Mental health differences between men and women caregivers,BRFSS 2009

This study uses data from the 2009 Behavioral Risk Factors Surveillance System (BRFSS) to examine differences between male and female caregivers by demographics, health-related quality of life (HRQOL), and the effect of social support on HRQOL. Roughly two-thirds of caregivers were women, and demographic characteristics differed among men and women caregivers. Women caregivers reported significantly more mentally and physically unhealthy days than men, but there were no differences between men and women in general health or life satisfaction. Men were significantly more likely to report that they rarely or never received social support. Despite this, the effect of social support on HRQOL was stronger in men than in women. Implications of these findings for caregiver support programs are discussed.     

Pregnancy care and birth outcomes for women with moderate to super-extreme obesity

PurposeTo describe the health service utilisation and birth outcomes of pregnant women with moderate to super-extreme obesity.BackgroundMaternal obesity is increasingly recognised as a key risk factor for adverse outcomes for both women and their babies. Little is known about the service utilisation and perinatal outcomes of women with obesity beyond a body mass index of 40.MethodWomen with a self-reported pre-pregnancy BMI of 40 or more, who had received care and birthed a baby at the study site between 1 January 2009 and 31 December 2010. Clinical audit was used to identify the health service utilisation and birth outcomes of these women.Results153 women had a BMI of 40 or more. Women saw 6 different health professionals during pregnancy (1–16). Most of their visits were with a medical practitioner, often with limited experience, and almost all women only saw a midwife once at their booking visit (n = 150, 98.0%). While the majority of women experienced a normal pregnancy, free from any complications, almost half the women in this study experienced a caesarean section (n = 74, 48.4%).ConclusionClinical audit has been useful in providing additional information which suggests current maternity care provision is not meeting the needs of this group of women. The model of antenatal care provision may be a mediating factor in the birth outcomes experienced by obese women. The development of effective, targeted antenatal care, designed to meet the needs of these women is recommended.     

South African Quality of Life Trends Over Three Decades, 1980–2010

The South African Quality of Life Trends study has tracked the subjective well-being of South Africans in ten waves from 1983 to 2010. The paper presents the SAQoL trendline of life satisfaction, happiness and perceptions of life getting better or worse against the backdrop of the transition from apartheid to democracy. Subjective well-being peaked in the month following the first open elections in April 1994 when black and white South Africans were equally satisfied and happy at levels found in other democratic societies. But post-election euphoria was short-lived and levels of well-being dropped the following year and racial inequalities in evaluations of life re-emerged. The tenth and latest wave in the study was conducted a few months after South Africa’s successful hosting of the Soccer World Cup. In 2010, the proportions of all South Africans expressing satisfaction, happiness and optimism was among the highest since the coming of democracy—just over half stated they were satisfied, close on two-thirds were happy, and half felt life was getting better. Nonetheless, while the standard of living has increased for a minority of formerly disadvantaged South Africans and a small black middle class has emerged, there are still huge disparities in both material and subjective well-being. In 1997 and 2010, South Africans were asked what would make them happier in future. In 2010, the majority of citizens still hoped for basic necessities, income and employment, to enhance their quality of life.     

Relational Sacrifices about Intimate Behavior and Relationship Quality for Expectant Cohabitors

ABSTRACT

Using interdependence theory, we examined how relational sacrifices specific to intimacy were associated with positive (commitment, satisfaction, love, and maintenance) and negative (ambivalence and conflict) relationship quality among expectant, unmarried cohabitors (n = 69 individuals), because this group may struggle relationally. We examined how often individuals made sacrifices for their partners and their partners’ perceived awareness of their sacrifices (i.e., individuals’ perceptions that their partners are aware that intimate sacrifices had been made for them) for both members of the couple using Actor Partner Independence Models. We controlled for children from previous relationships, unplanned pregnancy, gender, education, and race/ethnicity. Results showed that frequency of intimate sacrifices was not associated with any aspects of relationship quality. Instead, as expected, perceived partner awareness of intimate sacrifice was associated with greater commitment, satisfaction, love, and maintenance for individuals; lower ambivalence for individuals; and lower conflict for both individuals and their partners. These results suggest that for expectant cohabitors, perceived partner awareness of intimate sacrifices is central to achieving more positive, and less negative, relationship quality.     

Reviews

The article discusses language as a form of social differentiation and the importance of its recognition as such within social work. Structural and ideological barriers to the recognition of linguistic identity within the UK context are explored, before focusing on additional language tuition and the benefits of its use as an awareness raising tool, drawing from socio‐linguistics literature and applying it to social work education.

Research points to the necessity of the development of a ‘third place’ between a native and target linguistic culture to permit a greater depth of understanding of multicultural and multilingual contexts. It is argued that culturally competent language tuition, when used beyond an exercise in communicative competence or bilingual resource development, has great potential in terms of developing anti‐discriminatory practice past a monolingual framework, and allowing monolingual practitioners to discover their own linguistic identities, and reach their own ‘third place’.     

Employer Policy and Practice Toward Older Workers in Hong Kong: The Role of Shifting Intergenerational Dynamics

Many governments are seeking to encourage the extension of working lives to counteract potential labor market shortages that might result from population aging. Nevertheless, research shows that older workers continue to face a range of barriers to their labor market participation. However, this research has not tended to take a holistic view of the factors shaping employer policy and practice or acknowledge that older workers’ experiences are embedded within broader social structures and age dynamics. This article reports on exploratory qualitative research undertaken in Hong Kong. It demonstrates how employer policy and practice toward older workers are shaped by intergenerational dynamics and by the social responsibility that employers feel toward different generations. It is argued that in order to more fully understand employer policy and practice toward older workers, an approach that acknowledges the social context and position of different age groups is required.     

Characteristics of optimum falls prevention exercise programmes for community-dwelling older adults using the FITT principle

This review aims to identify the optimal exercise intervention characteristics for falls prevention among community-dwelling adults aged 60 years and over. Articles for inclusion were sourced by searching the Academic Search Premier, AMED, Biomedical Reference Collection: Expanded, CINAHL Plus, MEDLINE and SPORTDiscus databases with the key words ‘falls’, ‘prevention’, ‘exercise’ and ‘community’ and via reference lists of relevant articles. Only articles of level 1 or level 2 evidence (Howick et al. 2011) were included. Other inclusion criteria included recording falls incidence as an outcome measure, examining a community-dwelling population aged 60 years or over and implementing exercise as a single intervention in at least one group. Exercise programme characteristics from 31 articles were examined according to their frequency, intensity, time and type and their effects on falls incidence were reviewed. Exercising for a minimum of 1 h/week for at least 40 h over the course of an intervention is required to successfully reduce falls incidence. The optimal exercise frequency is three times per week, but the optimal duration per bout remains unclear. Specific balance training of sufficiently challenging intensity is a vital programme component, and strength training is most effective when combined with balance training. Flexibility and endurance training may also be included as part of a comprehensive programme. A combination of group and individual home exercise may be most effective for preventing falls and promoting exercise adherence.     

Perceptions of Fortune and Misfortune in Older South African Households: Social Assistance and the ‘Good Life’

It is commonly assumed that better living standards will boost subjective well-being. The post-apartheid South African government subscribes to this idea; its social policies aim to provide ‘a better life for all’. Since the coming of democracy in 1994, the state has built over 3 million houses and supplied electricity and clean water to poor households. By 2009, an estimated 43 % of households were beneficiaries of social grants. The question is whether this investment in services and social assistance translates into higher well-being of citizens. It is argued that older people’s experience of positive change in their life circumstances can be taken as a litmus test of progress in society. The paper reports results of a sample survey conducted in 2009 that inquired into the living circumstances and well-being of 1,000 older low-income households in two provinces linked by a labour migration route. Older households were defined as ones with a member 55 years and older. The sample was drawn among three approximately equal-sized subgroups: Rural black households in the former ‘homelands’ of the Eastern Cape Province, and black and coloured households in Cape Town in the Western Cape Province. The majority of the households in the survey had been interviewed in an earlier survey conducted in late 2002. Both material and non-material changes had occurred in the household situation over the 6-year period between 2002 and 2009. Access to housing and infrastructure had improved but financial difficulties and debts continued to plague many of the surveyed households. Rural black households appeared to be worst off among the three categories of older households with the lowest level of living; coloured households best situated with the highest level of living. Urban black households, many of whom were immigrants to Cape Town, appeared to have experienced the greatest fluctuations in their material circumstances between 2002 and 2009 and a mix of fortune and misfortune. Results indicated that social grants, which provided a modicum of financial security and peace of mind, made the crucial difference between fortune and misfortune for vulnerable households. Securing a social pension and other grants appeared to be the main route to good fortune for the rural households in the study. Households in Cape Town required wage income in addition to grant income to get by in the city. This mix of income sources diluted urban households’ dependence on social assistance. Regression model results suggest that income and financial security play a significantly more important role in boosting the well-being of low-income older households than access to services. Pooling of income, a common practice in pensioner households, contributed significantly to household satisfaction.