scholarly journals The Impact of Health Care Coverage on Changes in Self-Rated Health: Comparison between the Near Poor and the Upper Middle Class

2016 ◽  
Vol 26 (4) ◽  
pp. 390-398 ◽  
Author(s):  
Jinhyun Kim
2012 ◽  
Vol 114 (10) ◽  
pp. 1-36
Author(s):  
Ramona M. Cutri ◽  
Jill Manning ◽  
Cecilia S. Weight

Background/Context A person's socioeconomic class is not a stagnant category based on her income level, but is rather an ongoing lived identity that includes a dynamic process of political struggle. In our self-study, we unpack both our poverty and upper-middle-class experiences and in so doing examine our intergenerational cross-class identity as a site of personal and political struggle. Purpose/Objective/Research Question/Focus of the Study This self-study of practice explores how we three mothers who are also educators negotiate our cross-class identities while living a curriculum of moral education with our children who are growing up upper middle class. Research Design The qualitative methodology of self-study of practice was employed, and narrative methods were used to gather and analyze data. Findings/Results The qualities of intimacy and altruism emerge from our stories as ways to foster cross-class identities that encourage awareness of inequities and promote learning oriented toward social justice. Conclusions/Recommendations The approaches and strategies of living a moral education curriculum chronicled in our stories offer a developmentally sensitive model of moral education that could, with modification, inform approaches to educating critical class-conscious educators. The narratives highlight opportunities for researchers and educators to move across cultures and illustrate how tensions between cultures can be held open for meaning making rather than assuming that people only have one class identity. Future research is called for to further explore the impact of race on practices of moral education and how the types of relationships necessary for moral authority can be fostered within the confines of academia.


Author(s):  
Kristin Lork ◽  
Kristina Holmgren ◽  
Jenny Hultqvist

Background: Sick leave has major social and economic consequences for both individuals and society. Primary Health Care (PHC) meets people who seek care before they risk going on sick leave. This study examined the impact of self-perceived health on sick leave within 12 months for workers seeking care in PHC. Methods: The study had a prospective longitudinal design with 271 employed, non-sick-listed patients aged 18–64 years seeking care for physical and/or mental symptoms at PHC. In a logistic regression, an estimation of the odds ratio (OR) for belonging to the group workers with >14 days of sick-leave (W-SL) was made. Results: A high number of reasons when seeking care, with an OR of 1.33 (confidence interval 1.14 to 1.56), and lower self-rated health, with an OR of 1.45 (confidence interval 1.10 to 1.91), were determinants for sick leave at 12 months after adjusting for covariates and confounders. Mental symptoms constituted the main reason for seeking care, followed by musculoskeletal pain, and significant differences in proportions regarding most symptoms were shown between the groups with and without sick-leave >14 days. Conclusion: Health care professionals in PHC need to be aware of the risk of future sick leave at comorbidity and low self-perceived health. Preventive rehabilitation interventions should be offered to improve health and prevent sick leave for this group.


AAOHN Journal ◽  
2008 ◽  
Vol 56 (10) ◽  
pp. 413-416
Author(s):  
Grace Paranzino ◽  
Eileen Lukes

The presidential candidates for the 2008 election have outlined health care proposals that will ultimately impact the health status of Americans. Highlights focus on access to health care coverage, cost containment, improvement of the quality of care, and financing. This article provides a glimpse into the inherent challenges faced and the impact that nurses can make by casting their vote in this election as consumers and providers of health care.


AAOHN Journal ◽  
2008 ◽  
Vol 56 (10) ◽  
pp. 413-416
Author(s):  
Grace Paranzino ◽  
Eileen Lukes

The presidential candidates for the 2008 election have outlined health care proposals that will ultimately impact the health status of Americans. Highlights focus on access to health care coverage, cost containment, improvement of the quality of care, and financing. This article provides a glimpse into the inherent challenges faced and the impact that nurses can make by casting their vote in this election as consumers and providers of health care.


2020 ◽  
Vol 11 (1) ◽  
pp. 5-30
Author(s):  
Binmei Liu

Abstract Few previous studies have examined the impact of social class on language attitudes and language use in mainland China. A total of 215 questionnaires were collected from a university in China for this study. The participants were classified into four social classes: upper middle class, middle middle class, lower middle class, and lower class. Then an individual interview was conducted with 10 students. Findings show that the students from the upper middle class had significantly lower attitudes toward local dialects and they had the lowest percentage of current use of dialect at home. The study adds evidence to findings of previous studies that local dialects might face certain danger of maintenance. It also shows that this change would start from people from the upper middle class. The study also points out a possible future tendency that social class privilege will play a more significant role in English learning and education.


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