Configurations of Informal Social Support Among Older Lesbians

ABSTRACT

Limited research has been conducted on the needs and concerns of older lesbians in the American population. The purpose of this paper is to present findings from a qualitative study of older (aged 55 and older) lesbians' experiences of and perspectives on aging, with a focus on their discussions of social support. Through an in-depth qualitative study with 25 older lesbians, we found that aging lesbians may be less likely to access formal social services due to perceptions of bias within the services and a potential lack of connection with those who do use services. However, participants were creative at formulating informal networks of support. Four heuristic categories (empowered, secure, independent, and precarious) of informal social support were developed to characterize the various ways in which participants configured their support systems. Social support within each category was conceptualized both in terms of intentionality and degree of connectedness. Being partnered did not necessarily equate with a strong sense of social support. Further research needs to be conducted on older lesbians in order to better characterize and respond to their needs as they age.     

Configurations of informal social support among older lesbians

Limited research has been conducted on the needs and concerns of older lesbians in the American population. The purpose of this paper is to present findings from a qualitative study of older (aged 55 and older) lesbians' experiences of and perspectives on aging, with a focus on their discussions of social support. Through an in-depth qualitative study with 25 older lesbians, we found that aging lesbians may be less likely to access formal social services due to perceptions of bias within the services and a potential lack of connection with those who do use services. However, participants were creative at formulating informal networks of support. Four heuristic categories (empowered, secure, independent, and precarious) of informal social support were developed to characterize the various ways in which participants configured their support systems. Social support within each category was conceptualized both in terms of intentionality and degree of connectedness. Being partnered did not necessarily equate with a strong sense of social support. Further research needs to be conducted on older lesbians in order to better characterize and respond to their needs as they age.     

Realizing Racial and Ethnic Neighborhood Preferences? Exploring the Mismatches Between What People Want,Where They Search,and Where They Live

The housing search process is an overlooked mechanism in the scholarly research that seeks to understand the causes of persistent racial residential segregation in the United States. Past research has explored in detail the preferences people hold in terms of the racial and ethnic composition of their neighborhoods, and more recently some have also examined the correspondence between racial and ethnic neighborhood preferences and current neighborhood racial/ethnic composition. But an intermediate stage—the racial/ethnic composition of where people search—has not been investigated. We analyze a subsample (n = 382) from the 2004–2005 Chicago Area Study to demonstrate the value of systematically studying the matches—or mismatches—between preferences, search locations, and neighborhood outcomes. We find that for whites, not only their current neighborhoods but also the neighborhoods in which they search for housing have larger percentages of whites than they say they prefer. In contrast, blacks—and to a lesser extent Latinos—search in neighborhoods that correspond to their preferences, but reside in neighborhoods with a larger percentage own group. Logistic regression analyses reveal that mismatches are associated with both a lack of information and inadequate finances, but also may be due to socially desirable responding for whites in particular. Our results provide suggestive evidence of the importance of unpacking the search process more generally and draw attention to what are likely to be productive new future data collection efforts as well as an area potentially ripe for policy interventions.     

Residential Mobility Across Early Childhood and Children’s Kindergarten Readiness

Understanding residential mobility in early childhood is important for contextualizing family, school, and neighborhood influences on child well-being. We examined the consequences of residential mobility for socioemotional and cognitive kindergarten readiness using the Early Childhood Longitudinal Study-Birth Cohort, a nationally representative longitudinal survey that followed U.S. children born in 2001 from infancy to kindergarten. We described individual, household, and neighborhood characteristics associated with residential mobility for children aged 0–5. Our residential mobility indicators examined frequency of moves, nonlinearities in move frequency, quality of moves, comparisons between moving houses and moving neighborhoods, and heterogeneity in the consequences of residential mobility. Nearly three-quarters of children moved by kindergarten start. Mobility did not predict cognitive scores. More moves, particularly at relatively high frequencies, predicted lower kindergarten behavior scores. Moves from socioeconomically advantaged to disadvantaged neighborhoods were especially problematic, whereas moves within a ZIP code were not. The implications of moves were similar across socioeconomic status. The behavior findings largely support an instability perspective that highlights potential disruptions from frequent or problematic moves. Our study contributes to literature emphasizing the importance of contextualizing residential mobility. The high prevalence and distinct implications of early childhood moves support the need for further research.     

Measuring and Analysing Community Action for Health: An Indicator-Based Typology and Its Application to the Case of Barcelona

Social welfare systems face major challenges, particularly in a context of social transformation, austerity and growing inequalities. This process is highly visible in the health sector. In this context, many voices ask for public sector reforms and community action for health as a relevant practice. However, analyses and evaluations of this kind of practices are still limited, particularly beyond the cases of single community health actions or interventions. We still need to identify key indicators for measuring and characterising what community action for health consists of, as well as to what degree this kind of intervention has been developed across a city. Based on a research about 49 neighborhoods in Barcelona, this paper creates an index to measure and characterize community action for health, using different indicators: citizen engagement programs in community health, organizational transformation of the health and social protection systems, stable participatory structures with specific teams, and urban health policies. We apply the index to the case of Barcelona and build a map of community action for health in the city using 4 categories: strong community health development (one neighbourhood), middle (9 neighborhoods), emergent (25 neighborhoods) and without specific community health promotion (14 neighbourhoods). We find that community action for health is extensive within the city of Barcelona, have great potential as a response to the need for change in the relationship between the public (health) sector and the citizenry, but is still implemented unequally across the urban territory in terms of types and methods.     

'Western Union daddies' and their quest for authenticity: an ethnographic study of the Dominican gay sex tourism industry

This article draws on ethnographic research among two categories of male sex workers in the Dominican Republic in order to describe the relationships between gay male tourists and the Dominican men they hire on their trips to the Caribbean. Drawing on both qualitative interview data and quantitative surveys, the discussion examines the usefulness of theories of 'authenticity,' as they have been applied in the analysis of tourist practices more generally, in accounting for the behaviors and practices of male sex workers and their foreign gay clients. While the flow of international remittances from 'Western Union daddies' to their Dominican 'boys' creates a continuous reminder of the utilitarian nature of the exchange, both sex workers and clients are motivated to camouflage this instrumentality in their construction of a more 'authentic,' fulfilling relationship. The article examines the consequences of this ambivalent negotiation for the emotional and economic organization of gay male sex tourism in the Caribbean.     

How Long are Exposures to Poor Neighborhoods? The Long-Term Dynamics of Entry and Exit from Poor Neighborhoods

Although discussions of poor neighborhoods often assume that their residents are a distinct population trapped in impoverished environments for long durations, no past research has examined longitudinal patterns of residence in poor neighborhoods beyond single-year transitions. Using data from the Panel Study of Income Dynamics from 1979 to 1990 matched to census tract data, this paper provides the first estimates of duration of stay and rates of re-entry in poor (20%+ poor) and extremely poor (40%+ poor) census tracts. The results indicate that (1) there is great racial inequality in longitudinal patterns of exposure to poorneighborhoods – mostAfrican Americans will live in a poor neighborhood over a 10 year span, contrasted to only 10 percent of whites; (2) exits from high poverty neighborhoods are not uncommon, but re-entries to poor neighborhoods following an exit are also very common, especially among African Americans; and (3) length of spell in a poor neighborhood is positively associated with low income, female headship, and, most of all, black race. Little of the racial difference is accounted for by racial difference in poverty status or family structure. Implications for research and public policy are discussed.     

Living on the Edge: Neighborhood Boundaries and the Spatial Dynamics of Violent Crime

Neighborhood boundaries are a defining aspect of highly segregated urban areas. Yet, few studies examine the particular challenges and spatial processes that occur at the bordering region between two neighborhoods. Extending the growing literature on spatial interdependence, this article argues that neighborhood boundaries—defined as sharp changes in the racial or socioeconomic composition of neighborhoods—are a salient feature of the spatial structure with implications for violent crime and other outcomes. Boundaries lack the social control and cohesion of adjacent homogeneous areas, are contested between groups provoking intergroup conflict, and create opportunities for criminal behavior. This article presents evidence linking racial neighborhood boundaries to increased violent crime. The findings illustrate the importance of neighborhood boundaries for our understanding of spatial dimensions of population dynamics above and beyond the characteristics of neighborhoods.     

Integrating Space With Place in Health Research: A Multilevel Spatial Investigation Using Child Mortality in 1880 Newark,New Jersey

Research on neighborhoods and health increasingly acknowledges the need to conceptualize, measure, and model spatial features of social and physical environments. When ignoring underlying spatial dynamics, we run the risk of biased statistical inference and misleading results. In this article, we propose an integrated multilevel spatial approach for Poisson models of discrete responses. In an empirical example of child mortality in 1880 Newark, New Jersey, we compare this multilevel spatial approach with the more typical aspatial multilevel approach. Results indicate that spatially defined egocentric neighborhoods, or distance-based measures, outperform administrative areal units, such as census units. In addition, although results do not vary by specific definitions of egocentric neighborhoods, they are sensitive to geographic scale and modeling strategy. Overall, our findings confirm that adopting a spatial multilevel approach enhances our ability to disentangle the effect of space from that of place, pointing to the need for more careful spatial thinking in population research on neighborhoods and health.     

Lost in translation? The hazards of applying social constructionism to quantitative research on sexual orientation development

This article explores the hazards faced by social constructionists who attempt to conduct quantitative research on sexual orientation development. By critically reviewing two quantitative research studies, this article explores the ways in which the very nature of social constructionist arguments may be incongruous with the methodological requirements of quantitative studies. I suggest this conflict is a result of the differing natures of these two modes of scholarly inquiry. While research requires the acceptance of certain analytical categories, the strength of social constructionism comes from its reflexive scrutiny and problematization of those very categories. Ultimately, social constructionists who try to apply their theories/perspectives must necessarily conform to the methodological constraints of quantitative research. The intent of this article is not to suggest that it is futile or self-contradictory for social constructionists to attempt empirical research, but that these are two distinct modes of scholarly inquiry which can, and should, co-exist in a dialectical relationship to each other.     

Unmet Need for Family Planning in Developing Countries and Implications for Population Policy

Unmet need for family planning has been a core concept in international population discourse for several decades. This article reviews the history of unmet need and the development of increasingly refined methods of its empirical measurement and delineates the main questions that have been raised about unmet need during the past decade, some of which concern the validity of the concept and others its role in policy debates. The discussion draws heavily on empirical research conducted during the 1990s, much of it localized, in‐depth studies combining quantitative and qualitative methodologies. Of the causes of unmet need other than those related to access to services, three emerge as especially salient: lack of necessary knowledge about contraceptive methods, social opposition to their use, and health concerns about possible side effects. The article argues that the concept of unmet need for family planning, by joining together contraceptive behavior and fertility preferences, encourages an integration of family planning programs and broader development approaches to population policy. By focusing on the fulfillment of individual aspirations, unmet need remains a defensible rationale for the formulation of population policy and a sensible guide to the design of family planning programs.     

Putting people into place

Over the past two decades, there has been an explosion of empirical research on neighborhoods and health. However, although the data and approaches owe much to the early contributions of demographers and population scientists, this debt is largely unrecognized. Likewise, challenges posed in the early literature remain largely unanswered. I argue that just as demographers and population scientists were pioneers in the study of neighborhoods and health, they are uniquely poised to lead the field again. Putting people into place means explaining behavior and outcomes in relation to a potentially changing local context. A more dynamic conceptualization is needed that fully incorporates human agency, integrates multiple dimensions of local social and spatial context, develops the necessary longitudinal data, and implements appropriate tools. Diverse approaches with complementary strengths will help surmount the many analytic challenges to studying the dynamics of neighborhoods and health, including agent-based microsimulation models.     

Towards International and Interdisciplinary Research Collaboration for the Measurements of Quality of Life

This paper focuses on three main subjects: (1) monitoring quality of life (QoL) in old age; (2) international and interdisciplinary collaboration for QoL research; and (3) computer-based technology and infrastructure assisting (1) and (2). This type of computer-supported cooperative work in the social sciences has been termed eHumanities or eSocial Science. Although QoL issues matter for all ages, given the size of population aging and the demographic outlook of developed countries, QoL in old age is one of the most pressing issues to study (Walker and Mollenkopf in Quality of life in old age: international and multi-disciplinary perspectives, Springer, The Netherlands, 2007). Despite the recognized need for good measurement methods in QoL (e.g., Stiglitz et al. in The measurement of economic performance and social progress revisited. progress revisited. OFCE working documents, Observatoire Francais des Conjonctures Economiques (OFCE), Paris, 2009), effective mechanisms allowing cross-country comparisons are still rare. In the context of QoL or human well-being research and measurement, one of the most influential concepts is the capability approach (CA). Yet, the operationalization of the CA has long been one of the serious challenges faced by capabilities and quality of life researchers. As regards to this issue, we argue that modern technology has the potential to provide ample tools for enhancing the measurement of human well-being, and facilitating large-scale collaborative research on the QoL. This paper demonstrates a methodology, procedures, and tools that we have developed, based on the new technologies designed and developed for both governmental and intergovernmental (OECD) sponsored assessments and that are ready to be used for QoL analysis. We propose a viable alternative for facilitating international and interdisciplinary research collaboration to develop a methodology and a dashboard of indicators to monitor the progress of human well-being over the years and to formalize its multidimensional measure for international comparisons.     

A Feasibility Study of Implementing the Policies on Increasing Birth Rate with an Emphasis on Socio-economic Status: A Case Study of Kermanshah Metropolis,Western Iran

Population and development have a mutual relationship, and more to the point, lack of sufficient knowledge on population development and fertility can lead to the presentation of inappropriate population plans in such a way that they may turn out to be useless and ineffective even in the event of implementation. So, the present study aimed to delve into the feasibility of implementing the new governmental policies on increasing birth rate with an emphasis on the socioeconomic status in Kermanshah Metropolis, Iran. To evaluate poverty and fertility in Kermanshah Metropolis, the present cross-sectional study used the latest statistics obtained from the Statistical Center of Iran (2011), and as for the data analysis, such tests in Arc/GIS and SPSS 20 software. The results of the present study showed that the spatial patterns of poverty and fertility were formed in clusters across the city, and the results of variance analysis of the relationship between the variables of fertility and poverty demonstrated that there was a significant difference between the selected neighborhoods in terms of the variables of poverty and total fertility (P < 0.001). Furthermore, the spatial autocorrelations of fertility and poverty in Kermanshah were positive and showed that the spatial means and standard distances of poverty and fertility were overlapping. Not all districts and urban neighborhoods were equal in the total fertility rate. So, given the societal classes’ different socioeconomic and cultural status across different neighborhoods, the government’s new approaches to increasing birthrate cannot be applied to all classes throughout Kermanshah Metropolis.

     

A multi-level,bipolar view of the urban residential environment: Local community vs. mass societal forces

A multidisciplinary review of the urban literature reveals that theory can be ranged along two bipolar continua—individual vs. aggregate levels of analysis and equilibrium vs. conflict models of behavior. Research employed such bipolar conceptualizations to examine the persistence or deterioration of local community structure in a contemporary urban environment. A two-year ethnographic community study was conducted in Syracuse, New York and Onondaga County. Also examined were program processes of an experimental program designed to enhance neighborhood organization and social networks of 157 families living in ten randomly selected neighborhoods. Data collection methods included participant observation supplemented by archival research and in-depth interviews with community leaders. It was found that both bipolar models were necessary to illuminate processes at work within a city experiencing a sharp decline in population and in economic activity. Three coping strategies employed by city institutions to counter this decline were distinguished, but it was observed that often such strategies led to disruption of residential neighborhoods. We concluded that while local community structure remains in some neighborhoods, conflict between residential and nonresidential interests poses an ever more serious threat.     

Metropolitan school desegregation: Impact on racial integration of neighborhoods in the United States

Research on school desegregation in U.S. cities has focused on the issues of white flight and the potential for racial residential integration of segregated neighborhoods. There is also concern over the effectiveness of a metropolitan desegregation plan for racial integration as against a plan which encompasses only the central city of urban areas. This paper deals with a court-ordered metropolitan school desegregation plan in New Castle County, Delaware. The method used is an examination of 602 small geographic areas (grids); the objective is to examine the extent of residential out-migration of students from the central city and to examine whether there is any tendency toward racial residential integration in the county. Evidence suggests (a) that the central city grids are retaining white students but losing black students and (b) that the level of racial segregation of suburban neighborhoods is not declining.We conclude from preliminary data that with each succeeding year, internal relocation, rather than moves to private school and out-migration from the metropolitan area, will be the major characteristic of student redistribution. If this is the case, the extent to which intra-system relocation results in racially integrated and stable neighborhoods should be a major research and policy focus.     

Disparities in access to residential plumbing: a binational comparison of environmental injustice in El Paso and Ciudad Juárez

Waterborne diseases are a serious concern in the sister cities of El Paso, Texas, and Ciudad Juárez, Chihuahua, where many residents still lack access to plumbing. After using a relative risk method to illustrate the characteristics of neighborhoods at risk for waterborne diseases based on lack of plumbing, we ran spatial regression models predicting lack of plumbing to uncover similarities and differences between the two cities. In terms of similarities, lower mean education and higher proportions of young children were associated with lacking plumbing in both cities. Lower population density and higher proportions of female-headed households were significant only in Juárez, and proportion renting was negatively associated with lacking plumbing in Juárez, but positively associated in El Paso, pointing to differences in socio-spatial structure between the cities. In framing this issue as an environmental injustice, this study draws attention of the existence of households lacking plumbing in the United States and Mexico.     

The Life Course,Cohort Dynamics,and International Differences in Aging Trajectories

In recent years, population health research has focused on understanding the determinants of later-life health. Two strands of that work have focused on (1) international comparisons of later-life health and (2) assessing the early-life origins of disease and disability and the importance of life course processes. However, the less frequently examined intersection of these approaches remains an important frontier. The present study contributes to the integration of these approaches. We use the Health and Retirement Study family of data sets and a cohort dynamic approach to compare functional health trajectories across 12 high-income countries and to examine the role of life course processes and cohort dynamics in contributing to variation in those trajectories. We find substantial international variation in functional health trajectories and an important role of cohort dynamics in generating that variation, with younger cohorts often less healthy at comparable ages than the older cohorts they are replacing. We further find evidence of heterogeneous effects of life course processes on health trajectories. The results have important implications for future trends in morbidity and mortality as well as public policy.     

Safety in urban neighborhoods: A comparison of physical characteristics and informal territorial control in high and low crime neighborhoods

This study addressed the issue of how some urban neighborhoods maintain a relatively low level of crime despite their physical proximity and social similarity to high crime areas. The study explored differences in physical characteristics and various dimensions of the concept of territoriality in three pairs of neighborhoods in Atlanta, Georgia. Neighborhoods within pairs were adjacent and were matched on racial composition and economic status but had distinctly different crime levels. The results indicated that differences in physical characteristics distinguished between matched high and low crime neighborhoods to a far greater extent than did differences in the measures of territoriality. The flow of outsiders into and out of low crime neighborhoods was inhibited because land use was more homogeneously residential, there were fewer major arteries, and boundary streets were less traveled than was the case in high crime neighborhoods. There were relatively few differences in informal territorial control between high and low crime neighborhoods. Where differences existed, informal territorial control was more characteristic of high crime than of low crime neighborhoods.This paper is based on a larger study funded by the Community Crime Prevention Division, National Institute of Justice (Grant No. 79-NI-AX-0080). This study was completed when the senior author was at the Research Triangle Institute. Requests for reprints should be addressed to Dr. Stephanie Greenberg, Social Systems Research and Evaluation Division, Denver Research Institute, University of Denver, Denver, CO 80208.     

Duration and Timing of Exposure to Neighborhood Poverty and the Risk of Adolescent Parenthood

Theory suggests that the impact of neighborhood poverty depends on both the duration and timing of exposure. Previous research, however, has not properly analyzed the sequence of neighborhoods to which children are exposed throughout the early life course. This study investigates the effects of different longitudinal patterns of exposure to disadvantaged neighborhoods on the risk of adolescent parenthood. It follows a cohort of children in the PSID from age 4 to 19 and uses novel methods for time-varying exposures that overcome critical limitations of conventional regression when selection processes are dynamic. Results indicate that sustained exposure to poor neighborhoods substantially increases the risk of becoming a teen parent and that exposure to neighborhood poverty during adolescence may be more consequential than exposure earlier during childhood.