Using baseline data from a survey of 309 Canadian women recently separated from an abusive partner, we investigated patterns of access to health, social, legal, and violencespecific services and whether abuse history and social and health variables predict service use. We compared rates of service use to population rates, and used logistic regression to identify determinants of use. Service use rates were substantially higher than population estimates in every category, particularly in general and mental health sectors. Although women were confident in their ability to access services, they reported substantial unmet need, difficulty accessing services, and multiple barriers. The strongest unique predictors of use varied across service type. Health variables (high disability chronic pain, symptoms of depression and PTSD), low income, and mothering were the most consistent predictors. Service providers and policy makers must account for social location, abuse history, and health status of Intimate Violence (IPV) survivors. Strategies to enhance access to primary health care services, and to create a system of more integrated, accessible services, are required.

A heated debate about battered women who kill abusive male partners started in the 1970s. In this study, we tracked the public discourse on battered women who kill by coding 250 newspaper articles published between 1978 and 2002. Using four typifying models, we found that leading explanations for why battered women kill medicalized then criminalized their actions; they were mad then bad. We also found that reporters used quotes from claims makers supporting conventional or medical typifications of battered women to a much greater degree than statements from alternative, feminist sources. In conclusion, simplified, sensational and conventional understandings of crime causation drove the social construction of ''the battered woman who kills''. She may be mad or bad, but rarely has she been portrayed as reasonable. Suggestions for promoting feminist narrative in the media are also provided.

Investigation on the mental health of HIV-positive immigrants is severely limited. We examine the independent and combined effects of HIV symptom and coping resources on depressive symptoms among HIV-positive immigrants (n = 259). Ordinary Least Squares regression models were estimated with data from a survey of clinical and social-psychological outcomes in people receiving treatment for HIV infection. We tested for the impact of two HIV-related stressors, one life events stressor and three buffering resources on depressive symptoms, controlling for thirteen demographic, clinical and acculturative factors. HIV-related stressors were found to be positively related to depressive symptom severity. Coping resources, namely self-mastery, mediate the relationships between HIV-related stressors and depressive symptoms. Results from this study provide the first empirical assessment of stress processes for immigrants living with HIV. Although more research is needed to understand mental health among HIV-positive immigrants, the study results suggest that health care providers focus on self-mastery enhancement among HIV-positive immigrants.

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If you would like to write for this, or any other Emerald publication, then please use our Emerald for Authors service information about how to choose which publication to write for and submission guidelines are available for all. Please visit www.emeraldinsight.com/ authors for more information. About Emerald www.emeraldinsight.comEmerald is a global publisher linking research and practice to the benefit of society. The company manages a portfolio of more than 290 journals and over 2,350 books and book series volumes, as well as providing an extensive range of online products and additional customer resources and services.Emerald is both COUNTER 4 and TRANSFER compliant. The organization is a partner of the Committee on Publication Ethics (COPE) and also works with Portico and the LOCKSS initiative for digital archive preservation. AbstractPurpose -This paper aims to describe Caribbean traditional medicine and to consider whether and how it could be integrated into health systems in Canada.Design/methodology/approach -This paper employs a literature review and synthesis.Findings -Caribbean traditional healing takes a variety of forms reflecting the diversity of histories of the people of the Caribbean. A number of arguments including quality, equity, cost, and social climate will be important factors in facilitating or hindering the expansion of these complementary therapies. However, linking an expansion of therapies to other policy imperatives such as developing stronger communities and expansion of trade may make success more likely.Research limitations/implications -This is a narrative and document review. It is an argument which aims to produce discussion rather than empirical research.Practical implications -Taking a discursive narrative approach to difficult policy issues may help in considering strategies for promoting change.Originality/value -This is the first study which has attempted to consider traditional Caribbean medicine in the Canadian context. It is also the first to consider the strategies for convincing health systems to adopt this form of complementary medicine.