Social and Emotional Functioning of Older Asian American Adolescents

This study identified a constellation of psychosocial problems reported by older Asian American adolescents that was different from their Caucasian peers. When compared to 386 Caucasian American adolescents from the same community, Asian American students performed better academically and reported fewer delinquent behaviors. However, these Asian American youth reported higher levels of depressive symptomatology, withdrawn behavior, and social problems. They also perceived themselves more poorly and were more dissatisfied with their social support. These differences highlight the unique mental health needs of older Asian American youth. Practice recommendations are made that consider traditional Asian values and the role that family members can play in the development of effective treatment plans.     

Linking race and well-being within a biopsychosocial framework: variation in subjective sleep quality in two racially diverse older adult samples

Differential life experiences associated with race may critically affect the balance between physical and psychological well-being. This study investigated an age-related and disease-related symptom, restless sleep, among older African American and white members of two sociodemographically matched cohorts, community-dwelling older adults and older adults with chronic renal failure undergoing maintenance dialysis therapy. Sleep behaviors reflect age-dependent and disease-dependent homeostatic and circadian state regulation but are also socioculturally patterned. As hypothesized, restless sleep was significantly more characteristic of the older adults in the chronic disease cohort. With non-renal health conditions, depressed mood, perceived health, medication use, and sociodemographic variables controlled, however, African Americans were significantly less likely than whites in the chronic disease cohort to report restless sleep. African American and white patients differed in their expression of public and private religiousness, which in turn were associated, respectively, with depressed mood and restless sleep complaint. In addition, we suggest that differences for African American and white patients in the environmental exposure of chronic dialysis therapy, including African Americans' greater social integration within the dialysis treatment setting, contributed to their being less at risk than their white peers for subjective perception of sleep decay, a marker of overall well-being.     

Shifting Perceptions of Race and Incarceration as Adolescents Age: Addressing Disproportionate Minority Contact by Understanding How Social Environment Informs Racial Attitudes

African American youth disproportionately experience incarceration in the United States and a number of programs have been created to address disproportionate minority contact (DMC) with the juvenile justice system. Thus, we aim to understand the ways in which race and incarceration are conceptualized differently by younger and older youth. Within these age categories we explore how perceptions of incarceration and crime inform racial attitudes among African American adolescents. We also investigate how a program grounded in an operating framework that extols an achievement ideology and designed to decrease DMC among African American adolescent males shapes participants’ attitudes about race and incarceration and their perceived future trajectories Our findings suggest the older participants were less likely to embrace achievement ideology and more likely to be aware of the structural barriers related to race. Thus, a more culturally responsive, critically engaged intervention may be more appropriate for African American youth.     

Parenting in Later Life: A Cross-Cultural Study

This study explored older parents’ beliefs about their parental role with their adult children, their perceptions of intergenerational conflicts between themselves and their adult children, and the negotiation of autonomy versus dependence with adult children in later life. The influence of cultural norms and mutual dependence on these intergenerational relationships was also evaluated. Focus groups were conducted with two groups of older adults attending a senior center in New York City—one who identified as American and the other as Asian Indian. Implications of the findings and recommendations for social workers are highlighted.     

Older Adults and Their Vulnerabilities to the Exposure of Violence

According to US Census Bureau projections, there will be an estimated 72 million people over the age of 65 in the USA by the year 2030. Exposure to violence and crime victimization has serious physical, emotional, mental, and economic consequences for the growing older population in the USA. It should thus come as no surprise that much sociological attention has focused more on examining the correlates of violence for the older American population. We intend to provide an overview of the typologies, empirical research, and the pertinent factors associated with older people and their exposure to violence. We then discuss necessity to further research and our understanding of the important social problem of the exposure of violence for older people in the USA. In conclusion, implications of research findings of how to address the vulnerabilities of older people in relationship to their exposure to violence are discussed.     

Parent child relations among very old parents in Wales and the United States: A test of modernization theory

This study contrasts the structure of parent-child relationships of older parents living in Wales, U.K. with those of older parents living in the United States. Specifically, we examine whether the principal dimensions of intergenerational solidarity and their associations with each other, are invariant across two national cultures. Comparable measures are assessed from the responses of older parents participating in three surveys: Bangor Longitudinal Study of Ageing (N = 139), USC Longitudinal Study of Generations (N = 129) and AARP Study of Intergenerational Linkages (N = 102). Overall, there were fewer differences than expected among the samples. Although proximity and contact with adult children were higher among older parents in the Wales sample, there were no appreciable differences in emotional closeness and receipt of help. However, there was a significantly higher correspondence between proximity and emotional closeness among Welsh parents than among both samples of American parents, suggesting that parents in North Wales forge more intimate ties with local children. Moreover, older Welsh parents were more likely than older parents in the American samples to receive help from children who were both proximate and emotionally close. The results are interpreted in terms of the greater importance that neolocality plays in promoting inter generational integration within more traditional cultures and more rural societies.     

Social Relationships of African American and Hispanic Older Assisted Living Residents: Exploring the Role of Race and Ethnicity

African American and Hispanic older adults are underrepresented in assisted living communities, so little is known about how they experience social relationships in these settings. The purpose of the study was to explore resident-to-resident and resident-to-staff relationships experienced and perceived by African American and Hispanic older residents in assisted living settings. In-depth interviews with 15 African American and 15 Hispanic older adults were conducted in seven assisted living communities in Central Florida. Three salient themes emerged using a grounded theory approach: formation of relationships: emotional vs. instrumental support; language as a facilitator or barrier; and avoidance of inter-racial relationships. Implications for providing culturally competent services in assisted living communities with diverse populations are discussed.     

Everyday Conflict and Stress Among Older African American Women

Abstract

Older African American women are at high risk for morbidity due to anger suppression and stress. Yet sources of everyday stress and conflict in the lives of older African American women have not been documented. Such information is essential for developing health promotion programs. A focus group study was conducted with older African American women on everyday stress and conflict. Everyday stress stemmed from worries about functional disability and about accessing transportation. Everyday conflicts occurred with adult children, teen-aged grandchildren, and older neighbors or peers. Conflicts with adult children centered on how the adult child was raising his/her children. Conflicts with grandchildren centered on social respect. Conflicts with neighbors/peers centered on perceived rudeness or past transgressions. Participant strategies for dealing with stress and conflict tended to be avoidant. A training program in constructive conflict strategies for older African American women is presented that draws on information gained in the focus groups.     

Religion, suffering, and health among older Mexican Americans

Pain and suffering are deeply embedded in the ethos of Mexican American culture. Consequently, it is not surprising to find that many Mexican Americans turn to their faith in an effort to deal with the pain and suffering that arise in their lives. The purpose of the current study is to explore the interface between pain, suffering, religion, and health among older Mexican Americans. Three major themes emerged from in-depth qualitative interviews with 52 older Mexican Americans. The first is concerned with whether pain and suffering are a necessary part of religious life, the second has to do with the potential benefits that pain and suffering may provide, and the third involves whether it is necessary to bear pain and suffering in silence. In the process of reviewing these themes, an effort is made to show how they may be linked with the physical and mental health of older Mexican Americans.     

Parenthood in the Twenty-First Century: African American Grandparents as Surrogate Parents

African American grandparents serve important roles as surrogate parents. Historically they are honored and recognized for their extraordinary service in augmenting the child welfare system. This article provides a contemporary view of the significant number of African American grandparents who serve as surrogate parents. Their assets and challenges are discussed. Following on the work by Dr. Linda Burton and collaborators in 1995, this article addresses the relationship between temporal context, developmental context, and ethnic/racial context of the life course as it relates to grandparenthood in the twenty-first century. In addition to the discussion of African American grand-parenting trends, challenges and benefits in the twenty-first century, the article presents implications of these contexts for the surrogate parenting by older African Americans relative to social work education, research, and policy.     

A case study of an African American stepgrandmother raising adopted grandchildren

Research on the perspectives of older African American stepgrandparents raising adolescent grandchildren is underdeveloped. This case study research uses a culturally sensitive conceptual framework to explore the experiences of one African American stepgrandmother raising adopted grandchildren. The participant was identified in a larger study of older grandparents raising adolescent grandchildren. An in-depth, face-to-face interview was conducted in a public place. The themes described by this older African stepgrandmother included (1) strong family ties overlaid with family conflict and emotional difficulties, (2) traditional philosophies of parenting and childrearing that conflicted with her spouse, (3) reliance on a constellation of support including her religious community, and (4) recommendations for improving resource development. The findings of this case study identify critical issues for this older African American stepgrandmother. Although the findings are not meant to generalize, social workers and other helping professionals can benefit from the increased knowledge gained from this stepgrandmother’s experiences that can inform issues for exploration with similar caregivers.     

Acculturation,Gender Disparity,and the Sexual Behavior of Asian American Youth

Asian American youth are less likely to be sexually active than adolescents from other ethnic groups; however, with acculturation, they may adopt the more liberal sexual norms of American society. Moreover, owing to differing parental expectations for sons and daughters about sexuality, gender disparity might exist in the adoption of American sexual norms. This article used the proportional hazards model and the generalized estimating equations Poisson model to examine how acculturation influences the initiation of sexual intercourse and the number of sexual partners. The results show that acculturation leads to more liberal sexual mores among Asian American youth. However, despite what might be expected from the sexual double standard, the models show that more acculturated females, as indicated by their use of English at home, had an earlier onset of sexual intercourse and a higher number of sexual partners. This is the opposite of what would be predicted by the sexual double standard theory. This might be due to the fact that Asian females tend to be more socially accepted by the host society than Asian males. Information on partners shows that Asian American females have more diversified racial backgrounds than their male counterparts. They are also more likely to have older sexual partners.     

A city within a city: A “snapshot” of aging in a HUD 202 in Detroit, Michigan

Because of a recent surge of aging in place literature, we know a considerable amount about how older adults wish to remain in long lived-in homes and communities. However, there are still gaps in our knowledge. What happens when older adults live in a community that does not support their everyday needs? This paper represents an initial attempt to explore how one group of poor, non-white, central city residents in Detroit, Michigan make sense of and organize a new age-segregated home. Findings presented in this article are based on 30 in depth and photographic elicitation interviews with African American, low-income, older adults living in one Housing and Urban Development 202 (HUD 202). Findings suggest that participants in this sample cultivated a new urban space within the facility to compensate for the deficiencies of a deteriorated inner-city neighborhood. I use these findings to encourage broader conceptualizations and consideration for the aging in place model to be more inclusive to the lived experiences of older adults who occupy oppressed places.     

Inconsistencies in reporting the occurence and timing of first intercourse among adolescents

Two types of reporting inconsistency for sexual initiation were analyzed--event occurrence and its timing--using data from two waves of the National Longitudinal Study of Adolescent Health (Add Health). Overall, 11.1% of those who reported they were sexually active at the time of first interview denied this at the subsequent one. Males of each race/ethnic group had higher percentages of inconsistency than their female counterparts. Being older, not living with parents, or having a highly educated mother was negatively associated with rescinding. Among those reporting sexual experience at both interviews, only 22.2% reported the same date of first sex. On average, teens revised their age at first sex to older ages, and boys, especially African American boys, had large variability in reporting dates, as did teens with lower verbal ability. Seven strategies for resolving inconsistent reports are presented and implications for substantive findings are discussed.     

Narratives and self-identity in later life: Two rural American older women

Older adults often draw on memories to construct stories about themselves that help them to retain and validate their self-identities, doing this within the cultural contexts that have shaped their lives. In this paper, we examine the life history narratives of two working class, rural American older women and the ways in which those narratives are similar despite one major difference: one has dementia. In both cases, major themes that are consistent with gender-based, working class, rural American cultural values are dominant, including closeness of family, hard work, ties to the land, and religious faith. In the first case, she reconstructs memories of her life in accordance with dominant cultural and personal values, downplaying the ways in which her experiences were “out of step” with these values. In the second case, her sense of identity remains and is expressed through her co-constructed memories although she is experiencing cognitive loss.     

Conceptions of Family and Adoption Among Older Adoptees

ABSTRACT

Research on older child adoptions that incorporates the adoptee's perspective is noticeably absent from the literature. Drawing on the theoretical, clinical and empirical literature on children's understanding of family and adoption, this paper reports a study that examined older adoptees' conceptions of family and adoption relative to nonadopted peers. Interviews with 15 children adopted between ages 8 and 11 and a sample of 15 demographically matched nonadopted children (47% male; 84% Caucasian, 13% African American, 3% Biracial Asian/American) provided data that were analyzed for differences in children's understanding and elaboration of family and adoption concepts. Although no group differences were found in children's basic understanding of family or adoption, differences emerged in children's ratings of the acceptability and typicality of family constellations, as well as in the nature of concept elaboration. Older adoptees were more likely to accept and view as typical nontraditional family constellations. Whereas nonadopted children relied more on biological themes, older adoptees' concept elaboration was qualitatively richer, reflecting their varied birth family and foster care experiences. Within-group comparisons among older adoptees revealed differences: Children with more experience in foster care and children who lived in the adoptive home longer displayed higher levels of family understanding and a more realistic perspective of the permanence of the placement. Implications for future research and adoption service delivery are discussed.     

Sustaining an intimate and sexually fulfilled marriage or partnership in older adulthood with a disability: Perspectives of social workers

ABSTRACT

The American portrayal of sex is often left for only the young, attractive, and able-bodied. In contrast many studies have found that older adults with disabilities in marriages and intimate partnerships have sexual desire and sexually active lives. Social workers are often burdened with balancing the sexual intimacy desires of their older adult clients with disabilities, alongside the need to protect them from sexual abuse and exploitation, particularly among those who may lack the capacity to consent due to cognitive impairment. This phenomenological study aimed to understand the lived professional experience of social workers (N = 5) in supporting married and intimately partnered couples in which at least one person was an older adult with a disability to understand the clients’ needs and common social work practice methods used to address their needs. Inductive coding was used to identify themes and subthemes. Their role included helping their clients to learn about their ability to have sex, consenting to sex, negotiating accommodations for intimacy and sex with their spouses, and counseling those who took on caregiver roles for their spouses. Social workers reported that individual diagnosis, such as dementia, should not alone determine one’s ability to consent to sex.     

Inconsistencies in reporting the occurrence and timing of first intercourse among adolescents

Two types of reporting inconsistency for sexual initiation were analyzed—event occurrence and its timing—using data from two waves of the National Longitudinal Study of Adolescent Health (Add Health). Overall, 11.1% of those who reported they were sexually active at the time of first interview denied this at the subsequent one. Males of each race/ethnic group had higher percentages of inconsistency than their female counterparts. Being older, not living with parents, or having a highly educated mother was negatively associated with rescinding. Among those reporting sexual experience at both interviews, only 22.2% reported the same date of first sex. On average, teens revised their age at first sex to older ages, and boys, especially African American boys, had large variability in reporting dates, as did teens with lower verbal ability. Seven strategies for resolving inconsistent reports are presented and implications for substantive findings are discussed.     

Epidemiological aspects of diabetes in the aging male

Type 2 diabetes mellitus is a common chronic disease of older men, affecting an estimated 40% of American men over age 60¹. This paper reviews epidemiological aspects of diabetes mellitus in the aging male, with emphasis on the impact of diabetes in older American men. The first part of the report provides an overview of diabetes in relation to health-care costs, key demographic factors and population dynamics. The second part uses data examples from the Health, Aging and Body Composition Study to illustrate several areas of interest to researchers who study diabetes in older men.     

The social and nutritional meaning of food sharing among older rural adults

In most societies, the gift of food conveys social meaning, as well as nutritional sustenance. While food sharing has been widely noted, there has been little focused study of this practice among older adults in the US, who, as a group, are considered nutritionally vulnerable. We completed in-depth interviews with 145 adults (African American, European American, and Native American) aged 70+ years in rural North Carolina. Our objectives are (1) to describe the types of food shared by gender and ethnicity, (2) to identify values and meaning elders associate with giving and receiving food, and (3) to discuss the nutritional and social contribution food sharing makes to the lives of these rural elders. All elders participated in food sharing, as givers, recipients, or both. It is valued by these elders as a way to maintain reciprocity in social relations and to create a feeling of community membership. For older adults, receiving food gifts may augment a diet limited by income and functional status.