Societal costs of RA in the US are $19.3 billion and $39.2 billion (in 2005 dollars) without and with intangible costs, respectively. This study was one of the first to attempt to quantify the comprehensive burdens of RA. Despite several assumptions made in areas in which few data exist, the findings generate useful insights into the full burden of RA.
Fathers are more than social accidents. Research has demonstrated that fathers matter to children's development. Despite noted progress, challenges remain on how best to conceptualize and assess fathering and father–child relationships. The current monograph is the result of an SRCD‐sponsored meeting of fatherhood scholars brought together to discuss these challenges and make recommendations for best practices for incorporating fathers in studies on parenting and children's development. The first aim of this monograph was to provide a brief update on the current state of research on fathering and to lay out a developmental ecological systems perspective as a conceptual framework for understanding the different spaces fathers inhabit in their children's lives. Because there is wide variability in fathers’ roles, the ecological systems perspective situates fathers, mothers, children, and other caregivers within an evolving network of interrelated social relationships in which children and their parents change over time and space (e.g., residence). The second aim was to present examples of empirical studies conducted by members of the international working group that highlighted different methods, data collection, and statistical analyses used to capture the variability in father–child relationships. The monograph ends with a commentary that elaborates on the ecological systems framework with a discussion of the broader macrosystem and social‐contextual influences that impinge on fathers and their children. The collection of articles contributes to research on father–child relationships by advancing theory and presenting varied methods and analysis strategies that assist in understanding the father–child relationship and its impact on child development.
The current study examined low‐income, unmarried, nonresidential fathers’ engagement in co‐parenting with the child's mother. Qualitative interviews were conducted with 71 fathers attending nine different fatherhood programs in five cities that serve low‐income, primarily unmarried, nonresidential fathers. The results revealed that co‐parenting in this sample of fathers is a multidimensional construct that includes both negative and positive components. Our results also point to specific behaviors or indicators that seem to be unique to this population of fathers and mothers and that should be used to inform the development of measures of co‐parenting. The need for such measurement development is important given the growing number of unmarried, nonresident fathers and the resources that are currently being invested by federal, state, and local governments to improve low‐income, unmarried, nonresidential fathers’ involvement with their children. Co‐parenting relationships among low‐income, unmarried, nonresidential fathers and mothers are multidimensional and include both negative and positive components, including undermining, gatekeeping, parenting alliance, conflict, support, and division of labor. The components of co‐parenting that are relevant to co‐residential fathers and mothers are also relevant to low‐income, unmarried, nonresidential parents. Co‐parenting relationships between unmarried, nonresidential mothers and fathers often times involve another adult, particularly the father's new partner. Practitioners who work with low income, unmarried, nonresidential parents should conduct multi‐dimensional assessments that include both the negative and positive aspects of co‐parenting.
Health technologies aim to improve individual and population health, but they may also exacerbate health disparities. Focusing on the specific design features of technologies, their availability, and their use, we present a conceptual framework to examine how health technologies may benefit some groups more than others by combining the fundamental causes of diseases theory with a technology-in-practice approach. We examine three classes of technologies that have been associated with health inequities: once-advanced technologies such as kidney dialysis and transplantation for end-stage renal disease, which have been plagued by issues of scarcity and fair distribution, generating racial disparities; the highly anticipated precision medicine promising to change the focus from population to individualized medicine; and digital technologies, which may herald a democratization of health care. Expected final online publication date for the Annual Review of Sociology, Volume 46 is July 30, 2020. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.
Responsible fatherhood programs have proliferated in the United States during the past several decades, yet few studies have been conducted of their effects on fathers and children. Evaluation of these programs requires attention to 2 questions that have not been adequately addressed: What are the specific outcomes expected from fathers' participation in programs, and how do we measure those outcomes? In this article, we suggest 3 theoretical frameworks for fatherhood programs: attachment theory, family systems theory, and the risk-resilience perspective.Promising outcome measures and the need to develop new measures are discussed.
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