Spiritual well-being among older african americans in a midwestern city.

More than many other cities in America, older African Americans in Milwaukee, WI contend with negative environmental, socio-economic and health challenges in one of the most hyper-segregated cities in America. This research examines the role of spirituality and religion in their lives and the ways that spirituality and religious affiliation contribute to their quality of life. Over 500 elderly respondents aged 55-105 completed a questionnaire.

Systemic barriers to health care access for U.S. women with HIV: the role of cost and insurance.

Lack of access to health care has particularly brutal consequences for low-income U.S. women with HIV who, without regular and consistent primary care, including treatment with highly active antiretroviral therapy (HAART), are less likely to live long and well with HIV.

Self-care of women growing older with HIV and/or AIDS.

The purpose of this report is to describe the ways older women living with HIV perceive of and practice self-care. Data are taken from a culturally diverse subsample of 9 women age 50 years or older who participated in a larger longitudinal qualitative study of women who were HIV infected. During a period of 2 years, 10 semistructured narrative interviews were conducted with each of the 9 participants to gain an in-depth understanding of their experiences with symptom management, adherence to medical regimens, reduction of HIV risk, access to health care and social services, and personal efforts to maintain their health.

The interests of three stakeholders in independent personal care for disabled elders.

There is concern throughout developed countries about how sufficient services can be mounted in this century to care for all older, disabled persons who want to remain at home. With declining availability of family care and high turnover among paid workers, cost, care supply, and quality dilemmas abound. Therefore, how can home care be improved? One suggestion is to revise the care "contract" by simply eliminating the costly bureaucratic and controlling dimensions of agency oversight and management.

Caring together for elderly mothers: a qualitative study of relations between adult daughters and supportive home care workers.

This qualitative study examines relationships between adult daughters caring for elderly disabled mothers and the mothers' personal care workers (PCWs) paid directly by the Wisconsin Community Options Program (COP). A subset of a larger study, in these five cases PCWs provide substantial hands on care without substituting for the heavy care also provided by the daughters. Direct payment offers the daughters and workers freedom to schedule around their family obligations and other limits and tailor care to the abilities of all three participants.