Hybrid journal (It can contain Open Access articles) ISSN (Print) 0360-7283 - ISSN (Online) 1545-6854 Published by Oxford University Press[406 journals]
Authors:Ely G; Polmanteer R, Caron A. Pages: 13 - 21 Abstract: The purpose of this article was to examine the average distance traveled to access an abortion procedure, rates of return for the procedure, and whether or not those living in rural zip codes were less likely to return for the abortion compared with residents in urban zip codes, in the context of a 48-hour in-person mandatory waiting period in Tennessee. Findings indicated that over 12 percent of patients who attended the in-person counseling session did not return for the procedure. Moreover, abortion patients in this study traveled an average of 50.53 miles to access abortion care, which is notably higher than the estimated national average of 11.00 miles. Rural residents were significantly more likely than urban residents to have to travel farther to access abortion services. However, neither geographic location nor distance traveled were predictive of returning to the clinic for the second appointment to obtain the abortion, suggesting that patients who did return were able to overcome any geographic disparities. Given the policy mandate that requires a minimum of two in-person clinic visits to obtain the abortion, patients who are traveling farther must still use more resources for two trips, which is a burden to them that is not experienced by more urban residents who are located in closer proximity to abortion providers. The article concludes with a discussion of the implications of the findings for social work practice and policy. PubDate: Sat, 15 Dec 2018 00:00:00 GMT DOI: 10.1093/hsw/hly039 Issue No:Vol. 44, No. 1 (2018)
Authors:Alcalá H; Dellor E. Pages: 22 - 29 Abstract: Child adversity has a negative impact on child and adult health. The present study aimed to determine whether adverse family experiences (AFEs) were associated with use of preventive health care (PHC) among children and whether insurance status affected this association. This study examined data from the 2011–2012 National Survey of Children’s Health (N = 88,849) and included responses for children ages zero to 17 years. Logistic regression models were used to estimate odds of using PHC from AFEs. Results were stratified by insurance status and confounders were accounted for. Among the entire sample and the insured, most AFEs were not associated with use of PHC. Among the uninsured, several AFEs—lived with parents or guardians who were separated, lived with parent or guardian who was incarcerated, witnessing or experiencing violence in the household, and living with anyone who had substance abuse problems—and the sum of AFEs were associated with increased use of PHC. Findings are consistent with newer research showing that some disadvantage or adversity is associated with more optimal use of PHC. In addition, uninsured children with a history of AFEs would benefit from insurance, given their increased use of PHC. PubDate: Sat, 15 Dec 2018 00:00:00 GMT DOI: 10.1093/hsw/hly033 Issue No:Vol. 44, No. 1 (2018)
Authors:Wladkowski S; Wallace C. Pages: 30 - 38 Abstract: Hospice provides holistic support for individuals living with terminal illness and to their caregivers during the bereavement period. However, some individuals who enroll in hospice services are decertified as they do not experience a decline in health as quickly as required by current regulations, a practice referred to as a live discharge. The interruption in care can affect the physical and psychosocial care needs for individuals and caregivers and leave hospice clinicians with questions about how to best support them. However, there are no formal guidelines to support this process. This qualitative study (N = 24) explored the current practices of hospice social workers across the United States engaged in the live discharge process. Results from this study emphasize the need to bridge the gaps between policy and practice. Specifically, results highlight the challenges hospice social workers face to replicate or supplement the holistic support and unique services hospice provides for individuals discharged alive, and suggest further research to develop live discharge guidelines to identify appropriate support for patients and their caregivers who no longer meet hospice eligibility requirements. PubDate: Sat, 15 Dec 2018 00:00:00 GMT DOI: 10.1093/hsw/hly040 Issue No:Vol. 44, No. 1 (2018)
Authors:Hall J; Crutchfield J, Jones A. Pages: 39 - 47 Abstract: Stress is a significant contributor to disease and often worsens pre-existing conditions. Little research to date has focused on stress and coping in black families, particularly black women. The present study examined how self-esteem affects family coping and problem solving among mothers and daughters (N = 119). Results indicate that black mothers had significantly higher amounts of self-esteem than did daughters, potentially signifying that many issues that reduce self-esteem have been resolved for mothers, whereas daughters might still be dealing with issues that lower their self-esteem. Black mothers scored significantly lower than their daughters on perception of ability to solve problems, suggesting that black daughters might still be facing issues that they are actively using problem-solving skills to address. A significant difference between mothers and daughters on the amount of stress they experienced further supports the intergenerational nature of stress, problem solving, and lower self-esteem in the sample of daughters. The results suggest that black women with spouses or domestic partners are better able to adapt to stress than those who are not in partnerships or married. This study provides a more in-depth understanding of intergenerational family processes related to stress and coping among black women. PubDate: Sat, 15 Dec 2018 00:00:00 GMT DOI: 10.1093/hsw/hly034 Issue No:Vol. 44, No. 1 (2018)
Authors:Hark L; Madhava M, Radakrishnan A, et al. Pages: 48 - 56 Abstract: The purpose of this study was to evaluate the effects of a six-month social worker intervention for participants with a glaucoma-related diagnosis in an urban ophthalmic setting (N = 40). The social worker assessed common barriers to eye care, helping participants with transportation, access to low-vision resources, and supportive counseling. The Distress Thermometer, Patient Health Questionnaire–9, and a satisfaction survey were administered to determine the effect of the social worker intervention and participants’ overall impressions of the social worker. The most common barrier to eye care was emotional distress (77.5 percent). There was a significant decrease in the number of participants with symptoms of major and moderate depression. Fourteen participants experienced a clinically relevant decrease in depression, 37 participants felt that the social worker’s support addressed their issues, and 29 participants thought it helped them in managing their glaucoma. This study provides evidence that a social work intervention may improve care coordination and management of individuals afflicted with vision impairment due to glaucoma and other ocular diseases. PubDate: Sat, 15 Dec 2018 00:00:00 GMT DOI: 10.1093/hsw/hly038 Issue No:Vol. 44, No. 1 (2018)
Hybrid journal (It can contain Open Access articles)
[406 journals]
