Trade-Offs Between Formal Home Health Care and Informal Family CareGiving

Using 1994 National Long Term Care Survey data, we estimated logistic regressions of formal and informal home health care use and hours. Home health care use and intensity were differentially impacted by chronic conditions, are higher for Medicaid enrollees and rural or small town residents, but lower for HMO enrollees. Decreases in the probability of home health care use increased informal instrumental activities of daily living (IADL) support four hours and decreased informal activities of daily living (ADL) support eight hours weekly. IADL caregiving substituted for formal care, but ADL caregiving declined with reductions in formal care. Public policy reducing formal home health care access may reduce informal ADL caregiving and increase informal IADL caregiving, producing net declines in support.     

Re-evaluating the Community Question from a German perspective

The far-reaching effects of the social systemic division of labor on the organization and contents of primary ties make the Community Question an important issue for many sociologists. This paper looks at the personal embeddedness of families in three German cities (Berlin, Hamburg, and Stuttgart) and examines the Community Question with data collected at the end of 2003. It is based on the theoretical views of Wellman [Wellman, B., 1979. The community question. The intimate networks of East Yorkers. American Journal of Sociology 84, 1201–1231], who used a network analysis perspective to conceptualize “the Community Question”. The results of this German study generally support the results of Wellman's second East York Study. However, the network structures analyzed in my study vary from the three ideal-type models. Cluster analysis shows that Wellman's typology can be replicated relatively well in Germany. In contrast to traditional discourse related to the Community Question, particular network types are not associated with low levels of social relations. Moreover, structural factors do not explain the existence of different network types. Thus, the networks are not a product of only one community model. They suggest that it is less helpful to talk about “Saved”, “Lost”, or “Liberated” communities than it is to regard communities as a mixture of strongly-knit nuclear clusters and of broader, sparsely-knit relations that provide access to different groups and their resources.     

FAMILY THERAPISTS' RESPONSE TO AIDS: AN EXAMINATION OF ATTITUDES,KNOWLEDGE, AND CONTACT*

As the number of individuals and families impacted by AIDS continue to multiply, family therapists will increasingly be asked to become engaged in the challenge of caring for those affected. To date, little has been written in family therpy journals regarding the response of family therapists to this crisis. This paper represents an initial attempt to examine the atitudes of clinical members of the American Association for Marriage and Family Therapy toward AIDS and persons with AIDS. Included in the study are data regarding the therapists' contact with persons with AIDS, gays, and lesbians, and the impact of such contact on attitudes. Implications for future research, training, and treatment of those affected by AIDS are also provided.     

Patient assertiveness in ethnically diverse older women with breast cancer: Challenging stereotypes of the elderly

Patients' views of patient-physician interactions—particularly the perspectives of older, ethnically diverse women—are poorly understood. The older patient's attitude toward and understanding of the medical encounter, however, are essential to the design of strategies to improve patient-physician communication. To date, investigations have primarily emphasised the ways in which the therapeutic relationship is influenced by immutable patient characteristics. This qualitative study extends previous research findings by looking beyond the effect of ascribed categories (such as age, race, and gender) and focusing on aspects of patient behavior, specifically assertiveness. Focus groups were conducted with older African-, Chinese-, European-, and Hispanic American breast cancer patients from sites in the eastern and western United States. The study explores the potential of a form of patient activation for challenging stereotypes of the elderly and changing health care practitioners' behavior.     

Probabilistic solutions to ordinary differential equations as nonlinear Bayesian filtering: a new perspective

Statistics and Computing - We formulate probabilistic numerical approximations to solutions of ordinary differential equations (ODEs) as problems in Gaussian process (GP) regression with nonlinear...     

Why spouses depress each other: A cross‐national study to test the shared resource hypothesis in depressive symptom concordance within older adult couples

The shared resource hypothesis suggests that married couples share the same environmental resources, which shape their health concordance. This study tests its cross‐national applicability. Cross‐sectional 2012–2013 Health and Retirement Study data from China, England, Mexico, and the United States were analyzed. Heterosexual couples (age ≥60) who were married or partnered were studied (N = 20,565 pairs). Dyadic data were analyzed by multilevel models to examine the effect of self and spousal social and physical health statuses on depressive symptoms. Regression models were used to test the relationship between couples' shared resources and depressive symptom concordance. Results indicated both husbands and wives' depressive symptoms were associated with their own and spouses' social and health statuses. Most couple‐level resources were insignificant predictors for Chinese and Mexican couples' concordance, but having more social and financial resources was associated with higher concordance among British and American couples. Self‐reported health was the most consistent predictor in all countries. The shared resource hypothesis was more applicable to depressive symptom concordance within couples in the United States and England, but not in China and Mexico. Couple‐centered intervention is suggested for clinical practice, and the spousal effect should be considered in policymaking.     

Women's Marriage Behavior Following a Premarital Birth in Sub‐Saharan Africa

This study examines the relationship between premarital childbearing and the timing of women's entry into their first marriage in sub‐Saharan Africa. The study shows that African women who have a premarital birth generally experience later transitions to marriage than do their childless peers. Although the birth of a child precipitates a quicker transition to marriage initially, unmarried mothers, on average, marry at older ages than their childless peers and remain single for between 2 and 14 years. Evidence from a subsample of countries confirms that the time between having a child and first marriage has lengthened slightly in some countries; however, this reflects mainly the overall trend toward later marriage, rather than a further bifurcation of the marital trajectories of mothers versus childless women. The study raises policy concerns about the welfare of Africa's single mothers and their children.     

Gendered Strategies of Self: Navigating Hierarchy and Contesting Masculinities

This article is based on a case study of a catastrophic wildfire that occurred in western Canada in 2003. The organization of the firefighting efforts and unequal support and praise from the public and the media resulted in a hierarchy between firefighting groups. This created inter‐group tension and conflicts that firefighters resolved using discursive strategies that positioned some occupational groups as superior and others as subordinate. I argue that we cannot fully understand firefighters' strategies for negotiating this hierarchy without examining masculinity dynamics; something that previous research on boundary work and the comparative self have yet to examine.     

The inner circle: Building bridges or boundaries between researchers and practitioners

An epistemological and methodological approach, The Change Laboratory, is analysed to determine which forms of distributing knowledge are apparent during cross-cultural research. Distributing knowledge is intricately related to methodological design, to researchers’ and practitioners’ life experiences and to roles of power. The article concludes that research conducted across cultures necessitates careful analysis of the power found within forms of distributing knowledge. This power is derived from a tacit belief that certain knowledge is only available to those within a given circle or that it is available to those outside a given circle without alteration.     

Does compassion go viral? Social media,caring, and the Fort McMurray wildfire

ABSTRACT

In May 2016, an enormous wildfire threatened the city of Fort McMurray, Alberta and forced the evacuation of all of the city’s residents. Outpourings of support teemed in from all across Canada and over the world, prompting the largest charitable response in Canadian Red Cross history. This paper examines Albertans’ response to the wildfire by exploring caring and helping behaviors as well as the role of social media in facilitating these remarkable charitable efforts. The paper uses mixed methods including an analysis of the most popular Tweets related to the wildfire and an Alberta survey collected months after the disaster. The analysis of tweets reveals that care, concern, and invitations to help were prominent in social media discourse about the wildfire. The analysis of survey data demonstrates that those who followed news about the wildfire on social media express higher overall levels of care and concern for those affected, which led to helping those impacted by the wildfire. The findings provide important insights about the role of social media in disaster relief and recovery as well as citizens’ civic engagement.