Women,Political Participation,and the Arab Spring: Political Awareness and Participation in Democratizing Tunisia

This research examines the constraints to female political participation in democratizing Tunisia. Analyzing data from the Voter Registration & Voter Confidence Assessment in Tunisia Survey conducted by the International Foundation for Electoral Systems (IFES) in March 2011 shows stark differences between men and women in their levels of political awareness, which causes a barrier to female political participation. Substantiated by a battery of tests, this gap is primarily structured by differences in university-level education and income levels. Contributing factors to explain the gap are differences in the degree of female public presence in urban settings, as opposed to rural areas, and a lack of access to information about politics. Policy recommendations to reduce this gap are creating educational funds for women and increasing the accessibility of political information outside of the capital.     

Health Care for Older Persons in Singapore

Abstract

Health care policy in Singapore is similar to that in the United States and the United Kingdom, where a residualist strategy is used to pass health care costs to individuals and their families, the rationale being that this enables the state to concentrate on devolution of care to the community and ensure efficient and affordable service to all Singaporeans. The services include public restructured hospitals and outpatient poly-clinics as well as community services such as community hospitals and hospitals for the chronically ill, nursing homes, day care centers, and home help services. Availability does not translate into optimum usage because current and potential users and their families are not able to match their financial and social resources with the services. Instead, the state acts as the case manager and places parameters on what individuals can access.     

Spanish anarchist engagements in electoralism: from street to party politics

The eruption of the Spanish 15M movement in 2011 was marked by a high degree of political participation and creative experimentation. The political repertoire has constantly been re-evaluated, with methods revised and evolving, from the occupation of public spaces to the recent creation of new constitutional parties. One of the key aspects of these tactical revisions has been the involvement of anarchist actors in an experimental process of engagement in electoral processes, a method of political engagement anarchists standardly oppose. Our study identifies the motivations and theoretical justifications that have recently led libertarian activists to take the electoral path. This paper stands in the small but growing tradition of works that examine the recent phenomenon of new parties built by ‘street’ activists, but uniquely concentrates on a detailed case study of the anarchist actors linked to the platform Castelló en Moviment (CsM). It thus describes the anarchist influence in recent electoral developments, identifies proponents’ justifications for engaging in these previously rejected methods and highlights some of the doubts raised about the electoral experiment.     

Health Care Rationing Affecting Older Persons

Abstract

Health care resources are finite and, therefore, need to be rationed among potential users. Over the past decade and a half in the United States, a variety of explicit, official rationing schemes have been proposed, including some in which chronological age would play a significant role. For ethical and political reasons, it is very unlikely that any age-based rationing schemes will be adopted explicitly and officially. However, various de facto forms of health care rationing are occurring at present. This article outlines the implications of payer behavior, physician practice patterns, the development of evidence-based clinical practice parameters or guidelines, and reliance on consumer choice of health plans as unofficial and generally unacknowledged mechanisms of health care rationing that may exert an important impact on the accessibility of health services for older persons.     

Older Women:

This paper addresses one of the challenges that older women face-poor health. The focus of this paper is the extent to which health status affects the political behavior of older women. To enrich the analysis, the relationship between health status for older males is examined as well. Health status has modest effects on both sexes. Most interesting, better health directly affects greater political participation among older women. It has only an indirect effect on older males political activism. Implications of these findings are discussed.     

Land of the Free,Home of the Brave: Voting Accommodations for Older Adults

Voting is a fundamental right for all United States citizens, one that usually continues for elderly people as long as they are alive. As adults age, certain issues regarding voting warrant deeper consideration than in previous years, especially those presenting as a result of impaired sight, hearing difficulty, dementia, or other special needs. What will happen to millions of men and women who have taken the right to vote for granted, but who gradually become immobile or physically impaired? What are states doing to help secure the enfranchisement of an increasing number of older adult voters? The purpose of this article is to address these issues by focusing on the following questions: What has been the historical nature of polling place accommodations for elderly people? What are states doing in terms of accommodating older voters at the polls while ensuring the integrity of the voting process? What effect has recent Help America Vote Act legislation had with regard to polling place accommodations? Our results indicate that accommodations for older voters are being made but are not yet at a level required to serve a rapidly aging population.     

The Social Stratification of Older Adults' Preparations for End-of-Life Health Care

I use data from the Wisconsin Longitudinal Study (n = 4,971) to evaluate the extent to which socioeconomic status affects three health-related (living will, durable power of attorney for health care, and discussions) and one financial (will) component of end-of-life planning. Net worth is positively associated with all four types of planning, after demographic, health, and psychological characteristics are controlled. Low rates of health-related planning among persons with low or negative assets are largely accounted for by the fact that they are less likely to execute a will, an action that triggers health-related preparations. Rates of health-related planning alone are higher among recently hospitalized persons, whereas financial planning only is more commonly done by homeowners and those with richer assets. The results suggest that economically advantaged persons engage in end-of-life planning as a two-pronged strategy entailing financial and health-related preparations. Implications for health policy, practice, and theory are discussed.     

Health Status and Health Care Services Among Older Persons in India

Summary

India is characterized by significant rural-based living, population heterogeneity, financial constraints, and reverse sex ratio. Traditions of joint families, life-long physical activity, vegetarianism, and social and spiritual enrichment, all known to promote healthy aging, are widely prevalent. With the increasing pace of population aging, the health of older persons in India has been the focus of recent attention. Existing data indicate a significant morbidity among the aged, much of which may remain subclinical. Considerable variations in morbidity exist with respect to gender, place of residence (rural vs. urban), and socioeconomic status. Rapid demographic transition without a concomitant epidemiological transition is responsible for the dual load of infections and degenerative diseases in older persons, these being common causes of death. Most age-related morbidity is preventable. Health promotion and cost-effective interventions based on the primary health care approach over a lifelong course, especially at the village level, will greatly help towards achieving the goal of healthy aging. The rapidly changing socioeconomic scenario in India also calls for appropriate policy actions to achieve this goal.     

Policy Changes in Medicare Home Health Care: Challenges to Providing Family-Centered,Community-Based Care for Older Adults

The Balanced Budget Act of 1997 (BBA) established new reimbursement systems in the Medicare home health fee-for-service benefit. Reimbursements were reduced to 1993 levels and per-beneficiary capitated limits were introduced for the first time. This article analyzes the impact of these changes on chronically ill older adults and their families. The study combined a secondary analysis of the Provider of Service file (1996, 1999, 2002, and the Medicare Current Beneficiary Survey (1996, 1998) with qualitative interviews of home health agency directors. The greatest decreases in staff and visits were for medical social work and home health aide services. Patients with caregivers saw greater decreases in visits and reimbursements for all visits, skilled nursing, medical social work, and home health aide visits. Agency directors reported that they increased caregiver education, training, and involvement in care in order to discharge patients sooner. Additional research is needed to understand the long-term, adverse impact of these policy changes on chronically ill patients and their families.     

Internet Technology in Service of Personal Health Care Management: Patient Perspective

Internet technology has become an informational resource for most health care consumers. Online information, discussion, and support groups, in the form of message boards, listservs, and chat rooms are emerging as parts of virtual self-health-care network. This paper examines the extent to which participation in online health discussion groups was reported to be helpful in increasing medical knowledge and in enhancing the participatory patient role of health care consumers in interaction with health care service professionals. Data for this study was collected from 350 patients who participated in Internet discussion groups for cancer patients. The findings of the study indicated the important impact of Internet health discussion groups on health care management practices as perceived by health care consumers, including empowerment through knowledge and proactive participation in cancer care management. This research contributes to understanding the patient perspective and assesses the perceived importance of Internet groups by health care consumers.     

Women in War and Peace-building: The Roads Traversed,The Challenges Ahead

This article overviews the status of women and/in war and conflict literature and posits that the majority of it tends to view women as victims rather than as active actors, largely as a result of patriarchal structures. It is argued here that women in fact occupy a number of roles and create different fates for themselves, as war is also a site of potential change. The article presents the diverse situations and conditions of women in war, while arguing for the need to integrate women within processes of peace negotiations from the very outset. The manner of these inclusions,and the potential outcomes, are also presented and discussed. The article surveys some of the best practices with respect to both the analysis of women's roles and the inclusion of women working in conflict situations, with a view to encouraging international organizations in particular to seek actively to ensure that women are not only fighters and/or victims, but also negotiators in post-conflict futures. The overview thus extends from the visions as presented in literature, to practical considerations for those actually involved in the field of women in conflict.     

Older Women in the Workplace and Implications for Retirement:

More women are in the work place than ever before. Job opportunities continue to open up for women, especially in nontradiuonal professions, for example, medicine, law, administration. While these facts seem optimistic, for today and many years to come, an alarmingly vast number of women are living in post-retirement poverty. The poverty is due in part because women of all races remain over-represented in lower paying occupations and industries, a phenomenon which directly affects retirement. Employee assistance programs have a particularly unique opportunity to assist women in helping to eradicate inequities in the marketplace and in averting post-retirement poverty.     

Older Women,Policy and Politics:

No abstract available for this article.     

She Was Born in a Small Town: The Advantages and Disadvantages in Political Knowledge and Efficacy for Rural Girls

Recent work suggests that girls learn more about politics and are more efficacious in places with less conflict and greater homogeneity. Given that rural communities are often more homogeneous than metropolitan areas across several dimensions, this article asks whether young girls growing up in rural communities have higher levels of political knowledge and efficacy than those in more urban, diverse communities. It argues that the average girl benefits from the stronger social bonds between residents in smaller places, but young women who hold minority views about the importance of equality are likely to suffer in their levels of knowledge and efficacy. Being in the minority seems to be particularly difficult for girls in smaller places. This article raises questions about the ways in which gender gaps vary across different places and the varying effects of minority status.     

Older Lesbians and Work in the Australian Health and Aged Care Sector

While research has identified challenges lesbians face in the workplace, there is limited understanding of the particular experiences of older lesbians, especially those working in the health and aged care sector. This article draws on the stories of four women who participated in a narrative research project on lesbian and gay people's experiences of health and aged care. It highlights the need for future research to examine the complexity of identity expression and community affiliation, how people negotiate “coming out” in the workplace, the impact of discrimination, and the resources (such as friends) available to lesbians in the workplace.     

Integrated Substance Abuse and Child Welfare Services for Women: A Progress Review

A review of empirical literature reveals improvements in service utilization and outcomes for women when substance abuse and child welfare services are integrated. The increased use of substances by women involved in the child welfare system has resulted in a call for integrated, coordinated, evidence-based practices. Since the late 1990s, specific system- and service-level strategies have been developed to coordinate and integrate the provision of substance abuse and child welfare services such that women are remaining in treatment longer and are more likely to reduce substance use and be reunited with their children. The strategies reviewed provide useful guidelines for developing components of effective, evidence-based programs for substance-involved women in the child welfare system.     

A Little Encouragement Goes a (not so) Long Way: An Experiment to Increase Political Ambition

ABSTRACT

Although there is a significant gender gap in political ambition, the literature has shown that women are responsive to encouragement to run for office. As a result, both political parties and other organizations have adopted online campaigns to encourage women to seek political candidacy. The purpose of this study is to explore whether forms of online and impersonal encouragement can result in higher levels of political ambition among recipients. To test this possibility, we randomly assigned 341 participants into two conditions: control and encouragement. Despite receiving positive encouragement about their own political abilities, there were no significant differences between the two conditions.     

Imagined Futures and Communities: Older Lesbian and Gay People's Narratives on Health and Aged Care

This study examined older lesbians' and gays' experiences and expectations of Australian health and aged care service delivery. It was exploratory and comprised in-depth interviews with 14 older lesbian and gay people in the Blue Mountains, west of Sydney. Interview data were analyzed according to the principles and techniques of narrative research. This included an analysis of the socio-linguistic properties of specific narratives, as well as a wider socio-cultural analysis of the meaning expressed in these narratives. Participants conveyed different types of narratives, including narratives on specific past events, habitual narratives, and hypothetical narratives. These involved reflections on past and anticipated care in local communities, lesbian and gay communities, and friendship networks.     

Managed Mental Health Care for Employees:

Managed mental health care has become an increasingly significant influence in the timely, appropriate and cost-conscious delivery of mental health and substance abuse services. Social workers are being presented with new career paths in the private sector as EAP programs and managed health care corporations Look to them to provide the case review, supervision, provider selection, and the quality assurance functions of a well integrated managed health care system.     

Women and poverty: A gender-sensitive approach

Poverty is not a gender neutral condition as the number of poor women exceeds that concerning men and women and men experience poverty in distinctive ways. This paper discusses the relevance of incorporating a gender perspective in poverty studies and provides a portrait of poverty among women in Portugal. Following a multidimensional concept of poverty, the methodology used comprises a cross-sectional and a dynamic analysis of poverty, using data from ECHP (1995–2001). The results point to the importance of various factors contributing to women's vulnerability to poverty, such as issues related to labor market, lone motherhood, ageing and education.