Toward understanding socio-economic inequalities in injury incidence and mortality

The existing knowledge on socio-economic inequality in injury risks is scarce and inconsistent and there is still a great need for sound epidemiological studies in this field. When performing these studies, the injury research community could benefit from the experience gained within other areas of public health. A recent project from the European Union has led, for example, to a set of proposed guidelines on several methodological aspects. Many of these are probably relevant for the injury problem field and will be addressed. Major issues are: – The distinction between individual-level and area-based studies; – The selection, measurement and classification of possible socio-economic indicators; – The expression of the magnitude of health inequalities with the help of possible summary indices; – The definition of the outcome measure (morbidity or mortality, general or specific). This paper illustrates the relevance of the aforementioned methodological issues with empirical data. Results are shown from both individual-level and area-based studies, using different socio-economic indicators and outcome measures. It is concluded that a systematic approach towards understanding socio-economic differences in injury incidence and mortality has not yet been conducted and seems highly needed. Future work in this area could benefit from experience gained within other areas of public health.     

Area-based differences in injury risks in a small Swedish municipality – Geographic and social differences

The current study investigates the geographic and social differences in injury risks across living areas in a small semi-urban Swedish municipality. The study population consisted of all people living in the municipality during the years 1992–1996 (31,820, December 1996). Area comparisons were made based on data related to the municipality’s 15 census districts and grouped according to the geographic location and three different social characteristics (proportion of unemployed, of low educated, or of people born outside Sweden). Injury data was gathered for the period 1992–1996 from two data sources: Sweden’s National Hospital Discharge Register, and the local outpatient register. Three diagnosis groups were used: all injuries aggregated, traffic injuries and other unintentional injuries. Odds-ratios were calculated for males and females separately. There were no remarkable differences in injury risks between areas, whether compared on the basis of their geographic location or some of their socio-economic characteristics. These findings could be attributed to either a lack of sensitivity of the measures employed or the existence of a well-functioning safety promotion program in the municipality that impacts on injury risk distribution between areas. This, in turn, does not imply that members of underprivileged social groups are not in need of special support regardless of the area to which they belong.     

First car-to-car crashes involving young adult drivers: main patterns and their relation to car and driver characteristics

The primary objective of the study was to examine the relationship between patterns in car-to-car crashes involving young drivers and car and driver characteristics and the research design was a national register-based prospective cohort study. Individual records in a cohort born 1970-1972 are linked to road-traffic-crash data (1988-2000). Subjects' first police-registered two-car crash leading to severe or fatal injury (n = 4875) are identified. Typical crash patterns are highlighted and associations between pattern and both car and individual socio-demographic characteristics are tested. Four crash patterns are highlighted. Male drivers and those with lower educational attainment are over-represented in all patterns. Pattern-based risk levels vary considerably according to car safety level and driver's age at time of injury and socio-economic status. Crash patterns might be considered in young adult driver education systems, bearing in mind the consistent higher risks of male drivers and of drivers with lower educational attainment.     

Tracing the utility of injury surveillance data in Pretoria (South Africa) and Borås (Sweden)

Our research attempted to study the factors that influenced the use of injury data in two cities, representing different injury and socio-economic profiles. In Pretoria, the South African capital city, injury data uptake was constrained by, among other factors, the transitional institutional environment, stakeholders' suspicion of research and the absence of safety promotion champions. In the Swedish city of Bor?s, injury data uptake was facilitated by well-established research agency-municipality partnerships, injury prevention champions, a receptive political and knowledge driven environment and dedicated resources. The study signified the role of a range of content issues, contextual arrangements, social actors who may or may not operate from a perspective of sufficient consensus and institutional communication processes that may either facilitate or hinder the multiple employment and rapid movement of data along the 'ladder of knowledge utilisation'. Safety promotion researchers may need to expand their roles beyond data production to improve data utility.     

Tracing the utility of injury surveillance data in Pretoria (South Africa) and Borås (Sweden)

Our research attempted to study the factors that influenced the use of injury data in two cities, representing different injury and socio-economic profiles. In Pretoria, the South African capital city, injury data uptake was constrained by, among other factors, the transitional institutional environment, stakeholders' suspicion of research and the absence of safety promotion champions. In the Swedish city of Borås, injury data uptake was facilitated by well-established research agency–municipality partnerships, injury prevention champions, a receptive political and knowledge driven environment and dedicated resources. The study signified the role of a range of content issues, contextual arrangements, social actors who may or may not operate from a perspective of sufficient consensus and institutional communication processes that may either facilitate or hinder the multiple employment and rapid movement of data along the ‘ladder of knowledge utilisation’. Safety promotion researchers may need to expand their roles beyond data production to improve data utility.     

Adolescent injuries in relation to economic status: An international perspective

The primary objective of the study was to examine the relationship between patterns in car-to-car crashes involving young drivers and car and driver characteristics and the research design was a national register-based prospective cohort study. Individual records in a cohort born 1970 – 1972 are linked to road-traffic-crash data (1988 – 2000). Subjects' first police-registered two-car crash leading to severe or fatal injury (n = 4875) are identified. Typical crash patterns are highlighted and associations between pattern and both car and individual socio-demographic characteristics are tested. Four crash patterns are highlighted. Male drivers and those with lower educational attainment are over-represented in all patterns. Pattern-based risk levels vary considerably according to car safety level and driver's age at time of injury and socio-economic status. Crash patterns might be considered in young adult driver education systems, bearing in mind the consistent higher risks of male drivers and of drivers with lower educational attainment.     

Social media marketing: Who is watching the watchers?

The ready access to and availability of social media has opened up a wealth of data that marketers are leveraging for strategic insight and digital marketing. Yet there is a lack of professional norms regarding the use of social media in marketing and a gap in understanding consumers’ comfort with marketers’ use of their social media data. This study analyzes a census-balanced sample of online adults (n = 751) to identify consumers’ perceptions of using social media data for marketing purposes. The research finds that consumers’ perceived risks and benefits of using social media have a relationship with their comfort with marketers using their publicly available social media data. The research extends the applicability of communication privacy management theory to social media and introduces marketing comfort—a new construct of high importance for future marketing research. Marketing comfort refers to an individual's comfort with the use of information posted publicly on social media for targeted advertising, customer relations, and opinion mining. In the context of the construct development, we find that targeted advertising is the strongest contributing component to marketing comfort, relative to the other two dimensions: opinion mining and customer relations. By understanding what drives consumer comfort with this emerging marketing practice, the research proposes strategies for marketers that can support and mitigate consumers’ concerns so that consumers can maintain trust in marketers’ digital practices.     

Taming Trojan Horses: Identifying and Mitigating Corporate Social Responsibility Risks

Organizations are exposed to increasing pressures from their constituents to integrate corporate social responsibility (CSR) principles into their ongoing business practices. But accepting new and potentially open-ended commitments is not a harmless exercise, and companies may well expose themselves to serious risks when embracing such principles. To identify these risks, we conducted two naturalistic studies: one exploratory, the other corroborative. The results show that CSR adoption is associated with at least seven different business risks, ranging from failing strategy implementation to legitimacy destruction. To alleviate these risks, we discuss a set of managerial mitigation strategies that have the potential to realign companies’ CSR activities with their strategic objectives. Pursey Heugens is an Associate Professor of Organization Theory in the Department of Business-Society Management at RSM Erasmus University. He received his PhD from the same school. His research interests span positive and normative theories of organizaton, including bureaucracy theory, neo-institutional theory, contractualist business ethics, and virtue ethics. Nikolay Dentchev is an independent research fellow at Ghent University, Belgium, and a project coordinator at the corporate venturing department of Fortis Group (Fortis Venturing). He holds a Ph.D. in business economics from Ghent University. His current research is related to entrepreneurship, instrumental stakeholder theory, and management challenges of corporate social responsibility     

Social class and consumption: employers as a special case

During the last few years it has become popular to argue that the impact of social class on personal consumption and other aspects of social behaviour is declining. This paper has two basic objectives. The first objective is to ascertain the extent of variation in consumption patterns between socio-economic groups, independent of income and type of household. As a number of studies of the class structure show, the long-term decline trend in self-employment outside of agriculture was halted or even reversed in many developed countries in the mid-1970s. However, despite evidence for the ‘new rise’ of the self-employed, and perhaps for reasons connected to the way social science has traditionally viewed it, little research has been conducted so far into the life styles and attitudes of this important group. Consequently, the second objective of this article is to analyse and compare the consumption pattern of the self-employed with that of employees — especially where income levels are the same. The results of this analysis, based on the Finnish household survey, indicate the effect of the socio-economic group is stronger than that of the income group and that the consumption pattern of the self-employed does not diverge greatly from that of the ‘well-off employee group. Nonetheless, the information on the detailed expenditure groups also reveals some interesting differences.     

The role of supervision in child injury risk: definition,conceptual and measurement issues

The purpose of this paper was to examine caregiver supervision and its role as an active strategy in childhood injury prevention. Through a review of the literature, the authors addressed conceptual and methodological issues related to supervision, such as the question of how to define ‘adequate supervision.’ Three critical dimensions (attention, proximity and continuity) of caregiver supervisory behaviors are identified as important areas for measurement. Presented is a framework for understanding the role of passive and active supervisory behaviors within the social context. The framework includes family and community characteristics and policies/regulations that may be important in caregiver decisions to use active or passive injury prevention strategies. Future research directions are discussed.     

Spatial environmental risk factors for pedestrian injury collisions in Ciudad Juárez,Mexico (2008–2009): implications for urban planning

The aim of this study is to examine the spatial distribution of pedestrian injury collisions and analyse the environmental (social and physical) risk factors in Ciudad Juarez, Mexico. More specifically, this study investigates the influence of land use, density, traffic and socio-economic characteristics. This cross sectional study is based on pedestrian injury collision data that were collected by the Municipal Transit Police during 2008–2009. This research presents an analysis of vehicle–pedestrian collisions and their spatial risk determinants using mixed methods that included (1) spatial/geographical information systems (GIS) analysis of pedestrian collision data and (2) ordinary least squares (OLS) regression analysis to explain the density of pedestrian collisions data. In our model, we found a higher probability for pedestrian collisions in census tracts with population and employment density, large concentration of commercial/retail land uses and older people (65 and more). Interventions to alleviate this situation including transportation planning such as decentralisation of municipal transport system, investment in road infrastructure – density of traffic lights, pedestrian crossing, road design, improves lane demarcation. Besides, land use planning interventions should be implemented in commercial/retail areas, in particular separating pedestrian and vehicular spaces.     

Capturing Online Presence: Hyperlinks and Semantic Networks in Activist Group Websites on Corporate Social Responsibility

The rise of Internet-mediated communication poses possibilities and challenges for organisation studies, also in the area of corporate social responsibility (CSR) and business and society interactions. Although social media are attracting more and more attention in this domain, websites also remain an important channel for CSR debate. In this paper, we present an explorative study of activist groups’ online presence via their websites and propose a combination of methods to study both the structural positioning of websites (hyperlink network analysis) and the meanings in these websites (semantic co-word maps). We focus on the websites of SOMO, the Centre for Research on Multinational Corporations, and of one of its campaigns, makeITfair, concerned with labour conditions in the IT industry worldwide. This allows us to show how this combination of methods can further our understanding of the way activist networks’ online presence can provide insights into the tactics these networks apply to achieve institutional change on CSR issues. Meanwhile, we identify some notable differences between styles and word use in the two organisations’ websites. We conclude with a set of suggestions for future research.     

Social construction of consumer risk assessments

Subjects in a laboratory experiment were randomly assigned to a condition wherein they were able to discuss potential benefits and risks of a new technology within a small group, or a condition wherein they evaluated the new technology as individuals only. Structural equation analysis indicated that perceived risk, when formed through contact with others, had a significantly different impact on risk response, as measured by intentions and behaviour, than perceived risk that was formed without contact with others. Incorporating a social process perspective and methodology into future research may provide improved understanding of the determinates of consumer risk perception and of the relationship between risk perception and risk response.     

Whose voice is heard? The influence of user-generated versus company-generated content on consumer scepticism towards CSR

ABSTRACT

Social media is increasingly used to communicate corporate social responsibility (CSR). Stakeholders respond to CSR messages with user-generated content (UGC), signalling approval or disapproval, potentially shaping consumers’ perceived legitimacy and scepticism towards CSR. Few studies have explored how UGC shapes these consumer responses. In the context of the UK food retail industry, this study explored what makes UGC more or less believed than company-generated CSR communication on social media. Through qualitative inquiry, the study identified that unique characteristics of social media, such as system-generated cues, lead UGC to be more believed than company-generated content, shaping perceived legitimacy. The study indicates the risks of communicating CSR through social media may be greater than previously suggested. It identifies recipient-related conditions under which these risks can be minimised.     

Taking stock of social capital research: its application in service-oriented firms

Abstract

Notwithstanding the substantial literature on social capital produced in recent years, there have been fewer attempts to examine social capital within the services industry. Our contribution highlights existing research on social capital particularly on the application and outcomes of social capital in the context of service-oriented firms in the Asia Pacific region. We structure our analysis of existing research around the different approaches of social capital studies – either egocentric or sociocentric approach and the focus on the creation and outcomes of social capital. The analysis on the different perspectives of social capital research contributes to our further understanding in the areas of social capital and services industry in the Asia Pacific. The implications for theory and management practice are noted.     

Beneath good and evil?

The aim of this paper is to think business ethics with the help of philosopher Alain Badiou, focusing on Badiou's critique of ethics and the concepts of ‘event’, ‘truth’ and especially ‘subject’. Based mainly on review articles, I construct an understanding of business ethics (comprising corporate social responsibility and sustainability) and its history as a field of research. With the help of a framework developed from Badiou's work on ethics, I conduct a metacritique of business ethics as being intolerant (exclusion of voices), nihilist (concerned with necessity and economics), reactive (to social movements in the 1960s, arguing that there has always been an ethics of business) and obscure (building upon the atemporal body of knowledge in ethics). Opposed to these tendencies, with the help of the constructive Badiou, I argue that business ethics should move towards the creation of faithful subjects possibly formed by ‘inexistent’ research in the field, as well as concerning itself with closely studying and identifying empirical cases of faithful subject formations and their deviations.     

Statistical considerations for the design,conduct and analysis of the efficacy of safe community interventions

In injury research, the use of community-level intervention trials is quite common. Often, it is the only practical method for assessing the efficacy of countermeasures or preventive interventions. ‘Safe Community’ is an intervention concept aimed at establishing community-level programs and policies to ensure the safety of inhabitants in a community. The methodological considerations in evaluating the efficacy of such interventions need to be well understood by injury researchers and policy makers. This paper presents various statistical issues that need to be considered in the design, conduct and analyses of community-level intervention trials. Only with an understanding of the statistical issues will such studies have the appropriate design, conduct and analysis, and thus be appropriately well-received, with the implication that they will indeed help to build safer communities.     

Seeing through a Glass Onion: broadening and deepening formative research in social marketing through a mixed methods approach

ABSTRACT

The purpose of formative research in social marketing is to understand the target audience to generate consumer insight, which informs the planning, development and initial implementation of social marketing programmes. Focus groups, interviews or surveys, all of which are self-report methods, are the most commonly reported methods employed in formative research. Reliance on a relatively narrow range of methods may constrain understanding and insight gained during formative research. This paper challenges social marketers to mix methods or use multiple methods and research perspectives to generate a broader understanding of the consumer and the context in which they behave. A case study is used to demonstrate how mixed methods were used in a formative research study to inform the development of a social marketing programme designed to change eating behaviour. Challenges of mixed methods are detailed along with recommendations for future research.     

What motivates users to hashtag on social media?

Hashtags (i.e., the # symbol) are gaining increased popularity among social media users. However, despite their intense use, little is known about their meanings. Only a few published studies have investigated fragmented aspects of hashtags and treated them as a functional means to structure content. In this study, we provide evidence that hashtags’ meanings go beyond structuring or spreading content and represent an integral element of contemporary communication via social media. In particular, this study presents a series of six empirical studies, following traditions in grounded theory and measurement theory research, to systematically assess motivations for using hashtags. The results uncover the existence of 10 different motivations for use (amusing, organizing, designing, conforming, trendgaging, bonding, inspiring, reaching, summarizing, and endorsing). In addition, we show how these motivations differ between platforms and also relate to different patterns of social media behavior. The results contribute to a better academic understanding of social media, provide managers with profound insights and can guide marketing tactics with hashtags.