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ABSTRACTA brief introduction to the background, current concerns, and methodologies of Family Impact Analysis is presented. The concept of Family Impact Analysis will be delineated by a discussion of the background of Family Impact Analysis, its particular timeliness now, the relationship of Family Impact Analysis to other policy or program analyses, the nature of potential policy impacts on families, and different research strategies appropriate for Family Impact Analysis. The basic elements of a step‐by‐step methodology for engaging in family impact analysis is briefly outlined. These steps include: 1) identification of the policy for analysis; 2) identification of family impacts of concern; 3) specification of the relationship between policy components and hypothesized family impacts; 4) design and implementation of the research; 5) analysis of findings; and 6) evaluation of and presentation of findings. The current state of the art regarding family impact analysis as a methodology will be reviewed, and recommendations for further development and utilization of this methodology will be offered.

A brief introduction to the background, current concerns, & methodologies of Family Impact Analysis (FIA). The concept of FIA is delineated by a discussion of its background, its particular timeliness, the relationship of FIA to other policy or program analyses, the nature of potential policy impacts on families, & different research strategies appropriate for FIA. The basic elements of a step-by-step methodology for engaging in FIA are outlined: (1) identification of the policy for analysis; (2) identification of family impacts of concern; (3) specification of the relationship between policy components & hypothesized family impacts; (4) design & implementation of research; (5) analysis of findings; & (6) evaluation & presentation of findings. The current state of the art regarding FIA is reviewed, & recommendations for further development & utilization are offered. 1 Table. HA.

Originally published in 1989, Aging and Health Care focuses on the most urgent health care problems of older people at the time and explores possible solutions. Drawing on up-to-date social and behavioral research, it provides a sound basis on which to build practices and policies on aging and health care.

"This volume is uncontestably the most comprehensive and authoritative work on the subject of self-care available to date. It should set the stage for a new policy perspective on building a health care system that incorporates self-care at its core."-- Lowell S. Levin, Yale School of Public Health. Practitioners and researchers who work with older adults are challenged to find ways to strengthen an elderly person's capacity to cope wiht age-related changes that threaten independence. This volume assesses the efficacy of self-care in maintaining autonomy. It applies a broad definition of self-care that includes a range of behaviors undertaken by individuals, families, and communities to enhance health, prevent disease, limit illness, and restore health.

Rehabilitation to restore and maintain functioning in older people is relatively new. Traditionally, ageist prejudices and the medical preoccupation with cure have led to neglect of chronic disabilities in older people. With a focus on an aging population, however, a new approach to rehabilitation is taking shape at the confluence of geriatric and psychosocial approaches. Significant components of this emerging approach are: setting small goals as incentives for motivating the patient, the timing of the disability within the individual's life course, coping behavior and the way the disability is defined, the importance of social support to the recovery potential, and the incorporation of sustained interventions into daily routines and life-styles. This article illustrates this approach with examples from common disabling conditions, proposing that the quality of aging can be markedly enhanced for older people suffering from functional disability.

Traditionally, ageist prejudices & the medical preoccupation with cure have led to neglect of chronic disabilities in older people. Now, however, a new approach to rehabilitation is taking shape at the confluence of geriatric & psychosocial approaches. Significant factors to be considered in this approach are: the value of setting small goals as incentives for motivating the patient, the timing of the disability within the individual's life course, coping behavior & the way the disability is defined, the importance of social support to the recovery potential, & the incorporation of sustained interventions into daily routines & lifestyles. This approach is illustrated with examples from common disabling conditions. Modified HA

THE purpose of this paper is to identify familial and institutional predictors of child maltreatment. Interrelationships between timing of first childbearing, presence of social disorganization within the family, the availability of family and institutional supports, and the incidence of child maltreatment are examined for fifty maltreating and fifty nonmaltreating families drawn from social service case histories in rural North Carolina. While child maltreatment was not associated with early parenting or lack of potential family social support, a strong relationship was found between the likelihood of child maltreatment and the family's degree of social disorganization and their amount of social service utilization. The study unvariables explained 59% of the variance in child maltreatment. A log linear analysis was performed to determine the interactive influence of the two most important predictors of child maltreatment: level of social disorganization and social service utilization. Recommendations for the identification and treatment of families at high risk are suggested.

In this timely and important work, expert gerontologists review what has been learned about the aged and the process of aging and link this knowledge to interventions for improving the quality of life. This volume highlights the development of preventive, therapeutic, and rehabilitative interventions designed to assist older people maintain their independence and quality of life. In addition to the editors, chapter authors include Robert N. Butler, Matilda White Riley, Carroll Estes, and a foreword by James O. Mason

Purpose. Examine how sociodemographic, health, behavioral, and health care utilization factors are associated with being obese or having diabetes among baby boomers and older adults. Design. Cross-sectional data were drawn from the 2007–2008 National Health and Nutrition Examination Survey. Setting. United States. Subjects. A sample of 3439 baby boomers and older adults included (mean age, 62 years). Measures. Covariates included sociodemographics, health outcomes, behaviors, and inpatient and outpatient health care utilization. Analysis. Multinomial logistic regression was used to explore which similar or different covariates were associated with different health states between baby boomers and older adults. Results. Approximately 8% of baby boomers and 10% of older adults had the twin diagnoses of obesity and diabetes. Having both obesity and diabetes was more common among baby boomers and older adults who were African-American (odds ratio [OR] = 1.79, p = .029 for baby boomers; OR = 3.45, p < .001 for older adults), perceived their general health as fair/poor (OR = 7.67, p < .001; OR = 4.13, p < .001), and utilized outpatient care more often (OR = 8.28, p < .001; OR = 5.35, p = .004). Being obese only was observed less among baby boomers who were current smokers (OR = .45, p < .001), whereas it was observed more among older adults who were former smokers (OR = 1.25, p = .046). Having diabetes only was observed more among baby boomers who had hypertension (OR = 2.44, p = .01), whereas it was observed more among older adults who had very high cholesterol (OR = 2.31, p = .029). Conclusion. Identifying chronic disease risk factors during middle age is important for ameliorating further complications in later life. Knowing more about the correlates of obesity and diabetes among different age groups can help health care planners better target preventive health care services.

In an effort to understand factors influencing the implementation and outcomes of the Safe Routes to School (SRTS) program in Texas, interviews were conducted in 2014 with 34 community- and state-level stakeholders involved in the 2007 SRTS grant program. Participants were asked a series of multiple-choice and open-ended questions about SRTS program planning, implementation, and sustainability. Transcribed responses were organized and grouped according to thematic elements using standard qualitative methods. Results indicate the SRTS program was perceived as beneficial by providing funds for both infrastructure and education projects. Although most community representatives reported accomplishments toward planned goals (improved infrastructure and perceived increase in active commuting), many had significant challenges including lack of communication and up-front funding, and difficulty navigating the regulatory process. Future SRTS programs should be structured to be more compatible with community-based needs and limitations, provide adequate underlying infrastructure and resources, and include at least partial funding up-front.