scholarly journals Territorial and Gender Differences in the Home Care of Family Members with Dementia

Land ◽  
2022 ◽  
Vol 11 (1) ◽  
pp. 113
Author(s):  
Sagrario Anaut-Bravo ◽  
María Cristina Lopes-Dos-Santos
Keyword(s):  
Gender Differences ◽  
Home Care ◽  
Psychosocial Adjustment ◽  
Rural Areas ◽  
Urban Areas ◽  
Life Experience ◽  
Family Members ◽  
Structured Interview ◽  
Term Care ◽  
And Gender

The increasing prevalence of dementia is threatening the capacity of health and social service systems to provide long-term care support at the territorial level. In both rural and urban areas, specific family members (gendered care) are responsible for the daily care of their relatives. The aim of this work is to explore gender and territorial implications in the provision of in-home care by family members. To this end, family caregivers in Navarre, Spain, were administered the Psychosocial Adjustment to Illness Scale (PAIS-SR) and a semi-structured interview. The results show the good psychosocial adjustment of caregivers of relatives with dementia but the negative impacts of caregiving in the domestic, relational, and psychological domains. Moreover, the feminization of psychological distress was found to predominate in rural areas since mainly women are responsible for instrumental and care tasks, while men seek other complementary forms of support. Place of residence (rural vs. urban) was found to exert a strong effect on the respondents’ conception, life experience, and provision of care. Consequently, territorial and gender differences in coping with and adjusting to care require the design of contextualized actions adapted to caregivers’ needs.

scholarly journals A Study of the Understated Violence Within Social Contexts Against Adolescent Girls

2017 ◽  
Vol 8 (2) ◽  
pp. 29-41
Author(s):  
Shivangi Nigam ◽  
Niranjana Soperna
Keyword(s):  
Adolescent Girls ◽  
Rural Areas ◽  
Urban Areas ◽  
Social Issues ◽  
Well Being ◽  
Structured Interview ◽  
Social Contexts ◽  
The Social ◽  
The Difference ◽  
The Individual

Violence against women is linked to their disadvantaged position in the society. It is rooted in unequal power relationships between men and women in society and is a global problem which is not limited to a specific group of women in society. An adolescent girl’s life is often accustomed to the likelihood of violence, and acts of violence exert additional power over girls because the stigma of violence often attaches more to a girl than to the  perpetrator. The experience of violence is distressing at the individual emotional and physical level. The field of research and programmes for adolescent girls has traditionally focused on sexuality, reproductive health, and behaviour, neglecting the broader social issues that underpin adolescent girls’ human rights, overall development, health, and well-being. This paper is an endeavour to address the understated or disguised form of violence which the adolescent girls experience within the social contexts. The parameters exposed under this research had been ignored to a large extent when it comes to studying the dimension of violence under the social domain. Hence, the researchers attempted to explore this camouflaged form of violence and discovered some specific parameters such as: Diminished Self Worth and Esteem, Verbal Abuse, Menstruation Taboo and Social Rigidity, Negligence of Medical and Health Facilities and Complexion- A Prime Parameter for Judging Beauty. The study was conducted in the districts of Haryana (India) where personal interviews were taken from both urban and rural adolescent girls (aged 13 to 19 years) based on  a structured interview schedule. The results revealed that the adolescent girls, both in urban as well as rural areas were quite affected with the above mentioned issues. In urban areas, however, due to the higher literacy rate, which resulted in more rational thinking, the magnitude was comparatively smaller, but the difference was still negligible.  

scholarly journals How does household characteristics influence their waste management?

2018 ◽  
Vol 74 ◽  
pp. 06005 ◽  
Author(s):  
Dwini Handayani ◽  
Beta Yulianita Gitaharie ◽  
Restananda Nabilla Yussac ◽  
Rian Sabrina Rahmani
Keyword(s):  
Waste Management ◽  
Rural Areas ◽  
Urban Areas ◽  
Positive Impact ◽  
Demographic Variables ◽  
Probit Regression ◽  
Age And Gender ◽  
Household Characteristics ◽  
Management Behaviour ◽  
And Gender

The amount of waste generated is ever-increasing due to population growth, however adequate waste management has never been a focus in everyday life. The action of the household as the beginning stage of waste management is also crucial. How households manage their waste is also influenced by their socio-economic characteristics. This study aims to investigate household characteristics that influence their waste management. This study employed the Indonesian Family Life Survey 2014 data using probit regression method. The result shows that location significantly affect waste management behaviour which households in urban areas hold higher probability to manage their waste compared to those in rural areas. The level of education and knowledge also have positive impact on household’s waste management. The level of income also positively affect waste management behaviour of households. Demographic variables such as age and gender are significant and indicate that women and older people have better waste management compared to men and younger people. These results support the hypothesis that household’s waste management behaviour is significantly influenced by their characteristics.

scholarly journals Family caregivers’ expectations and needs in Critical Care Units

2021 ◽  
Vol 4 (2) ◽  
pp. 87-94
Author(s):  
Asma Khalil ◽  
Raisa Begum Gul
Keyword(s):  
Critical Care ◽  
Life Experience ◽  
Tertiary Care ◽  
Family Members ◽  
Structured Interview ◽  
Critical Care Units ◽  
Content Analysis Method ◽  
The Family ◽  
Need For Support ◽  
The Cost

Introduction: Patient admission into the critical care unit is usually an unpleasant and unexpected life experience for the family members, and unusual for family members to cope with stress and anxiety during their hospital stay.  Purpose: This study aimed to explore the expectations and needs of family members of the patients in critical care units at two tertiary care hospitals in Islamabad. Methodology: An exploratory descriptive design was used to address the study questions. Using purposive sampling, 14 family members were individually interviewed through a semi- structured interview guide. A conventional content analysis method was used to analyze the data through which categories and sub-categories were identified. Findings: The data analysis revealed three roles of the family members, which included assistance in physical care, facilitator in the provision of treatment and the decision maker. The participants expressed that their needs for information and assurance were being met to some extent; however, their need for support and comfort were not. Although the physical facilities for meeting the comfort were available in private hospital, it did not match the family members’ expectations. Conclusion: This study revealed that despite some similarities in the role and needs, the expectations and satisfaction of the family members is linked to their awareness of the healthcare system as well as the cost of the obtained services. The suggestions of the family members are implementable to improve their experiences and satisfaction in critical care units, which can enable them to perform their roles better. 

scholarly journals Gender Differences in Demand for Schooling

2001 ◽  
Vol 40 (4II) ◽  
pp. 1077-1092 ◽  
Author(s):  
Shahnaz Hamid ◽  
Rehana Siddiqui
Keyword(s):  
Gender Differences ◽  
Human Development ◽  
Rural Areas ◽  
Urban Areas ◽  
Developed Countries ◽  
Literacy Rate ◽  
Enrolment Rate ◽  
Male And Female ◽  
Development Indicators ◽  
Female Literacy

The comparison of human development indicators in Table 1 shows that Pakistan’s performance is below the average for South Asian countries and below the average for the developing countries. Furthermore, gender differences in human development are also significant within country and across countries. For example, in 1999, differences in male and female literacy rate was 24 points in Pakistan, higher then the difference in less developed countries (equalling 15 points). [See HDC (2001)]. Similarly, within Pakistan, male literacy rate increased from 35 percent in 1980-81 to 56.6 percent in 1998-99 whereas female literacy rate increased from 16 percent in 1980-81 to 32.6 percent in 1998-99. This shows that despite doubling of female literacy rate, the gap between male and female literacy rate widened from 19 percent in 1980-81 to 24 percent in 1998-99. Similarly, another indicator of human capital, i.e., the net enrolment rates at primary level exhibited a declining trend in 1990s, particularly among males. An important reason for the decline could be rise in poverty. Table 2 shows a sustained increase in net enrolment ratio with income, and the positive income effect is higher in urban areas. In rural areas, the enrolment rate increases with income but there is slight decline in female enrolment rate at the highest income level. Thus, despite rapid rise in female enrolment the gender, differences persist and income is the main factor affecting demand for education.

scholarly journals Utilisation willingness for institutional care by the elderly: a comparative study of empty nesters and non-empty nesters in Shandong, China

BMJ Open ◽  
2018 ◽  
Vol 8 (8) ◽  
pp. e022324 ◽  
Author(s):  
Yangyang Qian ◽  
Wen Qin ◽  
Chengchao Zhou ◽  
Dandan Ge ◽  
Li Zhang ◽  
...  
Keyword(s):  
Rural Areas ◽  
Living Arrangements ◽  
Urban Areas ◽  
Institutional Care ◽  
Binary Logistic Regression ◽  
The Elderly ◽  
Empty Nest ◽  
Care Needs ◽  
Term Care ◽  
The Government

IntroductionInstitutional care has been strongly promoted in China to meet seniors’ long-term care needs. Empty-nest elderly, in comparison with their counterparts, have less social support and fewer caring networks. This study aimed to compare the utilisation willingness for institutional care and its predictors between empty-nest and non-empty-nest seniors.MethodsA total of 3923 seniors were included in the analysis. Binary logistic regression models were used to understand the association between the living arrangements of the elderly households and willingness for institutional care and to identify the predictors of the utilisation willingness for institutional care among empty nesters and non-empty nesters.ResultsOur study found that approximately 8.5% of the seniors had a willingness for institutional care in Shandong, China. Empty-nest singles (OR 5.301; 95% CI 2.838 to 9.904) and empty-nest couples (OR 1.547; 95% CI 1.135 to 2.107) were found to be more willing to receive institutional care. Our results also showed that residence was a key determinant for institutionalisation willingness in empty-nest and non-empty-nest elderly. Among empty-nest singles, psychological stress was a positive determinant for institutional care. Factors, including education attainment, relationship with adult children, household income and per capita living space, were determinants for empty-nest couple willingness for institutionalisation. Age, number of children and self-reported health status were found to be associated factors for willingness among non-empty nesters.ConclusionsThe government should pay more attention to institutional care in rural areas where there is still a gap in elder care compared with that in urban areas. Targeted policies should be made for different types of seniors to offer appropriate institutional care.

scholarly journals Prediction of the Number of and Care Costs for Disabled Elderly from 2020 to 2050: A Comparison between Urban and Rural Areas in China

2020 ◽  
Vol 12 (7) ◽  
pp. 2598 ◽  
Author(s):  
Liangwen Zhang ◽  
Sijia Fu ◽  
Ya Fang
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
The Elderly ◽  
Severe Disabilities ◽  
Term Care ◽  
The Sustainable Development ◽  
Global Challenge ◽  
Disabled Elderly ◽  
Urban And Rural Areas ◽  
Care Costs

An aging population and an increase in the proportion of elderly people who are disabled have created an unprecedented global challenge, especially in China. This study aimed to predict the number of, and the care costs for, disabled elderly from 2020 to 2050 in China. A comparison was made between urban and rural areas, and we analyzed what must be done to maintain the sustainable development of China’s long-term care insurance (LTCI) system. An overall simulation model and a Monte Carlo simulation were used to estimate the number of disabled elderly and their related care costs, in both urban and rural areas. According to the forecast, the total disabled population will increase rapidly, rising from 43.75 million in 2020 to 91.4 million in 2050. Of that total, 69.7% are expected to be urban elderly. Starting in 2020, the growth rates of the elderly with mild, moderate, and severe disabilities will be 108%, 104%, and 120%, respectively, by 2050. Accordingly, the total care costs will increase from 538.0 billion yuan in 2020 to 8530.8 billion yuan in 2050, of which 80.2% will be required in urban areas. In addition, the per capita costs of care in urban and rural areas in 2050 will be 6 times and 11 times higher than in 2020, respectively. The predicted results show that the number of disabled elderly and the related care costs will increase sharply from 2020 to 2050, especially the growth rate of the number of severely disabled elderly. This study provides strong evidence of the need for the establishment of a unified national LTCI system in China.

scholarly journals Prediction the Contribution Rate of Long-Term Care Insurance for the Aged in China Based on the Balance of Supply and Demand

2020 ◽  
Vol 12 (8) ◽  
pp. 3144 ◽  
Author(s):  
Liangwen Zhang ◽  
Sijia Fu ◽  
Ya Fang
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Long Term Care ◽  
Population Census ◽  
Contribution Rate ◽  
Term Care ◽  
Disabled Elderly ◽  
Long Term Care Insurance ◽  
Per Capita

There are a large number of disabled elderly people in China, which results in huge care and financial burdens to their families and society. However, China has not yet launched a unified long-term care insurance (LTCI) system. This study aims to predict the contribution rate of LTCI in China from 2020 to 2050 based on the long-term care (LTC) cost of the disabled elderly, aged 65 and over, in order to provide strong evidence for the establishment of a unified and sustainable national LTCI system in China. The simulations are based on data from the population census data, the Chinese statistical yearbook, and the Chinese Longitudinal Healthy Longevity Survey (CLHLS) database. Based on the International Labor Organization (ILO) financing model from the perspective of fund balance, an overall simulation model and a Monte Carlo simulation are used to estimate the contribution rate of LTCI for disabled elderly from 2020 to 2050 in China. The total financial demands will increase sharply from 538.0 billion yuan in 2020 to 8530.8 billion yuan in 2050. Of that total, 80.2% will be required in urban areas. In addition, the per capita financial demands of care in urban and rural areas in 2050 will be approximately six times and 11 times higher than in 2020, respectively. The predicted results show that the overall contribution rate of LTCI in China will increase sharply from 1.46% in 2020 to 5.14% in 2050, an increase of about 3.5 times. By comparison, the contribution rate in 2020 will be close to 1.33% in Japan in 2015 and 1.40% in Germany in 2010. According to the 1:1 payment proportion between employer and employee, each side bears 0.68% of the insurance premium. From 2020 to 2050, the financial demands of long-term care for disabled elderly in China will increase, especially in urban areas, and the burden of per capita financial demands in rural areas will increase significantly. The overall contribution rate of LTCI will increase linearly and the payment burden of policyholders will increase year by year. This study provides evidence of the need for the establishment of a sustainable financing mechanism for multiple financial supplies.

Rural Aging, Demise of the Traditional Family and the Rise of New Family Structures in Rural Turkey

2019 ◽  
pp. 1-21
Author(s):  
Ozan Hovardaoglu ◽  
Seda Calisir-Hovardaoglu
Keyword(s):  
Rural Areas ◽  
Agricultural Production ◽  
Urban Areas ◽  
Family Members ◽  
Rural Settlements ◽  
Family Structures ◽  
Traditional Family ◽  
Reverse Migration ◽  
Rural Aging ◽  
New Family

This chapter investigates the influences of rural aging on traditional agricultural production in rural areas in Turkey concerning the traditional family as a social structure of accumulation. Traditional agricultural production in Turkey, which is generally characterized by subsistence farming, relies mostly on the unpaid family worker for survival. The influences of migration tendency of younger family members to urban areas and aging which becomes a physical challenge to remaining family members on traditional family seem to be prevalently studied and argued in the literature. As a new variable, this research focuses on the influences of a specific population, who recently returns to their rural origins from urban areas after retirement. It is found in this research that reverse migration does not only contribute to the increase of elderly population rates in rural settlements and thus rural aging; it also has direct impacts both on agricultural production and traditional family structures.

scholarly journals Estimating Long-Term Care Costs among Thai Elderly: A Phichit Province Case Study

2018 ◽  
Vol 2018 ◽  
pp. 1-11 ◽  
Author(s):  
Pattaraporn Khongboon ◽  
Sathirakorn Pongpanich
Keyword(s):  
Informal Care ◽  
Rural Areas ◽  
Urban Areas ◽  
Socioeconomic Development ◽  
Long Term Care ◽  
The Elderly ◽  
Term Care ◽  
Rural And Urban Areas ◽  
Rural And Urban

Background. Rural-urban inequality in long-term care (LTC) services has been increasing alongside rapid socioeconomic development. This study estimates the average spending on LTC services and identifies the factors that influence the use and cost of LTC for the elderly living in urban and rural areas of Thailand. Methods. The sample comprised 837 elderly aged 60 years drawn from rural and urban areas in Phichit Province. Costs were assessed over a 1-month period. Direct costs of caregiving and indirect costs (opportunity cost method) were analyzed. Binary logistic regression was performed to determine which factors affected LTC costs. Results. The total annual LTC spending for rural and urban residents was on average USD 7,285 and USD 7,280.6, respectively. Formal care and informal care comprise the largest share of payments. There was a significant association between rural residents and costs for informal care, day/night care, and home renovation. Conclusions. Even though total LTC expenditures do not seem to vary significantly across rural and urban areas, the fundamental differences between areas need to be recognized. Reorganizing country delivery systems and finding a balance between formal and informal care are alternative solutions.

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