Happy Living in Darkness! Indoor Lighting in Relation to Activities of Daily Living,Visual and General Health in 75-Year-Olds Living at Home

ABSTRACT

Lighting has been identified as a significant environmental attribute for promoting vision and general health among older people, enabling successful aging at home, but it has received little attention in the literature. Indoor lighting levels, self-reported vision and general health, and activities of daily life were measured in 114 healthy 75-year-old Norwegians. Despite very low levels of indoor lighting, the subjects were happy and healthy. There is a large discrepancy between self-assessed health and recommended lighting levels, and low awareness of the effect of lighting on age-related vision loss or daily living in the future. Knowledge of how to utilize indoor lighting to ensure healthy and safe aging in the home is needed.     

Creating a culture of participation: Early childhood education and care educators in the face of change

This study reports on critical participatory research in an early childhood education and care centre in Finland. The objective was to study which elements are critical in the development and construction of a culture of participation. The data comprise conversations, team meetings and educators' diaries. Data were analysed using thematic analysis. The results indicated that a culture of participation requires four elements: (a) a shared understanding of the image of the child, (b) a shared understanding of professional development, (c) leadership and (d) a shared we-narrative that enables the comprehensive understanding, promotion and maintenance of a culture of participation.     

Mental health practice in primary care: Some perspectives concerning the future of social work in organized delivery systems

Abstract

The rise of managed care as the dominant form of healthcare delivery in the U.S. clearly has dramatic implications for the profession of social work. Thus far and for good reasons, the professional dialog about managed care has largely focused on . the threats posed to the professional agenda of social work by managed care in its various forms. This article considers some of the more positive aspects of the transformation from fee‐based to population‐based healthcare systems, in particular the vigorous trend toward multidisciplinary primary care and collaborative mental health practice in primary care settings. It is argued that the market forces behind this trend also promote the emergence of models of social work practice that better integrate historically dichotomized aspects of health and mental health practice. Also considered are implications for social work education and the division of labor among the healthcare professions.     

Ambivalence and Living Apart Together in Later Life: A Critical Research Proposal

Most unattached older persons who would like an intimate partnership do not want to remarry or be in a marriage‐like relationship. A growing trend is to live apart together (LAT) in an ongoing intimate relationship that does not include a common home. We address the debate about whether LAT constitutes a new form of intimate relationship in a critical assessment of research on LAT relationships that applies ambivalence and concepts from the life course perspective. We conclude that among older but not younger adults, LAT relationships are generally a stable alternative to living with a partner, negotiated in the context of current social institutions and arrangements. We propose research questions that address later life living apart together as an innovative alternative intimate relationship. We encourage comparative work on the unique challenges of later life living apart together, their implications for other family ties, and their connection to social and cultural arrangements.     

‘The Rotten Banana’ fires back: The story of a Danish discourse of inclusive rurality in the making

The popularity of a particular term – the Rotten Banana – has paralleled the one-sided centralisation of public services since the Danish Municipal Reform of 2007. The Rotten Banana denotes peripheral Denmark, which takes a geographically curved form that resembles a banana, and it symbolises the belief that rural areas are backward and (too) costly. This article shows how the negative connotations of rural areas have come to outweigh the positive ones and to legitimise liberal visions of the ‘sustainable’ welfare state. Whereas previous studies on the perceptions of rural dwellers have focused on the discourses of rurality that produce rural outsiders, this article builds on the work of de Certeau and of Laclau and Mouffe. Based on both quantitative and qualitative data, the study shows how, in Denmark, negative connotations and centralisation have together spurred a new and political mobilisation in many parts of the ‘banana’. Through skilful ‘consumption’, rural dwellers have adapted the alienating liberalist ‘logic of equivalence’ to their own use and produced a ‘logic of difference’, thus challenging the predominant political discourse of rurality. As a result, the Danish Liberal government was forced to introduce a new and more inclusive rural policy in September of 2010 and grant rural dwellers a political voice in parliament.     

Gendering family composition: Sex preferences for children and childbearing behavior in the Nordic countries

It has been argued that a society's gender system may influence parents' sex preferences for children. If this is true, one should expect to find no evidence of such preferences in countries with a high level of gender equality. In this article, we exploit data from population registers from Denmark, Finland, Norway, and Sweden to examine continuities and changes in parental sex preferences in the Nordic countries during the past three to four decades. First, we do not observe an effect of the sex of the first born child on second-birth risks. Second, we detect a distinct preference for at least one child of each sex among parents of two children. For third births, Danish, Norwegian, and Swedish parents seem to develop a preference for having a daughter, while Finns exhibit a significant preference for having a son. These findings show that modernization and more equal opportunities for women and men do not necessarily lead to parental gender indifference. On the contrary, they may even result in new sex preferences.     

Looking for elderly people´s needs: teaching critical reflection in Swedish social work education

ABSTRACT

This paper focuses on how to use critical reflection in social work education in order to encourage students to critically reflect on their standards regarding assessment, opinions and values about aging. Material, both oral and written, from needs assessments of older persons conducted by 106 social work students was analyzed. The result shows that the students initially interpreted needs based on prejudice and assumptions about aging. However, when using Schön´s three steps of reflection in the exercise, together with knowledge of critical social work theories, students became more concerned and reflected more critically on their assessments. This study shows the possibilities of working with pedagogical exercises in order to increase the awareness and critical knowledge of social work students in order to attempt to reduce discrimination. Educating students in critical social work enables them to learn how to comment on and transform the profession of social work and our unjust society, while questioning their own as well as society’s prejudice regarding the needs of elderly persons.     

Childbearing Trends in Sweden 1961--1997

The purpose of this paper is to update a system of annual indices of birth rates and to display trends in childbearing for Swedish women over the years since 1961. Our indices are produced by applying indirect standardization to register data. They enable us to decompose the overall fertility trends, as measured by the period TFR, into its birth-order specific components. Swedish fertility has shown strong fluctuations during our study period and these fluctuations have been particularly dramatic during recent years. A postponement of the age at first birth and a sudden shift to shorter birth intervals are important components in the fertility trends. A peak in the level of childbearing at the beginning of the present decade has now been followed by a sharp drop in the propensity to give birth. This change in behaviour pertains to women of all parities.     

The flight from universalism

Up to the beginning of the 1990s Sweden had been considered a paragon welfare state in its realisation of universalist principles and an institutional welfare model. This seems to be changing rapidly. Mass unemployment, welfare expenditure cuts and institutional transformation have introduced several selective mechanisms into the Swedish welfare system, adding up to a retreat from universalism. New forms of selectivity can be seen in all layers of the welfare system, both transfer benefits and social security, public personal social services and the relation between state and voluntary organisations. The shifting of burdens from universal social security and insurance-based welfare onto local means tested systems has already meant a restigmatisation of unemployment, as the unemployed lose eligibility for the insurance-based systems, and an increase in the proportion of people who have to rely on poor relief instead of rights-based welfare, and when unemployment has gone up, so have work requirements for benefits. A rising proportion of labour market programmes are now municipally organised obligations instead of state administered rights. Conditioning the right to day care, appraising needs-tested services for the elderly, like home help and care, make personal social services change in the same directions. This may endanger the classical alliance between women and the welfare state.     

Sex composition of children as a determinant of marriage disruption and marriage formation: Evidence from Swedish register data

This paper investigates the effect of sex composition of children on the propensity of Swedish mothers to enter and leave marriage. Swedish population-register data are used to estimate relative risks of marriage formation and marriage dissolution for mothers with different numbers and sexes of children. The large number of observations allows us to get a very accurate picture of such relationships even if they are relatively weak. Morganet al. (1988) used survey data for the US and claimed to have found that one- and two-child parents in that country had lower divorce risks if they had sons than if they had daughters. For Sweden, we find only a minor effect in the same direction for three-child mothers. For two-child mothers, we instead find that the divorce risk is slightly reduced if a woman has one child of each sex. The divorce risk of one-child mothers is not at all affected by the sex of the child. Finally, the sex composition of children has no effect on the propensity of Swedish mothers to enter the married state.