经济社会地位、年龄与心理健康：一项基于上海的实证研究

本文从社会结构的角度出发,以“2008年中国家庭动态调查（上海卷）”的数据为基础,考察了心理健康在社会各阶层间的分布以及这些分布在年龄组间的变化。结果显示,教育、收入、职业地位、社会地位与心理健康正面相关,而经济困难和不公正待遇则与心理健康负面相关。年龄和心理健康的关系呈现出“∩”型发展趋势;职业类型及教育程度对心理健康的作用在不同年龄组中出现了不同程度的变化。失业者较好的心理状态及青年技术人员较差的心理健康状况则需要做进一步的研究。     

Unemployment, shame and ill health — an exploratory study

Unemployed young people in six Swedish municipalities were studied in respect of the degree of shaming elements experienced by them in their social environment and in respect of mental ill health. The nature of the investigation was exploratory. The study shows that experience of shaming elements in the environment owing to unemployment is relatively frequent. A larger proportion of the long-term unemployed and men account for more shaming elements than do the short-term unemployed and women. It seems as if the factor of shaming elements in the environment is important in order to understand the adverse health-related consequences of unemployment. A greater proportion of those who live in a more shaming environment show mental disorders, deteriorated health, changes in living habits, activities and social relations, than do those living in a less shaming environment. This report discusses possible explanations of the results in the light of existing moral concepts of work and unemployment, as well as of shaming attitudes towards the unemployed.     

影响城镇女性就业的微观因素及其变化：1995年与2002年比较

20世纪90年代中期以来,中国城镇劳动力市场结构发生了巨大的变化,女性的劳动参与率大幅下降。本研究利用1995和2002年“中国城镇居民收入调查”数据,检验了教育获得、家庭责任（婚姻和子女）和家庭经济状况三项个人或家庭因素对女性就业决策的影响以及它们效应的变化情况。研究发现,在1995年至2002年间,教育的正面效应变小,即教育对女性就业的影响力下降,但婚姻和家庭经济状况对女性就业的影响力上升。对照1995年, 2002年时家庭收入高的已婚妇女更有可能不工作,表明这是城镇女性就业决策走向理性化的一个过程。另外,作者并不认同“沮丧的工人”观点,认为失去正式工作的低收入家庭女性因生活所迫更可能进入非正式劳动力市场继续就业,而不是对再就业失去信心而永久退出劳动。     

The "Papy-boom": A historical opportunity for French public hospitals

Abstract   The French public hospital system represents a major element in overall social security expenditure and ongoing reforms are having a significant impact on its financial equilibrium and the internal management of its activities. Nonetheless, the system has been unable to achieve the productivity objectives imposed on it. Significantly, staffing costs account for three quarters of its expenditure, yet most employees are civil servants who cannot be laid off easily. The only possibility for meaningful change in the size of its workforce may lie in the demographic revolution now affecting the French population, which will see half the present staff of public hospitals reaching retirement age within the next decade.     

Ageism and Abuse in the Workplace: A New Frontier

The economic crisis in the United States has led to increased media coverage of older workers being laid off, forced to retire, or working longer than planned. Embedded in these reports are the intimations of workplace abuse. Social workers need to start taking into account ageism and abuse in the workplace as possible cooccurring issues to effectively implement policy, and organizational change that will address both issues. This brief article discusses ageism and abuse in the workplace using a human rights framework, the current state of the literature, and directions for future research.     

Thinking outside the box: Strategies used by low‐income single mothers to make ends meet

Recent changes to Australia's welfare system have impacted low‐income single parents who have been moved from a family payment, Parenting Payment Single, to a lower payment directed at individuals looking for work, Newstart Allowance. Research has shown that single‐parent families are particularly vulnerable to the risk of financial deprivation and poverty, and this recent welfare payment change further compounds the often dire financial situation for these families. Twenty‐three in‐depth interviews were conducted with low‐income single mothers who had been recently moved off the Parenting Payment Single and on to Newstart Allowance. As a result of this payment change and the decreased welfare assistance, the women spoke of needing to develop new strategies to compensate for their decreased income. This article focuses on the strategies these families developed and employed, exploring the women's ability to be resourceful in times of welfare changes.     

Satisfaction with Health Care and Community Esteem Among Rural Women

The present study examines the ways in which satisfaction with health care may be associated with the lives of rural women. One hundred thirty one rural women between the ages of 45 and 70 years completed measures of community esteem, life satisfaction, satisfaction with health care, health status, and mood. The results showed that rural women's satisfaction with their health care was associated with the extent to which they hold their community in esteem and their degree of life satisfaction. Moreover, women who had poor health were less satisfied with the available health care than were healthier women. These findings are discussed in terms of their implications for the well-being of rural communities in general.     

The politics of marital name change

Each year, millions of women face the decision whether or not to change their names after marriage. One study found that region, gender role traditionalism, career orientation, and educational attainment predicted name changes (Johnson and Scheuble, 1995). Another line of research discovered that women who changed their names were perceived as less ambitious and less competent, but more caring than women who did not change their name (Noordewier et al., 2010). Despite the prevalence and importance of this decision, we know very little about marital name change among political leaders. In this study, we take a preliminary look at marital name change in the political arena by focusing on name changing among women serving in the U.S. House and U.S. Senate. We find that half of female legislators keep their name after marriage, and that Democrats, racial minorities, legislators who come from political families, legislators who were married later in life, and legislators who were first elected to office at a younger age are more likely to keep their names.     

History repeating: child protection responses to domestic violence

Statutory child protection has a long and contested history in domestic violence intervention where children are involved. The inadequacy of the response has been raised by researchers, women and their advocates for more than 20 years. In fact, Linda Gordon, in her classic analysis of the files of charitable agencies from 1880 to 1960, showed that violent men were ignored, women whose own lives were in danger were judged as inadequate when they failed to protect their children and ‘child rescue’ was frequently seen as the solution to protecting vulnerable children. The same issues continue to be raised today. The repetitive pattern points to the structured nature of the problem which goes beyond the intentions and practice of individual workers. A policy response and a cultural change is needed, which tackles not only the ‘age old’ but also some of the newer permutations of intervention in this area. This paper will explore aspects of this structured pattern and then draw from international research and projects which are grappling with positive changes to child protection intervention in this area.     

Gender inequalities in European unemployment benefit systems

The most important structural change which has occurred on the labour market over the past 30 years is the sustained and continued growth of female labour supply. Two-earner couples have become a majority in most European countries and lone parents, mostly women, are also on the rise. On the other hand, since 1975, labour market policies have altered the quality and nature of employment in Europe by promoting atypical forms of employment where women are overrepresented. The analysis has shown us that atypical employment results in restricted access to unemployment benefits. Moreover, combining the presence of more stringent conditions with derived rights results in more and more women being dependent upon their spouses for financial as well as social protection and can even have a disincentive effect on formal labour market participation.     

Breaking the Matthew Effect – on Women Leaving Prostitution

Although the body of research literature on prostitution is extensive, systematic research on why and how women break with prostitution is lacking. The purpose of this paper is to report some empirical findings from a Swedish study of women leaving a life in the sex trade. In a broader perspective the study ties into a social psychological research tradition which focuses on illuminating individuals’ processes of change, turning points, role changes and exit behaviours. The study comprises life-story interviews with 23 women who exited prostitution during the years 1981–1995. Half of the women were referred to us via a special social outreach operation within the social services in a major Swedish city, the other half were recruited via newspaper and tabloid announcements. The majority of the women had been active in the sex trade for more than five years, thus classifying them as “long-term residents”. The majority had experiences exclusively of street prostitution, the most common form in Sweden. Our analysis shows a number of different exit courses, ranging from breakaways that happened quickly and were executed primarily by women who were relatively loosely integrated in the milieu, to breakaways that were made by women who, after many years of being exploited in prostitution, had reached the limit of the existentially bearable. In our account, we also identify four main challenges which the women have been faced with after leaving the trade: (1) working through and understanding the experiences of a life in prostitution, (2) dealing with shame, (3) living in a marginal situation, and (4) dealing with intimate and close relationships. Finally, we present an integrated exit model which combines structural, situational, interpersonal and individual factors in explaining how and why women leave prostitution. The purpose of our model is to create a general understanding of why certain people not only survive a difficult life situation, but are able to grow and develop further during the course of the process.     

State Gender Inequality,Socioeconomic Status and Intimate Partner Violence (IPV) in India: A Multilevel Analysis

While a growing body of literature has investigated the health impact of intimate partner violence (IPV), less has been written on the social determinants of IPV. The authors use multilevel modeling methods to analyze data from a sample of 83,627 women in India to examine the socioeconomic and demographic patterning of the state‐ and neighborhood‐level variation in, and the state‐ and/or neighborhood‐level characteristics related to, IPV. This study finds social gradients in IPV in which women who are uneducated, from marginalized castes, and living in poor households have higher likelihood of reporting IPV than those living in advantaged circumstances. The results also show differences in IPV between neighborhoods and between states that are partially explained by state levels of gender inequality. The results suggest that changing cultural norms to promote the status of women and increasing the educational and economic opportunities for all people could decrease the prevalence of IPV.     

Single Parents and Paid Work

Radical social changes in household formation over the past three decades have given rise to the single parent family. In spite of the level of public assistance, which is among the most generous in the OECD, research has shown that single parents (usually mothers) are among the most impoverished members of society. Recent legislation is moving toward mandating single parents off public assistance and into paid work in order for them to achieve more sustainable futures. In this paper we argue that this strategy is unlikely to succeed unless the particular needs of single parents are understood and addressed within a broader debate concerning women, care, and paid work. Family‐friendly workplace practices, more extensive publicly funded childcare, and better opportunities for lifelong learning are some of the changes that are urgently needed to assist not only single parents but all who try to combine the dual roles of working and caring.     

Co‐production in the epidemiological clinic: A decentred analysis of the tensions in community‐based,client‐facing risk work

Public health policies to prevent disease within populations are giving rise to shifting patterns of healthcare delivery in the late modern era. There is an inherent tension in modern medicine between evidence‐based standardisation, on the one hand, and patient‐centred specificity on the other. This tension manifests in recent policy narratives regarding public health risk (which we have characterised in terms of the epidemiological clinic) and co‐production. Drawing on co‐produced data with health trainers (lay health workers tasked with supporting behavioural change in patients at high risk of cardiovascular disease) in a deprived post‐industrial region of England, our decentred analysis focuses on three extended narratives from this data set. Our analysis builds on and develops emerging theories of risk work, informed by Habermas, and we explore the extent to which elite narratives of public health risk are resisted, absorbed, or bracketed off by client‐facing health workers—emphasising the heterogeneity of responses—and locate these responses within the context of the workers' employment conditions, their embodied experiences, and their wider beliefs and traditions. We argue that co‐production—albeit in a highly constrained form—is possible while delivering public health interventions. However, in the context of a community where health is so adversely affected by wider social problems and where task shifting has drawn lower status healthcare workers into these client‐facing roles, workers must find their own ways to negotiate and attempt to reconcile this context with the risk‐framed practices they are required to carry out.     

Changes in marital status and links to self-rated health: A study of temporal relationships

This study examines whether self-rated health (SRH) changes predict marital status changes or vice versa, and tests whether changes in trust mediate the relationship between marital transition and SRH change. A logistic regression model and a mediation analysis method are used separately to analyze the longitudinal data on 2,042 respondents from the Panel Study of Family Dynamics (PSFD) in Taiwan. The survey achieves response rates above 70%. The findings show that none of health status at either time point predict the three types of marital transitions including never married to married, married to divorced/separated, and married to widowed. Bonding trust plays a more important role than generalized trust in mediating the adverse effect of remaining widowed status on health change within a context of Confucian culture. Those who maintain a widowed state have a lower likelihood of sustaining high levels of bonding trust, which in turn leads to poor SRH. Hence, the findings provide more support for a social causation hypothesis rather than a health selection hypothesis.     

“The Wisdom of Age”: Perspectives on Aging and Growth among Lesbian Older Adults

Older lesbian-identified women are a health disparate yet resilient population about whom knowledge is limited and emerging. Among the areas in need of research are older lesbians’ experiences of later life and stress-related growth. This article presents the findings from a qualitative study that investigated older lesbians’ experiences of adversity and adaptation as they age. In-depth, exploratory interviews were conducted with 12 lesbian-identified women who were between the ages of 65–80. This study applied grounded theory methodology to identify respondents sources of stress and fear, their strengths and coping strategies and how those relate to each other and to their growth in later life. We advance a model of adaptive change that shows how spirituality, social support, and resistance to cultural norms help older lesbian adults cope with loss, illness, and discrimination and develop wisdom in later life. Knowledgeable practitioners can help older lesbian women identify and maintain sources of social support, explore spirituality, and facilitate continuous growth through the end of life. Social workers can advocate for services that are welcoming and affirmative so as to reduce fears of isolation and dependence associated with health decline.     

Personal financial situation during unemployment and mental health

The main purpose of this study was to investigate the personal financial situation during unemployment and the connection between financial situation and mental health in a sample ( n =213) of unemployed Norwegians. The results indicate that the unemployed suffered high financial deprivation compared with their own subjective standards, their situation when working, their neighbors and friends, and the average population. However, the unemployed did not constitute a homogeneous group in financial terms. In particular, the young unemployed experienced substantial financial problems. Among men, the reduction in income, few leisure facilities and many financial adjustments were closely related to mental health problems. Women who experienced that their income was substantially reduced compared with that of neighbors and friends and women who had carried out many financial adjustments were in poorer mental health than the other women in the sample. The findings are discussed in relation to relevant aspects of the life situation of the unemployed and other research results.     

Women under protection – in hiding from violent men

In Sweden in 2007, 11,047 people, out of a population of around nine million were living under at-risk conditions requiring protective measures for their safety. Sixty per cent were women, most of them hiding from men who had battered them and were still threatening and stalking them. In this research and intervention study, a group of women in hiding were given different kinds of support and 23 women were interviewed. These women struggle to make a living, work or study, and their finances are extremely strained. Their social networks/interactions are nonexistent. Living under constant threat and insecurity has an adverse impact on the women's health. The community is obliged, for economic and security reasons, to support battered women. There are still severe shortcomings with regard to security. One recommendation is the institution of personal protection officers, i.e. specially trained social service caseworkers able to support the woman once protection measures have been decided.