A Comparison of Older Informal Caregivers and Non-Caregivers Living in Non-Metropolitan Areas

The primary purpose of this study was tocompare the quality of life, health, and socialsupport of caregivers and non-caregivers age 65or older. A secondary purpose was to examineage identity in these two groups. This samplewas taken from a large quality of life surveyof 875 individuals age 55 or older living incommunities in northern British Columbia,Canada (Michalos et al.,2001). We restricted our sample to (a)individuals 65 years or older because we wereparticularly interested in seniors, and (b)married individuals because preliminaryanalyses indicated that marital status was apotentially confounding variable in thecaregiver/non-caregiver comparisons. Thus, oursample consisted of 239 married,community-dwelling respondents ranging in agefrom 65 to 86 years, with an average age of71.8 years. Of these respondents, 48.5% werefemales and 26.4% were caregivers. Generallyspeaking, caregivers and non-caregivers werenot significantly different in terms of qualityof life, self-reported health, and most aspectsof social support and age identity. Seniors,whether they were caregivers or not, reportedpositive levels of quality of life and healthstatus. Caregivers and non-caregivers, however,did differ in terms of: (a) their satisfactionwith their romantic relationships, withcaregivers being less satisfied, and (b) theage they felt mentally with caregivers feelingslightly older mentally than non-caregivers.Thus, caregiver status alone does not appear toresult in lower levels of quality of life,poorer mental and physical health, lower levelsof social support, or older age identitiesoverall in older, married adults living innon-metropolitan areas.     

Queer Phenomenology,Sexual Orientation,and Health Care Spaces: Learning From the Narratives of Queer Women and Nurses in Primary Health Care

ABSTRACT

Queer phenomenology as an interpretive framework can advance health research by illuminating why primary health care providers (HCPs) must move beyond definitions of sexuality as a set of reified identity formations indexed to normative gender, gender of partner, and sexual and reproductive practices. Our interviews with queer women participants and primary care nurses offer an implicit critique of heteronormative health care space, temporality, and power relations, as they form the lived experiences of our participants. We conclude by pointing to the limits of our methodology in exposing the larger relations of power that dictate experiences of heteronormative health care.     

Sexual Orientation and Sexual Health Care Needs: A Comparison of Women Beneficiaries in Outpatient Military Health Care Settings

ABSTRACT

The objectives of this study are to compare the sexual concerns, interest and experiences in discussing these concerns with their doctor for women of “Only Men” and “Some to Only Women” sexual orientation. A survey was mailed to women patients from two military outpatient settings, with 1,196 women responding. Of eligible respondents (N = 1,170), 90% reported “Only Men” and 10% reported “Some to Only Women” sexual orientation. Sexual concerns varied by sexual orientation, while interest and experience in discussing sexual concerns and desire for physicians to initiate the topic differed minimally. Women with “Some to Only Women” sexual orientation have both similar and differing sexual concerns compared to “male-only” oriented women. Larger primary care patient-based studies of sexual health care needs of sexual minorities are needed.     

养老院老人与居家老人健康状况比较分析

文章运用问卷调查数据,比较分析养老院老人和居家老人的健康状况。研究发现,养老院老人和居家老人患有慢性疾病、抑郁症的比例以及抑郁程度都较高,但对健康状况的自我评价也比较高。养老院老人的抑郁程度低于居家老人,对健康状况的自我评价高于居家老人。教育和年龄与老人的抑郁程度及其对健康状况的自我评价存在显著相关关系。影响养老院老人和居家老人抑郁程度及其健康状况自我评价的个人因素,既有共同之处,也有明显区别。     

Homophobic Attitudes and Associated Factors Among Adolescents: A Comparison of Six Latin American Countries

ABSTRACT

Homophobic attitudes are still very common in the world, although there are large differences between countries. This study analyzed the responses of almost 30,000 8th- and 9th-grade students from six countries who participated in the Latin American component of the International Civic and Citizenship Education Study. Higher levels of homophobia were found in the Dominican Republic, Guatemala, and Paraguay than in Chile, Colombia, and Mexico. Homophobic attitudes were positively associated with being male, having lower levels of empathy, spending less time with friends and the media, having aggressive attitudes, and being more religious, in particular non-Catholic Christian.     

Implicit Association Task and Perception of Homosexuality: Differences between African American and Non-Hispanic Caucasian Homosexual Males

ABSTRACT

This study investigated the relationship between sexual orientation and minority group membership in a sample of African American and non-Hispanic Caucasian (NHC) homosexual men. Participants competed measures of pathology, sexual orientation, and ethnic identity. They completed two IATs, one using homosexual symbols and the other ethnically diverse homosexual images. Results indicated that African American participants reported more ethnic and sexual orientation discriminatory experiences than NHC. It was also found that both groups exhibited a positive association toward gay symbols. Both groups also demonstrated a bias toward NHC homosexual images, although the bias was stronger for NHC participants. Moderation analyses indicated that as internalized homophobia increased, preference for gay NHC images decreased, and that high ethnically discriminatory experiences resulted in stronger associations between NHC images and “good” attributes. Overall, the results partially support the minority stress theory and highlight some important differences between African American and NHC homosexual men.     

Unmet Needs for Assistance with ADLs and IADLs: A Measure of Healthy Life Expectancy

Measures of healthy life expectancy have beendeveloped over the last thirty years to evaluate thequality of life of an increasing life expectancy.These measures are usually accounting for prevalencerates of either disability or physical dependence inperforming everyday activities. Although they allowfor a better assessment of quality of life, they arenot reflecting the fact that a disabled person mightbe receiving adequate or inadequate assistance forthese activities. In a context of population aging,where our health care system will have to deal moreand more with chronic disease instead of acutedisease, it is imperative to develop a measure thatwill account for the adequacy of the assistanceprovided to the disabled elderly population. Usingdata from the 1986 Health and Activity LimitationSurvey, we are introducing a measure of healthy lifeexpectancy which will fill this gap. We present theconstruction of this measure of population health anddiscuss its usefulness in assessing policies at amacro level.     

Not on their own again: psychological, social, and health characteristics of custodial African American grandmothers

The article presents social and health indicators of depression among custodial African American grandmothers. Using a cross-sectional design, a sample of 99 custodial African American grandmothers caring for one or more grandchildren was included in the analysis. The results indicated that approximately 20% of custodial African American grandmothers were depressed. Depressed grandmothers were more likely to report having all ten chronic physical health conditions listed in the study. One additional chronic condition increased the probability of depression by 68%. Old age, more social support, and caring for older children were associated with low levels of depression. The proliferation of grandchildren being raised by African American grandmothers suggests the need for more research, policy, and programmatic interventions.     

Not on Their Own Again: Psychological,Social, and Health Characteristics of Custodial African American Grandmothers

SUMMARY

The article presents social and health indicators of depression among custodial African American grandmothers. Using a cross-sectional design, a sample of 99 custodial African American grandmothers caring for one or more grandchildren was included in the analysis. The results indicated that approximately 20% of custodial African American grandmothers were depressed. Depressed grandmothers were more likely to report having all ten chronic physical health conditions listed in the study. One additional chronic condition increased the probability of depression by 68%. Old age, more social support, and caring for older children were associated with low levels of depression. The proliferation of grandchildren being raised by African American grandmothers suggests the need for more research, policy, and programmatic interventions.     

地方政府购买居家养老服务的模式研究:基于三个典型案例的比较

地方政府购买居家养老服务是我国政府购买公共服务的重要内容,目前处于部分城市政府的政策试点和制度探索时期.本文选择了宁波海曙区、南京鼓楼区和苏州沧浪区三个典型案例,从竞争程度、主体间关系、制度化程度、购买的数量、规模与质量等方面,探讨政府购买居家养老服务模式的特点、发展水平、存在的问题与发展趋向.在此基础上,提出进一步完善政府购买居家养老服务的对策与思考.     

Subjective Quality of Life and Self-Esteem in Children: The Role of Primary and Secondary Control in Coping with Everyday Stress

Two major predictors of subjective quality oflife (SQOL) in adults are known to beself-esteem and a sense of primary control.Moreover, secondary control is known to be animportant defence strategy when primary controlfails. This study aimed to determine whetherthese relationships also apply to children. Asample of 66 children aged from 5 to 12 yearswere compared on their use of primary andsecondary control and on their ratings of SQOLand self-esteem. SQOL was measured using theComprehensive Quality of Life Scale,self-esteem by using the CoopersmithSelf-Esteem Inventory, and primary andsecondary control were measured by codingchildren's responses to three short video clipsof children in stressful situations. It wasfound that younger children use more primarycontrol and less secondary control than olderchildren. However, five year olds were foundcapable of producing secondary controlstrategies. Contrary to expectation, primaryand secondary control did not predict eitherself-esteem or SQOL. However, self-esteempredicted SQOL as expected and no sexdifferences were found. These findingsemphasise important differences from the adultliterature and the reasons for this arediscussed.     

A Feminist Model of Family Care: Practice and Policy Directions

SUMMARY

Using a feminist perspective, this article examines women's experiences in caring for older family members with chronic illnesses or disabilities. Central to this analysis are the concepts of the social construction of gender-based inequities in caring, the interconnections between generations of women as givers and receivers of care, and variations in family care by gender, race, ethnicity, social class and sexual orientation. The authors critique current practice interventions and policies and purpose models for the elimination of gender-based inequities in caregiving and the provision of caregiver choice and empowerment for women and men, including feminist models of practice with women caregivers and economic and long-term care supports.     

A mixed methods study: Midlife African American women’s knowledge,beliefs, and barriers to well-woman visit,flu vaccine,and mammogram use

ABSTRACT

African American women (AAW) are particularly at risk for deleterious health outcomes that might be mitigated through increased preventive care use. A mixed methods study that examined relationships between knowledge of, beliefs about, and barriers to well-woman visits, flu vaccines, and mammograms was conducted with midlife AAW who participated in an online survey (n = 124) and in-depth interviews (n = 19). Findings showed that greater knowledge of preventive service recommendations and positive patient-provider relationships were associated with greater preventive service use. Flu vaccines were significantly underused. Study implications inform strategies to increase preventive care utilization among AAW and increase capacities to improve health disparities.     

Indicators and Indices of Child Well-being: A Brief American History

This paper traces the history of indicators and indices of child well-being from its origins in the social indicator movement of the 1970s through recent developments in the field. Initial work calling for comprehensive sets of indicators of child well-being and later recommendations for indicator improvement are detailed. Products that resulted from these recommendations, such as comprehensive indicator reports and online resources are described. The development of child well-being indices is shown to parallel the history of indicators. The contributions of state and international indicator and index projects are included as well. Important aspects of child well-being indicator development are uncovered through documenting its history, including the need to focus on subjective as well as objective measures of well-being, and the need to develop indicators for the multiple ecological contexts of children’s lives, but to separate measures of context from measures of child outcomes. A rough consensus emerges across the history of indicator efforts on the critical domains of child well-being: physical, psychological, cognitive, social, and economic well-being. Recent recognition of the importance of indicators of positive development is noted. This paper was funded by the KIDS COUNT project of the Annie E. Casey Foundation.     

Skin Color and Intelligence in African Americans: A Reanalysis of Lynn's Data

Finding a modest yet statistically significant correlation between skin tone and vocabulary test scores among African Americans, Lynn (2002) concludes that intelligence in African Americans is significantly determined by the proportion of Caucasian genes (p. 365). In this reanalysis of Lynn's data, I demonstrate that his bivariate association disappears once childhood environmental factors are considered. Therefore, a genetic link between skin color and intelligence among African Americans cannot be supported in his data. Investigators seeking to establish a genetic connection between racial ancestry and intelligence must move beyond simple bivariate results to address the confounding influence of environmental conditions that affect cognitive development.     

Birth control and the black American: A matter of genocide?

Demography - During the 1960’s and continuing into the 1970’s, the charge that birth control and abortion are integral elements of a white genocidal conspiracy directed against...     

Comparison of Census 2000 and American Community Survey 1999–2001 Estimates: San Francisco and Tulare Counties, California

Data from the United States 2000 decennial census long form sample is compared to the U.S. Census Bureau’s fledgling American Community Survey (ACS) that was designed to replace the census long form in 2010. This article concentrates on two California counties, San Francisco and Tulare, which were part of the demonstration phase of the ACS. These counties are described and an overall comparison of the demographic, social, economic, and housing variables is presented. The project data and measures of census and survey quality such as self-response rates and nonresponse rates are displayed and discussed. Differences in the census and survey results are noted in the context of statistically significant and meaningful differences. Finally, strategies for analyzing and using ACS data are suggested.     

Experiencing Undesired Daily Life Events,Instrumental Functioning,Social Support and Well-Being of Israeli Elderly Women: Comparison Between Caregivers/Non-Caregivers for Adult Children with Mental Retardation

ABSTRACT

The purpose of the study was to examine the extent to which 160 mothers who care for an adult child with mental retardation differ in respect to undesired daily life events, instrumental functioning, social support and well-being from a comparably matched group of age peers. Findings indicated that caregivers for adult children with mental retardation reported more undesired daily life events in comparison to the matched group. However, no differences were found in respect to their instrumental functioning, social support and well-being. A detailed analysis showed significant variations in measures of undesired daily life events and social support.