Introduction

Work and pain ◽  
2019 ◽  
pp. 3-7
Author(s):  
Elaine Wainwright ◽  
Christopher Eccleston

This chapter sets out how the book achieves its aim of providing an authoritative, thought-provoking analysis of the relationship between all forms of occupation (school, employment, later life production) and pain. We begin with a brief introduction to why this aim is important, and show what a consideration of work and pain can offer. We introduce our life-span approach and scope of the book, covering Foundations (what is work, what is pain, how do they link), Investigations (into the interactions between pain and family life, learning, emerging adulthood, the occupational health workforce, and later life), and Interventions (from psychological, workplace, and policy-making perspectives). We signpost readers to our Discussion in which we bring together the book’s findings in a conceptual and analytical map of the forces of change in work, occupation, and pain management to suggest future ways of thinking about policy, practice, and research agendas.

2021 ◽  
Vol 7 (4) ◽  
pp. 514-534
Author(s):  
Jiashu Xu ◽  
Airan Liu

An individual's happiness is closely related to their family life as the family is the institution in which they spend most of their life. Capitalizing on data from the 2018 China Family Panel Studies, this study investigates the relationship between family economic standing (measured by household income and homeownership) and family processes (measured by marital status and childlessness), as well as children's characteristics (measured by gender composition of children and adult children's educational attainment and marital status), and happiness of Chinese adults. We take a life-course perspective and examine how such relationships vary across different life stages. We find that factors like household income and homeownership are positively related to happiness for people in general; that married adults are happier than those who are unmarried; childlessness results in decreased individual happiness in old age; adult children's educational attainment, measured by college degree (three-year and four-year) and above, improves parents’ happiness; while children's unmarried status makes parents less happy. These significant relationships also change across the life span.


There are 740 million people in the 37 countries that are part of the European Pain Federation, which is made up of chapters of the International Association for the Study of Pain (IASP). The book provides a review of the organization of pain care in the 37 member countries. Leaders in each country offer a chapter on how their health and pain care services are organized, the demands of their specific populations, the specific national challenges they face, and examples of innovations and advances. After this comprehensive summary, key experts in the field discuss issues that are pertinent to all of the European nations: workings with young people, working with pain in later life, managing opioids, the rise of pain as a specialism, working in developing economies, and policy making. We end with a summary chapter pulling together themes from across all of the chapters, and make a call to envision a new form of pain management for a new Europe.


Author(s):  
Nina TERREY ◽  
Sabine JUNGINGER

The relationship that exists between design, policies and governance is quite complex and presents academic researchers continuously with new opportunities to engage and explore aspects relevant to design management. Over the past years, we have witnessed how the earlier focus on developing policies for design has shifted to an interest in understanding the ways in which design contributes to policy-making and policy implementation. Research into policies for design has produced insights into how policy-making decisions can advance professional impact and opportunities for designers and the creative industries. This research looked into how design researchers and design practitioners themselves can benefit from specific policies that support design activities and create the space for emerging design processes.


2021 ◽  
pp. 026921632110017
Author(s):  
Cherith J Semple ◽  
Eilís McCaughan ◽  
Esther R Beck ◽  
Jeffrey R Hanna

Background: When a parent of dependent children (<18 years old) is at end of life from cancer, this has a profound impact on the family. Children less prepared for the death of a parent are more susceptive to poorer psychosocial adjustment in later life. There is a lack of understanding from the literature surrounding what support parents require, and how they navigate this end of life experience. Aim: To explore bereaved parents’ experience and needs for families when a parent is at end of life from cancer with dependent children. Design: In-depth, semi-structured qualitative interviews were conducted with 21 bereaved mothers and fathers, identified from the general public, a family support service and hospice. Data were analysed thematically. Results: Parents often live in ‘parallel worlds’ throughout the end of life period. In one world, ‘living in the moment’, cherishing the ordinariness of family life, remaining hopeful treatment will prolong life, whilst adapting as the illness unfolds. The other world presents as ‘intermitted glimpses that death is approaching’, shadowed with painful emotional concerns surrounding their children and the future. At the end, death rapidly approaches, characterised as suddenly ‘falling off the cliff’; placing significant demands on the well-parent. Conclusions: Amidst challenges, clinicians should provide parents with clear information surrounding a poor prognosis, so families can plan and prepare for parental death. There is a need for healthcare professionals to engage, encourage and equip parents, as they prepare their children throughout the end of life experience for the inevitable death of a parent.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 342-342
Author(s):  
Jason Newsom ◽  
Emily Denning ◽  
Ana Quinones ◽  
Miriam Elman ◽  
Anda Botoseneanu ◽  
...  

Abstract Racial/ethnic disparities in multimorbidity (≥2 chronic conditions) and their rate of accumulation over time have been established. Studies report differences in physical activity across racial/ethnic groups. We investigated whether racial/ethnic differences in accumulation of multimorbidity over a 10-year period (2004-2014) were mediated by physical activity using data from the Health and Retirement Study (N = 10,724, mean age = 63.5 years). Structural equation modeling was used to estimate a latent growth curve model of changes in the number of self-reported chronic conditions (of nine) and investigate whether the relationship of race/ethnicity (non-Hispanic Black, Hispanic, non-Hispanic White) to change in the number of chronic conditions was mediated by physical activity after controlling for age, sex, education, marital status, personal wealth, and insurance coverage. Results indicated that Blacks engaged in significantly lower levels of physical activity than Whites (b = -.171, □ = -.153, p &lt; .001), but there were no differences between Hispanics and Whites (b = -.010, □ = -.008, ns). Physical activity also significantly predicted both lower initial levels of multimorbidity (b = -1.437, □ = -.420, p &lt; .001) and greater decline in multimorbidity (b = -.039, □ = -.075, p &lt; .001). The indirect (mediational) effect for the Black vs. White comparison was significant (b = .007, □ = .011, 95% CI [.004,.010]). These results provide important new information for understanding how modifiable lifestyle factors may help explain disparities in multimorbidity in middle and later life, suggesting greater need to reduce sedentary behavior and increase activity.


2020 ◽  
Vol 117 (10) ◽  
pp. 5250-5259 ◽  
Author(s):  
José Manuel Aburto ◽  
Francisco Villavicencio ◽  
Ugofilippo Basellini ◽  
Søren Kjærgaard ◽  
James W. Vaupel

As people live longer, ages at death are becoming more similar. This dual advance over the last two centuries, a central aim of public health policies, is a major achievement of modern civilization. Some recent exceptions to the joint rise of life expectancy and life span equality, however, make it difficult to determine the underlying causes of this relationship. Here, we develop a unifying framework to study life expectancy and life span equality over time, relying on concepts about the pace and shape of aging. We study the dynamic relationship between life expectancy and life span equality with reliable data from the Human Mortality Database for 49 countries and regions with emphasis on the long time series from Sweden. Our results demonstrate that both changes in life expectancy and life span equality are weighted totals of rates of progress in reducing mortality. This finding holds for three different measures of the variability of life spans. The weights evolve over time and indicate the ages at which reductions in mortality increase life expectancy and life span equality: the more progress at the youngest ages, the tighter the relationship. The link between life expectancy and life span equality is especially strong when life expectancy is less than 70 y. In recent decades, life expectancy and life span equality have occasionally moved in opposite directions due to larger improvements in mortality at older ages or a slowdown in declines in midlife mortality. Saving lives at ages below life expectancy is the key to increasing both life expectancy and life span equality.


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