Cultivating Interest and Competency in Gerontological Social Work: Opportunities for Undergraduate Education

Undergraduate social work programs are well-positioned to recruit students to gerontology, but little is known about how well curricular activities help foster students' commitment to the field. This study considers whether a small group of undergraduate students' interactions with older adults positively impacts students' plans to work with older adults; perceptions of skills; and feelings of comfort and competency in working with older adults. Experiences from this study suggest that experiential learning can positively impact students' perceptions of work with older adults, but may not be enough to draw students to the field. Implications for undergraduate education are discussed.     

Older LGBT Adult Training Panels: An Opportunity to Educate About Issues Faced by the Older LGBT Community

Older lesbian, gay, bisexual, and transgender (LGBT) adults face unique issues that can impede their well-being. Although many advances have helped address these issues, there is a need for education efforts that raise awareness of service providers about these issues. This study explores evaluation data of training panels provided by older LGBT adults and the views of training participants on issues faced by the older LGBT community after attending the panels. Participants were 605 students and professionals from over 34 education and communication settings. Implications for trainings on participants and older LGBT trainers are discussed.     

Assesssing Cohort Birth Expectations Data from the Current Population Survey, 1971–1981

Data from the fertility supplements to the Current Population Survey from 1971 to 1981 indicate that in the aggregate, the lifetime birth expectations of married women 18 to 39 years old in 1971 will closely approximate their completed cohort fertility. During this period, the youngest group of women, 18 to 24 years old, delayed their childbearing; their short-term expectations (1971–76) were not realized, but they made up enough births in the latter half of the decade to enable them to attain their lifetime birth expectations. In retrospect, the “failure” of birth expectations data to predict the “period” fertility downswing in the 1970s resulted not from poor predictions of married women, but rather from unanticipated marital and subsequent childbearing patterns of women who were single at the beginning of the decade. The authors conclude that birth expectations are useful predictors of completed cohort fertility, if adjustments are made to incorporate changes in the proportions married within the birth cohort.     

“Opening the door”: developing and pilot testing an adult protective services worker engagement training in New York city

About 10% of Americans over the age of 60 experience elder abuse (EA), but EA is frequently under detected. As the primary responders for alleged EA cases, Adult Protective Service (APS) caseworkers are ideally positioned to improve detection and intervention. The Opening the Door (OTD) training was developed in a multidisciplinary setting and designed in collaboration with APS workers to enhance their engagement skills in potential EA cases and thus maximize the possibility of disclosure. Rooted in a relational approach and utilizing adult learning theory, it is divided into three main topics: Preparing for Engagement, Engagement Practice, and Processing Engagement. The eight-hour training was piloted with three groups of urban APS caseworkers with a wide range of work experience. Pre- and post-tests and case reflections indicate a positive impact on caseworkers' sense of self-efficacy, while focus groups indicate the necessity for ongoing provision of trainings and development of additional supports for APS caseworkers. Future work could further explore the efficacy of the training and expand its reach.     

Unifying the poverty line: a critique of maintaining lower poverty standards for the elderly

Since 1982, the elderly poverty rate reported by the U.S. Census Bureau has fallen below the rate for the nonelderly population. This is cited as evidence of the success of U.S. social policies to benefit the elderly. But lower elderly poverty rates are an artifact of the fact that a lower, more stringent poverty line is applied to the elderly living in one- and two-person households, who constitute 85% of elderly persons. If the same poverty standard is applied to the elderly as to the nonelderly, the poverty rates are the same or slightly higher. The poverty line was originally based on the cost of an adequate diet. The lower standard for the elderly was based on the fact that the elderly consume fewer calories than nonelderly adults. This article shows there is no justification for this lower standard, and recommends its elimination. The overall nutrient requirements of the elderly are not lower, and the elderly spend a higher proportion of their budgets on food and on other necessities (shelter, health care) than the nonelderly. Alternative units of analysis examined under different income-pooling assumptions also show that poverty rates are not lower among the elderly than the nonelderly.     

Social,behavioral, and biological factors,and sex differences in mortality

Few studies have examined whether sex differences in mortality are associated with different distributions of risk factors or result from the unique relationships between risk factors and mortality for men and women. We extend previous research by systematically testing a variety of factors, including health behaviors, social ties, socioeconomic status, and biological indicators of health. We employ the National Health and Nutritional Examination Survey III Linked Mortality File and use Cox proportional hazards models to examine sex differences in adult mortality in the United States. Our findings document that social and behavioral characteristics are key factors related to the sex gap in mortality. Once we control for women’s lower levels of marriage, poverty, and exercise, the sex gap in mortality widens; and once we control for women’s greater propensity to visit with friends and relatives, attend religious services, and abstain from smoking, the sex gap in mortality narrows. Biological factors—including indicators of inflammation and cardiovascular risk—also inform sex differences in mortality. Nevertheless, persistent sex differences in mortality remain: compared with women, men have 30% to 83% higher risks of death over the follow-up period, depending on the covariates included in the model. Although the prevalence ofriskfactors differs by sex, the impact of those riskfactors on mortality is similar for men and women.     

Educational Attainment and Mortality in the United States: Effects of Degrees,Years of Schooling,and Certification

Researchers have extensively documented a strong and consistent education gradient for mortality, with more highly educated individuals living longer than those with less education. This study contributes to our understanding of the education–mortality relationship by determining the effects of years of education and degree attainment on mortality, and by including non-degree certification, an important but understudied dimension of educational attainment. We use data from the mortality-linked restricted-use files of the Panel Study of Income Dynamics (PSID) sample (N = 9821) and Cox proportional hazards models to estimate mortality risk among U.S. adults. Results indicate that more advanced degrees and additional years of education are associated with reduced mortality risk in separate models, but when included simultaneously, only degrees remain influential. Among individuals who have earned a high school diploma only, additional years of schooling (beyond 12) and vocational school certification (or similar accreditation) are both independently associated with reduced risks of death. Degrees appear to be most important for increasing longevity; the findings also suggest that any educational experience can be beneficial. Future research in health and mortality should consider including educational measures beyond a single variable for educational attainment.     

Comparing mortality estimates based on different administrative records

This study investigates how age and race are reported in interviews and on death certificates and how these demographic assignments affect life expectancy estimates for the total population, for males and females, and for blacks and whites. Differential reporting of demographic characteristics can produce different estimated life expectancies and thus differential assessments of the sex and race gaps in life expectancy. This difference underscores the need to define demographic characteristics carefully and to examine multivariate models and projections cautiously.     

The multiregional matrix growth operator and the stable interregional age structure

Current population-forecasting efforts generally adopt minor variants of the cohort-survival projection method. This technique focuses on a population disaggregated into cohorts, a group of people having one or more common characteristics at a point in time and, by subjecting each cohort to class-specific rates of fertility, mortality, and net migration, generates a distribution of survivors and descendants of the original population, at successive intervals of time.Although cohort-survival methods take on a large number of variations, they all are essentially trend-based, dynamic, aspatial models of growth. The temporal element is introduced by a recursive structure which operates over a sequence of unit time intervals. The spatial dimension, when it is included at all, typically is accommodated by replicating the analysis over as many areal units as comprise the study area. Realistically, however, time and space need to be considered jointly in population-forecasting models. The need for interregional models which systematically introduce place-to-place movements and simultaneously consider the spatial as well as the temporal character of interrelated population processes is becoming increasingly apparent.Recently several demographers have taken advantage of the conceptual elegance and computational simplicity of matrix methods of population analysis. Their models, however, assume a "closed" population which is subject only to the processes of fertility and mortality. These, therefore, are not directly applicable to interregional "open" systems in which migration is frequently a much more variable and important contributor to population change than births or deaths. However, a natural extension of the demographer's matrix model allows one to incorporate place-to-place migration and provides an integrated interregional population-forecasting model which easily may be programmed for any of the current generation of digital computers. Such a model is outlined in this paper.