From 'trailing wives' to the emergence of a 'trailing husbands' phenomenon: Retirement migration to rural areas

Migration and gender studies have focused on economically active heterogeneous couples and traditionally highlight a dominant male role in migration decision-making. The female partner is commonly portrayed as a 'trailing wife' or 'trailing mother' with the move found to have a negative effect on her employment prospects. Much less is known about if or how the balance of power shifts between husbands and wives when employment or career-motivated moves are removed from the decision-making process. This is analysed with reference to retirement migration to rural areas of the UK and involved interviews with both partners present. For this cohort of retired couples, and in common with the literature, migration during economically active life course stages demonstrates strong 'trailing wife' and 'trailing mother' tendencies. The male's decision to retire signalled the commencement of a retirement life course stage for the couple. However, in contrast to the earlier male dominated decision-making, retirement migration saw the emergence of a 'trailing husband' phenomenon. Wives appear to adapt most successfully to the new rural environment while many husbands found it difficult to adjust (at least initially) to the multiple life changes: moving from largely urban areas to a rural setting alongside exiting the workforce. The findings suggest that the role of leader/ follower changed during the course of these couples' lives together and in relation to their reasons for moving.

"Things I did not know”: Retrospectives on a Canadian rural male youth suicide using an instrumental photo voice case study

In Canada, it is young rural based men who are at the greatest risk for suicide. While there is no consensus on the reasons for this, evidence points to contextual social factors including isolation, lack of confidential services and pressure to uphold restrictive norms of rural masculinity. In this article we share findings drawn from an instrumental photo voice case study to distil factors contributing to the suicide of a young Canadian rural based man. Integrating photo voice methods and in-depth qualitative we conducted interviews with 7 family members and close friends of the deceased. The interviews and image data were analyzed using constant comparative methods to discern themes related to participants’ reflections on and perceptions about rural male suicide. Three inductively derived themes, “Missing the signs”, “Living up to his public image” and “Down in Rural Canada ” reflect the challenges that survivors and young rural men can experience in attempting to be comply with restrictive dominant ideals of masculinity. We conclude that community based suicide prevention efforts would benefit from gender-sensitive and place specific approaches to advancing men’s mental health by making tangibly available and affirming an array of masculinities to foster the well-being of young rural based men.

Do Gifts Increase Consent to Home-based HIV Testing? A Difference-in-differences Study in Rural KwaZulu-Natal, South Africa

Background Despite the importance of HIV testing for controlling the HIV epidemic, testing rates remain low. Efforts to scale-up testing coverage and frequency in hard-to-reach and at-risk populations commonly focus on home-based HIV testing. This study evaluates the effect of a gift (a food voucher for families, worth US$ 5) on consent rates for home-based HIV testing.
Methods We use data on 18,478 men and women who participated in the 2009 and 2010 population-based HIV surveillance carried out by the Wellcome Trust Africa Centre for Health and Population Studies in rural KwaZulu-Natal, South Africa. Our quasi-experimental difference-in-differences approach controls for unobserved confounding in estimating the causal effect of the intervention on HIV testing consent rates.
Results Allocation of the gift to a family in 2010 increased the probability of family members consenting to test in 2010 by 25 percentage points (95% CI 21-30; p<0.001). The intervention effect persisted, slightly attenuated, in the year following the intervention (2011), further increasing intervention value for money.
Conclusions In HIV hyperendemic settings a gift can be highly effective at increasing consent rates for home-based HIV testing. Given the importance of HIV testing for treatment uptake and individual health, as well as for HIV treatment-and-prevention strategies and for monitoring the population impact of the HIV response, gifts should be considered as a supportive intervention for HIV testing initiatives where consent rates have been low.

Preoperative characteristics and compliance with follow-up after trabeculectomy surgery in rural southern China

Purpose: To evaluate preoperative characteristics and follow-up in rural China after trabeculectomy, the primary treatment for glaucoma there. Methods: Patients undergoing trabeculectomy at 14 rural hospitals in Guangdong and Guangxi Provinces and their doctors completed questionnaires concerning clinical and sociodemographic information, transportation, and knowledge and attitudes about glaucoma. Follow-up after surgery was assessed as cumulative score (1 week: 10 points, 2 weeks: 7 points, 1 month: 5 points). Results Among 212 eligible patients, mean preoperative presenting acuity in the operative eye was 6/120, with 61.3% (n=130) blind (≤6/60). Follow-up rates were 60.8% (129/212), 75.9% (161/212) and 26.9% (57/212) at 1 week, 2 weeks and 1 month, respectively. Patient predictors of poor follow-up included elementary education or less (OR=0.37, 95% CI 0.20 to 0.70, p=0.002), believing follow-up was not important (OR=0.62, 95% CI 0.41 to 0.94, p=0.02), lack of an accompanying person (OR=0.14, 95% CI 0.07 to 0.29, p<0.001), family annual income <US$800 (OR=0.28, 95% CI 0.11 to 0.72, p=0.008) and not requiring removal of scleral flap sutures postoperatively (OR=0.11, 95% CI 0.06 to 0.22, p<0.001). Age, sex, employment, travel distance/time/costs, patient preoperative clinical factors and physician factors were unassociated with follow-up. Conclusions: Follow-up after 2 weeks was inadequate to provide optimal clinical care, and surgery is being applied too late to avoid blindness in the majority of patients. Earlier surgery, support for return visits and better explanations of the importance of follow-up are needed. Directing all patients to return for possible scleral flap suture removal may be a valid strategy to improve follow-up.

A educação no processo de interação entre o enfermeiro e a pessoa idosa/família na comunidade

Objetivo: Compreender a educação no processo de interação entre o enfermeiro e a pessoa idosa e família no domicílio. Estudo de natureza qualitativa, enquadrado nos principais pressupostos do Interacionismo Simbólico e da Grounded Theory, em quatro freguesias do Agrupamento de Centros de Saúde do Ave III, com um total de inscritos de 80285 e destes 9,81% eram pessoas idosas com idades iguais ou superiores a 65 anos. Na colheita dos dados recorremos: (i) à observação não participante das práticas de enfermagem às pessoas idosas e família no domicílio;(ii) 12 entrevistas às enfermeiras observadas e 4 entrevistas em grupo (pessoa idosa e família). Emergiram as categorias: organização estrutural dos cuidados no domicílio; avaliação em contexto e intervenção terapêutica em contexto. A categoria central foi a “Construção da relação no contexto do domicílio” pelo facto da relação da enfermeira com o idoso e a família ser central em todo o processo de cuidados. Os conhecimentos fornecidos pela teoria substantiva “Cuidar no Domicílio – um Processo de Interação” fundamentada nos dados e na sua análise, fornecem contributos válidos para a prática de enfermagem nesta área específica do cuidar a pessoa idosa e família no domicílio e no contexto em que foi desenvolvido o estudo; ABSTRACT: Education in the Interaction Process between nurse and Elderly person/family in the community Objective: Understanding education in the interaction process between nurse and elderly and their relatives at home. Qualitative study, framed on Symbolic Interactionism and Grounded Theory main assumptions, counting with 802825 members of four parishes of Agrupamento de Centros de Saúde do Ave III, which 9, 81% were elderly and had 65 or more years old. Data collection instruments used: (i) non-participant observation of nursing practices with elderly and families at home, (ii) interviews of 12 nurses practices observed and 4 group interviews (family and elderly person). Categories emerged: structural organization of home care; assessment and therapeutic intervention in context. The core category emerged was "Construction of the relationship in the context of the household" once the relationship between nurse, elderly and family seem be central to the whole process of care. The knowledge provided by substantive theory "Caring at Home - An Interaction Process" founded on data analysis provided valuable contributions to nursing practice in this specific area of care, elderly care and their relatives at home, in which context study was developed.

"Arqueologias" das aprendizagens em Capelins (Santo António) - Alandroal (1997-2007)

Esta dissertação de mestrado desenvolveu-se no âmbito do projecto “Arqueologia” das Aprendizagens no concelho de Alandroal, que teve, como objectivo primordial, a identificação e caracterização do universo de aprendizagens institucionais disponíveis e concretizadas pela comunidade do território em estudo (Freguesia de Capelins (Santo António) /Alandroal), na década 1997 – 2007. Foram inquiridas, nesta freguesia, 16 instituições e identificadas 30 aprendizagens institucionais, que tiveram maior ocorrência nos anos de 2004, 2005 e 2006. Embora seja uma freguesia essencialmente rural, a área de actividade da maioria das instituições identificadas inscreve-se no sector do comércio por grosso e a retalho e de reparação de veículos automóveis e motociclos. São, na sua maioria, instituições de natureza privada e reveladoras de organização, no que respeita à sua organização. No entanto, o relacionamento interinstitucional foi pouco dinâmico, existindo um fraco trabalho em rede. Quando existiram parcerias, estas ocorreram extra freguesia e, até mesmo, extra concelho. Seguindo uma análise quantitativa dos dados extraídos da aplicação dos questionários, com recurso a análise estatística, conclui-se que os processos de aprendizagem das instituições inquiridas da freguesia de Capelins apresentam características centradas nas próprias instituições promotoras dessas mesmas aprendizagens, assentes na formação do pessoal, com carácter formal e não formal e relacionaram-se com as áreas de administração pública e defesa, alojamento e restauração e ainda com a área do comércio por grosso e a retalho; ABSTRACT: This dissertation developed under the project "Archaeology" of Learning in the county of Alandroal, which had as its primary objective, the identification and characterization of the universe of available institutional learning and implemented by the community of the area under study (Parish of capelin (San Antonio) / Alandroal), in the decade from 1997 to 2007. Were surveyed in this parish, and 16 institutions identified 30 institutional learning, which have a higher occurrence in the years 2004, 2005 and 2006. Although it is an essentially rural, the parish area of activity of most institutions identified in the sector of wholesale and retail trade and repair of motor vehicles and motorcycles. Are, for the most part, private institutions and revealing of organization, with regard to its organization. However, the interinstitutional relationship was weak and there is a little dynamic networking. When partnered, this extra parish occurred and even extra municipality. Following a quantitative analysis of data taken from the application of questionnaires, using statistical analysis, it is concluded that the learning processes of the institutions surveyed in the parish of Capelins characteristics focused on promoting institutions of those learnings, based on staff training, formal and non-formal nature and related to the areas of public administration and defense, hotels and restaurants and also the area of wholesale and retail trade.

Escola e comunidade: missão ou miragem no combate ao insucesso e abandono escolares, no período 1997/2007, no Concelho do Alandroal

Este estudo procurou conhecer a realidade do insucesso/abandono escolares no Concelho de Alandroal, no período de 1997-2007, identificando as causas das duas problemáticas e as medidas educativas de resolução, a partir de uma amostra de 41 sujeitos. Pretendemos identificar e caracterizar os episódios de insucesso e abandono escolares protagonizados por um grupo de alunos que iniciaram o seu percurso escolar em 1996/1997, no Concelho de Alandroal. No corpus teórico deste estudo, procedemos à revisão da literatura e à análise de normativos legais que abordam e regulamentam esta temática, de maneira a olhar para ela, de forma reflexiva. Ao nível do corpus empírico, utilizámos uma metodologia quantitativa/qualitativa, no sentido de obtermos o melhor conhecimento e interpretação desta realidade. Os resultados permitem concluir que existe uma relação entre as causas individuais, familiares, escolares e do meio envolvente que levaram ao insucesso e abandono escolares. Sublinhou-se a importância da implementação de medidas educativas adequadas e a sua relação com as instituições do concelho de Alandroal que levaram parte dos sujeitos a concluir o ensino obrigatório com sucesso; ABSTRACT: This study aimed to know the reality of failure / dropping out of school in the Municipality of Alandroal in the period 1997-2007, identifying the causes of both problems and educational measures of resolution, from a sample of 41 subjects. We intend to identify and characterize the episodes of school failure and dropping out staged by a group of students who started their schooling in 1996/1997, Municipality of Alandroal. In the theoretical corpus of this study, we carried out the literature review and analysis of legal norms that regulate and address this issue in order to look at her reflectively. In terms of empirical corpus, we used a method quantitative / qualitative, in order to obtain a better understanding and interpretation of reality. The results indicate that there is a relationship between the causes of individual, family, school and environment that led to failure and early school leaving. It underlined the importance of implementing appropriate educational measures and their relationship with the institutions of the county of Alandroal that led the subjects to complete the compulsory education successfully.

Consciência cultural crítica numa comunidade virtual educativa de línguas

A difusão das tecnologias da informação e comunicação fomenta mudanças qualitativas nas práticas pedagógicas, proporcionando a criação de comunidades de aprendizagem entre aprendentes de diferentes pontos do mundo. Tendo como referência a pedagogia crítica para a emancipação (Freire, 1997; Giroux, 1997), este estudo analisou de que forma aprendentes de diferentes proveniências linguístico-culturais desenvolvem a sua consciência cultural crítica (Byram, 1997), quando colocados em situação de trabalho colaborativo on-line, formando uma comunidade de aprendizagem, através do recurso a uma plataforma especialmente concebida para o efeito, a 2ndschool.eu, na qual foram levados a desenvolver um trabalho de natureza interdisciplinar. Pretendíamos que esta plataforma fomentasse questionamentos por parte dos seus membros. Como tal, integrámos diferentes instrumentos de comunicação eletrónica (chat, fóruns e e-mail), através dos quais se promoveu a interação entre os participantes no projeto, alunos e professores (de diversas áreas disciplinares) do Ensino Secundário belga, búlgaro, grego, polaco, português e sueco, com vista à realização de uma tarefa comum: a edição de um trabalho de projeto de análise crítica de reportagens, artigos de opinião e fotos de jornais acerca de tópicos da atualidade nacional e/ou internacional. Tivemos em conta uma metodologia de investigação mais orientada para o estudo de caso e análise do discurso. Para tal, recorremos a dois tipos de instrumentos de recolha de dados: as impressões das discussões estabelecidas através de chat, fóruns, blogs e wikis e os resultados de três questionários sobre o perfil sociolinguístico e cultural dos participantes, a avaliação da plataforma virtual e o inventário de estratégias mais eficazes na negociação de saberes estabelecida. Concluímos que os alunos (re)constroem saberes, pois revelam representações que têm acerca de situações-problema, refletem acerca das mesmas e, posteriormente, disseminam ativamente pontos de vista críticos através de ferramentas Web 2.0, como forma de as resolver. Enquanto verdadeiros pronetários, foram capazes de recorrer a estratégias de comunicação que fomentam a busca de entendimento com o Outro, num caminho oscilante entre o concordar e o discordar, entre o ajudar e o solicitar ajuda, entre o opinar e o escutar, entre o avaliar e o ser avaliado e entre o corrigir e o ser corrigido. Identificámos como principais limitações do nosso estudo a dificuldade de análise das práticas interdisciplinares dos interlocutores internacionais, a desmotivação de alguns aprendentes nas tarefas e ainda o reduzido recurso ao videochat, pelo desconforto no seu uso. Por isso, consideramos que futuras investigações deverão debruçar-se nestas questões.