Changes in functional limitation and survival among older Taiwanese, 1993, 1996, and 1999

Using data from the Survey of Health and Living Status of the Elderly in Taiwan, we investigate changes in difficulties in walking and climbing stairs, tasks that represent basic lower-body movements less likely to be influenced by changes in environment and social roles than are activities and instrumental activities of daily living. Results are shown for unadjusted prevalence rates and rates adjusted for changes in population composition. The findings indicate that Taiwan does not appear to be experiencing the improvements in functioning witnessed recently in the United States. Prevalence of functional limitation increased between 1993 and 1996 and between 1996 and 1999. One possible reason is the change in old-age survival, which appears to have benefited those who have functional limitations, especially in a severe form. The Universal Health Insurance programme, established in 1995, may have increased access to care and thus the survival of those in poorest health.     

Controlling for Care: Private and Voluntary Homes Registration and Inspection--A Forgotten Area of Social Work

Summary The size and growth of private and voluntary residential careprovision for the elderly make it, despite past neglect, a subjectof great importance to social workers. Drawing on exploratoryresearch data, the origins and role of registration and inspectionare discussed and some of the shortcomings of the present systemhighlighted. The paper discusses necessary requirements to preventfinancial exploitation of the elderly and makes two modest suggestionsfor improving and maintaining the quality of care-designatedliaison officers and a complaints procedure. In conclusion,however, it is pointed out that quality is not the only issuein the regulation of the private and voluntary sectors, thereare also issues of quantity, type and location. None of theseare being addressed by recent legislation and Code of Practice,but their resolution is important in ensuring that elderly peoplereceive the care they want and need, when and where they wantit.     

A middle‐class global mobility? The working lives of Indian men in a west London hotel

In this article we examine the working lives of young, single, middle‐class Indian men employed in the increasingly global hospitality sector in London, UK. Using a case study of a single hotel, we investigate a particular form of Indian middle‐class global mobility that differs from both the well‐documented ‘low status’, unskilled migrant as well as the highly‐skilled, science oriented migrants. We explore how their jobs both reinforce and challenge middle‐class Indian notions of masculinity, as well as how the recruitment process is both gendered and economically selective. We suggest that the transnational formation of Indian middle‐class identity is drawn from four main categories: a middle‐class lifestyle in India, class‐based motivations, the gendered and class based recruitment process of the UK hospitality industry, and the performance of class‐based gender identities.