Health Care Needs and Care Utilization Among Lesbian,Gay, Bisexual,and Transgender Populations in New Jersey

The purpose of this study was to explore prevalent health issues, perceived barriers to seeking health care, and utilization of health care among lesbian, gay, bisexual, and transgender (LGBT) populations in New Jersey. A cross-sectional online survey was administered to 438 self-identified LGBT people. Results identified health needs, which included management of chronic diseases, preventive care for risky behaviors, mental health issues, and issues related to interpersonal violence. Barriers to seeking health care included scarceness of health professionals competent in LGBT health, inadequate health insurance coverage and lack of personal finances, and widely dispersed LGBT inclusive practices making transportation difficult. There is a need for better preparation of health care professionals who care for LGBT patients, to strengthen social services to improve access and for better integration of medical and social services.     

Ergonomic considerations for a systemic approach: the millenium maize mills project in northern Mozambique

Malnutrition is a major problem for rural areas of Sub-Saharan Africa. Technology such as the maize mill, which alleviates the burden of pounding grain, also introduces opportunities and new challenges for improved nutrition. While there have been many technical studies of grain mills, and maize mills are in operation in hundreds of locations throughout Sub-Saharan Africa, the maize mill has not been studied from a socio-technical system perspective. This paper reports on the first phase of a study grounded on the hypothesis that mills can improve nutrition by exploiting their function as a social gathering point and providing both instruction and enjoyable healthful products. The objective was to identify those products that could be made available that customers at the mill would be willing to buy. Following observation of food availability, preparation, and consumption preferences within daily work routines, sample products were prepared and presented for cooking and consumption, along with some discussion at a district center mill owned by a local woman. The responses of customers and the mill owner were positive. Strategies for local manufacture and distribution of these products for sale and roles of the mill owner and the mothers are questions for future study.     

Analysis of the strain on employees in the retail sector considering work-life balance

Many companies currently strive to support their employees' work-life balance through appropriate measures in order to improve employees' loyalty towards the company and to recruit new employees. In this context, flexibility in the area of working times is a measure that can influence employees' private lives immensely. This is why the individualisation of working time arrangements has been accorded high importance in current discussions on work-life balance. In this area, best practice examples can be found showing how working-time arrangements can improve the situation of the employees. It should be noted, however, that there is not one single perfect working-time model. A working-time model must always be adapted specifically to the actual situation of the company and the employees. Therefore, a targeted analysis of the challenges facing the company and the demands on the employees is essential for the creation of an appropriate working time policy. In particular, the employees' working-time preferences must be appropriately taken into account. Owing, however, to a combination of organisational complications and legal data protection restrictions, it is for the most part impossible to meet these working-time preferences in their entirety. This paper, which is based on an employee survey, illustrates the strain on employees in the retail sector and identifies different types of working-time preferences.     

Visual acuity's association with levels of leisure-time physical activity in community-dwelling older adults

Little is known about the effect of reduced vision on physical activity in older adults. This study evaluates the association of visual acuity level, self-reported vision, and ocular disease conditions with leisure-time physical activity and calculated caloric expenditure. A cross-sectional study of 911 subjects 65 yr and older from the University of Alabama at Birmingham Study of Aging (SOA) cohort was conducted evaluating the association of vision-related variables to weekly kilocalorie expenditure calculated from the 17-item Leisure Time Physical Activity Questionnaire. Ordinal logistic regression was used to evaluate possible associations while controlling for potential confounders. In multivariate analyses, each lower step in visual acuity below 20/50 was significantly associated with reduced odds of having a higher level of physical activity, OR 0.81, 95% CI 0.67, 0.97. Reduced visual acuity appears to be independently associated with lower levels of physical activity among community-dwelling adults.     

Financing Children's Futures: Economic Strategies for Postsecondary Education Among Middle‐Income Families

This paper, based on three waves of qualitative data with middle‐income families outside of Philadelphia, explores how families deal with the challenge of financing postsecondary education over time. Because of economic setbacks, these families adopt a variety of financial maneuvers to support their young adult children's postsecondary educational plans. In particular, families are driven to sacrifice familial savings accounts and retirement funds, take on significant student loan burdens, and downgrade children's college plans to cheaper, often less prestigious, options. These results highlight the financial vulnerability of families in the middle of the income distribution and the complicated relationship between family economics and postsecondary educational plans for children.     

Same-sex marriage and context-specific kinship terms

This study investigates whether married gays and lesbians in Massachusetts are using the kinship terms commonly associated with marriage in referring to and introducing their marriage partners and, if not, whether alternative terms are being used in a variety of social contexts. We demonstrate through survey and interview data that marriage-related terms are used discriminately, are consciously chosen, and are context specific. Choices are dependent on a variety of factors related to personal demographics, speech community associations, intimacy, identity, and safety. A significant difference in the use of terms after legal marriage has occurred suggesting a shift in attitude.     

Adoptive Mothers’ Perceptions of Reactive Attachment Disorder Therapy and its Impact on Family Functioning

The purpose of this qualitative study was to explore adoptive mothers’ perceptions of attachment therapy and its impact on family functioning. Sixteen mothers were interviewed 3 years after therapy. Analysis of the data revealed two sets of parental perceptions: first, attachment therapy was consistently supportive, emotionally painful, and physically safe; second, therapy preserved family structure, mothers remained committed to their children, and parenting was continuously stressful. This study highlights the need for further research on the treatment of children with attachment disorders and is not intended as a treatise on the efficacy of attachment therapy as a treatment modality.     

Parental perceptions of the Children In Need Of Treatment dental program

This paper discusses the collaborative partnership involving the Middlesex-London Public Health Research, Education and Development site, the Ontario Ministry of Health Promotion and Sport, then Chronic Disease Prevention and Health Promotion Branch, and an academic institution in the first-ever research of parental perceptions of the Children In Need Of Treatment. This paper provides an overview of the Children In Need Of Treatment program, reviews the results of the research (a mailed, self-administered survey with a systematic random sample of parents from three health units whose children received dental treatment that was paid by Children In Need Of Treatment in 2006), and its subsequent recommendations. How these recommendations affected program planning and policy are examined. In conclusion, parents were very satisfied with the treating dentist and the Children In Need Of Treatment program, and found Children In Need Of Treatment to be vital in addressing the health of their children by attending to their urgent dental needs.