An Exploratory Study of Preparation for Future Care Among Older Latinos in Utah

Preparation for future care by 62 Latino elders was examined and compared to an Anglo sample of 288 elders residing in Utah. Latino older adults preferred relatives for help and assistance, but 91% of them (versus 41% for the Anglo sample) did not have any concrete plans for either short-term or long-term care. Logistic analyses show that age and knowledge of services are significantly related to planning for care, but education and filial obligations are not. Furthermore, ethnicity significantly predicted long-term care planning when its interactions with age and knowledge of services are accounted for. Knowledge of services and age played a greater role in facilitating preparation for future care for Latinos than for Anglos.     

Bridging Adaptive Learning and Desired Natural Resource Management Outcomes: Insights from Australian Planners

Natural resource management (NRM) has been increasingly guided by governance arrangements seeking less centralized and hierarchical and more integrated and adaptive approaches to achieve desired social-ecological outcomes. Successful implementation of these approaches requires adaptive learning which entails the application of individual, institutional and social learning to adaptive co-management. This paper proposes and validates a conceptual model that identifies components of adaptive learning and their relationships with desired NRM outcomes. Supported by on-ground experience of Australian NRM planners, it discusses three key insights to enable bridging between adaptive learning and NRM outcomes: changing focus away from economic-efficiency culture, supporting learning and knowledge exchange structures, and reinventing practice.     

Reliability,Validity and Classification Accuracy of the South Oaks Gambling Screen in a Brazilian Sample

The purpose of this study was to examine the reliability, validity and classification accuracy of the South Oaks Gambling Screen (SOGS) in a sample of the Brazilian population. Participants in this study were drawn from three sources: 71 men and women from the general population interviewed at a metropolitan train station; 116 men and women encountered at a bingo venue; and 54 men and women undergoing treatment for gambling. The SOGS and a DSM-IV-based instrument were applied by trained researchers. The internal consistency of the SOGS was 0.75 according to the Cronbach’s alpha model, and construct validity was good. A significant difference among groups was demonstrated by ANOVA (F _(2.238) = 221.3, P < 0.001). The SOGS items and DSM-IV symptoms were highly correlated (r = 0.854, P < 0.01). The SOGS also presented satisfactory psychometric properties: sensitivity (100), specificity (74.7), positive predictive rate (60.7), negative predictive rate (100) and misclassification rate (0.18). However, a cut-off score of eight improved classification accuracy and reduced the rate of false positives: sensitivity (95.4), specificity (89.8), positive predictive rate (78.5), negative predictive rate (98) and misclassification rate (0.09). Thus, the SOGS was found to be reliable and valid in the Brazilian population.     

‘Su guagua no escucha nada’: Ecuadorian families confronting the deafness of a child

In accordance with the social model of disability, this study proceeded from the assumption that parents’ experiences of a child’s hearing impairment reflect the circumstances of their lives rather than anything innate in the impairment itself. Few studies have explored the influence both of culture and social structure and of families’ economic and social resources. We studied families’ experiences of the diagnosis of hearing loss in Ecuador, a multicultural country in which family ties are strong but where pronounced social and economic inequalities persist and where many people have no access to health care. The study shows how inequality – and in particular the experience of poverty – shapes families’ experiences of acquiring a diagnosis and of trying to accommodate a child with special needs.     

Economic evaluation of brief sex counseling for sexually dysfunctional adolescents

Objectives: In a randomized controlled trial brief sex counselling (BSC), intensive sexual healthcare (ISH) and no treatment (NT) for adolescents with a sexual dysfunction were compared. The aim of this study was to assess the cost-effectiveness and cost-utility of BSC versus ISH and NT from a societal perspective. Methods: Costs, sexual functioning and quality of life were measured during 6 months. Primary outcome measures were measured with the Female Sexual Functional Index, the International Index of Erectile Function and the utilities reflecting Quality of Life based on the SF-36. Uncertainty was dealt with by using bootstrap replications and sensitivity analyses. Results: Results show that the societal costs were the highest for ISH followed by NT and BSC. The difference in costs between ISH compared to NT and BSC was significant. Furthermore, there were no significant group differences in sexual functioning or quality of life. With respect to the cost-effectiveness and cost-utility, BSC can be considered to be a suitable treatment for adolescents with a sexual dysfunction. Conclusions: Due to the lack of a significant difference in clinical effect, it can be concluded that BSC is the cheapest treatment option when implementing the intention-to-treat, besides a no treatment option, for adolescents with a sexual dysfunction.     

‘Civilising’ the Roma? The depoliticisation of (anti-)racism within the politics of integration

This essay questions the enduring difficulties of addressing racism within the current politics of integration in Europe, with a specific focus on the Portuguese context. The analysis centres on integration initiatives to promote employability among the Portuguese Roma and the ways in which they are rationalised by employment gatekeepers and decision-makers. This rationalisation depoliticises racism by constantly shifting the focus to the presumed characteristics of the ‘other’, re-enacting white-privileged notions of nationhood, Portugueseness and Europeanness. Accordingly, projects based on ‘activation of social competences’, ‘empowerment’ and ‘interculturality’ are implemented as a civilising and disciplinary programme aimed at correcting the presumed deficiencies in ethnically marked populations. The analysis aims to contribute towards a much needed debate on the notion of integration and the re-articulation of the historical legacies of racism in contemporary European democracies.     

A Lagrangian bound for many-to-many assignment problems

A simple procedure to tighten the Lagrangian bounds is proposed. The approach is interpreted in two ways. First, it can be seen as a reformulation of the original problem aimed to split the resulting Lagrangian problem into two subproblems. Second, it can be considered as a search for a tighter estimation of the penalty term arising in the Lagrangian problem. The new bounds are illustrated by a small example and studied numerically for a class of the generalized assignment problems.     

The Sound of Silence. Lesbian,Gay, Bisexual and Transgender Discrimination in ‘Inclusive Organizations’

Most studies on diversity and discrimination in the workplace have focused on ‘visible’ minorities such as gender or race, often neglecting the experiences of invisible minorities such as lesbian, gay, bisexual and transgender (LGBT) workers. In this paper we explore the practices of inclusion/exclusion of LGBTs in the workplace in Italian social cooperatives, which are specifically founded to create employment for people who are disadvantaged in the labour market. The study examines how organizations, which have an ethos focused on inclusion and mainly employ workers from specific social minority groups, manage the inclusion of LGBT workers. We also explore the experience of LGBT workers within these organizations. The paper reports that the culture of silence existing in the five organizations studied prevents LGBT employees from constructing a work identity which encompasses their sexual identity and prevents the organizations from achieving their aim of being fully inclusive workplaces.     

Forthcoming inSociological Forum

Forthcoming inSociological Forum