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The influence of maternal intergenerational education on health behaviors of women in peri-urban Bolivia.

The influence of maternal education on infant mortality has been demonstrated repeatedly in health and social science literature. Less explored is the influence of the education level of the mother's mother. In the present paper the authors examine the possible effect of grandmother's education on maternal behaviors. The relationship between intergenerational education and selected health behaviors, including utilization of health services for prenatal care, breast-feeding and family planning, are reported. The data were collected in peri-urban Santa Cruz, Bolivia among mothers of infants between 0 and 18 months of age. It appears that grandmother's education does exert an effect on health behaviors above and beyond the effect of maternal education. This effect is more pronounced for health services which fall clearly in the domain of the formal health care system. While the results are exploratory, the results suggest the worth of further study and consideration of the influence of mothers' mothers in the design of culturally sensitive quality health services.

Adult↗

A double concern: grandmothers' experiences when a small grandchild is critically ill.

Grandmothers play an active part in family health and illness, but so far they are peripheral in both nursing and nursing research. This article addresses grandmothers' lived experiences when a small grandchild is critically ill. A convenience sample of 7 grandmothers was interviewed once. With the use of the methodology of Van Manen, (1990), the essence of the phenomenon was found to be a "double concern," a worry and loving care that encompassed both parents and grandchildren. Although the findings have limitations, they constitute a systematic and thematic description of Danish grandmothers' experiences and therefore add to a family-oriented body of knowledge in pediatric nursing.

Anecdotes as Topic↗

Transcendence: the meaning of great-grandmothering.

Great-grandparents are increasing in number in the United States. This case study examined how eight African-American and eight Caucasian community dwelling great-grandmothers found transcendence in their great-grandmotherhood. Subjects, who ranged in age from 75 to 89 years, indicated that family was the common factor which influenced the transcendence of great-grandmothering. Five domains, connectedness, religion, being wise, values, and stories, generated the meaning of transcendence. Domains evolved into one cultural theme: By finding opportunities to influence great-grandchildren, the great-grandmother enhances possibilities for meaning and transcendence. Nurses can help great-grandmothers enhance family relationships to promote transcendence.

Aged↗

Empowerment: a case study of a grandmother caring for her HIV-positive grandchild.

A case study methodology is used to explore the meaning and development of empowerment in a grandmother who is the primary caregiver of a child with HIV infection. Empowerment to this grandmother meant being strong, coming to grips with life's challenges, and then moving on. Empowerment developed over the grandmother's life span as a result of developmental and situational experiences such as motherhood, disclosure of the HIV diagnosis, sharing her positive and negative feelings with others, gaining knowledge about HIV, making management decisions, and her increasing sense of spirituality. This grandmother manifests her empowerment through her public commitment to influence others positively about HIV infections through speaking, writing, and leadership in groups. Clinical implications are discussed.

Adolescent↗

The game may be the same but the rules have changed!

The job of a manager continues to be one of achieving outcomes through other people. However, in the current work environment, managers are finding that while their scope of responsibility is expanding, the traditional power base used to excourage high performance is shrinking. There are limited rewards a manager can use to gain commitment from their staff. Even if some of those rewards are available, many of the new employees do not see them as motivators. Employees come to the workplace with a different set of expectations. There seems to be a mismatch between the traditional management approach to getting the best from the worker and what the worker wants from their manager. In as much as the workplace and the worker are changing so too must manager's approach to "getting the job done."

Humans↗

Choosing children: intergenerational justice?

In this discussion, we argue that the concept of intergenerational justice, usually used in environmental matters, is applicable to reproductive decisions also. Additionally, we propose that this permits certain reproductive choices to be made prior to conception or during the pregnancy, and that these choices should not be confined to clinical concerns. In particular, we argue that consideration of the interests of future children should be viewed from the perspective of objective well-being. That being the case, decisions about the sex of future offspring can, in terms of intergenerational justice, be legitimate. We do not argue that every reproductive choice is legitimate; for example it would not be legitimate deliberately to choose characteristics that prevent future children from potentially successful participation in social life.

Human Rights↗

Old age security and inheritance in Nepal: motives versus means.

This paper documents expectations of old age support in rural Nepal. Current living arrangements of the elderly have been analysed with a focus on the ownership of land holdings. It is argued that the intergenerational transfer of property through inheritance from the older to the younger generation, especially among sons, together with the Nepali normative prescription that sons care for their aged parents, provides a mechanism for old age support. However, land is becoming a scarce resource, cultural traditions are breaking down through modernisation and the living conditions of the elderly are likely to deteriorate as this process continues.

Adolescent↗

Do mothers-in-law matter? Family dynamics and fertility decision-making in urban squatter settlements of Karachi, Pakistan.

The perspectives of mothers-in-law about intra-household decision-making, family size and family planning are investigated, and their views compared with those of their sons and daughters-in-law. Women (717 daughters-in-law), their husbands (717 sons) and their 522 mothers-in-law were interviewed in eight squatter settlements in Karachi, Pakistan. Decisions about the schooling and health care of children, and the purchase of jewellery, are perceived to lie within the nuclear family domain (i.e. husband and wife). There was a difference in mothers-in-law's, daughters-in-law's and sons' desire to have more children. Twenty-eight per cent of mothers-in-law versus 58%, of daughters-in-law did not want more grandsons/sons and 36%, of mothers-in-law versus 66% of daughters-in-law did not want more granddaughters/daughters. The difference was markedly greater among the mother-in-law/daughter-in-law pairs than in the mother/son pairs. Overall, the mother-in-law's role seems to be somewhat overshadowed by that of her son (family male member), except for limiting family size. It is suggested that mothers-in-law should be included in Information-Education-Communication (IEC) campaigns about family planning.

Adult↗

The effect of fertility limitation on intergenerational social mobility: the quality-quantity trade-off during the demographic transition.

The hypothesis that family size limitation by parents enhances the upward mobility chances of their children in (post)industrial populations has a long-standing record in many disciplines, including sociology and economics, as well as evolutionary anthropology and social biology. Yet the empirical record supporting or contradicting the theory is surprisingly limited. The aim of this contribution is to develop a test of the effect of family size limitation on children's intergenerational mobility. This test is applied to an urban population in Belgium that was in the process of experiencing its demographic transition, including the decline of fertility, at the end of the 19th century. The results indicate that the effect of family size was strong, even after controlling for parental social status as well as birth order. Surprisingly, the effects of birth order and family size appear to be largely independent.

Belgium↗