Reducing Inventory:

Cherished personal possessions symbolize and represent our identity to ourselves and to others. Providing for the future of these objects is a concern that surfaces as we age. Indepth interviews and observations of nine women over the age of seventy revealed themes related to personal possessions and divestiture behaviors. Divestiture behaviors are focused toward planning for and distribution of personal possessions. These themes-and behaviors interact as demonstrated by a proposed model of divestiture.     

Feathered nest/gilded cage: Parental income and leaving home in the transition to adulthood

The growing study of leaving home in young adulthood in the United States has been hampered by data and measurement problems, which are producing a major theoretical confusion about the role of parental resources in influencing young adults’ leaving home. Does high parental income retain young adults in the home or subsidize their leaving (and parental privacy)? This paper uses the 1984 panel of Survey of Income and Program Participation to clarify this issue, and shows that the effects of parental resources differ depending on the route out of the home under consideration (marriage or premarital residential independence). Effects change substantially over the nest-leaving ages, but relatively few differences are found between young men and young women.     

Care arrangement choices for older widows: decision participants' perspectives

This research examines how a wide range of care arrangement decisions for frail older women are made. Interviews were conducted with 11 older women (ten of whom are widows), nine of their family members, and six professional service providers. Maintaining the older woman's independence was identified as a major theme. While all decision participants identified it as an explicit or implicit decision-making goal, their meanings of independence were different. The older women's meanings were flexible, changing in response to changes in their physical condition and need for assistance. Adult children tended to identify their mothers as independent when they did not actually need assistance, or when they received help from other sources (e.g., home health care). Professional service providers were inclined to define independence narrowly, as avoiding nursing home placement. Minor themes associated with independence include responsibility, reciprocity, and the family's importance in maintaining independence. These themes help to clarify the complex dynamics that take place during care arrangement decisions and explain how care arrangement choices are made.     

Care Arrangement Choices for Older Widows: Decision Participants' Perspectives

SUMMARY

This research examines how a wide range of care arrangement decisions for frail older women are made. Interviews were conducted with 11 older women (ten of whom are widows), nine of their family members, and six professional service providers. Maintaining the older woman's independence was identified as a major theme. While all decision participants identified it as an explicit or implicit decision-making goal, their meanings of independence were different. The older women's meanings were flexible, changing in response to changes in their physical condition and need for assistance. Adult children tended to identify their mothers as independent when they did not actually need assistance, or when they received help from other sources (e.g., home health care). Professional service providers were inclined to define independence narrowly, as avoiding nursing home placement. Minor themes associated with independence include responsibility, reciprocity, and the family's importance in maintaining independence. These themes help to clarify the complex dynamics that take place during care arrangement decisions and explain how care arrangement choices are made.     

Gender and geographic differences in Medicare service utilization during the last six months of life

ABSTRACT

End-of-life issues are important for senior women, particularly rural women, who are more likely than their urban counterparts to live alone. The role of residence as a factor for health-care utilization among Medicare beneficiaries during the last six months of life has yet to be investigated. The purpose of this study is to examine whether service utilization in the last six months of life differs across gender and rurality. The sample was restricted to fee-for-service Medicare beneficiaries who died between July 1, 2013, and December 31, 2013 (n = 39,508). The odds of rural beneficiaries using home health (aOR 0.87; 95% CI 0.81–0.93) and/or hospice (aOR 0.82; 95% CI 0.77–0.87) in the last six months of life were lower than urban beneficiaries. Female beneficiaries were more likely to use support services such as hospice (aOR 1.24; 95% CI 1.18–1.29) and/or home health services (aOR 1.07; 95% CI 1.02–1.13) than male beneficiaries. The odds of female beneficiaries using inpatient (aOR 1.14; 95% CI 1.08–1.20) and/or outpatient (aOR 1.06; 95% CI 1.01–1.12) were higher than male beneficiaries. This research is important as we examine the range of health services used during the last six months of life, by gender and rurality. Future research is needed to understand how access to health services, residential isolation, and age- and disease-related factors relate to women’s observed greater use of inpatient, outpatient, hospice, and home health services in the last six months of life.     

Redefining Neighborhoods Using Common Destinations: Social Characteristics of Activity Spaces and Home Census Tracts Compared

Research on neighborhood effects has focused largely on residential neighborhoods, but people are exposed to many other places in the course of their daily lives—at school, at work, when shopping, and so on. Thus, studies of residential neighborhoods consider only a subset of the social-spatial environment affecting individuals. In this article, we examine the characteristics of adults’ “activity spaces”—spaces defined by locations that individuals visit regularly—in Los Angeles County, California. Using geographic information system (GIS) methods, we define activity spaces in two ways and estimate their socioeconomic characteristics. Our research has two goals. First, we determine whether residential neighborhoods represent the social conditions to which adults are exposed in the course of their regular activities. Second, we evaluate whether particular groups are exposed to a broader or narrower range of social contexts in the course of their daily activities. We find that activity spaces are substantially more heterogeneous in terms of key social characteristics, compared to residential neighborhoods. However, the characteristics of both home neighborhoods and activity spaces are closely associated with individual characteristics. Our results suggest that most people experience substantial segregation across the range of spaces in their daily lives, not just at home.     

Private violence/private transport: the role of means of transport in women’s mobility to escape from domestic violence in England and Wales

ABSTRACT

This article highlights a gendered and forced mobility which has been under-recognised in the literature on mobility. It explores the hidden relocations of women (often with children) due to intimate partner abuse; presenting findings from mixed methods research on women’s journeys to escape domestic violence, including analysis of over 80 journey segments made by 20 women within England and Wales, and from abroad. Focusing on means of transport, the research found that under a third of journey segments were made by public transport, and these tended to be longer distances; that journeys by disabled women were more likely to be by private transport, and that journeys from rural areas were more likely to be with the assistance of others. Thematic analysis of interviews at different stages of women’s journeys is used to explore their experiences of different means of transport in terms of degrees of control and agency, in terms of losing or retaining personal possessions on the move; and in highlighting the role of others’ assistance in compounding or counteracting the implications of abuse. Women’s domestic violence journeys are thereby contextualised within wider mobilities research, uncovering the inequalities and implications of this hidden internal displacement in the UK.     

Culture influences demographic behavior: evidence from India

Delhi migrants from low socioeconomic classes were compared based on their home origins in north or south India. The two groups differed in cultural beliefs, attitudes, and practices, but they lived in the same resettlement colony and had the same physical access to services and opportunities. Retrospective data was collected from a sample of ever-married women and household heads. Longitudinal data was collected on households with at least two living children younger than 12 in visits once every two weeks over a six-month period. Information was obtained on children's eating patterns, activities, illnesses, and the treatment of their illnesses. Households from Tamil Nadu in the south were more modern, had greater female autonomy, and were open to new ideas. Uttar Pradesh women from the north were more traditional, secluded, and restricted in economic activities. The results showed lower fertility, higher levels of contraceptive use, and earlier ends to childbearing among Tamil Nadu women, who had had more exposure to ideas about smaller family size, healthful childrearing practices, and positive attitudes about contraceptive use. For every 100 Tamil Nadu children who died, 111 Uttar Pradesh children died. Health care practices differed between groups; the urban slum environment was conducive to the spread of gastrointestinal infections among Uttar Pradesh girls discouraged from using the public water taps and toilet facilities. Among the Tamil Nadu migrants, girls actually had lower childhood mortality rates than boys. 115 girls died for every 100 boys among the Uttar Pradesh. The reason may be due to the avoidance or delay of outside medical attention until too late. The conclusion was that the status of women, and their exposure to and interaction with the outside world and control over decision making at home, explained the differences between the two groups. Policy implications are to make programs culturally sensitive for example, providing at-home care for women traditionally sheltered from contact with strangers.     

Formerly Homeless,Older Women's Experiences with Health,Housing, and Aging

The perspectives of formerly homeless, older women are absent in the academic literature on aging and homelessness. In this study, a group of formerly homeless women, aged 45 years and older were surveyed (N = 15) and interviewed (n = 11) about their experiences with health, housing, and aging. The qualitative themes to be explored include the women's perceptions of their current health, coping with low incomes, dealing with addictions to alcohol and drugs, and the importance of supportive housing and other community services. The female participants' views on adapting to home, planning for their elderly years, and views on growing older are also explored.     

More choices of birth control approaches

In rural Zhejiang Province, China, family planning intermediaries are appointed for each village to introduce comprehensive measures of birth control to the people. With an education level of junior middle school at least, they are mostly working women of high prestige in their villages. After appointment as intermediaries, these women are trained for 1-2 weeks in health stations or maternal and child health care stations in towns. Back in the villages, they take over responsibility for distributing monthly contraceptives as needed by women of childbearing age. The intermediaries also explain the advantages and disadvantages of different kinds of contraceptives to newly wedded women and give them guidance and recommendations. Intermediaries also can provide simple treatment for complaints caused by contraceptive use. For example, if women complain of nausea while 1st taking oral contraceptives (OCs), the intermediaries will give them vitamin B6. When intermediairies encounter difficulties, such as women who cannot use OCs for a long time because of a liver ailment, they refer the people to health stations or send for a doctor. The number of induced abortions has declined because of the fact that a vast number of women of childbearing age in rural areas now obtain appropriate contraceptives in time. Generally, each intermediary is assigned to be in charge of 15-20 households, making a regular monthly visit to each of these families. The contraceptives they distribute are from town governments, which give them a certain amount of annual subsidies.     

Military Veterans and Neighborhood Racial Integration: VA Mortgage Lending Across Three Eras

The military has long been seen as an avenue for increasing racial equality for minorities, especially black Americans. In this article, we examine to what extent military veterans also experience residential integration by looking at neighborhood residential outcomes for black and white men utilizing the popular Veterans Affairs (VA) loan program to purchase a home. We draw on data from the Home Mortgage Disclosure Act (HMDA) to examine residential integration among white and black veteran homebuyers compared to homebuyers utilizing conventional loans over three major lending eras: 1990s, 2000–2007, and 2008–2015. By 2015, a quarter of all home purchase mortgages loans to black men were VA loans even though veterans made up only a tenth of the adult black male population. In our multivariate analyses, we uncover a sizeable combined swing toward neighborhood minority-white integration, 14.4% points, among black and white veterans who use VA loans. Compared to those with conventional loans, black veterans live in neighborhoods with 10% points fewer minorities and, white veterans, 4.4% points fewer whites. Our results illustrate how racial integration in the US military has the potential to foster lasting housing integration among veterans.     

Older women in the homeless shelter: personal perspectives and practice ideas

This article reports on the themes generated by interviews conducted with 10 women over the age of 50, currently homeless and residing in an overnight homeless shelter. In-depth interviews were conducted asking women to tell their stories, talk about their lives in the shelter, and speak about their needs, hopes, and dreams. Based on an analysis of these interviews, the following themes emerged and were presented: The System is Too Confusing, Chaos in the Shelter System, Women as Nurturers, and Fractured Families. Discussion of these themes was presented, and practice, administrative, and research implications were suggested.     

Older Women in the Homeless Shelter: Personal Perspectives and Practice Ideas

This article reports on the themes generated by interviews conducted with 10 women over the age of 50, currently homeless and residing in an overnight homeless shelter. In-depth interviews were conducted asking women to tell their stories, talk about their lives in the shelter, and speak about their needs, hopes, and dreams. Based on an analysis of these interviews, the following themes emerged and were presented: The System is Too Confusing, Chaos in the Shelter System, Women as Nurturers, and Fractured Families. Discussion of these themes was presented, and practice, administrative, and research implications were suggested.     

Determinants of short- and long-term mobility expectations for home owners and renters

Confusion about the role of residential satisfaction vis-à-vis structural factors in the mobility process stems from the failure to examine the determinants of mobility over varying time frames and housing tenures. Using survey data for a random sample of 580 Phoenix-area households, we test models of short-term (1 year) and long-term (5 years) mobility expectations for home owners and renters. The results show that residential satisfaction mediates the effects of structural variables on mobility expectations in the short term for home owners. In the long-term model for home owners and the short-term model for renters, the role of satisfaction as an intervening force declines in relative importance. Among renters, structural variables operate directly on long-term mobility expectations.     

The links between women’s employment and children at home: Variations in low- and middle-income countries by world region

As fertility declines in low- and middle-income countries, the time women devote to childbearing and rearing may also be reduced. This shift has been described as one of the positive consequences of the demographic transition, as it opens opportunities for women to pursue educational and employment opportunities that were previously constrained by the demands of bearing and raising children. We estimate the numbers of children residing at home (with their mother) for women in 58 countries in Asia, Latin America, the Middle East and North Africa, and sub-Saharan Africa. We then examine the association between women’s employment and having children at home. Finally, we assess trends over recent decades in the relationship between employment and childbearing, and differences in this relationship by mother’s occupation. We find a negative association between women’s employment and having children at home; this association varies substantially by world region, age of child, and mother’s occupation.     

Experience,perceptions and attitudes of parents who planned home birth in Spain: A qualitative study

BackgroundA woman’s home birth and postpartum experience can have a major impact on her baby’s, partner’s and family’s well being. It is a life-altering event that can help improve or worsen women’s self-esteem and self-confidence.AimThe aim of this study was to describe and understand the experiences, perceptions and attitudes of parents who planned a home birth in Spain.MethodsA qualitative study was conducted based on Gadamer’s hermeneutic phenomenology. Two main methods were used for data collection; narratives and individual in-depth interviews with 14 mothers and 8 fathers who had planned a home birth in the last year. Inductive analysis was used to find themes based on the data obtained.FindingsSix main themes emerged from the data analysis: (1) in search of a natural and personalised birth, (2) breaking with social pressures, (3) experience of home birth for the mother, (4) role of the father in home birth, (5) how does the father experience home birth?, (6) home birth is not available to all mothers and fathers.ConclusionFor the mothers and fathers in this study the home birth experience fulfilled their previous expectations of an intimate and natural moment, making it a highly satisfying experience for both. However, parents expressed experiencing negative feelings such as fear and worry about complications and labor pain. According to our research society in general and public health professionals in particular issue numerous criticisms and value judgments towards mothers and fathers who opt for a home birth in our country. In addition, the study shows the economic and cultural inequalities in access to home birth in Spain.     

The experiences of pregnant women attending a specialist service and using methamphetamine

BackgroundPregnant women attending the Specialist Drug and Alcohol Service in Perth use methamphetamine as their primary drug of choice. This is the only tertiary service for pregnant and postnatal women with complex Alcohol and Other Drug Use in Western Australia. It is a midwifery-led multidisciplinary team. Many of the women struggle with addiction, polysubstance use, co-occurring mental health, family and domestic violence, complex trauma and fear of Child Protection and infant removal. Therefore, the aim of this study was to understand the impact of methamphetamine use of pregnant women attending the service and explore and highlight the potential barriers to engagement and follow-up.MethodsA qualitative study informed by phenomenological methods was undertaken using semi-structured interviews with 20 women with methamphetamine use attending the service in order to explore and understand the experience of using methamphetamine in pregnancy and the postpartum period. A thematic analysis was undertaken with data from the women in the study (n = 20) to identify key themes.ResultsKey themes that emerged from the women’s experiences detail their resilience and experience with methamphetamine and the impact that methamphetamine has on their life. A key concern for women regarding methamphetamine use and engagement with specialist services was the welfare of their child(ren). Agencies charged with child protection was a barrier to treatment because women feared disclosure of methamphetamine use would result in loss of child custody. Themes highlighted the multiple layers of adversities, and trauma from childhood to adulthood including, co-occurring drug use, mental health and life histories of trauma (abuse, violence, and neglect; intergenerational trauma; intergenerational drug and alcohol use, and child removal), the omnipresence of methamphetamine, and the impact on pregnancy and mothering.ConclusionWe conclude that understanding the experiences of women and the impact methamphetamine use has on their life is paramount to providing effective and appropriate care to support pregnant women in a trauma-informed and woman-centred approach. Poor engagement in pregnancy care for women with methamphetamine use has significant impacts on mother and infant.     

Dimensions of women’s autonomy and the influence on maternal health care utilization in a north indian city

The dimensions of women's autonomy and their relationship to maternal health care utilization were investigated in a probability sample of 300 women in Varanasi, India. We examined the determinants of women's autonomy in three areas: control over finances, decision-making power, and freedom of movement. After we control for age, education, household structure, and other factors, women with closer ties to natal kin were more likely to have greater autonomy in each of these three areas. Further analyses demonstrated that women with greater freedom of movement obtained higher levels of antenatal care and were more likely to use safe delivery care. The influence of women's autonomy on the use of health care appears to be as important as other known determinants such as education.