Lost in Appalachia: The Unexpected Impact of Welfare Reform on Older Women in Rural Communities

A primary goal of welfare reform was to overcome welfare dependency through the promotion of work and the setting of lifetime limits. While atf irst blush thisg oal may have appearedr easonablef or young recipients, it does not address the needs of older recipients, particularly women. Based on in-depth interviews with welfare recipients in four impoverished rural Appalachian counties over a four year time span (1999-2001; 2004), this paper evaluates the experiences of older women as they confront the changes brought on by welfare reform legislation. Findings suggest that impoverished older women in isolated rural communities experience multiple crises as they attempt to negotiate the new welfare system. As a result of spatial inequality, limited social capital, and the effects of ageism, they have tremendous difficulty meeting even their most basic needs

An argument against the focus on Community Resilience in Public Health

Background - It has been suggested that Public Health professionals focus on community resilience in tackling chronic problems, such as poverty and deprivation; is this approach useful? Discussion - Resilience is always i) of something ii) to something iii) to an endpoint, as in i) a rubber ball, ii) to a blunt force, iii) to its original shape. “Community resilience” might be: of a neighbourhood, to a flu pandemic, with the endpoint, to return to normality. In these two examples, the endpoint is as-you-were. This is unsuitable for some examples of resilience. A child that is resilient to an abusive upbringing has an endpoint of living a happy life despite that upbringing: this is an as-you-should-be endpoint. Similarly, a chronically deprived community cannot have the endpoint of returning to chronic deprivation: so what is its endpoint? Roughly, it is an as-you-should-be endpoint: to provide an environment for inhabitants to live well. Thus resilient communities will be those that do this in the face of challenges. How can they be identified? One method uses statistical outliers, neighbourhoods that do better than would be expected on a range of outcomes given a range of stressors. This method tells us that a neighbourhood is resilient but not why it is. In response, a number of researchers have attributed characteristics to resilient communities; however, these generally fail to distinguish characteristics of a good community from those of a resilient one. Making this distinction is difficult and we have not seen it successfully done; more importantly, it is arguably unnecessary. There already exist approaches in Public Health to assessing and developing communities faced with chronic problems, typically tied to notions such as Social Capital. Communityresilience to chronic problems, if it makes sense at all, is likely to be a property that emerges from the various assets in a community such as human capital, built capital and natural capital. Summary - Public Health professionals working with deprived neighbourhoods would be better to focus on what neighbourhoods have or could develop as social capital for living well, rather than on the vague and tangential notion of community resilience.</p

Linking mental and primary health care in rural areas

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/44091/1/10488_2005_Article_BF02254827.pd

Who Migrates? Tracking Gendered Access to Migration Within Households "In Flux" Across Time

In Indonesia, traditional gender ideals tend to depict men as legitimate migrants while women who move are deemed "out of place." This male migrant-as-breadwinner household arrangement has been complicated in the past 30 years by gendered migration systems and practices in Asia that favor women. Drawing upon a household survey (N = 1,203) and in-depth interviews (N = 55), we use "time tracks" (Robertson, 2014) to interrogate gendered dynamics within the household "in flux" (Huijsmans, 2014). Foregrounding active negotiations within migrant households, we illustrate the continuously changing gender relations as they interact with, and respond to, the gendered migration systems and practices over time.UK AidMigrating out of Povert