Suchergebnisse

Weaving Relationships tells the remarkable, little-known story of a movement that transcends barriers of geography, language, culture, and economic disparity. The story begins in the early 1980s, when 200,000 Maya men, women, and children crossed the Guatemalan border into Mexico, fleeing genocide by the Guatemalan army and seeking refuge. A decade later, many of the refugees returned to their homeland along with 140 Canadians, members of ""Project Accompaniment"". The Canadians were there, by their side, to provide companionship and, more significantly, as an act of solidarity. Weav

Emily Newell Blair played a major role in efforts to negotiate the meaning of political equality in the first decade of the Nineteenth Amendment. This examination of her choices as her role expanded from midwestern wife, mother, and clubwoman to include wage-earning writer and national political leader illustrates the complexities and ambiguous consequences of new options available to U.S. women in the early twentieth century. Women's groups anchored Blair's strategies for integrating party politics and sustained her as she struggled to balance leadership among women with leadership in politics. Resistance from male-dominated political structures deepened Blair's feminist analysis and in the 1930s inspired her to reconsider the potential for a kind of sex consciousness that she had rejected a decade earlier. Politically, Blair experienced the classic dilemma of being part of a structure one seeks to transform; personally, she faced the familiar conflict between public and private roles. Blair resolved both with some success, but her legacy lies in her ability to articulate the distance remaining between political realities and feminist goals for political equality.

Research has demonstrated health care consequences of racial/ethnic residential segregation. Here, I test one possible mechanism—the distribution of community health care organizations and service providers across urban communities. Using data from a 2013 survey on children's health care utilization in the Phoenix urbanized area combined with data on a 2013 census of health care organizations, I estimate a series of statistical models in order to test this relationship. I find that Latino and Native American segregation is related to a lower density of health care organizations. Furthermore, the lack of these resources increases the odds of a family using a clinic, versus a physician's office, which is a more ideal source of care. Finally, a higher rate of racial/ethnic clustering is also related to greater utilization of a clinic, as opposed to a physician's office, and this association is partially mitigated by distribution of health care organizations.

Previous research has demonstrated the impacts of racial/ethnic residential segregation on access to health care, but little work has been conducted to tease out the mechanisms at play. I posit that the distribution of health care facilities may contribute to poor access to health care. In a study of the Houston area, I examine the association between residential segregation, the distribution of physician's offices, and two health care access outcomes of having a personal physician, as well as the travel time to their office location. Using the 2010 Health of Houston Survey combined with several census products, I test these relationships in a series of spatial and multilevel models. I find that Black segregation is related to a lower density of physician's offices. However, I find that this distribution is not related to having a personal physician, but is related to travel times, with a greater number of facilities leading to shorter travel times to the doctor. I also find that Black segregation is positively associated with travel times, and that the distribution of physician's offices partially mediates this relationship. In sum, these findings suggest that a more equitable provision of health care resources across urban neighborhoods would mitigate some of the negative effects of segregation.

Differences in health between racial groups in the United States are significant and persistent. Many studies have documented these differences as a result of a variety of different social factors. An emerging emphasis is the impact of racism in its various forms on physical and mental health. Social stress theory conceptualizes racism as a social stresssor which can produce negative health consequences for racial minorities. This study uses binary logit and negative binomial regression models of four items from the 2004 Behavioral Risk Factor Surveillance System (BRFSS) to test social stress theory and examine the relationship between stress symptoms from perceived racism and overall health (N = 32,585). The effect of race on the experience of emotional and physical stress symptoms from racism is substantial. Furthermore, experiencing both emotional and physical stress from perceived racist treatment is an important factor in predicting the number of poor mental and physical health days, indicating that the experience of stress from perceived racism is related to overall poorer health.

This article explores the Family Health System (FHS) approach, which offers a holistic perspective in examination, assessment, and care delivery for families. It demonstrates that other theoretical models can be integrated to offer family systems nursing in comprehensive assessment and care delivery to families with health issues. Two phenomena are described: the assessment of families using the FHS approach to determine areas of concern and strengths according to the five realms of family health, and the development of a nursing care plan documenting family outcomes and family nursing interventions. The goals of this methodology include improved family health or well-being, family management of illness conditions or transitions, and achievement of health outcomes related to the family areas of concern. A case example is presented to demonstrate the FHS approach to advanced practice family nursing care.