Quality of Life in Older Adults: Benefits from Caring Services in Hong Kong

Many older adults are in need of care. Therefore, older people would generally benefit from the use of caring services, notably including home care, residential care, nursing, and medical services. The contributory factors underlying caring services tend to be a caring perspective that aspires to sustain older peoples social relationships and real-life involvement. To gauge the benefits from various social and health services, the present study relies on a large-scale survey of 3000 older adults in Hong Kong, using quality of life as a criterion. Results showed that an older adult who had used (ordinary or enhanced) home care services for a longer time turned out to have appreciably more improvement in quality of life. Besides, those who joined an interest group more frequently were higher in quality of life, including the health domain. On the other hand, frequent use of medical and meal-to-home services were signals that reflected problems detrimental to the older users quality of life. Despite this, the quality of clinics or hospitals, as perceived by the older adult, was the most beneficial. As such, caring services that foster older adults interests, cater to their health care needs, and embody quality can have principal contribution to their users quality of life.     

Evaluation of free to grow: head start partnerships to promote substance-free communities

Free to Grow: Head Start Partnerships to Promote Substance-free Communities (FTG) was a national initiative in which local Head Start (HS) agencies, in partnership with other community organizations, implemented a mix of evidence-based family-strengthening and community-strengthening strategies. The evaluation of FTG used a quasi-experimental design to compare 14 communities that participated in the FTG intervention with 14 matched comparison communities. Telephone surveys were conducted with two cohorts of the primary caregivers of children in HS at baseline and then annually for 2 years. The survey was also administered to repeated cross-sectional samples of primary caregivers of young children who were not enrolled in HS. No consistent evidence was found in changes in family functioning or neighborhood conditions when the 14 FTG sites were compared to 14 matched sites. However, caregivers of young children who were not in HS in three high-implementing FTG sites showed evidence of improvements in neighborhood organization, neighborhood norms against substance abuse, and child disciplinary practices. Results provide highly limited support for the concept that family and neighborhood conditions that are likely to affect child development and well-being can be changed through organized efforts implemented by local HS programs.     

Students’ Willingness for Future Volunteering in Hong Kong

Volunteering is playing an increasingly bigger role in social services and schools both in Western settings and in the Hong Kong Chinese context. The demand for volunteers in the sector of social services is continually increasing (Sherr 2008). Little is known about the willingness of secondary school students to participate in future volunteering in Hong Kong. This study attempts to explore the phenomenon of youth volunteering through the theory of planned behavior and Personal and Social Responsibility, and identifies prior experience in community service as a main predictor of the willingness of the students to participate in future volunteering. A total of 1046 students from seven secondary schools in Hong Kong completed a structured questionnaire. Social workers, teachers, and volunteer managers could benefit from this study as they could foster students’ willingness to volunteer after graduation by actively engaging them in community service programs early on in a specific time in their life.     

Dimensionality of the Chinese Dyadic Adjustment Scale Based on Confirmatory Factor Analyses

Based on the responses of 1,501 Chinese married adults to the Chinese version of the Dyadic Adjustment Scale (C-DAS), confirmatory factor analyses showed that four factors were abstracted from the C-DAS (Dyadic Consensus, Dyadic Cohesion, Dyadic Satisfaction and Affectional Expression) and these four primary factors were subsumed under a second-order Dyadic Adjustment factor. Invariance of the factorial structure between men and women were also found. The findings suggest that the dimensions of marital adjustment assessed by the Dyadic Adjustment Scale [Spanier (1976). Journal of Marriage and the Family, 38, 15–28] can be replicated in the Chinese culture, although some minor refinement might be needed. The present findings also provide support for the use of the C-DAS for assessing marital adjustment in Chinese people.     

Unit training to increase support for military personnel with mental health problems

The present study examined the effectiveness of training designed to increase support toward military personnel with mental health problems. Soldiers from two Battalions (N?=?349) were randomly assigned by squad to receive the training (n?=?179) or to a survey-only control group (n?=?170). Soldiers completed survey assessments at baseline and three months later. Soldiers also completed an implicit association test assessing attitudes toward mental health treatment at the three-month follow-up. Results revealed that soldiers in the training condition reported an increase in supportive behaviours toward soldiers with mental health problems three months following the training, whereas there was no increase in soldiers assigned to the control group. Soldiers in the training condition were also marginally more likely to increase their own treatment seeking in the three months following the training. Discussion focuses on the importance of unit member support for military personnel with mental health problems and the implications for employees in other occupations characterised by the expectation for resilience.     

Competency-based evaluation of case-management skills in child sexual abuse intervention

A model training protocol for case management of child sexual abuse cases, with a concomitant competency-based evaluation of these skills, is presented. Findings suggest that relative to skills in problem identification, child protective service workers need training in formulating goals and objectives and negotiating contracts with sexually abusive families.     

A study of sexual satisfaction and frequency of sex among Hong Kong Chinese couples

There have been several studies in Western societies on the causes and consequences of sexual satisfaction within marriage. Little is known, however about the marital sexual relationship in Chinese societies. Moreover, most published studies used married individuals rather than married couples as participants. The present study examined data from a well-established knowledge, attitude, and practice (KAP) survey of 1,124 Hong Kong Chinese couples on martial sexual relationship. A conceptual model was tested using structural equation modeling (SEM). Interest in sex was found to be the strongest predictor of both sexual satisfaction and frequency of sex for both husbands and wives. Among the sociodemographic variables, the following two were significantly associated with lower frequencies of sex: for wives, that of having a full-time job; and for husbands, the factor of age. Theoretical implications for research on the interplay among culture, marriage, and sex in non-Western societies are discussed.     

The Asylum‐Integration Paradox: Comparing Asylum Support Systems and Refugee Integration in The Netherlands and the UK

This article explores the impact of asylum support systems on refugee integration focusing on the UK and the Netherlands. Both have adopted deterrent approaches to asylum support. The Dutch favour the use of asylum accommodation centres, segregating asylum seekers from the general population. The UK disperses asylum seekers to housing within deprived areas, embedding them within communities. Both countries have been criticized for these practices, which are viewed as potentially anti‐integrative: something of a paradox given that both promote the importance of refugee integration. We analyse national refugee integration surveys in both countries and provide original empirical evidence of negative associations between asylum support systems and refugees’ health, which differ in relation to mental and physical health. The integration and asylum policy implications of these findings are discussed.     

Evaluating the Effectiveness and Efficiency of Hong Kong Welfare Programmes in Reducing Child Poverty

This paper examines the effectiveness and efficiency of welfare programmes that are relevant to child poverty reduction in Hong Kong. We employ data from a cross‐sectional survey of a representative sample of families, conducted in 2015 through face‐to‐face interviews. Our results indicate that all four welfare programmes were inadequate in alleviating child poverty. This was either due to the deep poverty gap to be filled or high rates of exclusion error. Most programmes are also inefficient because of inclusion error. We conclude by suggesting some policy implications for the welfare programmes.