Inter‐professional Learning to Prepare Medical and Social Work Students for Practice with Refugees and Asylum Seekers

Social workers and medical practitioners, particularly those in general practice, provide services for individuals who experience social exclusion. Access to medical, health and social care services has been identified as problematic for refugees and asylum seekers, reflecting their marginalised status within society. It is widely accepted that multi‐agency responses and working together are key requirements in improving access to services and promoting social inclusion; however, achieving this across professional and agency boundaries often remains challenging. Joint planning and training have been suggested as being important in improving communication, leading to more flexible and creative services.

This paper describes the genesis and implementation of a series of innovative inter‐professional workshops for medical and social work students, focussing specifically on marginalised groups. Learning and teaching input was developed by, and came from, service users and qualified medical, health and social work practitioners. The paper focuses particularly on the sessions relating to refugees and asylum seekers. The content and structure of the sessions are discussed and students' responses are reported. The implications for future inter‐professional learning and practice in relation to socially excluded groups are highlighted.     

Ecological Race Differences in the Occupational Structure

Motivated by existing work that explores the impact of urbanization and spatial segregation on occupational outcomes, we utilize General Social Survey data from 1990 to 2006 to investigate the interrelationships among race, urbanization, and occupation. Our results indicate that white professionals are associated with several levels of urbanization, while black professionals are weakly associated with any level of urbanization. We also explore other dimensions of stratification by including education and gender into our analyses. Our findings suggest that the relationship between occupation and urbanization is highly complex with some distinctive patterns, and that education—the great equalizer—only partially ameliorates racial and gender differences.     

Nursing Home Ownership Trends and Their Impacts on Quality of Care: A Study Using Detailed Ownership Data From Texas

The role of ownership in the provision of nursing home care has long been a challenging issue for policy makers and researchers. Although much of the focus historically has been on differences between for-profit and not-for-profit facilities, this simple distinction has become less useful in recent years as companies have employed more complicated ownership and management structures. Using detailed ownership data from the state of Texas, we describe the evolution of nursing home corporate structures from 2000 to 2007, analyze the effect of these structures on quality of care and staffing in nursing homes, and discuss the policy implications of these changes.     

Control and Alcohol-Problem Recognition Among College Students

Abstract

Objective: This study examined negative control (ie, perceived lack of control over life outcomes) and need for control as predictors of alcohol-problem recognition, evaluations (good/bad), and expectancies (likely/unlikely) among college students. The study also explored the interaction between the need for control and alcohol consumption in alcohol-related outcomes. Participants: Participants were a convenience sample of 500 college students from a rural Midwest university. Data were collected during the 2009–2010 academic year. Methods: Participants completed a survey assessing control and alcohol-problem recognit-ion, evaluations, and expectancies. Results: Negative control demonstrated a significant positive association with alcohol-problem recognition, evaluations, and expectancies after controlling for gender and alcohol consumption. Need for control did not have a main effect. However, the interaction was significant in that the association between need for control and negative evaluation of alcohol problems was strongest among participants with the highest levels of alcohol consumption. Conclusions: These results demonstrate that individuals' differences in sense of control are associated with alcohol-problem recognition, evaluations, and expectancies in young adults.     

What Happens to Defined Contribution Accounts When Labor Markets and Financial Markets Move Together?

The relationship among earnings, savings, and retirement is well known; however, the linkage between labor market outcomes and financial market performance is generally unacknowledged. We examine the implications of the link between labor markets and financial markets for workers who save money in individual retirement accounts. Specifically, differences in labor market outcomes across groups may imply differences in the timing of investments, which may reduce savings over time for these groups compared to their counterparts. Using monthly data from the Current Population Survey (1979–2002), we generate hypothetical investment portfolios using stock and bond indices. We exploit differences across demographic groups in unemployment and wage growth and use these differences to examine each group's investment outcomes. We then disaggregate the total effects into short-term and long-term components. We find some evidence of short-term market timing effects on investment, but we find much larger long-term effects for some groups. Our findings suggest that, for many people, the retirement savings losses associated with the timing of markets are similar to the costs of annuitizing savings upon retirement. The differences are especially pronounced by education and gender.     

Subjective Well-Being and Household Factors in South Africa

This paper uses a household surveyfrom South Africa to estimate a model ofsubjective well-being based upon poverty andhousehold characteristics including housing,sanitation, and transportation. Following Sen,we allow for factors in addition to income andwe begin to incorporate functionings andcapabilities as determinants of well-being. This study finds that important differencesexist among groups based upon their economicstatus. For the poorest quartilestransportation and housing play the mostimportant role in determining well-being, whilefor the richest quartiles, sanitation, water,energy, education and health are relativelymore important. These results have importantpublic policy implications because many of thefactors affecting well-being have large publicgood components. In addition, these resultscould be used to help governments focus aid inorder to improve well-being.     

Transformance: reading the gospel in drag

Despite the large body of scholarship on drag and its performance of misogyny, mimicry, and masculinity, little attention has been paid to the role of musical genres in Black drag performance and its reception. This essay explores drag performances of gospel music and its relationship with the spectator at the Biology Bar, a Black gay drag site in Chicago. By examining the shift from the club "space" to the church "place," this research locates several possibilities for queer gospel performances. Through the introduction of a theory of transformance, this essay highlights the contradictions, complications, and complexities of the relationship between the Black church and the Black gay community.     

Residential independence among older persons: community and individual factors

The objective of this study is to evaluate an expanded version of the resource model of living arrangements among older persons. This expanded model includes community-level measures of geriatric health services and housing market conditions. We employ the first two waves of the National Survey of Families and Households to test static and longitudinal fixed effects models of residential living arrangements. We find that residing in areas with higher levels of geriatric health care services increases the likelihood of residential independence, net of other contextual factors and individual characteristics. Our results show that housing market conditions are not related to levels of or changes in residential independence when control variables are included in the models. The results for the individual-level resource variables show that persons with greater economic resources, more children, and better functional status are better able to maintain independence and are less likely to die or live in a nursing home. This study shows the utility of expanding on micro-level approaches to understanding community living arrangements among older persons. Future investigations should include measures of the policy environment, transportation constraints and opportunities, and a more complete array of indicators of health and social services oriented toward helping elderly persons maintain their independence.     

Values,Performance and Subjective Well-Being in the Sustainability Movement: An Elaboration of Multiple Discrepancies Theory

Building on multiple discrepancies theory (MDT) as developed by Michalos (1985, 1991), the present study seeks to extend the application of MDT by operationalizing multiple discrepancies or “gaps” between values and performance for a representative group from the sustainability movement (back-to-the-landers), and then comparing the ability of the operationalized discrepancies, in competition with a series of demographic and process variables, to explain variance in a set of subjective well-being (SWB) measures. In the analysis of variance (ANOVA) and zero-order correlation equations, the value-performance discrepancies demonstrate consistent statistically significant relationships with the SWB measures. In the multiple regression models, however, the gap variables are not as prominent as other process variables, although they do add variance to SWB, validating the general utility of MDT. It appears, though, that there are other dimensions, many of them specific to the back-to-the-land way of life, that can compensate for the discrepancies between values and performance.     

Multivariate survivorship analysis using two cross-sectional samples

As an alternative to survival analysis with longitudinal data, I introduce a method that can be applied when one observes the same cohort in two cross-sectional samples collected at different points in time. The method allows for the estimation of log-probability survivorship models that estimate the influence of multiple time-invariant factors on survival over a time interval separating two samples. This approach can be used whenever the survival process can be adequately conceptualized as an irreversible single-decrement process (e.g., mortality, the transition to first marriage among a cohort of never-married individuals). Using data from the Integrated Public Use Microdata Series (Ruggles and Sobek 1997), I illustrate the multivariate method through an investigation of the effects of race, parity, and educational attainment on the survival of older women in the United States.