A mixed-methods investigation of successful aging among older women engaged in sports-based versus exercise-based leisure time physical activities

This mixed-methods study compares active older women in different physically based leisure activities and explores the difference in subjective ratings of successful aging and quantifiable predictors of success. A survey was administered to 256 women, 60–92 years of age, engaged in a sports- or exercise-based activity. Quantitative data were analyzed through ANOVA and multiple regression. Qualitative data (n = 79) was analyzed using the approach associated with means-end theory. While participants quantitatively appeared similar in terms of successful aging, qualitative interviews revealed differences in activity motivation. Women involved in sports highlighted social/psychological benefits, while those involved in exercise-based activities stressed fitness outcomes.     

White majority

Ralph A. Wooster, Politicians, Planters, and Plain folk: Courthouse and Statehouse in the Upper South, 1850–1860, xii+204 (University of Tennessee Press, Knoxville, 1975, $9.75).

Dickson D. Bruce, Jr, And They All Sang Hallelujah: Plain‐Folk Camp‐Meeting Religion, 1800–1845, xii+155. (University of Tennessee Press, Knoxville, 1974, $7.50).

Sam Bowers Milliard, Hogmeat and Hoecake: Food Supply in the Old South, 1840–1860, xi+296 (Southern Illinois University Press, Carbondale and Edwardsville, 1972, $10.00).     

Placement breakdowns in long‐term foster care – a regional Swedish study

We used a regional sample of children in long‐term foster care to investigate the prevalence of placement breakdown in adolescence, and to assess risk factors/risk markers for placement disruption. The sample consisted of all 136 foster children in the region, born 1980–1992, who on their 12th birthday had been in the same foster family for at least 4 years. They were followed in case files until date of disruption or their 18th birthday. Data on conditions before and during placement were retrieved from case files, and analysed in bi‐ and multivariate models. Results showed that one in four placements broke down in adolescence. The median child who experienced a breakdown was 14 years old, and had been in the same foster home for more than 10 years. Prominent risk factors were (i) being placed after age 2 and (ii) having a birth sibling in the same foster home. We also uncovered strong risk markers that can be viewed as precursors of placement disruption. When the child or the foster parents repeatedly over time expressed dissatisfaction with the placement, this ended with a placement breakdown in 60% of cases. Implications for practice are discussed.     

Lesbian Health Care: Women's Experiences and the Role for Social Work

ABSTRACT

Lesbian patients and their families may be exposed to discriminatory practices in the health care system. This qualitative study of 57 Midwestern lesbian parents used open- and closed-ended questions to examine the experiences the respondents had with their primary and secondary health care providers. Four themes emerged from the data: systemic barriers to health care, coming out to providers, seeking lesbian, gay, bisexual, and transgender-friendly health care providers, and concern about mistreatment and prejudice within the health care system. Implications for service delivery, health care education, and directions in policy and research are explored.     

Sex hormones, neurotransmitters, and psychopharmacological treatments in men with paraphilic disorders

Paraphilic disorders are psychiatric syndromes primarily characterized by deviant sexual thoughts, cravings, urges, and/or behaviors. Paraphilic men may engage in inappropriate sexual behaviors when cravings for socially unacceptable sexual acts become overpowering. These often chronic disorders may not only cause emotional distress and social embarrassment to the afflicted patient but also to the targets of their paraphilic focus. The primary objective of this article is to examine and review data on the efficacy and tolerability of the testosterone-lowering agents medroxprogesterone acetate, cyproterone acetate, and leuprolide acetate. The secondary goal is to review data on less conventional and more innovative pharmacological treatments, particularly the serotonin-specific reuptake inhibitors.     

The Durham Family Initiative: a preventive system of care

This article describes the Durham Family Initiative (DFI), an innovative effort to bring together child welfare and juvenile justice systems to reach DFI's goal of reducing the child abuse rate in Durham, North Carolina, by 50% within the next 10 years. DFI will follow principles of a preventive system of care (PSoC), which focuses on nurturing the healthy parent-child relationship. A community collaborative of government agency directors has signed a memorandum of agreement to implement the PSoC principles. The researchers will use multiple methods to evaluate DFI's efficacy.     

Examples of sports-based youth development programs

The authors provide examples of sports-based youth development programs and offer information about program mission and vision, program design and content, evaluation results, and program sustainability. The four sports-based youth development programs presented are Harlem RBI, Tenacity, Snowsports Outreach Society, and Hoops & Leaders Basketball Camp. These programs serve diverse audiences with diverse missions, but all are focused on using sports to develop life skills and facilitate learning. Harlem RBI serves boys and girls ages seven to eighteen living in East Harlem. The program combines baseball, academic, and enrichment programs with the overall goal that participants who enter the program as vulnerable children graduate as resilient young adults. Tenacity, a nonprofit organization with headquarters in Boston, uses tennis to attract and retain students who particiate in a high-quality academic support and physical fitness program. The mission of Snowsports Outreach Society, based in Vail, Colorado, is building character in at-risk and underprivileged youth to develop their decision-making ability for healthy and successful life experiences. Hoops & Leaders Basketball Camp is a youth mentoring and leadership development program that offers summer camp experiences to improve the lives of at-risk urban youth in New York City. It uses the game of basketball to provide youth with caring mentors, develop leadership skills, and offer exposure to different educational and career paths.