Changes in Social Exclusion Indicators and Psychological Distress Among Homeless People Over a 2.5-Year Period

Although homelessness is inherently associated with social exclusion, homeless individuals are rarely included in conventional studies on social exclusion. Use of longitudinal survey data from a cohort study on homeless people in four major Dutch cities (n = 378) allowed to examine: changes in indicators of social exclusion among homeless people over a 2.5-year period after reporting to the social relief system, and associations between changes in indicators of social exclusion and changes in psychological distress. Multinomial logistic regression analysis was applied to investigate the associations between changes in indicators of social exclusion and changes in psychological distress. Improvements were found in various indicators of social exclusion, whereas financial debts showed no significant improvement. Changes in unmet care needs, health insurance, social support from family and relatedness to others were related to changes in psychological distress. This study demonstrated improvements in various indicators of social exclusion among homeless people over a period of 2.5 years, and sheds light on the concept of social exclusion in relation to homelessness.     

Concealing Concealment: The Mediating Role of Internalized Heterosexism in Psychological Distress Among Lesbian,Gay, and Bisexual Older Adults

ABSTRACT

Recent population-based studies indicate that sexual minorities aged 50 and older experience significantly higher rates of psychological distress than their heterosexual age-peers. The minority stress model has been useful in explaining disparately high rates of psychological distress among younger sexual minorities. The purpose of this study is to test a hypothesized structural relationship between two minority stressors—internalized heterosexism and concealment of sexual orientation—and consequent psychological distress among a sample of 2,349 lesbian, gay, and bisexual adults aged 50 to 95 years old. Structural equation modeling indicates that concealment has a nonsignificant direct effect on psychological distress but a significant indirect effect that is mediated through internalized heterosexism; the effect of concealment is itself concealed. This may explain divergent results regarding the role of concealment in psychological distress in other studies, and the implications will be discussed.     

Transitions Between Compensated Work Disability,Joblessness, and Self-Sufficiency: A Cohort Study 1997–2010 of Those Jobless in 1995

Associations between unemployment, work, and disability have been researched in many studies. The findings are often based on cross-sectional data and single outcomes. The present study analysed multiple outcomes over a period of 15 years among long-term unemployed individuals. Based on all individuals aged 20–40 living in Sweden in 1995, prospective cohort analyses were conducted. Individual annual labour market proximity 1995–2010 was estimated and categorised into three mutually exclusive categories: “Jobless”, “Self-sufficient” (i.e. main income from work), or “Disabled”. Individuals in the category “Jobless” (n = 638,622) in 1995 constituted the study population. Using autoregressive multinomial logistic regression, transitions between the three states during 1997–2010 were analysed. Socio-economic factors, previous inpatient care, and national unemployment rates in different time periods were included in the regression models. Among those “Jobless” in 1995, 17 % were also “Jobless” in 2010, while 10 % were “Disabled” and 61 % “Self-sufficient”. The transitions were stable over time periods for transitions into “Self-sufficient” and “Disabled” but less so for “Jobless”. Previous state was the best predictor of subsequent state. “Jobless” individuals with previous morbidity had a higher transition probability into “Disabled” and a lower transition probability into “Self-sufficient”. The transition rates into “Self-sufficient” were higher in periods with lower unemployment levels. The study supports the interpretation that return to work was affected both by the individuals’ previous health status and by the national unemployment level. Transition from being “Jobless” into “Disability” may be influenced by previous ill health and by negative health effects of being “Jobless”.     

The Social Norm to Work and the Well-Being of the Short- and Long-Term Unemployed

Why are the unemployed particularly unhappy in some societies? According to the social norm theory of unemployment, the well-being of the non-employed is lower in countries with a strong social norm to work because of the greater stigma attached to unemployment. In this study, a social norm to work has been defined as the extent to which people expect others to work: do people think the unemployed should take any job they are offered, or should they have a right to refuse? The combined world and European values study and the European social survey were used to test the theory. Multilevel analyses show that—net of one’s own norm and other measures of the social norm to work, such as one’s personal work ethic—the well-being of unemployed men is lower in countries with a strong social norm to work, in particular that of the long-term unemployed. Overall, it appears that the social norm to work still weighs more heavily upon men than women.     

Socio-demographic Differences in Self-reported Psychological Distress Among 25- to 64-Year-Old Finns

Background Mental health problems are a major public health issue worldwide. The aim of this study was to assess the relative importance of socio-demographic characteristics associated with different domains of psychological distress in Finland. Methods Data source was a nationwide survey “Health Behaviour and Health among the Finnish Adult Population” (AVTK), from years 2002 to 2003 (N = 5425; response rate 66%). Psychological distress was measured by self-reported questions of general mental health (MHI-5), depression, insomnia and stress. Socio-demographic factors included education, employment status, partnership and children living in the household. Main analyses were conducted by multivariate logistic regression. Results Education, employment and partnership were associated with most of the psychological distress outcomes. Respondents with a lower educational level had poor mental health in both genders but less insomnia and stress in men. Those with an intermediate education had the least stress in women. The unemployed and retired were at a higher risk for poor mental health and depression. Moreover, employment status was associated with insomnia and stress in men. Respondents not having a partner showed a higher risk of psychological distress according to all measures. Not having children living in the household was associated with insomnia in women and with less stress in men. Conclusions Socio-demographic factors, such as having a partner and employment status, are associated with several measures of psychological distress indicating the importance of social and economic factors to psychological well-being. The association of education and of having children living at home varies by the domain of psychological distress measure.     

Cyclical variations in unemployment duration

In this paper I study how individual unemployment durations vary over the business cycle, using unemployment spells of a sample of Danish workers. A compositional, an outflow, and a residual calendar-time component are identified, and they all contribute to explaining the variations in unemployment duration. Based on the analysis it is concluded that long-term unemployment is a phenomenon that is associated with periods of high unemployment, but nothing should prevent the long-term unemployed finding jobs again as aggregate unemployment eventually starts falling. In particular, there is no evidence of negative duration dependence, not even at long durations, and not when aggregate unemployment is high. Received: 7 December 1998/Accepted: 24 August 1999     

我国失业保险支出与城镇失业率关系研究——基于误差修正模型的分析

失业是市场经济条件下不可避免的社会风险。失业保险是解决失业所产生的不利因素的社会机制,对一国的社会保障和福利水平有重要的作用。本文通过建立误差修正模型,对我国失业保险支出与城镇失业率的相互关系进行研究。我国失业保险与城镇失业率之间存在着双向格兰杰因果关系,即失业保险支出的增加会导致城镇失业率的增加,城镇失业率的增加会引起失业保险支出的增加。另外,我国失业保险支出的变动对城镇失业率的影响是正激励与负激励并存。     

The Discouraged Worker and Suicide in the United States

This paper empirically analyses whether worker discouragement is linked to suicide in the United States. This paper argues that discouraged workers might translate their frustration into alcohol or drug consumption rather than committing suicide directly. Based on the linear Granger causality test, this study finds that changes in the number female unemployed workers help to predict changes in female suicide patterns. A 1 % increase in growth in the male unemployment rate with age (45–54) will lead to a 2.8 % increase in the growth of male alcohol-induced deaths. This study finds a nonlinear causality from the female unemployment with age (25–34, 45–54, 50 and over) to drug-induced deaths. These findings suggest the importance of providing treatment for the jobless to reduce the risk for excessive alcohol consumption, drug misuse and suicidal behavior.     

Activity Participation and Well-Being Among European Adults Aged 65 years and Older

Increasing evidence suggests that different patterns of activity participation confer several positive well-being outcomes through the later years of life. The aim of the present study is to examine the likelihood of higher well-being linked with a socially engaged lifestyle with a view to extending prior research. Data on a nationally representative sample of adults aged 65 and older from eleven European countries (n = 7025) was drawn from the first Wave of the Survey of Health, Aging and Retirement in Europe (SHARE, 2004/5). Socially and productively oriented activities were administered as salient aspects of activity participation and were rated on frequency of involvement. Well-being was defined by the clustering of six indicators including life satisfaction, quality of life, self-rated health, psychological distress, chronic diseases and Body Mass Index (BMI). The effect of activity participation on the clustering of well-being indicators was estimated according to complex samples ordinal regression models. The overall pattern was that of a significantly increased likelihood for frequently active participants to present multiple presence of positive well-being outcomes (p < 0.05). This held true not only at the individual level but also across most SHARE countries. Although the findings of the current analysis cannot identify the direction of causality of the observed effects, they still lend some support to the reasonable conjecture that old-age activity engagement matters for individuals’ wellbeing and testify to the suggestion that public health and social care interventions should consider the respective potential well-being gains and therefore foster the facilitation of activities and attachments.     

Psychometric Properties of the Medical Outcome Study Social Support Survey with a General Population Sample of Undergraduate Students

Among non-clinical populations, perceived social support is an important factor in health maintenance and well-being. Among measures that purport to assess perceived social support, the Medical Outcomes Study Social Support Survey (MOS-SSS) is based on a strong conceptual framework and has been subjected to a rigorous psychometric evaluation. Since no studies have investigated its psychometric properties with a young, non-clinical population, the purpose of this study is to investigate the psychometric properties (construct validity, internal consistency, and test–retest reliability) of an Italian version of the MOS-SSS with a non-clinical population sample. A convenience sample of 485 undergraduate students (73.0 % female; mean age = 21.81 ± 1.52) has been recruited. With regards to scale dimensionality, the best fit measurement model found support for the four subscales proposed by the original version: emotional and informational support, tangible support, positive social interactions, and affectionate support (χ ²/df = 4.49; CFI = .92; TLI = .91; RMSEA = .08). MOS-SSS subscales showed good internal consistency (Cronbach’s alpha for the subscales ranged from .848 to .939). Significant correlations were found with measures of psychological well-being (Ryff’s Scales of Psychological Well-Being) and depression (Beck-Depression Inventory-II). Test–retest stability was tested by examining a subsample (N = 225) over a 10-week period (correlation coefficients for the subscales ranged from .502 to .579). The findings suggest that MOS-SSS presents good psychometric characteristics with a young general population sample. Therefore, the MOS-SSS seems to be a psychometrically sound measure for the evaluation of perceived social support among young non-clinical populations.     

Serious psychological distress,sex, and falls among the elderly

Serious psychological distress and falls are two major public health problems among the elderly. This study aims to test the hypothesis that although serious psychological distress can increase the risks of falls among the elderly, it tends to affect elderly women more than elderly men. Data of this study are from the 2011 California Health Survey Interviews (CHIS). We extracted a sample of 13,153 respondents aged 65 and older for this study, including 8,087 females and 5,066 males. We tested both unadjusted and adjusted interaction effects using bivariate and multivariate logistic regression analysis. Elderly women with serious psychological distress had the greatest likelihood of falls as compared to men with serious psychological distress and men and women without serious psychological distress. With respect to the covariates, limitations of physical activity and poor self-rated health status, Asian race, and older age were more likely to be associated with falls. This study provides further information on sex disparities of falls among the elderly such that serious psychological distress has a greater impact on falls for elderly women than elderly men. Thus, the findings of our studies suggest that mental health services and intervention can be useful to prevent falls for elderly women.     

Satisfaction with Life and Psychosocial Factors among Underserved Minorities with Type 2 Diabetes

The objective of this study was to examine the association between biomedical markers of disease management and psychosocial constructs, while also assessing the correlates and predictors of variability for satisfaction with life (SWL) among African American and Hispanic participants with type 2 diabetes. Data were collected from 142 participants during their first visit within a collaborative care program. Pearson product moment correlations, a multiple linear regression, and a one-way analysis of variance were used to examine the research questions. Researchers found psychological distress, social support, and spirituality accounted for twice the amount of variance in SWL for African American participants compared to Hispanic participants. Social support was the strongest predictor of SWL for African American participants, while psychological distress was the strongest predictor of SWL for Hispanic participants. Social support moderated the relationship between psychological distress and SWL for Hispanic participants, but not African American participants. Spirituality did not moderate the relationship for either ethnic group. One significant relationship was noted for BMI and somatization; otherwise, no significant relationships were documented between psychosocial-spiritual and biomedical constructs, which may relate to limited variability in HbA1c. Clinicians and researchers who work with underserved minority patients with uncontrolled diabetes may see improvement in patients’ SWL when screening, treating, and/or studying psychological distress, interpersonal strain, and existential struggles. It is important for practitioners and researchers to consider ethnic group differences in their work since some dissimilarity existed.     

Construction,Robustness Assessment and Application of an Index of Perceived Level of Socio-Economic Threat from Immigrants: A Study of 47 European Countries and Regions

The focus of psychological studies of poverty is usually on the psychological outcomes, causal attributions and the personality characteristics of the poor. Different from previous psychological accounts, the present study considered poverty as a group level phenomenon in the frame of Social Identity Theory, addressing the question of how poor people deal with the negative poor identity. In order to explore which of the three identity management strategies suggested by SIT (so-called individual mobility, social creativity and collective effort) would most likely be adopted by the poor to deal with the negative poor identity, a semi-structured interview study (N = 50) and a survey study (N = 170) were conducted of a sample of Turkish adults living below the poverty line, based on data from a 2011 Report of Confederation of Turkish Trade Unions (TURK-IS, 2011). The analysis of the interviews showed that when people see group boundaries as permeable and the social structure as unstable, they tend to move into higher status groups, even if they perceive the unequal social structure to be illegitimate. On the other hand, when the social structure is perceived as stable, they tend to use creative strategies. The analysis of the survey data mostly confirmed the proposed model, which suggests that a poor identity leads poor people to endorse one of the three identity management strategies through the perceptions of permeability between the poor and the wealthy, and through the perceptions of stability and illegitimacy of the status relations between the poor and the wealthy group.     

Is There an Emotional Cost of Completing High School? Ecological Factors and Psychological Distress Among LGBT Homeless Youth

This study explored the nexus of home and school climate on the psychological distress of lesbian, gay, bisexual, and transgender (LGBT) homeless youth, as well as their experiences during high school. Of the LGBT homeless youth (N = 89) surveyed, 39.3% reported not completing high school. Most participants did not seek support from school staff nor did they report attending a school with a Gay-Straight Alliance. Significantly higher levels of psychological distress were found among high school graduates and those reporting LGBT harassment at home; however, harassment experienced at school was not statistically related to psychological distress. Findings are discussed.     

Assessing Adjustment to Aging: A Validation Study for the Adjustment to Aging Scale (AtAS)

Adjustment to aging (AtA) is a multifactor adjustment process with implications on aging well among older adults. The aim of this study was to develop and validate a scale to assess the factors that older adults recognized as indicators of their AtA, with a cross-national comparative perspective towards aging well. Convenience sampling was used to gather questionnaire data, including demographics and the proposed scale. Complete data was available for 1,291 older community-dwelling adults, aged between 75 and 102 years (M = 83.9; SD = 6.68), who represented four different nationalities. Exploratory and confirmatory factor analyses were performed for dimension reduction and exploration of the factorial structure. Data gathered with the 22-items AtA five-factor scale showed overall good psychometric properties (in terms of distributional properties, statistical significant factor weights, factorial, convergent, discriminant criterion and external-related validities, as well as reliability). Five factors were selected for the Adjustment to Aging Scale: (a) sense of purpose and ambitions (b) zest and spirituality; (c) body and health; (d) aging in place and stability; and (e) social support. We present a 22-item scale with five factors for AtA estimation in a cross-national elderly population which produced valid and reliable data for elder persons from four different nationalities. Results showed that this scale is an adequate cross-cultural instrument for research, clinical practice and program development in the health care context. These may benefit from clearly understanding AtA as an important component for reducing health disparities and for aging well, across nationalities.     

Financial Satisfaction in Old Age: A Satisfaction Paradox or a Result of Accumulated Wealth?

Prior research consistently has found that older adults, despite low incomes, are more financially satisfied than younger adults. This “satisfaction paradox” is typically attributed to elders’ supposed psychological accommodation to poor financial circumstances. We advance a different explanation, one that focuses on substantial age differences in wealth and liabilities. Data are from the first wave of the Norwegian NorLAG study (n = 4,169). Findings support the hypothesis that an examination of a wider range of economic variables shows that material circumstances are more important to the financial satisfaction of the elderly than previously believed. A considerable part of the higher financial satisfaction with increasing age can thus be explained by greater assets and less debt among the aged. Nonetheless, assets and debt do not mediate this relationship at lower incomes, because older people with little income have very little accumulated wealth. As older people with little income and wealth have a much stronger tendency to be financially satisfied than their younger, equally poor counterparts, an “aging paradox” still remains in this field.     

A Changing Nexus Between Unemployment and Suicide in Taiwan: Before and After Labor Welfare Improvement in the Late 1990s

The 2009 economic crisis in Greece had harsh implications on the Greek society. The crisis led to high and increasing unemployment rates, which previously found to relate to increases in suicide rates, health risking behaviors and increased risk of mental health problems. The public’s perceptions regarding the consequences of the crisis are crucial to their recovery. In order to get a comprehensive and thorough view of the public’s perceptions, which will allow to draw conclusions and recommendations for a possible effective intervention program, the current study assessed the perceptions of a representative sample of the Greek adult population (N = 3002) in three sampling waves: December 2011, March 2011 and November 2012. These assessments included questionnaires designed to evaluate perceptions of current quality of life, economic decline, coping with economic and occupational commitments, physical and psychological health, wellbeing, health related behaviors, attitudes towards emigration, sources of support and political and social trust. Findings showed significantly higher perceptions of financial uncertainty and difficulties coping with economic commitments. Participants generally rated their psychological health lower than their physical health. Trust ratings were also found to be generally low, especially for younger populations. Younger populations also showed a more willing attitude towards emigrating out of Greece, compared to older populations. Coping measurements revealed a strong possible tendency to go back to the traditional ties of confidence and trust in family and friends as sources of support. In light of the results, we recommend to build programs that see the family and the local community as a resources of resilience and coping.     

Considering the Role of Nativity in the Health and Psychological Wellbeing of Black LGBT Adults

ABSTRACT

Recent scholars have underscored how the experiences of LGBT people of color cannot be fully understood by considering only the independent contributions of race and sexual orientation. Framed by an intersectional lens, the current study seeks to address this gap in understanding by considering the role of nativity on the health and wellbeing of Black sexual minority adults; we also examined the moderating effects of family support and racial community climate on this relationship. Using national data from the Social Justice Sexuality Project (N = 2,166), we discovered that foreign-born Black LGBT adults had similar levels of psychological wellbeing and physical health as their native counterparts; family support and racial community climate did not moderate this relationship. Our findings did, however, substantiate the importance of family and community support for all Black LGBT adults, regardless of immigration status. Implications of this finding, in addition to directions for future intersectional work on racial minority LGBT people, are discussed.     

Subjective Quality of Life of Young Europeans. Feeling Happy but who Knows why?

Latest developments in modern societies have altered living circumstances. Upcoming insecurities concerning employment and family relationships make life more and more incalculable. Especially young adults throughout the modern world are forced to rethink their life concepts and to desist from the lives of former generations. As difficulties to achieve a successful life increase, one could assume that the young are confronted with the impossibility of feeling happy and satisfied with their lives anymore. Yet, latest social surveys prove wrong. Although increasing unemployment, lower net income and single parenthood make life more difficult for the young, they still enjoy very high subjective quality of life in comparison to the older population. Throughout the paper I argue that it is not the objective conditions that make young adults (15–29 years old) feel overwhelmingly happy. Looking for other sources of explanation of high quality of life among people aged 29 or below, I argue for indicators of social embeddedness as being influential on their assessment of life. But again, the proportion of explained variance is smaller compared to older people. With the help of empirical data taken from the European Social Survey I highlight the differences in life circumstances between the young and the total population. Concerning occupation, habitation (kind of inhabited household) and financial situation, most of the young live under different situations compared to the adult world. But surprisingly, the rates of perceived high quality of life among the young do not vary to such a large extent as among the adults. I show that young adults, often damned to fail social demands because of their withdrawal from social life, are still the most happy in modern (more and more individualizing?) societies. But it gets more difficult to account for the reasons of their happiness.     

三元劳动力市场分割与“新失业群体”失业——基于辽宁的调查

本文主要从辽宁省基本社会特质入手,从制度的角度展开“新失业群体”存在的根源分析。主要是从东北老工业基地特有的三元劳动力市场分割的视角来分析“新失业群体”何以在辽宁省特别突出。即由于劳动力市场三元分割,使得“新失业群体”在不同劳动力市场之间的职业流动发生障碍,导致了“新失业群体”的失业。