Abstract:
:Whereas many studies of welfare reform have focused on effects on children and families, little research has examined the implications of welfare reform for the elderly. This case study incorporates interviews with service providers for the aging, members of advocacy organizations, and two focus groups of older consumers conducted in the multi-ethnic urban community of San Francisco. Study findings suggest that welfare reform has had both direct and indirect effects on the elderly and their services in the study community. Direct effects derive primarily from changes in the welfare reform legislation that had the effect of undermining both immigrants' eligibility for and claiming of public assistance benefits. Indirect effects on older persons include increased child-care demands upon grandparents. The case study data bear on a significant policy change within the broader trend of devolution at a historical point when anti-immigrant sentiment in the United States was running high.
journal_name
J Aging Soc Policyjournal_title
Journal of aging & social policyauthors
Estes CL,Goldberg S,Wellin C,Linkins KW,Shostak S,Beard RLdoi
10.1300/J031v18n01_03subject
Has Abstractpub_date
2006-01-01 00:00:00pages
41-63issue
1eissn
0895-9420issn
1545-0821journal_volume
18pub_type
杂志文章abstract::The United States Department of Veterans Affairs (VA) is facing pressures to rebalance its long-term care system. Using VA administrative data from 2004-2011, we describe changes in the VA's nursing homes (called Community Living Centers [CLCs]) following enactment of directives intended to shift CLCs' focus from prov...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2017.1414538
更新日期:2018-03-01 00:00:00
abstract::Continued growth in the number of individuals with dementia residing in assisted living (AL) facilities raises concerns about their safety and protection. However, unlike federally regulated nursing facilities, AL facilities are state-regulated and there is a high degree of variation among policies designed to protect...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2016.1236324
更新日期:2017-03-01 00:00:00
abstract::Educational attainment is increasingly associated with family inequality in the U.S., but there is little understanding about whether and how education stratifies attitudes toward eldercare. Using the General Social Survey 2012 Eldercare Module, I test the association between educational attainment and attitudes towar...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2020.1722898
更新日期:2020-02-01 00:00:00
abstract::This article presents a review of legal provisions benefitting the elderly as anchored in the constitutions of countries around the globe. While it is of interest to examine the sheer range of such provisions, it is also possible to gauge from the comparison whether the presence of constitutional guarantees is connect...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/j031v04n03_13
更新日期:1992-01-01 00:00:00
abstract::The surprise election of President Donald J. Trump to the presidency of the United States marks a singular turning point in the American republic-not only because of his idiosyncratic approach to the office, but also because the Republican Party now holds the presidency and both houses of Congress, presenting a histor...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2018.1481314
更新日期:2018-05-01 00:00:00
abstract::This study uses two studies about the role of managed-care programs in serving Medicaid long-term care clients in Florida to illustrate how different research designs can reach divergent conclusions. Two reports from different groups using essentially the same database to assess the impact of managed care on a group o...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420902955867
更新日期:2009-07-01 00:00:00
abstract::The recent influx of immigrants aged 65 and older in the United States triggers an increasing need to understand older immigrants' dental services use. This paper uses data (n = 9,617) from the 2004 and 2006 waves of the Health and Retirement Study to examine the dental services use of older Americans. In particular, ...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420903385593
更新日期:2010-01-01 00:00:00
abstract::Voting is a fundamental right for all United States citizens, one that usually continues for elderly people as long as they are alive. As adults age, certain issues regarding voting warrant deeper consideration than in previous years, especially those presenting as a result of impaired sight, hearing difficulty, demen...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420902739170
更新日期:2009-04-01 00:00:00
abstract::To ascertain the need for and to inform development of guidelines for voting in long-term care settings, we conducted a telephone survey of Philadelphia nursing (n = 31) and assisted living (n = 20) settings following the 2003 election. Substantial variability existed in procedures used for registration and voting, in...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/j031v20n01_04
更新日期:2008-01-01 00:00:00
abstract::India is characterized by significant rural-based living, population heterogeneity, financial constraints, and reverse sex ratio. Traditions of joint families, life-long physical activity, vegetarianism, and social and spiritual enrichment, all known to promote healthy aging, are widely prevalent. With the increasing ...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v15n02_05
更新日期:2003-01-01 00:00:00
abstract::Pairs of testers, one aged 57 and one aged 32, applied for 102 entry-level sales or management jobs in the Washington, DC, metropolitan area. Although their credentials described them as equally qualified, the older applicants received less favorable responses from employers 41.2% of the time. Three quarters of these ...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v10n04_02
更新日期:1999-01-01 00:00:00
abstract::This article describes the fragmented array of financial supports for family caregivers currently provided by the federal government, the states, and private employers-provisions that range from direct payments to tax allowances, dependent-care tax credits, and unpaid leave. It highlights the uneven pattern of support...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v06n01_05
更新日期:1994-01-01 00:00:00
abstract::A series of major reforms implemented through the mid 1980s sought to contain residential care and expand community care in Australia's long-term care system. While this goal has been maintained, a number of new policy initiatives followed the change of federal government in 1996. This article presents a systematic ac...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/j031v13n02_08
更新日期:2001-01-01 00:00:00
abstract::In an era of globalization where the migration of longterm care workers is common, foreign live-in home care workers can compensate for the unavailability of family members and, perhaps, even substitute for institutional care in the provision of long-term care services to disabled older persons. This study examines di...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v19n04_06
更新日期:2007-01-01 00:00:00
abstract::Since implementation of The Omnibus Budget Reconciliation Act of 1987, restraint use in American nursing homes has reduced dramatically. The reduction in vest restraints has resulted in an increase in "least restrictive" devices such as waist restraints. Although this analysis of U.S. Food and Drug Administration Adve...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420802050967
更新日期:2008-01-01 00:00:00
abstract::Diabetes is a serious global public health challenge. The cost for health services for diabetes care has increased 41% over the past 5 years. Despite escalating health expenditure, the United States continues to have higher rates of diabetes than many other developed countries. There is a need for health care reform i...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2015.969114
更新日期:2015-01-01 00:00:00
abstract::During the COVID-19 pandemic, we face an exacerbation of ageism as well as a flourish of intergenerational solidarity. The use of chronological age is an unjustified threshold for the creation of public policies to control the spreading of the virus; doing so reinforces intrapersonal and interpersonal negative age ste...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2020.1772002
更新日期:2020-07-01 00:00:00
abstract::This article describes an award program sponsored by the U.S. Environmental Protection Agency for excellence in smart growth and active aging. Having examined qualitative and quantitative data, we suggest that any community can foster changes to improve the health and well-being of its aging population. Diverse winner...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2014.854648
更新日期:2014-01-01 00:00:00
abstract::There has been substantial recent activity addressed at the challenge of protecting the rights and welfare of vulnerable human participants in various kinds of research protocols, on one hand, without unduly impeding the conduct of research that promises findings that may substantially improve health and quality of li...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v16n03_02
更新日期:2004-01-01 00:00:00
abstract::Maintaining cognitive function is a prerequisite of living independently, which is a highly valued component in older individuals' well-being. In this article we assess the role of early-life and later-life nutritional status, education, and literacy on the cognitive functioning of older adults living in poverty in Pe...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2018.1485390
更新日期:2020-05-01 00:00:00
abstract::Effective approaches to assure adequate resources, infrastructure, and broad societal support to address chronic care needs are volatile and potentially unpopular issues that can result in many losers (those getting far less than they want) and few winners (those who gain access to scarce societal resources for care)....
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/j031v13n02_04
更新日期:2001-01-01 00:00:00
abstract::Health insurance education plays an important role in helping consumers make informed decisions about their need for supplemental coverage. This article reviews findings on the knowledge of Medicare beneficiaries about their health insurance coverage. Then, current health insurance education programs are examined with...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/j031v03n04_03
更新日期:1991-01-01 00:00:00
abstract::This article provides an overview of the Swedish personal assistance program for persons with severe impairments, introduced in 1994. The personal assistance program makes it financially possible for people with severe disabilities to appoint a personal assistant, by themselves or through a provider, to create support...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v19n03_05
更新日期:2007-01-01 00:00:00
abstract::The empirical evidence regarding the implementation and impact of the federal Patient Self-Determination Act is examined in this article. The Act was designed to increase the use of advance medical directives in light of the U.S. Supreme Court's Cruzan decision. Research shows that the law has had little effect and th...
journal_title:Journal of aging & social policy
pub_type: 杂志文章,评审
doi:10.1300/j031v09n04_03
更新日期:1997-01-01 00:00:00
abstract::The developed world's population is aging, due to trends of increased life expectancies and decreased fertility rates. These trends are predicted to increase demand on long-term care services. At the same time, the long-term care workforce is in shortage in most of the developed world. Moreover, such shortages are exp...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v17n04_05
更新日期:2005-01-01 00:00:00
abstract::There is evidence that staffing characteristics influence quality of care in nursing homes. Federal and state surveyors conduct inspections of homes to assess their compliance with regulatory standards, including requirements related to staffing. Deficiency citations are issued when these standards are not met. This a...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2012.705696
更新日期:2013-01-01 00:00:00
abstract::Committed "to care for him who shall have borne the battle and for his widow and his orphans," the federal government through its veterans' programs has long been a pacesetter in meeting some of the income-security and health-care needs of older Americans. But the Department of Veterans Affairs is short of funds. Key ...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v03n03_04
更新日期:1991-01-01 00:00:00
abstract::This pilot study aimed to examine EVOLVE UK extra care housing tool in an Australian residential aged care minor refurbishment context. The tool's content validity was established with 34 subcategories (I-CVI ≥0.75) and 612 statements (n = 509 I-CVI ≥0.75) relevant. A subsequent audit indicated high concordance (Rho-C...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2020.1851434
更新日期:2021-01-12 00:00:00
abstract::Debates about who should care for the elderly often center on the relative responsibilities of the state and family. In federal societies such as Canada and the United States, however, multiple governments are involved. This article compares and contrasts federalism in these two nations and its effects on the division...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1300/J031v05n01_03
更新日期:1993-01-01 00:00:00
abstract::Social Security's Representative Payee Program faces a difficult balance with respect to dementia: Many people living with dementia can conduct their finances without a payee if they have help from informal caregivers, but those without help are at risk. To date, it has been unclear what share of retirees with dementi...
journal_title:Journal of aging & social policy
pub_type: 杂志文章
doi:10.1080/08959420.2018.1444315
更新日期:2020-05-01 00:00:00