Disability insurance risks: The Argentinian case

This article analyses the risk of disability facing workers who contribute to the Argentinian Integrated Social Security System (Sistema Integrado Previsional Argentino— SIPA). Using administrative records as our source of data for the period 2000‐2006, the results indicate that 1.46 workers per 1,000 became disabled annually during that period. The risk of disability rates were higher for men than for women, but increased with age for both sexes. The risk of disability rates have also been broken down by pathology and social security scheme, taking the effects of age and sex into account. To conclude, international comparisons are presented.     

Employment status, psychiatric disability and quality of life: comparison of men and women with schizophrenia in Malaysia

This study explores the association between employment opportunities, psychiatric disability and quality of life of male and female patients with schizophrenia. The data were collected from 100 male and 100 female patients and their primary caregivers through personal interviews. The Disability Assessment Schedule and the Quality of Life Interview were used to collect the data. The results of the present study indicate that a large number of both the men and women were unemployed, although they suffered from only mild psychotic symptoms and had no or only minimum psychiatric disability. However, in almost all areas and levels of psychiatric disability, a significantly higher number of men than women were employed. However, the subjective Quality of Life of the employed men was significantly lower than that of the unemployed. Keeping in mind these two results, the present study argues that there is minimal community recognition in Malaysia for the employment potential of people with schizophrenia. The study also argues that policy makers must legislate to create more appropriate workplaces for the mentally ill. People with schizophrenia are entitled to just and fair treatment, and workplaces should be made attractive to them.     

The impact of gender and disability on the economic well‐being of disabled women in the United Kingdom: A longitudinal study between 2009 and 2014

The present study examined the economic well‐being of disabled and nondisabled men and women in the United Kingdom. Using the 2009–2014 Life Opportunities Survey (N = 6,159 adults), the study is the first longitudinal study to empirically compare the economic well‐being of disabled women in contrast to disabled men and nondisabled men and women. Hierarchical linear modelling and hierarchical linear logistic modelling were used to estimate the longitudinal changes. Findings indicate that, overall, disabled women's economic well‐being improved significantly between 2009 and 2014 even after controlling for other demographic characteristics. However, the improvements were not substantial enough to significantly narrow the economic disparities between disabled women and disabled men and nondisabled men and women. Disabled women remained worse off than disabled men and nondisabled men and women in 2014 as they did in 2009. The findings indicate that intersectional discrimination against disabled women exist in the United Kingdom. Findings from this study provide empirical evidence to support policies that enhance the economic security of disabled women.     

Violence,Negligence and Suicidal Tendency among Physically Disabled Street Children

This study was carried out among physically disabled street children (PDSC) in the city of Dhaka in Bangladesh. The aim of the study was to explore violence, negligence and suicidal tendency among PDSC. To do this, 30 PDSC (15 male and 15 female) were conveniently selected and interviewed with an interview protocol developed by a step‐by‐step process. The results of this study revealed that all the participants experienced physical violence but female children were more likely to experience sexual violence than male children. Violence against disabled children came from both family members or relatives and other people. As with violence, all the participants experienced some sort of negligence, again both from family members or relatives and other people. More importantly, this study found that more than half of the physically disabled children had suicidal tendency to some extent, i.e. some thought of committing suicide at least once in their life, while others attempted to commit suicide due to the sufferings that came with disability. This study concludes with some policy implications, particularly: providing counseling to parents and the disabled children; training of the service providers who provide services to disabled persons; and building awareness through mass media.     

Present and prospective health status of older adults in the Philippines: The role of education

Utilizing current information to project prospective ill health prevalence can help prepare the country to ensure the well-being of older people. The prevalence of ill health in terms of physical, psychological, and cognitive health dimensions was estimated by age, sex, and education attainment level using the 2018 Longitudinal Study on Aging and Health in the Philippines. Subsequently, the said rates were integrated into population projection estimates from 2020 to 2080. It was observed that the depression prevalence rate among older people was highest at above 40%, while physical and cognitive limitations were at around 18% and 22% respectively. It was also found that prevalence rates of ill health increased with age and that ill health was more prevalent among women than men, particularly at more advanced ages. The use of population projections has shown that education differentials in the analyses estimate lower prevalence rates of ill health for both sexes. The findings provide estimates for the prospective care needs of the older population in the Philippines. It was also suggested that education may possibly have preventive effects on ill health. Utilizing present information in order to prepare for issues can be beneficial for securing the well-being of older adults.     

INDIVIDUALS WITH INTELLECTUAL DISABILITY AND MENTAL ILLNESS: A LITERATURE REVIEW

This review highlights the urgency for a seamless and co‐ordinated approach to service delivery for people with intellectual disability and mental illness. There is emerging evidence of the high prevalence of mental illness in persons with intellectual disability. The notion that people with intellectual disability can have mental illness has only been recently acknowledged. Furthermore, people with intellectual disability also experience a wide range of psychiatric disorders often seen in the general population. Despite of recent developments in treatment options for these people, many of them continue to experience barriers in accessing mental health services.     

Use of Professional and Informal Support by Black Men with Mental Disorders

This study utilized data from the National Survey of American Life to investigate the use of professional services and informal support among African American and Caribbean black men with a lifetime mood, anxiety, or substance use disorder. Thirty-three percent used both professional services and informal support, 14% relied on professional services only, 24% used informal support only, and 29% did not seek help. African American men were more likely than to rely on informal support alone. Having co-occurring mental and substance disorders, experiencing an episode in the past 12 months, and having more people in the informal network increased the likelihood of using professional services and informal supports. Marital status, age, and socioeconomic status were also significantly related to help-seeking. The results suggests potential unmet need. However, the reliance on informal support also suggests a strong protective role that informal networks play in the lives of black men.     

Shifting Standards and the Evaluation of Competence: Complexity in Gender-Based Judgment and Decision Making

Gender stereotypes regarding task competence may lead perceivers to set different standards for diagnosing competence in women versus men. Specifically, stereotypes may prompt lower minimum standards (or initial screening criteria) but higher confirmatory standards for women than men (Biernat & Kobrynowicz, 1997). In two studies simulating hiring decisions, predictions were that women would be (1) more likely than men to make a short list for a job but (2) less likely than men to be hired for the same job. Results were generally consistent with predictions only among female participants (Studies 1 and 2), among those exposed to a female experimenter (Study 1), and among those held accountable for their decisions (Study 2). The role of motivational factors in the setting of standards is discussed.     

Too old to test? Prevalence and correlates of HIV testing among sexually active older adults

ABSTRACT

Older adults account for 17% of new HIV diagnoses in the US and are more likely to be diagnosed with HIV later in the course of the disease compared to younger people. We calculated the prevalence and associated factors of having ever been tested for HIV among sexually active older adults. We analyzed data from the 2008–2016 General Social Survey Limited to respondents ≥65 years of age who reported more than one sex partner(s) in past 12 months (n = 757). HIV testing prevalence, prevalence ratios, and 95% confidence intervals were calculated by demographic variables and HIV-related risk behaviors. An estimated 16.3% of sexually active older adults have tested for HIV, and 15.9% were at increased risk for HIV infection (reported injection drug and/or crack–cocaine use, exchanging money for sex, more than three sex partners in the past year, or men who reported having sex with another man). In the adjusted model, adults aged 65–70, not married, self-identified as gay/bisexual, and at increased risk for HIV infection were more likely to have tested for HIV. An estimated 83.7% of sexually active older adults never tested for HIV. Strategies are needed to increase HIV awareness and testing among potentially high-risk older adults.     

Inequalities in child welfare intervention rates: the intersection of deprivation and identity

Child welfare systems internationally exhibit very large inequalities in a variety of dimensions of practice, for example, in rates of child protection plans or registrations and out‐of‐home care. Previous research in the midlands region of England (Bywaters; Bywaters et al.) has detailed key aspects of the relationship between levels of neighbourhood deprivation and intervention rates. This paper reports further evidence from the study examining the intersection of deprivation with aspects of identity: gender, disability, ethnicity and age. Key findings include a decreasing gender gap and a decreasing proportion of children in need reported to be disabled as deprivation increases. The data challenge the perception that black children are more likely than white to be in out‐of‐home care, a finding that only holds if the much higher level of deprivation among black children is not taken into account. Similarly, after controlling for deprivation and age, Asian children were found to be up to six times less likely to be in out‐of‐home care. The study requires replication and extension in order that observed inequalities are tested and explained. Urgent ethical, research, policy and practice issues are raised about child welfare systems.     

Pictures and silences: memories of sexual abuse of disabled people

The article de–individualises the debate about sexual abuse of disabled people, especially women, by showing that both the sexual and asexual identity of impaired persons are invariably fashioned within the institutional arrangement of domination and subjugation. It shows that if disabled persons are seen as asexual or if they are sexualised, they cannot escape sexual violence, which is not an aberration, but is intrinsic to the social construction of disability. The article includes personal testimonies of women with different disabilities from Slovenia, who were abused either at home or in public care and shows some responses of the professionals and caregivers who minimise the importance of abuse. It claims that ignoring the memories of sexual abuse is part of a subtle and unintentional discrimination, which reflects a continuity of prejudices and hatred toward disabled children and adults in the private realm as well as in public care. People from ethnic minorities, such as Roma, are still today more often diagnosed as mentally disabled, which shows that the disability diagnosis has to be seen as part of cultural responses towards an economically and socially marginalised group. The author uses different perspectives: historical, social work theories, cultural studies and feminist analysis.     

Materialist/postmaterialist values and their association with psychological health and health locus of control: A population-based study

This study investigates the association between Ronald Inglehart's materialist/postmaterialist index, a psychological aspect of the material pathway to inequalities in health, and health locus of control and psychological health. The data used is from the 2008 public health survey in Skåne, a cross-sectional postal questionnaire study with 28,198 respondents (response rate 54%), conducted in southern Sweden during the fall of 2008. Psychological health (GHQ12), health locus of control (external vs. internal) and the four-item Inglehart's index were assessed. A Multiple Logistic Regression Model was used to control for age, sex, country of origin, socioeconomic status and interpersonal trust. External locus of control was observed among 32.7% of the respondents. Poor psychological health was found in 18.2% of the women and 13.8% of the men. Materialist values were positively associated with low socioeconomic status, while a reverse association between postmaterialist values and low socioeconomic status was observed. External health locus of control was strongly and positively associated with materialist values among both men and women. Psychological health was not associated with materialist/postmaterialist values. The materialist/postmaterialist index, a psychological aspect of the material pathway to inequalities in health, is associated with health locus of control but not with mental health.     

残疾女性的生存境遇及其相关对策思考——以河南省为例

残疾女性是社会生活中亟需关注的弱势群体。残疾和女性的二重身份使得她们在社会生活中面临诸多困境。为此，需要我们积极进行对策思考，以便能帮助残疾女性尽快走出生存困境，求得更好的发展。     

Short-term care for children

Research into short-term care services for children has largely concerned provision for disabled children and their families: a reflection of the greater development of services for disabled children than their non-disabled peers. This paper describes the range of services in the UK, identifies current gaps in provision as well as some of the factors that affect uptake and user satisfaction with services. It concludes with a summary of current issues of concern for practitioners and policy-makers, including the importance of making services more child-centred and attractive to a wider cross-section of families.     

Into adulthood: a follow-up study of 718 young people who were placed in out-of-home care during their teens

In this study, national register data were used to analyse long‐term outcomes at age 25 for around 700 Swedish young people placed in out‐of‐home care during their teens. The sample consisted of 70% of all 13‐ to 16‐year olds who entered out‐of‐home care in 1991. Results revealed a dividing line between young people placed in care for behavioural problems and those placed for other reasons. Young woman and men from the first group had – in comparison with peers who did not enter care – very high rates of premature death, serious involvement in crime, hospitalizations for mental‐health problems, teenage parenthood, self‐support problems and low educational attainment. Young people who were placed for other reasons had better outcomes, but still considerably worse than non‐care peers. Young women tended to do better than young men, regardless of reasons for placement. Very high rates of hospitalizations for mental health problems were found among young people placed for behavioural problems. Breakdown of placement was found to be a robust indicator of poor long‐term prognosis.     

Does Low Willingness to Respond Introduce a Bias? Results from a Socio-epidemiological study among Young Men and Women

The aim of this study was to investigate if willingness to respond can introduce bias in a population survey and to study the socio-economic characteristics of those with high and low willingness to respond. Two groups of final-year pupils at compulsory school were surveyed five years after leaving school, at the age of 21. The data were collected during class meetings, by mailed questionnaires, telephone and personal interviews. The response rates in the studies were proportionally high – about 98% and 90% respectively. In both surveys there were more men compared to women who were late respondents or non-respondents. Long-term unemployment and lack of upper secondary school for both men and women, as well as living with a partner for men, corresponded to low willingness to respond to a survey. A higher alcohol consumption – between 1.5 to 6.5 times – was observed among those with lower willingness to respond. Even a low rate of non-response can introduce a serious bias and produce uncertain results in, for example, studies on the consequences of youth unemployment on alcohol consumption.     

社会分层与健康不平等的性别差异:基于生命历程的纵向分析

本研究考察在社会分层与性别分层的交互作用下,生命历程中的两个竞争性理论--“累积优势/劣势理论”和“年龄中和效应理论”,哪一个更能解释中国男性和女性所经历的健康不平等。本研究利用“中国健康与营养调查”（CHNS）追踪数据和成长曲线模型发现,性别对社会分层导致的健康不平等及其发展有独特的影响。与男性相比,女性在各个年龄阶段都处于健康劣势,这一劣势是因为女性从教育和收入所获得的健康回报比男性低。此外,女性之间因为教育和收入导致的健康不平等程度随年龄的增长而缩小,男性之间的健康不平等程度并不随年龄的增长而改变,因此,本研究不支持健康不平等的“累积优势/劣势假说”,而是在女性群体中支持“年龄中和效应理论”。     

Disabled Children's Experience of Permanency in the Looked After System

Research with seven local authorities in England provided dataon the ‘care careers’ of 596 foster-children overthree years (Sinclair et al., 2005). One part of this studylooked at the experiences of disabled foster-children comparedto non-disabled foster-children. The research aimed to identifyif there were any particular difficulties in pursuing permanencyfor disabled looked after children. This article introducesa concept developed by the author from this work: the idea thatdisabled children may be at risk of experiencing a ‘reverseladder of permanency’; being less likely than their peersto receive permanent placements such as adoption and returnhome. The results of the study partially supported this hypothesis,reinforcing existing findings and highlighting some new ones.Foster-children with learning but not other impairments wereless likely to be adopted. All disabled children were less likelyto return home and therefore remained in foster-care for longer.Disabled children who were adopted, or who returned home, didso after a greater delay compared to non-disabled children.By contrast, children who were ‘clearly disabled’achieved a greater degree of permanence within the care system.The article concludes by considering the implications of suchfindings for policy and practice.