Health and Aging-in-Place: Implications for Community Practice

ABSTRACT

There is increasing interest in helping elders to remain independent in their homes. As the nation experiences the unprecedented growth among its oldest residents, public and private efforts are emerging to facilitate aging-in-place. However older people, particularly the oldest old, experience a myriad of issues impacting their health and ability to remain at home. This article presents the findings from a needs assessment of a Naturally Occurring Retirement Community (NORC) (n?=?114) that revealed multiple health-related issues among older people residing in high-need neighborhoods. The study utilized a holistic perspective of health to measure physical, mental, and social well-being among the older residents. Implications for community-based health interventions to enhance aging-in-place are discussed.     

A Model for Change: Legislative Advocacy to Improving Access for the Uninsured and Underinsured in New York State 1

Advocates can successfully improve access to health care for people without health insurance. This article demonstrates the success of what began as a local advocacy effort to improve access to health care on Long Island, which later grew to become a major statewide advocacy movement. It explores the process taken by local coalition members to successfully fight for monumental public health legislation—first locally then statewide—to improve access to hospital care for the medically indigent. Using New York State as a model, it includes several approaches that could facilitate the enactment of legislation in other states. The experiences of New York advocates suggest that with focused collaborative efforts it is feasible to promote significant changes to public health laws to benefit the uninsured and underinsured.     

Review and Analysis of the Benefits,Purposes, and Motivations Associated with Community Gardening in the United States

Community gardens have been a part of modern American culture since the late 19th century. Participation in community gardening has ebbed and flowed in response to changing socioeconomic conditions, and thus the current economic recession has reheightened public interest. In a review of the scholarly literature from 1999 to 2010, rigorous quantitative research studies on the effects of community gardens are found to be sparse; however, a larger body of qualitative data is available. Eleven themes related to the purposes, benefits of, and motivations for participating in community gardens are identified. Community gardens can serve as an effective tool for community-based practitioners in carrying out their roles within the arenas of organizing, development, and change.     

Barriers and Promoters of Mental Health Services Utilization in a Latino Context: A Literature Review and Recommendations from an Ecosystems Perspective

ABSTRACT

This article focuses on the problems of disparities in mental health service utilization in the Latino population in the United States. It begins with an overview of the Latino population within the United States, an exploration of the diversity within this group, and shared cultural values and traits with a particular focus on the problems of Latino poverty. A review of the literature follows, including identified barriers to and promoters of mental health services utilization. These are contextualized in a Latino perspective using an ecosystems framework. Recommendations are made for future practice, research, and policy regarding mental health and mental health services utilization in the Latino community.     

Religiosity as a Moderator of Family Conflict and Depressive Symptoms among African American and White Young Grandmothers

ABSTRACT

This study examined the association between religiosity, conflict in the mother-daughter relationship, and depressive symptoms among 83 African American and white grandmothers. Interviews were conducted during the early stages of adaptation to grandparenthood due to the birth of a baby to a teenage daughter. The results of this study suggest that religiosity is associated with less depressive symptoms. In addition, religiosity moderates the relationship between conflict and depressive symptoms for African American grandmothers. Specifically, highly religious African American grandmothers experiencing low conflict with their daughters reported lower depressive symptoms than those who were less religious. These findings were not evident for white grandmothers. The implications of these findings for grandmothers in families with teenage mothers are discussed within the context of race, religiosity, family relationships, and psychological well-being.     

Migration,Poverty, and Risk of HIV Infection: An Application of Social Capital Theory

A majority of current HIV/AIDS interventions are designed primarily after individual-based public health models and pay little attention to the socioeconomic environment in which HIV transmission occurs. This article focuses on outlining how migration acts as a conduit for disease transmission in South Africa and then proposes a macro-level prevention model based on social capital theory, thus then supplementing current prevention literature. It is based on the argument that social disruption and stresses from migration lead to sexual interactions during the migration periods that amplify the risk of HIV transmission among migrants.     

The Limits of Self-Management: Community and Health Care System Barriers Among Latinos With Diabetes

Although numerous studies examine diabetes self-care, few regard ecological framework correlates such as community and institutional level factors as fundamental for understanding diabetes management for Latinos. This article addresses the dearth of research that exists regarding social contextual forces and diabetes management for Latinos. Given the scarcity of research on this topic, studies of non-Latino groups were reviewed to illustrate the importance of community and institutional influences on diabetes care. Consideration of fundamental correlates within the ecological framework may better discern the underlying rationale for inadequate diabetes self-management for individuals who live in impoverished communities.     

The L'Arche Program for Persons with Disabilities

The International Federation of L'Arche is made up of intentional, ecumenical, faith-based communities where people with and without developmental disabilities live together. Data on the worldwide federation offers an understanding of L'Arche communities that celebrate and encourage diversity and solidarity. Characteristics of clients and assistants as well as the daily running of homes reveal the inner workings of the program. Through assessing strengths and weaknesses, it is shown that even though L'Arche is a small movement that cannot serve every person with a developmental disability by providing a home and a place of belonging, this program offers a program model with many strengths that should be replicated.     

Social Networking Among Health Sciences University Students: Examining Social Network Usage,Social Support,and General Well-Being

Social network sites (SNSs) are organized around users who join an internet network to engage in daily discussions and postings. Though research informs us about SNSs usage, no published research addresses the use of social network sites among health science professionals. This study examined the relationship between social network usage, social support, and general well-being among undergraduate and graduate students. This study provides results that identify significant relationships (p < .001) associated with SNS usage and the variables of social support and general well-being among this study population. These results can inform the use of SNSs in university health sciences educational programs.