Social network resources and management of hypertension

Hypertension is one of the most prevalent chronic diseases among older adults, but rates of blood pressure control are low. In this article, we explore the role of social network ties and network-based resources (e.g., information and support) in hypertension diagnosis and management. We use data from the National Social Life, Health, and Aging Project to identify older adults with undiagnosed or uncontrolled hypertension. We find that network characteristics and emotional support are associated with hypertension diagnosis and control. Importantly, the risks of undiagnosed and uncontrolled hypertension are lower among those with larger social networks-if they discuss health issues with their network members. When these lines of communication are closed, network size is associated with greater risk for undiagnosed and uncontrolled hypertension. Health care utilization partially mediates associations with diagnosis, but the benefits of network resources for hypertension control do not seem to stem from health-related behaviors.     

Sociological Theories of Low-Wage Work

This review addresses the use of sociological theories in the examination of low-wage work. Due to the vast volume of literature on this topic, only theories that help to explain the dynamics of low-wage work are described, along with the differences and controversies surrounding these theories. These theories are divided into four topic areas related to theories of work, racial and gender theories, immigration theories, and intersectionality theory. The theories of work include different models of wage determination, namely, functional, conflict, and structural models. The review concludes with a conceptual map that illustrates how these theories can inform and guide practice.     

Polyvictimization in later life: Trauma-informed best practices

ABSTRACT

This article provides a summary of salient trauma findings and conveys the dearth of research pertaining specifically to the trauma of elder abuse. This material, in conjunction with information contained in other articles composing this special issue, lays the foundation for advancing a trauma-informed approach to assisting older adults who have experienced polyvictimization. Informed by the findings presented and their extensive clinical experience with victims of violence, the authors suggest steps for providing a trauma-informed and victim-centered response to older adults who have suffered polyvictimization. These steps are then illustrated with an in-depth late-life polyvictimization case analysis.     

Creating safe spaces: designing day shelters for people experiencing homelessness

Day shelter programs are an important resource for people experiencing homelessness, offering respite from inclement weather, social stigma, victimization, and access to essential services and resources. Creating functional day shelter spaces requires that staff, services, and facilities support the needs of this vulnerable and marginalized population. Little guidance, however, is available regarding the design of day shelter spaces that support service engagement and positive service outcomes. This systematic review was conducted to support the development of a new day shelter in Fort Worth, Texas, identifying and reviewing interdisciplinary resources relevant to the design of these facilities. Based on the review, a preliminary taxonomy emphasizing day shelter client safety, security, dignity and health and well-being is proposed. Additional discussion identifies practical considerations affecting the implementation of the taxonomy, design priorities, and how the taxonomy was applied to the design of the Fort Worth day shelter.     

A visual narrative analysis of children’s baby loss remembrance drawings

Children experiencing the death of baby brother or sister have reported individual, familial, and communicative challenges. Siblings also have indicated that the loss of a baby in their family enriched their lives despite their pain. The present study extends this work by focusing not only on siblings but also other children enmeshed in the family system. Additionally, we heed the call for the use of arts-based methods in family communication by performing a visual narrative analysis of children’s baby loss remembrance drawings. This analysis of 131 drawings completed by children ages zero to 18 yielded three main themes, including narration of identity, narration of life and death, and narration of growing sense-making. Two continua capture these themes, including the subject of narrativization and the mode of narrativization. In presenting these findings, we provide a unique (means of) understanding children’s experience of baby loss in the family.     

The effects of a workplace intervention on employees’ cortisol awakening response

Work-related stressors are known to adversely affect employees’ stress physiology, including the cortisol awakening response (CAR) – or the spike in cortisol levels shortly after people wake up that aids in mobilizing energy. A flat or blunted CAR has been linked to chronic stress and burnout. This daily diary study tested the effects of a workplace intervention on employed parents’ CAR. Specifically, we tested whether the effects of the intervention on CAR were moderated by the type of days (workday versus non-work day). Data came from 94 employed parents from an information technology firm who participated in the baseline and 12-month diurnal cortisol components of the Work, Family, and Health Study, a group-randomized field experiment. The workplace intervention was designed to reduce work-family conflict (WFC) and implemented after the baseline data collection. Diurnal salivary cortisol was collected on 4 days at both baseline and 12 months. Multilevel modeling revealed that the intervention significantly increased employees’ CAR at 12 months on non-workdays, but this was not evident on workdays or for employees in the usual practice condition. The results provide evidence that the intervention was effective in enhancing employees’ biological stress physiology particularly during opportunities for recovery that are more likely to occur on non-work days.     

Future time orientation and employment of individuals with a spinal cord injury: does current work status reflect a greater orientation toward the future?

Differences in future time orientation were investigated among 317 individuals with spinal cord injuries according to work status. The results of an analysis of variance indicated a significant difference on future time orientation between individuals with an active community role (full-time or part-time employed, student, or volunteer) versus a non-active community role (unemployed or retired). In a post-hoc analysis of covariance (with depression as the covariate), these differences between work statuses on future time orientation were no longer significant, though a significant main effect by depression was observed. In both analyses, individuals with active community roles had higher future time orientation scores than individuals without active community roles. Suggestions for future research were briefly proposed.     

Multiethnic Children Portrayed in Children's Picture Books

The portrayal of multiethnic children in picture books provides a unique opportunity for social workers, other helping professionals, and parents to work more effectively with a population of preschool multiethnic children. Twenty-two picture books portraying multiethnic children and their families are identified and evaluated. Their relevance for social work practice with children and families is discussed.     

Principles of Protection for Internally Displaced Persons

For forced migrants who have not left their country but are internally displaced persons, human rights law provides an important framework through which to analyse and address their plight. Two principal reasons underpin this assertion.
First, owing to the compelling need: human rights violations cut across all phases of internal displacement, causing its occurrence, characterizing the conditions of physical insecurity and material deprivation in which the internally displaced often find themselves, and impeding equitable and lasting solutions.
Second, as internally displaced persons remain within the territory of their state, refugee law does not apply and, instead, human rights law provides the fundamental basis for addressing their plight. In addition to human rights law, other standards of international law are also relevant, namely international humanitarian law when displacement occurs in situations of armed conflict and refugee law by analogy.
Drawing on these three standards of international law, Guiding Principles on Internal Displacement have been developed which set out what protection should mean for internally displaced persons in all phases of displacement. This article traces the origins and provides an overview of the content of the Guiding Principles, the text of which is reproduced in full in the Appendix.