Who would rescue the dilemma of Chinese elderly care? An evolutionary game analysis and simulation research on the formalization of the domestic service industry with subsidy policy.

Since China entered the aging society, the surging demand for elderly care and the industrial upgrading of "silver economy" has forced the domestic service industry to face endogenous challenges. Among them, the formalization of the domestic service industry can effectively reduce the transaction costs and risks of actors, innovate the endogenous vitality of the industry, and promote the improvement of elderly care quality through a triangular employment relationship. By constructing a tripartite asymmetric evolutionary game model of clients, domestic enterprises and governmental departments, this study uses the stability theorem of differential equations to explore the influencing factors and action paths of the system's evolutionary stable strategies (ESS), and uses the research data collected from China to assign values to models for simulation analysis. This study finds that the ratio of the initial ideal strategy, the difference between profits and costs, subsidies to clients, and subsidies or punishments for breach of contract to domestic enterprises are the key factors affecting the formalization of the domestic service industry. Subsidy policy programs can be divided into long-term and periodic programs, and there are differences in the influence paths and effects of the key factors in different situations. Increasing domestic enterprises' market share with employee management systems, formulating subsidy programs for clients, and setting up evaluation and supervision mechanisms are efficient ways through which to promote the formalization of the domestic service industry in China. Subsidy policy of governmental departments should focus on improving the professional skills and quality of elderly care domestic workers, and also encourage domestic enterprises with employee management systems at the same time, to expand the scope of service beneficiaries by running nutrition restaurants in communities, cooperating with elderly care institutions, etc.

Cost-Benefit Analysis of Allowing Additional Time in Cleaning Hospital Contact Precautions Rooms.

Increasing cleaning time may reduce hospital-acquired transmission of Clostridioides difficile, methicillin-resistant Staphylococcus aureus (MRSA), and vancomycin-resistant enterococcus (VRE). We constructed a cost-benefit model to estimate the impact of implementing an enhanced cleaning protocol, allowing hospital housekeepers an additional 15 minutes to terminally clean contact precautions rooms. The enhanced cleaning protocol saved the hospital $758 per terminally-cleaned room when accounting for only C. difficile. Scaling up to a hospital with 100 cases of C. difficile/year, and the US annual C. difficile incidence, cost savings were $75,832/year and $169.8 million/year, respectively. These results may inform infection control strategic decision-making and resource allocation.

Do recipients of cash transfer scheme make the right decisions on household food expenditure? A study from a rural district in Pakistan.

OBJECTIVES: To assess spending by beneficiaries of Benazir Income Support Programme on monthly food commodities, and contribution of the cash grant programme on purchase of nutritious foods. METHODS: The descriptive cross-sectional survey of households enrolled in the Benazir Income Support Programme was conducted during July and August, 2013, in Matiari district of the Sindh province of Pakistan. Monthly household food expenditure on food commodities and use of the cash grant on type of food purchased was assessed through structured interviews of the beneficiaries. Results were computed in 2013 Pak rupees and converted to 2018 United States dollar. Women beneficiaries were also interviewed on decision-making regarding the use of the cash grant and on household food expenditure. RESULTS: The survey comprised 421 households. with a mean monthly expenditure on food of Rs 7,577, r 80.73 dollars. Women made decisions on food spending in only 135(32%) households, but in 235(56%) households, women were the primary decision-makers on cash grant spending. CONCLUSIONS: Unconditional cash grant did not meaningfully translate into the purchase of nutritious foods even though it played an important role in increasing women's agency.

Gendered perceptions of fairness in housework and shared expenses: Implications for relationship satisfaction and sex frequency.

There is a demonstrated relationship between couples' division of household chores-and, to a lesser extent, the division of shared expenses-and their relationship quality. Less is known, however, about whether and how individuals' perceived fairness of these arrangements is associated with couples' relationships in different ways. Using a gendered equity framework, and drawing on 10,236 responses collected via an online national news website, this study examines how equity evaluations of housework and shared expenses are related to relationship satisfaction and sex frequency among different-gender household partners. Consistent with previous findings, the results indicate that evaluations of unfairness to oneself are a stronger predictor of relationship quality than perceived unfairness to one's partner. Additionally, fairness evaluations over shared expenses are a stronger predictor of relationship quality than perceived equity in housework. Incorporating notions about traditional gender norms and expectations into the justice framework, the results point to some variation in relationship outcomes based on men's and women's differential equity evaluations.

Hierarchization and segmentation of informal care markets in Slovenia.

The article is the result of qualitative research of informal care markets in Slovenia in the field of childcare, elder care, and cleaning. The author assesses Slovenia's position in the "global care chain" and finds that "local care chains" prevail in the field of childcare and elder care, while a co-occurrence of female gender, "other" ethnicity, and poverty is typical in the field of household cleaning. The main emphasis of the article is on the analysis of hierarchization of the informal market of care work according to following two criteria: social reputation of individual type of care work and citizenship status of care workers.

[Costs of non-specific low back pain in Austria]. / Kosten des chronischen unspezifischen Kreuzschmerzes in Österreich - eine Untersuchung an Patienten in aktueller Behandlung.

The objective of this pilot study was to evaluate the annual direct costs of chronic non-specific low back pain in Austria in patients currently undergoing in-patient rehabilitation or out-patient treatment. 48 patients participated in the study. Average direct medical costs per patient year as paid by the sick funds were € 1443,-, in-patient rehabilitation was the single most expensive direct cost factor. Non-medical costs, that is, mainly household assistance and home adaptations, were € 394,-; deductibles and non-reimbursable medical costs were € 329. On average, patients had 2.7 co-morbidities (men: 2.2; women: 2.9).

Aspects of workplace flexibility and mothers' satisfaction with their husbands' contributions to household labor.

This article explores whether mothers' perceived control over their own workplace flexibility options has any relationship to their satisfaction with their husbands' contributions to household labor in the United States. We hypothesize that flexibility enhances their ability to more adeptly engage in role management in multiple life areas, thus enabling them to be more satisfied with their partners' domestic input as well. We use a unique data set of 1,078 randomly sampled women involved in mothers' organizations that generally attract members based on their current level of participation in the paid labor market. We then link nine distinct workplace flexibility policies with mothers' satisfaction related to their husbands' participation in all household tasks, as well as a subset of female-typed tasks. We find that across both arrays of tasks, mothers with more perceived control over work-related schedule predictability and those that had the ability to secure employment again after an extended break had higher levels of satisfaction with their husbands' participation in household labor. In addition, short-term time off to address unexpected needs was important for all tasks considered together only.

Who benefits from child benefit?

Governments, over much of the developed world, make significant financial transfers to parents with dependent children. For example, in the United States the recently introduced Child Tax Credit (CTC), which goes to almost all children, costs almost $1 billion each week, or about 0.4% of GNP. The United Kingdom has even more generous transfers and spends an average of about $30 a week on each of about 8 million children­about 1% of GNP. The typical rationale given for these transfers is that they are good for our children and here we investigate the effect of such transfers on household spending patterns. In the United Kingdom such transfers, known as Child Benefit (CB), have been simple lump sum universal payments for a continuous period of more than 20 years. We do indeed find that CB is spent differently from other income­paradoxically, it appears to be spent disproportionately on adult-assignable goods. In fact, we estimate that as much as half of a marginal dollar of CB is spent on alcohol. We resolve this puzzle by showing that the effect is confined to unanticipated variation in CB so we infer that parents are sufficiently altruistic toward their children that they completely insure them against shocks.

Investigating early modern Ottoman consumer culture in the light of Bursa probate inventories.

This study investigates the development of early modern Ottoman consumer culture. In particular, the democratization of consumption, which is a significant indicator of the development of western consumer cultures, is examined in relation to Ottoman society. Sixteenth- and seventeenth-century probate inventories of the town of Bursa combined with literary and official sources are used in order to identify democratization of consumption and the macro conditions shaping this development. Findings demonstrate that commercialization, international trade, urbanization which created a fluid social structure, and the ability of the state to negotiate with guilds were possible contextual specificities which encouraged the democratization of consumption in the Bursa context.

Working women households and time-saving consumption: empirical evidence from Kerala.

This article explores the impact of labour force participation of Indian women on the consumption expenditure of their households. Field survey data were collected from working-wife and non-working wife households in Kerala, the state in India with the highest labour market participation of women in the organised sector. Differences in time-saving consumption expenditures of working and non-working wife households and different variables influencing consumption expenditures were researched. The study shows that among the variables which positively affect the time-saving consumption expenditure of the households, non-economic factors influence the time-saving consumption expenditure of the working-wife households more prominently than in non-working wife households.

How police officers and nurses regulate combined domestic and paid workloads to manage schedules: a gender analysis.

OBJECTIVE: Our questioning focuses on the role played by the gendered division of labour and by the collective organisation of work in strategies deployed by workers in order to reconcile professional and private lives. How does work organisation facilitate schedule management so as to fit in with workers' domestic lives by offering the possibility of work activity accommodations? METHOD: A comparison of two stress management studies allowed us to examine the strategies used to manage professional and private schedules. One study focused on nurses in a female environment and one study looked at police officers or a male environment recently incorporating women into the work group. RESULTS: In the hospital sector, management resorts to curtailing leave in order to overcome staff shortages and ensure the quality of health care; however, the female environment facilitates collective regulation to adapt work schedules. These management imposed organisational constraints are especially difficult for female staff due to their roles in the domestic sphere. It is more difficult for women to adapt work schedules in the predominantly male police officer environment. Police ask supervisors for timetable changes more frequently following the introduction of women to the group. CONCLUSION: The strategies to reconcile professional and private lives depend on division of labour and collective regulation.

"To control their destiny": the politics of home and the feminisation of schooling in colonial Natal, 1885-1910.

This article examines the contradictions that African girls' schooling presented for colonial governance in Natal, through the case study of Inanda Seminary, the region's first and largest all-female school for Africans. While patriarchal colonial law circumscribed the educational options of girls whose fathers opposed their schooling, the head of Natal's nascent educational bureaucracy argued that African girls' education in Western domesticity would be essential in creating different sorts of families with different sorts of needs. In monogamous families, Native Schools Inspector Robert Plant argued, husbands and sons would be taught to 'want' enough to impel them to labour for wages - but they would also be sufficiently satisfied by their domestic comforts to avoid political unrest. Thus, even as colonial educational officials clamped down on African boys' curricula - attempting to restrict their schooling to the barest preparation for unskilled wage labour - they allowed missionaries autonomy to educate young women whose fathers did not challenge their school attendance. This was because young women's role in the social reproduction of new sorts of families made their education ultimately appear to be a benefit to colonial governance. As young men pursued wage labour, young women began to comprise the majority of African students, laying the groundwork for the feminisation of schooling in modern southern Africa.

Standardizing the home?: Women reformers and domestic service in New Deal New York.

In response to the poor working conditions suffered by domestics struggling to survive the Depression, middle-class women's organizations initiated various legislative reforms aimed at tackling the problems they believed plagued the occupation. Throughout these years, organized women debated three key pieces of reform related to domestic service: efforts to suppress street-corner markets, health requirements for prospective domestics, and state-level wage and hour reform. These reforms were united by the rhetoric of privacy, which clubwomen used both to oppose wage and hour reform and to support requirements that domestics have physicals before applying for work. This article examines the fine distinction that middle-class women's organizations drew between public and private in the appropriate application of government power and the resulting conflict between progressive women's gender ideology and their most deeply-held reform ideals. In doing so, it reveals organized women's struggle to reconcile their humane ideals with the reality in their kitchens.

The effect of ethnicity and economy upon intergenerational coresidence: northern Norway during the last part of the nineteenth century.

During the last part of the nineteenth century, Finnmark province and the northern part of Troms experienced a decline in intergenerational coresidence. This article discusses what impact ethnic affiliation and economic activity had on the living arrangements of the elderly, and what contributed to the change. Logistic regression shows that ethnicity played a role but its effect disappears after controlling for economic activity. Intergenerational coresidence was positively associated with being a married Sámi male with an occupation in farming or combined fishing and farming. As such a person grew older, he was increasingly likely to live separately from an own adult child. This pattern changed toward the end of nineteenth century. By the close of the century, ethnic differences had disappeared, and headship position, irrespective of marital status, was strongly related to coresidence.

Female domestic servants as desirable refugees: gender, labour needs and immigration policy in Belgium, The Netherlands and Great Britain.

The immigration policies adopted by Western European states during the interwar period were marked by increasing restriction, especially after 1933. One notable exception to this was the relatively generous treatment afforded to women who were prepared to take up employment as domestic servants. This article looks at the reasons behind this anomaly and compares the responses of three states that were in the front line of the refugee efflux from Germany and Eastern Europe in the years leading up to the Second World War.

"Now if you have only sons you are dead": migration, gender, and family economy in twentieth century northwestern Ghana.

This article explores the interconnectedness between labor migration, gender, and the family economy in northwestern Ghana in the 20th century. It focuses specifically on the Dagaaba of the Nadowli and Jirapa administrative districts of what is now the Upper West Region (UWR). It examines how the relationships between men and women in terms of roles, status, access to productive resources and inheritance, changed in tandem with broader changes in society in the 20th century; changes that over time produced enhanced value and elevated status for women in the family. These changes in gender relations are reflected increasingly in the belief among elderly men that 'now if you have only sons, you are dead'. By focusing on the lived experiences of ordinary women and men in the migration process, it argues that even though indigenous social structures privileged men over women in almost all spheres of life, Dagaaba women were nonetheless significantly active in shaping the history of their communities and that gender relations in Dagaaba communities were not static ­ they changed over time and generation. This article contributes to the ongoing discussion of the internal migration phenomenon in West Africa, which has so far attracted scant historical analysis.

"Birds of passage" or "career" women? Thoughts on the life cycle of the eighteenth-century European servant.

Frequently eighteenth-century service is described as a life-cycle stage used to build up the financial wherewithal to set up house. As such it was central to the way youth or girlhood was traversed, and studies of adolescent years rightly emphasise the importance of service. However, this narrative, while largely accurate, is also problematic. What happened when service did not end with marriage, or when a woman remained single well into adulthood? In practice, servants were found among both the married and single, and among the young and the old. Concentrating on the eighteenth century, and incorporating material from Nordic Europe, this article teases out some of the nuances in the context and experience of service that partially disrupt the established narrative.

A life-course approach to studying transitions among Canadian seniors in couple-only households.

This study tracked the occurrence of death, widowhood, institutionalization, and coresidence with others between 1994 and 2002 for a nationally representative sample of 1,580 Canadian respondents who, at initial interview, were aged 55 and older and living in a couple-only household. Although the majority of seniors remained in a couple-only household throughout the duration of the survey, nearly one in four who experienced a first transition underwent one or more subsequent transitions. Age, economic resources, and health were significant predictors of a specific first transition and multiple transitions. More work is needed to understand the dynamics of the aging process.