Needs and Supports in Transitional Housing for People Living with HIV/AIDS in Ontario,Canada

ABSTRACT

There is a paucity of research on transitional housing for people living with HIV/AIDS (PHA) and even less so within the Canadian context. The present work addresses that gap and reports on the results from the Transitional Housing Study, a province wide community-based research collaboration involving PHA, service providers, and university researchers in Ontario Canada. This article answers the following research questions: What supports do residents in transitional housing for PHA access and what needs do these supports address? Developing from a thematic analysis of in-depth qualitative interviews with 25 residents in one of three transitional housing agencies in Ontario for PHA, the findings reveal that participants benefited from four key supports while in transitional housing: the provision of a safe environment, co-coordination and management of HIV (and other) drug therapies, assistance with appointments, and referrals to health and social services. Until more resources are available to increase availability of transitional housing for PHA, the nonprofit housing sector must fill the gap that exists by offering the types of supports identified in this study in order to address the needs of PHA. Future research may link these supports efficiently with concrete health improvements and permanent housing stability among PHA.     

Network Instability in Times of Stability

Personal networks undergo change in response to major life course events. Individual, relational, and network characteristics that influence network instability in the absence of a significant life transition/crisis are less understood. We focus on those ties that transition from active to dormant. Because the shift to dormancy is often interpreted as a reduction in support or social capital, it is considered problematic. This study is based on longitudinal survey data of middle‐class adults who did not undergo life changes. Even in this context of relative stability, support networks experience rates of dormancy similar to those observed during periods of major upheaval. Tie dormancy is unrelated to individual characteristics, network size and density, or homophily along dimensions other than sex. Frequency and medium of communication are particularly notable as factors that were not related to tie dormancy. Ties were less likely to become dormant if they were geographically or emotionally close, immediate kin or neighbors, highly supportive, the same sex, or more embedded in the network. These findings provide context for how support networks operate when not buffeted by exogenous forces. They provide a baseline for understanding the impact on networks of transitions, trauma, new media, and difficult life circumstances.     

Myths and realities: From lusotropicalism to ‘total strategy’

Angola Under the Portuguese: The Myth and the Reality, by Gerald Bender. Berkeley and Los Angeles; University of California Press, 1978, xxviii + 287pp. R11–40, pb.     

Towards a people's history

Gold and Workers 1886–1924: A People's History of South Africa Vol. 1 by Luli Callinicos. Johannesburg: Ravan Press, 1981. Drawings by Andy Mason, bibliography, index, references. 112 pp. R3.75.     

Quislings or Realists?

Quislings or Realists? A documentary study of ‘Coloured’ politics in South Africa. Edited by Pierre Hugo. Johannesburg: Ravan Press, 1978. 744 pp. R24.     

Requisite conditions for the formation and viability of a counter‐cultural community

Many scholars have noted that religion is essential for a counter‐culture or utopian community to survive. It has also frequently been maintained that any religion will do, that the content of the religion is inconsequential. This article focuses on the formation and viability of alternative societies and concludes that either harsh circumstances or a particular religious orientation is necessary. Three social conditions and four characteristics of the religious world‐view are specified as being necessary for the formation of an “intentional counter‐culture community.” Each of the predisposing structural factors and each of the characteristics of the world view must be present for the formation and viability of this type of alternative culture. In the “circumstantial counter‐culture community,” religion is much less important; oppressive conditions serve as a functional alternative to the specific religious outlook.     

Between sociology and theology: the spirit of capitalism debate

This paper revisits the debate on the Spirit of Capitalism in order to show how this well-known sociological theme might be revitalised through an encounter with themes from theology. The paper seeks to offer some of the resources by which it might be possible to think about the 'moral texture' of the German tradition of sociology. In so doing, it seeks to compare and contrast the general theme of the Spirit of Capitalism in the work of the Protestant theologian Paul Tillich with debates raised in the neo-Kantian sociology of Georg Simmel and Max Weber. Tillich's discussion of the Spirit of Capitalism is discussed in detail and it is used as the basis for some concluding speculations about the relationship between the disciplines of sociology and theology.     

An analysis of well-being in retirement: The role of pensions,health, and ‘voluntariness’ of retirement

This paper examines a wide range of determinants of retiree well-being of retirees. Using data from the 2000 Health and Retirement Study, increases in economic factors such as income lead to higher well-being, although relative income has a larger effect than absolute income. The strongest predictors are the voluntariness of entering retirement, pension characteristics, and health. Retirees “forced” to retire or have defined contribution pensions or bad health have significantly lower well-being. The results suggest a more nuanced approach in addressing retiree well-being than just a focus on the economic well-being of retirees.     

Balance dysfunction and falls in people with lower limb arthritis: factors contributing to risk and effectiveness of exercise interventions

Chronic musculoskeletal conditions in the lower extremities, particularly arthritis, and the chronic pain associated with them, are independent risk factors for falls, with approximately 50% of people with arthritis reporting one or more falls. Despite this, few studies have specifically addressed balance dysfunction, falls risk and falls incidence in people with arthritis. This review aimed to identify potential factors contributing to the increased risk of falls in people with lower limb osteoarthritis or rheumatoid arthritis and to summarise the evidence base for effective exercise interventions targeted to reduce their risk of falls. A systematic search of the literature was conducted in February 2010 and included the following databases: MEDLINE (Ovid), EMBASE, Cumulative Index to Nursing and Allied Health Literature, Allied and Complementary Medicine, Cochrane Library and PsycINFO. Only three studies that investigated exercise programmes for people with lower limb arthritis met all inclusion criteria, but none used falls as an outcome measure. To broaden the review, systematic reviews that assessed the effectiveness of exercise interventions for fall prevention in older people were also included. The presence of any form of lower limb arthritis and the associated consequences including pain, balance impairment, reduced muscle strength and reduced function are all associated with increased risk of falling. Due to the link between musculoskeletal pain and the increased risk of falls, further research needs to investigate which type of exercise programme will be effective in reducing the risk of falls in populations with arthritis in the lower limbs.