1.
Örestig, Johan, 1979-
(författare)
The long and winding road : A life course approach to retirement behaviour
2013
Doktorsavhandling (övrigt vetenskapligt/konstnärligt) abstract
Background: This thesis explores the retirement behaviour of older people approaching retirement decisions. The research questions in focus deal with the attitudes toward work, the retirement preferences and the subjective well-being of the "youngest old", i.e. people aged 55–64. The included studies analyse the social determinants of these subjective evaluations and how they predict the timing of retirement and post-retirement well-being.Methods: In the included studies, methods are used that allow us to follow developments over time. Repeated cross-sectional analyses are employed to examine general developments pertaining to the older work force. These include OLS and logistic regression analysis. Longitudinal analyses are used to follow individual developments over time. These include Structural equation modelling and Cox regression analysis.Results: The results indicate that subjective evaluations such as attitudes to work and retirement preferences, as well as subjective well-being, are closely related to the structural conditions to which individuals are exposed, i.e. class position and work environment. The results also indicate that subjective evaluations such as preferred exit age and subjective well-being reported while in the work force are determinants of both the timing of retirement (in the case of preferred exit age and pre-retirement subjective well-being) and post-retirement subjective well-being (in the case of pre-retirement subjective well-being).Also, results indicate that recent policy changes in the Swedish pension systems are reflected in the retirement preferences of the older work force. A comparison of two time-points representing the incentive structure of the old and the new pension systems indicates that preferences were delayed with pension reform.Conclusion: The thesis contributes a temporal perspective to a research field that is dominated by research studying retirement behaviour at a single point of in time. The included studies underline the value of understanding retirement behaviour as a process rather than an isolated event. The way people evaluate their work, their well-being and their retirement prospects is intimately intertwined with their earlier experience. These subjective evaluations affect future retirement outcomes. Life course approaches offer illuminating tools for examining and explaining the significance of the biographies behind retirement behaviour.
2.
Lilliehorn, Sara, 1976-
(författare)
Betydelser av bröstcancer i ett livssammanhang
2013
Doktorsavhandling (övrigt vetenskapligt/konstnärligt) abstract
The aim of the thesis is to describe and analyse how a group of women experience that their every-day lives are affected during and after primary breast cancer treatment. The thesis is a consecutive, longitudinal study that takes an explorative qualitative approach. Seventy-one women younger than 60 years of age with primary breast cancer were consecutively included in the study. The women were interviewed four or five times over a period of 4 to 6 years from end of radiotherapy. The analyses of the interviews were inspired by grounded theory and narrative analysis. The thesis encompasses four papers. Paper I focused on the women’s contact with health care. The results of this study indicate that it is crucial for patients in a vulnerable situation to be admitted into a supportive system – ‘admitted into a helping plan’ – that, more or less explicitly, displays a well-thought-out plan of care. This is a process built on individual relationships with members of the health-care staff, but it ends up in a relationship to health care as a helping system, a ‘safe haven’ to attach to. Study II explored the women’s ideas about what motivated and discouraged their return to work. The results illustrate that the meaning of work fluctuates over time and that the processes of returning to work are conditioned by the patients’ individual life situations. Returning to work was regarded as an important part of the healing process because of how it generated and structured the women’s everyday lives. Returning to work meant demonstrating well-being and normalcy after breast cancer. Study III examined how life was lived and valued during and after treatment for breast cancer compared to pre-cancer life. The analysis showed that being afflicted with breast cancer was evaluated from a context of the women’s former everyday lives and stressed that how the women experienced breast cancer was a matter of personal circumstances. Study IV focused on how the women experienced and dealt with their altered bodies. The results showed that the women followed three different body-mind trajectories that depended to a significant extent on the severity of side effects and bodily alterations that resulted from their treatments.Being afflicted by breast cancer implies vulnerability and losses, but it can also involve benefits and provide new perspectives on life. How the overall breast cancer experience is valued seems to be very much a matter of circumstances in everyday life. This thesis highlights circumstances that focus in particular on contacts with health care, the body, the work situation, and the family situation.
3.
Lövgren, Veronica, 1963-
(författare)
Villkorat vuxenskap : Levd erfarenhet av intellektuellt funktionshinder, kön och ålder
2013
Doktorsavhandling (övrigt vetenskapligt/konstnärligt) abstract
The aim of this thesis is to explore and analyse lived experience of social categorisations such as intellectual disability, gender and age. The following overarching questions will direct the focus of the thesis, on how 13 middle-aged (aged 38-60 years) women and men who receive disability services according to the Act (1993:387) concerning Support and Service for Persons with Certain Functional Impairments (LSS), describe their everyday life practices:- In what way(s) are the social categorisations disability, gender, and age expressed in the interviews? How do the participants relate their lived experience of the social categorisation in relation to arenas such as work, family, and leisure time? How can this lived experience be understood in relation to the structures and conditions that form the institutions within the disability services?With a hermeneutic-phenomenological approach, the thesis is based on repeated audio- and video-recorded qualitative semi-structured interviews and field visits. The altogether 16 participants were divided into two groups: the main group consisted of 13 adults and a reference group, which consisted of 3 younger informants (aged 25-29 years).Despite political ambitions that state that people with disabilities should have opportunity to live like others, this thesis shows that their everyday life is, in fact, conditioned by institutional structures. The structures that conditions the disability services together with the social construction of disability, but also of age and gender, frames leisure time, social networks, family life, practicing partnership, mobility (especially for women), and working life – in short, these conditions their abilities to fulfil the expectations that are imbedded throughout the social construction of adulthood.The relationship with the labour force can be seen as an illustrative example: The ability to be part of a regular working force was central for the interviewees. However, the analysis showed that the work that was available for the participants, is a welfare state effort, that is situated in an intersection where a logic of care meets a logic derived from the open labour market, thereby creating a situation filled with contradictions. On the one hand, the informants felt an obligation to fulfil an almost Protestant work ethic. One the other hand, their work efforts are not acknowledged by society as work. On the one hand, daily activity is a voluntary right, on the other hand; the informants have little opportunity to relinquish this right, depending on the particular organisation of the disability services. The participants also expressed concerns about losing this work, a worry that can be seen as paradoxical in respect of their legislative right to daily activity. The analysis has highlighted how the participants, in many situations, suffer a disadvantageous position with regard to hermeneutical resources to make sense of their experience. They also face structural obstacles to fully live an adult life. This could be described as experiencing societal norms of what one is expected to live up to, but at the same time be deprived of real opportunities to fulfil these requests – thereby, to live a contradiction. Lived experience of intellectual disability, gender and age, can therefore be considered as being a lived experience of a conditional adulthood.
4.
Rostami, Arian, 1973-
(författare)
Marital satisfaction in relation to social support, coping, and quality of life in medical staff in Tehran, Iran
2013
Doktorsavhandling (övrigt vetenskapligt/konstnärligt) abstract
Marital satisfaction is one of the main characteristics of a healthy family, and is known as an important predictor of overall quality of life. Stress is unavoidable in everyday life and it can affect marital relationships. Furthermore, employed married individuals encounter more stressors than do unmarried ones, especially when their jobs are demanding and stressful, such as working as medical professionals in hospitals. Applying effective coping strategies and receiving social support, especially from emotionally close persons, are protective factors which can help individuals deal with stress and buffer the negative effects of life stress on marital and life satisfaction. In the present cross-sectional investigation, marital satisfaction was studied in relation to socio-demographic variables, social support, ways of coping, and quality of life in medical staff in Tehran. Data were collected from 653 medical staff who worked in 12 hospitals affiliated with Tehran Medical University using socio-demographic questions, the ENRICH marital satisfaction questionnaire, the SF-36 questionnaire, the Social Support questionnaire, and the Ways of Coping questionnaire. The results indicated that marital satisfaction, quality of life and spousal support were significantly higher in men than women. Spousal support was significantly associated with marital satisfaction especially in women. Multiple regression analyses indicated that marital satisfaction, social support, and job satisfaction combined with socio-demographic variables explain between 12% and 28% of the variance in quality of life domains. Analysing the data with special focus on females revealed a significant negative relationship between subscales of marital satisfaction and using “seeking social support”, “confrontive coping”, “escape avoidance”, “distancing”, and “self-controlling” as ways of coping. Hierarchical regression analyses showed that job satisfaction, social support, and ways of coping explained between 24% and 38% of the variance in seven of the nine subscales of marital satisfaction. Therefore, focusing on the study findings could be helpful in promoting marital satisfaction and quality of life in married medical staff.
5.
Saim, Nor Jana Bte, 1978-
(författare)
Social support, coping, resilience and mental health in Malaysian unwed young pregnant women and young mothers : Their experiences while living in a shelter home
2013
Doktorsavhandling (övrigt vetenskapligt/konstnärligt) abstract
This thesis is based on four articles. In the first article, questionnaire data from a follow-upstudy (Article I) that aimed to explore social support, coping and resilience as predictors ofmental health in unwed young pregnant women and young mothers during placement in ashelter home were analysed. Nine shelter homes were invited to participate in the study (n ofpre-assessment = 250; n of post-assessment = 79). Percentages, paired sample t-tests, multipleanalyses of variance (MANOVA), and multiple regression analysis were used to analyse thedata. There were no significant changes in social support, coping or resilience between thepre- and post-assessment. The variability in the mental health scores from the follow-upassessment could be explained by the variability in coping, social support and resilience forbetween 14% of the variance in the BDI score and 36% in the GHQ sum-score. However,about 32% of the unwed young pregnant women and young mothers had a BDI score above26 suggesting the occurrence of a depressive disorder at the second assessment. Thequalitative part of the study (Articles II and III) attempted to investigate the reactions receivedfrom their significant others, and how these reactions influenced their pregnancy experience.Furthermore, their daily life experience during their placement in a shelter home is described.Seventeen unwed young pregnant women and young mothers aged from 12 to 18 wereinterviewed. Qualitative content analysis and thematic analysis were used to analyse thetranscriptions of the interviews. Significant others were often perceived as reacting to theunwed young pregnant women and young mothers with secrecy, repression and rejection. Theresponse of the unwed young pregnant women and young mothers to the significant others inrespect of their pregnancy was to feel detached, trapped, unworthy and ambiguous. Theresults of the thematic analysis (Article III) led to three themes: rules and regulations, therelationship with the staff, and the relationship with the other girls in the shelter home. Theresults indicated that the participating shelter homes were often not fulfilling the standards ofshelter homes according to the Malaysian national laws and the United Nations Conventionon the Rights of the Child. In addition, a mixed methods approach (Article IV) was applied toinvestigate the associations between the experiences of the unwed young pregnant women andyoung mothers in the shelter home and their social support, coping, resilience, and mentalhealth. Because of the nominal data, the findings from the qualitative analyses were quantifiedand jointly analysed with the questionnaire data using Spearman Rank coefficient. The analyses were done based on the interviews and survey with 17 unwed young pregnantwomen and young mothers aged 12 to 18 years. The mixed methods study emphasized thatthe unwed young pregnant women and young mothers have poor availability and adequacy ofsocial support and were at risk of developing mental health problems if untreated.
6.
Skoog, Viktoria, 1981-
(författare)
Barn som flyttas i offentlig regi : En studie av förekomst och upplevelser av instabil samhällsvård för barn
2013
Doktorsavhandling (övrigt vetenskapligt/konstnärligt) abstract
The aim of this dissertation is to investigate the incidence of instability in out-of-home care for children and how children experience this instability. The dissertation consists of two studies. The quantitative study is based on an examination of social work case files of 213 children who began 317 placements in 2005 and 2006. Every placement was followed for a maximum of two years. The qualitative study used interpretive phenomenology as method and is based on interviews with 12 purposively selected children who had experienced placement breakdown at some point during 2011 or 2012. The quantitative study shows that the majority of children had experienced problems in their home environments prior to placement. Most commonly reported was parents’ substance abuse or mental health problems. Preschool and schoolchildren were more often placed in care due to neglect whereas adolescents were placed because of their own behavior problems or relational problems. Children in the qualitative study described that the problems they experienced prior to coming into care continued to influence them during their time in care.The quantitative study indicates that different types of instability are associated with children’s ages. That is, breakdown was most common for adolescents whereas preschool children more often experienced planned placements changes. Children in the qualitative study gave similar descriptions of planned placement changes and placement breakdown. The difficulty with which these children experienced the move from a foster family or group home depended on their relationship to caregivers. Therefore, planned placement changes from foster homes or institutional settings in which children reported being happy were described as more difficult than breakdown in placements from which children wanted to move. In children’s views, breakdown was caused by mismatches between them and caregivers, mistreatment in care settings, and their own behavior problems. However, children explained that when social workers did not listen to them, behavior problems in the form of running away, self-harming or behaving badly, were the only way of ending placements in which they were miserable.All children in the qualitative study described a wish for close relationships with consistent adults and an opportunity to feel that they belong somewhere. These fundamental needs were difficult for them to have satisfied due to their parents’ problematic life histories, instability in care which repeatedly placed children in new care situations, and a lack of continuity of social workers.
