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In 2003, the Canadian Federal/Provincial/Territorial Task Force on Seniors identified social isolation as an important issue for further study and policy development given that socially isolated persons are considered to be more vulnerable to both inappropriate use of the health care system and poorer health outcomes. In order to provide adequate support to this vulnerable population, it is critical to untangle the complex web of relationships that influence the need for care, and the health status and service utilization patterns of socially isolated older adults. Using data from the 2000–01 Canadian Community Health Survey (CCHS), this article explores social isolation as a multidimensional social construct examining in particular the axes of gender and geography to try to tease out some of this complexity and its relationship to health status and service utilization. When individual characteristics like gender are considered together with broader contextual variables like place of residence, a more comprehensive and layered portrait of vulnerability among socially isolated persons begins to emerge with insights into their unique patterns of health and service use. For example, home care may be an extremely critical resource for keeping older women in their homes and out of hospital. On the other hand, among socially isolated older men, those living in rural communities may be particularly ‘invisible’, neither benefiting from home care nor having strong social supports. It seems plausible then that both men and women may be in need of special interventions or targeted programmes to help them to remain, or to become, more socially integrated in their communities as they age in place. In addition, this article addresses some of the limitations of using both a quantitative analytic approach and the CCHS dataset itself in grappling with such complexity.  相似文献   
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SUMMARY: Examinations of the imposition of colonial ideologies actualized through the mechanism of plantation, or enforced settlement, in Ireland often highlight plantation as a stark process that was founded upon, and thus fully accommodated to, a fully-fledged version of mercantile capitalism. Yet on the ground, engagements between peoples reveal that ideologies were incompletely applied, plantation plans seldom realized and new economic formulations incompletely rendered. On close examination, seemingly incompatible economic structures (Gaelic, Old English and incoming plantation) emerge as capable of mutation and accommodation, thus forcing a reconsideration of the rigid interpretations of the rise of capitalism in the early modern Atlantic that has typified scholarship in historical archaeology. The gaps between rhetoric and reality are considered, and a case made for how a more nuanced consideration of the intersections of culturally disparate political economies can yield a deeper understanding of colonial encounters and colonial settings.  相似文献   
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Drawing on examples from Achill Island, County Mayo and from the north Antrim uplands, notions of marginality, isolation, and cultural stagnation associated with upland landscapes are explored in light of contradictory material and documentary data, raising questions about the materiality of marginality and challenging static, nationalist presentations of rural Irish life in the post-medieval period. Discussion of the Irish evidence is contextualized with reference to the twentieth-century construction of marginality in southern Appalachia.  相似文献   
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Renewed examination of an enigmatic settlement site perched atop a cliff above Murlough Bay in Goodland Townland, County Antrim, Northern Ireland calls into question long held ideas about Gaelic rural economy on the eve of the Ulster Plantation by reintroducing the complex cultural and political relationships between the north of Ireland and the Scottish isles. Long interpreted as temporary post-medieval booley huts associated with seasonal transhumance, recent re-evaluation of the site suggests instead that Goodland represents a permanent seventeenth-century Highland Scottish village. Although the medieval linkages between the north of Ireland and the Scottish isles have long been acknowledged, twentieth-century sectarianism has subjugated awareness of the Highland (Roman Catholic) Scots focusing upon the legacy of the in-migration of Protestant Lowland Scots during the Ulster Plantation. Material evidence at Goodland re-introduces the Highland Scot to the contested landscape of contemporary Ulster identity, while also facilitating analysis of continuity, change, and cultural complexity in the rural economy of early modern Ireland.  相似文献   
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