Mandatory Testing of Drivers on the Basis of Age and Degenerative Diseases: Stakeholder Opinions

Concerns about the driving competence of older drivers have led to policy discussions about mandatory aged-based and disorder-based assessments. This study explored the attitudes, beliefs, and preferences of older adults, law enforcement officers, and licensing authorities toward reexamination of driving skills for persons with Alzheimer's disease (AD) and Parkinson's disease (PD) and at varying ages. With few exceptions, participants across all groups supported retesting drivers with AD. Moderate support was given for further evaluation of 90-year-olds and those with PD. Least endorsement was given for reassessment of 70-year-old drivers. Findings have implications for legislative changes to address drivers with AD and PD and at older ages.     

An Examination of Older Immigrants' Use of Dental Services in the United States

The recent influx of immigrants aged 65 and older in the United States triggers an increasing need to understand older immigrants' dental services use. This paper uses data (n = 9,617) from the 2004 and 2006 waves of the Health and Retirement Study to examine the dental services use of older Americans. In particular, this study focuses on differences in dental services use between immigrants and natives and potential contributing factors. Multivariate logistic regression analyses showed, contrary to expectation, that older immigrants were more likely to use dental services than older natives despite numerous barriers (odds ratio = 1.30 in 2004). The results in 2006 confirmed these findings. The results from 2004 and 2006 analyses showed dental insurance coverage, sex, and marital status were associated differently with dental services use for immigrants and natives. Implications for current oral health policies and future research of older Americans are discussed, as well as methods for meeting older immigrants' growing dental services needs.     

Elder Abuse:

Perpetrator and incident characteristics were studied in regard to incidents of emotional, physical, and sexual mistreatment of older adults (age 60+) in a national sample of older men and women. Random digit dialing across geographic strata was used to compile a nationally representative sample; computer assisted telephone interviewing was used to standardize collection of demographic, mistreatment, and perpetrator and incident characteristics data. The final sample size consisted of 5,777 older adults. Approximately one in ten adults reported at least one form of mistreatment, and the majority of incidents were not reported to authorities. Perpetrators of physical mistreatment against men had more “pathological” characteristics compared to perpetrators of physical mistreatment against women. Perpetrators of physical mistreatment (compared to emotional and sexual mistreatment) also evidenced increased likelihood of legal problems, psychological treatment, substance use during incident, living with the victim, and being related to the victim. Implications for future research and social policy are discussed.     

Parenting stress among US Army spouses during combat‐related deployments: the role of sense of coherence

The present study seeks to model the effects of parenting stress on contentment experienced by spouses of soldiers deployed to Iraq for long periods of time (n= 200). Using the ABC‐X model from family stress and resiliency theory, a path analysis determined that, in addition to parenting stress, the length of deployment and the ethnic background of the Army spouse also acted as contributing stress factors influencing not only contentment, but perception of family coping and the sense of coherence experienced by the spouse during long‐term deployments (mean = 4.6 months). The mean age of children in the home was found to have significant effect on sense of coherence in this particular sample of women. The influence of the stressors in the statistical model on life contentment was mostly ameliorated by sense of coherence (i.e. perception of comprehensibility, manageability and meaningfulness in daily life). In other words, spouses with higher sense of coherence experienced better contentment with their lives during deployments. The study also captures qualitative responses and provides several themes associated with daily experiences of Army spouses. Implications for both military and civilian social workers are discussed.     

The Changing Shape of Soviet Mortality, 1958–1985: An Evaluation of Old and New Evidence

Changes in mortality in the Soviet Union have attracted the attention of both scholars and the popular media. After a hiatus of more than ten years, the government of the Soviet Union has released data on mortality for the 1980s, which allow assessment of recent changes. The new life table for 1984–85 shows that mortality of Soviet females has improved at ages below 45 and deteriorated above that age since the last age-specific mortality data were published in the early 1970s, while mortality of males has improved at ages below 25 and deteriorated above that age. At the same time, the official mortality rates for persons aged 60 and over in 1958–59, 1968–71, and 1984–85 are implausibly low. Poor-quality data at the older ages, particularly in rural areas and the less developed regions of the country, contributed to these low mortality rates of the old. As data quality has improved with time, the reported mortality rates at old ages have increased. Adjustment of the official data for error, especially above age 60, shows that whereas the reported value of e₀ for males fell by 1.5 years between 1958–59 and 1984–85, the actual value probably fell by no more than 0.5 years; the corresponding figures for females were a reported rise of one year, and an actual rise of at least two years. Examination of these Soviet data illustrates how important consideration of error in mortality statistics of the old can be in understanding mortality trends.     

Assessing the Potential Impact of the HIV-1 Epidemic on Orphanhood and the Demographic Structure of Populations in sub-Saharan Africa

Much of the debate on the demographic consequences of the HIV epidemic in sub-Saharan Africa has so far centred around the plausibility of population declines in areas where unprecendently high rates of population growth have recently been in evidence. In this article, the authors use a mathematical model, which combines epidemiological and demographic processes, to illustrate how, under a broad range of impacts on population growth, major changes in demographic features, such as the extent of orphanhood within populations, are likely to occur. At the same time, HIV epidemics are liable to cause significant shifts in the age and sex composition of affected populations, which may have important implications for the ways in which they are best able to cope with the increases in orphanhood, as well as those in infant, early childhood and adult mortality.     

High Fertility,High Emigration,Low Nuptiality: Adjustment Processes in Scotland's Demographic Experience, 1861–1914, Part II

In Part I of this paper (published in the previous issue) we outlined the major contrasts in demographic experience between almost all areas of Scotland and most of England during the later nineteenth and early twentieth centuries. We also demonstrated the existence of significant regional differences within Scotland. In Part II, interpretations are offered for these various contrasts in experience. Four Scottish regional case studies are examined, each of which shows a different combination of nuptiality, marital fertility and out-migration. In studying each case, stress is laid on the ways in which the prevailing demographic regime, if it is examined as an interrelated whole, can be seen as involving highly appropriate adjustments to the ecological, economic, and institutional contexts of the region. In this approach, ‘innovation’ aspects of the fertility decline are therefore played down; instead, for some parts of the country in particular, continued very high fertility among those who married is seen as a highly rational response to particular local social and economic situations which also encouraged very low nuptiality, and moderate or high levels of out-migration. The much lower nuptiality in Scotland compared to England is explained in part by reference to constraints on access to housing and the very limited availability of any support from the Poor Law, and in part through limited economic opportunities in a more slowly growing economy.     

Parenting Black children in White spaces: Skilled African migrants reflect on their parenting experiences in Australia

This paper employs a critical race theory (CRT) perspective to probe the experiences of skilled African migrants parenting Black children in Australia, a predominantly White country. Two key themes emerged from this study: (1) the need to explicitly teach children about race and racism and to foster positive racial identities and (2) the complexities of navigating tensions between ‘African’ and ‘Western’ cultural values. Participants demonstrated high levels of awareness of intercultural parenting approaches and a desire to blend the best aspects of African and Australian cultural values in their own parenting practice. A significant paradox was also apparent in the tension between parental desires to inculcate pride in African ancestry and culture, while simultaneously encouraging children to ‘curate’ their blackness to minimize experiences of racialization. Social workers in Australia often play a critical role in the lives of migrant families as they support them to negotiate transitions in parenting contexts. Although this paper only offers a perspective on the parenting experiences of skilled African migrants and how they creatively manage the tensions and change emerging from this process, we suggest that this understanding helps to expand knowledge on the complexity of parenting in multicultural, transcultural and intercultural contexts.