Expanding the Role of Long-Term Care Social Workers: Assessment and Intervention Related to Urinary Incontinence

Urinary incontinence (UI) is a common and stigmatizing problem faced by long-term care (LTC) residents. It is typically addressed by medical professionals, with social work rarely involved. The purpose of this article is to illustrate how social workers can address the psychosocial implications of UI while working with residents and their family members as part of an interdisciplinary team. Using a case example and the NASW objectives for LTC, recommendations on how the role of the LTC social workers can be expanded to better address both the needs of residents, families, and the larger LTC system are provided.     

The effect of pregnancy intention on child development

In this paper, we use data from the National Longitudinal Survey of Youth to investigate the empirical link between unintended pregnancy and child health and development. An important contribution of our study is the use of information on siblings to control for unmeasured factors that may confound estimates of the effect of pregnancy intentions on infant and child outcomes. Results from our study indicate that unwanted pregnancy is associated with prenatal and postpartum maternal behaviors that adversely affect infant and child health, but that unwanted pregnancy has little association with birth weight and child cognitive outcomes. Estimates of the association between unwanted pregnancy and maternal behaviors were greatly reduced after controls for unmeasured family background were included in the model. Our results also indicate that there are no significant differences in maternal behaviors or child outcomes between mistimed and wanted pregnancies.     

Demographics of the gay and lesbian population in the United States: Evidence from available systematic data sources

This work provides an overview of standard social science data sources that now allow some systematic study of the gay and lesbian population in the United States. For each data source, we consider how sexual orientation can be defined, and we note the potential sample sizes. We give special attention to the important problem of measurement error, especially the extent to which individuals recorded as gay and lesbian are indeed recorded correctly. Our concern is that because gays and lesbians constitute a relatively small fraction of the population, modest measurement problems could lead to serious errors in inference. In examining gays and lesbians in multiple data sets we also achieve a second objective: We provide a set of statistics about this population that is relevant to several current policy debates.     

Rural small firms’ use of the internet: From global to local

Reporting on a study of internet portals in rural Scotland, the paper examines the discrepancy between the much theorised use of the internet to afford external market reach to small rural firms, and the consistent and prevailing evidence that the rural economy is sustained by locally-oriented trade. The study combines data from portal operators and rural firms that use portals and finds from both that greater importance is placed on maintaining local interest to facilitate local trade than fostering external market orientation. However, both suppliers and users of portals identify that local orientation of the portal also increases the effectiveness of externally-oriented marketing. Thus, rather than a focus on attracting external markets, a balance of local and external orientation is best placed to foster value-adding business activity. From a theoretical perspective the importance of the local when applied to rural small firms’ internet use is largely neglected, but its importance, as observed in the current study, suggests a rationale for developing theory that better explains the role of the internet for rural firms.     

Modelling the tradeoff between postponement capacity and forecast accuracy

The ability to offer rapid delivery of a wide variety of customised products requires companies to maintain high levels of product inventories to quickly respond to customer demands. One alternative for reducing final product inventories while providing the required customer service level is delayed product differentiation, known as postponement. This strategy, however, can result in significant costs of increasing capacity at the postponement stage. Another alternative is to improve forecast accuracy, resulting in costs associated with more sophisticated forecasting methodologies. In this study we model the costs associated with each alternative and the resulting reductions in inventory levels, while maintaining a constant service level. We illustrate the interaction between these variables using a numerical example motivated by our work with a local manufacturer of non-durable household goods. Our findings show that large cost differences can exist between the two strategies, and that these costs play a significant role in determining the best strategy. Also, the value of the product (through holding cost) sets a limit on the benefit that can be realised by either strategy. These results have important managerial implications that should be considered when making the postponement decision.     

The Interdisciplinary Future of Supply Chain Management Research

Since the term supply chain management (SCM) was first introduced over 30 years ago, the field of SCM has undergone numerous transformations. Today, it is a prevailing theme in scholarly and popular research, and numerous disciplines claim its ownership. However, current and emerging SCM research challenges are becoming increasingly more complex. Fragmented and "siloed" research efforts across a range of disciplines may not be adequate to address the full complexities associated with these phenomena. We interviewed 50 SCM academic thought leaders, across a range of disciplines, and 20 SCM executives with the goal of helping researchers develop a consistent stream of work that builds on existing research, identifies relevant research directions, and provides guidance for the future. Although there were some differences in opinions, there was consensus on the boundary characteristics of SCM, as well as the identification of interdisciplinary research (IDR) as necessary for the enablement of SCM to address the numerous current and emerging intractable SCM challenges. In this article, we present these findings and provide a path forward based on the collective wisdom of these academics and executives.     

Alzheimer's disease and related dementias

The number of individuals with Alzheimer's disease or a related dementia is growing at a staggering rate. Thus, it is essential that social workers in geriatric settings are knowledgeable about this disorder and the appropriate interventions to use at all stages of the disease. The purpose of this article is to examine the types of non-pharmacological, psychosocial treatments that are used to manage the behavioral manifestations and changes in the mood of individuals with Alzheimer's disease or a related dementia. While great strides have been made in pharmacological treatments of Alzheimer's disease, less attention has been given to the types of psychosocial interventions that are readily employed in community-based and long-term care settings to assist in the care of these individuals. This article provides an overview of psychosocial interventions, as well as identifies the direction for future evidence-based treatment studies, for individuals with Alzheimer's disease and related dementia.     

Attitudes of Heterosexual Men and Women Toward HIV Negative and Positive Gay Men

Attitudes of Italian heterosexual men and women toward gay men, both HIV positive and negative, are poorly investigated. Italian culture is still extremely conservative and provides limited support to the gay community (e.g., lack of same-sex marriage recognition). Consequently, gay men experience social exclusion and disparities. The present study explores the association between homophobia and closeness with sexual orientation and HIV status. 261 heterosexual Italian men and women were assessed for feelings of closeness and homophobia after reading a vignette where the character was C1: heterosexual and HIV negative; C2: gay and HIV negative; or C3: gay and HIV positive. Experiences of homophobia and closeness varied depending on gender of participant and condition assigned, and higher levels of homophobia were correlated with lower levels of closeness regardless of HIV status. Implications and future directions are discussed.