scholarly journals Assessing and decomposing gender differences in evaluative and emotional well-being among older adults in the developing world

Author(s):  
Clémence Kieny ◽  
Gabriela Flores ◽  
Jürgen Maurer

Abstract Using data from the World Health Organization’s Study on Global AGEing and Adult Health (SAGE), we evaluate the relationship between gender and several measures of subjective well-being among older adults in developing countries. Furthermore, we contrast the partial associations of gender with these well-being measures when controlling only for age (age-adjusted analyses) with the corresponding partial associations when including individual characteristics and life circumstances as controls (multivariable-adjusted analyses). While age-adjusted analyses reveal that older women have lower levels of evaluative well-being than older men, multivariable-adjusted analyses show that - given similar life circumstances - they have equal or slightly higher evaluative well-being. This suggests that the gender gap in evaluative well-being may be explained by less favorable life circumstances of older women. Age-adjusted results also show that older women tend to have lower levels of emotional well-being. However, we find no reversal, but merely an attenuation of these gender differences in emotional well-being when controlling for additional individual characteristics and life circumstances. Finally, we perform Oaxaca-Blinder decompositions to disaggregate the gender gaps in well-being into explained parts - attributable to gender differences in individual characteristics and life circumstances - and unexplained parts - related to gender differences in the association between life circumstances and subjective well-being. These results further corroborate our findings that women tend to be disadvantaged in terms of both evaluative and emotional well-being, and that this disadvantage is mostly driven by observable factors related to the explained part of the decomposition, such as gender differences in socio-economic status and health.

Author(s):  
Clémence Kieny ◽  
Gabriela Flores ◽  
Michael Ingenhaag ◽  
Jürgen Maurer

Abstract This study assesses the relationship between age and two dimensions of subjective well-being—evaluative and emotional—among mature adults from five low-and middle-income countries. We use data from the World Health Organization’s Study on Global AGEing and Adult Health to contrast the associations of age with subjective well-being when controlling only for gender with the corresponding partial associations when including a richer set of covariates. Adjusting only for gender, we find negative associations of age with evaluative well-being, while the corresponding age gradients for emotional well-being are relatively flat. By contrast, adjusting for further socio-demographic factors results in positive associations of age with both evaluative and emotional well-being. Oaxaca-Blinder decompositions allow us to explore the roles of two factors to account for any unadjusted age differences in subjective well-being: age-group differences in individual characteristics and life circumstances, and age-specific associations of individual characteristics and life circumstances with subjective well-being. While adverse circumstances such as poor health and low income contribute to lower levels of evaluative well-being among older adults, age per se is—ceteris paribus—positively associated with subjective well-being. Even in poorer countries, older age does not need to be a time of low subjective well-being. Policies aimed at preserving income and limiting or compensating old-age disability appear to be key for maintaining subjective well-being among older adults.


2020 ◽  
pp. 016402752096154
Author(s):  
Wen-Jui Han ◽  
Ying Li ◽  
Cliff Whetung

Using a sample of Chinese adults over the age of 50 from wave 1 of the WHO Study on Global Ageing and Adult Health (n = 13,367), we investigated the relationship between living arrangements and subjective well-being (SWB) in regard to life satisfaction, happiness, and control. We also looked at the moderating role of resources, proxied by income and hukou status. Multivariate regression results indicate that living only with a spouse was significantly associated with better SWB. Multigenerational living arrangements may not always promote SWB, particularly when resources are constrained. Yet, results also underscore the importance of daughters and daughters-in-law in promoting SWB among older adults. Older adults in rural areas had better SWB, including greater life satisfaction if living with grandchildren only, compared to their urban peers living with a spouse only. Findings suggest that context matters in the association between living arrangements and older adults’ SWB.


2016 ◽  
Vol 74 (3) ◽  
pp. 516-525 ◽  
Author(s):  
Theresa E Gildner ◽  
Melissa A Liebert ◽  
Benjamin D Capistrant ◽  
Catherine D’Este ◽  
J Josh Snodgrass ◽  
...  

Abstract Objectives Perceived income adequacy is positively associated with self-rated health (SRH) and quality of life (QOL) among adults in higher-income countries. Additionally, older individuals often report higher levels of income adequacy. However, it is unclear if these associations, documented primarily in high-income countries, are also evident across economically and culturally distinctive low- and middle-income countries. Methods Data were drawn from the World Health Organization’s Study on global AGEing and adult health (SAGE), a study of adults aged 50 years or older in China, Ghana, India, Mexico, the Russian Federation, and South Africa. Smaller samples of younger adults (18–49 years) were included for comparison purposes. Participants reported income adequacy, SRH, and QOL. Associations between age and income adequacy and between income adequacy and SRH/QOL were examined using country-specific logistic regression analysis. Results Older adults in China and Russia were more likely to report better income adequacy than their 18- to 49-year-old counterparts; however, the opposite was observed in Ghana and India. SRH and QOL improved as income adequacy increased in all countries. Discussion As expected, income adequacy was correlated with SRH and QOL. However, the relationship between age and income adequacy varied cross-culturally, potentially due to differences in familial and governmental financial support.


Author(s):  
Alfred E Yawson ◽  
John Tetteh ◽  
Isaac Adomako ◽  
Phaedra Yamson ◽  
Kafui Searyoh ◽  
...  

Background: Hearing difficulty negatively impacts individual relationships with family and friends and other social relationships. Objective:This research was conducted to determine the factors significantly influencing self-reported hearing difficulty (SHD) and further to assess the influence of SHD on social relationship among older adults in Ghana. Methods: World Health Organization’s Studyon Global AGEing and Adult Health Ghana dataset for older adults 50 yr. and above was used for this study. Social relationship and hearing difficulty were the primary and secondary outcomes respectively. A modified Poisson with Mahalanobis distance matching within propensity caliper was employed to determine the different influences on social relationships by SHD. All analysis was performed using the statistical software Stata Version 15 and with a confidence interval (CI) of 95%. Results: The prevalence of SHD among older adults in Ghana was 19.5% (95%CI=16.9-22.3). Rao-Scott test of association showed that all covariates (demographic characteristics, self-rated health, quality of life, life satisfaction and unhealthy lifestyle) were significantly associated with SHD (p<0.05). Sensitivity analysis showed that, SHD predicted a significantly decreased probability count of social relationship among older adults with SHD [adjusted prevalence ratio(95%CI)=-0.08(-0.15-0.02)]. Binary and ordinal outcomes showed that among the older adults with SHD, only 35% and 70% respectively were likely to have a good social relationship [adjusted odds ratio (aOR) (95%CI)=0.65(0.46-0.90) and aOR (95%CI)=0.70(0.51-0.96)respectively]. Conclusion: Overall, the prevalence of hearing loss in older adults in Ghana was 19.5%, and was higher among older adult females. This high prevalence of SHD had significant negative effect on social relationships among the older adults. In line with global efforts to reduce effect of hearing loss, it is imperative that, clinical assessment of hearing loss should always consider the social characteristics of the older adult.


2020 ◽  
Vol 36 (6) ◽  
Author(s):  
Yasmeen Niazi ◽  
Bisma Ejaz ◽  
Amina Muazzam

Objective: The main objective of this study was to explore the impact of hearing impairment on psychological distress and subjective well-being in older adults with hearing impairment. Methods: The study with cross sectional research design was conducted in three public sector hospitals of Lahore, from February 2017 to June 2017. Participants of the study were adults aged 50-90 years and with hearing impairment, selected through non-probability sampling technique. Demographic Information sheet, Kessler psychological distress scale by Kessler, Mroczek. in 1992 and Satisfaction with life scale by Diener, Emmons, Larsen, Griffin in 1985 were used for data collection. SPSS 21 was used to analyze the data. Results: There were 200 participants with age ranged from 53 to 89 years (M= 65.92, SD= 9.70). Of the total, 100 (50%) subjects were men and 100 (50%) were women. Significant gender differences were found in psychological distress, with men reflecting more symptoms of psychological distress (p<0.01), whereas non-significant gender differences were found in case of subjective well-being (p>0.05). Moreover, psychological distress was observed as a predictor of subjective well-being (p<0.01). One-way analysis of variance revealed insignificant differences of psychological distress and subjective well-being across three levels of hearing impairment. Conclusion: Early diagnosis and rehabilitation of age-related hearing loss improves the overall quality of life of older adults living with hearing impairment. doi: https://doi.org/10.12669/pjms.36.6.2457 How to cite this:Niazi Y, Ejaz B, Muazzam A. Impact of hearing impairment on psychological distress and subjective well-being in older adults. Pak J Med Sci. 2020;36(6):---------. doi: https://doi.org/10.12669/pjms.36.6.2457 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Author(s):  
Vivian J Miller ◽  
Erin M Roark ◽  
Noelle L Fields ◽  
Courtney Cronley

Abstract Identifying and implementing effective strategies to combat social exclusion and isolation is critical, given that eradicating social isolation has been identified as one of the social work profession’s main goals. Training older adults to use information and communications technology (ICT) effectively may be an appropriate intervention to combat and mitigate the negative impacts of social isolation within the aging population. ICT has demonstrated promise with older adults, with research demonstrating that older adults with higher technology use report better self-reported physical health and subjective well-being. Given this promise, the authors of this study seek to create more nuanced understanding of the experience of ICT usage, as told by an international sample of older adults using a qualitative interpretive meta-synthesis (QIMS). Using the QIMS methodology paired with phenomenological reduction, the authors synthesised nine (N = 9) qualitative studies through the lens of the World Health Organization’s age-friendly domains. This process resulted in three overarching themes that describe older adults’ experiences engaging with technology: ‘desire for empowerment’, ‘connection’ and ‘aging well’. Findings from this study highlight overall benefits of technology use among older adults aging in the community. This study concludes with implications for social work research and practice.


2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Anna Schlomann ◽  
Alexander Seifert ◽  
Susanne Zank ◽  
Christiane Woopen ◽  
Christian Rietz

Abstract Background and Objectives A good person–environment-fit has positive effects on well-being in old age. As digital technologies are an integral part of older adults’ environments, we predicted that the use of information and communication technologies (ICT) is associated with subjective well-being among the oldest-old. Specifically, we compared different user groups of ICT devices (nonusers, users of nonweb-connected ICT, users of web-connected ICT) and analyzed the relations among ICT use and three domains of subjective well-being (loneliness, anomie, autonomy). Research Design and Methods We performed a quantitative data analysis using data from the first representative state-wide survey study in North-Rhine Westphalia, Germany on quality of life and well-being of the oldest-old (n = 1,698; age range: 80–103; 9% long-term care). Multiple regression analyses were applied. Results The findings revealed that 25.9% of all individuals aged 80 years and older reported using web-connected ICT, in contrast to 38.5% who do not use ICT at all. Individuals who used web-connected ICT reported lower levels of loneliness and anomie, and higher levels of autonomy. These differences remain significant when controlling for indicators of social inclusion and individual characteristics. Discussion and Implications This study investigated an underexplored group in terms of ICT use, shedding light on the relationship between ICT use and subjective well-being. The oldest-old generally use ICT in their everyday life but an age-related digital divide still exists. To avoid negative consequences of nonuse digital infrastructures and technology training for older adults need to be established.


Author(s):  
Alfred E Yawson ◽  
John Tetteh ◽  
Isaac Adomako ◽  
Phaedra Yamson ◽  
Kafui Searyoh ◽  
...  

Background: Hearing difficulty negatively impacts individual relationships with family and friends and other social relationships. Objective:This research was conducted to determine the factors significantly influencing self-reported hearing difficulty (SHD) and further to assess the influence of SHD on social relationship among older adults in Ghana. Methods: World Health Organization’s Studyon Global AGEing and Adult Health Ghana dataset for older adults 50 yr. and above was used for this study. Social relationship and hearing difficulty were the primary and secondary outcomes respectively. A modified Poisson with Mahalanobis distance matching within propensity caliper was employed to determine the different influences on social relationships by SHD. All analysis was performed using the statistical software Stata Version 15 and with a confidence interval (CI) of 95%. Results: The prevalence of SHD among older adults in Ghana was 19.5% (95%CI=16.9-22.3). Rao-Scott test of association showed that all covariates (demographic characteristics, self-rated health, quality of life, life satisfaction and unhealthy lifestyle) were significantly associated with SHD (p<0.05). Sensitivity analysis showed that, SHD predicted a significantly decreased probability count of social relationship among older adults with SHD [adjusted prevalence ratio(95%CI)=-0.08(-0.15-0.02)]. Binary and ordinal outcomes showed that among the older adults with SHD, only 35% and 70% respectively were likely to have a good social relationship [adjusted odds ratio (aOR) (95%CI)=0.65(0.46-0.90) and aOR (95%CI)=0.70(0.51-0.96)respectively]. Conclusion: Overall, the prevalence of hearing loss in older adults in Ghana was 19.5%, and was higher among older adult females. This high prevalence of SHD had significant negative effect on social relationships among the older adults. In line with global efforts to reduce effect of hearing loss, it is imperative that, clinical assessment of hearing loss should always consider the social characteristics of the older adult.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S58-S58
Author(s):  
Meng Huo ◽  
Karen L Fingerman ◽  
Yee To Ng

Abstract The literature links social integration to better physical health, but little research asks how contact with diverse social partners influences older adults’ physical activity in a daily context. We examined this link using the Daily Experiences and Well-being Study and explored whether this link varied by gender. The sample included 175 older women and 138 older men who reported their contact with close partners (e.g., family/friend) and not-close partners (e.g., acquaintances) throughout each day across 5 days. Participants also wore Actical accelerometers to track physical activity. Multilevel models revealed significant gender differences. Older men had reduced physical activity when having contact with close partners, whereas older women maintained physical activity during such contact. Both older men and women had increased physical activity when having contact with not-close partners, but this link was stronger for men. This study advances our understanding of gender differences in older adults’ social experiences and well-being.


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