Minority and immigrant elders constitute a greater proportion of the population than ever before and are the fastest growing segment of the older population. Within these racial and ethnic groups there is considerable variation with regard to age, gender, country of origin, language, religion, education, income, duration of U.S. residency, immigration status, living arrangements, social capital, and access to resources. The authors summarize research on older adults regarding racial and ethnic disparities, barriers to health and social service utilization, and dynamics of family caregiving. Implications are offered for social-work practice, policy, and research.
Daniel S. Gardner and Caroline Rosenthal Gelman
Lisa A. Ferretti and Philip McCallion
Growth in the aging population and increasing concerns in terms of health issues and financial and caregiving challenges among older adults are well established. Historically, the Older Americans Act has provided the delivery structure and services for older adults in need. Agencies within these structures have also engaged with housing and health care providers and funders. The structures and relationships are not adequate to support the desires of older adults for self-determination and aging in place and remain too treatment oriented rather than preventative and supportive in focus. Macro social work must engage in building aging structures, services, communities, and resources more fit for changing purposes.
James I. Martin
This entry explains who gay men are, how gay identity constructions have evolved since their inception, and how they continue to evolve. It also describes the health and mental health problems that gay men may present to social work practitioners. In addition, it identifies several social policies that are relevant to gay men. The entry argues that a systemic perspective that takes into account the social, political, and cultural influences on gay men is necessary for understanding the problems that such men commonly experience.