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Article
Publication date: 12 August 2019

Desneige Meyer, Wanda Martin and Laura M. Funk

Sustainable solutions for meeting the physical, emotional and social health care needs of individuals may be realized by shifting the care landscape; for instance, through…

161

Abstract

Purpose

Sustainable solutions for meeting the physical, emotional and social health care needs of individuals may be realized by shifting the care landscape; for instance, through innovative models of service-integrated housing (SIH). By diversifying populations in these settings, care recipients can choose to engage their skills and abilities toward assisting co-residents, and vice versa as a form of symbiosis. The purpose of this paper is to define attributes of the concept and practice of symbiotic care.

Design/methodology/approach

The authors drew on firsthand field experience and secondary data from a literature review to conduct a conceptual derivation and analysis, using Walker and Avant’s methodology. The term symbiotic mutualism was derived from the field of biology as an analogy for care exchanged between non-peer co-residents. Attributes, antecedents and consequences of symbiotic care were identified and illustrated using model, borderline and contrary case descriptions.

Findings

Four defining attributes of symbiotic care were identified: first, cohabitation: care recipients live closely together in SIH settings. Second, non-peer: co-residents have distinct, complementary needs and abilities. Third, mutualism: co-residents experience mutually significant benefits as a result of the activities of their co-residents. Fourth, agency-sponsored: the professional SIH agency or organization attends to unmet resident needs.

Research limitations/implications

Symbiotic care is a relatively rare phenomenon for which little research exists. This analysis provides a starting point for empirical research, policy and program development and critical evaluation.

Originality/value

This paper fills a wide gap in the research literature and offers important terminology. It is the first to define the attributes of symbiotic care.

Details

Housing, Care and Support, vol. 22 no. 3
Type: Research Article
ISSN: 1460-8790

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Article
Publication date: 1 November 2018

Laura Funk and Wanda Hounslow

The purpose of this paper is to examine how formal navigators interpret their roles supporting families of older adults.

116

Abstract

Purpose

The purpose of this paper is to examine how formal navigators interpret their roles supporting families of older adults.

Design/methodology/approach

This study was an interpretive inquiry informed by critical gerontology and discourse analytic methods. Interview data were collected and analyzed from 22 formal service providers who helped older adults and their families navigate health and social care resources in one Western Canadian city.

Findings

Although acknowledging structural barriers to service access, participants emphasized individual empowerment as their dominant strategy, interpreting their roles as providing information and education about services. In part, these interpretations may reflect the limited nature of their ability to help broker access or advocate; in part, they may also reflect the broader political and economic discourses surrounding care in Canada.

Research limitations/implications

When providers position navigation and access to care as individual problems, this can obscure structural burden as well as potential inequities among older adults. Future research should examine whether navigational role interpretations are similar or different to those of navigators in other regions. Navigators in other health and social care contexts may enact differing meanings in their work.

Practical implications

Although formal public navigators can play an important role, approaches that go beyond providing information may better meet families’ needs for support.

Originality/value

This is one of the first studies focused specifically on providers’ interpretations of the meaning of navigational work in health and social care for older adults, and to extend a critical gerontological gaze toward the issue of system navigation.

Details

Quality in Ageing and Older Adults, vol. 20 no. 1
Type: Research Article
ISSN: 1471-7794

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Publication date: 25 March 2011

Rebecca J. Hannagan

The 2005 APSR article by John Alford, Carolyn Funk, and John Hibbing presented data from the Virginia 30,000 Health & Lifestyle Questionnaire (VA30K), AARP twin studies, and an…

Abstract

The 2005 APSR article by John Alford, Carolyn Funk, and John Hibbing presented data from the Virginia 30,000 Health & Lifestyle Questionnaire (VA30K), AARP twin studies, and an Australian twin study (ATR) to test their hypothesis that political attitudes are influenced by genetic as well as environmental factors. Political attitudes, they suggested, were expected to be highly heritable and particularly so on issues most correlated with personality. They employed survey responses from the Wilson–Patterson Attitude Inventory to measure political attitudes. To gauge heritability, they utilize the 2:1 genetic ratio between monozygotic (MZ) and dizygotic (DZ) twins. The authors argued that while previous studies in political attitudes had concentrated on measuring the influence of environmental variables, their test added explanatory power by considering heritability (Alford, Funk, & Hibbing, 2005).

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Biology and Politics
Type: Book
ISBN: 978-0-85724-580-9

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Publication date: 25 November 2019

Carmen Rebecca Britton and Laura Mauldin

This chapter focuses on the experiences of disabled Tamil and Sinhalese women in Sri Lanka.

Abstract

Purpose

This chapter focuses on the experiences of disabled Tamil and Sinhalese women in Sri Lanka.

Methods/Approach

Using fieldwork observations and in-depth interviews obtained through Community-Based Rehabilitation (CBR) programs over 13 months across four distinct districts in Sri Lanka, we examine complex sociocultural issues at the intersection of gender and disability.

Findings

These women’s narratives about their lives show the physical and social barriers related to the accessibility of everyday activities, and also the complex gender norms relating to social expectations to stay hidden from public view, contradictory messages around love and marriage, and reactions to and consequences of being disabled women in public.

Implications/Value

The results support calls to prioritize disabled voices in disability research in the Global South, which is currently dominated by a CBR approach in the name of “development.” These data also show the need to systematically address power relations currently at work in policies, practices, and communities that perpetuate disablement; document the need for communities and research to be more inclusive; and obligate scholars and practitioners to be more aware of how the CBR context may aim for development and change, yet often maintain highly gendered economic, political, and social processes of isolation. This project illustrates the ways in which careful attention to personal stories can illuminate complex socio-cultural processes. The chapter also brings voices of women in the Global South into the discourses on narratives and disability, both of which are dominated by perspectives from the industrialized west.

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Publication date: 28 August 2023

Atsuko Kawakami, Subi Gandhi, Derek Lehman and Jennie Jacobs Kronenfeld

The disparities of COVID-19 vaccination rates between the rural and urban areas have become apparent during this pandemic. There is a need to understand the root causes of vaccine…

Abstract

Purpose

The disparities of COVID-19 vaccination rates between the rural and urban areas have become apparent during this pandemic. There is a need to understand the root causes of vaccine hesitancy demonstrated by the rural population to increase coverage and to contain the disease spread throughout the United States. This study aimed to explore other factors influencing vaccine hesitancy among rural dwellers besides the geography-related barriers such as poor health care access and individuals having no or suboptimal insurance coverage.

Methodology/Approach

By reviewing existing data and literature about vaccination, health literacy, and behaviors, and prevailing ideologies, we discuss the potential causes of vaccine hesitancy in rural areas that could create barriers for successful public health efforts related to vaccine coverage and provide suggestions to ameliorate the situation.

Findings

Geography-related barriers, health literacy, and preconceived notions are key determinants of adopting healthy behaviors and complying with public health authorities' recommendations among rural individuals during a public-health crisis. We argue that ideology, which is much deeper than preconception or misconception on vaccination, should be incorporated as a key factor to redefine the term “vulnerable populations” in public health research.

Research Limitations/Implications

The limitation of our study is that we have not found an effective way to encourage the populations who hold conservative religious and political ideologies to join the efforts for public health. Even though geography-related barriers may strongly impact the rural dwellers in achieving optimal health, the various forms of ideologies they have toward certain health behaviors cannot be discounted to understand and address vaccine-related disparities in rural areas. There is a need to redefine the term “vulnerable population” particularly as it relates to rural areas in the United States. During large-scale public health disasters, scholars and public health authorities should consider the ideologies of individuals, in addition to other factors such as race/ethnicity, area of residence (rural vs. urban), and socioeconomic factors influencing the existing vulnerabilities and health disparities.

Details

Social Factors, Health Care Inequities and Vaccination
Type: Book
ISBN: 978-1-83753-795-2

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Book part
Publication date: 28 August 2023

Caroline Wolski, Kathryn Freeman Anderson and Simone Rambotti

Since the development of the COVID-19 vaccinations, questions surrounding race have been prominent in the literature on vaccine uptake. Early in the vaccine rollout, public health…

Abstract

Purpose

Since the development of the COVID-19 vaccinations, questions surrounding race have been prominent in the literature on vaccine uptake. Early in the vaccine rollout, public health officials were concerned with the relatively lower rates of uptake among certain racial/ethnic minority groups. We suggest that this may also be patterned by racial/ethnic residential segregation, which previous work has demonstrated to be an important factor for both health and access to health care.

Methodology/Approach

In this study, we examine county-level vaccination rates, racial/ethnic composition, and residential segregation across the U.S. We compile data from several sources, including the American Community Survey (ACS) and Centers for Disease Control (CDC) measured at the county level.

Findings

We find that just looking at the associations between racial/ethnic composition and vaccination rates, both percent Black and percent White are significant and negative, meaning that higher percentages of these groups in a county are associated with lower vaccination rates, whereas the opposite is the case for percent Latino. When we factor in segregation, as measured by the index of dissimilarity, the patterns change somewhat. Dissimilarity itself was not significant in the models across all groups, but when interacted with race/ethnic composition, it moderates the association. For both percent Black and percent White, the interaction with the Black-White dissimilarity index is significant and negative, meaning that it deepens the negative association between composition and the vaccination rate.

Research limitations/implications

The analysis is only limited to county-level measures of racial/ethnic composition and vaccination rates, so we are unable to see at the individual-level who is getting vaccinated.

Originality/Value of Paper

We find that segregation moderates the association between racial/ethnic composition and vaccination rates, suggesting that local race relations in a county helps contextualize the compositional effects of race/ethnicity.

Details

Social Factors, Health Care Inequities and Vaccination
Type: Book
ISBN: 978-1-83753-795-2

Keywords

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Book part
Publication date: 26 January 2023

Srishti Jaitely and Navjit Gaurav

In India, people with disabilities (PWDs) have emerged as one of the most vulnerable populations during COVID-19, particularly those living in informal settlements. Although the…

Abstract

Purpose

In India, people with disabilities (PWDs) have emerged as one of the most vulnerable populations during COVID-19, particularly those living in informal settlements. Although the government has made efforts to ensure healthcare access for all, these efforts seem inadequate considering that PWDs' needs vary greatly depending on type and degree of disability. The purpose of the study is to identify barriers in healthcare access for PWDs in Mumbai's informal settlements during COVID-19.

Methods

A qualitative approach employed multiple case study methods. Eight PWDs were selected as cases from the informal settlements of M-East Ward, Mumbai. The data was gathered using observation and interaction with the PWDs. Data were analyzed for emergent themes to explore the presence, meaning, and relationships of barriers faced by PWDs accentuated by pandemic.

Findings

Findings indicate a complex and compounded interplay of structural, administrative, psycho-social, and technological factors which created numerous challenges for PWDs to access healthcare provisions during pandemic. These factors include socioeconomic challenges, the built environment inaccessibility, limited transportation facilities, and lack of trained healthcare personnel to support PWDs.

Implications

This research adds to an understanding of the barriers faced by PWDs and provides insights for formulating contextualized policies to ensure accessible health services for PWDs when needed. Findings point out ways in which understanding the barriers would help to identify the gaps in the resource system, and to mobilize required resources in the relevant healthcare departments.

Details

Disability in the Time of Pandemic
Type: Book
ISBN: 978-1-80262-140-2

Keywords

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Book part
Publication date: 30 August 2019

Ellis Cashmore

Abstract

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Kardashian Kulture
Type: Book
ISBN: 978-1-78743-706-7

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Article
Publication date: 21 October 2024

Lorna Ferguson, Laura Huey, Hina Kalyal and Judith P. Andersen

Incident commanders (ICs) are senior police officials tasked with being the key operational decision-makers and leading a command team during major, critical and public order…

45

Abstract

Purpose

Incident commanders (ICs) are senior police officials tasked with being the key operational decision-makers and leading a command team during major, critical and public order incidents (e.g. bomb threats, hostage situations and protests). Such events are often characterized by heavy time pressures and little information, requiring a highly skilled, integrated emergency response across multiple agencies and significant police planning, organizing and management. ICs must possess the necessary skills, traits and behaviors to deal with such incidents and their challenges. Therefore, the purpose of this study is to identify the competencies of ICs.

Design/methodology/approach

We conducted a thematic analysis of thirty-eight (n = 38) in-depth interviews with police personnel who have professional experience as ICs.

Findings

Results provided information on the competencies important for effective incident command, including a range of skills, traits and behaviors these police personnel should exhibit, such as command presence, decision-making, confidence, risk assessment, teamwork, task management, stress management, humility and others.

Originality/value

We provide a novel literature contribution by proposing a framework of police IC competencies and their interrelatedness based on first-hand interviews with experts in the field. Practitioners and policymakers need to know actionable strategies for developing standardized training and assessment curricula for ICs. The next steps are to delineate what skills, traits and behaviors are trainable and need to be selected for at the time of recruitment (e.g. occupational aptitude, personality). We provide the foundation upon which researchers and practitioners can make actionable decisions on moving forward to attain these important goals.

Details

Policing: An International Journal, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1363-951X

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Article
Publication date: 6 April 2020

Luke R. Potwarka, Ryan Snelgrove, Laura Wood, Georgia Teare and Daniel Wigfield

The purpose of this study was to examine whether watching a live track cycling event could increase youths' intention to participate in the sport, and to identify cognitive and…

475

Abstract

Purpose

The purpose of this study was to examine whether watching a live track cycling event could increase youths' intention to participate in the sport, and to identify cognitive and affective mechanisms associated with post-event intentions.

Design/methodology/approach

A sample of youth spectators (n = 362) who experienced the 2016 Milton International Track Cycling Challenge completed pre- and post-event questionnaires to assess intention to participate and cognitive and affective components of their spectator experience.

Findings

Respondents' intentions to participate post-event were significantly higher than pre-event. Results also indicated that state inspiration mediated relationships between three cognitive dimensions of sport spectator experiences (i.e. fantasy, flow, evaluation) and intention to participate.

Practical implications

Sport managers should design youth day events to engage with youth prior to the event to increase their knowledge of the sport. This prior engagement may help youth to evaluate performances effectively. Moreover, event experience should be designed to incorporate vicarious and immersive experiences tailored to youth spectators.

Originality/value

The present study is one of the first to assess intentions to participate among youth spectators at multiple time points (i.e. before and after an event) and identifies specific mechanism within the spectator experience that may lead to a demonstration effect.

Details

Sport, Business and Management: An International Journal, vol. 10 no. 2
Type: Research Article
ISSN: 2042-678X

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