Bulletin: Israeli Palestinians and Arab Minorities in Israel

Books

Nadim N. Rouhana, Israel and its Palestinian Citizens

 

 

Articles

• Yasmin Aboud-Halabi and Michal Shamai, The Role of Parents in Defining Collective Identity of Arab Adolescents in Israel
• Muhammad Amara, Language, Identity and Conflict: Examining Collective Identity through the Labels of the Palestinians in Israel
• Asnat Dor and Hana Hallifa-Yunnis, Prolonged Coresidence: Israeli Arab Emerging Adults Who Live with Their Parents
• Sfaa Ghnadre-Naser and Eli Somer, The Nakba Experience among Internally Displaced Palestinians in Israel
• Caesar Hakim, Jenny Kurman, and Yohanan Eshel, Stereotype Threat and Stereotype Reactance: Performance of Palestinian Citizens of Israel on Achievement Tests
• Tal Meler, Palestinian-Israeli Single Mothers Accord Motherhood a New Meaning
• Kareem Nasser, Dalia Sachs, and Amalia Sa’ar, A Necessary Evil: Residential Placement of People with Intellectual Disability among the Palestinian Minority in Israel
• Paul S. Rowe, Palestinian Christian Civil Society Organizations and the Survival of the Christian Minority in Israel-Palestine
• Amalia Sa’ar, Alisa C. Lewin, and Dalit Simchai, Feminist Identifications among Jewish and Palestinian Students in Israel
• Maha Sabbah-Karkaby and Haya Stier, Education and Age at Marriage among Palestinian Women in Israel
• Maisa Totry-Fakhoury and Nurit Alfasi, Applying Complexity Theory for Analyzing Arab-Palestinian Towns in Israel
• Ghadir Zreik, David Oppenheim, and Abraham Sagi-Schwartz, Infant Attachment and Maternal Sensitivity in the Arab Minority in Israel

 

New Article: Shenkman and Shmotkin, Meaning in Life Among Gay and Heterosexual Fathers

Shenkman, G., and D. Shmotkin. “The Association Between Self-Perceived Parental Role and Meaning in Life Among Gay and Heterosexual Fathers.” Journal of Family Psychology. (early view; online first).

 

URL: http://www.ncbi.nlm.nih.gov/pubmed/27123673

 

Abstract

The association between self-perceived parental role and meaning in life (indicated by personal growth and purpose in life) was explored among 82 Israeli gay fathers that were individually matched with 82 heterosexual fathers. Self-perceived parental role was associated with meaning in life and this association was moderated by sexual orientation, demonstrating a significant positive association between self-perceived parental role and meaning in life among gay fathers but not among heterosexual fathers. The results are interpreted in light of the unique parental role gay fathers possibly construct in the context of intentional parenting and through possible life circumstances which appear associated with increased feelings of personal growth and purpose in life.

 

 

 

New Article: Enosh et al, Attitudes Toward Domestic Violence Among FSU Immigrants

Enosh, Guy, Elazar Leshem, and Eli Buchbinder. “Attitudes Toward Domestic Violence and Corporal Punishment Among Former Soviet Union Immigrants in Israel.” Violence Against Women (early view; online first).

 

URL:http://dx.doi.org/10.1177/1077801215623382

 

Abstract

The study regards attitudes of Russian immigrants in Israel toward wife abuse and corporal punishment. The sample consisted of 1,028 participants, based on a multistage cluster sampling. The study used a questionnaire related to immigration, acculturation, and attitudinal issues. The findings indicate a dual-causal model, in which corporal punishment attitudes contribute to wife abuse attitudes and vice versa. However, the effect of attitudes supporting corporal punishment was stronger than the effect of wife abuse attitudes, indicating that the attitudinal system as a precursor of violent behavior is already merging the two types of violence.

 

 

 

New Article: Levin, Meanings of House Materiality for Moroccan Migrants in Israel

Levin, Iris. “Meanings of House Materiality for Moroccan Migrants in Israel.” In Ethno-Architecture and the Politics of Migration (ed. Mirjana Lozanovska; Abingdon and New York: Routledge, 2016): 115-30.

 

 

Extract

The chapter has discussed two case studies which were chosen because they are very from one another: one migrant house has a Moroccan room which is the epitome of Moroccan design, while the other has barely anything to indicate the ethnic identity of its owner. Yet, the migrants who live in these houses have created, each in their own way through the use of material cultures, the means to tell the story of Moroccan migration to Israel and gain the long-desired recognition of Moroccan culture in Israeli society. Through the understanding of these material cultures in the migrant house, it is possible to understand the ethno-architecture of the migrant experience at the scale of the house. The analysis of house materiality of these two Moroccan migrant homes in Israel has shown that, for them, there is a collective aesthetic and sense of belonging that situates them in a role of representing their culture and explaining it to others.

 

 

 

New Article: Vyas et al, Differences in Travel Behavior Across Population Sectors in Jerusalem

Vyas, Gaurav, Christina Bernardo, Peter Vovsha, Danny Givon, Yehoshua Birotker, Eitan Bluer, and Amir Mossek. “Differences in Travel Behavior Across Population Sectors in Jerusalem, Israel.” Transportation Research Record 2495(2016).

 

URL: http://trrjournalonline.trb.org/doi/abs/10.3141/2495-07

 

Abstract

The population of Jerusalem, Israel, can be divided into three distinct ethnic sectors: secular Jewish, ultra-Orthodox Jewish, and Arab. Not only do these population sectors tend to inhabit and work in different areas of the city, but they each have unique household structures, activity patterns, mobility tendencies, and, ultimately, travel behavior. These substantial variations in behavior, largely driven by differences in culture and lifestyle that are not captured by other personal characteristics, are essential to representing travel behavior in the Jerusalem travel model. In this paper, sector differences were traced through the activity-based travel demand model framework by using the 2010 Jerusalem Household Travel Survey. Significant variations in behavior were seen both in direct relation to the population sector and in interactions with other socioeconomic and demographic characteristics such as income and gender. This is the first known travel demand model in practice to incorporate ethnic differences so extensively in its application.

 

 

 

New Book: Bekerman, The Promise of Integrated Multicultural and Bilingual Education

Bekerman, Zvi. The Promise of Integrated Multicultural and Bilingual Education. Inclusive Palestinian-Arab and Jewish Schools in Israel. Oxford and New York: Oxford University Press, 2016.

 

 

The Promise of Integrated and Multicultural Bilingual Education presents the results of a long-term ethnographic study of the integrated bilingual Palestinian-Jewish schools in Israel that offer a new educational option to two groups of Israelis–Palestinians and Jews–who have been in conflict for the last one hundred years. Their goal is to create egalitarian bilingual multicultural environments to facilitate the growth of youth who can acknowledge and respect “others” while maintaining loyalty to their respective cultural traditions. In this book, Bekerman reveals the complex school practices implemented while negotiating identity and culture in contexts of enduring conflict. Data gathered from interviews with teachers, students, parents, and state officials are presented and analyzed to explore the potential and limitations of peace education given the cultural resources, ethnic-religious affiliations, political beliefs, and historical narratives of the various interactants. The book concludes with critique of Western positivist paradigmatic perspectives that currently guide peace education, maintaining that one of the primary weaknesses of current bilingual and multicultural approaches to peace education is their failure to account for the primacy of the political framework of the nation state and the psychologized educational perspectives that guide their educational work. Change, it is argued, will only occur after these perspectives are abandoned, which entails critically reviewing present understandings of the individual, of identity and culture, and of the learning process.

 
Table of contents

• Introduction
• Part 1
• 1. Positioning the Author
• 2. Theoretical Perspectives
• 3. Methodology: From Theory to Implementation
• 4. Schools in Their Contexts
• Part 2
• 5. The Parents
• 6. Teachers at Their Work
• 7. The Children
• Part 3
• 8. School Routines: Culture, Religion, and Politics in the Classroom
• 9. Ceremonial Events
• 10. Conflicting National Narratives
• Part 4
• 11. The Graduates
• 12. Conclusions
• Author Index
• Subject Index

 

ZVI BEKERMAN teaches anthropology of education at the School of Education and The Melton Center, Hebrew University of Jerusalem. His main interests are in the study of cultural, ethnic, and national identity, including identity processes and negotiation during intercultural encounters and in formal/informal learning contexts. He is particularly interested in how concepts such as culture and identity intersect with issues of social justice, intercultural and peace education, and citizenship education.

 

 

 

New Book: Galin, Fatherhood in Transition (Hebrew)

גלין, אראלה. אבהות במעבר. סיפורה של האבהות במעבר הגירושים מנקודת מבט פסיכו-חברתית. תל אביב: רסלינג, 2015.

This book explores the fatherly experience during the transition of divorce, alongside a study of the phenomenological experience related to the construction of fatherhood in Israeli context. It examines the perspective of fathers, while bringing the stories and interpretation of forty non-custodial fathers. This book offers a glimpse into their emotional world and gives voice to their experience of fatherhood. They describe the loss of the obvious paternal space and their renewed grappling with their paternal identity, the role, their visibility in the family and Israeli society. The fathers range as subjects from traditionalism and innovation in their paternal conduct, as they continue to seek their identity and location.

This psychological research, which deals with fathers and their fatherhood in a major junction of Israeli discourse about parenting and parental relationships during divorce transition, allows academic and social discussion to acknowledge the experiences and attitudes of fathers in relation to themselves and their families. The inclusion of paternal perspectives in regards to themselves enhances the body of knowledge, raises questions about what is taken for granted and outlines new insights with respect to fathers, mothers, children and the family as a whole during the divorce process.

This book presents new theoretical conceptualizations about fatherhood in the divorce transition as a contextual experience, one which is complex and multidimensional. Fatherhood develops in an emotional space characterized by a dialectic of absence-presence, attachment-separation, and withdrawing-approaching. It is formed by four separate development routes leading to the construction of separate identities, describing four key narratives of paternity: present fatherhood, struggling fatherhood, erratic fatherhood and excluded fatherhood.

Table of Contents
1. חקר חוויית האבהות במעבר הגירושין

2. ‘להיות ברקע’

3. ההוויה האבהית: ‘להיות אב לא-משמורן’

4. הבניית האבהות הלא-משמורנית, תהליכי ההבניה: תנועה במרחב רגשי דיאלקטי

5. אבהות לא-משמורנית

6. אבהות לא-משמורנית: פרספקטיבה פסיכו-חברתית

7. הבניית האבהות הלא-משמורנית בישראל: גורמים תרבותיים וחברתיים.

New Article: Gavriel-Fried & Shilo, Perception of Family in Israel and the United States

Gavriel-Fried, Belle, and Guy Shilo. “The Perception of Family in Israel and the United States. Similarities and Differences.” Journal of Family Issues (early view; online first).

 
URL: http://dx.doi.org/10.1177/0192513X15617798
 
Abstract

Social changes in recent years have led to a broadening of the definition of family. The perception of the concept of family among the American public was assessed in 2003 and 2006 by means of the Family Perception Scale, which found that the respondents fell into three clusters, dubbed Exclusionists, Moderates, and Inclusionists. Based on a sample of adult Jewish population in Israel (N = 1,518), this study examined whether these categories could apply to the Israeli public too, and if so, whether the distribution of these clusters were the same as in the United States. The study’s findings confirm that while this classification is well suited to the perception of family in Israel, the distribution of the three clusters differs from that in the United States. These findings may indicate that while global influences promote similar views of family structures, local influences may result in different cluster distribution patterns in each society.

 

 

 

New Article: Kulik et al, Work–Family Role Conflict and Well-Being Among Women and Men

Kulik, Liat, Sagit Shilo-Levin, and Gabriel Liberman. “Work–Family Role Conflict and Well-Being Among Women and Men.” Journal of Career Assessment (early view; online first).

 
URL: http://dx.doi.org/10.1177/1069072715616067
 
Abstract

The main goal of the present study was to examine gender differences in the variables that explain the experience of role conflict and well-being among Jewish working mothers versus working fathers in Israel (n = 611). The unique contribution of the study lies in its integrative approach to examining the experience of two types of role conflict: work interferes with family (WIF) and family interferes with work (FIW). The explanatory variables included sense of overload, perceived social support, and gender role ideology. The findings revealed that for women, both FIW and WIF conflict correlated negatively with well-being, whereas for men, a negative correlation with well-being was found only in the case of FIW conflict. Contrary to expectations, social support contributed more to mitigating negative affect among men than among women. On the whole, the findings highlight the changes that men have experienced in the work–family system.

 

 

 

New Article: Strier, Fathers in Israel

Strier, Roni. “Fathers in Israel: Contextualizing Images of Fatherhood.” In Fathers Across Cultures: The Importance, Roles, and Diverse Practices of Dads (ed. Jaipaul L. Roopnarine; Santa Barbara, Calif.: Praeger, 2015): 350-67.

 

Extract

Walking the Israeli fatherhood labyrinth means rediscovering fatherhood as a highly changing and multifaceted construction. The Israeli case confirms the dynamic nature of fatherhood. Fatherhood trajectories (Zionist, ultra-Orthodox, and Immigrant Jewish, as well as Palestinian) already reviewed help us disclose the fluctuating character of fatherhood as a historical, cultural, and class-based construction. The Israeli case also questions the validity of a possible essential Israeli fatherhood and suggests the need to discuss changing fatherhoods in Israel – fatherhood as facing shared processes (westernization, familism, growing inequalities, and national conflict) and huge divides.
Of equal importance is the recognition of the complexity of the fatherhood experience as a multilayered phenomenon in which gendered images of masculinity interact with changing views of fatherhood. The Israeli case study presents fatherhood as a puzzle of internal tensions and external constraints. This frame helps us to acknowledge the contributions and shortfalls of the nation-state to grasp the changing and dynamic nature of fatherhood as a historical construction. finally, the Israeli case calls on fatherhood scholars to keep examining the impact of war and political violence on the well-being of fathers and families. In a more broad, global scope, the experience of fatherhood in Israel should call for a new discourse of fatherhood that includes the respect for human rights, the repudiation of any form of violence and injustice, and the pursue of political goals through nonviolent means.

 

 

New Article: Cohen-Israeli & Remennick, ‘As a Divorcee, I Am a Better Father’

Cohen-Israeli, Laliv, and Larissa Remennick. “‘As a Divorcee, I Am a Better Father’: Work and Parenting Among Divorced Men in Israel.” Journal of Divorce & Remarriage 56.7 (2015): 535-50.

 

URL: https://dx.doi.org/10.1080/10502556.2015.1080083

 

Extract

The article presents the emotional and cognitive experiences of divorced fathers in Israel faced with the need to balance work and family. The analysis is based on in-depth interviews with 22 divorced fathers. The main finding of the study is that divorced fathers face a more intense family–work conflict, which they did not have to contend with as married fathers. Many interviewees reported a shift in the perceived importance of work in their lives. Divorced fathers described their parenting experience as enhanced in comparison to prior married life; many of them felt that after the divorce they became better fathers.

 

 

New Article: Gagne et al, Family Expectations of Future Child Temperament

Gagne, Jeffrey R., Jerry C. Prater, Lior Abramson, David Mankuta, and Ariel Knafo-Noam. “An Israeli Study of Family Expectations of Future Child Temperament.” Family Science (early view; online first).

 

URL: http://dx.doi.org/10.1080/19424620.2015.1076494

 

Abstract

Early emerging child temperament forms the basis for adult personality and has a multitude of developmental implications. Studies have shown that some aspects of temperament can be observed prenatally, and prenatal parent ratings predict postnatal child temperament, thereby influencing future family dynamics. Little research has examined prenatal mother–father agreement on predictions of temperament, or patterns of cross-dimension associations before birth. Parental expectations of their future child’s temperament were investigated in a sample of pregnant Israeli women and their partners. Three modified temperament questionnaires were used to investigate mother–father agreement and associations between temperament dimensions. There were few significant mean differences between mothers’ and fathers’ expectations of child temperament. Parent agreement within temperament dimensions, and associations across dimensions were consistent with the postnatal literature. Findings indicate that parent impressions of child temperament are partially formed before birth, and may represent a shared hope or a ‘self-fulfilling prophecy’ in families.

 

 

New Article: Meier, Palestinian-Israeli Single Mothers Accord Motherhood a New Meaning

Meier, Tal. “Palestinian-Israeli Single Mothers Accord Motherhood a New Meaning ‘I would like to teach my children a new way of life … I’m responsible for them now’.” International Review of Sociology (early view; online first).

 
URL: http://dx.doi.org/10.1080/03906701.2015.1065563

 
Abstract

Over the last three decades, Palestinian society in Israel has undergone numerous changes, reflected in the rising numbers of families headed by single mothers. This article is based on a study conducted between 2007 and 2011 among 24 divorced, separated, and widowed Palestinian single mothers in Israel. I analyze this emerging family configuration, focusing on these women’s experiences as mothers and on how they accord new meaning to motherhood. My analysis will deal with the diverse ways these women ‘do motherhood’ and negotiate with different familial players. It will extend beyond the discourse on motherhood to shed light on the current changes in power and gender relations taking place in Palestinian-Israeli society.

 

 

New Article: Ben-David, Families at High Risk of Child Maltreatment

Ben-David, Vered. “Profiles of Families at High Risk of Child Maltreatment in Israeli Court Cases Dealing with the Termination of Parental Rights.” Child and Adolescent Social Work Journal 32.4 (2015): 359-73.

 

URL: http://dx.doi.org/10.1007/s10560-015-0378-4

 

Abstract

The present study analyzes the characteristics of children and parents in court cases dealing with the termination of parental rights, in order to draw a profile of families at high risk of child maltreatment and shed light on the professional decision-making process. The analysis of a sample of 127 cases identified various child, parent and child–parent characteristics and inter-characteristics which served as a rich database for understanding the profiles of children at risk and their parents. On the basis of these profiles, the study was able to draw a prototype of a family at high risk of child maltreatment and identify the main factors considered by the courts when determining whether or not to terminate parental rights. This paper discusses the implications of these results on the need for early and extensive professional intervention in such families.

 
 
 
 

New Article: Pasquetti, West Bank and Israeli Palestinians between Closeness and Distance

Pasquetti, Silvia. “Entrapped Transnationalism: West Bank and Israeli Palestinians between Closeness and Distance.” Ethnic and Racial Studies 38.15 (2015): 2738-2753.

 

URL: http://dx.doi.org/10.1080/01419870.2015.1077984

 

Abstract

Studies of transnationalism typically frame it in opposition to the entrapping effects of borders. Yet, for many people, transnationalism is negotiated in contexts marked by forced separation and differential mobility. Drawing on long-term fieldwork among West Bank and Israeli Palestinians, this article explores transnational ties and orientations in relation, not in opposition, to the entrapping effects of borders. Specifically, I examine the two-way traffic in emotions and perceptions that marks family, social and symbolic relationships between West Bank and Israeli Palestinians. I show how entrapping and transnational processes combine to generate a tense interplay between closeness and distance, solidarity and estrangement. The paper calls attention to complex transnational formations among people prone to entrapment such as detained and deported migrants, refugees and minorities divided by rigid borders, and it suggests that a focus on emotions and perceptions is critical if we are to understand such formations.

 

 

New Book: Goldscheider, Israeli Society in the Twenty-First Century

Goldscheider, Calvin. Israeli Society in the Twenty-First Century. Immigration, Inequality, and Religious Conflict, Schusterman Series in Israel Studies. Lebanon, NH: Brandeis University Press (imprint of University Press of New England), 2015.

This volume illuminates changes in Israeli society over the past generation. Goldscheider identifies three key social changes that have led to the transformation of Israeli society in the twenty-first century: the massive immigration of Jews from the former Soviet Union, the economic shift to a high-tech economy, and the growth of socioeconomic inequalities inside Israel. To deepen his analysis of these developments, Goldscheider focuses on ethnicity, religion, and gender, including the growth of ethnic pluralism in Israel, the strengthening of the Ultra-Orthodox community, the changing nature of religious Zionism and secularism, shifts in family patterns, and new issues and challenges between Palestinians and Arab Israelis given the stalemate in the peace process and the expansions of Jewish settlements.

Combining demography and social structural analysis, the author draws on the most recent data available from the Israeli Central Bureau of Statistics and other sources to offer scholars and students an innovative guide to thinking about the Israel of the future.

This book will be of interest to scholars and students of contemporary Israel, the Middle East, sociology, demography and economic development, as well as policy specialists in these fields. It will serve as a textbook for courses in Israeli history and in the modern Middle East.

Table of Contents

• List of Tables and Figure
• Preface
• Acknowledgments
• Nation-Building, Population, and Development
• Ethnic Diversity Jewish and Arab Populations of Israel
• Immigration, Nation-Building, and Ethnic-Group Formation
• Arab Israelis Demography, Dependency, and Distinctiveness
• Urbanization, Residential Integration, and Communities
• Religiosity, Religious Institutions, and Israeli Culture
• Inequality and Changing Gender Roles
• Education, Stratification, and Inequality
• Inequality and Mortality Decline
• Family Formation and Generational Continuities
• Emergent Israeli Society Nation-Building, Inequalities, and Continuities
• Appendix: Data Sources and Reliability
• Bibliography
• Index

New Article: Buchbinder & Karayanni, Arab Battered Women Coping with Stigmatization

Buchbinder, Eli, and Nisreen George Karayanni. “Rejection and Choice: Arab Battered Women Coping with Stigmatization After Leaving Battered Women’s Shelters in Israel.” Journal of Ethnic & Cultural Diversity in Social Work 24.3 (2015): 235-50.

 

URL: https://dx.doi.org/10.1080/15313204.2014.991981

 

Abstract
In the collectivist Arab society, intimate partner violence (IPV) is considered to be a personal and a family problem. Arab women who seek refuge in shelters for battered women are perceived as violating a cultural norm. This study focused on how Arab women cope with living independently in the community after spending time in a shelter. In this qualitative study, 12 women between the ages of 25 and 42 were interviewed, after having spent six to 30 months in the shelter. Since then, they had been living in the community. Analysis of the interviews revealed that the women described their independent lives as positioned between two poles: On one pole, they experienced stress and rejection from the family and society, which caused them pain, anger, and loneliness. On the other pole, the women experienced strength that enabled them to find meaning in their right to choose. The discussion of the study findings focuses on the dialectical relationships between the social stigma of rejection and the women’s self-transformation toward an empowered identity in the context of a collectivist-patriarchal community.

 

 

New Book: Shoham, Prison Tattoos. A Study of Russian Inmates

Shoham, Efrat. Prison Tattoos. A Study of Russian Inmates in Israel. New York: Springer, 2015.

 
 

 

Table of Contents

1. Introduction 1
2. The Inmates Community   5
3. Tattoos 41
4. Anthropological Study 59
5. Typology of Tattoos Among Russian Inmates in Israeli Prisons   63
6. Tattoos and Gender  83
7. Criminals’ Tattoos Versus Normative Tattoos 87
8. Rehabilitation Programs for Russian Inmates in the Israeli Prisons 91
9. Summary 95

Bibliography 101

Index 107

 
 
 
 
Prof. Efrat Shoham is a senior criminologist in Ashkelon Academic College, Israel. She is the Chairperson of the Israeli Society of Criminology, and the research committee of the Israeli Prisoners Rehabilitation Authority.

New Article: Finzi-Dottan & Cohen, Predictors of Involvement and Warmth of Custodial Fathers in Israel

Finzi-Dottan, Ricky, and Orna Cohen. “Predictors of Involvement and Warmth of Custodial Fathers in Israel: Comparison with Married and Noncustodial Divorced Fathers.” Family Process (early view; online first).

 

URL: http://dx.doi.org/10.1111/famp.12124

 

Abstract

This study compared the levels and predictors of paternal warmth and involvement of 218 custodial fathers to 222 married fathers and 105 noncustodial (NC) divorced fathers in Israel. The examined predictors were fathers’ perceptions of their own fathers; their own caregiving behaviors and parental self-efficacy; and child characteristics and coparental coordination. Results indicated that being a custodial father was associated with more involvement than being a married or NC divorced father. Regression analyses revealed that experience of care with own father predicted fathers’ involvement, whereas own father control was related to lower paternal warmth. Lower avoidant caregiving and high paternal self-efficacy predicted both paternal involvement and warmth, whereas perceiving the child as more difficult predicted lower paternal warmth. Higher levels of coparental coordination were associated with more paternal involvement, whereas low coparental coordination was associated with less involvement, primarily among NC divorced fathers. These interactions highlight the distinct paternal behavior of custodial fathers. Unlike married and NC divorced fathers, they showed more warmth, regardless of their avoidant caregiving. Results are discussed in light of the different roles played by fathers in the three groups.

New Article: Barak et al, Where to Die? A Study of Cancer Patients in Israel

Barak, Frida, Sofia Livshits, Haana Kaufer, Ruth Netanel, Nava Siegelmann-Danieli, Yasmin Alkalay, and Shulamith Kreitler. “Where to Die? That Is the Question: A Study of Cancer Patients in Israel.” Palliative and Supportive Care 13.2 (2015): 165-70.

 

URL: http://dx.doi.org/10.1017/S1478951513000904

 

Abstract

Objective: Most patients prefer to die at home, but barely 30% do so. This study examines the variables contributing to dying at home.

Methods: The participants were 326 cancer patients, of both genders, with a mean age of 63.25 years, who died from 2000 to 2008 and were treated by the palliative care unit of the Barzilai Hospital. Some 65.7% died at home and 33.4% in a hospital. The data were extracted from patient files. The examined variables were demographic (e.g., age, gender, marital status, ethnic background, number of years in Israel until death), medical (e.g., age at diagnosis, diagnosis, nature of last treatment, patient received nursing care, patient given the care of a social worker, patient had care of a psychologist, family received care of a social worker, patient had a special caregiver), and sociological (e.g., having insurance, having worked in Israel, living alone or with family, living with one’s children, living in self-owned or rented house, family members working).

Results: The findings indicate that the chances of dying at home are higher if the patient is non-Ashkenazi, the family got social worker care, the patient lived in a self-owned house, the patient lived with his family, the family members worked, and the patient’s stay in Israel since immigration was longer. Logistic regression showed that all the predictors together yielded a significant model accounting for 10.9–12.3% of the variance.

Significance of results: The findings suggest that dying at home requires maintaining continued care for the patient and family in a community context.