scholarly journals Intergenerational Relationships in an Economically Vulnerable Community: Findings From the Flint Women’s Study

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 346-346
Author(s):  
Rodlescia Sneed

Abstract Older women in economically disadvantaged communities often balance a range of relationships that present both benefits and challenges. The current study describes older women’s perceptions of the benefits and challenges of maintaining intergenerational relationships with younger women and children in their community. We used secondary data from the Flint Women’s Study, a qualitative interview project that included 60-90 minute structured interviews with 100 women who either lived or worked in the Flint, Michigan metropolitan area. Interviews were recorded, transcribed, and coded using the belongingness theory framework. Special populations (including older women) were coded in the dataset. The main benefits of intergenerational relationships included feeling valued, social connection, and giving back to future generations. In particular, intergenerational relationships allowed older women in this economically disadvantaged community to leave behind a meaningful social legacy in the absence of a meaningful economic legacy. Despite the perceived benefits, older women had difficulty effectively forming intergenerational relationships. Many reported being naturally isolated from those of younger generations. For those who were not isolated, many cited challenges related to grandparent caregiving, which was often connected to workforce conflicts, financial burden, caring for multiple generations well into adulthood, managing grandchildren’s traumas, and a lack of technological proficiency needed to meet grandchildren’s educational needs. Participants described the impact of these challenges on older women who lived in disadvantaged communities. Future programming should consider the needs of older women in disadvantaged communities and provide resources to maximize the benefits and minimize the challenges of intergenerational relationships in this population.

2017 ◽  
Author(s):  
Sri Rum Giyarsih

Global warming is the increase in the average temperature of the Earth’s surface. According to the IPCC (Intergovernmental Panel on Climate Change) average temperature of the Earth’s surface was global warming is the increase in the average temperature of the 0.74 ± 0.18 0C (1.33 ± 0.32 F) over the last hundred years. The impact of rising temperatures is the climate change effect on agricultural production. If the community does not craft made adaptation to global warming will have an impact on food security. This research aims to know the society’s adaptation to food security as a result of global warming and to know the influence of global warming on food security. The research was carried out based on survey methods. The influence of global warming on food security is identified with a share of household food expenditure and the identification of rainfall. Sampling was done by random sampling. The Data used are the primary and secondary data. Primary Data obtained through structured interviews and depth interview using a questionnaire while the secondary data retrieved from publication data of the Central Bureau Statistics B(BPS), Department of Agriculture and Climatology Meteorology and Geophysics (BMKG). The expected results of the study is to know variations of food security due to global warming in Kulon Progo Regency. Comprehensive knowledge through community participation and related Government increased food security that is used as the basis for drafting the model society’s adaptation to the impacts of global warming.


2019 ◽  
Vol 21 (4) ◽  
pp. 667-688 ◽  
Author(s):  
Anna Sanders ◽  
Rosalind Shorrocks

The 2010–2015 Conservative-led Coalition’s austerity policies hit women financially harder than men. However, contrary to expectations at the time, the Conservatives still gained more support from women than men on average in the 2015 general election. We examine the impact of austerity on vote choice in the 2015 and 2017 general elections through analysis of Labour and Conservative economic policy in conjunction with data from the British Election Study’s face-to-face post-election surveys. The expectation that women should be particularly anti-austerity and thus less supportive of the Conservative Party does hold for younger women, who were especially pessimistic relative to their male peers and older age groups about their living costs, household finances, the economy, and the National Health Service in both elections. However, this does not hold for older women, who were protected by the Coalition’s policies on pensions and were more similar to men in their assessment of their economic situation.


2002 ◽  
Vol os9 (4) ◽  
pp. 153-156 ◽  
Author(s):  
John Morris ◽  
Rachel Harrison ◽  
Martin Caswell ◽  
Howard Lunn

Introduction With the problems of access to NHS primary dental care services in the last few years attention has focused on manpower considerations for dentistry. Materials and Method This paper presents the results of a simple survey of general dental practitioners in South Staffordshire. Results The response rate was 88%. Most dentists (76%) reported working over 30 hours a week. A small number reported working more than 50 hours a week. Woman dentists were more likely to report working fewer than 31 hours a week. Younger male dentists tended to work longer hours than older male dentists, whereas younger women dentists tended to work fewer hours than older women. The reported retirement plans suggested that around 16% of dentists in their 40s and 50s were planning to retire before 60. Conclusion The findings add weight to the view that woman dentists tend to work fewer hours but studies of cohorts are required to examine the impact of premature retirement and the reasons behind this apparent gender difference.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Barbara Tip ◽  
Frederik Guido Sebastiaan Vos ◽  
Esmee Peters ◽  
Vincent Delke

Purpose Procurement professionals widely use purchasing portfolio models to tailor purchasing strategies to different product groups’ needs. However, the application of these approaches in hospitals and the impact of a pandemic shock remain largely unknown. This paper aims to assess hospital purchasers’ procurement strategies during the COVID-19 pandemic, the effects of factor-market rivalry (FMR) on strategies and the effectiveness of purchasing portfolio categorizations in this situation. Design/methodology/approach This qualitative study of hospital purchasing in the Netherlands is supported by secondary data from official government publications. Semi-structured interviews were conducted with 13 hospital purchasers at large hospitals. An interpretative approach is used to analyze the interviews and present the results. Findings The findings reveal that product scarcity forces purchasers to treat them as (temporary) bottleneck items at the hospital level. The strategies adopted largely aligned with expected behavior based on Kraljic’s commodity management model. Adding the FMR perspective to the model helped to further cluster crisis strategies into meaningful categories. Besides inventory management, increasing supply, reducing demand and increasing resource coordination were the other common strategies. An important finding is that purchasers and governments serve as gatekeepers in channeling FMR, thereby reducing potential harmful competition between and within hospitals. Social implications The devastating experience of the COVID-19 pandemic is unveiling critical weaknesses of public health-care provision in times of crisis. This study assesses the strategies hospital purchasers apply to counteract shortages in the supply chain. The findings of this study emphasize the importance of gatekeepers in times of crisis and present strategies purchasers can take to assure the supply of resources. Originality/value No research has been conducted on purchasing portfolio models and FMR implications for hospitals during pandemics. Therefore, the authors offer several insights: increasing the supply risk creates temporary bottleneck strategies, letting purchasers adopt a short-term perspective and emphasizing the high mobility of commodities in the Kraljic commodity matrix. Additionally, despite more collaboration uncovered in other studies regarding COVID-19, strong rivalry arose at the beginning of the pandemic, leading to increased competition and less collaboration. Given such increased FMR, procurement managers and governments become important gatekeepers to balance resource allocation during pandemics both within and between hospitals.


Author(s):  
Jong Lee ◽  
Youn-Jung Son

Heart failure (HF)-related cognitive decline is a common condition and may be associated with health literacy. However, gender differences in this context have not been explored fully. This secondary data analysis aimed to identify gender differences in the impact of cognitive function on health literacy among older patients with HF. A total of 135 patients (75 men and 60 women) with a mean age of 73.01 ± 6.45 years were recruited. Older women with HF had higher cognitive impairment (15%) and inadequate health literacy (56.7%) compared to men. Cognitive function was the strongest predictor of health literacy in men (β = 3.668, p < 0.001) and women (β = 2.926, p = 0.004). Notably elderly women are likely to face double the burden of the influence of cognitive function on health literacy in comparison with men. It is necessary to assess cognitive function and health literacy during HF illness trajectories on a regular basis. Healthcare professionals working with patients with HF should be aware of gender differences in cognitive function and health literacy and the importance of assessing these factors.


2013 ◽  
Vol 34 (4) ◽  
pp. 645-669 ◽  
Author(s):  
KATHLEEN LANE ◽  
FIONA POLAND ◽  
SHEILA FLEMING ◽  
NIGEL LAMBERT ◽  
HILARY MACDONALD ◽  
...  

ABSTRACTMany older women reduce the amount of cooking and food preparation they do in later life. While cooking may be seen as traditionally associated with women's family roles, little is known about the impact of such reduced engagement with food on their lives. This paper presents the findings from a one-year qualitative study (Changes Around Food Experience, CAFE) of the impact of reduced contact with preparing and cooking meals from scratch for 40 women, aged 65–95 years, living in Norfolk, United Kingdom. Data were collected through semi-structured interviews, focus groups and observations. Women's reasons for reducing food-related activities included changes in health, loss of a partner or a caring role, and new patterns of socialising. Disengagement from cooking and shopping was not found to entail predominantly negative feelings, passive acceptance or searching for forms of support to re-enable more cooking from scratch. Accounts evidenced the dynamic adaptability of older women in actively managing changed relationships with food. In exploring new meal options, older women were not simply disengaging from their environments. CAFE findings linked women's engagement with their environments to how they were using formal services and, even more, to the value they placed on social engagement and being out and about. Through the connections they fostered with friends, family and community, older women actively enabled their continued involvement in their social, public and family spheres. Reduced contact with preparing and cooking meals from scratch, therefore, did not induce or imply passivity or debility in the CAFE cohort. By contrast, it involved their exploring new means of retaining what was important to them about food in the context of their lived situation and social connections with friends, family, the community and public spheres.


Author(s):  
Katarína Kováčová ◽  
Katarína Stebelová

The sleep/wake rhythm is one of the most important biological rhythms. Quality and duration of sleep change during lifetime. The aim of our study was to determine differences in sleep efficiency, movement, and fragmentation during sleep period between genders and according to age. Sleep period was monitored by wrist actigraphy under home-based conditions. Seventy-four healthy participants—47 women and 27 men participated in the study. The participants were divided by age into groups younger than 40 years and 40 years and older. Women showed lower sleep fragmentation and mobility during sleep compared to men. Younger women showed a higher actual sleep and sleep efficiency compared to older women and younger men. Younger men compared to older men had a significantly lower actual sleep, lower sleep efficiency and significantly more sleep and wake bouts. Our results confirmed differences in sleep parameters between genders and according to age. The best sleep quality was detected in young women, but gender differences were not apparent in elderly participants, suggesting the impact of sex hormones on sleep.


Author(s):  
Gazi Mahabubul Alam

Purpose Commitment of governments and development partners in achieving both qualitative and quantitative measurements for primary and secondary provisions is the key reason for the development of private higher education (HE) and its rapid expansion in the developing world. A considerable amount of attention towards primary and secondary provisions has produced a large numbers of graduates who are theoretically qualified, but have questionable competences in meeting the needs of the market. This has a significant impact on the quality of HE which is delivered by private and public provisions. The purpose of this paper is to examine quality assurance (QA) mechanism set-up for the private HE sector in Bangladesh. Design/methodology/approach Qualitative methods were used because interviewees can express their views in a candid way, with a primary focus on the desired themes. Semi-structured interviews were conducted with personnel from the Ministry of Education, the University Grants Commission, students, staff and management from public and private universities. Documents review and secondary data also supplemented. Findings The mechanism set-up for QA is yet to mature. Formal arrangements for the governance and regulatory control of private HE provision in Bangladesh are neither sufficient nor up-to-date to help the sector function effectively. The current rules and regulations are suitable only for public HE, but not for the private sector HE. Originality/value A number of studies have been conducted in the area of private HE in Bangladesh. Only one of them covers QA, and none covers the impact of governance on QA. In the light of this background, this paper is the first of its kind.


2000 ◽  
Vol 3 (4) ◽  
pp. 403-410 ◽  
Author(s):  
KM Cashel ◽  
D Crawford ◽  
V Deakin

AbstractObjectiveTo identify influences on type of milk consumed and the impact of milk choice on calcium intakes in Australian women of pre- and postmenopausal age.Design and settingQuestionnaires covering calcium intake, health-related dietary issues and priorities self-completed in a group setting.SubjectsA total of 300 women recruited from community groups and government departments.ResultsMean milk and calcium intake were higher in older (≥50 years) compared to younger women. Milk provided over 50% of calcium intake for both groups. Participants rated the importance of eating foods low in fat, energy or cholesterol, high in calcium or dietary fibre or of ‘limiting their intake of added sugar or sugary foods’. Younger and older women ranked eating foods low in fat as the most important food habit for their health, then ranked dietary fibre next in importance. Calcium ranked third for younger women, and fourth for older women. These rankings were reflected in the higher proportion of older women choosing fat-reduced milk in general, and skim milk in particular. This concern about eating foods low in fat was consistent with the choices made of skim, reduced fat/higher calcium or whole milk.ConclusionsResults from this study suggest that concerns about fat are prejudicing the type of milk and amount of calcium consumed. Public health strategies targeting calcium intake need to address age-related differences in quantity and type of milk consumed, including the food attribute conflicts influencing these.


2014 ◽  
Vol 38 (5) ◽  
pp. 589 ◽  
Author(s):  
Jennifer A. Whitty ◽  
Adem Sav ◽  
Fiona Kelly ◽  
Michelle A. King ◽  
Sara S. McMillan ◽  
...  

Objective To explore the perceptions of Australian consumers and carers about the financial burden associated with medicines used for the treatment of chronic conditions. Method Semi-structured interviews were undertaken with individuals (n = 97) who identified as having a chronic condition(s) (n = 70), cared for someone with a chronic condition(s) (n = 8), or both (n = 19). Participants included individuals identifying with an Aboriginal or Torres Strait Islander (n = 23) or Culturally and Linguistically Diverse (n = 19) background. Data were analysed using the constant comparison method and reported thematically. Results Participants described substantial costs associated with medicines use, along with aggravating factors, including the duration and number of medicines used, loss of employment, lack of pricing consistency between pharmacies and the cost of dose administration aids. Consequences included impacts on medicine adherence, displacement of luxury items and potentially a reduced financial incentive to work. Understanding and beliefs related to pharmaceutical pricing policy varied and a range of proactive strategies to manage financial burden were described by some participants. Conclusions The financial burden associated with medicines used for the management of chronic conditions by Australian consumers is substantial. It is compounded by the ongoing need for multiple medicines and indirect effects associated with chronic conditions, such as the impact on employment. What is known about the topic? Medicines are a common form of treatment in chronic conditions. The financial burden related to medicines use, including co-payments, is associated with reduced adherence and other cost-coping strategies. Out of pocket costs for prescription medicines are relatively high in Australia compared with some other countries, including New Zealand and the United Kingdom. Australian consumers with chronic illness are likely to be at particular risk of financial burden associated with medicines use. What does this paper add? This paper explores the perceptions of consumers and carers around the financial burden associated with the use of medicines for the treatment of chronic conditions in Australia. It draws on the experiences and perceptions of a diverse group of consumers in Australia who identify as having, or caring for someone with, a chronic condition(s). What are the implications for practitioners? Health professionals who assist consumers to manage their medicines need to be aware of the potential for financial burden associated with medicines use and its potential impact on adherence. There is a need for health professionals to educate and assist consumers with chronic conditions to ensure they can navigate the health system to maximum benefit and receive financial entitlements for which they are eligible.


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