Job loss and health in the U.S. labor market

While U.S. unemployment rates remain low, rates of job loss are high and rising. Job loss is also becoming increasingly common in more advantaged, white-collar occupations. This article is concerned with how these patterns impact the health of U.S. workers. Drawing on recent data from the U.S. Panel Study of Income Dynamics, I find that job loss harms health, beyond sicker people being more likely to lose their jobs. Respondents who lost jobs but were reemployed at the survey faced an increased risk of developing new health conditions; they were not, however, more likely to describe their health in negative terms. This suggests that recent job “churning” within the United States (i.e., high rates of job loss but low unemployment) may impact certain health outcomes but not others. I find no evidence that the health consequences of job loss differ across white- and blue-collar occupations, although health-related selection out of jobs appears stronger within the blue-collar category.     

Weighing the relevant issues: obesity in nursing homes

The obesity epidemic has touched all segments of society and every health care sector including the nursing home industry. Understanding the issues related to the care of obese nursing home residents is important in light of this epidemic. Such issues include the difficulties related to access to nursing homes, the structural preparedness of nursing homes to care for obese patients, and the potential for staff injuries. Policies regarding strategies to improve nursing home access for obese patients, mitigate disparities in quality of care and health outcomes owing to obesity, and better prepare for the growing obesity epidemic are needed.     

Suffering and generativity: Repairing threats to self in old age

Suffering is a powerful experience that can be difficult to articulate. Suffering differs from pain alone and includes an individual's awareness of a threat to self through death, loss of identity, or uncertainty of the meaningfulness of one's life. In response to this threat, generative acts, especially creative expressions imbued with the self, may act as a means to repair the self in crisis. The case of Mr. A, an 85-year old man in good health, illustrates how various artistic pieces he created – a wooden dog and several poems – helps him to restore a “fading” self. For Mr. A. the idea of “fading away” or becoming weaker and less useful until eventually disappearing is a major source of personal suffering. Through his art, he creates unique, interactive and tangible entities that can outlive his physical body and help him reclaim or repair threats to selfhood.     

Research on persistent pain in late life: current topics and challenges

Older women often experience pain in their daily lives. This article provides an overview of topics addressed in the geriatric pain research published between 1999 and 2004. New areas of emphasis of research have emerged such as the recognition of body mass and weight as a factor in persistent pain, while other areas have expanded, including the focus on pain among elders with cognitive impairments and the use of alternative treatment approaches. Understanding of pain in late life is hindered by study samples that lack diversity, treatment approaches that are narrowly focused, and a lack of attention to quality of life issues.     

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.     

Screening for elder abuse in hospitalized older adults with dementia

When older adults with dementia are hospitalized for psychiatric treatment, which elder abuse screen to use is questionable. This article reviews screens to identify desirable characteristics. For clinician completion, the Elder Assessment Instrument and the Brief Abuse Screens for the Elderly are recommended. For the older adult, the brief Hwalek-Sengstock Elder Abuse Screening Test is suitable. The Modified Conflict Tactics Scale, which can be used by both the older adult and the nonprofessional caregiver, has many of the recommended characteristics. Research is necessary in the application of these screens within hospitals to detect elder abuse within this specialized population.     

Opposition‐Defiance in the Second Year of Life: A Population‐Based Cohort Study

Recent epidemiological evidence suggests that even in the midst of the “terrible twos,” frequent/severe oppositional‐defiant behaviors (ODBs) are not common among toddlers and hence may be indicative of a significant opposition‐defiance problem. The main objective of this study was to obtain a maximum likelihood estimate of the proportion of toddlers in the general population who are reported to exhibit ODBs on a frequent basis, and to test for gender differences therein. Data came from The Québec Longitudinal Study of Child Development, a survey of a representative birth cohort of children from the Canadian province of Québec. Multigroup latent class analysis was used to distinguish between toddlers who exhibit ODBs on a frequent basis and those who do so only occasionally or not at all. The results show that 12.4% of 17‐month‐old boys and girls exhibit ODBs on a frequent basis. Further, the results show a strong positive association between opposition‐defiance and physical aggression early in life, with a great majority of physically aggressive toddlers exhibiting ODBs on a frequent basis. In contrast, the results show that only a minority of toddlers who may be experiencing a significant opposition‐defiance problem exhibit physically aggressive behaviors on a frequent basis.