Charging and Quasi-Markets in Community Care: Implications for Elderly People with Dementia

Social services authorities in the UK are increasingly involved in charging and fee collection activities with clients in receipt of community care services. This article explores the implications of these developments for elderly people with dementia. The starting point of the article is a critique of existing legal and administrative options for handling other people's money, including the difficulties and dilemmas raised for both paid and unpaid carers by the existing arrangements. This is then related to the failure of charging and fee collection systems which have developed as a result of the community care reforms to address the particular needs of elderly people with dementia. A case study of policies in one local authority is outlined and this is followed by the presentation of the view of 37 fieldlevel professionals who were interviewed in focus groups. The concerns of these respondents included the complexity of the assessment task, conflicts between care managers and finance/revenue staff, the difficulty of defining and responding to financial abuse, and dilemmas over the extent to which relatives and carers should be trusted. The final section of the article considers the implications of a move to quasi-markets in social care for elderly people with dementia, particularly in terms of their vulnerability to financial exploitation.     

Exploring the Association Between Dispositional Cancer Worry,Perceived Risk,and Physical Activity Among College Women

Abstract

Objective: In this study, the authors explored the association between dispositional cancer worry (DCW), risk perceptions (RP), and physical activity (PA) among college females. Participants: Four hundred fifty-one females from a midwestern university completed an online survey in September/October 2012. Methods: DCW severity, DCW frequency, RP, and PA were measured along with qualitative data about PA as cancer prevention. Results: Sixty-nine percent of participants did not meet PA recommendations. DCW severity was a significant predictor of meeting PA recommendations (odds ratio = 1.2, 95% confidence interval [1.00, 1.38]; p = .05). Qualitative data revealed a lack of knowledge about breast cancer risk and PA as cancer prevention. Conclusions: College women do not engage in enough PA nor feel at risk for developing breast cancer. A lack of knowledge exists about the cancer prevention benefit of PA. Results indicate a need for PA interventions that both educate breast cancer risk and motivate health protective behaviors.     

Sexual Concerns and Counseling Needs of Normal Men Attending a University Student Health Service

Abstract

The responses of 582 male university students attending the UCLA Student Health Service for medical evaluation are presented. Of these students, 37% (215) were freshmen and varsity athletes having pretraining physicals, and 63% (367) were students being evaluated in the SHS primary care clinics. A self-report questionnaire examined the frequency of sexual problems experienced by the respondents and their partners. The most common concerns expressed about themselves were orgasmic difficulties, feeling too interested in sex, and trouble getting and keeping erections. Forty-one percent of the SHS group and 33% of the athletes group had sexual concerns, and, of these, 55% and 40% respectively wanted help with their problems. Specific counseling needs of students were also evaluated.     

Hassles,hardiness and absenteeism: Results of a 3-year longitudinal study

Abstract

In this 3-year longitudinal study of 229 full-time employees, the authors investigated the association between hassles, two measures of personality hardiness, and absenteeism verified from medical personnel records and self-reported hospitalization owing to injury and illness. Using stepwise multiple regression analysis, hassles, but neither of the hardiness measures, significantly predicted absenteeism when controlling for psychological well-being and relevent demographic variables over the 3-year period. The alternative measure of hardiness, but not any of the original Kobasa personality hardiness scales, predicted self-reported hospitalization for injury and illness. Little evidence for the predicitve validity of the Kobasa personality hardiness components, or composite hardiness score, existed for either absenteeism or self-reported hospitalization in this study. These findings support the concept that the current conceptualization, measurement and use of the original Kobasa hardiness scales should be re-evaluated.     

The Appeal to Honour and the Decision for War

The outbreak of the First World War is one of the great formative events of modern times. Yet during its centenary, there was surprisingly little attention to how uncertain entry into the war was in the English‐speaking world or how finely balanced the forces for and against intervention were. This article examines the role of appeals to honour in the decision for war. It begins by exploring the role of these appeals in convincing radical liberals to accept British intervention – something they had been successfully blocking just days earlier – before examining parallel appeals in the United States and Australia. It then considers why the language of honour was effective, and whether it still plays a role a century later, before concluding with some possible centennial lessons.     

Exploring variation in active network size: Constraints and ego characteristics

Studies of active personal networks have primarily focused on providing reliable estimates of the size of the network. In this study, we examine how compositional properties of the network and ego characteristics are related to variation in network size. There was a negative relationship between mean emotional closeness and network size, for both related and unrelated networks. Further, there was a distinct upper bound on total network size. These results suggest that there are constraints both on the absolute number of individuals that ego can maintain in the network, and also on the emotional intensity of the relationships that ego can maintain with those individuals.     

Poverty and Material Hardship in Grandparent‐Headed Households

Using the 2001 Survey of Income and Program Participation, the current study examines poverty and material hardship among children living in 3‐generation (n = 486), skipped‐generation (n = 238), single‐parent (n = 2,076), and 2‐parent (n = 6,061) households. Multinomial and logistic regression models indicated that children living in grandparent‐headed households experience elevated risk of health insecurity (as measured by receipt of public insurance and uninsurance)—a disproportionate risk given rates of poverty within those households. Children living with single parents did not share this substantial risk. Risk of food and housing insecurity did not differ significantly from 2‐parent households once characteristics of the household and caregivers were taken into account.     

A Preliminary Investigation of Risks for Adverse Outcomes of Relationship Seeking on Social Network Sites (SNS): A Descriptive Study of Women Over 50 Seeking Relationships on MySpace in Hillsborough County,Florida

In contrast to younger populations, little attention has been paid to the increase in seniors using Internet-based venues to find relationships and the potential risk for adverse outcomes this poses. This study examined data collected via an online survey from 45 ethnically diverse women aged 50+ “seeking relationships” on MySpace. The majority of women reported a relationship with someone they met online (85%). They also reported experiencing adverse events including financial exploitation (40%), threats (55%), and physical harm (38%) by someone they met online at levels greater than traditional relationship seeking in the general population. Directions for future research are explored.