How can stigma contribute to our understanding of the formation and mobilization of collective identities in health social movements?

Scholars across several theoretical traditions have become increasingly interested in understanding the underlying factors and mechanisms that contribute to the formation and mobilization of collective identities in health social movements (HSMs). In this essay, I make the case that stigma can serve as a useful theoretical and conceptual framework in understanding the processes through which collective identities emerge and mobilize around health‐related issues. I begin by introducing the concepts of HSMs, collective identity and stigma and reviewing how scholars have defined these concepts. Next, I establish theoretical, conceptual, and empirical links among stigma, collective identity, and HSMs. I conclude by further specifying how and why stigma can serve as a unifying framework for medical sociologists, social psychologists, and social movement researchers to advance scholarship on HSMs.     

The Long-Run Effects of Job Displacement on Sources of Health Insurance Coverage

This paper examines job displacement’s long-run effect on health insurance coverage and source of coverage. We find that displacement lowers the probability that an individual receives health insurance even ten years after job loss. However, those without children at the time of job loss largely drive this result. While displaced workers with and without children face similar losses in access to employer-provided health insurance, those with children mostly offset these losses by acquiring health insurance from other sources, particularly through the increased use of Medicaid.     

The Changing Role of the Ford Foundation in International Development, 1951–2001

While US private philanthropic foundations are small in comparison with other international donors, the Ford Foundation was an important international actor and the biggest player within international philanthropy for almost 50 years. US-funded think tanks and research centers articulated various iterations of a development paradigm, but these paradigms shifted over the same 50 years. What are the driving forces behind these shifts? Why, for instance, were US foundations working directly with government officials in the 1950s while in the 1990s working mostly through non-governmental organizations? This article seeks first to trace the major shifts in the way the Ford Foundation engaged in international development and second aims to explain how and why these shifts took place. In order to conduct this research, I relied on archival research, such as annual reports, minutes from congressional hearings, and internal unpublished reports, and interviews with former high-level employees at Ford Foundation. In addition, I coded and analyzed a database of more than 40,000 grants from the Ford Foundation from 1951 to 2001. The article analyzes the Ford Foundation through four mechanisms of change: internal leadership, external regulation, displacement by competitors, and domestic pressures. These four factors are set against the backdrop of wider shifts in international politics.     

School (non-)attendance and ‘mobile cultures’: theoretical and empirical insights from Indigenous Australia

Aboriginal and Torres Strait Islander (Indigenous) Australians are significantly and substantially less likely to be attending school on a given day than their non-Indigenous counterparts. This has been shown to have long-term consequences for the development of the mainstream literacy and numeracy skills associated with formal schooling, as well as later school and employment outcomes. Reducing this gap is a key focus of government education policy within Australia. Hampering the design of effective policy, however, is the lack of a robust empirical and theoretical framework to explain school (non-)attendance that not only builds on existing research, but also reflects the specific circumstances and aspirations of Indigenous students and their families. This article applies mixed-methods quantitative and qualitative techniques to explore what Indigenous student (non-)attendance in Australia might tell us regarding the relationship between highly marginalised student groups and formal education systems. A robust understanding of these geographically and socio-culturally situated school (non-)attendance patterns and processes allows us to build on and contribute to human capital, critical, resistance, and other behavioural theories of formal education and draw parallels for other population sub-groups globally, especially those that display ongoing patterns of high geographic mobility. Our analysis suggests that absenteeism amongst marginalised and/or highly mobile populations, may be most usefully conceived of as a manifestation of structural incompatibilities between formal schooling systems and the life projects and circumstances of these school-aged children and their families.     

Will Direct Payments Make Adult Residential Care more Personalized? Views and Experiences of Social Care Staff in the Direct Payments in Residential Care Trailblazers

Direct payments, i.e. cash payments made directly to the individual in lieu of social care services, have become an established option in council‐funded domiciliary care as a means to better personalize care and support. As part of its agenda to modernize social care, the Government tested their use in long‐term residential care in 18 trailblazing councils in England. This article presents findings from the independent evaluation of this initiative, using interviews with project leads seconded to the programme in all participating councils, and with council and care home staff involved in implementing direct payments in residential care in five sites. Interviews were conducted between September 2014 and November 2015. They explored professionals' views and experiences of personalization in residential care and their thoughts on the potential contribution of direct payments to promoting personalization. Whilst there was agreement that good care takes personal preferences into account and that many care homes could provide a more personalized service, doubts were voiced about whether direct payments were an appropriate mechanism to achieve this aim. This was seen as particularly pertinent in relation to residents with very high care needs and limited capacity to exercise choice and control. Interviewees also identified a number of risks and challenges to implementation, including financial risks to care homes. The findings from these interviews suggest that the contribution of direct payments to personalizing residential care may be more modest than expected.     

Many Hands Lighter Work? Deciphering the Relationship between Adverse Working Conditions and Organization Citizenship Behaviours in Small and Medium‐sized Enterprises during a Severe Economic Crisis

What is the relationship between adverse working conditions and employees’ organizational citizenship behaviour (OCB) in small and medium‐sized enterprises (SMEs) operating under a severe economic crisis? To address this question, a survey of 312 front‐line workers was undertaken in 62 Greek SMEs ? an instrumental setting where the current deterioration of working conditions is acute. Our contribution is twofold. First, we develop and test a scale for measuring adverse working conditions. Second, we decipher the extent to which such conditions relate to organizational and individual aspects of OCB, considering job satisfaction's mediating role. Through this research we extend the OCB literature within the context of SMEs operating under severe economic crisis and highlight the implications for managing human resources in SMEs, a sector conspicuous for its socio‐economic significance and its vulnerability during economic downturns.     

Finance-growth-poverty nexus in South Africa: A dynamic causality linkage

This paper attempts to examine the dynamic causal relationship between financial development, economic growth and poverty reduction in South Africa—using a trivariate causality model. The study attempts to answer one critical question. Which sector leads in the process of poverty reduction in South Africa—the financial sector or real sector? Using cointegration and error-correction models, the empirical results of the study show that both financial development and economic growth Granger—cause poverty reduction in South Africa. The study also finds that economic growth Granger-causes financial development and, therefore, leads in the process of poverty reduction in South Africa. This applies irrespective of whether the causality test is conducted in the short-run or in the long-run. The study, therefore, recommends that policies geared towards increasing economic growth should be intensified in South Africa in order to make the economy more monetised, and to reduce the high level of poverty currently prevailing in the country.     

The Ambiguous Role of Welfare Structures in Relation to the Emergence of Activism Among Disabled People: research evidence from Northern Ireland

The boundary between the disability movement and traditional forms of welfare production, whether in the statutory or voluntary sectors is discussed in this article. Drawing on the resource mobilization paradigm in social movement theory, it discusses the role played by existing welfare structures in the formation of disabled people as activists and in the initial stages of mobilization. The article reports on the findings of interviews with activists in the emerging disability movement in Northern Ireland, a region with a very low level of movement activity. It concludes that in such areas, disabled people often lack the resources to mobilize on their own account and are heavily dependent on formal welfare for the necessary networks and opportunities. Although this can be a significant constraint, it is not necessarily so if these opportunities enable the infant movement associations to grow beyond the welfare settings lying behind their emergence. This is more likely to take place if other supportive factors are in place. Many of the required resources are to be found within more traditional voluntary organisations. Few of these organisations play any role in the process of mobilization. But where mobilization is taking place, they are invariably present.     

Spin your science into gold: direct to consumer marketing within social media platforms

We describe the emerging issues related to warnings with respect to pharmaceutical company use of the internet as a vehicle for direct-to-consumer marketing (DTC) and market research. We describe the various techniques pharmaceutical companies have used to exploit this new communications medium which permits two way exchange of information. The Food and Drug Administration (FDA) has not issued any specific regulations to control internet based misbranding. We describe some examples of the FDA's application of historic regulations to pharmaceutical company use of this new medium and suggest.     

Quantification of hand grasp force using a pressure mapping system

The goal of this study was to use a pressure sensor to measure the force distribution and contact area of the hand when gripping, pushing, and pulling a cylinder. Data was collected from 10 subjects with no hand impairments and from 1 subject with rheumatoid arthritis (RA). Subjects grasped an aluminum cylinder wrapped with a Tekscan pressure sensor and performed each trial at 25%, 50%, and 100% maximum voluntary exertion. A relationship was found between increasing exertion and increasing hand area with increasing hand contact area. The force distribution maps showed the thenar region of the hand exerts the most force during pushing while the metacarpal joint line exerts the highest force during pulling. The third and fourth phalange were found to exert the highest phalange force during gripping. The force distribution maps from the RA subject showed higher thumb forces and distal phalange forces, relative to the entire phalange, compared to the non-impaired subjects. This suggests that the RA subject compensates for the lack of phalange function with the regions of the hand that still function. Future studies should sample individuals with a larger hand area range and sample more individuals with RA.