Risk as Social Context: Immigration Policy and Autism in California1

Motivated by the dramatic increase in autism diagnoses in recent years, research into risk factors has uncovered substantial variation in autism prevalence by race/ethnicity, SES, and geography. Less studied is the connection between autism diagnosis rates and the social and political context. In this article, we link the temporal pattern of autism diagnosis for Hispanic children in California to state and federal anti‐immigrant policy, particularly ballot initiative Proposition 187, limiting access to public services for undocumented immigrants and their families. Using a population‐level data set of 1992–2003 California births linked to 1992–2006 autism case records, we show that the effects of state and federal policies toward immigrants are visible in the rise and fall of autism risk over time. The common epidemiological practice of estimating risk on pooled samples is thereby shown to obscure patterns and mis‐estimate effect sizes. Finally, we illustrate how spatial variation in Hispanic autism rates reflects differential vulnerability to these policies. This study reveals not only the spillover effects of immigration policy on children’s health, but also the hazards of treating individual attributes like ethnicity as risk factors without regard to the social and political environments that give them salience.     

Exploring the Relationship Between Employment History and Retired Women's Social Relationships

This study explores the relationship between retired women's employment history and their social integration and social support networks in retirement. Employment history is defined by former occupation (professional, paraprofessional, nonprofessional) and job continuity (discontinuous and continuous). The sample consists of 330 retired women ranging in age from 50 to 83 years, with diverse occupational histories, who were retired an average of 3.5 years. Results indicate occupational status may influence women's social integration, part-time employment, caregiving tasks, and satisfaction with social support. Continuity of employment appears to only marginally influence social integration with no impact on social support or satisfaction with social support.     

Experiences of Purpose in Life When Becoming and Being a Very Old Woman

The aim of the study was to illuminate how very old women describe their experiences of purpose in life (PIL) in narratives about becoming and being very old. The participants comprised 30 women selected from 120 women who had answered the PIL test and had been interviewed about their experiences of being very old. The interviews were analyzed with qualitative content analysis, which revealed four themes: having a positive view of life, living in relation to God, having meaningful activities, and simply existing. Our findings show that very old women experience purpose in life both in their daily activities and in their contact with a spiritual world. It seems to be facilitated by a positive view of life. Although the results were dominated by a positive view of life, some of the participants saw their lives in terms of simply existing, and did not experience purpose in life.     

Mental Illness in Assisted Living: Challenges for Quality of Life and Care

ABSTRACT

An unknown number of mentally ill elders in the United States receive care in assisted living, along with persons facing physical or cognitive challenges. While dementia is familiar in assisted living, our data indicate that neither staff nor residents are prepared to work or live with the mentally ill. Challenges are created for professionals, since these residents bring diverse needs. Daily interresident interactions are also disrupted or stressful. Qualitative data describe the impacts on quality of resident life as well as care and management dilemmas identified within five assisted-living settings having varying presence of mental illness among residents.     

The Community College Nurse as an Occupational Health Nurse

Abstract

Objective: This multisite study assessed college student's perceptions and practices regarding carrying concealed handguns on campus. Participants: Undergraduate students from 15 public midwestern universities were surveyed (N = 1,800). Methods: Faculty members distributed the questionnaire to students in general education classes or classes broadly representative of undergraduate students. Results: Useable questionnaires were returned by 1,649 students (92%). The majority (78%) of students was not supportive of concealed handguns on campuses, and 78% claimed that they would not obtain a permit to carry a handgun on campus, if it were legal. Those who perceived more disadvantages to carrying handguns on campus were females, who did not own firearms, did not have a firearm in the home growing up, and were not concerned with becoming a victim of crime. Conclusions: The majority of students was not supportive of concealed handguns on campus and claimed that they would not feel safer if students and faculty carried concealed handguns.     

ON THE REGISTERS OF CARIBBEAN MEMORY OF SLAVERY1

From discourses elicited by the presence of a slave cemetery in Guadeloupe, the author distinguishes various registers of memory that offer a framework for understanding Caribbean identities. The absence of a meta-discourse is not seen as a vacuum or as a lack which would indicate the weakness of the collective ethos. Rather, it is interpreted through the multiplicity of narratives which replaces the Grand Narrative. This interpretation leads to a more empirically-informed constructivism trying to approach ‘mutiplicity’ on the basis of an account of what could be a multiple textual matrix. In time, this capacity to create several narratives is analyzed in relationship to a particular experience of power relations that has produced an alert critical consciousness which refuses to grant a meta-narrative any centrality and tends to create a multiply-segmented collectivity.     

Ethical challenges in researching in group homes for people with severe learning difficulties: shifting the balance of power

Our aim in this paper is to open up debate about informed consent. We do this by presenting stories from group homes where staff have frustrated our research efforts and marginalised the interests of people with severe learning difficulties. We problematise normative ethics and argue that in some circumstances the basic principle of informed consent should be waived for employees of human service organisations. We maintain that, in such circumstances, researchers and an organisation’s senior managers can still act in a manner that is consistent with the broad aims of ethical regulation. We consider the role of Research Ethics Committees and suggest that in order to fully consider the conflicting interests of multiple stakeholders, the application of different ethical theories is required. A requirement for making balanced ethical judgements is to see outside the extant dominant view of ethical research standards and behaviour.     

“No Matter What I Do They Still Want Their Family”: Stressors for African American Grandparents and Other Relatives

Grandparents and other relatives increasingly assume the role of primary caregiver to minor children. This study interviewed family members caring for children whose parents were not available due to parental incarceration, other involvement in the criminal justice system, and substance abuse-related issues. Interviews with 25 African American women examined the impact of caregiving including stress and depression. Stress included caregiver issues related to finances, time allocation, care responsibilities, and concerns about the absent parent, as well as issues specific to the children related to school concerns, child behavior, and emotional problems. These stresses were examined along with caregiver depression scores using the Center for Epidemiological Studies Depression Scale, which indicated more depression related to caregiver illnesses, older caregivers, and care for older and a larger number of children. This study suggests that caring for these children is both challenging and stressful, and caregivers are at risk for depression and other mental health concerns. Health and service providers should carefully assess the needs of caregivers when determining the needs of families where children are under care of nonparental relatives. Family-based services are needed that include caregiver supports as well as support for children.     

From Sex to Gender: The Feminisation of Migration and Labour-Market Insertion in Spain and Portugal

The aim of this article is to study the feminisation and masculinisation of migration and the insertion of the migrant population into the labour market in Spain and Portugal from the perspective of gender. Rather than focusing on the appearance of the demand for migrant labour in social reproduction work, we analyse the situation of both men and women in highly feminised and masculinised activities by studying the impact each exerts on the other, and the way in which this conditions the gender breakdown of the migrant population. We provide a historical view of the work of migrants in the care and cleaning sectors, comparing it with male migrant employment—mostly in construction—and analysing the gendered breakdown of migrant communities. We argue that, in contrast to the generally accepted discourse on the international scene, there has not been a steady evolution in the feminisation of migrant labour in Spain and Portugal. Instead, the presence of migrant women on the labour market fluctuates in accordance with a specific set of variables: welfare state and care regimes, immigration policies, historical links influencing the national origin of migrants, the housing situation, labour markets and the respective economic situations in the construction industry and in domestic and care work.