Unmet service needs of families of young children with chronic illnesses and disabilities

Data about health and educational services were collected from 187 families with young children (under two years) who have chronic illnesses and disabilities. The purpose was to assess parents' satisfaction with services their families received and to identify families' unmet service needs as well as the reasons for these unmet needs. Although families' ratings of the adequacy of services are relatively high, 28% of the families report unmet service needs. The unmet needs most often reported are occupational, physical, or speech therapy; respite care/child care; and special education. Lack of funding is the most commonly given reason for unmet needs. Children with multiple impairments are at highest risk for unmet needs. Only 22% of unmet needs reported at the initial interview have been met by the time of the six-month follow-up. Increased coordination and monitoring of services across service sectors are indicated. Her research interests include the effects of disability on family identity and families' responses to minority stress. She received her Ph.D. from the University of Minnesota. She gratefully acknowledges Shelley Blazis and Nadav Casuto for statistical consulting. Her research interests focus on the impact of chronic illness and disability on families. She received her Ph.D. from the University of Minnesota. Her research interests include families and health and chronic illness and disability in children. She received her Ph.D. in Family Social Science at the University of Minnesota. His areas of interest include neurodevelopmental outcomes of low birth weight infants and training in developmental pediatrics. He was graduated from the University of Minnesota Medical School. His areas of interest include adolescents with chronic illness and disabilities, adolescent sexual decision making, and international adolescent health care issues. He was graduated from Howard University College of Medicine was awarded his earned doctorate in Health Policy from the University of Minnesota. Preparation of this article was supported by the National Institute on Disability and Rehabilitation Research Grant #H133890012.     

Perceived risk associated with apparel purchasing in discount stores

Consumer discount store patronage preferences for apparel are investigated using the concept of perceived risk. Apparel items are assigned a type and level of risk: low social, low economic; high social, low economic; and high social, high economic. Females (N=222) responding to a mail survey rate their willingness to purchase each item in a discount store on a scale ofprefer to buy, may buy, ornever buy. Results suggest that consumer preference for purchasing in discount stores declines more sharply when economic risk increases than when social risk increases.Teresa A. Summers is Associate Professor of the School of Human Ecology, Textiles, Apparel Design and Merchandising at Louisiana State University, Baton Rouge, LA 70803. She received her Ph.D. from Texas Woman's University. Her research interest includes rural/urban consumer responses to changes in the marketplace.Frances C. Lawrence is Professor of the School of Human Ecology, Family, Child, and Consumer Sciences at Louisiana State University, Baton Rouge, LA 70803. She received her Ph.D. from Florida State University. Her research interests include family financial decision-making and family time use.Janice L. Haynes is Assistant Professor of the School of Human Ecology, Textiles, Apparel Design and Merchandising at Louisiana State University, Baton Rouge, LA 70803. She received her Ph.D. from Texas Woman's University. Her research interest includes retail patronage of specialized consumer market segments.Patricia J. Wozniak is Associate Professor of the Department of Experimental Statistics at Louisiana State University, Baton Rouge, LA 70803. She received her Ph.D. from the University of Wisconsin-Milwaukee. Her research interests include survey methodology and rural families.     

Family policy in Korea

In Korea, family policy as a public policy gained interest in the 1980s, when the Ministry of Health and Social Affairs (since January 1995 the Ministry of Health and Welfare) renamed the Maternal and Child Bureau the Family Welfare Bureau. This paper first presents a brief overview of the traditional family system and values in Korea and examines changes in economic and social indicators, changes in family functions and roles, and changes in attitudes toward family that have occurred following industrialization and urbanization. The paper then briefly explains some of the problems Korean families face today. It next examines the Family Planning Program and its results. Finally, it turns to an examination and critique of the policies and programs administered by the Family Welfare Bureau.Yeonoak Baik is a Family Advocacy Therapist for the 8th U.S. Army c/o Commander, 43rd Surgical Hospital (MA), ATTN: EAMC-SH-FAP, Room D-108, Unit #15190, APO AP, 96271-0126. She works in Korea with U.S. military soldiers and their dependents. Her research interests include child welfare, single-parent families, and domestic violence. Her MSW was received from the School of Social Work, University of Michigan, Ann Arbor.Her research interests include children of divorced families, social welfare policy, and social work administration in Korea. She received her Ph.D. in Social Welfare at Seoul National University in Korea.     

The consumer expenditures of elderly women: Racial,marital, and rural/urban impacts

This research, using data from the interview component of the 1990 Consumer Expenditure Survey (CES), examines the main and interaction effects of race, marital status, and residence on the economic well-being of women 65 years or older (N=3,205). Economic well-being is measured by total annualized expenditures of the household for goods and services. The first hypothesis is supported: race, marital status, and urban or rural residence each has a major effect on the economic well-being of older women after adjusting for the effects of age and household size. The characteristics of nonwhite, nonmarried, and rural are associated with lower economic well-being. The second hypothesis is not supported: race, marital status, and residence do not interact to produce differences in the economic well-being of older women. Both hypotheses are examined by analysis of covariance. The results show the economic diversity of older women and the persistent effects of race, marital status, and rural or urban residence on the economic well-being of older women regardless of age and household size. This research was conducted at the Agricultural Research Service, United States Department of Agriculture (Family Economics Research Group), Hyattsville, MD, July 1992, where Dr. Kivett was a Visiting Scientist at the time. Appreciation is expressed to the staff of the Family Economics Research Group for their technical assistance at all stages of the research. and 1992 Visiting Professor at the Family Economics Research Group, Agricultural Research Service, U.S. Department of Agriculture. Her current research interests include the family supports and relationships of older retired migrants. She received her Ph.D. from the University of North Carolina at Greensboro. Her current research interests include the economic status of elderly American households. She received her Ph.D. from the University of Maryland.     

Women's perceived stress and well-being following voluntary and involuntary relocation

This study investigated the relationship between voluntary and involuntary relocation and women's perceptions of stress and amount of control, as well as their satisfaction with personal well-being. Results indicated that involuntary movers felt significantly less control and had lower levels of satisfaction with the relationship with their spouses than did voluntary movers. Educational level and employment status were also explored in relation to the dependent variables. Women with high school/trade school education had significantly higher levels of perceived stress, feelings of less control, and lower levels of satisfaction with family life than women with more education.This paper was supported by the Colorado State University and University of Wyoming Experiment Stations and published as Scientific Series Paper No. 290.Paula P. Makowsky received her M.S. from Colorado State University. She is currently a Counselor, Catholic Social Services, Phoenix, AZ.Alicia Skinner Cook is a Professor, Department of Human Development & Family Studies, Colorado State University, Ft. Collins, CO 80523. Her research interests include grief and loss issues related to relocation. She received her Ph.D. from Arizona State University.Peggy S. Berger received her Ph.D. from Pennsylvania State University. She is an Associate Professor, Department of Consumer Science & Housing, Colorado State University, Ft. Collins, CO 80523. Her research interests include socioeconomic issues related to geographic mobility and to gender.Judith Powell received her Ed.D. from Oklahoma State University. She is a Professor, Child & Family Studies, and Head, Department of Home Economics, Division of Home Economics, University of Wyoming, Laramie, WY 82071. Her research interests include parent-child relations and effects of relocation on families.     

An ecological perspective on family policy: A conceptual and philosophical framework

This article develops a conceptual framework that places family policy within an ecological perspective. The ecological perspective is particularly useful in providing a means both to understand why diversity exists among families and to analyze how human-created rules disparately affect the environments faced by families within and across different societies. Examples are provided of how family policy is conceptualized by organizations and groups that are concerned with family issues, and these examples are critiqued from the ecological perspective. Finally, the article suggests that the values on which an ecological perspective of family policy are grounded can serve as a beginning point to develop a philosophical basis for the development of family policy. Her research interests include family policy and research at the national and international levels. She received her Ph.D. in Social Work and Economics from the University of Michigan.     

The determinants of worry over chronic health condition for rural couples

This study investigates the determinants of chronic health conditions that worry the member of rural couples who serves as the household financial manager. A sample of 1,115 rural couples from the NC-182 regional research project Family Resource Utilization as a Factor in Determining Economic Well-Being of Rural Families is used. The logit analysis finds that the probability of having a condition that worries the financial manager increases if she or he is middle aged or older, is not employed, and has external Locus of Control. This probability also increases when the dissatisfaction with the resources available to handle a financial emergency increases and the more often the financial manager does not have money to pay for the doctor.Preparation of this research was supported in part by the Minnesota Agricultural Experiment Station project 52–056 and the Minnesota Extension Service. Data were collected in conjunction with the cooperative regional research project NC-182, Family Resource Utilization as a Factor in Determining Economic Well-Being of Rural Families. Cooperating states are Arizona, California, Illinois, Indiana, Iowa, Kansas, Michigan, and Minnesota.Her current research interests include the economic well-being of various family forms. She received her Ph.D. from University of Illinois.Her current research interests include family financial management and consumer bankruptcy. She received her Ph.D. from the University of Missouri.Her current research interests include issues concerned with family stress management including financial stress. She received her Ph.D. at Michigan State University.Her current research interests include economic and environmental well-being for families and individuals with emphasis on the impact of environmental regulations on economic well-being. She received her Ph.D. from University of Illinois.His current interests include economic well-being of rural families. He was a research assistant for Dr. Bauer before receiving his Ph.D. degree in Agriculture and Applied Economics, University of Minnesota, St. Paul, MN.     

“Separation Guilt” in Women Who Initiate Divorce

This paper explores the “separation guilt” of women who initiate divorce. The paper argues that the gender-specific processes of separation individuation and socialization that women undergo in childhood make them vulnerable to similar guilt feelings when they initiate divorce, only towards the husband they are leaving. It further argues that these feelings may impair their post-divorce adjustment. The paper illustrates these points with two case studies, one showing how the woman’s separation guilt thwarted the development of new intimacy, the other showing how it impaired her maternal functioning. Recommendations are made for treatment and research. Nehami Baum Ph.D., is a lecturer at the School of Social Work at Bar Ilan University. She is a social worker with experience in both public and private practice. Her special interests include non-death related loss, divorce, men in therapy, treatment termination, social work students’ professional identity formation, guilt, and social work in times of terror and political tension.     

Do working mothers have healthy children?

This paper examines the effects of maternal employment on children's physical and mental health. The data used are from the Health Interview Survey 1981, Child Health Supplement. A health production model is developed on the basis of Becker's household production theory. The results reveal that a mother's employment is a significant factor affecting her child's physical health. Use of physician services, prices (i.e., CPI used as a proxy variable), sex of the child, receipt of Medicaid, the number of relocations, the mother's education, the mother's health status, breast-feeding practices, and the birth weight of the child are other important variables explaining the health status of children. The role of each of these factors varies according to the marital status of the mother.The authors wish to thank anonymous reviewers for their helpful comments resulting in a much improved product.She received her Ph.D. from Cornell University in 1990. Her current research interests include health care of children and elderly, teen pregnancy and welfare use, children and divorce, and immigrant consumers.She received her Ph.D. from Northwestern University in 1983. Her research includes long-term health care for frail and ethnic elderly, health insurance purchases for the elderly, and health services utilization by the employed and working poor.     

The relation of economic factors to perceived stress in mobile families

The purpose of this research is to examine the relationship between objective and subjective measures of economic well-being, amount of and satisfaction with control, and perceived stress level of subjects, who have relocated with their families within the past year. Both males and females indicate more stress if their financial condition is worse following the move than before, if their employment status is not satisfying, and when they have little control over their lives and are not satisfied with their level of control. Stress is negatively related to satisfaction with the specific aspects of economic situation studied for both males and females with limited exception.Peggy S. Berger received her Ph.D. from Pennsylvania State University. She is an Associate Professor in the Department of Consumer Sciences, Colorado State University, Fort Collins, CO 80523. Her research interests include socioeconomic issues related to geographic mobility and to gender, and work and family issues.Judith Powell received her Ph.D. from Oklahoma State University. She is a Professor of Child and Family Studies, and Head of the Department of Home Economics, University of Wyoming, Laramie, WY 82071. Her research interests include parent-child relations and effects of relocation on families.Alicia Skinner Cook received her Ph.D. from Arizona State University. She is a Professor in the Department of Human Development and Family Studies at Colorado State University, Fort Collins, CO 80523. Her research interests include grief and loss issues, family stress, and adjustment to relocation.     

Family policy and critical science research: Facilitating change

The principles of critical science for policy research are outlined and one research project is used as a case study. The study was intentionally designed to facilitate changes that would positively influence the economic well-being of children from divorced families. The project uses the critical science processes of public dialogue about child support guidelines for purposes of collaborative problem solving. The normative theories of procedural and distributive justice are used to guide the research reporting. The project contributes to changes in the practices of estimating the income needs of children, changes in estimating the relative monetary contributions of their parents, and proposed legislation and modifications in the state child support guidelines. She received her Ph.D. in family ecology from Michigan State University. Her research interests include the valuing issues of family life quality, family decision making, divorce,and the economic adjustments of families to economic stressors. She received her M.A. degree in Family Education from the University of Minnesota. Her research interests include decision making and parenting. She received her Ph.D. degree in anthropology from the University of Minnesota. Her research interests include social and cultural change and the integration of research findings into public policy decision making.     

The components of family policy education

The study of family policy in the United States began relatively recently. The academic community increasingly has shown interest in this new policy arena. Much of the conceptual writing on family policy emerged from disciplines such as family studies, social work, political science, economics, and sociology. These academic units have recently modified their course curricula to include more family policy content. These family policy education efforts are discussed in this article. Specific suggestions are made concerning the development and content of family policy education, broader educational training for those who want to pursue a career in family policy, and future goals and directions for family policy education. She received her Ph. D. in Human Development and Family Studies from The Pennsylvania State University. Her research interests are in the family and health policy arenas, with particular focus on ethnically diverse populations. Her most recent research is on homeless children and mothers. She received her Ph.D. in Family Social Science from the University of Minnesota. Her teaching and research interests are workplace and family issues and family policy and impact analysis.     

Life satisfaction of young adults reared in low-income Appalachian families

This study examines issues related to the life satisfaction of young adults reared in white, low-income Appalachian families. Data from 38 female and 29 male subjects who participated in a longitudinal study are analyzed qualitatively. Level of global life satisfaction is found to be comparable to that of the general population with the salient domains being: personal, marriage and family, work, and financial concerns. Frames of reference are found to be important in subjective assessments of life satisfaction.This study (NCARS 11171) was supported by the Cooperative State Research Service, United States Department of Agriculture. Paper No. 10804 of the Journal Series of the North Carolina Agricultural Research Service, Raleigh, NC 27695-7601. The authors would like to acknowledge the assistance and support of Judith H. Fulbright, NCARS Social Science Research Assistant, University of North Carolina-Greensboro.Elizabeth B. Robertson is a postdoctoral fellow with the Consortium on Human Development, Frank Porter Graham Child Development Center, University of North Carolina, Chapel Hill, NC 27599. She received her Ph.D. from the University of North Carolina-Greensboro. Her research interests include parent-child relations and social development.Sarah M. Shoffner is Assistant Professor and Assistant to the Dean, External Relations, School of Human Environmental Sciences, University of North Carolina, Greensboro, NC 27412-5001. Her research interests include adolescent occupational socialization, especially the effects of employment, lower income rural youth life plans, qualitative methodology, and marital/family communication.     

Building family functioning scales into the study of at-home income generation

This article describes testing of scales designed to measure the ways family members interact in a personal subsystem. The scales are intended to complement data about the managerial subsystem of a family and are to be used in conjunction with a regional research project focused on home-based work. The article includes conceptual underpinnings, construction of measures, and results of factor analysis of the measures administered. Suggestions for use of a family functioning scale in the context of a household that has a member working at home are explored in the final section.This article reports results from the Cooperative Regional Research Project, NE-167, entitled, At-Home Income Generation: Impact on Management, Productivity and Stability in Rural and Urban Families, partially supported by Cooperative States Research Service, U.S. Department of Agriculture, and the Experiment Stations at the University of Hawaii, Iowa State University, Lincoln University (Missouri), Michigan State University, Cornell University (New York), The Ohio State University, The Pennsylvania State University, Utah State University, and the University of Vermont.Her research interests include measuring household production, at-home income generation and rural families. She received her Ph.D. in Family and Consumer Economics from the University of Missouri-Columbia.Her research is primarily in poverty and divorce and the economic well-being of women and children. She received her Ph.D. from Oregon State University.Her research interests include entrepreneurship, especially as it relates to women and to international development. Her Ph.D. is from Cornell University.     

Home-based employment: Historical and current considerations

The purposes of this article are threefold. First, there is a brief review of current and historical research on home-based business with special emphasis on female home-based employment and the impact of such employment on family life. Second, a conceptual model for family work activities is advanced. Finally, concepts related to home-based employment that could be used to frame and describe the empirical study are specified.This article reports results from the Cooperative Regional Research Project, NE-167, entitled At-Home Income Generation: Impact on Management, Productivity and Stability in Rural/Urban Families, partially supported by the Cooperative States Research Service, U. S. Department of Agriculture and the Experiment Stations at the University of Hawaii, Iowa State University, Lincoln University (Missouri), Michigan State University, Cornell University (New York), The Ohio State University, The Pennsylvania State University, Utah State University, and the University of Vermont.Her research interests include measuring household production, at-home income generation, and rural families. She received her Ph.D. in Family and Consumer Economics from the University of Missouri-Columbia.Her research interests include home-based business and consumer behavior. She received her Ph.D from Virginia Polytechnic Institute and State University.Her research interests include consumer behavior and family economic issues. She received her Ph.D. from Virginia Polytechnic Institute and State University.     

Economic distress and mental health: The role of family coping resources and behaviors

Relationships among economic distress, family coping resources and behaviors, and mental health are examined among a sample of 203 married men and 207 married women. Economic distress is negatively associated with mental health. Although family coping resources are lower among those experiencing economic distress and are generally positively related to mental health, their role as mediators of relationships between economic distress and mental health is limited. Economic distress is positively related to family coping behaviors. However, these behaviors do not have positive relationships with mental health and do not counteract the effects of economic distress on mental health. Some coping resources and behaviors have buffering effects on relationships between economic distress and mental health while others have exacerbating effects.This article is a revision of a paper presented at the annual meeting of the American Sociological Association, August, 1986. The research was supported by grant 84–164 from the Office of Program Evaluation and Research, Ohio Department of Mental Health. Additional support was provided by the Office of Computing Activities, University of Dayton.Patricia Voydanoff is Director of the Center for the Study of Family Development, University of Dayton. Dr. Voydanoff holds a Ph.D. in Sociology from Wayne State University. Her research interests include work and family life and coping with economic distress.Brenda W. Donnelly is a Research Associate at the Center for the Study of Family Development, University of Dayton. Dr. Donnelly received her Ph.D. from the University of Delaware. She is currently conducting research on adolescent childbearing and religion and family life.     

Growing up in the Divorced Family

Stressful parent–child relationships in the post-divorce family together with the enduring effects of the troubled marriage and breakup lead to the acute anxieties about love and commitment that many children of divorce bring to relationships in their adult years. Findings from a 25-year study of 131 children call for a paradigmatic change in our theoretical understanding and in our interventions with these youngsters as children and as adults. Revised clinical and educational strategies with parents and children are proposed. Judith S. Wallerstein holds a Masters Degree in Social Work, a PhD in Psychology, and training in Child Psychoanalysis. Her research on the effects of divorce on children is known nationally and internationally. Her four best selling books have been translated into more than 10 languages. She is Founder of the Judith Wallerstein Center for the Family in Transition, a non-profit research, counseling, and educational center in Northern California. She is Senior Lecturer Emerita at the University of California at Berkeley School of Social Welfare, where she taught clinical courses on children and families for 26 years.     

The importance of selected housing features at various stages of the life cycle

The spatial environment of the home is an important factor in the consideration of satisfactory housing for families. With the increasing demand for housing, it has become common to simply provide the basic structure without addressing the various wants and needs of individuals and families. It is the purpose of the study reported here to evaluate the importance of specific housing features based on stage in the family lifecycle. Results show that those features with the highest importance involve low maintenance, aesthetics, and environmental quality. Implications for home designers, educators, and consumers are discussed.Kathleen Ann Lodl is an Instructor in the Department of Consumer Science and Education, 128 Home Economics, University of Nebraska-Lincoln, Lincoln, NE 68583-0801. Her research interests include housing design, residential alterations, and female-headed households. She is currently working on a Ph.D. from the University of Nebraska.Betsy S. Gabb is an Assistant Professor in the Department of Textiles, Clothing and Design, 226 Home Economics, University of Nebraska-Lincoln, NE 68583-0802. Her research interests include housing design and residential space use. She received her Ed.D. from the University of Nebraska.E. Raedene Combs is a Professor in the Department of Consumer Science and Education, 134 Home Economics, University of Nebraska-Lincoln, Lincoln, NE 68583-0801. Her research interests include housing designs for special populations and families at risk. She received her Ph.D. from Purdue University.     

Spot observation: Advantages and disadvantages for household time use research

The spot observation method of estimating time use is described in this article. Procedures for using this method in developing countries, where household activities are relatively easily observed, are contrasted with procedures used in countries characterized by very private living units and highly separated employment, educational, and household settings. Characteristics of various methods for collecting time use data are compared so that researchers can evaluate the trade-offs they can expect from selecting a particular method. A case example of using the spot observation method in a study of women's household and agricultural activities in the Njoro Region of Kenya is presented.Her research interests are household time allocation and women's economic status in developing countries.Her research interests include the time allocation of rural women and women in international development. She received her Ph.D. from the University of Illinois in 1995.The study of women's and children's time use reported in this paper was supported in part by the Center for African Studies, University of Illinois at Urbana-Champaign and by the Office of the Deputy Vice Chancellor for Academic Affairs, Egerton University, Njoro, Kenya.     

The effects of financial management strategies on quality of family life in remarriage

A conceptualization of financial management behavior in remarriage forwarded by Fishman (1983) is refined and used to study 91 remarried couples. Couples are categorized into three financial management strategy groups: those having only joint accounts, only separate accounts, and a combination of joint and separate accounts. The different groups' demographic characteristics and satisfaction and happiness regarding family life are compared. Overall few differences between groups are found on the demographic characteristics, and no differences are found on satisfaction or happiness. Her research interests are in remarriage and stepfamily relationships, fathering postdivorce, and stress and coping in adolescents. She received her Ed.D. from Indiana University. He received his M.S. degree in Human Development and Family Studies at Colorado State University, Ft. Collins, CO 80523. His research interests include factors affecting adjustment in remarriage and multiple remarriages and problem solving and creativity in families. before her death in December 1993. Her research interests were financial management and families in transition. She received her Ph.D. from the University of Tennessee at Knoxville.