Elder abuse and oral health care providers: an intervention to increase knowledge and self-perceived likelihood to report

The objective of this study was to ascertain whether a symposium on elder abuse raises the level of knowledge and the self-reported likelihood to report elder abuse among licensed oral health care providers. 130 dentists, hygienists, and assistants voluntarily attended a 4-hour training symposium and completed both pre- and postsurveys testing their level of knowledge. Results by statistical analyses, using repeated measurements, Wilcoxon signed-rank test for nonparametric data, showed increases in awareness of reporting process, knowledge/awareness of elder abuse, knowledge of mandated reporter requirements, and comfort levels with recognizing signs and symptoms of elder abuse and neglect. In conclusion, a symposium can increase the self-reported likelihood of reporting elder abuse.     

A profile of middle-aged and older adults admitted to nursing homes: 2000-2008

Middle-aged adults are becoming an increasing share of the nursing home population. Minimum Data Set assessment data for 2000 and 2008 are used to explore similarities and differences in sociodemographic, residential, medical, and psychiatric characteristics of newly admitted middle-aged adults (31-64) compared to their older counterparts (65+). Relative to their share of the state population, Black middle-aged adults are overrepresented in nursing homes across 45 states and the District of Columbia. Chronic conditions, including diabetes, renal failure, chronic obstructive pulmonary disease, asthma, and circulatory/heart disorders, appeared to contribute to the increasing presence of middle-aged adults. There were substantial increases in diagnoses of psychiatric disorders at admission; psychiatric diagnoses were significantly higher among middle-aged adults. Middle-aged adults were also more likely to have residential histories of prior stays in psychiatric facilities relative to older adults. States' rebalancing efforts need to attend to the increasing presence of disability associated with chronic medical and psychiatric conditions among middle-aged adults.     

Which factors explain the decline in infant and child mortality in Matlab,Bangladesh?

Infant and child mortality rates have decreased substantially in Matlab, Bangladesh, as they have in many developing areas. We use data from the Matlab Demographic Surveillance System on nearly 94,000 singleton live births that occurred between 1987 and 2002 to investigate the extent to which the change in mortality over this period can be explained by changes in reproductive patterns and socio-economic characteristics. We estimate Cox proportional hazards models for four subperiods of infancy and childhood. Changes over time in reproductive patterns (maternal age, parity, and pregnancy spacing) and in the socio-economic characteristics we consider (e.g. maternal education, SES) explain between 10 and 40% of the decline in mortality rates. Changes in maternal education explain the largest portion of the reduction in infant and child mortality over time that we are able to explain, followed by reductions in the incidence of short interpregnancy intervals. In the other direction, decreases in fertility over time led to increases in the proportion of births that were first births, putting upward pressure on mortality.

Peer-Learning Networks in Social Work Doctoral Education: An Interdisciplinary Model

Peer-learning networks (PLN) can be valuable tools for doctoral students. Participation in these networks can aid in the completion of the dissertation, lead to increased scholarship productivity, and assist in student retention. Yet, despite the promise of PLNs, few studies have documented their effect on social work doctoral education. This article explores aspects of an interdisciplinary PLN focused on child welfare. This study used a questionnaire with scaled survey items and open-ended questions to examine the use, benefits, and challenges to participating in the PLN. After a brief review of the literature, this article presents findings from the study, discusses the implications for social work education, and concludes by explicating strategies for developing PLNs in social work education programs.     

Associations of eldercare and competing demands with health and work outcomes among manufacturing workers

Employees juggling eldercare and work report work–family conflicts and poor health-related outcomes, but little is known about eldercare demands (ECDs) in the context of competing demands in the manufacturing workforce. This study determines how ECDs vary by age, gender, income, and job category, and how ECDs and competing demands are associated with health-related and work-related outcomes, among manufacturing workers. Employees from six manufacturing companies completed questionnaires. ECDs were defined as providing assistance to an adult aged 65 and older due to disability or chronic illness; those with ECDs were asked how many care-hours per week and whether assistance included personal care. Workers over age 45 were more likely than younger workers to report ECDs. After adjusting for competing demands and socio-demographic characteristics, ECDs were associated with greater depressive symptoms and family-to-work conflict (FWC), providing 5 or more hours of eldercare weekly was associated with greater depressive symptoms, and providing personal care was associated with greater FWC.     

A Multidimensional Framework for the Meanings of the Sexual Double Standard and its Application for the Sexual Health of Young Black Women in the U.S

There has been debate in the literature as to whether a sexual double standard (SDS) currently exists in the United States. Studies vary greatly in how the SDS is operationalized, making it difficult to interpret findings across studies and translate academic literature into applied fields such as public health. To advance academic and applied research, we propose a multidimensional framework for the SDS that can accommodate complex and nuanced meanings, is flexible enough to allow for the dynamic nature of social ideologies, and is grounded in an understanding of social systems of inequality. In this article, we describe three dimensions that define the broad elements of the SDS: (a) polarized (hetero)sexualities, (b) active male and passive female roles, and (c) the power struggle narrative. To illustrate the use of the framework, we contextualize each dimension in terms of the intersection of race and gender for young Black women in the United States. And finally, to apply the framework, we explore the effects the SDS can have on sexual health and suggest some directions for public health interventions. These analyses lay the groundwork for more complex and comprehensive investigations of the SDS and its effects on sexual health.     

Intergenerational Mobility of the Mexican‐Origin Population in California and Texas Relative to a Changing Regional Mainstream

We combine two approaches to gauge the achievements of the Mexican‐origin second generation: one the intergenerational progress between immigrant parents and children, the other the gap between the second generation and non‐Latino whites. We measure advancement of the Mexican‐origin second generation using a suite of census‐derived outcomes applied to immigrant parents in 1980 and grown children in 2005, as observed in California and Texas. Patterns of second‐generation upward mobility are similar in the two states, with important differences across outcome indicators. Assessments are less favorable for men than women, especially in Texas. We compare Mexican‐Americans to a non‐Latino white reference group, as do most assimilation studies. However, we separate the reference group into those born in the same state as the second generation and those who have migrated in. We find that selective in‐migration of more highly‐educated whites has raised the bar on some, not all, measures of attainment. This poses a challenge to studies of assimilation that do not compare grown‐children to their fellow natives of a state. Our model of greater temporal and regional specificity has broad applicability to studies guided by all theories of immigrant assimilation, integration and advancement.     

Examining Attachment Avoidance and Attachment Anxiety Across Eight Sessions of Couple Therapy

This study examined initial levels of attachment anxiety and avoidance, as well as their patterns of change, across eight sessions of couple therapy. Participants were 461 couples in a treatment‐as‐usual setting. Dyadic latent growth modeling was used to determine whether couples started therapy at similar levels of attachment anxiety and avoidance and whether attachment anxiety and avoidance changed. An actor partner interdependence model was used to see whether partner attachment anxiety was related to avoidance. Results showed relative stability of attachment anxiety and avoidance over the course of therapy, with the only change being a slight decline in attachment anxiety among women. Results showed that a person's attachment anxiety was not related to their partner's avoidance and vice versa.     

Great Expectations? Working‐ and Middle‐Class Cohabitors' Expected and Actual Divisions of Housework

Young adults often express preferences for egalitarianism but often find themselves in conventional household arrangements. Using interview data from 122 working‐class and middle‐class cohabitors, the authors applied Komter's (1989) concepts of manifest, latent, and hidden power to examine the ways that contemporary young adults reinforce and modify gender norms surrounding the division of housework. Cohabiting women more often expect equal housework arrangements than men, regardless of class, yet middle‐class women achieve equal divisions more often because they are better able to exercise manifest power than their working‐class counterparts and because middle‐class men appear more willing to cede to their partners' demands. In contrast, working‐class women's desires to achieve equality are frequently rebuffed as they face greater resistance or defer to their partners' competing wishes. Although the exercise of manifest power is central to arranging housework, the hidden power of gender conventions pervades across class, leading many couples toward traditional arrangements.