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Financial Strain (financial + strain)
Selected AbstractsRemittance Patterns of Southern Sudanese Refugee Men: Enacting the Global Breadwinner Role,FAMILY RELATIONS, Issue 4 2008Phyllis J. Johnson Abstract: Questionnaire data from 172 Sudanese refugee men in Western Canada revealed that most of the men were sending money (i.e., remittances) to family in Africa, although doing so created considerable financial and emotional strain. Those who experienced greater emotional strain had more social support and spent a smaller proportion of their income on remittances. Those who experienced greater financial strain had less support, were in Canada a shorter time, and had higher (over $20,000) compared to lower income (less than $20,000). Understanding the continuing financial obligations of global breadwinners, who are providing financially for relatives elsewhere, is critical content for social service programs that serve refugee and immigrant newcomers. [source] Influence of macrostructure of society on the life situation of families with a child with intellectual disability: Sweden as an exampleJOURNAL OF INTELLECTUAL DISABILITY RESEARCH, Issue 4-5 2003M. B. Olsson Abstract Background Most studies on families with children with intellectual disability (ID) have been carried out in the UK or the USA, and are influenced by the societal organization, and political and economic climate of those countries. In the USA and the UK, the care and well-being of children, with or without ID, are seen almost exclusively as the individual family's responsibility. In Sweden, the care and well-being of children are seen more as a joint responsibility. Swedish society has developed many privileges for all parents in order to help them care for their children, and the support for parents of children with disabilities is provided exclusively by the Government and the community. The overall question explored in this descriptive, quantitative and qualitative study was: Are families in Sweden experiencing the stressors and life situations described in the studies of parents in more individualistic societies? Methods Two hundred and twenty-six families with children with ID and 234 control families with children ranging from 0 to 16 years of age answered mail surveys. Results Taken together, parents in Sweden describe most of the stressors proposed in the international literature with the exception of financial strain. Restricted social life and time restrictions seem to be the two most evident and bothersome stressors for Swedish families with children who have ID. Conclusions As in previous research, the parents of children with ID and autism experienced more stressors and restrictions in their lives than the parents of children with DS and control families. [source] Role Balance Among White Married CouplesJOURNAL OF MARRIAGE AND FAMILY, Issue 4 2001Stephen R. Marks We generate models predicting wives' and husbands' feelings of overall balance across roles. Drawing on fine-grained data about marital lifestyles and time use, we find few predictors that are the same for both partners. Both report greater role balance when their level of parental attachment to children is higher and when their marital satisfaction is greater, but gendered time use gives rise to important differences. Wives report greater balance when they have more paid work hours but have fewer of these hours on weekends. Wives' balance is also greater when they feel less financial strain, have less leisure time alone with their children, more couple leisure alone with their husbands, and more social network involvement. Husbands' contribute to wives' balance when they report more relationship maintenance in the marriage and more leisure with their children at those times when wives are not present. Husbands' own role balance increases as their income rises, but it decreases as their work hours rise. Husbands' balance also rises with more nuclear family leisure, and it lessens as their leisure alone increases. Our discussion highlights the ways that gendered marital roles lead to these different correlates of balance. [source] Job-search preparedness as a mediator of the effects of the Työhön Job Search Intervention on re-employment and mental healthJOURNAL OF ORGANIZATIONAL BEHAVIOR, Issue 3 2005Jukka Vuori Previous studies that have demonstrated the beneficial effects of the Työhön Job Search Intervention for job seekers on re-employment and mental health have not revealed the specific mediators of these effects. The present study examined two specific mediators that were targeted by the intervention, job-search self-efficacy and inoculation against setbacks, as components of a global construct referred to as job-search preparedness. The hypothesis that job-search preparedness is the main mediator of the effects of the intervention on the outcomes was then tested using data from the 1261 participants of the Finnish Työhön Job Search Intervention study. ANOVA demonstrated that the Työhön intervention produced a significant increase in both job-search self-efficacy and inoculation against setbacks (both p<0.001). Further structural equation modelling demonstrated that the intervention increased job-search preparedness (,,=,0.21, p<0.001) which had statistically significant mediating effects on increasing re-employment (,,=,0.12, 0.10, p<0.01, 0.05, respectively), and decreasing financial strain and depressive symptoms (,,=,from ,0.09 to ,0.14, p<0.01 to 0.001). Future studies should expand the conceptualization of job-search preparedness with assessment of job-search skills as an additional component. Copyright © 2005 John Wiley & Sons, Ltd. [source] Money matters: students' perceptions of the costs associated with placementsMEDICAL EDUCATION, Issue 10 2007Natalie Wray Context, Placements are an integral component of the medical, nursing and allied health curricula. However, apart from the relocation costs associated with placements, little research on students' understandings and experiences of the financial implications of placements has been carried out. Objectives, We report on students' financial concerns associated with placements, which emerged as a main theme in a broader study we conducted on the impact of undergraduate student placement experiences on graduate practice. Methods, We conducted a qualitative study which included focus group discussions (n = 17), individual interviews (n = 48) and written responses (n = 2) with undergraduate students (n = 103) and graduates (n = 27) from a tertiary institution in Victoria, Australia. Results, Students identified that income generation and the costs associated with transport and placement location contributed to the financial burden of placements. Students also spoke of the implications of high financial strain impacting on their accumulation of debt as well as on their health and wellbeing. Discussion, Our study advances our understanding of the implications of financial hardship experienced by medical, nursing and allied health students. In our study, students, regardless of their placement location, experienced increased demands and associated stress as a result of managing placements, paid employment and limited financial resources. We recommend that further quantitative research be conducted to measure the variables identified as emerging themes in this study. [source] Chronic Pain and Obstetric Management of a Patient with Tuberous SclerosisPAIN MEDICINE, Issue 2 2007Louise M. Byrd MRCOG ABSTRACT Chronic nonmalignant pain is very disabling and carries a heavy financial strain on the individual and society as a whole. This case describes a woman with tuberous sclerosis, in her fourth pregnancy. Approximately 18 months prior to pregnancy, intractable left loin pain, thought to be secondary to hemorrhage within a tuberous lesion in the left kidney, had led to the siteing of an intrathecal morphine pump. The risks of system failure (dislodgement, dislocation), escalating dosage, infection, use in labor, and neonatal opioid withdrawal are all explored and discussed. While data are limited, with increasing use of intrathecal opioids for nonmalignant pain, such patients may be seen more regularly in obstetric clinics. With a multidisciplinary team approach, risks can be minimized and outcome for mother and baby optimized. [source] The Emergency Medical Treatment and Labor Act as a Federal Health Care Safety Net ProgramACADEMIC EMERGENCY MEDICINE, Issue 11 2001W. Wesley Fields MD Abstract Despite the greatest economic expansion in history during the 1990s, the number of uninsured U.S. residents surpassed 44 million in 1998. Although this number declined for the first time in recent years in 1999, to 42.6 million, the current economic slow-down threatens once again to increase the ranks of the uninsured. Many uninsured patients use hospital emergency departments as a vital portal of entry into an access-improverished health care system. In 1986, Congress mandated access to emergency care when it passed the Emergency Medical Treatment and Labor Act (EMTALA). The EMTALA statute has prevented the unethical denial of emergency care based on inability to pay; however, the financial implications of EMTALA have not yet been adequately appreciated or addressed by Congress or the American public. Cuts in payments from public and private payers, as well as increasing demands from a larger uninsured population, have placed unprecedented financial strains on safety net providers. This paper reviews the financial implications of EMTALA, illustrating how the statute has evolved into a federal health care safety net program. Future actions are proposed, including the pressing need for greater public safety net funding and additional actions to preserve health care access for vulnerable populations. [source] A community study on the relationship between stress, coping, affective dispositions and periodontal attachment lossCOMMUNITY DENTISTRY AND ORAL EPIDEMIOLOGY, Issue 4 2006Sam K. S. Ng Abstract,,, Background:, Psychological factors may increase the risk for periodontal diseases. Contemporary conceptualization of the stress process supports the evaluation of stress at three levels: stressors, moderating and mediating factors, and stress reactions. Objective:, This study was undertaken to investigate the relationship of periodontal disease in terms of clinical attachment level (CAL) to psychosocial stress, making reference to the major components of stress process. Methods:, A cross-sectional study of 1000 subjects aged 25,64 years in Hong Kong was conducted. Subjects were asked to complete a set of questionnaires measuring stressors including changes, significant life event and daily strains, stress reactions including physiological and affective responses, and coping and affective dispositions. CAL was assessed. Results:, Individuals with high mean CAL values had higher scores on the job and financial strain scales than periodontally healthy individuals (P < 0.05), after adjusting for age, gender, cigarette smoking and systemic disease. Depression, anxiety trait, depression trait, problem-focused coping, and emotion-focused coping were also related to CAL. Logistic regression analysis indicated that all these factors were significant risk indicators for periodontal attachment loss, except problem-focused coping, which reduced the odds of CAL. Individuals who were high emotion-focused copers, low problem-focused copers, trait anxious, or trait depressive had a higher odds of more severe CAL. Conclusion:, Chronic job and financial strains, depression, inadequate coping, and maladaptive trait dispositions are significant risk indicators for periodontal attachment loss. Adequate coping and adaptive trait dispositions, evidenced as high problem-focused coping and low anxiety/depression trait, may reduce the stress-associated odds. [source] | |||||||||||||