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Biomedical subjects

E S Mason

Publications and source records attributed to E S Mason.

8 recordsLinked to original sources

Gender differences in job satisfaction.

The competing hypotheses of socialization, structural, and social role theories were used to investigate the possible existence of gender differences in job satisfaction. The hypotheses were tested in a sample of over 13,000 U.S. employees from approximately 130 organizations and divisions across a variety of industries. The organizations were clients of a North American-based management consulting company. T tests and effect sizes were calculated to test for the possible existence of group differences in job satisfaction between women and men in both clerical and managerial positions. The results indicate support for structural theory, some support for social role theory, and a lack of support for socialization theory. An important finding is that U.S. women and men in management apparently did not differ from one another in their sources of satisfaction at work.

Adult↗

Evaluating perinatal mortality rates: effects of referral and case mix.

OBJECTIVE: To evaluate perinatal mortality rates as a method of auditing obstetric and neonatal care after account had been taken of transfer between hospitals during pregnancy and case mix. DESIGN: Case-control study of perinatal deaths. SETTING: Leicestershire health district. SUBJECTS: 1179 singleton perinatal deaths and their selected live born controls among 114,362 singleton births to women whose place of residence was Leicestershire during 1978-87. MAIN OUTCOME MEASURE: Crude perinatal mortality rates and rates adjusted for case mix. RESULTS: An estimated 11,701 of the 28,750 women booked for delivery in general practitioner maternity units were transferred to consultant units during their pregnancy. These 11,701 women had a high perinatal mortality rate (16.8/1000 deliveries). Perinatal mortality rates by place of booking showed little difference between general practitioner units (8.8/1000) and consultant units (9.3-11.7/1000). Perinatal mortality rates by place of delivery, however, showed substantial differences between general practitioner units (3.3/1000) and consultant units (9.4-12.6/1000) because of the selective referral of high risk women from general practitioner units to consultant units. Adjustment for risk factors made little difference to the rates except when the subset of deaths due to immaturity was adjusted for birth weight. CONCLUSION: Perinatal mortality rates should be adjusted for case mix and referral patterns to get a meaningful result. Even when this is done it is difficult to compare the effectiveness of hospital units with perinatal mortality rates because of the increasingly small subset of perinatal deaths that are amenable to medical intervention.

Case-Control Studies↗

The Asian Mother and Baby Campaign (the Leicestershire experience).

Leicestershire was one of the 10 districts selected for inclusion in the Asian Mother and Baby Campaign, a campaign undertaken to help overcome the problems experienced by Asian women during pregnancy. To achieve this aim eight linkworkers were allocated to this district for a two year period. A local evaluation was undertaken using general practices with evidence of a higher than average perinatal risk. Linkworkers were distributed equally between the hospital and community setting. Women from the selected practices were interviewed at three points; booking for ante-natal care, following delivery and at the post-natal visit. It was found that the linkworkers provided a much needed interpreter service but were less successful in imparting health education knowledge to Asian women. In fact improvement in health education knowledge only occurred in women with a good understanding of English. A surprising finding was that there is still a very large proportion (approximately 50%) of Asian women in Leicestershire who are unable to communicate in English and are not therefore able to make full use of the available services.

Asia↗

Asian mothers' risk factors for perinatal death--the same or different? A 10 year review of Leicestershire perinatal deaths.

A case-control study of all perinatal deaths in Leicestershire was established in 1976. By 1985 some 1342 singleton perinatal deaths had occurred. Perinatal mortality among patients of Asian origin was consistently higher than that among European women. Many of the sociomedical risk factors for perinatal death known at booking were common to both population groups. In this population of Asian women, however, low social class was not associated with perinatal risk and illegitimacy hardly ever occurred. In contrast, previous infertility among the Asian women was associated with risk of perinatal death, while no such association was found with European women. In 19% of perinatal deaths care was either inadequately provided or taken up. The case-control design in these circumstances provides a practicable way to evaluate causal factors and at the same time to provide information of value to educators and health service planners.

Adolescent↗

Leatherwork: a possible hazard to reproduction.

A retrospective study was carried out aimed at eliciting the causes of perinatal death in Leicestershire between 1976 and 1982. Case notes were reviewed and the mothers interviewed in over 1000 cases. An analysis of maternal occupations showed that leatherworkers were at increased risk of having a perinatal death, particularly from congenital malformations and macerated stillbirths, even when compared with other manual workers in the same social class. The excess risk occurred in all towns of the county where leatherwork was undertaken. Further investigation is needed of the materials used in the leather industry in order to ensure that risks are minimised. Fecund women working in the industry should be informed of any residual risk if these findings are confirmed.

Congenital Abnormalities↗

Early postnatal weight gain: comparisons between Asian and Caucasian infants.

Little is known about the early weight gain of British born Asian babies. This study sets out to compare weight gain of 34 healthy Asian term babies with 34 white Caucasian babies over the first two months of life. The Asian infants were lighter at birth but their rate of weight gain did not differ significantly from their white Caucasian counterparts. These findings offer indirect support for the hypothesis that the smaller size at birth of Asian babies is not due to intrauterine growth retardation. Had this occurred a greater weight gain indicating 'catch-up growth would have been expected.

Africa, Eastern↗