The Impact of In-Home Services Utilization on the Institutionalization of Older People in Korea

As a result of aging populations, institutionalization of older people is creating an increasing financial burden in many countries. The purpose of the present study was to explore the impact of in-home service utilization on institutionalization. The subjects were newly certified as eligible for long-term care insurance between January and February 2009 in Korea. The follow-up period was 40 months, to April 2012. We used logistic regression models to identify factors influencing the transition to institutional service, adjusting for gender, age, living status, income level, activities of daily living, and chronic disease. The institutionalization rate was estimated to be 17.3% over 40 months. The interval from transitional living to institutionalization was 36 ± 8 months. Risk factors of transition to institutional services are being female, having advanced age, living with friends or cousins, getting dementia, and not using in-home services. We determined that institutionalization is mitigated by use of in-home services. Therefore, supplying appropriate in-home services to current nonusers would help to greatly reduce the rate of institutionalization of older people.     

On the Road to Resilience: The Help‐Seeking Experiences of Irish Emigrant Survivors of Institutional Abuse

Understanding how survivors of complex trauma navigate towards resources can inform the design of interventions and health promotion strategies. However, there are little data on the resilience and help‐seeking experiences of this group or others who have experienced institutional abuse in childhood. This empirical study sets out to illustrate the help‐seeking experiences of Irish emigrant survivors of institutional childhood abuse (ICA). Twenty‐two survivors of ICA were purposefully recruited from community organisations in the UK and data were collected via semi‐structured interviews. As a result of negative initial help‐seeking experiences in Ireland, most participants engaged in long periods of self‐management and disclosed information about their childhood as part of a redress scheme in later life. Outside of this scheme, turning points, such as illness or family problems, and the needs of children were influential in seeking help. Peer support networks played an important role as a trusted signposting pathway towards formal interventions. Participants identified interpersonal barriers to formal help‐seeking as helping professionals' failure to share control, insensitivity to identity loss and literacy issues, and the lack of explicit boundaries. The paper concludes with a discussion about the implications for research and future practice.

‘This empirical study sets out to illustrate the help‐seeking experiences of Irish emigrant survivors of institutional childhood abuse’

Key Practitioner Messages:

• Turning points, such as illness and bereavement, and the desire to provide for children, influence the help‐seeking of survivors of ICA.
• Irish emigrant survivors of ICA cite failure to share control, insensitivity to identity loss, literacy issues and the lack of explicit boundaries as barriers to help‐seeking.
• General awareness of ICA can help practitioners in low‐threshold services prevent against culturally insensitive practice.
• Peer support networks can provide uniquely trusted signposting towards formal interventions.

     

Staff Reactions Toward Lesbian,Gay, or Bisexual (LGB) People Living in Residential Aged Care Facilities (RACFs) Who Actively Disclose Their Sexual Orientation

Fifty-three staff members currently working in residential aged care facilities located in Barcelona, Spain, were asked about the way they would react if a resident told them that he or she felt sexually attracted and had maintained sexual relationships with another resident of the same gender. Acceptance of non-heterosexual sexual orientation was a frequent answer, and around one in four professionals stated that they would try helping the resident in question, by offering a private space or giving some emotional support. However, some reactions were not consistent with a respectful approach toward sexual diversity, as, for instance, informing the resident’s family or advising the resident to keep his or her sexual orientation hidden. We highlight the importance of developing formal policies and offering formal training to staff in order to address the specific needs of older LGB people living in RACFs.     

Asymptotic non-null distribution of a test of equality of exponential populations

In this paper further asymptotic expansions of the non-null distribution of the likelihood ratio criterion for testing the equality of several one parameter exponential distributions are obtained when the alternatives are close to the hypothesis. These expansions are obtained for the first time in terms of beta distributions.     

Understanding Older Americans' Attitudes,Knowledge, and Fears About Vision Loss and Aging

ABSTRACT

The purpose of the present study was to identify factors associated with attitudes, knowledge, and fear of age-related vision impairment in a representative sample of US adults age 55 and older. Data were obtained from a national telephone survey. Attitudes toward vision impairment and aging were positive, but fears were extensive and knowledge was lacking. Higher socioeconomic status and experience with nonrelated persons who were visually impaired predicted better attitudes and greater knowledge. Being a women and having experience with persons who were visually impaired predicted lower fear. Findings emphasize the importance of accurate knowledge and training about visual impairment for practitioners working with this population.     

Presence and Visibility of Outdoor and Indoor Physical Activity Features and Participation in Physical Activity Among Older Adults in Retirement Communities

Abstract

In this paper we examine how the presence and visibility of outdoor and indoor physical activity resources (e.g., walking path/ trail, outdoor tennis courts, gardens, etc.) influences participation in physical activity among elderly residents in non-profit continuing care retirement communities and other senior housing communities. This paper reports findings from a survey of 800 such communities. A social ecological model was used to study the relationships between the environment and physical activity behavior. A fifty-two percent response rate (n = 398) was obtained. Campuses with more attractive outdoor and indoor physical activity facilities had more residents participating in different types of physical activity.     

Beyond High School

Abstract

This study examined interpersonal heterosexist discrimination by examining self-reported anti-gay behaviors of heterosexual college students. Respondents were 226 college students; 94.9% had perpetrated some form of discriminatory behavior and 32.7% had committed a behavior that was rated as moderately harmful or higher. A higher amount of self-reported discriminatory behavior was associated with being male, having more homophobic attitudes, and having lower GPAs. Discriminatory behaviors were not related to political ideology, religious influence, or interaction with gay men and lesbians. Neither discriminatory behaviors nor homophobic attitudes were related to academic year, age, membership in a social fraternity/sorority, or membership on an intercollegiate athletic team.     

Beliefs About Diet and Health:

Low income older women (N = 20) in South Carolina were recruited from congregate meal sites for qualitative interviews to assess beliefs about general health, physical functioning, and preventive health behaviors. A loosely structured interview guide of topics was used to encourage free expression of informants' ideas. The Ethnograph analysis package was used for data analysis. In response to open-ended questions, the women spontaneously shared their beliefs about diet and health. Implications for health promotion in rural areas are discussed.     

Retirement Villages

No abstract available for this article.