BackgroundCaregiver health is a crucial public health concern due to the increasing number of elderly people with disabilities. Elderly caregivers are more likely to have poorer health and be a care recipient than younger caregivers. The Taiwan government offers home-based long-term care (LTC) services to provide formal care and decrease the burden of caregivers. This study examined the effects of home-based LTC services on caregiver health according to caregiver age.MethodsThis cross-sectional study included a simple random sample of care recipients and their caregivers. The care recipients had used LTC services under the Ten-Year Long-Term Care Project (TLTCP) in Taiwan. Data were collected through self-administered questionnaires from September 2012 to January 2013. The following variables were assessed for caregivers: health, sex, marital status, education level, relationship with care recipient, quality of relationship with care recipient, job, household monthly income, family income spent on caring for the care recipient (%) and caregiving period. Furthermore, the following factors were assessed for care recipients: age, sex, marital status, education level, living alone, number of family members living with the care recipient, quality of relationship with family and dependency level. The health of the caregivers and care recipients was measured using a self-rated question (self-rated health [SRH] was rated as very poor, poor, fair, good and very good).ResultsThe study revealed that home nursing care was significantly associated with the health of caregivers aged 65 years or older; however, caregivers aged less than 65 who had used home nursing care, rehabilitation or respite care had poorer health than those who had not used these services. In addition, the following variables significantly improved the health of caregivers aged 65 years or older: caregiver employment, 20% or less of family income spent on caregiving than 81%–100% and higher care recipient health. The involvement of daughters-in-law, rather than spouses, and care recipient health were positively related to the health of caregivers aged less than 65 years.ConclusionsThe findings suggest that home-based LTC service use benefits the health of elderly caregivers. By contrast, home-based LTC service use may be negatively correlated with the health of the caregivers aged less than 65 years.Electronic supplementary materialThe online version of this article (10.1186/s12955-017-0786-6) contains supplementary material, which is available to authorized users.
Qualitative data from in‐depth interviews were collected in 1990–1991, 1992, and 2000 with 49 prostituted juveniles remanded to two rehabilitation centers in Taiwan. These data are analyzed to explore Taiwanese prostituted juveniles' feelings about themselves and their work, their motivations for remaining in prostitution, and their difficulties leaving it. Text analysis of transcriptions of the interviews suggested that juveniles have four major motivations for remaining in prostitution: financial, emotional, drug, and identity‐related factors. Analysis of interviews with juveniles working in confined prostitution suggested four stages of attitude change: resistance, development of interpersonal connections, self‐injury and loss of hope, and acceptance of prostitution. Discussion includes comparison of motivations to remain in prostitution with reasons for entry, relation of findings to prostituted juveniles in other countries, and directions for future research.
This article explores the relationship between class and the gendered domestic division of labor by examining how the contribution by husbands to housework in dual-career families varies across the class system. The article uses data from the United States and Sweden. The findings indicate that location in the class structure is not a powerful or systematic determinant of variations in the division of labor across households.
This paper identifies the major precursors and pathways to prostitution for contemporary Taiwanese girls and the socioeconomic and cultural changes that have facilitated the shift in pathways over the past 10 years. Special attention is paid to the case of Taiwanese aborigines, who have particularly suffered systemic disruption due to prostitution. Analysis of case files and interviews provide quantitative and qualitative data that highlight the role of filial piety and the shift from indenture to runaway as the major pathway in Taiwan. Discussion includes relation of these findings to juvenile entry into prostitution in other countries, directions for future research, and policy recommendations for Taiwan's government.
This study explores the role of the hostess club culture in the creation and maintenance of masculinity in Taiwan. The article focuses on flower drinking (the consumption of alcohol in bars, often integrated with prostitution), which is a common practice in Taiwan. Data were obtained from 58 in-depth interviews with men from a variety of occupations and social backgrounds (mean age = 38.50, SD = 11.00) and 73 questionnaires administered to soldiers (mean age = 21.00, SD = 1.10). Findings indicated that demonstration of skill at flower drinking and facility with the related social etiquette are important channels for male bonding that were central to the mid- to upper-class participants' professional development. Flower drinking also provided a method of discriminating men from other men through their choices of why and where to go and how to behave while there. Specific ways that Taiwanese masculinity differs from Western and from Japanese masculinity, and support for the continuing relevance of the traditional Confucian ideal of masculinity, wen-wu, are discussed.
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