Sex life after 65: How does erectile dysfunction affect ageing and elderly men?

Introduction. We report the findings pertinent to the ageing and elderly participants of a population-based study of erectile dysfunction (ED).

Method. We examined the sociodemographic characteristics, self-reported morbidities and responses to the 5-item International Index of Erectile Function (IIEF-5) of participants aged ≥65 years and ≥80 years.

Results. Most (73%) participants were married or had partners. Among the participants aged ≥65 years, the prevalence of ED (IIEF-5 scores <22) was 67% and of severe ED (IIEF-5 scores <8) 48%. About 32% were sexually active, and 11% had regular sexual intercourse. Cardiovascular disease (CVD) was reported in 37% and diabetes mellitus (DM) in 13%, with odds of ED at 3.91 and 4.68, respectively. Among those aged ≥80 years, the prevalence of ED was 68% and of severe ED 57%. About 12% were sexually active, and 3% had regular sexual intercourse. CVD was reported in 44% and DM in 11%, with corresponding odds of ED at 2.55 and 2.90.

Conclusions. Most ageing and elderly men are in a relationship and many are sexually active. ED is prevalent and severe. Morbidities are common and significantly associated with ED, impairing the sex lives of affected men.     

Rainfall Patterns and U.S. Migration from Rural Mexico

In many rural regions of developing countries, natural resource dependency means changes in climate patterns hold tremendous potential to impact livelihoods. When environmentally‐based livelihood options are constrained, migration can become an important adaptive strategy. Using data from the Mexican Migration Project, we model U.S. emigration from rural communities as related to community, household and climate factors. The results suggest that households subjected to very recent drought conditions are less likely to send a U.S. migrant, but in communities with drought two years prior and with strong migration histories, emigration is much more likely. In regions lacking such social networks, rainfall deficits actually reduce migration propensities, perhaps reflecting constraints in the ability to engage in migration as a coping strategy. Policy implications emphasize diversification of rural Mexican livelihoods in the face of contemporary climate change.     

Social Workers as Boundary Spanners: Reframing our Professional Identity for Interprofessional Practice

One of the more difficult tasks for social work educators is socializing students into a professional identity. Social identity theory provides a lens to consider what is needed for a social work identity that will continue to be salient for students as they move into practice. Framing social workers as boundary spanners might offer students a professional identity that is congruent with core values, reflects what social workers do and places less emphasis on old debates about the profession. It also positions students well for work in the increasingly interprofessional realms of health and social care. I consider how social workers are well equipped to meet the demand created by ‘joined-up working’ for people with boundary-spanning expertise. Seeing ourselves as boundary spanners is one way to reconcile our professional and interprofessional identities, thereby increasing the chances that our students will continue to identify as social workers when they move into interprofessional practice.     

The DipSW admissions process: Laying the foundations for social work training

Recruitment and selection to DipSW is an essential, but largely ignored, activity. Here, we examine the ‘professional’ literature which emphasises setting standards for entry and the antiracist literature which explores discrimination in the selection process. The Manchester University DipSW selection process is then discussed as are some of the broader issues for selectors in balancing the competing interests of prospective students, course programmes, agencies and other interested parties. It is argued that recruitment and selection is not a simple administrative chore but is inextricably bound up with current debates about the nature of both social work practice and education.     

The Response of Schools of Social Work to the Return of Uniformed Service Members and Their Families

The following article is designed to provide an historical overview of the role that the Smith College School for Social Work has played in serving U.S. service members and their families throughout the past 91 years. Particular attention is paid to the building momentum of interest and activity at the School since 2005.     

The democratic challenges and potential of localism: insights from deliberative democracy

This article considers the democratic challenges and potential of localism by drawing on insights from the theory and practice of deliberative democracy. On a conceptual level, the ideas embedded in localism and deliberative democracy share much in common, particularly the democratic goal of engaging citizens in decisions that affect them. Despite such commonalities, however, there has been limited conversation between relevant literatures. The article considers four democratic challenges facing localism and offers a response from a systems perspective of deliberative democracy. It argues that, for localism to realise its democratic potential, new participatory spaces are required and the design of these spaces matters. Beyond structured participatory forums, local democracy also needs an active and vibrant public sphere that promotes multiple forms of democratic expression. This requires taking seriously the democratic contributions of local associations and social movements. Finally, the article argues that, to fulfil its democratic potential, localism needs to encourage greater democratic and political connectivity between participatory forums and the broader public sphere.     

Lessons Learned From the Supporting Father Involvement Study: A Cross-Cultural Preventive Intervention for Low-Income Families With Young Children

ABSTRACT

Despite the proliferation of fatherhood programs designed to promote paternal involvement and positive family outcomes, evaluations of these programs are scarce. The Supporting Father Involvement (SFI) study is a randomized clinical trial comprised of 289 low-income Spanish- and English-speaking families living in California. The evaluation design reflects a partnership stance that promotes empowerment of staff and social service agencies. This article examines lessons learned from the program's first 3 years (2002–2004) from the perspectives of both evaluators and program staff. The lessons cover a broad range of areas, including communication procedures, training, staffing, recruitment/retention, clinical needs, intervention content and process, and maintaining cultural sensitivity.     

Heterosexuals' attitudes toward hate crimes and hate speech against gays and lesbians: old-fashioned and modern heterosexism

Modern racism and sexism have been studied to examine the different ways that prejudice can be expressed; yet, little attention has been given to modern heterosexism. This study examined the extent to which modern heterosexism and old-fashioned heterosexism predict acceptance of hate crimes against gays and lesbians and perceptions of hate speech. Male (n = 74) and female (n = 95) heterosexual college students completed a survey consisting of scales that assessed modern and old-fashioned heterosexism, acceptance of violence against gays and lesbians, attitudes toward the harm of hate speech and its offensiveness, and the importance of freedom of speech. Results indicated strong negative relations between both modern and old-fashioned heterosexism and the perceived harm of hate speech. When old-fashioned heterosexism,modern heterosexism, and the importance of freedom of speech were combined to predict hate crime and hate speech attitudes, only old-fashioned heterosexism predicted acceptance of hate crimes. All three predictors contributed to the perception of the harm of hate speech. Gender differences in the role of the importance of freedom of speech in predicting attitudes toward hate crimes and hate speech are noted.