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Low Income (low + income)
Terms modified by Low Income Selected AbstractsRacist Events and Ethnic Identity in Low Income, African AmericansJOURNAL OF APPLIED SOCIAL PSYCHOLOGY, Issue 6 2006Alissa Sherry This study was designed to determine the relation between racist events and ethnic identity in a group of 100 low-income African Americans. Findings indicated that the more racist events one experienced, the more ethnic behaviors they endorsed and the more they had explored the meaning of their ethnic background. In addition, racist events were also indicative of feeling less close to individuals of other ethnic groups. Results suggest that experiencing racist events may contribute to an increased identification with one's own ethnic background and less affiliation with those of other ethnic backgrounds, with the cumulative effect of racist events over one's lifetime contributing the most to this finding. [source] Low income, social growth and good health: a history of twelve countries , By James C. RileyECONOMIC HISTORY REVIEW, Issue 1 2009BERNARD HARRIS No abstract is available for this article. [source] Maternal mortality in Yunnan, China: recent trends and associated factorsBJOG : AN INTERNATIONAL JOURNAL OF OBSTETRICS & GYNAECOLOGY, Issue 7 2007J Li Objective, Yunnan Province, located in southwest China, is one of the poorest province in China. The maternal mortality ratio (MMR) is about twice the national average (56.2/100 000 live births), and in remote mountainous regions, the rate is five times higher. This study aimed to examine the progress in reduction of maternal mortality in the 1990s and early 2000s and the factors associated with this reduction in Yunnan. Design, A population-based, longitudinal, ecological correlation study. Setting, A remote province of China with a proportionately large indigenous population. Population, Populations at county, prefecture and provincial level. Methods, Using maternal mortality data collected at the province, prefecture/region and county levels, trend and time series analyses and multivariate linear regression analyses were performed using SPSS (Version 13). Main outcome measure, MMR and its change over time. Results, MMR declined substantially in the 1990s at a rate of 3.0% per year. Utilisation of prenatal and obstetric care increased and was significantly correlated with the declining trend in MMR. Hospital delivery was a strong predictor of MMR, independent of social and economic development. Both low income and illiteracy were significantly associated with increased MMR. Conclusions, Declines in maternal mortality in Yunnan over the past 14 years appear to reflect health, social and economic interventions implemented in the 1990s. The association of hospital delivery with maternal mortality may be due to the effective management of severe pregnancy and birth complications. Low income and illiteracy were associated with MMR but primarily through their impact on the use of prenatal and obstetric care. [source] Types and Patterns of Later-life MigrationGEOGRAFISKA ANNALER SERIES B: HUMAN GEOGRAPHY, Issue 3 2000William H. Walters This paper refines previous typologies of later-life mobility by explicitly evaluating the spatial migration patterns and household characteristics of retired American migrants. Migrants' lifecourse attributes (economic status, disability, presence of spouse), large-scale migration patterns (internal migration) and household characteristics (living arrangements, economic independence, residential independence) are used to identify three types of post-retirement mobility. The first type, amenity migration, has a distinctive spatial pattern that suggests a search for attractive climate and leisure amenities. The second type of mobility, assistance migration, can be traced to low income and the absence of a spouse in the household. It often results in residential and economic dependence , specifically, in co-residence with adult children or other labor force members. The third type of mobility, migration in response to severe disability and spouse absence, tends to result in nursing home residence. While amenity migration has long been associated with good health and favorable economic status, this analysis reveals that many disabled and lower-income retirees share the inmigration pattern typical of amenity migrants. In fact, amenity migration is the predominant type of mobility among those migrants with fewer than two unfavorable lifecourse attributes (low income, severe disability and spouse absence). Unlike previous lifecourse typologies, this study shows no clear relationship between moderate disability and co-residence with adult children. The results suggest that co-residence is primarily a strategy for reducing living costs rather than a means of coping with moderate disability. [source] Does Work Always Pay in Germany?GERMAN ECONOMIC REVIEW, Issue 3 2010Christoph Scheicher Equity; redistribution; social insurance; taxes Abstract. Income redistribution in Germany is the result of a combination of several redistribution instruments: there is a complex income tax law, different obligatory social insurances and supplementary benefits. This paper estimates income redistribution by quantile regression, using German EVS data. Two results are obtained: income after redistribution does not always increase in line with income before redistribution, i.e. for people with a low income before redistribution, it does not make sense to increase their efforts, since more work means less earnings. Further, an increasing redistribution rate for higher incomes is not always observable from the data. [source] The national cancer data base report on squamous cell carcinoma of the base of tongue,,HEAD & NECK: JOURNAL FOR THE SCIENCES & SPECIALTIES OF THE HEAD AND NECK, Issue 8 2004Weining Zhen MD Abstract Background. This study provides the largest contemporary overview of presentation, care, and outcome for base of tongue squamous cell carcinoma (SCC). Methods. We extracted 16,188 cases from the National Cancer Data Base (NCDB). Chi-square analyses were performed on selected cross-tabulations. Observed and disease-specific survival were used to analyze outcome. Results. Three-quarters had advanced-stage (III,IV) disease. Radiation therapy alone (24.5%) and combined with surgery (26.9%) were the most common treatments. Five-year observed and disease-specific survival rates were 27.8% and 40.3%, respectively. Poorer survival was significantly associated with older age, low income, and advanced-stage disease. For early-stage disease, surgery with or without irradiation had higher survival than irradiation alone. For advanced-stage disease, surgery with irradiation had the highest survival. Conclusions. Survival rates were low for base of tongue SCC, with most deaths occurring within the first 2 years. Income, stage, and age were significant prognostic factors. In this nonrandomized series, surgery with radiation therapy offered patients with advanced-stage disease the best survival. © 2004 Wiley Periodicals, Inc. Head Neck 26: 660,674, 2004 [source] "Where Are They Going?": Immigrant Inclusion in the Czech Republic (A Case Study on Ukrainians, Vietnamese, and Armenians in Prague),INTERNATIONAL MIGRATION, Issue 2 2007an Drbohlav ABSTRACT This paper is based on research conducted by the International Organization for Migration (IOM) Office in Prague and the Faculty of Science, Charles University in Prague in the fall and winter of 2003-2004. Within the questionnaire survey, 126 first-generation immigrants in Prague (51 Ukrainians, 45 Vietnamese, and 30 Armenians) were successfully contacted via a non-probability sampling method. The main goals of the research were to ascertain what mode of inclusion into Czech society the immigrant groups practiced and to determine their satisfaction level with their new lives. Special attention was paid to finding out important factors that stand behind both the common features and particular patterns of behaviour. Our approach is an attempt to analyse the issue via quantitative statistics (Chi-square Test, the AnswerTree Method). Berry's (1992) acculturation strategies model and Portes and Zhou's (e.g. 2000) segmented assimilation model serve as reference points while discussing conceptual matters. The results indicate that the immigrants' inclusion in Czech society in Prague has developed into specific modes: Ukrainians are typical of their specific transnationalization patterns, Vietnamese represent a "well-off" but separated and segregated community, and Armenians practice a clear assimilation strategy, while approaching the mainstream in terms of socio-economic status. Based on various indications, it seems that successful inclusion in Czech society is connected to the assimilation mode. In sum, the immigrants most satisfied with their quality of life are those for whom it is not important to live close to their compatriots and those whose knowledge of the spoken Czech language is above average. The lowest satisfaction score is tied to those immigrants who prefer to live close to their compatriots, those with university education, and those with a low income. Good knowledge of the Czech language seems to be a gateway to immigrants' satisfaction. Cette étude s'appuie sur un travail de recherche mené par le bureau de Prague de l'Organisation internationale pour les migrations (OIM) et la faculté des sciences de l'Université Charles à Prague, au cours de l'automne et de l'hiver 2003-2004. Dans le cadre de l'enquête-questionnaire, 126 immigrants de la première génération se trouvant à Prague (51 Ukrainiens, 45 Vietnamiens et 30 Arméniens) ont répondu grâce à une méthode procédant par sondage non aléatoire. Les buts principaux de cette recherche consistaient à vérifier à quels moyens avaient eu recours les groupes d'immigrants pour s'insérer dans la société tchèque et à déterminer dans quelle mesure ils s'estimaient satisfaits de leur nouvelle vie. Une attention particulière a été accordée à la recherche des facteurs importants ayant contribuéà fixer à la fois les caractéristiques communes et les particularités en matière de comportement. L'auteur s'est efforcé d'analy-ser la question à l'aide des statistiques quantitatives (test Chi carré, méthode AnswerTree). Le modèle des stratégies d'acculturation de Berry (1992) et le modèle d'assimilation segmentée de Portes et Zhou (par exemple 2000) servent de points de référence dans l'examen de questions conceptuelles. Les résultats montrent que l'incorporation des immigrants dans la société tchèque, a Prague, s'est traduite de différentes façons. Les Ukrainiens correspondent aux schémas spécifiques de transnationalisation qui leur sontpropres; les Vietnamiens constituent une communauté« prospère » mais se tenant à l'écart des autres; et les Arméniens pratiquent une stratégie évidente d'assimilation, tout en se rapprochant du courant central sur le plan du statut socio-économique. Sur la base de différentes indications, il semble que l'incorporation réussie dans la société tchèque soit liée au mode d'assimilation. Pour résumer, les immigrés les plus satisfaits de leur qualité de vie sont ceux pour qui il n'est pas important de vivre auprès de leurs compatriotes et ceux dont les connaissances de la langue tchèque parlée sont audessus de la moyenne. Le niveau de satisfaction le plus bas est celui des immigrés qui préfèrent rester en contact étroit avec leur compatriotes, ceux quijouissent d'une éducation de niveau universitaire et ceux dont le revenu se situe dans une tranche basse. Une bonne connaissance de la langue tchèque semble être la clé de la satisfaction des immigrés. Este artículo se basa en un estudio realizado por la Oficina de la Organización Internacional para las Migraciones (OIM) en Praga y la Facultad de Ciencias de la Universidad Charles de Praga, durante el último trimestre de 2003 y el primer trimestre de 2004. Recurriendo al cuestionario y al método de muestreo improbable se encuestó a 126 inmigrantes de primera generación en Praga (51 ucranios, 45 vietnamitas y 30 armenios). Los objetivos principales del estudio fueron determinar los modos de inserción de los grupos de inmigrantes en la sociedad checa y su nivel de satisfacción con relación a sus nuevas vidas. Se concedió particular atención a otros importantes factores subyacentes, a saber, las características comunes y los patrones particulares de comportamiento. En este artículo se analiza la cuestión mediante: estadísticas cuantitativas (la prueba de Chi-square, el método del Árbol de Respuestas); el modelo de estrategias de aculturación de Berry (1992); y el modelo de asimilación segmentada de Portes y Zhou (2000) que sirvieron de referencia a la hora de debatir cuestiones conceptuales. Los resultados apuntan a que la inserción de los inmigrantes en la sociedad checa, concretamente en Praga, se ha desarrollado según patrones específicos: los ucranios recurren a patrones típicos de transnacionalización, los vietnamitas son unacomunidad "acomodada" pero que se halla separaday segregada, mientras que los armenios utilizan un patrón claro de inserción, al tiempo que intentan incorporarse a la corriente principal en lo que atañe a su estatus socioeconómico. Sobre la base de diversas indicaciones, parece que una asimilación acertada en la sociedad checa depende del modo de inserción. En otras palabras, los inmigrantes más satisfechos con su calidad de vida son aquellos que no consideran importante vivir cerca de sus compatriotas y cuyos conocimientos del checo hablado superan la media. El índice más bajo de satisfacción se observa en los inmigrantes que prefieren vivir cerca de sus compatriotas, realizaron estudios universitarios y perciben bajos ingresos. Por lo visto, el buen conocimiento del idioma checo es la clave en la satisfacción de los inmigrantes. [source] The Dynamics of Farm Incomes: Panel data analysis using the Farm Accounts SurveyJOURNAL OF AGRICULTURAL ECONOMICS, Issue 2 2004Euan Phimister This paper uses longitudinal information from the Scottish Farm Accounts Survey to explore the dynamics of Scottish farm incomes between 1988/89 and 1999/2000. Both the Net Farm Income and Cash Income of farms are considered. The results show high levels of income variability and income mobility within Scottish agriculture. Although exit rates from the lowest income groups remain relatively high even when spells of low income have lasted a number of years, there is evidence of farms with persistent low farm income and farms experiencing repeated spells of low-income. Smaller farm size and having a farmer aged over 65 increase both the probability that a farm will fall into the lowest income group and the length of time spent in that income group. Further the results suggest that the impact of the post-1997 agricultural recession on income mobility depended on the income status of the farm when the recession began. [source] Reliability and Validity of a Steadiness ScoreJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 9 2005Daniel O. Clark PhD Objectives: To determine the internal consistency and construct and predictive validity of three survey questions regarding steadiness in a sample of community-dwelling lower-income older adults. Design: A 6-month prospective cohort study. Setting: Community-based. Participants: Three hundred fifty-seven older adults who completed a baseline and 6-month follow-up interviewer-administered survey. These older adults received care at a single, public health system and were judged by insurance status to be of low income. Measurements: Self-report measures of steadiness while walking and transferring; difficulty in mobility, activities of daily living (ADLs), and instrumental activities of daily living (IADLs); chronic illness; falls; hospitalization; and sociodemographic characteristics. Results: The three steadiness questions showed good internal consistency (0.88); construct validity in Pearson correlations with mobility (0.57), ADL (0.53), and IADL scores (0.41); and predictive validity. With regard to predictive validity, steadiness was predictive of falls, hospitalization, and decline in ADL and IADL function over a subsequent 6-month period. Conclusion: Steadiness questions are a potentially valuable addition to survey research and clinical screening to identify persons with current impairment status and falls and disability risk. [source] Commentary on Nahcivan NO & Demirezen E (2005) Depressive symptomatology among Turkish older adults with low income in a rural community sample.JOURNAL OF CLINICAL NURSING, Issue 3 2007Journal of Clinical Nursing 1 [source] Consumer responses to new food quality information: are some consumers more sensitive than others?AGRICULTURAL ECONOMICS, Issue 3 2009Zhifeng Gao Choice experiment; Consumer type; Consumer willingness to pay; Food quality information Abstract Missing information prevails in consumer purchase decisions and studies on consumer preferences. Previous research ignores the relationship between consumer types and their responses to new quality attribute information. In this article, consumer responses to new attribute information are compared across consumer groups. Results show that single households with low income are more responsive to new information than married households with high income. Both groups respond to new information more intensively when a cue attribute, Certified U.S. Product, is presented to consumers. [source] A disaggregated empirical analysis of the determinants of IMF arrangements: Does one model fit all?JOURNAL OF INTERNATIONAL DEVELOPMENT, Issue 7 2009Graham Bird JEL: F33, F3 Abstract Does one model fit all when it comes to the determinants of IMF programs? Certainly claims have been made by the IMF that capital account crisis (CAC) countries are discernibly different in terms of the characteristics that lead them to borrow from it, while other research has claimed that it is only Asian economies that are different from the rest. This paper sets out to examine these issues. It tests various forms of a fairly conventional model to see whether some forms better fit certain groups of countries than others. It then uses the favoured models to estimate the probability of countries having an IMF arrangement. In particular it examines countries that have been identified by the Fund as CAC countries, but it also looks at a number of comparator countries. The findings suggest that there are some differences between low income and middle income countries. Pressures in the foreign exchange market are significant for the latter but not for the former. The paper also discusses differences between regions and within regions. Broadly speaking the findings confirm that Asian economies around the time of the 1997/1998 crisis tended to turn to the IMF for financial support more quickly than would have been anticipated on the basis of the existing best-fitting models. The paper also discusses the implications of the findings for policy and for the reform of the IMF. Copyright © 2008 John Wiley & Sons, Ltd. [source] Serial Cohabitation and the Marital Life CourseJOURNAL OF MARRIAGE AND FAMILY, Issue 4 2008Daniel T. Lichter Using cohort data from the National Longitudinal Survey of Youth, this paper tracks the experiences of serial cohabitors. Results indicate that only a minority of cohabiting women (about 15% , 20%) were involved in multiple cohabitations. Serial cohabitations were overrepresented among economically disadvantaged groups, especially those with low income and education. They also were less likely than single-instance cohabiting unions to end in marriage rather than dissolve. If serial cohabitors married, divorce rates were very high , more than twice as high as for women who cohabited only with their eventual husbands. The results suggest the need to balance the government's current preoccupation with marriage promotion with greater support of "at risk" unions that marriage promotion initiatives have helped create. [source] Suicide and Alcohol: Do Outlets Play a Role?ALCOHOLISM, Issue 12 2009Fred W. Johnson Background:, The purpose of this study was to determine whether the number of alcohol outlets in local and adjacent areas, in particular bars, was related over time to completed suicide and suicide attempts. There is evidence both from studies of individuals and time series aggregate studies, mostly at the national level, of substantial alcohol involvement in suicide, but no small-area, longitudinal studies have been carried out. The present study is the first that is both longitudinal and based on a large number of small spatial units, California zip codes, a level of resolution permitting analysis of the relationship between local alcohol access and suicide rates over time. Method:, Longitudinal data were obtained from 581 consistently defined zip code areas over 6 years (1995,2000) using data from the California Index Locations Database, a geographic information system that contains both population and place information with spatial attributes for the entire state. Measures obtained from each zip code included population characteristics (e.g., median age) and place characteristics (e.g., numbers of retail and alcohol outlets) which were related in separate analyses to (i) suicide mortality and (ii) the number of hospitalizations for injuries caused by suicide attempts. The effect of place characteristics in zip code areas adjacent to each of the 581 local zip codes (spatial lags) was also assessed. Analysis methods were random effects models corrected for spatial autocorrelation. Results:, Completed suicide rates were higher in zip code areas with greater local and lagged bar densities; and higher in areas with greater local but not lagged off-premise outlet densities. Whereas completed suicide rates were lower among blacks and Hispanics, completed suicide rates were higher among low income, older whites living in less densely populated areas, that is, rural areas. Rates of suicide attempts were higher in zip code areas with greater local but not lagged bar densities, and higher among low income younger whites living in smaller households and in rural areas. Rates of attempted suicide were also higher among blacks. Completed suicide and suicide attempt rates were lower in zip code areas with greater local restaurant densities; there were no lagged effects for restaurants. Conclusions:, Bar densities in particular appear related to suicide, meaning, because this is an aggregate-level spatial analysis, that suicides, both attempted and completed, occur at greater rates in rural community areas with greater bar densities. Because the suicide rate is highest in rural areas, this study suggests that although the number of completed and attempted suicides is no doubt greater in absolute numbers in urban areas, the suicide rate, both completed and attempted, is greater in rural areas, which draws attention, perhaps much needed, to the problems of rural America. [source] Socio-demographic factors influence chronic proton pump inhibitor use by a large population in the NetherlandsALIMENTARY PHARMACOLOGY & THERAPEUTICS, Issue 5 2009O. S. Van BOXEL Summary Background, Chronic proton pump inhibitor (PPI) use is common in the Western world. Socio-economic status and socio-demographic factors have been shown to influence decisions related to prescribing of various drugs, but the influence of these factors on chronic PPI use is uncertain. Aim, To study the influence of SES and socio-demographic factors on chronic PPI use. Methods, Data were collected from a database of a Dutch health insurance company. Subjects having had at least one prescription for a PPI were identified and followed up for 6 months. Patients were then subdivided into chronic PPI users. Socio-demographic status was based on neighbourhood level of residence. Logistic regression was performed to determine socio-demographic factors associated with PPI use. Results, A total of 2 001 787 insured individuals were included, 85 253 subjects were chronic users. Both low income (OR 1.55; CI 1.52,1.58) and low educational level (OR 1.33; CI 1.31,1.36) were associated with chronic PPI use. Other independent predictive variables included use of 10 or more concomitant medications (OR 5.33; CI 4.96,5.72) and the use of prokinetic drugs (OR 10.01; CI 9.22,10.88). Conclusions, Patients of a lower socio-demographic status are more likely to use PPIs on a chronic basis. The observed gradient in PPIs use may reflect differences in health, healthcare use or healthcare supply. [source] Differential Mortality and the Design of the Italian System of Public PensionsLABOUR, Issue 2003Graziella Caselli After reviewing the secular trends in elderly mortality in Italy, and the evolution of regional differences in survival over the last three decades, we evaluate the impact, on the conversion factors introduced by the Dini reform, of a further decline in elderly mortality over the next few decades. We compute the conversion factors using a close approximation to the unknown formula employed in the Dini reform but allowing for gender- and region-specific survival probabilities. Our results leave no doubt about the importance of frequently updating the conversion factors in the light of the rapid increase in elderly survival. The paper also quantifies to what extent gender- and region-specific conversion factors may differ from their currently legislated values, that only vary by age. Finally, we recognize that the actuarial fairness of the system introduced by the recent reform can only be guaranteed on average and that, in the presence of a heterogeneous population of individuals that differ considerably in their mortality prospects, the current system implies a substantial degree of redistribution from high-mortality groups (typically characterized by low income and low wealth) to low-mortality groups (typically characterized by high income and high wealth). [source] Working conditions and health status of child workers: Cross-sectional study of the students at an apprenticeship school in KocaeliPEDIATRICS INTERNATIONAL, Issue 1 2010Cigdem Caglayan Abstract Background:, Child labor remains a widespread phenomenon in today's world. The purpose of the present study was to describe the working conditions and health status of child workers in Kocaeli. Methods:, A cross-sectional research study has been carried out on 365 working children at the Kocaeli Occupational Training Center. Data were collected on working conditions, smoking habits, work accidents, perceived health status and psychological status using General Health Questionnaire-12. In order to evaluate the physical growth of children, their height and weight were measured. Results:, Most working children usually have a low level of education, low income and extended families. The mean age for children to start working was 14.8 ± 1.5 years and their daily working periods were 11.3 ± 1.3 h on average. Girls were found to have more psychopathology compared to boys on the GHQ-12 and the results were statistically significant. The height z score was less than ,2 SD at 6.9% while the weight z score was less than ,2 SD at 1.9%. According to body mass index (BMI) percentiles range, 3% of children were found to be underweight. A statistically significant and negative directional correlation was detected between body mass index z scores with age and daily working periods. Statistically significant but weak correlations were detected between height for age z scores and the starting age of work and also between weight for age z scores and chronological age. Conclusions:, Both the mental and the physical health of children were found to be negatively affected, by having to work at an early age, and by long working hours. For this reason, immediate and direct intervention should be taken to eradicate child labor, and protect children from unsafe and exploitative working conditions. [source] Children With Co-Occurring Anxiety and Externalizing Disorders: Family Risks and Implications for CompetenceAMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 4 2009Joan P. Yoo PhD, MSSW This study used data from 340 mother-child dyads to examine characteristics of children with co-occurring diagnoses of anxiety and externalizing disorders and compared them with children with a sole diagnosis or no diagnosis. Comparisons were made using 4 child-diagnostic groups: anxiety-only, externalizing-only, co-occurrence, and no-problem groups. Most mothers were characterized by low income and histories of psychiatric diagnoses during the child's lifetime. Analyses using multinomial logistic regressions found the incidence of co-occurring childhood disorders to be significantly linked with maternal affective/anxiety disorders during the child's lifetime. In exploring implications for developmental competence, we found the co-occurrence group to have the lowest level of adaptive functioning among the 4 groups, faring significantly worse than the no-problem group on both academic achievement and intelligence as assessed by standardized tests. Findings underscore the importance of considering co-occurring behavior problems as a distinct phenomenon when examining children's developmental outcomes. [source] Self-Regulation and Its Relations to Adaptive Functioning in Low Income YouthsAMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 1 2009John C. Buckner PhD Most studies of self-regulation involving children have linked it to specific outcomes within a single domain of adaptive functioning. The authors examined the association of self-regulation with a range of indices of adaptive functioning among 155 youth ages 8,18 years from families with very low income. Controlling for other explanatory variables, self-regulation was strongly associated with various outcome measures in the areas of mental health, behavior, academic achievement, and social competence. The authors also contrasted youths relatively high and low in self-regulation (the top and bottom quartiles). Youths with good self-regulation had much better indices of adaptive functioning across measures of social competence, academic achievement, grades, problem behaviors, and depression and anxiety than their counterparts with more diminished self-regulatory capacities. In addition, youths with better self-regulation skills stated more adaptive responses both in terms of how they coped with past stressful live events and how they would deal with hypothetical stressors. This study indicates that self-regulation is robustly associated with a range of important indices of adaptive functioning across many domains. Findings are discussed in light of their implications for theory and intervention for children of diverse economic backgrounds. [source] Ghettos in Canada's cities?THE CANADIAN GEOGRAPHER/LE GEOGRAPHE CANADIEN, Issue 3 2006Racial segregation, ethnic enclaves, poverty concentration in Canadian urban areas Recent literature suggests a growing relationship between the clustering of certain visible minority groups in urban neighbourhoods and the spatial concentration of poverty in Canadian cities, raising the spectre of ghettoization. This paper examines whether urban ghettos along the U.S. model are forming in Canadian cities, using census data for 1991 and 2001 and borrowing a neighbourhood classification system specifically designed for comparing neighbourhoods in other countries to the U.S. situation. Ecological analysis is then performed in order to compare the importance of minority concentration, neighbourhood classification and housing stock attributes in improving our understanding of the spatial patterning of low-income populations in Canadian cities in 2001. The findings suggest that ghettoization along U.S. lines is not a factor in Canadian cities and that a high degree of racial concentration is not necessarily associated with greater neighbourhood poverty. On the other hand, the concentration of apartment housing, of visible minorities in general, and of a high level of racial diversity in particular, do help in accounting for the neighbourhood patterning of low income. We suggest that these findings result as much from growing income inequality within as between each visible minority group. This increases the odds of poor visible minorities of each group ending up in the lowest-cost, least-desirable neighbourhoods from which they cannot afford to escape (including social housing in the inner suburbs). By contrast, wealthier members of minority groups are more mobile and able to self-select into higher-status ,ethnic communities'. This research thus reinforces pleas for a more nuanced interpretation of segregation, ghettoization and neighbourhood dynamics. Il ressort de la littérature la plus récente qu'il existerait une association de plus en plus étroite entre la forte concentration en milieu urbain de personnes appartenant à des groupes de minorités visibles et la concentration spatiale de la pauvreté dans les villes canadiennes, phénomène qui n'est pas sans soulever le spectre de la ghettoïsation. C'est dans cette optique que ce papier examine si les ghettos urbains à l'américaine ont vu le jour dans les villes canadiennes, à partir des données des recensements de 1991 et de 2001 et à l'aide d'un système de classification des quartiers conçu spécifiquement pour établir des comparaisons entre les quartiers de différents pays et ceux des États-Unis. Une analyse écologique est ensuite menée afin de comparer l'importance de la concentration des minorités, la classification par quartier, et les caractéristiques du parc de logements et ainsi mieux comprendre la configuration spatiale des populations à faible revenu dans les villes canadiennes en 2001. Les résultats laissent entendre que la ghettoïsation à l'américaine n'est pas un facteur à prendre en compte en ce qui concerne les villes canadiennes, et que la tendance vers une concentration de groupes ethniques n'est pas nécessairement associée au niveau de pauvreté dans le voisinage. En revanche, la concentration d'immeubles à logements multiples, de minorités visibles en général et d'un niveau élevé de diversité raciale en particulier, expliquent, en partie, la distribution des personnes à faible revenu dans le voisinage. Ces résultats laissent entendre que la croissance de l'inégalité des revenus au sein des groupes de minorités visibles est aussi importante que l'inégalité qui existe entre eux. Ceci augmente les chances que les membres les plus défavorisés de tous les groupes de minorités visibles échouent dans un quartier précaire et moins que désirable duquel ils n'ont pas les moyens de s'échapper (y compris les logements sociaux dans les quartiers centraux). Par contre, les membres les plus aisés des groupes minoritaires peuvent choisir de vivre dans une ,communauté ethnique, dont le statut socio-économique est plus élevé. Cette recherche peut servir dans les plaidoyers en faveur d'une interprétation plus nuancée de la ségrégation, la ghettoïsation et les dynamiques de quartier. [source] Risk axis: Implementation of structured clinical guidelines for the assessment and management of risk in psychiatryASIA-PACIFIC PSYCHIATRY, Issue 2 2009Shailesh Kumar FRANZCP MRCPsych Abstract Introduction: Mental health clinicians routinely assess risk in three domains: suicide, violence and self neglect. While the published work on the assessment of these risks has increased, concerns are often expressed that assessment alone does not lead to management of the identified risk. Not all axes of multiaxial classificatory systems are used by clinicians to the same extent, despite their proven usefulness. It is possible that a dedicated axis for risk management as a part of a multiaxial classificatory system could align risk assessment with management and increase utility of multiaxial classificatory systems. Methods: Based on our earlier work we developed a comprehensive risk management axis (RMA), which was then further refined by conducting a pilot study and then used to collect data retrospectively from the case notes of 100 patients consecutively discharged from a general psychiatric ward. Results: Common association between risk factors and three risk domains were as follows. Violence: active symptoms of major mental illness, employment problems, and major mental illness; Suicide: history of abuse, clinically significant depressive symptoms, and alcohol and drug use; Self neglect: neglect of home, personal safety, noncompliance with treatment, male gender, and low income. We also investigated whether the presence of a particular risk factor acted as a barrier or prompt for clinicians to address management factors in the RMA. Discussion: It is possible to assess risk across the three domains and to derive management plans by using the proposed RMA. Minimal clinical background is necessary for collecting data retrospectively. It should be possible to apply this axis prospectively. [source] Independent living units: Managing and renewing an ageing stockAUSTRALASIAN JOURNAL ON AGEING, Issue 3 2007Sean McNelis Objectives:,To report on a key challenge (and its implications) that Australian not-for-profit organisations face as they manage and renew an ageing stock of independent living units (ILUs) for older people. Methods:,A national survey of ILU organisations complemented by 28 interviews with ILU managers, peak aged care organisations and government officers, and five workshops with ILU managers. Results:,ILUs are a policy response to the housing needs of older people with low income and limited assets. However, ILU organisations face significant challenges as the overall condition of ILUs deteriorates, as they seek to meet higher expectations and as they move into a phase of renewal. Conclusions:,The future of ILU organisations is at a watershed, with many reconsidering their role as providers of ILUs. Any extensive reduction in ILUs will have implications for older people, for public housing providers and for delivery of community care to older renters. [source] Balancing absolute and relative risk reduction in tobacco control policy: the example of antenatal smoking in Victoria, AustraliaAUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, Issue 4 2010Nathan Grills Abstract Objective: This descriptive epidemiological analysis aims to explore the benefits, risks and policy balance between a whole-of-population and high-risk reduction approach to reducing antenatal smoking prevalence. Methods: Using Victorian hospital antenatal statistics the rate-ratio for smoking in each hypothesised high prevalence group was calculated and combined with the absolute number of births in each high-risk group. The effect on smoking prevalence of whole-of-population reductions and high-risk group reductions was then modelled. Results: In Victoria, there were higher rates of antenatal smoking among single [RR = 4.67 (3.46,4.42)], teenage women [RR (95%CI) = 3.26 (3.00,3.54)] of indigenous ethnicity [RR = 4.39 (3.94, 4.88)] with low income [RR = 4.67 (4.17,5.22)] and low education attainment [RR = 3.89 (3.47,4.36)] who lived in less accessible areas [RR = 2.14 (1.92,2.39)]. However, as each of these high-risk groups represents a relatively small proportion of mothers, most antenatal smokers are aged 25,34, educated, city-based, non-Indigenous and non-impoverished. Conclusions: The majority of Victorian women who smoke in pregnancy do not belong to traditional high-risk groups. Implications: Absolute reductions in smoking prevalence in high-risk groups can potentially be achieved by whole-of-population prevalence reductions, despite a potential continuance in high relative risk among these groups. Conversely, an exclusive focus on smoking reduction in high-risk groups may fail to reduce the whole-of-population antenatal smoking prevalence. [source] Does Postpartum Length of Stay Affect Breastfeeding Duration?BIRTH, Issue 3 2003A Population-Based Study Women leaving the hospital early may also have household responsibilities that could interfere with breastfeeding. This study examined the relationship between postpartum length of stay and breastfeeding cessation. Methods: This study used data from 10,519 respondents to the California Maternal and Infant Health Assessment (MIHA) surveys from 1999 to 2001. MIHA is an annual statewide stratified random sample, population-based study of childbearing women in California. Survival analysis was used to examine the relationship between length of stay and length of time breastfeeding. Women were asked about the number of nights their infant stayed in the hospital at birth, whether they breastfed, and if so, the age of the child when they stopped. Hospital stay was defined in three categories: standard (2 nights for a vaginal delivery, 4 nights for a cesarean section), or shorter or longer than the standard stay. Results: Approximately 88 percent of women initiated breastfeeding. Unadjusted predictors of breastfeeding cessation included short or long postpartum stay; young maternal age; Hispanic, African American, or Asian/Pacific Islander race/ethnicity; being unmarried; low income or education level; primiparity; being born in the 50 United States or the District of Columbia; smoking during pregnancy; and low infant birthweight. After adjustment for potential confounders, women with a short stay remained slightly more likely to terminate breastfeeding than women with a standard stay (relative risk, 1.11, 95% confidence interval 1.01, 1.23). Conclusion: Women who leave the hospital earlier than the standard recommended stay are at somewhat increased risk of terminating breastfeeding early. (BIRTH 30:3 September 2003) [source] Maternal mortality in Yunnan, China: recent trends and associated factorsBJOG : AN INTERNATIONAL JOURNAL OF OBSTETRICS & GYNAECOLOGY, Issue 7 2007J Li Objective, Yunnan Province, located in southwest China, is one of the poorest province in China. The maternal mortality ratio (MMR) is about twice the national average (56.2/100 000 live births), and in remote mountainous regions, the rate is five times higher. This study aimed to examine the progress in reduction of maternal mortality in the 1990s and early 2000s and the factors associated with this reduction in Yunnan. Design, A population-based, longitudinal, ecological correlation study. Setting, A remote province of China with a proportionately large indigenous population. Population, Populations at county, prefecture and provincial level. Methods, Using maternal mortality data collected at the province, prefecture/region and county levels, trend and time series analyses and multivariate linear regression analyses were performed using SPSS (Version 13). Main outcome measure, MMR and its change over time. Results, MMR declined substantially in the 1990s at a rate of 3.0% per year. Utilisation of prenatal and obstetric care increased and was significantly correlated with the declining trend in MMR. Hospital delivery was a strong predictor of MMR, independent of social and economic development. Both low income and illiteracy were significantly associated with increased MMR. Conclusions, Declines in maternal mortality in Yunnan over the past 14 years appear to reflect health, social and economic interventions implemented in the 1990s. The association of hospital delivery with maternal mortality may be due to the effective management of severe pregnancy and birth complications. Low income and illiteracy were associated with MMR but primarily through their impact on the use of prenatal and obstetric care. [source] Monitoring poverty and social exclusion 2003CHILD: CARE, HEALTH AND DEVELOPMENT, Issue 2 2004Richard Reading The New Policy Institute has produced its sixth annual report of indicators of poverty and social exclusion. This year's report focuses on regional variations across England, Scotland and Wales. With 5 years of data now available to measure progress since Labour came to office in 1997, it is becoming much clearer where the Government's strategy for combating poverty and social exclusion is being successful , and where it is not. With the number of people living in low-income households now on a steady downward trend, the latest figures (for 2001/2002) passed the notable milestone of taking income poverty lower than at any time in the 1990s. The main reason why the number of people in low-income households fell in the 5 years to 2001/2002 is that there were fewer people in workless households. But, over the same period, the number of people in low-income, working households did not fall. Out-of-work benefits to both working-age families with dependent children and to pensioners have risen by around 30% in real terms since 1998, faster than earnings. This, plus the rise in tax credits, will have had a significant impact on the severity of poverty suffered by some low-income households even when it has not taken them above the low-income threshold. In education, earlier progress in increasing the numbers of those with an adequate minimum level of qualification has stalled, with no further advance since 2000, compared with rapid progress during the second half of the 1990s. Around a quarter of young people at each of the ages of 11, 16 and 19 are still failing to reach a basic level of attainment. There is no sign of any reduction since 1997 in the health inequalities which leave people with low incomes more likely to suffer serious health-related problems. Across the range of indicators, problems of poverty and social exclusion are generally more prevalent in the North-east than in other areas of the country. London has particular problems centred on low income and work and Scotland has particular problems centred on health. [source] IS ECONOMIC GROWTH GOOD FOR THE POOR?INTERNATIONAL ECONOMIC REVIEW, Issue 4 2008TRACKING LOW INCOMES USING GENERAL MEANS We propose the use of an alternative methodology to track low incomes based on Atkinson's "equally distributed equivalent income" functions or "general means" and present a new characterization to justify their application. To evaluate the effects of growth on lower incomes, growth rates are compared for two income standards: the ordinary mean and a low-income-sensitive general mean. The question is: How closely related are these two variables? After estimating the growth elasticity, we find that it is not significantly different from zero. Thus, it cannot be concluded that poorer incomes grow proportionately to increases in the average income. [source] Coping strategies in developed and developing societies: the workings of the informal economyJOURNAL OF INTERNATIONAL DEVELOPMENT, Issue 8 2000Madeleine Leonard The purpose of this paper is to examine the persistence and significance of informal economic activity in both the developed and developing world. Drawing on empirical work carried out in Belfast, the paper suggests that many similarities exist between the informal economic activities of people on low incomes in Belfast and the poor in developing countries. The paper illustrates these connections through an examination of three aspects of the informal economy: reciprocity between households, informal self-employment and informal paid employment. By examining the variety of ways in which people at the lower end of the economic scale attempt to secure their economic livelihoods in the absence of formal employment opportunities, the paper demonstrates the global nature of the informal economy. Copyright © 2000 John Wiley & Sons, Ltd. [source] Understanding and altering the longitudinal course of marriageJOURNAL OF MARRIAGE AND FAMILY, Issue 4 2004Thomas N. Bradbury Weak and counterintuitive findings linking couples' interactional processes to marital outcomes have prompted new lines of research on how marriages change. Recent findings reviewed here highlight the value of (a) expanding conceptions of marital interaction by considering how social support and positive affect moderate the effects of problem-solving skills on changes in marital quality; (b) examining partners' individual strengths and vulnerabilities as antecedents of marital aggression and hostile interaction; and (c) recognizing the central role of chronic and acute circumstances in governing fluctuations in spouses' judgments of marital quality. We outline implications of these findings for ongoing efforts to prevent adverse marital outcomes, and for recent federal initiatives to strengthen healthy marriages among people with low incomes. [source] Doing Wonders with an Egg: Optimal Re-distribution When Households Differ in Market and Non-Market AbilitiesJOURNAL OF PUBLIC ECONOMIC THEORY, Issue 3 2003Alessandro Balestrino The paper studies non-linear income taxation and linear commodity taxation in a household production context with households differentiated by market and non-market ability. In such a setting, there is an efficiency motive for re-distribution which is independent from the usual equity motive, and operates also when the social planner is indifferent to utility inequality. As a consequence, some of the policy prescriptions applicable to the case in which households differ in market ability only do not hold when households differ also in non-market ability. For instance, re-distribution is not necessarily from high- to low-wage households, and it is not necessarily true that the marginal rate of income tax should be zero for high incomes and positive for low incomes. In some cases, re-distribution may accentuate rather than lessen utility inequality, and can reverse the direction of income inequality relative to the laissez-faire equilibrium. Furthermore, contrary to Atkinson-Stiglitz, it may be optimal to use indirect and direct taxation simultaneously even when the utility function is separable in commodities and labour. [source] | ||||||||||||||||