Please read the abstract (Summary) in the section, 00front of this document / Dissertation (MA (Library and Information Science))--University of Pretoria, 2008. / Information Science / MA / unrestricted

Similar to most other large North American cities, that area of Vancouver which at the beginning of the present century was at the hub of a young and vigorous regional economy, is now playing host to the castoffs of our society made up of those who are suffering from physical and emotional ill health or have fallen by the wayside because of poverty and lack of skills and education. The social agencies serving the area recognize that by and large their efforts are only of an emergency nature and leave the basic problems untouched. A comprehensive program to deal effectively with the problems of skid road requires resources beyond the means of these agencies and will require extensive support, financial and otherwise, from civic and senior governments. A number of the agencies serving the area have been instrumental in bringing the dilemma to the attention of civic authorities and in recommending remedial and preventive action. Studies and programs which have been undertaken on Skid Road in the United States, point the way to a solution of similar problems in Vancouver. At the same time research on the subject is still relatively limited, and much more needs to be known, especially of the situation as it exists at the local level. The present study is intended to add to the fund of basic knowledge on Skid Road in Vancouver. This is a necessity if effective planning and action are to take place. In the introductory chapter Skid Road is portrayed in terms of its historical and present physical and social characteristics. A review of two recent studies on Skid Road in Vancouver familiarized the reader with some of the problems of the area and suggests possible ways of coping with these. A few observations on newspaper coverage of the area conclude the chapter. In Chapter II a summary of several studies and projects on Skid Road in the United States offers a means of comparison to the local scene. The second half of the thesis focuses on an examination of the problems and social policy of Skid Road in Vancouver, as seen by representatives of social agencies serving the area and the clientele served. The purpose of the study, its scope, and the materials and methods used, are outlined in greater detail. In chapter 4 the research data are classified and presented in table form where appropriate. A brief analysis of the data is also presented. The final chapter contains observations on the research project and its findings as a whole. The thesis ends with a number of recommendations and conclusions on the basis of the findings. The study was intended primarily as a further exploration of the problem area. Definite conclusions were not expected. At the same time, the following observations deserve closer consideration. It was felt that particular attention be given to the establishment of: a) a multipurpose agency in the Skid Road area b) a variety of hostels and halfway houses located throughout the city c) a coordinating body to deal with Skid Road problems / Arts, Faculty of / Social Work, School of / Graduate

The basic premises of this study is that the poor people should not be manipulated by the rich and powerful for their selfish end. Though they are poor, they are God’s people and God loves them as well. Growing up in the poor rural areas of Herschel, the researcher was the victim of apartheid laws at an early age. He experienced the pangs of hunger and on many occasions was tempted to steal. As a small boy he had many unanswered questions, when he saw white boys of his age being well fed, clad, and staying in beautiful homes. Later as a minister, working with Rev. S.R. Kumalo, in Ivory Park informal settlement, the researcher was touched by the plight of the poor living in shacks. In 2001 he was stationed in the neighbouring Olievenhoutbosch informal settlement. Here he was confronted with circumstances that perpetuated poverty among the poor, such as lack of job opportunities, no formal school buildings, sports facilities that keep the youth away from crime, no sites for churches, shops, clinics and police station. The people felt neglected and betrayed by the very government they voted for in 1994 and 1998. The government has failed to fulfill the promises made then. The poor even question the existence of God, as poverty in this area is absolute. If God does exist, as far as they are concerned, he has either forgotten them, or turned his back on them. Caring for the poor was a major challenge to the researcher. He had to study and acquire skills of empowering and liberating the poor from their morass. The researcher used Gerkin’s biblical traditional method of shepherding God’s people, as used in Old Testament times. He also applied Masango’s liberation theology as a way out to freedom from bondage of oppression. The researcher also identified five forms of poverty that affects the poor people of Olievenhoutbosch, but emphasis is zeroed on economic poverty, as it affects all their spheres of life. The daily struggle of the poor here is how to keep the body and soul together. The economic poverty has resulted in other evil repercussions, such as prostitution or sex work, which in turn leads to wide spread of pandemic HIV/AIDS, crime such as house breakings, car hijackings and general robbery, are on the increase. The poor are neglected by the politicians and the rich. Every time during political campaigns the politicians remember that there are people to be addressed in Olievenhoutbosch, they visit them. After elections the politicians disappear to come back again when there is the next political campaign. The researcher views this as the manipulation of the poor by the powerful for their own selfish ends. The researcher has included the stories of the poor to back up their suffering after being used as pawns by the politicians. As means of healing the poor people of Olievenhoutbosch informal settlement, the researcher has recommended some pastoral care guidelines. The poor must be encouraged to re-evaluate and come out of their state of inertia and start to live a new life. They must be empowered to use their voting power to change their circumstances and lives. They must end their exploitation through their sheer numbers. The lesson of liberation will also focus on the powerful as they are the victims of greed and power hungry. Nobody can really be happy and live comfortably when the neighbor is starving and unhappy. The boycotts and marches taking place recently in the townships are a sign that the masses can no longer tolerate their sufferings, and unfulfilled promises. In concluding this study the researcher has suggested the way forward for pastoral care-givers. He has further suggested some researches that need to be done. At the end of this study the researcher also became aware of his own weaknesses, which are his personal ongoing struggles and challenges that must be subdued in the new democratic South Africa. / Dissertation (MA(Practical Theology))--University of Pretoria, 2006. / Practical Theology / unrestricted

The three chapters of my dissertation study household finance, with a particular interest in financial institutions and poor households. Specifically, I study constraints households have that are unobservable to institutions yet impact their interaction and the effectiveness of government interventions that aim to ease or facilitate these exchanges. Chapter 1 studies the behavior of payday loan borrowers by using bank-transaction level data on household spending, income, and loan activity to document three novel stylized facts. They suggest that a payday borrower is poor, has volatile income, and uses payday loans to smooth baseline consumption needs after an adverse idiosyncratic income shock. Chapter 2 builds on these findings to motivate a short-term lending model. The equilibrium contract under realistic frictions matches the observed payday loan contract on multiple dimensions, specifically when borrowers have low expected income and high-income volatility. I then calibrate my model using my bank-transaction dataset and find welfare increases between 5% and 28.7% when rollover fees decrease and initial fees increase. Chapter 3 studies the efficiency of government healthcare subsidization schemes, with a specific interest in the underlying mechanisms that financially motivate hospitals to serve the uninsured. We study a Disproportionate Care Hospital (DSH) payment scheme that supports hospitals treating a disproportionately higher fraction of uninsured patients. We demonstrate that DSH payments lead to social welfare loss, especially in a system with large and small hospitals, compared to the second-best mechanism. We then use the setting of the Global Payment Program (GPP) program, which compliments DSH by providing primary care, to show that direct and assured payment for primary care improves social welfare. Overall, my dissertation seeks to understand the development of an equilibrium contract structure between financial institutions and the poor, examine methods of greater efficiency, and evaluate the impact of government interventions to alleviate tensions between these parties.

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No description available.

Thesis (PhD)--Stellenbosch University, 2004. / ENGLISH ABSTRACT: Good health is a major imperative for social, economic and personal development, thus an important dimension of quality of life. Quality of life, in turn, is significantly influenced by access to the goods and services provided by the State. Access to infrastructure and services such as water and sanitation, has direct effects on health. Thus, the delivery of health, water and sanitation services should ensure improved access to basic needs, enhance the health profile of poor communities and their access to employment opportunities. Safe clean water supplies and adequate sanitation services therefore are among the major determinants of health. Health-related services such as water and sanitation should ensure a certain average life expectancy and eliminate mass disease and ill health. Mindful of the fact that there are many factors that determine the quality of life, the aim of the study was to investigate the impact of health, water and sanitation services in improving the quality of life among poor communities. To do this, this study adopted a comparative qualitative analysis approach between poorly serviced and adequately serviced areas. Subsequent to the findings, this study espouses constructive suggestions and recommendations that could act as guidance to community development agencies' strategies in amelioration of the quality of life among poverty-stricken communities. The research was based on a narrow model of services (health, water and sanitation services) that have impact on improving the quality of life among poor communities. The empirical findings of this study indicate these services to be insufficient to draw conclusive findings in other aspects of the survey. The research was conducted in a sample of 573 households in 6 communities in the Eastern Cape and Western Cape Provinces in South Africa. The sample comprised 3 communities in the category classified as poorly serviced with health, water and sanitation services, and 3 communities that were regarded as adequately provided with these services. The data was gathered by means of structured questionnaires, administered by the researcher with the assistance of a trained field worker. Additional, the data was gathered by means of a semi-structured, open-ended interview with a Sister-in-Charge of a clinic in the rural villages. The interaction between variables on the improvement of the quality of life were explored by means of basic statistics, which made it possible to assess the effects of independent and dependent variables. The results of data analysis provided support for the proposition contained in the premise of the study that although the provision of health, safe clean water and adequate sanitation services lead to improvement in the standard of living, their impact alone does not incorporate all the attributes that enhance quality of life as suggested by mainstream schools of thought in the health sector. Poverty-related factors also have to be taken into account. As such, the findings of this study have shown that poverty, combined with poor public health conditions, inadequate nutrition, overcrowded poor quality housing, lack of accessible drinking water and sanitation, renders communities vulnerable to ill health. Given the poor socio-economic conditions prevalent in the communities under investigation, it was not surprising that tuberculosis was most prevalent in all areas. In line with the premise of this study, there were instances that povertyrelated factors such as income, housing and nutrition had significant influences with regard to improvement in the quality of life. It became evident therefore that in certain instances, health, water, and sanitation services alone are not sufficient to make conclusive findings. Thus, the impact of povertyrelated factors such as income, housing and nutrition necessitate expansion of factors that impact on the quality of life to include their influence. / AFRIKAANSE OPSOMMING: Goeie gesondheid is 'n belangrike vereiste vir sosiale, ekonomiese en persoonlike ontwikkeling, en dus ook 'n wesenlike aspek van 'n goeie lewensgehalte. Toegang tot goedere en dienste wat deur die staat voorsien word, het ook 'n beduidende invloed op lewensgehalte. Boonop het die toegang tot infrastruktuur en dienste soos water en sanitasie 'n direkte invloed op gesondheid. Die lewering van gesondheids, water- en sanitasiedienste verseker dus die bevrediging van basiese behoeftes, onderwyl arm gemeenskappe se gesondheidsprofiel en daarmee saam hul toegang tot werksgeleenthede verbeter word. Toegang tot veilige en skoon waterbronne en voldoende sanitasiedienste is gevolglik van die belangrikste gesondheidsbepalers. Gesondheidsverwante dienste soos water en sanitasie verseker 'n sekere gemiddelde lewensverwagting, en verminder die moontlikheid van wydverspreide siektetoestande. Met inagneming van die feit dat lewensgehalte deur talle faktore beïnvloed kan word, was die doel van hierdie studie om ondersoek in te stel na die invloed van gesondheids, water- en sanitasiedienste op die verbetering van lewensgehalte in arm gemeenskappe. Gevolglik is 'n vergelykende analise tussen areas met swak dienslewering en areas met bevredigende dienslewering uitgevoer. Op grond van die bevindinge word sekere voorstelle en aanbevelings gemaak wat kan dien as riglyne vir ontwikkelingsagentskappe ter bevordering van die lewensgehalte in arm gemeenskappe. Die navorsing was gegrond op 'n beperkte model van dienste (gesondheids, water- en sanitasiedienste) wat die verbetering van lewensgehalte in arm gemeenskappe beïnvloed. Die empiriese bevindinge van die studie toon aan dat hierdie dienste onvoldoende is om as basis te dien vir beslissende uitsprake oor ander aspekte van die opname. Die studie het 'n steekproef van 573 huishoudings in 6 gemeenskappe in die provinsies van die Oos-Kaap en Wes-Kaap in Suid-Afrika ingesluit. Die steekproef het bestaan uit 3 gemeenskappe met swak gesondheids, water en sanitasiedienste, en 3 gemeenskappe waar sulke dienste op 'n bevredigende vlak voorsien word. 'n Gestruktureerde vraelys is gebruik om die navorsingsinligting in te samel, wat deur die navorser en 'n opgeleide veldwerker toegedien is. Bykomende inligting is bekom deur 'n semigestruktureerde onderhoud met die verpleeghoof van 'n kliniek in 'n landelike gemeenskap. Die invloed van die verskillende veranderlikes op lewensgehalte is deur middel van basiese statistiese analise geëvalueer. Die resultate van die data-analise verleen 'n mate van steun vir die premis van die studie dat hoewel die voorsiening van gesondheid, veilige, skoon water en voldoende sanitasie tot 'n beter lewenstandaard kan lei, die uitwerking daarvan as sodanig nie alle vereistes insluit vir 'n beter lewenstaard nie, soos voorgestaan deur hoofstroom denkskole in die gesondheidsektor. Faktore wat met armoede verband hou moet ook in ag geneem word. Die studie se bevindinge dui dus daarop dat armoede, tesame met swak openbare gesondheidstoestande, onvoldoende voeding, gebrekkige behuising en swak water- en sanitasiegeriewe gemeenskappe meer kwesbaar maak. Weens die swak sosio-ekonomiese toestande in die gemeenskappe in die steekproef, is gevind dat tuberkulose wydverspreid voorkom. Alhoewel die studie se hipotese met betrekking tot verskeie aspekte bevestig is, was daar ook gevalle waar armoede-verwante faktore soos inkomste, behuising en voeding 'n beduidende rol gespeel het. Dit het dus geblyk dat gesondheids, water- en sanitasiedienste nie in alle gevalle voldoende is om swak lewensgehalte te verklaar nie. Dus sal die faktore wat op lewens kwaliteit 'n impak maak, uitgebrei moet word om vir die invloed van armoede-verwante faktore soos inkomste, behuising en voeding voorsiening te maak.

Thesis (DTh)--University of Stellenbosch, 2002. / ENGLISH ABSTRACT: This dissertation develops a theory for doing Malawian urban ministry called "Holistic hermeneutical practical theology." The effects of urbanization: secularization, disorientation, poverty and pollution in Malawi's urban centers make it difficult for the CCAP to implement successful ministry that deals with the shantytowns' circumstances. Chapter one: The first chapter describes the Malawian urban context. It defines the five components of the researcher's topic of study: "Urban poverty as a challenge for ministry within the Malawian (African) context" and the three components of the methodology: "Holistic hermeneutical practical theology." Four relational hypotheses are formulated to guide the study. Different research methods applied to gathering information for chapters of this dissertation are documented at the end of this chapter. Chapter two: The second chapter examines the CCAP's existing ministry practice and addresses the first hypothesis: "Its rural background and theory of ministry prevent the CCAP from developing an effective urban ministry that adequately addresses the problems of the poor." The missionaries introduced a comprehensive ministry approach to the early leaders of the CCAP Nkhoma Synod. In the process of blending the missionary approach to ministry in the local Chewa context, a philosophy of ministry that emphasizes spiritual salvation (neglecting the physical needs) was developed in the CCAP Nkhoma Synod. This approach poses a problem for the Church to adequately address the physical needs and realities of Malawians in the cities. Chapter three: The third chapter discusses the poverty situations of Malawian and South African shantytowns and slums and is the result of research conducted in order to examine the validity of the four hypotheses. The responses of the groups interviewed were helpful for an understanding of the current congregational challenges and ministry opportunities in urban areas. This chapter addresses issues of this thesis positively: research objectives, the population growth data of urban inter-censal, a brief historical description of Malawian cities, the government efforts to address urban challenges and problems, the CCAP ministry approach to urban ministry, and a brief description of two South African poverty scenarios. The research reveals that the church and the government work independently of each other. In this way the validity of the third hypothesis: "A holistic approach to urban ministry with joint forums for development is needed to address urban poverty problems," is confirmed. Chapter four: This chapter describes the extent of poverty in Malawi, which is most disturbing. The recent studies on Malawian poverty indicate that the poverty scenario is a pervasive problem affecting approximately 60% of the population; urban poverty, in particular, is 65%. Furthermore, chapter four discusses a number of issues, some of which are: a description and Christian views of the poor, an overview definition of urban poverty, the causes of poverty and the vocation of the urban church. The cities' informal economies can make a huge difference in the lives of the poor. All of the four hypotheses form the background to this chapter. Chapter five: Chapter five examines four different approaches of the urban ministry in poverty areas. The purpose of this chapter is to understand the approaches of current work in poverty areas. Various approaches are discussed: community organization, effective congregationally based advocacy ministries, a liberation model, and a church in solidarity with the poor and oppressed. This chapter repeatedly confirms the first and the fourth hypotheses. Chapter six: In this chapter the theory of a holistic, hermeneutical practical theology is applied to a number of activities called pillars, juxtapositioning it with the four hypotheses. This is presented as a model for doing urban ministry in Malawian (African) cities. In the process of describing or developing the model, the four hypotheses - that have already been thoroughly proved and discussed - now serve as orientation markers pointing the CCAP towards its future role in urban ministry. The model emphasizes a hermeneutic-communicative praxis, which makes it constantly concerned with understanding the Christian meaning produced in the past, and relating it to interaction with the present-day faith community. Thus, the church in urban Malawi will address the challenges presented by the effects of urbanization and industrialization. The model's ten pillars are discussed: i) ministry in a new era and context, ii) urban ministry among the poor requires community participation, iii) proclaiming the Gospel in word and deed, iv) Christian faith development, v) urban evangelism, vi) effective pastoral care, vii) the need to build faith communities, viii) the need to equip the urban mission, ix) moving towards ecumenical alliances in African cities, and x) the importance of congregational studies. Chapter seven is a summary and conclusion of the dissertation. It discusses issues of this thesis positively: orientation of the study hypotheses, congregational study methods used in each chapter, the study's path and results, the contribution the study has made to the existing knowledge, and the conclusion of the whole dissertation. Urbanization is Africa's new missionary challenge for this century. The Christian task in Africa is the mission of the continent, which is in the process of rapid urbanization. If the church delays its adaptation to the urban context (the theories of which are changing constantly) it will forsake her strategic mission of being a foreign body in the world, where the old and new overlap in her, rendering her too early for heaven and too late for the earth. / AFRIKAANSE OPSOMMING: Hierdie proefskrif ontwikkel 'n teorie vir die Malawiese stadsbediening wat beskryf word as 'n "Holistiese hermeneutiese praktiese teologie." Die invloed van verstedeliking, sekularisasie, disorientasie, armoede en besoedeling in Malawi se stedelike sentra maak dit moeilik vir die CCAP om suksesvolle bediening, onder plakkersdorp-omstandighede, te implementeer. Hoofstuk een: Die eerste hoofstuk beskryf die Malawiese stedelike konteks. Dit omskryf die vyf komponente van die navorser se studie-onderwerp, "Stedelike armoede as 'n uitdaging vir die bediening binne die Malawiese (Afrika) konteks" en die drie komponente van die metodologie, "Holistiese hermeneutiese praktiese teologie." Vier verwante hipoteses is geformuleer om as riglyn vir die studie te dien. Verskillende navorsingsmetodes, toegepas vir die inwin van inligting vir hierdie tesis se hoofstukke, word aan die einde van hierdie hoofstuk beskryf. Hoofstuk twee: Die tweede hoofstuk ondersoek die CCAP se huidige bedieningspraktyk en is gerig tot die eerste hipotese: "Die CCAP se landelike agtergrond en teorie van bediening verhinder die kerk om 'n doeltreffende stedelike bediening te ontwikkel wat die armes se probleme toereikend kan aanspreek." Die sendelinge het 'n omvattende bedieningsbenadering vir die vroee leiers van die CCAP Nkhoma Sinode ingestel. In die proses om die sendingbenadering tot die bediening in die plaaslike Chewa konteks in te voer, is 'n filosofie van bediening wat die geestelike verlossing beklemtoon (terwyl fisieke behoeftes verwaarloos word) in die CCAP Nkhoma Sinode ontwikkel. Hierdie benadering veroorsaak 'n probleem vir die Kerk om die fisieke behoeftes en realiteite van stedelike Malawiers toereikend aan te spreek. Hoofstuk drie: Die derde hoofstuk bespreek die Malawiese en Suid-Afrikaanse plakkersdorpe en agterbuurtes se toestande van armoede. Die hoofstuk is die produk van navorsing wat die geldigheid van die vier hipoteses ondersoek het. Die reaksies van die groepe met wie onderhoude gevoer is, het bygedra tot 'n begrip van die huidige gemeentelike uitdagings en bedieningsgeleenthede in stedelike gebiede. Die proefskrif spreek die volgende kwessies in hierdie hoofstuk aan: navorsingsdoelstellings, die tussentydse data van die bevolkingsgroei van stedelike gebiede, 'n kort historiese beskrywing van Malawiese stede, die regering se pogings om stedelike uitdagings en probleme aan te spreek, die benadering van die CCAP tot stedelike bediening en 'n kort beskrywing van twee Suid-Afrikaanse armoede-tonele. Die navorsing toon dat die kerk en die regering onafhanklik van mekaar werk. Dus, die geldigheid van die derde hipotesis: "'n Holistiese benadering tot die stedelike bediening met gemeenskaplike forums vir ontwikkeling is nodig om stedelike armoedeprobleme aan te spreek" is hiermee bevestig. Hoofstuk vier: Hierdie hoofstuk beskryf die ontstellende impak van armoede in Malawi. Die onlangse studies, met betrekking tot Malawiese armoede, toon dat die armoede-toneel 'n deurdringende probleem is wat ongeveer 60% van die bevolking raak; stedelike armoede, in die besonder, is 65%. Hoofstuk vier bespreek 'n aantal kwessies, sommige hiervan is: 'n beskrywing en Christelike perspektief op armoede, 'n oorsigtelike definisie van stedelike armoede, die oorsake van armoede en die roeping van die stedelike kerk. Die stede se informele ekonomiee kan 'n baie groot verskil in die lewens van die armes maak. Al vier hipoteses vorm die agtergrond van hierdie hoofstuk. Hoofstuk vyf: Hierdie hoofstuk ondersoek vier verskillende benaderinge tot stedelike bediening in areas van armoede. Die doel van hierdie hoofstuk is om die benaderinge in arm dele te verstaan. Verskeie benaderinge word bespreek: gemeenskapsorganisasie, doeltreffende gemeentelik-gebaseerde voorspraakbedienings, 'n bevrydingsmodel en 'n kerk in solidariteit met die armes en verdruktes. Hierdie hoofstuk bevestig herhaaldelik die eerste en die vierde hipoteses. Hoofstuk ses: In hierdie hoofstuk word die teorie van 'n holisties-hermeneutiese praktiese teologie toegepas op 'n aantal aktiwiteite, wat pillare genoem word, en stel dit naas die vier hipoteses. Dit word voorgestel as 'n model vir stedelike bediening in Malawiese (Afrika) stede. In die proses om die model te beskryf of ontwikkel, dien die vier hipoteses (wat reeds deeglik bewys en bespreek is) nou as orientasie merkers wat die pad vir die CCAP vir sy toekomstige rol in die stedelike bediening aanwys. Die model beklemtoon 'n hermeneuties-kommunikatiewe praktyk, wat gedurig in verband gebring word met die verstaan van die Christelike betekenis wat in die verlede teweeggebring is en wat dit, deur interaksie met die huidige geloofsgemeenskap, in verband bring. Dus, die kerk in stedelike Malawi sal die uitdagings wat deur die uitwerking van verstedeliking en industrialisasie gebied word, aanspreek. Die model se tien pilare word bespreek: i) bediening in 'n nuwe era en konteks, ii) stedelike bediening onder die armes benodig gemeenskapsdeelname, iii) die verkondiging van die Evangelie in woord en daad, iv) Christelike geloofsontwikkeling, v) stedelike evangelisasie, vi) doeltreffende pastorale sorg, vii) die behoefte vir die opbou van geloofsgemeenskappe, viii) die behoefte om die stedelike sending toe te rus, ix) die vorm van ekurneniese alliansies in die stede van Afrika, en x) die belangrikheid van gemeentelike studies. Hoofstuk sewe is 'n opsomming en afsluiting van die proefskrif. Dit bespreek hierdie proefskrif se hoofpunte: die orientasie en die hipoteses van die studie, die navorsingsmetodes geimplementeer in elke hoofstuk, die studie se ontwikkeling en resultate, die bydrae van die studie tot die bestaande kennis, en die afsluiting van die werk. Afrika se stede is die nuwe sendinguitdaging. Die Christelike taak in Afrika is die evangelisasie van die vasteland wat tans in die proses van snelle verstedeliking is. Indien die kerk in gebreke bly om in die stedelike konteks aan te pas, sal die kerk sy strategiese missie versaak om lig in die wereld te wees.

This longitudinal study examined factors influencing the relationship between sustained partner violence and depression/suicidality among ethnically diverse, low income, community women. The sample at Wave 1 consisted of 303 African American, 273 Euro-American, and 260 Mexican American women in long term relationships with a household income less that twice the poverty threshold. There were no ethnic differences on frequency of partner violence, depression, or suicidality. The moderate relationship between partner violence and women's depression, confirmed previous findings. Frequency, but not recency, of violence predicted depression and suicidal ideation for African Americans and Mexican Americans, even after controlling for earlier depression or ideation. Recent violence did not predict Euro-American's depression or suicidality after controlling for initial scores. Causal and responsibility attributions for partners' violence did not mediate the relationship between violence and depression or suicidality in any ethnic group. However, African American women's attributions of global effects for violence mediated the relationship of violence on depression and suicidal ideation. Poverty level and marital status moderated the relationship between violence and the number of times women seriously considered and actually attempted suicide. Frequent violence was most lethal among the poorest women and marriage provided the least protection for women in the most violent relationships. Specifically, poverty status moderated violence on consideration of suicide for African Americans and Euro-Americans and suicide attempts among Mexican Americans. Marital status moderated partners' violence on suicidal ideation and attempts for Mexican Americans and consideration of suicide for Euro-Americans, but was not a moderator for African Americans' depression or suicidality. Women with different ethnic backgrounds appear to differ in the ways partner violence contributes to their depression and suicidality. Policy implications include the need to offer suicide intervention, particularly for low income women seeking services for violence. Mental health professionals should routinely inquire about partner violence when women present with depression or suicidality. Further, sensitivity to ethnic differences is recommended when confronting women's attributions regarding violence.

One of the greatest social injustices is that people who are marginalized experience more illnesses, disability, and shorter lives than those who are more affluent (Benzeval, Judge, and Whitehead, 1995). In this dissertation I critique the notion that health is affected by poverty through primarily material factors. In fact, poor women are systematically excluded from resources and opportunities to pursue their health. This feminist action research project addressed how poverty and exclusion influenced poor women's health, examined how a group of women negotiated their experiences of poverty and health, and developed action strategies to address their shared concerns. For 1 V2 years I worked with a group of 30 poor women and gathered qualitative data from 15 meetings, 32 interviews, and 30 sets of fieldnotes. The women lived in material deprivation and could not afford the most basic living necessities. They felt stereotyped, excluded, and invisible in their every day lives. The stereotype of the "welfare recipient" fueled institutional stigmatization and surveillance. Welfare, health care, and community recreation workers were threatening, withheld important information, and limited the women's access to services through chscriminatory practices and policies. The women had limited access to health-promoting resources, and their interactions with authorities were shaming which negatively influenced their psychosocial health through stress, depression, low self-esteem, and anger. Services that were meant to help them labelled them as poor and hurniliated them. The women's shame, material scarcity, and limited access to resources engendered feelings of lack of control and hopelessness and influenced their health. The women's varied discourses of poverty and health reflected attempts at finding legitimacy in a society that systematically excluded and de-legitimized them. Through their conversations and our feminist action research work together, they uncovered legitimate identities within experiences of poverty and ill-health and advocated action and social change. They cited a "livable" income, accessible health-promoting resources, and redressing stigmatizing practices and policies as changes required to improve their health. These findings confirmed that the social determinants of health must be reframed to better understand the effects of exclusion on poor women's health and that inclusion, respect, and dignity are fundamental conditions for promoting health.