Exploring gaps in the online economic inclusion of persons with disabilities in Korea

ABSTRACT

This paper explores the difference in the online economic activities of people with and without disabilities in Korea. We conducted a multiple regression analysis to investigate the impact of socioeconomic characteristics, internet access, and internet skills on online economic activities. Our sample, based on a 2016 dataset that included 1554 people with disabilities and 6004 people without disabilities, was developed using quota sampling based on gender, age, and residence. We determined that individuals with disabilities were more likely to engage in online economic activities if they had higher levels of education, lived in urban areas, were employed, or had greater internet skills. Individuals without disabilities were more likely to engage in online economic activities if they were women, had higher levels of education, were employed, lived in a two-generation or more household, or had greater internet skills. For both people with and without disabilities, the level of education, employment status, and internet skills positively contribute to online economic activites. We also determined that education level, participation in economic activity, living in a two-generation or more household, and internet skills had a statistically significant influence on online economic activity for people both with and without disabilities. These results highlight the importance of education and internet training for people with disabilities, as well as social support systems that help them learn to use the internet in diverse ways through both formal and informal networks. The study also underscores the importance of information and communications technology that adequately addresses people’s needs.     

Organization and Delivery of Long-Term Care in Singapore

Summary

This paper focuses on the Singaporean model of long-term care for older people. With only about 2% of the older population living in institutions, the mainstay of long-term care is community care. The reader is provided an overview of the Singaporean services, including case management, followed by a discussion of the current issues and future challenges. In keeping with the prospect of a rapidly aging population profile, the Singapore government plays a leading role in framing policy and planning for future needs of this sector of the population.     

Long-Term Care Preferences Among Older Adults: A Moving Target?

ABSTRACT

This study investigates long-term care preferences across three hypothetical scenarios and over one year of time among a sample of disabled older women receiving informal care (n?=?420). Unpaid or paid help in one's home was preferred, given scenarios of instrumental activities of daily living (IADL) and activities of daily living (ADL) needs; nursing home care was most preferred for dementia care. While aggregate preferences for long-term care were relatively stable, there was considerable fluctuation in individuals' preferences over time, with just 52.5%, 44.4%, and 44.6% of participants retaining their initial first choice across IADL, ADL, and dementia scenarios, respectively. Implications of study findings are discussed.     

Sources of Double Disadvantage for People with Disabilities Living in Remote and Rural Areas of New South Wales, Australia

This study demonstrates how people with disabilities living in remote and rural areas experience double disadvantage in regard to receipt of services. They tend to experience similar disadvantages to other remote and rural dwellers (as compared with their urban counterparts), but these disadvantages are compounded by those associated with living in an environment which does not cater for the needs of people with disabilities. Findings display how geographical, physical, cultural, social and psychological factors within the external environment create disadvantages for the individual. The project involved data collection from people with disabilities, disability groups, service providers, families and carers through consultations and field trips. Major issues emerging from consultations were concerned with: transport and distance, isolation, the need for more consumer involvement, the nature of service provision (appropriateness, flexibility, co-ordination and location), the need for community and professional disability awareness education, protection of rights, carers and respite care, accommodation and housing, education, employment, information dissemination and access to specialised equipment. Comparison with overseas studies indicates that findings from this Australian study have applicability in other countries which have large remote and rural areas.     

Health Status and Pregnancy Outcome in Patients Attending Prenatal Care

ABSTRACT

Maternal mortality tends to be ignored as a major public health problem. In addition to a high number of deaths, women also suffer from long-term disabilities related to complications of pregnancy and childbirth. Most of these deaths occur in developing countries and are complicated by living in rural areas, having a lack of resources and a lack of untrained individuals to assist with the pregnancy and delivery. The advantages of prenatal care in preventing complications and death are discussed.     

Impact of the Health Resources and Services Administration’s state oral health workforce grant program on dental workforce density and access to oral health care

BackgroundThe Health Resources and Services Administration’s Grants to States to Support Oral Health Workforce Activities, otherwise known as the State Oral Health Workforce Program (SOHWP), help states develop and implement innovations that address the workforce needs of dental Health Professional Shortage Areas in a manner appropriate to the states’ individual needs.AimThis cross-sectional study explores the broad impact of the SOHWP by comparing measures of dental workforce density and access to oral health care in states with multiple years of funding versus states with few or no years of funding.MethodsWe used data for 2006–2016 SOHWP awardees together with data from the 2016–2017 Area Health Resources Files and the 2016 Behavioral Risk Factor Surveillance System to compare numbers of dentists per 100,000 population and age-adjusted prevalence of annual dental visits among adults for long-term SOHWP-funded states versus states with few or no years of funding.ResultsMulti-year SOHWP funding is associated with higher workforce density and greater access to oral health care, especially in the Midwest and West.ConclusionAllowing states funding utilization flexibility may result in improved outcomes. This finding can help inform planning and policy about whether and how to scale future training and workforce programs to achieve greater impact.     

HIV/AIDS Projects with and for Gay Men in Northern Thailand

Abstract

In this paper I look at three HIV/AIDS projects which were run by and for gay men, transsexuals and men who have sex with men (MSM) in northern Thailand in the early 1990s. These three projects were very different in format and in context, ranging from a rural village AIDS association to an urban drag beauty contest. The projects were located in settings as different as gay bars and cruising areas, shopping malls and rural villages. Aspects of the three Thai projects have important implications for those working in HIV/AIDS prevention and in the care and support of people living with HIV/AIDS (PLWHAs) across cultures, particularly in relation to education, outreach and counselling programs.     

Police Encounters for Behavioral Health-Related Reasons in Rural and Remote Communities: A Canadian Study☆

Evidence suggests police officers are increasingly called upon to respond to incidents related to mental health issues, emotional problems, and substance abuse. Many have raised concerns regarding their involvement in such incidents. Yet, little is known about these encounters in rural and remote communities despite evidence suggesting that the context of non-urban areas should matter. Accordingly, this article proposes to examine variations in self-reported encounters with the police for behavioral health-related reasons across urban, rural, and remote communities. Using data from the 2014 General Social Survey, a representative sample of the Canadian population, we assess these self-reported encounters from two different angles: encounters for one's own behavioral health crisis and encounters for a family member's behavioral health needs. While findings on the former are inconclusive, those examining police contacts for a family member suggest that living in rural or remote communities is significantly associated with a greater probability of experiencing such situations relative to living in urban areas. Furthermore, this probability increases with the relative geographical isolation of communities. These results are discussed in light of the rising concerns regarding our reliance on the police for such incidents and the need to account for the situation of rural and remote communities.     

Urban Residents' Views of Rurality and Contacts with Rural Places1

Little is known about how rural people and places are viewed by the urban majority or the extent to which these images are related to first-hand contact with rurality. Data from a recent mail survey of a sample of people living in Pennsylvania cities suggest that urban people view rural places in positive terms and feel that rural areas and rural lifestyles should be preserved. When asked to consider the desirability of various development strategies, most urban residents indicated that priority should be given to promoting traditional extractive economic activities (farming, forestry, mining); there was little support for other types of business or industrial development Urban residents who visited rural locales for recreation and/or environmental contact were most likely to want to preserve those areas; visiting for social reasons was related to support for development activities. Policy implications of these findings are suggested.     

Perspectives of Young People in Care About their School-to-Work Transition

Abstract

Achieving in education and employment has long-term effects on quality of life. With below-average levels of educational attainment, many young people in care are ill-equipped for the transition from school to further education and work. This paper presents findings from a qualitative study that explored the school to work transition experiences of young people currently or previously in care, and their ideas about future employment. A range of personal and contextual factors that influence study and work goals were identified. Young people spoke about the importance of personal confidence and determination, supportive relationships, someone to believe in them and encourage them, opportunities to pursue their goals, avenues to gain information about how to get desired jobs, positive school experiences, and the need for stability in their lives. The study suggests widening the agenda for case planning, transition from care and after-care support, to include career planning and vocational assistance.     

Rural versus urban residence as an influence on grandparent caregivers’ needs for service

The present study explored the impact of rural (n = 26) versus urban (n = 49) environments on perceived needs for services among grandparent caregivers, wherein persons participated in focus groups targeting their needs and concerns and/or completed a mailed survey. While findings suggested substantial similarity across rural and urban persons in unmet needs, areas of difficulty, and service barriers, rural grandparents who reported their health to be fair or poor reported the greatest unmet needs and experienced the widest array of problem areas, while the opposite was true for urban grandparent caregivers. With few exceptions, sociodemographic factors failed to predict unmet needs, array of problem areas, and barriers. The practice and policy implications of these findings are discussed.     

Integrating Services for Older People in Aging Communities in The Netherlands: A Comparison of Urban and Rural Approaches

ABSTRACT

The aim of this article is to discuss approaches to services integration for older people in urban and rural aging environments in The Netherlands, and the preliminary effects of these approaches on local aging conditions. In urban areas, services integration revolves around the creation of functional spatial hierarchy. In rural areas, the emphasis is on forging links between service providers. Outcomes for health and use of professional care services are similar. Out-comes for housing, informal care, and accessibility of services differ between urban and rural areas in ways that can be traced back to local aging conditions and elements of the specific approach to services integration used. In both urban and rural areas, much more could be done to connect formal programs to the lifeworlds of older dwellers.     

Long-term care preferences among older adults: a moving target?

This study investigates long-term care preferences across three hypothetical scenarios and over one year of time among a sample of disabled older women receiving informal care (n = 420). Unpaid or paid help in one's home was preferred, given scenarios of instrumental activities of daily living (IADL) and activities of daily living (ADL) needs; nursing home care was most preferred for dementia care. While aggregate preferences for long-term care were relatively stable, there was considerable fluctuation in individuals' preferences over time, with just 52.5%, 44.4%, and 44.6% of participants retaining their initial first choice across IADL, ADL, and dementia scenarios, respectively. Implications of study findings are discussed.     

One Family, Two Households: Rural to Urban Migration in Kenya

Many households in sub-Saharan Africa allocate their labor resources between rural and urban areas to diversify risks and maximize income. One such strategy would be for a husband in a rural area to migrate to an urban area while his wife and family remain in the rural area without any chance of joining the migrant husband in the urban area. The family maintains a rural home and an urban home. This article explores possible determinants of this type of migration using data from Kenya. Nontrivial findings suggest that such migratory behavior may be motivated by agglomeration effects of household size in the rural area, an increase in remittance by the migrant husband to his rural family, a relatively low education for the husband, and a high urban cost of living.     

Organization and delivery of long-term care in Singapore: present issues and future challenges

This paper focuses on the Singaporean model of long-term care for older people. With only about 2% of the older population living in institutions, the mainstay of long-term care is community care. The reader is provided an overview of the Singaporean services, including case management, followed by a discussion of the current issues and future challenges. In keeping with the prospect of a rapidly aging population profile, the Singapore government plays a leading role in framing policy and planning for future needs of this sector of the population.     

An Exploratory Study of Preparation for Future Care Among Older Latinos in Utah

Preparation for future care by 62 Latino elders was examined and compared to an Anglo sample of 288 elders residing in Utah. Latino older adults preferred relatives for help and assistance, but 91% of them (versus 41% for the Anglo sample) did not have any concrete plans for either short-term or long-term care. Logistic analyses show that age and knowledge of services are significantly related to planning for care, but education and filial obligations are not. Furthermore, ethnicity significantly predicted long-term care planning when its interactions with age and knowledge of services are accounted for. Knowledge of services and age played a greater role in facilitating preparation for future care for Latinos than for Anglos.     

Policy Implications of Supporting Women of Color in the Sciences

ABSTRACT

This research suggests that, contrary to popular perception, there exists a pool of women of color with avid interest in science, and the academic skills to pursue that interest. It further suggests that these women, if given the support necessary to persist in science, will choose careers that address many other needs, domestic and international, including schooling and science education; rural and urban health care, public health and medical research; the environment; and other public service fields. Investing in the retention of high-achieving women of color in science yields returns on multiple levels. This conclusion is based on a study of high-achieving women of color interested in studying science, and an evaluation of a university enrichment program for science students of color.     

Caregiving and long-term health care in the People's Republic of China

The growing proportion of frail elderly in the People's Republic of China has necessitated policy of the state toward their long-term care. In this decade, there has been an increase in the amount of data available on the care and needs of Chinese frail elders. This article synthesizes these data and traces the patterns of care of frail elders. It distinguishes between urban and rural patterns, and identifies the increasing role of the family and community in the caregiving of elders. State policy, evident from the data, suggests that the state's role in direct care of elders is minor but that it continues to influence and support eldercare as part of its policy of promoting the one-child per couple policy. This process can be seen in support programs for the childless elder, who symbolizes the expected condition of a large number of future elders under the one-child policy. The article identifies four factors that are influencing the changing patterns of long-term care of elders in China: (1) economic reform programs; (2) the political agenda of the Chinese Communist Party; (3) differences in urban and rural economic conditions; and (4) policy directed at long-term investment in health care technology.