' is not enough to reverse the strong cultural norm of giving birth in the supine position. Midwives' views on women's positions have rarely been explored. METHOD: Six focus groups were conducted in 2006-2007 with a purposive sample of 31 midwives. The data were interpreted using Thachuk's models of informed consent and informed choice. FINDINGS: The models were useful in distinguishing between two different approaches of midwives to women's positions during labour. When giving informed consent, midwives implicitly or explicitly ask a woman's consent for what they themselves prefer. When offering informed choice, a woman's preference is the starting point, but midwives will suggest other options if this is in the woman's interest. Obstetric factors and working conditions are reasons to deviate from women's preferences. CONCLUSIONS: To give women an informed choice about birthing positions, midwives need to give them information during pregnancy and discuss their position preferences. Women should be prepared for the unpredictability of their feelings in labour and for obstetric factors that may interfere with their choice of position. Equipment for non-supine births should be more midwife-friendly. In addition, midwives and students need to be able to gain experience in assisting births in non-supine positions.

Combining work and family in the Netherlands: blessing or burden for one's mental health?

In this article we study which characteristics of combining work and family put people at risk for mental illness. Two alternative perspectives on the impact of multiple social roles on mental health are tested: the role accumulation perspective and the role strain perspective. Both perspectives are studied with data from a cross-sectional national survey held among a large, representative sample of Dutch people (N=1008). Multivariate analyses provided support for both perspectives. Having more social roles was related to better mental health. We also found a positive mental health effect of having a full-time job in combination with having children. However, having a partner who contributes less to household duties or having a job with low decision latitude or lower skill discretion was related to mental illness. So, certain aspects of social roles may also threaten people's mental health. Overall, our findings do not support the idea that combining work and family is necessarily a burden and harmful for people's mental health. Whether multiple social roles are a blessing or burden for people's mental health seems to depend on the characteristics of the social roles.