An Exploration of the Experience of Lesbians with Chronic Illness

An exploration of the challenges facing lesbians with chronic conditions and their coping strategies was investigated by examining the experiences of participants who were clients of a volunteer organization serving chronically ill lesbians. This article reports the results associated with those challenges, with its ultimate goal being and to assess the effectiveness of current services. Using the participant observation method, as employed by O'Toole (2000 O'Toole, C. J. 2000. The view from below: Developing a knowledge base about an unknown population. Sexuality and Disability, 18(3): 207–224. [Crossref], [Web of Science ®] , [Google Scholar]), the analysis was based on multiple data sources and 10 years experience within the volunteer organization, including 3 years in direct client support. A qualitative method served as the primary focus for the study. The quantitative method preceded the qualitative method and provided limited supporting data. The total number of participants included all past and current clients, but the number participating in each data source varied. Qualitative sources included archival structured interviews (n = 69), taped interviews (n = 5-6), and extensive comments written in response to the quantitative surveys (n = 14). The quantitative measures (n = 14) included the researcher-developed Chronic Conditions Challenges Checklist (C4) and the Short Form of the McGill Pain Questionnaire ([SF-MPQ]; Melzack, 1998 Melzack, R. 1998. “The short-form McGill pain questionnaire”. In The compendium of quality of life instruments, Edited by: Salek, S. 2J:3–2J:3C. New York: Wiley. (Compiler) [Google Scholar] ). A content analysis of all data sources found a number of challenges that met the criteria of being identified in at least two data sources and across multiple participants. Challenges included those related to the disease process (i.e., pain, fatigue, and decreases in mobility) to impacts of the condition (financial security, ability to participate, support from family of origin and independence, loneliness, and issues related to mental health). Challenges were discussed in terms of those that are similar to and different from other women suffering from chronic illness, as well as their relevance to related literature.     

Unnecessary Risks: An Exploration of the Immunization Status of Older Women in Long-Term Care Facilities and the Community

ABSTRACT

The purpose of this study was to determine the extent to which women 65 years of age and older had received immunization services consistent with the U.S. Preventive Services Task Force Recommendations. Analysis of data from a group of residents in 3 selected long term care facilities (n = 130) and a community group (n = 1,442, 1991 NHIS-HPDP Supplement) revealed that both groups surpassed the recommendation for influenza vaccinations but failed to meet the mark in receipt of either pneumonia or tetanus immunizations. These findings suggest that older women in long-term care facilities and the community are at an unnecessary risk for preventable diseases.     

The Influence of Materialistic Inclination on Values,Life Satisfaction and Aspirations: An Empirical Analysis

This article attempts to measure the effect ofmaterialistic inclination on the degree of lifesatisfaction. The study is based on a sample of about1600 respondents randomly selected from differentparts of the city state of Singapore. Theserespondents were divided into two distinct groups withhigh or low materialistic inclination. It wasobserved that when these respondents were asked torate the importance of the nine items from Kahle'sList of Values, the ratings of seven of these itemswere found to be significantly different between thetwo groups. The two groups also indicated differentchoices when asked to rate the things they wanted mostout of life. Finally, it was revealed that they alsoreported different degrees of satisfaction withvarious domains in life in general. However, as withregard to satisfaction with life in Singapore inparticular, there were no significant differencesobserved between the two groups.     

Aspirations of Migrants and Returns to Human Capital Investment

Although there is adequate literature on the topic of state-employer collusion, this literature is barely underpinned in any theoretical framework. This article attempts to fill this theoretical lacuna by revisiting Gouldner’s (Patterns of industrial bureaucracy: a case study of modern factory administration, The Free Press, New York, 1954a) pioneering theoretical framework on patterns of bureaucracy, and extends his concept of mock bureaucracy to develop a new concept called ‘mock state bureaucracy’ to illustrate state-employer collusion in controlling workers in plants in developing third world economies. The article revisits and extends Gouldner’s (1954a) unit of analysis from the ‘firm’ level to the ‘state’ level and argues that the new concept mock state bureaucracy provides a better illustration of the state-employer collusion. The article argues that both ‘state’ and ‘employer’ are important units of analysis and they should be brought back to the centre stage of any discourse on employment relations of developing countries.     

广东在业人口行职业构成分析

根据第五次人口普查资料,本文详细描述了广东就业人口的总量变化,行职业构成与特征,并提出了今后发展中存在的主要问题及相关建议。     

流动儿童家庭教育期望的影响因素探析——基于北京市某区的问卷调查

利用"人口迁移与儿童发展的跟踪研究"基期数据,本文讨论了流动儿童家长对其子女的教育期望及影响因素,旨在回答流动儿童家长的教育期望是否存在差异,以及家长的个人生活经历与社会态度是否会影响到家长的教育期望这两个问题。结果发现,希望子女能够接受更高层次的教育仍然是中国社会较为普遍的现象;就读于不同学校儿童的家长,其教育期望的确存在差异,但这与家庭的经济条件无关;儿童的学习成绩、家长的受教育程度、家长对家庭教育的重视程度、对学历重要性的认识程度等家庭的文化背景及家长的社会态度乃是影响家长教育期望的主要因素;并且,父亲和母亲对子女的教育期望是不同的。但教育选择(就读何种类型的学校)与教育期望之间的因果关系等问题尚需进一步讨论。     

生育关怀行动探究

一、生育关怀行动的背景我国实行计划生育30多年来,少生了4亿多人,提前实现了人口再生产类型的历史性转变,有效地缓解了人口增长对资源环境的压力,有力地促进了经济发展和社会进步。这一举世瞩目的巨大成就为我国的现代化建设提供了良好的人口环境。     

Development and Validation of the Older Patient Assessment of Chronic Illness Care (O-PACIC) Scale After Hospitalization

Objectives of this study were to develop and validate an instrument to assess older patients’ experiences with integrated care delivery after hospitalization. Our study was conducted among older individuals (≥65) who had recently been discharged from a hospital. At T1, 3 months after hospital admission, 296/457 patients (65 % response) were interviewed in their homes. At T2 12 months after hospital admission, 242/436 patients (56 % response) were interviewed. Point of departure for the development of the scale was the 20-item Patient Assessment of Chronic Illness Care (PACIC), which is proven to be a valid measure to assess chronically-ill patients’ assessment of integrated primary care delivery. We tested both the PACIC and new instrument by means of structural equation modeling, and examined its validity and reliability. After eliminating 10 items of the PACIC, the confirmatory factor analyses revealed good indices of fit with the 10-item Older Patient Assessment of Chronic Illness Care (O-PACIC) Scale. To estimate construct validity of the instrument, we looked at correlations between PACIC and O-PACIC scores and the satisfaction with stroke care home subscale (SASC-Home) questionnaire. Both the PACIC and O-PACIC significantly correlated with SASC-Home subscale (at p ≤ 0.001), which indicated validity. This study demonstrated that O-PACIC is a feasible, reliable and valid tool, with strong psychometric properties. We conclude that the O-PACIC is a promising instrument to evaluate integrated care delivery after hospitalization among older patients.     

Sexuality and the Older Adult: An Overview with Guidelines for the Health Care Professional

Research emphasis in sexuality and aging has progressed beyond earlier questions of whether sex exists and whether sexual capacity is maintained as one ages. Clinical research is thus moving into the practical realm of (1) educating health care professionals who work with, and must deal with the sexual issues of older adults, and (2) addressing neglected areas such as widowhood sexuality and homosexuality. This paper provides a current overview, along with guidelines for program development within the area of sexuality and aging. It is emphasized that any educational or therapeutic intervention should reflect a respect for the continuity of one's sexual lifestyle, and a readiness to explore alternative methods of meeting sexual and affectional needs of older adults who remain interested in their sexuality but who are disabled, without partners, or find themselves in a restricted environment.     

Population and Resources: An Exploration of Reproductive and Environmental Externalities

This article identifies four types of social externalities associated with fertility behavior. Three are shown to be pronatalist in their effects. These three are exemplified by the way theories of economic growth treat fertility and natural resources, the way population growth and economic stress in poor countries are seen by environmental and resource economists, and the way development economists accommodate environmental stress in their analysis of poverty. It is shown that the fourth type of externality, in which children are regarded as an end in themselves, can even provide an invidious link between fertility decisions and the use of the local natural‐resource base among poor rural households in poor countries. The fourth type is used to develop a theory of fertility transitions in the contemporary world; the theory views such transitions as disequilibrium phenomena.     

Mobility and Professional Networks in Academia: An Exploration of the Obligations of Presence

This article explores the obligations of presence behind work-related mobility for academics in internationalizing higher education systems. By further developing John Urry’s concept of ‘meetingness’, the article reveals how academics depend on corporeal and virtual mobility to create and maintain a networked professional life outside their own institution, which is crucial in the context of changing work conditions. Our insights are drawn from original qualitative research (42 interviews) in a Flemish and Danish context. The data reveal obligations of presence associated with an interrelated mix of functionality, and the construction of dense and sparse social networks that together support career success and work at the frontiers of academic knowledge. Despite the now well-recognized costs of corporeal mobility, obligations of presence result in virtual and corporeal mobility coexisting, rather than the former substituting for the latter. Virtual mobility is mainly used when conflicting obligations of presence exist, and as a means of sustaining networks over time given the processual nature of meetingness, rather than as a means to reduce levels of corporeal mobility.     

An Exploration of Sexual Minority Stress Across the Lines of Gender and Sexual Identity

Despite growing evidence to suggest that gays, lesbians, and bisexuals experience a range of stressors and consequences related to their sexual minority status, no known studies to date have employed focus group discussion to explore and document their perceptions of sexual minority stress. In this exploratory study, we present focus group data on a range of sexual minority stressors as described by 43 gay men, lesbians, and bisexual men and women. We explore gender and sexual identity differences in the respondents' perceptions of heteronormativity, disclosure issues in different social settings, sources of support, and strategies for coping with stress. Respondents reported that women's same-sex relationships were eroticized and distorted to accommodate heterosexual male desire, while men were negatively depicted as sexually promiscuous and deviant. These differing stereotypes held important consequences for disclosure decisions and affected men's and women's social interactions with heterosexual men. Bisexual respondents reported unique strategies to cope with exclusion and isolation associated with misunderstandings about their sexual identities. Directions for future research on sexual minority stress are discussed.     

Motivations for the inmigration component of population turnaround in nonmetropolitan areas

Data from a 1977 survey of metropolitan and nonmetropolitan origin households migrating to 75 high net inmigration counties of the Midwest are examined to consider the motivational basis for the inmigration component of post-1970 nonmetropolitan migration trends. Findings suggest that the major stated motivations for leaving places of origin, especially among those from metropolitan areas, are "quality of life" considerations. Abouth a fourth of the metropolitan origin migrants' and half of the nonmetropolitan origin migrants' reasons are job-related. Anti-urban push and pro-rural pull responses are prevalent among migrants from metropolitan areas. Subsequent analysis of reasons for leaving metropolitan residences suggests consistency with other objective variables. Among households with a working-age head, those leaving for "quality of life" reasons came disproportionately from the largest metropolitan centers and went to the smallest towns. Those moving for non-employment reasons are not more likely to have taken an initial income loss, though they are less likely to experience immediate income gains.     

老年人医疗保健支出水平及其影响因素分析——慢性病高发背景下的老年人医疗保健制度改革

选取年内绝对和相对医疗支出两个指标,采用Tobit模型,检验影响老年人医疗保健支出的因素。研究发现慢性病、收入、居住地、社会保障对老年人医疗保健支出的影响突出,其中慢性病的影响尤为显著,在此基础上提出调整城乡医疗资源配置结构,健全社会保障政策,在医疗保健制度中增加预防性保险与服务的政策性建议。     

Occupational segregation and the gender wage gap

The role of occupational segregation in the determination of gender wage differentials is assessed. It is found (1) that occupational segregation plays less of a role in explaining wage differentials than do traditional human capital variables; (2) that earnings profiles generated with data that include a percent female (PF) measure of occupational segregation are not ideal for testing human capital predictions yet nonetheless yield parameters consistent with neoclassical theory; and (3) that lifetime work considerations, such as the degree of one's labor force intermittency, are important in determining both one's occupation and wage. The implications are that government antidiscrimination policies based on outcome measures are in general inefficient. Instead, the government should concentrate on creating incentives for women to participate in the labor market on an equal basis as males.     

Older Women's Body Image and Embodied Experience: An Exploration

ABSTRACT

This paper presents and analyzes findings from unstructured interviews with women aged 61 to 92 regarding their perceptions and feelings about their aging bodies. The data are discussed in light of the existing literature on women's body image which has largely ignored the experiences of women in later life and which has tended to focus on adolescent and middle-aged women. Given the fact that beauty is equated with youthfulness and thinness in our society, older women face unique challenges as they strive to construct and maintain positive evaluations of self. The women in the study exhibit the internalization of ageist beauty norms even as they assert that health is more important to them than physical attractiveness and comment on the ‘naturalness’ of the aging process.     

Motivations for the use of birth control: Evidence from West Africa

A conventional assumption in the family planning literature is that birth control in developing countries is first adopted by high parity women who wish to cease childbearing. The empirical support for this belief has mainly been drawn from interview surveys on the motivations for, and the timing of, the inception of birth control among married women in areas where there is no cultural precedent for birth spacing by traditional means. This study, on the other hand, is based on data drawn from an area sample of 6,606 women, married or single, aged 15–59, in Ibadan, Nigeria, where there is a tradition for the practice of abstinence after a birth for the purpose of birth spacing. The Nigerian pattern revealed in the data presented here is indeed distinctive in many respects: (a) although premarital sex is prevalent, levels of premarital contraception are high; and (b) within marriage, spacing is the most prominent motivation for contraceptive practice, more important than the limitation of family size.     

Advocacy Communication and Social Identity: An Exploration of Social Media Outreach

Increasingly, advocacy organizations employ social networking sites as inexpensive and often effective ways to disseminate outreach messages. For groups working to reach lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth, social media provide key platforms for connecting with target audiences. Although these young people increasingly utilize social media, little is known about how digital advocacy campaigns influence their sexual identity formation. This article applies concepts of social identity to examine how LGBTQ youth understand advocacy campaigns, how they perceive LGBTQ as a social category presented in campaigns, and what values they assign to LGBTQ group membership.     

我国高龄老人照料资源分布及照料满足感研究

高龄老人是一个对照料需求更高的群体,目前,高龄老人的照料完全满足感并不高。在居家养老建设不断加快的背景下,高龄老人的照料资源仍然集中在家庭内部,他们对社会服务的利用率极低;高龄老人的年龄、健康状况、经济状况、所在城乡以及照料者类别及其意愿对照料满足感的影响较大。政府及社会在提升高龄老人照料满足感的过程中,要科学规划居家养老服务,关注贫困、认知能力差和空巢高龄老人群体,重视家庭代际和谐建设,加快专业社工队伍发展,加强国际交流。     

An Exploration of the Burnout Situation on Teachers in Two Schools in Macau

To explore the burnout situation of teachers in two schools in Macau and to investigate any differences made of demographic characteristics. The relation of burnout on social problem solving and holistic health of teachers is also studied. A self reported questionnaire with the Chinese Maslach Burnout Inventory (C-MBI), Chinese Social Problem Solving Inventory (C-SPSI) and the Body-Mind-Spirit Well-Being Inventory (BMSWBI) were used. Totally 138 teachers participated in the study. With Hong Kong data as a reference, Macau teachers scored in the average range of burnout in emotional exhaustion and depersonalization but scored in the low range of burnout in personal accomplishment. Significance differences were found in some dimensions of burnout in age, marital status, teaching experiences, education background and satisfaction with income. Both C-SPSI and BMSWBI were found to be significantly negative correlated with emotional exhaustion and depersonalization and positive correlated with personal achievement. The findings identified those with greater degree of burnout, to whom more attention should be paid. The study also contributed to the limited literature on the quality of life of teachers in Macau. Finally, the findings added on the data base for comparison internationally among the Chinese population.