Adolescents from low-income families in Hong Kong and unhealthy eating behaviours: Implications for health and social care practitioners

2018 ◽  
Vol 27 (2) ◽  
pp. 366-374 ◽  
Author(s):  
Judy Yuen-man Siu ◽  
Kara Chan ◽  
Albert Lee
2021 ◽  
pp. 1-21
Author(s):  
Payge Lindow ◽  
Irene H. Yen ◽  
Mingyu Xiao ◽  
Cindy W. Leung

ABSTRACT Objective: Using an adaption of the Photovoice method, this study explored how food insecurity affected parents’ ability to provide food for their family, their strategies for managing household food insecurity, and the impact of food insecurity on their well-being. Design: Parents submitted photos around their families’ experiences with food insecurity. Afterwards, they completed in-depth, semi-structured interviews about their photos. The interviews were transcribed and analyzed for thematic content using the constant comparative method. Setting: San Francisco Bay Area, California, USA. Subjects: 17 parents (14 mothers and 3 fathers) were recruited from a broader qualitative study on understanding the experiences of food insecurity in low-income families. Results: Four themes were identified from the parents’ photos and interviews. First, parents described multiple aspects of their food environment that promoted unhealthy eating behaviors. Second, parents shared strategies they employed to acquire food with limited resources. Third, parents expressed feelings of shame, guilt, and distress resulting from their experience of food insecurity. And finally, parents described treating their children to special foods to cultivate a sense of normalcy. Conclusions: Parents highlighted the external contributors and internal struggles of their experiences of food insecurity. Additional research to understand the experiences of the food-insecure families may help to improve nutrition interventions targeting this structurally vulnerable population.


Author(s):  
Yue Chim Richard Wong

Failure to appreciate theimportant fact that poverty propagated itself in the absence of a parent or a social program that had time to help young childrenhas allowed child poverty to fester, compromising children’s ability to go to school, their willingness to learn, their attitudes, and their motivation. This is a major cause of worsening intergenerational mobility and poverty. The research findings of Chetty et al. confirm the importance of investing in schooling, of having stable families, and of building communities to provide positive encouragement and support for the disadvantaged. The isolated, remote public housing estates we have in Hong Kong are unlikely to foster such communities.The findings from the US and Hong Kong strongly suggest that public sector housing policy to subsidize low-income families should be changed from providing subsidized rental housing units to homeownership units. This would have three different effects for increasing intergenerational mobility among low-income households.


Author(s):  
Tsang Suet Yee Michelle

I am a 19-year-old female Chinese student studying business and law at the University of Hong Kong. I have participated in volunteering activities since secondary school. I taught computer classes for the elderly and gave free lessons to children from low-income families. I hosted games for the mentally challenged. I took part in flag-selling activities. I also participated in a service trip last year....


2020 ◽  
pp. 1-10
Author(s):  
Daiming Xiu ◽  
Amy Y.M. Chow ◽  
Iris K.N. Chan

Abstract Objective This study aimed to develop an assessment tool measuring comprehensive interdisciplinary competence in end-of-life care (EoLC) and investigate its content, construct validity, reliability, and their correlates. Method Items of the Comprehensive End-of-Life Care Competence Scale (CECCS) were developed according to a comprehensive core competence framework in EoLC and refined by a multi-disciplinary panel of experts. The psychometric properties were further tested through region-wide surveys of self-administered questionnaires completed by health and social care professionals in Hong Kong. Results Participants comprised social workers, nurses, physicians, and allied health care professionals (445 participants in 2016, 410 in 2017, and 523 in 2018). Factor analysis validated the construct of the questionnaire which encompassed 26 items describing EoLC core competences in seven domains with satisfactory internal reliability (confirmatory factor analysis: χ2/df = 3.12, GFI = 0.85, TLI = 0.93, CFI = 0.94, RMSEA = 0.07; Cronbach's alphas ranged from 0.89 to 0.97): overarching value & knowledge, communication skills, symptom management, psychosocial and community care, end-of-life decision-making, bereavement care, and self-care. Higher perceived levels in these competences were correlated with a higher level of job meaningfulness and satisfaction (r ranged from 0.17 to 0.39, p < 0.01) and correlated with lower perceived stress (r ranged from –0.11 to –0.28, p < 0.05). Regression analysis found that age and work involvement in EoLC were positively associated with the perceived competences in all domains; professionals working in hospices reported higher levels of competence than workers in other settings; social workers showed lower perceived competences in symptom management, but higher levels in bereavement care than other health care professionals. Significance of results The validity and internal reliability of CECCS were demonstrated. The levels of perceived competences working in EoLC were significantly associated with professionals’ job-related well-being. Practically, there is still room for improvement in comprehensive competences among health and social care workers in Hong Kong.


2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Johnny T. K. Cheung ◽  
Doreen W. H. Au ◽  
Wallace C. H. Chan ◽  
Jenny H. Y. Chan ◽  
Kenway Ng ◽  
...  

2019 ◽  
Vol 30 (2) ◽  
pp. 176-189 ◽  
Author(s):  
Maria Vaalavuo

The opportunity to use public services supports older people’s livelihoods, although out-of-pocket fees can be a burden, especially for low-income pensioners. In this article, we analyse the use of health and social care services among the elderly in Finland. The objectives are two-fold: first, to study the distribution of public spending on services across income groups, and second, to investigate the related costs to the service-user. The article contributes to the debate on the welfare states’ redistributive function. The study is based on register data covering the total Finnish population in 2015. In our descriptive analysis, we focus on the distribution of the cost of production (based on detailed unit costs), user fees (calculated based on legislation) as well as reimbursements by social insurance and out-of-pocket payments for medicine, private services and travel costs. The results show that the amount of in-kind benefits is the largest in the two bottom income quintiles both in absolute and relative terms. We also see that the related costs to the client are small in relation to the monetary value of the service, although they amount to 9% of the disposable income in the lowest income quintile. It is noteworthy that benefits are highly concentrated on a small group of individuals. Public services create an important context for the evaluation of adequacy of cash income. Likewise, when we want to understand economic conditions of elderly people in a more comprehensive way, studying the share of disposable income going to health and social care is one important dimension. However, we also argue that we need to be cautious when making claims about redistribution through public services.


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