Gender and Aging in the Developing World: Where Are the Men?

In recent years, both population aging and gender issues have gained prominence in international forums concerned with population. It is frequently asserted or implied that older women are universally more vulnerable to social, economic, and health disadvantages than older men. The most significant manifestation of this exclusive concern with women when considering gender and aging is the Plan of Action adopted by the Second World Assembly on Aging in 2002. The assumed relative disadvantage of elderly women is commonly attributed to gender differences in earlier life experiences. But are older women truly disadvantaged globally with respect to all or most essential aspects of well‐being? The authors provide empirical evidence that clearly shows that older women are not invariably disadvantaged vis‐à‐vis men. In particular, they call into question the wisdom and equity of a virtually exclusive emphasis on the needs of women when incorporating gender concerns into policies and programs related to aging. A more balanced perspective that recognizes gender as a potential, but not necessarily central, marker of vulnerability for various aspects of well‐being in specific settings and times, and that allows for male as well as female disadvantage, would serve the current and future elderly generations far better.     

Comparison of household-survey estimates with projections of mortality and orphan numbers in sub-Saharan Africa in the era of HIV/AIDS

The United Nations publishes estimates of HIV prevalence, AIDS mortality, and orphan numbers for all countries of the world. It is important to assess the validity of these model-based estimates since they underpin much policy concerned with care and prevention. Household surveys that ask questions about the survival of children's parents (orphanhood) offer an independent source of data with which these estimates can be compared. Survey estimates of maternal and paternal orphans are significantly lower than model estimates for 40 surveys in 36 countries of sub-Saharan Africa (p < 0.001, p = 0.002). This is probably because adult mortality from causes other than AIDS is lower than assumed in the models, although under-reporting of orphanhood in surveys may also play a role. Reducing adult mortality from causes other than AIDS brings the model estimates into close agreement with the surveys. This suggests that the fraction of orphans attributable to AIDS is greater than estimated previously.     

The validity of an index of leisure-time physical activity

An index of leisure-time physical activity is presented for use in health promotion research. Based on the values of metabolic equivalents (METs), this index is found to have a high degree of concurrent, construct and predictive validity when it is related to a measure of perceived health status. It is useful in investigations of the impact of exercise and other types of leisure-time physical activity on health.     

A survey of recent research on race and residential location

This article reviews the post-1975 theoretical and empirical research on race and residential location in metropolitan areas of the United States. We interrelate the main themes of recent research, focusing on the causes and consequences of racial residential segregation. Racial prejudice and discrimination, black suburbanization, school segregation, labor market discrimination, and city/surburban environmental differentials are among the issues examined.     

The impact of immigration on the internal migration of natives and immigrants

In this paper we examine the internal migratory response, by native-born non-Hispanic white men and foreign-born men in the United States, to recent immigration. Our analysis does not support the claim that natives have made a migratory response to recent immigration. Native-born men and foreign-born men were less likely to leave states that received large numbers of immigrants in the 1980s than they were to leave other states, and native-born men had less propensity toward out-migration than did foreign-born men. Out-migration was most likely to be deterred if recent immigrants originated in Europe or Asia. Although native-born non-Hispanic white men showed a tendency toward out-migration if recent immigrants originated in Latin America or the Caribbean, this result was insignificant after we controlled for state economic and regional context.     

The one child certificate in Hebei province,China: Acceptance and consequence, 1979–1988

As part of its One Child Policy, China developed the one child certificate which offered numerous benefits to couples who had one child and promised to have no more. Using data from the Two-per-Thousand National Fertility Survey, this study describes the level of certificate acceptance in Hebei province from 1979 to 1988 and analyzes socioeconomic, cultural and early family formation factors affecting certificate acceptance as well as the role of certificate acceptance on transition to second parity. During the past decade, the level of initial certificate acceptance was 22.6 percent. This estimate is much lower than earlier published rates because it utilizes the concept of women at risk. Public resistance to the One Child Policy is evident in declining acceptance from 26.0 percent during the first five years of the policy to 11.3 percent during the 1984–1988 period. Women's response to the certificate has been influenced by the woman's status as reflected in education and occupation as well as cultural traditions, particularly son preference. The one child certificate, however, independently depresses subsequent fertility. This research indicates that efforts to understand fertility decline in China must simultaneously acknowledge the role of government family planning programs as well as socioeconomic and cultural factors.Revision of paper presented at the American Sociological Association Meeting, 1990.     

Interrogating medical tourism: Ireland, abortion, and mobility rights

Medical tourism in Ireland, like in many Western states, is built around assumptions about individual agency, choice, possibility, and mobility. One specific form of medical tourism—the flow of women from Ireland traveling in order to secure an abortion—disrupts and contradicts these assumptions. One legacy of the bitter, contentious political and legal battles surrounding abortion in Ireland in the 1980s and 1990s has been securing the right of mobility for all pregnant Irish citizens to cross international borders to secure an abortion. However, these mobility rights are contingent upon nationality, social class, and race, and they have enabled successive Irish governments to avoid any responsibility for providing safe, legal, and affordable abortion services in Ireland. Nearly twenty years after the X case discussed here, the pregnant female body moving over international borders—entering and leaving the state—is still interpreted as problematic and threatening to the Irish state.     

“Try to make it seem like we're regular kids”: Youth perceptions of restrictiveness in out-of-home care

While there are several measures of living environment restrictiveness, none has used the youth perspective in conceptualizing and operationalizing restrictiveness. The purpose of this qualitative study was to obtain the perspectives of child welfare involved youth who have lived in out-of-home care. Using focus group methodology, 40 youth were asked to define restriction and give examples of how it is operationalized in practice. Youth defined restriction as “rules”. The rules were about what youth can do, where they can go, who they can be with and how and with whom they can communicate. These rules were primarily characterized as inconsistent, arbitrary, non-individualized and developmentally inappropriate, although some characterized them as beneficial in the long term. Rules were mostly attributed to adult need for power and avoidance of legal responsibility for the youths. Typical feelings about the rules were anger, resentment, feeling labeled, isolated and stigmatized. Relationships influenced perceptions: within a positive relationship, youth understood and tolerated the rules that limited independence. The perception of what were normal restrictions for other youth not in out-of-home care was another influencing factor. These findings are examined in light of cognitive and affective development in adolescence. Recommendations for improving the measurement of living environment restrictiveness as well as enhancing child welfare services are proposed.     

Facilitators and barriers to disclosing abuse among women with disabilities

An anonymous audio computer-assisted self-interview (A-CASI) designed to increase awareness of abuse was completed by 305 women with diverse disabilities. Data were also collected about lifetime and past year abuse; perpetrator risk characteristics; facilitators and barriers to disclosing abuse; abuse disclosure to a health provider, case manager, or police officer; and whether a health provider had ever discussed abuse or personal safety. A total of 276 (90%) women reported abuse, 208 (68%) reported abuse within the past year. Women who reported the most abuse experiences in the past year and the most dangerous perpetrators endorsed fewer facilitators and more barriers, but were also more likely to have ever disclosed abuse. Only 15% reported that a health provider had ever discussed abuse and personal safety.     

Elder abuse research: a systematic review

The purpose of this research was to provide a systematic review of, and assign an evidence grade to, the research articles on elder abuse. Sixteen health care and criminal justice literature databases were searched. Publications were reviewed by at least two independent readers who graded each from A (evidence of well-designed meta-analysis) to D (evidence from expert opinion or multiple case reports) on the quality of the evidence gained from the research. Of 6,676 titles identified in the search, 1,700 publications met inclusion criteria; omitting duplicates, 590 publications were annotated and graded.