The Effect of Age and Childhood Social Class on Preference for New Healthcare Practices

Bourdieu theorized that habitus structures and is structured by experiences in the social world, with childhood experiences having the strongest influence. Habitus can yield rewards in specific fields through dispositions to enact certain practices. Healthcare provides an opportunity to assess how age and childhood social class interact to produce preferences in a changing field. Are people who developed their habitus in higher social classes as children more likely to report preferences that reflect new practices? Is there greater inequality at older ages? We find that parents’ educational attainment and occupational prestige does not have a direct effect on respondents’ preferences to be involved in their healthcare decisions. However, there is a significant interaction with age, with larger gaps by childhood social class among older respondents. Results suggest that when valued practices change, socially advantaged groups can most quickly adapt. The findings have implications for the replication of class inequality.     

Out in the country: rural sexual minority mothers

Rural and urban sexual minority mothers' parenting experiences related to sexual orientation were compared. Participants were 414 mothers in same-sex relationships with at least one child under the age of 18 years living in their home who was planned with their current partner. Rural mothers were more likely to be biological parents and not adoptive parents. Rural mothers reported higher rates of discrimination from strangers and people in service or helping professions. Although outness for rural and urban mothers did not differ, for children, classmates' parents and neighbors were less likely to know the family's status in rural areas. Rural and urban mothers did not differ on internalized homophobia, social support, or stigma consciousness. Clinical and policy implications are discussed.     

Consequences of Parental Divorce for Adult Children’s Support of Their Frail Parents

Using three waves of data from the Health and Retirement Study, I examined the association of parental divorce and remarriage with the odds that biological, adult children give personal care and financial assistance to their frail parents. The analysis included 5,099 adult children in the mother sample and 4,029 children in the father sample. Results indicate that adult children of divorced parents are just as likely as adult children of widowed parents to give care and money to their mothers, but the former are less likely than the latter to care for their fathers. The findings suggest that divorced fathers are prone to be the population most in need of formal support in old age.     

Intergenerational transfer of time and risk preferences

There is a growing interest in individual time and risk preferences. Little is known about how these preferences are formed. It is hypothesised that parents may transmit their preferences to their offspring. This paper examines the correlation in offspring and parental time and risk preferences using data from an annual household survey in Australia (the HILDA survey). Both time and risk preferences are examined and we explored whether the correlation in time and risk preferences varies across the distribution of preferences and across the across the four parent–child dyads (mother/daughter, mother/son, father/daughter, father/son). The results show that there is a significant relationship between parents and their young adult offspring risk and time preference measures. The correlation varies across the distribution of time preferences. The correlation was largest for longer planning horizons. Risk averse parents are more likely to have risk averse children. Except for the father/daughter dyad risk seeking parents are more likely to have risk seeking offspring. Some gender differences were found. The association in parental and offspring time preference was larger for mothers than fathers. Daughters are more likely to be influenced by their mother’s risk preferences, however, sons are equally influenced by both parents. The results of this study suggest that the transmission in preferences is more nuanced than previously thought and parental gender may be important.     

Once an outsider,always an outsider? The accessibility of the Dutch rural housing market among locals and non-locals

One of the most pressing questions in the rural gentrification literature is whether rural residents face difficulties in finding a home within their locality due to the influx of more wealthy newcomers. In this paper, we investigate the extent to which intended local movers and intended non-local movers have realised their rural residential preferences in their preferred municipality. We perform multilevel multinomial logistic regression analysis on data from two housing surveys for the Netherlands that are enriched with register data from the longitudinal Social Statistical Database (SSD). Our results show that, despite of their lower income, intended local movers are more likely to find homes within their preferred rural location than are intended non-local movers. Intended non-local movers move more often to a location other than that initially preferred, with urbanites facing a higher likelihood to move to an urban area. The findings suggest that ties to the residential environment are more important in successfully finding housing in one's preferred rural location than are financial resources.     

Changing Childrearing Beliefs Among Indigenous Rural‐to‐Urban Migrants in El Alto,Bolivia

Sociologists have long noted that childrearing shapes young people's life chances. Worldwide, rural‐to‐urban migration is growing, yet we know little about whether or how migrants adopt new childrearing beliefs during this rapid social transformation. Using interviews with 63 parents and ethnographic observation at a public school, I examine how rural‐to‐urban migration affects the childrearing beliefs of indigenous peasants who move to the city of El Alto, Bolivia. Many migrants reject rural childrearing's reliance on corporal punishment and limited verbal communication, instead embracing more open communication, limited physical punishment, and parent–child trust. Urban organizations and social ties expose parents to a new childrearing model, and parents find this model credible when they observe that it buffers children from urban dangers that threaten young people's mobility chances. Adopting urban childrearing ultimately entails accepting an underlying model of children's agency, wherein children need internal motivation instead of external impulsion. This case shows that individuals’ childrearing beliefs are more malleable than previous sociological studies suggest. I close with policy implications for parental education and child well‐being initiatives.     

Explaining fathers' involvement in childcare: an ecological approach

The study was conducted among a sample of 113 Israeli fathers, and aimed to examine the variables that explain paternal involvement in care of children between the ages of one and six. Based on Bronfenbrenner’s ecological approach, the study examined the contribution of variables representing three ecological systems of the fathers: the ontogenic system – the fathers' background variables, and their childhood experiences with paternal involvement; the microsystem – children’s characteristics (age and temperament); and mothers' characteristics (education, hours of work outside of the home, and fathers' assessments of maternal gatekeeping); and the macrosystem – type of community of residence (rural or urban). Maternal gatekeeping most significantly explained paternal involvement in most of the domains of childcare that were examined. Fathers living in urban communities who assessed their wives' maternal gatekeeping as high tended to be more involved in the domain of physical care than their counterparts living in rural communities. The child’s temperament explained paternal involvement in the domains of showing love and playing with the children, whereas the fathers' childhood experiences with paternal involvement were related to their involvement in the domain of physical care. The implications of the findings for families and communities are discussed.     

Family structure and child health outcomes in the United States

We use categorical and logistic regression models to investigate the extent that family structure affects children’s health outcomes at age five (i.e., child’s type of health insurance coverage, the use of a routine medical doctor, and report of being in excellent health) using a sample of 4,898 children from the "Fragile Families and Child Well-Being Study." We find that children with married biological parents are most likely to have private health insurance compared with each of three other relationship statuses. With each additional child in the home, a child is less likely to have private insurance compared with no insurance and Medicaid insurance. Children with cohabiting biological parents are less likely to have a routine doctor compared with children of married biological parents, yet having additional children in the household is not associated with having a routine doctor. Children with biological parents who are not romantically involved and those with additional children in the household are less likely to be in excellent health, all else being equal.     

Does Internet access matter for rural industry? A case study of Jiangsu,China

This study examines the digital divide in rural Jiangsu, one of the most developed areas in China. First, it reveals that only a small portion of rural enterprises have access to the Internet, and the penetration rate of the Internet in rural enterprises of China is much lower than that in urban enterprises revealed by previous studies. Second, a significant digital divide exists between Southern Jiangsu on the one hand and Middle and Northern Jiangsu on the other hand. Indeed, the Internet penetration rate in Zhangjiagang is very close to that in urban enterprises. Thirdly, this study finds that large and old enterprises are more likely to have access to the Internet. Fourthly, Internet access demonstrates very strong and positive relationships with enterprises’ economic and innovative performance, though it is not clear whether or not the better performance at rural enterprises with Internet access comes from their usage of the Internet. The implication of the study is that governments should promote Internet usage among rural enterprises.     

Future of Long-Term Care Financing for the Elderly in Korea

ABSTRACT

With rapid aging, change in family structure, and the increase in the labor participation of women, the demand for long-term care has been increasing in Korea. Inappropriate utilization of medical care by the elderly in health care institutions, such as social admissions, also puts a financial burden on the health insurance system. The widening gap between the need for long-term care and the capacity of welfare programs to fulfill that need, along with a rather new national pension scheme and the limited economic capacity of the elderly, calls for a new public financing mechanism to provide protection for a broader range of old people from the costs of long-term care. Many important decisions are yet to be made, although Korea is likely to introduce social insurance for long-term care rather than tax-based financing, following the tradition of social health insurance. Whether it should cover only the elderly long-term care or all types of long-term care including disability of all age groups will have a critical impact on social solidarity and the financial sustainability of the new long-term care insurance. Generosity of benefits or the level of out-of-pocket payment, the role of cash benefits, and the relation with health insurance scheme all should be taken into account in the design of a new financing scheme. Lack of care personnel and facilities is also a barrier to the implementation of public long-term care financing in Korea, and the implementation strategy needs to be carved out carefully.     

Urban and Rural Differences in the Provision of Health Insurance Coverage for Children of Divorce

Abstract

Using data from divorce case records in New Hampshire this study examined urban and rural differences in the provision of health insurance coverage for children of divorce. In the overall sample of cases (N= 474) results from a chi-square test found rural children (N= 123) to be nearly twice as likely to be uninsured than urban children (N= 351). Results from the logistic regression in the urban county found fathers' and mothers' incomes to increase the log odds of children having access to health insurance. Mothers' employment also increased the log odds of children being insured. In the rural county fathers' earnings and mothers' employment increased the log odds of children having access to health insurance. Pre-school age (0-5) decreased the log odds of children being insured. Implications for family practitioners in rural areas are discussed.     

Why more ‘quality time’ is not on the top of children's lists: the ‘qualities of time’ for children1

For many years the everyday reality of working parents and their children has been captured in notions of ‘quality time’ versus ‘quantity time’. On the one hand it is suggested that what families need is ‘more time’ for parents to spend together with their children and less time working. On the other hand this has been countered with arguments saying that attention has to be paid to how parents spend their time together with their children. As a result quality time is often presented through idealised images of ‘happy families’. Quality time is seen as parents engaging with their children in particular activities or outdoor excursions that create and maintain family enjoyment, care and togetherness. However, such debates are based on assumptions of what would be ‘good’ for today's children and neglect the perspective of children themselves. This paper draws on field research carried out with 10–11‐year‐old children on their understandings and use of time in an urban and a rural setting in the north of England. The paper points to five ‘qualities of time’ identified by children. These qualities suggest that children's views of time spent with their families cannot be seen as separate from the time they spend with friends, at school and on their own. The paper argues that the quality/quantity time conundrum needs replacing by fuller and more representative accounts of the varied aspects of time that matter for children. These need to be situated in the processes through which family, school and work life take place on a daily basis and in relation to children's life course. Copyright © 2002 John Wiley & Sons, Ltd.     

Negotiating Languages in Immigrant Families

This study is about the multifaceted nature of language use in immigrant families. Following earlier explorations of language in the segmented assimilation framework and using adolescent and parental data from the 1995 wave of the Children of Immigrants Longitudinal Study, this article examines how adolescents’ use of English with their parents relates to their proficiency in English and ethnic languages, and their personal language preferences, as well as their parents’ language proficiency and use. The findings suggested that adolescent language choice in child–parent interactions reflected the family’s ways to negotiate the distinct linguistic repertoires of immigrant parents and their children. The adolescent use of English was not necessarily associated with social and emotional estrangement between generations. Even when adolescents generally preferred English, they were less likely to use English in child–parent interactions if their parents, particularly their mothers, were less proficient in English. On the other hand, adolescents were more likely to speak English to their parents if their mothers were proficient in English, regardless of what language parents used with the children. Parents who spoke to their children in English likely responded to their children’s doubts about their ethnic language proficiency and were linguistically and emotionally ready to make that transition.     

Social Capital in Rural and Urban Communities1

Abstract Conventional wisdom says that social capital is more common among families in rural communities than urban communities. Using data from the 1988 wave of the Panel Study of Income Dynamics, we compare the prevalence, type, and extent of social exchanges in these places. Results indicate that families living in rural areas are more likely to exchange exclusively with kin than are families living in urban areas. In particular, families living in rural areas are more likely to receive money help from kin than families in urban areas. Results on patterns of giving are more complex, with rural origin families with younger household heads more likely to give support to kin, and rural origin families with older heads less likely to provide such support, as compared to otherwise similar families of urban origin. Finally, only modest urban-rural differences in amounts exchanged (in dollars) are found among otherwise similar families. Overall, some of the urban-rural differences in patterns of exchange are explained by different family characteristics; however, key urban-rural differences remain, probably reflecting differences in norms and the availability of institutional support services in different areas.     

Social Work Educators’ Attitudes Toward Gay Men and Lesbians: A National Assessment

A sample of 927 U.S. social work educators expressed limited negative attitudes toward lesbians and slightly more negative attitudes toward gay men in this cross-sectional, national study using standardized survey instruments with proven psychometric properties. Faculty most likely to express negative attitudes toward lesbians included those employed at a religiously affiliated university (whether sectarian or non-sectarian), identifying as African-American and male, working in an urban or suburban setting (rather than a rural one), and having probationary tenure-track status. These individual and institutional characteristics accounted for 7.8% of the variance in social work educators’ negative attitudes toward lesbians. Faculty most likely to express negative attitudes toward gay men included those identifying as African-American, employed at a religiously affiliated university, identifying as heterosexual and male. These variables explained 12.4% of the variance in social work educators’ negative attitudes toward gay men. Implications for social work education are addressed and suggestions generated regarding how social work educators and their educational programs can ensure that they are preparing competent, unbiased practitioners who can advance social justice and reduce oppression among gay and lesbian clients.     

“We Don't Know How to Do This”: Rural Parents' Perspectives on and Roles in Enrollment at a Private,Selective Liberal Arts College

Rural youth trail their non-rural counterparts in college enrollment and attainment, especially for degrees from selective schools; these gaps further spatial inequality in the United States. Much research has focused on rural parents as impediments to rural college-going: many rural parents did not attend college, and their educational aspirations for their children are lower than those of urban parents. However, every year, thousands of rural students do head to college, even to selective schools, and little is known about their parents' influence on their enrollment. This qualitative study focuses on rural parents without a bachelors degree, investigating the roles they play in their children's aspirations and enrollment at a private, selective liberal arts college and examining their perspectives on this type of school. The results suggest that parents are an important source of social capital, supporting aspirations and enrollment. They also show that these parents see a liberal arts education as a path to a remunerative and rewarding career, and, in supporting their children's college choice, they value factors—financial aid, proximity, and a welcoming school culture—that mitigate the social, cultural, and moral boundaries separating home from college.     

Maternal child care preferences for infants,toddlers, and preschoolers: the disconnect between policy and preference in the USA

While much research exists looking at parental preferences for child care, much of that research uses child care choice as a proxy for preference. In an effort to examine the types of care mothers prefer if no constraints were placed on their decision, this quantitative study investigated how family demographic factors and family role ideology relate to the types of child care (parental and non-parental forms) mothers prefer ‘in an ideal world’ using a sample of 345 employed mothers of children under 6 years of age in a suburb of a large metropolitan area in the southern USA. Participants completed a questionnaire examining the types of care they viewed as ideal for infants (0–12 months old), toddlers (13–30 months old), and preschoolers (31–72 months old) if no constraints were placed on the decision. Results indicated that the preferences for type of care for mothers in this sample varied according to the child's age, with a large majority of mothers preferring parental care for their children. Ideological and demographic factors predicting preferences for first and second choice of child care were also explored through binary and multinomial logistic regression, revealing the influence of ethnicity, education, and family role ideology to preferences for infant care. These results add to the existing literature by confirming previous findings about the influence of child age to child care preferences, as well as highlighting the disconnect between these preferences and the way family policies are structured in the USA.     

Future of long-term care financing for the elderly in Korea

With rapid aging, change in family structure, and the increase in the labor participation of women, the demand for long-term care has been increasing in Korea. Inappropriate utilization of medical care by the elderly in health care institutions, such as social admissions, also puts a financial burden on the health insurance system. The widening gap between the need for long-term care and the capacity of welfare programs to fulfill that need, along with a rather new national pension scheme and the limited economic capacity of the elderly, calls for a new public financing mechanism to provide protection for a broader range of old people from the costs of long-term care. Many important decisions are yet to be made, although Korea is likely to introduce social insurance for long-term care rather than tax-based financing, following the tradition of social health insurance. Whether it should cover only the elderly longterm care or all types of long-term care including disability of all age groups will have a critical impact on social solidarity and the financial sustainability of the new long-term care insurance. Generosity of benefits or the level of out-of-pocket payment, the role of cash benefits, and the relation with health insurance scheme all should be taken into account in the design of a new financing scheme. Lack of care personnel and facilities is also a barrier to the implementation of public long-term care financing in Korea, and the implementation strategy needs to be carved out carefully.     

Intergenerational Persistence of Skills and Socioeconomic Status

This paper describes how the socioeconomic status (SES) of parents relates to the formation and development of the skills and preferences of their teenage children, which have proven to be key to understanding differences in life outcomes. The study used data from a novel survey, conducted in Mexico, that recorded cognitive and non-cognitive skills and social preferences of both parents and children. It analyzed the relationship between the SES of parents and their children’s skills, and found that children’s skills were consistently related to parental skills, and that intergenerational persistence of skills was higher for cognitive than for non-cognitive skills or social preferences. It also found that the cognitive skills gap between the first and fifth quintile of SES was related mainly to characteristics like parents’ own skills, years of schooling, and aspirations for their children, but that these parental characteristics were less important in explaining non-cognitive skills and preferences.     

Rural-Urban Differences in Obesity1

Abstract Obesity is an important social and health issue in contemporary society. Differences in relative weight, overweight, and extreme overweight were examined in rural, middle-sized, and urban areas in a national sample of 11,578 adults in the NHANES II survey. Rural-urban residence and weight were examined in bivariate relationships and in multiple regression analyses controlling for demographic and physical variables. Overall bivariate analyses revealed that some groups in rural areas had higher weights than their more urban counterparts. However, regression analyses showed that many bivariate rural-urban differences disappeared when demographics were controlled, although rural white women and men were still more likely to be overweight relative to their more urban counterparts. These findings suggest that the demographic composition of rural and urban populations explains most, but not all rural-urban variations in weight.