The value of conducting door-to-door surveys

This paper argues that door-to-door surveys are a valuable tool for collecting information about health and the environment in urban areas in a manner consistent with community-based participatory research principles. We describe in detail how a door-to-door survey on food shopping and physical activity was conducted with the primary food shopper in 514 households on 30 randomly selected blocks in West and Southwest Philadelphia over seven weeks during the summer of 2010. We identify the elements of our door-to-door protocol that had benefits for the quality of the data collected, flow of data collection, the perceived safety of interviewers and residents, and that informed subsequent phases of this multimethod four-year study of urban food and physical activity environments. We conclude that door-to-door surveys are appropriate and valuable in certain research contexts, when spending time in a community, conducting observations and building relationships are central to the goals and success of a study.     

The “male” privilege of White women,the “White” privilege of Black women,and vulnerability to violence: an intersectional analysis of Peace Corps workers in host countries

This article is an intersectional analysis of race, gender, and nationality in development work. Using interview, document, and observational data, I situate this inquiry in the context of US women’s work in the Peace Corps, an organization within a field marked by colonialism. I find that White women and women of color have similar and yet instructively different experiences of their gendered identities in field sites, because race and gender differently affect their identities and relative privilege abroad. Specifically, White women volunteers are often afforded some degree of “male” privilege because of their race (though their race may render them vulnerable to sexual violence), while some volunteers of color are afforded a degree of “White” privilege because of their nationality (although their race may also render them vulnerable to violence). However, because the Peace Corps does not challenge conventional race and gender privileges, it lacks the organizational orientation and capacity to effectively address safety and assault among its women volunteers.     

Closing the Wealth Gap: A Review of Racial and Ethnic Inequalities in Homeownership

Homeownership plays an important role in the socioeconomic well‐being of Americans. Despite recent major losses in wealth due to the subprime market crash, home equity remains the largest source of wealth for the average American family. A marker of class status, owning one's home provides access to neighborhoods with the best schools, quality public services, and lowest crime. This article demonstrates that minorities have not had the same access to homeownership that Whites have, and this contributes to continuing socioeconomic disparities between Whites and minorities. This article explores the homeownership experience of Blacks – including African‐Americans, Caribbeans, and Africans – Hispanics, and Asians in the United States relative to non‐Hispanic Whites. Minorities rely heavily on homeownership and home equity as the key component of their wealth and remain less likely than Whites to hold alternative forms of investment such as stocks. The role that homeownership plays in perpetuating intergenerational wealth disparities between Whites and minorities is discussed as are challenges to minority homeownership such as the pervasiveness of risky mortgage products. Exploring the racial gap in homeownership is fundamental to understanding racial inequalities and formulating strategies and policies to help close such disparities. This article concludes with suggestions for future research.     

Analysis of human capital development in Puerto Rico: summary and conclusions

This study explored whether perceptions of organizational business ethics differ by hierarchical levels. The study sample included more than 40,000 executives, mid-level managers and non-managerial employees from business organizations in six countries: Brazil, China, Germany, India, the UK and the US. We found that executives provided the most positive assessment of ethical business culture within their respective organizations. Employees’ assessments were less positive, and mid-level managers’ assessments fell in the middle. Organizational size and respondents’ age were not related to differences in responses. Statistically significant differences among hierarchical levels were found in Brazil, the US, Germany, the UK and China. Differences were not significant in India. Executives with longer tenure at the same organization tended to provide higher ratings of organizations’ ethical cultures, while managers’ and employees’ ratings tended to decrease with time.     

A kinder,gentler gentrification: racial identity,social mix and multiculturalism in Toronto’s Parkdale neighborhood

This paper intervenes on the contemporary Canadian discourse that equates bourgeois self-making practices of progressive urban subjects with moves towards genuine spatial justice. Emerging from a three-year project assessing gentrification Toronto’s Parkdale neighborhood, the author probes the dissonance between the triumphalist rhetoric circulated by an anti-gentrification elite and the lived realities of displacement and violence in poor, racialized and mad communities. Using ethnographic observation and analysis of extensive interview data, this paper suggests that the ideas of inclusive urban development often rely on the ejection of intolerable bodies from the sphere of urban life and the simultaneous exaltation of ‘enlightened’ middle-class subjects as the authors and protagonists of social change. Yearning for a better future, this paper functions as a cautionary tale, a warning that so long as race and gender remain secondary sites of investigation and action, work for urban emancipation will reinforce those systems of domination it hopes to oppose.     

Powerful Social Studies Teaching With Poetry and Primary Sources

Given the current marginalization of the social studies within elementary classrooms it is vital that elementary educators seek integrative techniques that promote the social studies. This article explores one such example of integration taught by the authors within an elementary classroom. The three-day lesson taught to fifth-grade students aimed to teach a justice-oriented conception of citizenship through the use of historical biographies, found poetry, and primary sources. By the end of the third day, the students had used both general literacy practices (e.g. shared reading, visual literacy, close reading) and disciplinary literacy (e.g. sourcing, contextualizing, corroborating), demonstrating that integration can be a powerful means to teach the social studies while also maintaining the integrity of the disciplines.     

National variation in the context of struggle: postwar class conflict and market distribution in the capitalist democracies

Comment et pourqui la dynamique des classes varie-t-elle d'un pays capitaliste démocratique à l'autre, alors que I'on s'attendrait à découvrir un scénario commun? On ne trouve que peu d'évaluations d'ensemble de cette question qui soient d'inspiration marxiste. Ce manque a pour effet d'invalider diverses conceptions marxistes de l'organisation de classe et de la lutte de classe, en leur donnant souvent une allure exagérément mécaniste. Les approches utilisées jusqu'à maintenant pour étudier la variabilité nationale de ces processus souffrent de graves handicaps, dont le caractère a-historique de modèles trans-nationaux quantitatifs et l'incapacitéà généraliser qui accompagne les analyses historiques comparatives traditionnelles d'un petit nombre d'Etat-nations. A partir d'un point-de-vue marxiste ‘genéral’ sur l'établissement des taux de croissance de la syndicalisation et des salaires, nous estimons un ensemble de séries chronologiques pour 18 démocracies capitalistes avancées et stables; ces modèles reflètent bien l'histoire entre 1959 et 1980 de certains de ces pays, mais pas celle de certains autres. Nous suggérons alors que ces relations historiques infra-nationales sont elles-mêmes fonction d'autres differences trans-nationales, temporellement invariantes, qui différencient les pays capitalistes les uns des autres. D'une démocracie capitaliste à l'autre, les degrés différents de contrôle du gouvernement qu'ont eu les sociaux-démocrates semblent partiellement responsables de la variabilité des relations historiques entre prolétarianisation, syndicalisation, niveau de grèves et croissance des salaires. Les mouvements syndicaux de nations dont la représentation social-démocrate a été soutenue ou cumulative, semblent connaître plus de succès dans la conversion de travailleurs/euses indépendants/es en syndicalistes que les mouvements d'autres pays; ils sont moins capables, par ailleurs, d'obtenir des hausses de salaire au moyen de la grève. Nous débattons quatre implications théoriques et méthodologiques de cette recherche, dont les effets contradictoires de la social-démocracie sur la dynamique des classes. Comprehensive assessments of how and why theoretically ‘general’ class dynamics differ across the capitalist democracies are infrequent in research inspired by the Marxist problematic. This has tended to vitiate the potential explanatory power of Marxist conceptualizations of class organization and class struggle, often giving them an overly mechanistic flavor. Existing research approaches to the study of national variability in these processes suffer from several severe limitations, including the ahistoricism of static quantitative cross-national designs and the lack of generality accompanying traditional comparative/historical analyses of a small number of nation-states. Using ‘general’ Marxist understandings of the determination of unionization and wage growth, we estimate a series of time-series models for 18 advanced, stable capitalist democracies, finding that our expectations are consistent with the 1959-80 histories of some of these nations and not of others. We then posit that these within-nation historical relationships are themselves a function of other temporally invariant, cross-national differences distinguishing one capitalist country from another. Differences in social democratic control of government across the capitalist democracies, in particular, appear partially responsible for some important country-to-country differences in the historical relationships among proletarianization, unionization, strike activity, and wage growth. Labor movements in nations with sustained or cumulative social democratic representation appear more successful in converting dependent workers into trade unionists than do other countries, but are less successful in using strikes to extract wage gains. We discuss four theoretical and methodological implications of this research, including the contradictory effects of social democracy on class dynamics.     

Caregiving and our inner elder: insights from a spiritual master

Dutch Priest Henri Nouwen, who died in 1996, has a large following of devoted readers. Though not formally a gerontologist, he wrote one small book Aging: the Fulfillment of Life, full of remarkable insights into the meaning of growing old. Two approaches to caring for older people have special resonance. First, a person must appropriate his or her own aging, coming to grips with one's aging self. Secondly, one must allow the old person to enter into one's own life. Incorporating these two principles into service of elders gives it a spiritual value that goes beyond merely routine contact.     

Management of medically fragile infants and children

Medically fragile infants and children present a host of challenges. The neonatal intensive care unit (NICU) is initially the mainstay of care for these infants, but it does not meet the critical developmental interactive needs of the child and parents to ensure positive psychosocial bonding. The care of these infants is further complicated by high daily costs (ranging from $1,000 to $2,500 per neonatal intensive care bed day) and lengthy, expensive inpatient stays (typically ranging from one week to five months or more). FHP Utah, a managed care organization, met these challenges through an innovative case management-oriented home care program called "Welcome Home." The program has produced a major impact on the quality and the cost of care for medically fragile infants. This article summarizes the first year's experience in implementing and operating the program.     

A Hybrid Methodology for Modeling Risk of Adverse Events in Complex Health‐Care Settings

In spite of increased attention to quality and efforts to provide safe medical care, adverse events (AEs) are still frequent in clinical practice. Reports from various sources indicate that a substantial number of hospitalized patients suffer treatment‐caused injuries while in the hospital. While risk cannot be entirely eliminated from health‐care activities, an important goal is to develop effective and durable mitigation strategies to render the system “safer.” In order to do this, though, we must develop models that comprehensively and realistically characterize the risk. In the health‐care domain, this can be extremely challenging due to the wide variability in the way that health‐care processes and interventions are executed and also due to the dynamic nature of risk in this particular domain. In this study, we have developed a generic methodology for evaluating dynamic changes in AE risk in acute care hospitals as a function of organizational and nonorganizational factors, using a combination of modeling formalisms. First, a system dynamics (SD) framework is used to demonstrate how organizational‐level and policy‐level contributions to risk evolve over time, and how policies and decisions may affect the general system‐level contribution to AE risk. It also captures the feedback of organizational factors and decisions over time and the nonlinearities in these feedback effects. SD is a popular approach to understanding the behavior of complex social and economic systems. It is a simulation‐based, differential equation modeling tool that is widely used in situations where the formal model is complex and an analytical solution is very difficult to obtain. Second, a Bayesian belief network (BBN) framework is used to represent patient‐level factors and also physician‐level decisions and factors in the management of an individual patient, which contribute to the risk of hospital‐acquired AE. BBNs are networks of probabilities that can capture probabilistic relations between variables and contain historical information about their relationship, and are powerful tools for modeling causes and effects in many domains. The model is intended to support hospital decisions with regard to staffing, length of stay, and investments in safety, which evolve dynamically over time. The methodology has been applied in modeling the two types of common AEs: pressure ulcers and vascular‐catheter‐associated infection, and the models have been validated with eight years of clinical data and use of expert opinion.