Exploring Intra-Ethnic Diversity among Four Groups of Hispanic Elderly: Patterns and Levels of Service Utilization

1998 ◽  
Vol 46 (3) ◽  
pp. 247-266 ◽  
Author(s):  
Tracy L. Dietz ◽  
Robert John ◽  
Lonnie C. Roy
Keyword(s):  
Ethnic Diversity ◽  
Mexican American ◽  
Service Use ◽  
Group Differences ◽  
Formal Service ◽  
Formal Services ◽  
Patterns Of Behavior ◽  
Levels Of Service ◽  
High Degree ◽  
Hispanic Elders

This study investigates service use by a sample of 2,135 Hispanic elderly in order to address the issue of the homogeneity or heterogeneity within the older Hispanic population as revealed by the use of formal services. Factor analysis revealed a high degree of homogeneity in the patterns of formal service use among the four Hispanic groups in this study that follows three latent, but distinct, patterns of behavior: the use of federal entitlement programs, in-home services, and senior center services. Although the patterns of service use reflect substantial homogeneity among the Hispanics in this sample, there is a high degree of heterogeneity in the level of service use. Overall, service use was systematically lower among “Other” Hispanic elders and systematically higher among Puerto Rican elders, with somewhat more erratic use among Cuban American and Mexican American elders. Controlling for between-group differences in socio-demographic characteristics did little to reduce relatively systematic between-group differences in levels of service use.

scholarly journals When the Day Goes Awry: Families Caring for Persons With Dementia

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 638-639
Author(s):  
Karen Roberto ◽  
Jyoti Savla ◽  
Steven Zarit
Keyword(s):  
Family Caregivers ◽  
Rural Areas ◽  
Service Use ◽  
Management Strategies ◽  
Care Quality ◽  
Future Research ◽  
Full Time ◽  
Daily Lives ◽  
Formal Service ◽  
Formal Services

Abstract The daily lives of family caregivers of persons with dementia (PwD) often require that they manage multiple competing demands in a context of unpredictability. Memory and behavior changes associated with dementia can cause PwD to act in random and irrational ways that create stress and influence all aspects of caregivers’ everyday life. Supportive others, including informal helpers and formal service professionals, should provide relief to primary caregivers; however, help may not alleviate caregiver stress and can sometimes compound the burden of care. This symposium draws on daily diary surveys and face-to-face interviews to focus on four aspects of managing everyday care of PwD among family caregivers in rural areas. Brandy Renee McCann explores how caregivers’ vigilance on behalf of PwD care quality interacts with service use. Karen Roberto examines the ways in which caregivers manage PwD resistance to help, including their use of forceful care strategies. Rosemary Blieszner focuses on competing caregiver roles and demands that may contribute to or alleviate caregiver stress. Tina Savla addresses the unexpected, and often hidden, challenges involved in using formal services. Collectively, the four presentations provide in-depth insight into the complicated daily lives of families coping with dementia and the ways in which they meet the demands of full-time caregiving under often difficult and challenging circumstances. Discussant Steve Zarit considers the efficacy of these management strategies for various aspects of everyday care and offers suggestions for future research and person-centered programs and interventions to reduce health disparities among caregivers in rural areas.

scholarly journals EXPLORING RACIAL-ETHNICITY DIFFERENCES IN SERVICES USED BY GRANDPARENTS RAISING GRANDCHILDREN

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S674-S674
Author(s):  
Tamar E Shovali ◽  
Kerstin G Emerson
Keyword(s):  
Financial Services ◽  
Service Use ◽  
Community Services ◽  
White Children ◽  
Formal Service ◽  
Service Accessibility ◽  
The Us ◽  
Formal Services ◽  
Race Ethnicity ◽  
Nationally Representative

Abstract Nearly three million grandparents in the US serve as primary caregivers for their grandchildren. Little research on formal service use and grandfamilies exists for Black and Hispanic populations. To begin to address this gap we conducted exploratory analyses using nationally representative estimates of characteristics and service accessibility of noninstitutionalized children living with grandparents from the 2013 National Survey of Children in Nonparental Care. Our goal was to understand differences in service use as a function of grandfamily race/ethnicity. We specifically explored grandparents’ formal service count, financial services received, confidence in obtaining/using community services, and level of role preparation by race/ethnicity. We calculated descriptive statistics for these service variables for grandparents raising Hispanic, White, Black, and Other identified grandchildren (N = 892). On average, there was a minimal range for the number of formal services used (M range = 5.26 – 5.84, possible = 0 – 10 higher equals more services used), reported number of financial services (M range = 0.71 - 0.78, possible = 0 – 3 higher equals more financial services received), and confidence obtaining/using services (M range = 7.4—7.9, possible = 1 – 9 higher equal more confidence). Most prepared to take on the caregiving role were grandparents of White children (55%) followed by Black (21.6%), Other (12.3%), and Hispanic (11.1%) indicating that although grandparents in this sample report being confident and able to access formal services, grandparents of White children report being feeling more prepared to take on caregiving than grandparents of Black, Hispanic, and Other combined.

Determining Patterns of Formal Service Use Among Mexican American Elderly:

1997 ◽  
Vol 26 (3-4) ◽  
pp. 65-81 ◽  
Author(s):  
Lonnie C. Roy ◽  
Tracy L. Dietz ◽  
Robert John
Keyword(s):  
Mexican American ◽  
Service Use ◽  
Formal Service

scholarly journals Patterns of individual coping, engagement with social supports and use of formal services among a five-country sample of resilient youth

2015 ◽  
Vol 2 ◽  
Author(s):  
M. Ungar ◽  
L. Theron ◽  
L. Liebenberg ◽  
Guo-Xiu Tian ◽  
A. Restrepo ◽  
...  
Keyword(s):  
Coping Strategies ◽  
Service Use ◽  
Service Providers ◽  
Social Supports ◽  
Well Being ◽  
Substantive Theory ◽  
Formal Service ◽  
Full Dataset ◽  
Formal Services ◽  
Individual Capacity

Background.Although resilience among victims of child abuse is commonly understood as a process of interaction between individuals and their environments, there have been very few studies of how children's individual coping strategies, social supports and formal services combine to promote well-being.Method.For this study, we conducted a multi-phase analysis of a qualitative dataset of 608 interviews with young people from five countries using grounded theory strategies to build a substantive theory of young people's service and support use patterns. We started with an analysis of ten interviews (two from each country) and then compared these findings to patterns found in each country's full dataset.Results.The substantive theory that emerged explains young people's transience between individual coping strategies (cognitive and behavioral), reliance on social supports (family members, peers and teachers), and engagement with formal service providers whose roles are to provide interventions and case management. Young people's patterns of navigation were shown to be contingent upon the individual's risk exposure, his or her individual capacity to cope, and the quality of the formal and informal supports and services that are available and accessible.Conclusion.Differing amounts of formal resources in low-, middle- and high-income countries influence patterns of service use. Implications for better coordination between formal mental health services and social supports are discussed.

scholarly journals Life on the Edge: Patterns of Formal and Informal Help to Older Adults in the United States and Sweden

2005 ◽  
Vol 60 (5) ◽  
pp. S281-S288 ◽  
Author(s):  
Adam Davey ◽  
Elia E. Femia ◽  
Steven H. Zarit ◽  
Dennis G. Shea ◽  
Gerdt Sundström ◽  
...  
Keyword(s):  
United States ◽  
Service Use ◽  
Risk Groups ◽  
The United States ◽  
Cross Sectional ◽  
Formal Service ◽  
Formal Services ◽  
Swedish Sample ◽  
Nationally Representative ◽  
Aging At Home

Abstract Objectives. Our objective in this study was to compare assistance received by individuals in the United States and Sweden with characteristics associated with low, moderate, or high 1-year placement risk in the United States. Methods . We used longitudinal nationally representative data from 4,579 participants aged 75 years and older in the 1992 and 1993 waves of the Medicare Current Beneficiary Survey (MCBS) and cross-sectional data from 1,379 individuals aged 75 years and older in the Swedish Aging at Home (AH) national survey for comparative purposes. We developed a logistic regression equation using U.S. data to identify individuals with 3 levels (low, moderate, or high) of predicted 1-year institutional placement risk. Groups with the same characteristics were identified in the Swedish sample and compared on formal and informal assistance received. Results . Formal service utilization was higher in Swedish sample, whereas informal service use is lower overall. Individuals with characteristics associated with high placement risk received more formal and less informal assistance in Sweden relative to the United States. Discussion . Differences suggest formal services supplement informal support in the United States and that formal and informal services are complementary in Sweden.

Social Capital and Diversity Generalized Trust, Social Cohesion and Regimes of Diversity

2007 ◽  
Vol 40 (3) ◽  
pp. 709-732 ◽  
Author(s):  
Marc Hooghe
Keyword(s):  
Social Capital ◽  
Ethnic Diversity ◽  
Negative Relationship ◽  
Group Differences ◽  
Capital Social ◽  
Generalized Trust ◽  
Absolute Level ◽  
Individual Level ◽  
Level 3 ◽  
The Individual

Abstract.In recent years an impressive amount of evidence has been collected documenting a negative relationship between levels of ethnic diversity and social capital indicators, in particular generalized trust. In this article we raise a number of theoretical arguments that should be addressed before these findings can be generalized. First, it has to be remembered that most of these studies focus on generalized trust as a social capital indicator, while trust probably is most vulnerable for the effects of weakening homogeneity. Second, it is argued that in order to arrive at a better understanding of the relation between diversity and social capital, at least three intermediary variables need to be taken into account: 1) the question whether diversity entails segregation of networks at the individual level; 2) the increase in diversity rather than the absolute level; 3) the regimes societies use to govern diversity, and especially the variation with regard to the openness of these regimes. We close by exploring the suggestion that in more diverse societies, recognition of group differences and identities, and group relations based on equality-based concepts of reciprocity should be considered as potentially more meaningful strategies.Résumé.Dans les dernières années, une quantité impressionnante de preuves ont été rassemblées, qui documentent une relation négative entre le niveau de diversité ethnique et les indicateurs de capital social, en particulier la confiance généralisée. Dans cet article, nous soulevons un certain nombre d'arguments théoriques qu'il faut examiner avant de pouvoir généraliser ces résultats. D'abord il faut noter que la plupart de ces études se sont concentrées sur la confiance généralisée comme indicateur de capital social alors que la confiance est probablement particulièrement vulnérable aux effets d'une érosion de l'homogénéité. Deuxièmement, nous avançons que, pour mieux comprendre la relation entre diversité et capital social, trois variables intermédiaires au moins doivent être prises en considération : 1) l'existence d'une ségrégation des réseaux au niveau individuel du fait de la diversité; 2) l'augmentation de la diversité plutôt que son niveau absolu; 3) les régimes que les sociétés utilisent pour gouverner la diversité et surtout le degré d'ouverture de ces régimes. Pour finir, nous explorons la suggestion que, dans des sociétés plus diverses, la reconnaissance des différences et identités des groupes, et des relations inter-groupes basées sur des concepts d'égalité et de réciprocité devraient être considérées comme des stratégies potentiellement plus significatives.

scholarly journals A profile of Australian mental health carers, their caring role and service needs: results from the 2012 Survey of Disability, Ageing and Carers

2018 ◽  
Vol 28 (6) ◽  
pp. 670-681 ◽  
Author(s):  
S. Diminic ◽  
E. Hielscher ◽  
M. G. Harris ◽  
Y. Y. Lee ◽  
J. Kealton ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Physical Health ◽  
Emotional Support ◽  
Service Use ◽  
Adult Child ◽  
Household Survey ◽  
Care Recipient ◽  
Service Needs ◽  
Formal Service

AbstractAimsPlanning mental health carer services requires information about the number of carers, their characteristics, service use and unmet support needs. Available Australian estimates vary widely due to different definitions of mental illness and the types of carers included. This study aimed to provide a detailed profile of Australian mental health carers using a nationally representative household survey.MethodsThe number of mental health carers, characteristics of carers and their care recipients, caring hours and tasks provided, service use and unmet service needs were derived from the national 2012 Survey of Disability, Ageing and Carers. Co-resident carers of adults with a mental illness were compared with those caring for people with physical health and other cognitive/behavioural conditions (e.g., autism, intellectual disability, dementia) on measures of service use, service needs and aspects of their caring role.ResultsIn 2012, there were 225 421 co-resident carers of adults with mental illness in Australia, representing 1.0% of the population, and an estimated further 103 813 mental health carers not living with their care recipient. The majority of co-resident carers supported one person with mental illness, usually their partner or adult child. Mental health carers were more likely than physical health carers to provide emotional support (68.1%v.19.7% of carers) and less likely to assist with practical tasks (64.1%v.86.6%) and activities of daily living (31.9%v.48.9%). Of co-resident mental health carers, 22.5% or 50 828 people were confirmed primary carers – the person providing the most support to their care recipient. Many primary mental health carers (37.8%) provided more than 40 h of care per week. Only 23.8% of primary mental health carers received government income support for carers and only 34.4% received formal service assistance in their caring role, while 49.0% wanted more support. Significantly more primary mental health than primary physical health carers were dissatisfied with received services (20.0%v.3.2%), and 35.0% did not know what services were available to them.ConclusionsResults reveal a sizable number of mental health carers with unmet needs in the Australian community, particularly with respect to financial assistance and respite care, and that these carers are poorly informed about available supports. The prominence of emotional support and their greater dissatisfaction with services indicate a need to better tailor carer services. If implemented carefully, recent Australian reforms including the Carer Gateway and National Disability Insurance Scheme hold promise for improving mental health carer supports.

Modelling generalisation gradients as augmented Gaussian functions

2020 ◽  
Vol 74 (1) ◽  
pp. 106-121 ◽  
Author(s):  
Jessica C Lee ◽  
Llewellyn Mills ◽  
Brett K Hayes ◽  
Evan J Livesey
Keyword(s):  
Gaussian Function ◽  
Peak Shift ◽  
Stimulus Dimension ◽  
Group Differences ◽  
Hierarchical Bayesian ◽  
Group Level ◽  
Gaussian Functions ◽  
Novel Method ◽  
Bayesian Curve Fitting ◽  
High Degree

Studying generalisation of associative learning requires analysis of response gradients measured over a continuous stimulus dimension. In human studies, there is often a high degree of individual variation in the gradients, making it difficult to draw conclusions about group-level trends with traditional statistical methods. Here, we demonstrate a novel method of analysing generalisation gradients based on hierarchical Bayesian curve-fitting. This method involves fitting an augmented (asymmetrical) Gaussian function to individual gradients and estimating its parameters in a hierarchical Bayesian framework. We show how the posteriors can be used to characterise group differences in generalisation and how classic generalisation phenomena such as peak shift and area shift can be measured and inferred. Estimation of descriptive parameters can provide a detailed and informative way of analysing human generalisation gradients.

scholarly journals AN INTEGRATED TRANSITIONAL CARE MODEL FOR OLDER ADULTS WITH MULTIMORBIDITY AND DEPRESSIVE SYMPTOMS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S867-S867
Author(s):  
Maureen Markle-Reid ◽  
Carrie McAiney ◽  
Rebecca Ganann ◽  
Kathryn Fisher ◽  
Amy Bartholomew ◽  
...  
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Physical Functioning ◽  
Chronic Conditions ◽  
Service Use ◽  
Transitional Care ◽  
Group Differences ◽  
Significant Group ◽  
Implementation Effectiveness

Abstract This pragmatic randomized controlled trial examined the implementation, effectiveness and costs of a nurse-led transitional care intervention to improve hospital-to-home transitions for 127 older adults (≥ 65 years) with depressive symptoms and multimorbidity in three Ontario communities. Participants were randomly allocated to receive the intervention plus usual care (n=63) or usual care alone (n=64). The intervention included an average of 5 in-home visits and 6 phone calls from a Registered Nurse (RN) over a 6-month period. The RN provided system navigation, patient education, medication review, and management of depressive symptoms and chronic conditions. Implementation outcomes included engagement rate, intervention dose, and feasibility of intervention implementation. Effectiveness outcomes included quality of life, depressive symptoms, anxiety, social support, and health and social service use and costs. Participants were an average of 76 years and had an average of 8 chronic conditions. Findings suggest that the intervention was feasible and acceptable to participants and providers. Intention-to-treat analyses using ANCOVA models showed no statistically significant group differences for the outcomes. However, the upper 95% confidence interval for the mean group difference showed greater clinically significant improvements in physical functioning in the intervention group. Quantile regression showed that the intervention may result in greater improvements in physical functioning for individuals with low to average physical functioning values compared to the control group. The intervention may also result in higher levels of perceived social support for individuals with a range of social support values. No statistically significant group differences were observed for service use or costs.

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