Book Review Border Health: Challenges for the United States and Mexico. Edited by John G. Bruhn and Jeffrey E. Brandon

Sociological Practice -     

Familial caregivers of older adults

Caregivers of older adults face many obstacles as they balance family, career, and caregiving demands. Caregivers are at an increased risk for burden, stress, depression, and a variety of other mental and physical health complications. It is not uncommon for caregivers to receive some form of pharmacological therapy to treat the physical and mental health changes that may occur throughout their caregiving career. However, while pharmacological forms of treatment are invaluable, medications only may not be sufficient to treat the needs of caregivers. As such, geriatric professionals also have a responsibility to intervene with caregivers through psychosocial interventions. This paper provides an overview of caring, a summary of evidence-based psychosocial interventions for family caregivers of older adults, and recommendations for future interventions.     

A Demographic Deficit? Local Population Aging and Access to Services in Rural America, 1990–2010

Population aging is being experienced by many rural communities in the United States, as evidenced by increases in the median age and the high incidence of natural population decrease. The implications of these changes in population structure for the daily lives of the residents in such communities have received little attention. We address this issue in this study by examining the relationship between population aging and the availability of service‐providing establishments in the rural United States between 1990 and 2010. Using data mainly from the U.S. Census Bureau and the Bureau of Labor Statistics, we estimate a series of fixed‐effects regression models to identify the relationship between median age and establishment counts net of changes in overall population and other factors. We find a significant but nonlinear relationship between county median age and the total number of service‐providing establishments, and counts of most specific types of services. We find a positive effect of total population size across all of our models. This total population effect is consistent with that found in other research, but the independent effect of age structure that we observe represents a novel finding and suggests that age structure is a salient factor in local rural development and community well‐being.     

How Condom Discontinuation Occurs: Interviews With Emerging Adult Women

We have almost no data on how and when couples stop using condoms. This qualitative study investigated the process of condom discontinuation. From November 2013 to April 2014, a total of 25 women living in a college town in the Midwest, ages 18 to 25, participated in semistructured interviews centered around three domains: partner interactions, contraceptive use, and sexually transmitted infection (STI) prevention. Analysis followed a critical qualitative research orientation. Participants described actively seeking the best options to prevent pregnancy, perceiving condom discontinuation in favor of hormonal methods as a smart decision, and reported wanting to discontinue using condoms due to physical discomfort. Oftentimes, nonverbal communication around contextual instances of condom unavailability paved the way for discontinuation. Participants indicated the decision to stop using condoms was neither deliberate nor planned. Condom discontinuation rarely occurred at one point in time; instead, it was preceded by a period of occasional use. Even after participants described themselves as not using condoms, sporadic condom use was normal (typically related to fertility cycles). This study provides a more detailed understanding of how and why emerging adults negotiate condom discontinuation, thereby enhancing our ability to design effective condom continuation messages. Attention should be paid to helping emerging adults think more concretely about condom discontinuation.     

Antecedents of Condom-Protected Oral Sex Among Young Black MSM

Oral sex among men who have sex with men (MSM) is a common mode of STI transmission. This study identified the prevalence and antecedents of condom-protected oral sex among a sample of 526 young Black MSM having oral sex in the past 90 days. Men engaging in condomless anal receptive sex were less likely to report always using condoms for oral sex (p = .007). Men agreeing that “condoms help me have better sex” (p = .004) and those indicating always discussing condom use before sex were more likely to always use condoms for oral sex (p = .002). These identified antecedents may inform behavioral intervention efforts.     

Unmet physical and mental healthcare needs of children with a history of familial homelessness and unstable housing

The objective of this paper is to examine whether children with a history of unstable housing, and more specifically homelessness, have unmet physical and mental healthcare needs. Further, this paper describes primary caregivers’ barriers to children’s healthcare. Data were collected from 6492 primary caregivers of children ages 0–17 years residing in five Dallas, Texas counties. Primary caregivers reported whether they previously experienced homelessness with their children, their children’s unmet mental and physical healthcare needs, and primary reasons for the unmet healthcare needs. Results suggest that children with a history of homelessness or unstable housing had increased odds of both mental and physical unmet healthcare needs. Prevention efforts should attempt to bridge resources for families who obtain housing but are still at increased risk for the long-term effects of homelessness exposure.     

Farm Work Satisfaction and Acceptance of Sustainability Goals by Australian Organic and Conventional Farmers1

Abstract Farmer dependence on large-scale organizations for inputs to production is an attribute of Australian agriculture and has changed the character of farm work and how farmers see the future of agriculture. We discuss how these changes are related to farmer satisfaction with their work and their commitment to an alternative or conventional agricultural paradigm. Organic and conventional farmers are compared and findings show that organic farmers experience higher levels of work satisfaction and endorse the alternative agricultural paradigm more strongly than conventional growers. Personal success in using organic methods explains differences between organic farmers in their work satisfaction and commitments to the alternative paradigm. Similarly, conventional farmers confident about the future of their farms are satisfied with their work and express some commitment to the sustainability paradigm. Organic and conventional farmers share concerns about environmental sustainability, but are thinking differently about what sustainable farming is and how it will affect the future of Australian agriculture.     

Worth a Third Read: Six Readers Recall Articles from the AJFT and ANZJFT

Six readers were asked to recall papers from earlier issues of this journal and to write briefly about what made these papers stand out in their minds. These readers have also been unable to resist the temptation to mention other papers which they would like to have had the time to discuss as well!