Geropsychiatric nursing: an underrecognized specialty

Undergraduate nursing students often do not view geropsychiatric nursing as a specialty they would consider upon graduation. This article reveals that students who are given the opportunity to interact one-on-one with an older adult may change their viewpoint about becoming involved in this specialty.     

Cohort disaggregation analysis of fertility data from a sample survey

Social differentials in cumulative fertility revealed by field surveys in a number of countries typically have been interpreted with the implicit assumption that the timing of childbearing within the reproductive period remains constant. However, the reproductive histories that have been collected in such surveys provide a largely unexploited source of data for the analysis of trends in timing. An analysis by birth cohort of the fertility experience of 592 ever-married women surveyed in San Juan, Puerto Rico, in 1966 shows that significant changes in timing have occurred. Women in the more recent birth cohorts are distinguished by earlier childbearing and sustained higher fertility in consecutive age periods. The inter-cohort differences remain when adjustments are made for duration of time in legal and consensual unions.     

A Meta-Analysis of the Relationship Between Spirituality and Quality of Life

The relationship between spirituality and various dimensions of health and quality of life has been extensively examined during the past decade. Though several literature reviews have been conducted in an attempt to synthesize research findings pertaining to the relationship between spirituality and health, a meta-analysis of studies examining spirituality in relation to quality of life has not been identified. The present study was designed to: (a) determine whether there is empirical support for a relationship between spirituality and quality of life, (b) provide an estimate of the strength of this relationship, and (c) examine potential moderating variables affecting this relationship. The research design followed accepted methods for quantitative meta-synthesis. Potential moderating effects of several methodological differences and sample characteristics were examined using meta-analytic approaches with multivariate linear regression and analysis of variance. An extensive multidisciplinary literature search resulted in 3,040 published reports that were manually screened according to pre-established selection criteria. Subsequent to the selection process, 62 primary effect sizes from 51 studies were included in the final analysis. A random effects model of the bivariate correlation between spirituality and quality of life resulted in a moderate effect size (r = 0.34, 95% CI: 0.28–0.40), thereby providing support for the theoretical framework underlying the study wherein spirituality was depicted as a unique concept that stands in relationship to quality of life. Subsequent regression analyses indicated that differences among operational definitions of spirituality and quality of life were associated with the variability in estimates of the magnitude of the relationship (R² = 0.27). Other potential moderators, such as age, gender, ethnicity, religious affiliation and sampling method were examined but the findings pertaining to these variables were inconclusive because of limitations associated with the sample of primary studies. The implications of this study are mostly theoretical in nature and raise questions about the commonly assumed multidimensional conceptualization of quality of life.     

Cohabiting partners’ economic circumstances and marriage

Past studies of the transition to marriage generally have relied on information about only one individual or have attempted to measure characteristics of potential spouses indirectly. Drawing on data from the two waves of the National Survey of Families and Households (NSFH), we examine the effects of economic circumstances of both partners in cohabiting unions on the transition to marriage. Focusing on both partners in a relationship affords a more direct test of the relative importance of men’s versus women s economic circumstances. Our findings suggest that only the male partner’s economic resources affect the transition to marriage, with positive economic situations accelerating marriage and deterring separation. Our results imply that despite trends toward egalitarian gender-role attitudes and increasing income provision among women, cohabiting men s economic circumstances carry far more weight than women’s in marriage formation.     

Trauma and stress among older adults in the criminal justice system: a review of the literature with implications for social work

The purpose of this article was to review the empirical literature that investigated trauma and stress among older adults in the criminal justice system. Nineteen journal articles published between 1988 and 2010 were identified and extracted via research databases and included mixed age samples of adjudicated older and younger adults (n = 11) or older adult only samples (n = 8). Findings revealed past and current trauma and stress, consequences and/or correlates, and internal and external coping resources among aging offenders. The implications and future directions for gerontological social work, research, and policy with older adults in the criminal justice system are advanced.     

Sexual expression: its emotional context in heterosexual, gay, and lesbian couples

Much of what is known about emotions and sexuality explores the relationship enhancing qualities of positive affect. This research extends the current literature by focusing on the association between negative feelings and sexual thoughts and experiences in the context of close relationships, controlling for the effect of positive feelings. Specifically, the unique effects of daily negative feelings toward one's partner in general and specific negative feelings (i.e., anger, anxiety, and sadness) on the sexual experience of heterosexual, gay male, and lesbian relationships were explored. Participants completed an initial questionnaire followed by daily diary measures for 14 consecutive days. Positive feelings were positively associated with sexual variables as expected. Negative feelings were associated with increases in sexual behaviors for heterosexual men and women and gay men, but not lesbian women. Sadness showed a unique positive association with arousal, lust, wanted sexual behavior, and sexual behavior for heterosexual men and women and gay men, but not lesbian women. Neither anger nor anxiety was uniquely associated with the sexual experience for heterosexual or same-sex couples.     

Evaluating correctional health care. The lessons of New York City.

New York City's correctional health care system is a complicated one, with many component parts. Correspondingly, the task of developing an evaluation process to assess this system turned out to be complex as well. The major responsibility for developing such a process and for keeping it in motion lies with the Contract Evaluation Unit of the Department of Health. Our experiences in meeting these challenges, as well as the historical and institutional factors that have influenced our efforts, should be of interest to professional groups facing similar tasks in other localities and to readers curious about how particular health service evaluation approaches take form. This article describes our method, how it emerged, and that it entails, with an eye toward identifying what might usefully be applied to the study of other correctional health care services and settings.     

Understanding Ethnic Small Business: A Case Study of Marrickville

Ethnic small businesses are an increasingly important feature of economic life in Australian cities. Which groups are most likely to go into this sector, and what are the factors which make for ‘success’? What is the price for survival in terms of working conditions and family life, and what are the fruits of success? These are some of the questions being investigated in a two-year study of ethnic small business in the Sydney region. This paper provides the first report from the study, examining the development of Greek and Vietnamese businesses in the inner suburb of Marrickville.     

The Relationship Between Maternal Education and Children's Academic Outcomes: A Theoretical Framework

The importance of maternal education for children's academic outcomes is widely recognized, and yet the multiple potential mechanisms that explain this relationship are underexplored. The authors integrate theories of human, cultural, and social capital with 2 developmental psychology theories—bioecological theory and developmental niche theory—to draw attention to how maternal education may influence children's academic outcomes through a range of parenting mechanisms, some of which have been largely neglected in research. This framework provides a more complete picture of how maternal education shapes proximal and distal influences on children's academic outcomes and the ways in which these mechanisms interact and reinforce one another across time and context. The implications of this framework for future family research are then discussed.     

Transsexuals and European human rights law

Sexual identity is a legal status, and as such it is as much dependent on public policy as on self-identification. However, because this status can be crucial to one's role in society, a conflict between the legal status and an individual's perceptions or aspirations creates a dilemma if society is committed to individual freedom. This difficulty can become particularly acute where it is technically possible for an individual to alter some of the factors used socially or legally to determine sexual identity. This paper analyses these difficulties, both from the situation of endocrine disorder and with respect to gender identity. It argues that this distinction in approach may not be a valid basis for different legal treatment. It considers four major issues: the stage at which a change of gender should be recognised; any preconditions to which a legal change of gender should be made subject; whether legal recognition should be made for all purposes or only for specific areas of the law; and the confidentiality of a person's previous sexual identity. The paper particularly analyses the law in the United Kingdom and then considers other jurisdictions before focusing on the treatment of transsexuals under the European Convention on Human Rights.