BackgroundAlthough community engagement (CE) is widely used in health promotion, components of CE models associated with improved health are poorly understood. This study aimed to examine the magnitude of the impact of CE on health and health inequalities among disadvantaged populations, which methodological approaches maximise the effectiveness of CE, and components of CE that are acceptable, feasible, and effective when used among disadvantaged populations.DesignThe systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We carried out methodological assessments of the included studies using rating scales. The analysis focussed on model synthesis to identify the key CE components linked to positive study outcomes and comparative analysis between positive study outcomes, processes, and quality indicators of CE.ResultsOut of 24 studies that met our inclusion criteria, 21 (87.5%) had positively impacted health behaviours, public health planning, health service access, health literacy, and a range of health outcomes. More than half of the studies (58%) were of good quality, whereas 71% and 42% of studies showed good community involvement in research and achieved high levels of CE, respectively. Key CE components that affected health outcomes included real power-sharing, collaborative partnerships, bidirectional learning, incorporating the voice and agency of beneficiary communities in research protocol, and using bicultural health workers for intervention delivery.ConclusionsThe findings suggest that CE models can lead to improved health and health behaviours among disadvantaged populations if designed properly and implemented through effective community consultation and participation. We also found several gaps in the current measurement of CE in health intervention studies, which suggests the importance of developing innovative approaches to measure CE impact on health outcomes in a more rigorous way.

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BackgroundAcupuncture and other modalities of Chinese/East Asian medicine have been used to treat women’s health for many centuries. Gynecology specialties focus particularly on menstrual and reproductive disorders. Both the adoption of the use of acupuncture outside Asia, and the incorporation of scientific analysis in Asia have challenged biomedical conceptions of what can be achieved with this treatment method. The scale of research activity in relation to acupuncture and women’s health has increased over the last 20 years.ObjectiveThis review aims to explore the research evidence in relation to acupuncture use for women’s reproductive disorders, focusing on both clinical findings and experimental research on acupuncture’s mechanisms of action in relation to women’s health.MethodsA narrative literature search was undertaken using searches of electronic databases and manual searches of journals and textbooks. The search included all literature published prior to June 2013. The literature was assessed as to the nature of the study it was reporting and findings synthesized into a commentary.ResultsFor acupuncture’s mechanism of action the search resulted in 114 relevant documents; in relation to clinical reports on the use of acupuncture for women’s health 204 documents were found and assessed.ConclusionThere is preliminary data indicating acupuncture may improve menstrual health and coping for women experiencing delays falling pregnant. There is experimental data showing that acupuncture can influence female reproductive functioning, although the actual mechanisms involved are not yet clarified. Further well-conducted clinical research would benefit our understanding of the usefulness of acupuncture to women’s health.

Ulrich Beck was one of the most influential sociologists of recent decades. Concepts he developed -including risk society, individualization, cosmopolitanization, subpolitics and the democratization of science -are among the most cited, used and contested in contemporary sociology. In the wake of Beck's recent death, this review article revisits his key contributions and legacy. He proposed that a momentous shift to a new modernity has begun and challenged sociologists as to whether the concepts they use are up to the task of tracing this emerging dynamic. Provocatively, Beck asked whether concepts like the nation-state, family and class are functioning as 'zombie categories', continuing on in sociology but no longer relevant to social experience. We argue that Beck was not denying the significance of such social factors, but setting a challenge to the discipline to show how the key concepts of sociology can be reimagined in the face of social change.

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Consensus building among experts provides a transparent method of protocol development suited to acupuncture research that will then hold relevance to clinical practice.

The parties contributing to the Freedom of Religion and Belief in Australia Inquiry had a strong interest in the role of religion in society. Those making submissions were parochial about the status and importance of their own faith, less positive about religious diversity, more likely to be culturally supremacist, and more likely to independently express anti‐Islamic sentiment than the general population. A large proportion of submissions (40 per cent) included the religio‐centric assertion that Australia is a Christian nation. Alternative voices – that Australia is a multi‐faith country or those that saw Australia as secular – were much less ‘present’ in the submissions. Most submissions argued for the retention of religious exemptions from anti‐discrimination laws and against anti‐religious‐vilification legislation that would protect religious minorities. Christian‐centric voices purposefully undermined movement towards more inclusive social policy and protection of rights. The Christian majority insisted that their position of dominance be affirmed in Australia. The failure of the inquiry to advocate for policy and legislative change to expand religious freedoms (especially to minorities) was a performance of professed ‘state neutrality’ that reproduced substantive inequality. The public submission process was an effective mechanism for reinforcing a privileged relation between the state and Christian organisations, and fails the tests of both fairness and more substantively equality.

The global average of couples with fertility problems is 9%. Assisted reproductive technologies are often inaccessible. Evidence points to acupuncture offering an opportunity to promote natural fertility. This study asked whether providing a multiphasic fertility acupuncture protocol to women with sub/infertility would increase their awareness of fertility and achieve normalisation of their menstrual cycle compared with a lifestyle control. In a pragmatic randomised controlled trial sub/infertile women were offered an intervention of acupuncture and lifestyle modification or lifestyle modification only. There was a statistically significant increase in fertility awareness in the acupuncture group (86.4%, 19) compared to 40% (n = 8) of the lifestyle only participants (Relative Risk (RR) 2.38, 95% confidence interval (CI) of 1.25, 4.50), with an adjusted p value of 0.011. Changes in menstrual regularity were not statistically significant. There was no statistical difference in the pregnancy rate with seven women (adjusted p = 0.992) achieving pregnancy during the course of the study intervention. Those receiving the acupuncture conceived within an average of 5.5 weeks compared to 10.67 weeks for the lifestyle only group (p = 0.422). The acupuncture protocol tested influenced women who received it compared to women who used lifestyle modification alone: their fertility awareness and wellbeing increased, and those who conceived did so in half the time.