This report brings together two issues: quality of care measurement and health care for the disadvantaged. The main question that is asked is whether an improvement in the quality of health care delivered to the disadvantaged will contribute to equalizing their health status. A review of the literature points to the following four conclusions: (1)…

Sociodemographic variables, social support, and physical health have been used previously in a few predictor models of loneliness and psychological distress in late life. The present study, however, was designed to test the hypothesis that self-efficacy beliefs of elderly persons are significantly stronger predictors of loneliness and…

This study aimed at adapting the Questionnaire Quality of Life in Epilepsy (QOLIE-89 version 1.0: Vickrey et al., 1993), Quality of Life in Epilepsy QoLIE-89 RAND (Santa Monica, CA)] so that it may be used to measure quality of life (QoL) of older adults, healthy or suffering from various chronic illnesses. The participants were 202 older adults…

Although rural Texas residents have some access to medical care, it is often limited by poverty, lack of health insurance or coverage under public programs, cultural barriers, racial discrimination, and limited education. It is inaccurate to say that rural residents receive health care if health is defined in terms of environmental, physical,…

Articles in this special issue are devoted to psychosocial aspects of Acquired Immune Deficiency Syndrome (AIDS) prevention in the African-American community. The core assumption is that the values, beliefs, and world views of people of African descent must be understood for AIDS prevention to be effective. (SLD)

The first in a series intended to provide child caregivers, parents, schools, health departments, and regulatory agencies with recent resources on child health and safety, this bibliography cites sources on the topic of controlling infections in child care settings. The list of annotated references contains background information and resource…

Although there exists in the minds of urban Texans the myth that rural life is especially healthy, in fact the mental and physical health of rural Texans is markedly worse than that of urban Texans. If health is defined in terms of environmental, physical, mental, and social factors, it is inaccurate to say that rural residents are receiving…

A broad range of topics deals with the development, maintenance, and full utilization of a healthful school environment, encompassing such areas as--(1) school organizations which affect the student environment, (2) accident prevention, (3) the criteria for healthful food services, (4) physical education and the necessary athletic facilities, (5)…

The wars that began in 1991 in the countries of the former Yugoslavia caused widespread child suffering. This workshop report presents the findings from the Workshop on the Impact of War on Child Health held for doctors from Bosnia-Herzegovina, Croatia, Macedonia, Serbia, and Slovenia. The workshop's goal was to address the common interest in the…

This document contains the texts of 10 panel discussions presented at a seminar designed to give the media an opportunity to learn about occupational health problems. Discussed first were protecting the American worker, and disease on the job. Personal testimony on worker health and a case study of the effects of asbestos were presented. Also…

The problems of those children who are chronically malnourished, the cultural environment of malnutrition, and the extent to which children are temporarily or permanently handicapped in learning because of malnutrition are discussed in this booklet. It also describes hunger and its effects on child development. The topics addressed are: definition…

The size of Texas and the distribution of its population result in service delivery, economic, educational, transportation, communication, and health problems. Texas is the second largest state in the nation, is third largest in population, has a population growing at a faster rate than the national average, and is a primarily rural state--20% of…

In order to direct its curriculum units at critical health issues facing the migrant population, Project HAPPIER (Health Awareness Patterns Preventing Illness and Encouraging Responsibility) conducted two surveys focusing on the health status of migrants and their needs for further health information. The present survey, with data from 109 migrant…

The challenges to Congress posed by the threat of Acquired Immune Deficiency Syndrome (AIDS) to children are to support the development of more humane and cost-effective treatment and care, and to stop the spread of the Human Immunodeficiency Virus (HIV). The rate of reported HIV infection and cases of AIDS among children and youth is increasing.…

Discusses the health-related implications of environmental hazards for children. Argues that low-income, minority communities are disproportionately affected, thus spurring the environmental justice movement which calls for equitable dealing with hazards. Suggests that children are at the greatest physical health risk, and that educators are in a…