Social science & medicine
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Social science & medicine · Jun 2019
'Hopeful adaptation' in health geographies: Seeking health and wellbeing in times of adversity.
Living with adversity can create wide-ranging challenges for people's health and wellbeing. This adversity may arise through personal embodied difference (e.g. acquiring a brain injury or losing mobility in older age) as well as wider structural relations that shape a person's capacity to adapt. ⋯ We highlight the transformative potential in these adaptive practices, rather than solely focusing on how people persist and absorb adversity. The paper outlines an agenda for a health geography of hopeful adaptation, introducing a collection of papers that examine varied forms of adaptation in people's everyday struggles to find health and wellbeing whilst living with and challenging adversity.
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Social science & medicine · May 2019
Well-being and volunteering: Evidence from aging societies in Asia.
This study examines whether and how volunteering is associated with the well-being of older people in rapidly aging Asian societies; this topic has received remarkably little attention in the literature. Based on the severity of their population aging problem, five Asian societies are selected for an empirical study, namely Hong Kong, Japan, Singapore, South Korea, and Taiwan. We conduct analysis of the latest World Values Survey data set collected from 2011 to 2012 and the effect of volunteering on four aspects of well-being, namely self-reported life satisfaction, happiness, health, and life mastery. ⋯ Moreover, immersion in volunteer work is crucial, particularly for retired people and people aged more than 65 in South Korea, Japan, and Taiwan. The results suggest people should be encouraged to engage in longer hours (or longer duration) of voluntary service. This study identifies the types of volunteer work that most effectively enhance the well-being of older people, which might help older adults transition to retirement and age with higher well-being and help aging societies alleviate their labor shortage problems by involving productive older people.
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Social science & medicine · Apr 2019
Methods for analytic intercategorical intersectionality in quantitative research: Discrimination as a mediator of health inequalities.
Intersectionality as a theoretical framework has gained prominence in qualitative research on social inequity. Intercategorical quantitative applications have focused primarily on describing health or social inequalities across intersectional groups, coded using cross-classified categories or interaction terms. This descriptive intersectionality omits consideration of the mediating processes (e.g., discrimination) through which intersectional positions impact outcome inequalities, which offer opportunities for intervention. ⋯ We describe actual and adjusted intersectional inequalities in psychological distress and decompose them to identify three component effects for each of 11 intersectional comparison groups (e.g., Indigenous SGM), versus the reference intersectional group that experienced the lowest levels of discrimination (white non-SGM). These reflect the expected inequality in outcome: 1) due to membership in the more discriminated-against group, if its members had experienced the same lower levels of discrimination as the reference intersection; 2) due to unequal levels of discrimination; and 3), due to unequal effects of discrimination. We present considerations for use and interpretation of these methods.