Early Childhood Maltreatment: Substantiation related to Family Risk and Intervention Factors

Child maltreatment interventions had been targeted on intervening parental factors among risk families. However, limited knowledge was known about possible interaction effects between certain family risk factors and such intervention factors. The present study used existing Child Protective Service (CPS) data to explore interaction effects between two family risk variables (child maltreatment pattern and domestic violence) and three common intervention variables (quality of parent–child connection, caregiver knowledge and caregiver skill) on child maltreatment substantiation. Findings showed good quality of parent–child connection, caregiver knowledge, and caregiver skill significantly predicted lower risk of child maltreatment. However, the significant effects were found only among families of minor child maltreatment pattern and were greater for non-domestic violence families. In all, findings of this study suggested that different intervention emphasis might be needed to work with families of more severe risk issues.Szu-Yu Chen and Maria Scannapieco are affiliated with Center for Child Welfare, School of Social Work, University of Texas at Arlington, Arlington     

Dementia Caregiving in the Context of Late‐Life Remarriage: Support Networks,Relationship Quality,and Well‐being

Caregiving research has not accounted for increasingly diverse and complex marital and family histories of older Americans. The authors examined social relations and care‐specific positive and negative support networks among late‐life remarried wife dementia caregivers (N = 61) to determine associations among network structure, relationship quality with and support received from network members, and global assessments of family and stepfamily disagreement on caregiver well‐being. Own family and friends predominated in the social relations and positive networks. Although over half (54%) of respondents included a stepfamily member in their positive networks, stepchildren comprised the largest group (35%) in the negative networks. Larger negative networks and actively negative interactions were related to greater caregiver burden, and more global disagreement with stepfamily was associated with greater depression and burden. The findings illustrate the complex nature of support and the value of targeted examinations of caregiving support dynamics among late‐life remarried older adults and stepfamilies facing health demands.     

Support,Discrimination, and Alcohol Use Among Racially/Ethnically Diverse Sexual Minority Youths

Rates of alcohol use for sexual minority youths are nearly twice that of their heterosexual peers, yet specific risk and protective factors associated with alcohol use among sexual minority youths remain unclear. Structural equation modeling is used to examine relations among alcohol use, peer and family support, and discrimination among 207 diverse sexual minority youths. Discrimination had no relationship to alcohol use; however, it was negatively associated with peer and family support. Peer support was associated with greater alcohol use among bisexual youths. This study adds to our understanding of the roles of discrimination, social support, and alcohol use among diverse sexual minority youths.     

‘The first Taiwanese wives’ and ‘the Chinese mistresses’: the international division of labour in familial and intimate relations across the Taiwan Strait

Abstract For the last two decades, Taiwanese businessmen have gone to China to invest and do business there. While in Taiwan, many have become involved in extramarital affairs with local women, creating an international division of labour in both families and intimate relations. Taiwanese wives are categorized as ‘the first wives’, a term that is largely associated with the conventional duties of a housewife as the primary caregiver for the family. Chinese women are categorized as ‘mistresses’, a label that portrays them as intruders into these Taiwanese families and stigmatizes them with the strong sexual and entertainment implications of their relationships with these men. By using an ethnographic and documentary approach to explore the complex relations among Taiwanese businessmen and their wives and mistresses across the Taiwan Strait, this article reveals an often overlooked connection between the global economy and the challenges it imposes on the international division of labour in the family and on transnational feminism.     

African American caregivers' resources for support: Implications for children's perceived support from their caregiver

School-aged children often turn to their primary caregiver, such as a mother, father, or other close relative, for support in dealing with difficult situations. This cross-sectional, school-based study examined whether urban, lower-income African American caregivers' stressful life events, affective symptoms, and perceived support from their social network were associated with their children's perceptions of support from and conflict with the caregiver. Forty-six African American children aged 8–12 years and a primary caregiver were recruited from a partnering Midwestern United States elementary school and separately interviewed. Results showed that caregivers' report of greater support from their social network across a variety of domains was associated with children's report of greater instrumental support from their caregiver. Caregivers' report of greater attachment to members of their social network was associated with children's report of greater emotional support from their caregiver. Implications of findings for mental health promotion among children and families are discussed.     

Perceived overload as a predictor of physical strain among spousal and adult child caregivers of frail elders in the community

ABSTRACT

Family caregivers of frail elders can experience physical strain associated with caregiving. Identifying correlates of caregiver strain can provide an important impetus for tackling the causes and providing effective interventions. Utilizing data from the 1999 National Long-Term Care Survey, the current study examined correlates of caregiver physical strain among 956 family caregivers, using the stress process model. As multiple regression analyses indicated, the caregiver’s perceived overload predicted greater strain for both spousal and adult child caregivers. For both groups, common correlates of physical strain were caregiving demands, the caregiver’s perceived overload, and limitations placed on the caregiver’s life. The results demonstrate that the family relationship of the caregiver (spouse or adult child) leads to variations and dynamics in caregiver strains, due to qualitatively different relationships.     

“No Matter What I Do They Still Want Their Family”: Stressors for African American Grandparents and Other Relatives

Grandparents and other relatives increasingly assume the role of primary caregiver to minor children. This study interviewed family members caring for children whose parents were not available due to parental incarceration, other involvement in the criminal justice system, and substance abuse-related issues. Interviews with 25 African American women examined the impact of caregiving including stress and depression. Stress included caregiver issues related to finances, time allocation, care responsibilities, and concerns about the absent parent, as well as issues specific to the children related to school concerns, child behavior, and emotional problems. These stresses were examined along with caregiver depression scores using the Center for Epidemiological Studies Depression Scale, which indicated more depression related to caregiver illnesses, older caregivers, and care for older and a larger number of children. This study suggests that caring for these children is both challenging and stressful, and caregivers are at risk for depression and other mental health concerns. Health and service providers should carefully assess the needs of caregivers when determining the needs of families where children are under care of nonparental relatives. Family-based services are needed that include caregiver supports as well as support for children.     

Renegotiating family gender identities in a disadvantaged Atlantic Canadian working-class community: young adults' perspectives

Within a climate of reduced social welfare support, disadvantaged working-class communities in Canada are in transition as they consider their futures without the industries that were once the staples of their economies. In this paper, I examine how a group of young women and men living in Industrial Cape Breton – a disadvantaged Atlantic Canadian working-class community – negotiate the traditional gendered identities ascribed to them through local history with twenty-first-century conceptions of family and gender. Young adults in this study suggest that class-based and gender-based capital plays a significant role in how these changes are experienced by individuals, families, and communities. Furthermore, the social, economic, and psychological expenses for individuals attempting to secure economic comfort and gendered respectability in their disadvantaged communities leave little time and energy to critically reflect on the systemic social and economic conditions that enable class-based gender inequalities to thrive. As a result, traditional concepts of the masculine family ‘breadwinner’ and the feminine family ‘caregiver’ survive even as the societal basis for these roles is eroded by global capitalism.     

Racial and Ethnic Differences in Family Caregiving in California

Abstract

Family caregivers are the main source of long-term care for older persons in the United States. At the same time, cultural values and beliefs shape decisions surrounding who provides care and whether families use formal support interventions to assist the caregiver. The current article examines how the family caregiving experience differs among racial and ethnic groups in terms of caregiver characteristics, service utilization, caregiver strain, and coping mechanisms. Telephone interviews were conducted in English and Spanish with a random sample of 1,643 respondents in California who provide care to someone age 50 or over. Bivariate analyses showed evidence of ethnic differences in the demographic characteristics of caregivers, intensity of care provided, caregiver health, level of financial strain, religious service attendance, formal service utilization and barriers to formal services. Odds ratios showed that White and African American caregivers were about two times as likely to use formal caregiver services as were Asian/Native Hawaiian/Pacific Islander and Latina American caregivers. Implied by these findings is the need for further understanding of caregiver service needs among diverse racial and ethnic groups.     

Caregiver burden, dementia, and elder abuse in South Korea

The purpose of this study is to identify characteristics that would increase the likelihood that a Korean older adult with dementia being cared for by a family caregiver is at risk of being abused. This analysis was based on a sample of 481 primary family caregivers from the data of Comprehensive Study for the Elderly Welfare Policy in Seoul (2003). Multiple regression analysis was used to examine predictors among the demographic characteristics of caregivers and care recipients, the severity of cognitive impairment, functional ability, caregiver burden, and social support for the degree of elder abuse. The degree of elder abuse was significantly associated with caregiver burden, mental impairment, dependency of daily living of care recipient, and use of formal services.     

GENDER DIFFERENCES IN JOB SATISFACTION

This article analyzes gender differences in job satisfaction among full-time workers. Why do women report equal or greater job satisfaction than men in spite of objectively inferior jobs? Analysis reveals few differences between men and women in the determinants of job satisfaction when considering job characteristics, family responsibilities, and personal expectations. Little support is found for theories that men and women: (1) focus on different aspects of work in arriving at a given level of job satisfaction; (2) differentially condition their job satisfaction according to the extent of their family responsibilities; and (3) employ different personal expectations in evaluating their jobs. Two alternative explanations for women's relatively positive job attitudes are considered. First, women may arrive at a higher level of job satisfaction than men by using different comparison groups. Second, men may be more willing to verbalize dissatisfaction with work because of different socialization. The most likely explanation is that these processes operate in conjunction to produce greater reported job satisfaction among women.     

Self-identifying as a caregiver: Exploring the positioning process

There is a huge body of research focused on family caregivers. Underpinning this body of knowledge is the assumption that there exists some distinct entity known as a ‘caregiver’. Drawing on data generated through in-depth qualitative interviews with forty seven family caregivers, this paper will examine the usefulness of this self-identification to family members. Questions asked of the data included: how does one come to self-identify as a caregiver, what does it mean to be a caregiver, and how does affiliation with this self-identity influence the experience of caring for an older or frail family member. The analysis suggests that a recognition of oneself as a caregiver is produced primarily through interactions with others; without external influence, family members will often see the work they are doing as simply an extension of their relational role. Affiliating oneself as a family caregiver appears to have positive benefits which include promoting effective use of community support services and creating a sense of belonging and connection to a broader community. This can be empowering. However, an unintended consequence of assuming the position of caregiver may be the inadvertent discounting and marginalization of the person requiring care. Positioning theory is introduced as a useful conceptual frame for understanding the process and implications associated with self-identifying as a caregiver.     

Australian Mandatory Retirement Challenged

Australia experienced declines in older workers' participation in the labor force similar to that of the United States during the 1970s, but it has taken more than 10 years to enact the same policy changes in age discrimination in employment. In order to promote a considered internationalism as opposed to parochialism in policy, this paper considers two questions about this case, namely, "Why did Australia take so long to change?" and "What has been learned from the North American experience?" On the first question, it is argued that Australians are beginning to move only slowly from a European view of retirement as leisure in "old age" towards the more active notions in North America and among its Asian neighbors. Elites in government are responding to a growing political consciousness among the seed seeking a new deal in rights of a access to work and other activities. On the second question, it is argued that the North American experience leads us to moderate strong claims about age discrimination and to be less optimistic about major improvements in older workers' participation arising from legislation outlawing age discrimination. This evidence has reduced the contentiousness of the issue in Australia and allowed focus on the more practical issues of how to make the legislation work to protect the rights of older people.     

DESPAIR, DISTRUST AND DISSATISFACTION AMONG BLACKS AND WOMEN, 1973–1987

Discontent among American blacks and women is examined with indicators of the anomia of despair and distrust, and of job and financial dissatisfaction. Nine years of General Social Survey data covering 1973 through 1987 show that blacks' discontent exceeds whites' in most instances examined; and black women more frequently show significantly higher discontent than other race/gender groups. Also, blacks' discontent more often exceeds whites' among persons high in SES than among those low in SES. But gender main effects are almost nonexistent; and white women almost never show more discontent than other race/gender groups. This unexpected finding may be related to white women's greater identification with race than gender and their perception of general but not personal discrimination. Failure of the gender/discontent relationships to differ with the American president in office may have a similar explanation. But, as expected, racial differences in discontent tended to be higher during the Nixon/Ford and Reagan administrations than Carter's.     

Childhood Sexual Abuse and Drug Use Among Low-Income Urban Puerto Rican Women

SUMMARY

This study examines the relationship between childhood sexual abuse and adult drug use among low-income urban Puerto Rican women. Interviews were conducted with 718 women, 408 involved in drug use and a comparison group of 310 non drug-users. Results demonstrate a strong association between childhood sexual abuse and adult drug use. The impact of childhood sexual abuse was greater for women reporting greater abuse severity, abuse by a family member, and increased abuse duration. Findings support a direct effects model of childhood sexual abuse on adult drug use. The increased rates of drug use among victims of childhood sexual abuse did not appear to be mediated by other childhood maltreatment or family background factors. Implications for practice and research are discussed.     

Gay Bars and Serendipity

Abstract

HIV/AIDS continues to be a serious public health issue. As HIV changes from an acute disease to a more chronic illness, it places increased responsibility on family caregivers to provide on-going assistance. Based on a conceptual model of caregiving resilience, this study found high variation in caregiving outcomes with many caregivers demonstrating high levels of well-being despite adverse life circumstances. Factors that contributed significantly to caregiver well-being included income, caregiver health, discrimination, multiple loss, dispositional optimism and self-empowerment. These findings suggest that HIV/AIDS and caregiving entail more than stress and distress and that future research needs to consider caregiving within the context of a historically disadvantaged community, resilience of informal caregivers, and risk and protective factors at the personal, cultural and community levels. Such information is necessary to design community-based interventions to support informal caregivers and persons living with HIV/AIDS.     

Sexual orientation and self-employment: New evidence

Early studies and theory suggest sexual minorities are drawn towards the relative independence of self-employment to avoid discrimination in paid employment. However, recent evidence is mixed, suggesting that a higher propensity for self-employment (relative to heterosexual people) is found only among lesbian women relative to heterosexual women. This study overcomes the data limitations of prior research by using data pooled from 2007–2017 cycles of the Canadian Community Health Survey (CCHS) and multivariate logistic regression to provide new evidence on LGB self-employment. The results show that self-employment is particularly high for bisexual people, especially bisexual women—but not for gay men or lesbian women. Overall, this study examines the enduring but nuanced relationship between self-employment and sexual orientation and discusses countervailing factors related to socio-economic resources, gender, and family structure.     

Unsanctioned births in China

This study hypothesizes that "unsanctioned" births (beyond the limit authorized by the government) in China are more likely among couples who have strong traditional fertility norms and less likely among couples who adopt new family planning norms. The theoretical framework is based on cultural conflict theory as developed by Sellin. Data are obtained from 6654 ever married women aged under 49 years from the 1987 In-Depth Fertility Survey for Guangdong province. Over 30% of the sample were married before 20 years of age. 20% had 1 child, 26.7% had 2 children, about 23% had 3 children, 13.9% had 4 children, and under 10% had 5 or more children. The average number of living children was 2.5. Findings reveal that socioeconomic status was significantly related to unsanctioned births; they were more common in less developed areas and among women of lower socioeconomic status (SES). Persons living in areas with a high monetary contribution per person in family planning efforts at the county level were less likely to have unsanctioned births. Women who lived in urban areas, worked in state enterprises, and had parents with high educational status were less likely to have unsanctioned births. They were more likely among women who married at an early age, lived with parents after the marriage, had female living children, and had failed pregnancies. They were also more likely among women who had arranged marriages, a traditional desire for large family sizes, an early marriage ideal, and a preference for sons. Knowledge of family planning and greater use of abortion were related to a lower incidence of unsanctioned births. Women who talked with their husbands about their family size desires were less likely to have unsanctioned births. Parental educational attainment only had an influence among rural women. Variables impacted on fertility differently in urban and rural areas.     

Living and loving with dementia: Negotiating spousal and caregiver identity through narrative

In this paper, we examine how Alzheimer's disease and related disorders (ADRD) affect caregivers' perceptions of change in the identity of their afflicted spouse and the ways in which accompanying changes in caregiver identity influence intimate relations. We also explore how gender shapes the ADRD caregiving experience among married couples, specifically, the extent to which intimate relations are also gendered relations. The study group was comprised of spousal caregivers recruited from support groups in the two Midwestern states and from the Alzheimer's Disease Center (ADC) at a large Midwestern university hospital. In-depth interviews were conducted with 13 men and 15 women whose spouses had ADRD. The intensive interviews confirmed that identity change on the part of sick spouses had important implications for intimacy, although not always in adverse ways. The majority of caregiver husbands and wives reported diminished intimacy as a result of the ADRD. Many men and women believed they would retain feelings of closeness to their afflicted spouses as long as they were alive. Wives were more likely than husbands to report that changes in their spouses' identity altered how they identified themselves within their marriage. This has important implications for intimate relations between people with ADRD and those who care for them. Our findings suggest that caregiving and intimacy are very different experiences for men and women, and point to the need for caregiver education and support.