Beyond Income: A Social Justice Approach to Assessing Poverty among Older Adults with Chronic Kidney Disease

ABSTRACT

How social workers define and assess poverty is a matter of economic and social justice. Recent conceptual and measurement advances point to a multidimensional definition of poverty which captures material, social, and political deprivations. Using data from a survey, this article describes how nephrology social workers assess poverty among older adults living with a chronic kidney disease (N = 52). Results suggest respondents already conceive of poverty as a multidimensional experience, support awareness-raising about poverty, and primarily assess poverty by employment status, income, access to transportation, and education. Opportunities to expand poverty assessment in future work are promising.     

Outness among LGBTQ Social Work Students in North America: The Contribution of Environmental Supports and Perceptions of Comfort

This study examines various environmental factors that may impact a lesbian, gay, bisexual, transgender, or queer (LGBTQ) social work student's level of ‘outness’ (disclosure) with regard to their sexual orientation or gender identity. An internet-based survey was conducted, comprised of LGBTQ undergraduate and graduate students from social work programs across North America (n = 1,018). Utilizing Pearson's chi square analysis, significant associations correlated between outness and the following six areas: (1) LGBTQ student perception of other students' overall level of comfort with their sexual orientation or gender identity within the program; (2) the number of faculty that know about their sexual orientation or gender identity; (3) the number of students that know about their sexual orientation or gender identity; (4) how supported they felt with regard to their LGBTQ identity within the program; (5) the percent of faculty that are supportive of LGB and Q issues; and (6) awareness of openly LGBTQ administrators or staff members. Implications for social work education and practice are examined, as are suggestions for continued research.     

Shifting Perceptions of Race and Incarceration as Adolescents Age: Addressing Disproportionate Minority Contact by Understanding How Social Environment Informs Racial Attitudes

African American youth disproportionately experience incarceration in the United States and a number of programs have been created to address disproportionate minority contact (DMC) with the juvenile justice system. Thus, we aim to understand the ways in which race and incarceration are conceptualized differently by younger and older youth. Within these age categories we explore how perceptions of incarceration and crime inform racial attitudes among African American adolescents. We also investigate how a program grounded in an operating framework that extols an achievement ideology and designed to decrease DMC among African American adolescent males shapes participants’ attitudes about race and incarceration and their perceived future trajectories Our findings suggest the older participants were less likely to embrace achievement ideology and more likely to be aware of the structural barriers related to race. Thus, a more culturally responsive, critically engaged intervention may be more appropriate for African American youth.     

The intersection of extreme poverty and familial mental health in the United States

Approximately 22% of children in the United States live in poverty, with high rates of caregiver depression and child disruptive behavior disorders (DBD). The current study aims to explore the relationships between living in extreme poverty and both child and parent mental health. Data are comprised of findings from the first effectiveness study of the 4Rs and 2Ss intervention, in addition to preliminary data from an implementation study currently underway (n = 484). Families with an annual income of less than $9,999 reported significantly greater child DBD scores and prevalence of clinically significant levels of caregiver depressive symptoms compared to income levels over $10,000. Findings support the recommendation for parental mental health to be attended to within the context of child mental health services.     

Integrative Intensive Retreats for Veteran Couples and Families: A Pilot Study Assessing Change in Relationship Adjustment,Posttraumatic Growth,and Trauma Symptoms

We assessed a brief, systemic retreat‐style intervention that was developed to address concerns about the utilization of services for veterans coping with traumatic stress. A total of 76 dyads (N = 152) were assessed before and after a 4‐day retreat, which included psychoeducation, group and conjoint therapeutic sessions, and recreational relaxation components. Overall, participants reported a reduction in trauma symptoms, but only support persons experienced a significant increase in posttraumatic growth from pretest to posttest. Both veterans and their romantic partners reported an increase in relationship adjustment after the retreat. Opportunities to address the needs of this population by removing barriers to treatment and reducing feelings of isolation, as well as implications for similar treatments are discussed.     

Viscous automobilities: diasporic practices and vehicular assemblages of visiting ‘home’

This paper analyzes how leisure practices of diasporic visitors cut viscous trails of car-based consumption through Morocco. During ethnography of summer holidays with Moroccan-origin visitors from Europe, research participants were often observed consuming elite leisure spaces in ways that were predicated on both their familiarity with Morocco as a homeland and their access to a car. Microanalysis of emergent dynamics of group distinction and cohesion achieved through car-propelled leisure consumption indicates how these visitors may be intentionally avoiding certain kinds of publics, which may unintentionally accumulate towards deeper economic divisions between themselves and a broader Moroccan consuming public.     

From dinner table to digital tablet: technology's potential for reducing loneliness in older adults

Statistics estimate that close to 35% of our nation's older individuals experience loneliness. Feelings of loneliness have been associated with physical and psychological illness in several research studies. As technology advances and connectivity through tablet devices becomes increasingly user friendly, the potential for tablets to reduce loneliness among older adults is substantial. This article discusses the issue of loneliness among older adults and suggests tablet technology as a tool to improve connectivity and reduce loneliness in the older adult population. As nurses, we have the opportunity to help enhance the quality of life for our clients. Tablet technology offers a new option that should be fully explored.     

Critical Race Theories,Colorism, and the Decade's Research on Families of Color

In the millennium's inaugural decade, 2 interrelated trends influenced research on America's families of color: the need for new knowledge about America's growing ethnic/racial minority and immigrant populations and conceptual advances in critical race theories and perspectives on colorism. Three substantive areas reflecting researchers' interests in these trends emerged as the most frequently studied topics about families of color: inequality and socioeconomic mobility within and across families, interracial romantic pairings, and the racial socialization of children. In this review, we synthesize and critique the decade's scholarly literature on these topics. We devote special attention to advances in knowledge made by family‐relevant research that incorporated ways of thinking from critical race theories and the conceptual discourse on colorism.     

The effects of pregnancy spacing on infant and child mortality in Matlab, Bangladesh: how they vary by the type of pregnancy outcome that began the interval

Using high-quality longitudinal data on 125,720 singleton live births in Matlab, Bangladesh, we assessed the effects of duration of intervals between pregnancy outcomes on infant and child mortality and how these effects vary over subperiods of infancy and childhood and by the type of outcome that began the interval. Controlling for other correlates of infant and child mortality, we find that shorter intervals are associated with higher mortality. Interval effects are greater if the interval began with a live birth than with another pregnancy outcome. In the first week of the child's life, the effects of short intervals are greater if the sibling born at the beginning of the interval died; after the first month, the effects are greater if that sibling was still alive. Many relationships found are consistent with the maternal depletion hypothesis, and some with sibling competition. Some appear to be due to correlated risks among births to the same mother.