Older adults’ accounts of the relationships between retirement timing and health: a descriptive qualitative analysis in Chile

2020 ◽  
pp. 1-25 ◽  
Author(s):  
Robin Shura ◽  
Sebastian Opazo ◽  
Esteban Calvo

Abstract Retirement timing can have important health implications. Little is known, however, about older adults’ views on this issue and whether they consider it better to retire later, earlier, on time or anytime. This knowledge gap about older adults’ views is particularly true outside North America and Europe. This qualitative study aims to examine older Chileans’ ideas about the relationship between retirement timing and health and to explore gender and class patterns in qualitative themes identified, knowledge which may strengthen quantitative population-based approaches. Framework analysis was conducted on qualitative accounts from a purposive, non-random sample of 40 older Chileans in six focus groups, stratified by gender and class as marked by lifetime occupation. Transcriptions were coded by two independent reviewers (inter-coder reliability = 81%) according to four deductive categories of retirement timing as well as inductive coding of emergent themes. The content and sequence of codes were visually represented in MAXQDA's document portraits and illustrated with descriptive quotes. Results indicate that participants’ views about when to retire in order to maximise health did not highlight retirement age or timing (later, earlier, on time, anytime). Instead, these older Chileans emphasised that the optimal retirement age depends on other conditions, such as employment quality, retirement income and gender. These views were patterned: lower occupational-class participants emphasised income and job hazards, higher-class males emphasised job satisfaction and higher-class females emphasised gendered patterns. Women and lower-class participants were relatively more favourable to earlier retirements than men and higher-class participants. Overall, qualitative analyses of lay perspectives from understudied country contexts complement and extend population-based models focused on timing or retirement age, suggest specific characteristics of retirement transitions that may moderate health consequences, and highlight class and gender differences in views of retirement timing. More research is needed using mixed-methods approaches and leveraging both purposive and random samples.

Author(s):  
Francisco Javier Rondán-Cataluña ◽  
Patricio E. Ramírez-Correa ◽  
Jorge Arenas-Gaitán ◽  
Muriel Ramírez-Santana ◽  
Elizabeth E. Grandón ◽  
...  

The growth of older adults in new regions poses challenges for public health. We know that these seniors live increasingly alone, and this impairs their health and general wellbeing. Studies suggest that social networking sites (SNS) can reduce isolation, improve social participation, and increase autonomy. However, there is a lack of knowledge about the characteristics of older adult users of SNS in these new territories. Without this information, it is not possible to improve the adoption of SNS in this population. Based on decision trees, this study analyzes how the elderly users of various SNS in Chile are like. For this purpose, a segmentation of the different groups of elderly users of social networks was constructed, and the most discriminating variables concerning the use of these applications were classified. The results highlight the existence of considerable differences between the various social networks analyzed in their use and characterization. Educational level is the most discriminating variable, and gender influences the types of SNS use. In general, it is observed that the higher the educational level, the more the different social networking sites are used.


2016 ◽  
Vol 2 (2) ◽  
pp. 240 ◽  
Author(s):  
Xinqi Dong ◽  
Manrui Zhang

<p><strong>Background: </strong>Filial piety is a fundamental virtue that defines children’s care-giving obligation to older parents in Chinese families. This study aims to evaluate whether gender difference exists in the expectation and receipt of filial piety among U.S Chinese older adults. <strong>Methods: </strong>Data were drawn from the PINE study, a population-based study of U.S. Chinese older adults aged 60 and above in the greater Chicago area. Guided by a community-based participatory research approach, a total of 3,159 Chinese older adults aged 60 and above were surveyed. Filial piety was examined in six domains, including care, respect, greeting, happiness, obedience, and financial support.<strong> </strong>Socio-demographic correlates with expectations and receipt of filial piety were examined. Multivariate regression analyses were conducted.<strong> Results: </strong>Female older adults were 1.02 points higher than male older adults in their perceived receipt of filial piety (PE=1.02, p&lt;0.001) adjusted for the socio-demographics. Older women received more respect (p&lt;0.001), greetings (p&lt;0.001), happiness (p&lt;0.01), and obedience (p&lt;0.05). Women with an older age (r = 0.06, p&lt;0.05) and a lower educational level (r = -0.11, p&lt;0.01) received more filial piety while similar trends were not discovered among men. Being married was correlated with a higher level of filial piety receipt among men (r = 0.07. p&lt;0.05) while the correlation was not significant among women.</p><p><strong>Discussion: </strong>This study provides insights to understand how the gender of the older parents influences their expectation and receipt of filial piety. Our findings have important implications to guide elder care practices with cultural and gender sensitivity.</p>


2020 ◽  
pp. 1-19
Author(s):  
Marco Trentini

Abstract This article looks at how retirement timing is changing in Italy. A first aim is descriptive and it is to identify recent trends in retirement age, following the pension reform. Then the focus is on factors which may favour or hinder the extension of the working career of older workers. They are studied by looking at the reasons for retirement, introducing the distinction between voluntary and involuntary retirement, and some predictors of retirement. Some of them relate to the work history of individuals, in particular the stability/instability of careers due to episodes of unemployment. The level of education and gender, two variables that may affect the employability of older workers, have also been considered. The study is based on a longitudinal analysis (Kaplan–Meier survival estimates of transition to retirement and binomial logit discrete-time model for the analysis of retirement predictors) of the Survey of Health, Ageing and Retirement in Europe (SHARE) Job Episodes Panel data. They refer to a sample of 1,999 individuals born between 1911 and 1959. Although the various pension reforms initiated in Italy in the 1990s have not yet been fully implemented, retirement age is rising, even in the case of involuntary retirement. Regarding work history, the advantages of a working career with a small number of unemployment episodes emerge from the study.


2015 ◽  
Vol 2 (1) ◽  
pp. 62 ◽  
Author(s):  
XinQi Dong ◽  
Manrui Zhang ◽  
E-Shien Chang

Background: Loneliness is an important health indicator for psychological well-being. This study aims to examine the association between filial piety and loneliness among Chinese older adults in the U.S.Methods: Data were drawn from the PINE study, a population-based study of 3,159 Chinese older adults aged 60 and above in the greater Chicago area. Severity of loneliness was the dependent variable. Independent variables were the expectation and perceived receipt of filial piety, examined in six domains. Negative Binomial Regression analyses were conducted.Results: Lower levels of perceived filial piety receipt were associated with greater severity of loneliness (Ratio of Expected Severity: 0.92, 0.91-0.94) after adjusting for socio-demographics and medical co-morbidities. Expectation of filial piety was not associated with severity of loneliness.Conclusion: Our findings indicate higher perceived receipt of filial piety may protect older adults from loneliness. Our study suggests that cultural sensitivity need to be considered in the detection and intervention of loneliness.


Circulation ◽  
2001 ◽  
Vol 103 (suppl_1) ◽  
pp. 1356-1356
Author(s):  
Mauro Di Bari ◽  
Maria C Cavallini ◽  
Walter De Alfieri ◽  
Francesca Salti ◽  
Giorgio J Baldereschi ◽  
...  

P27 Background: Left ventricle (LV) hypertrophy is a major risk factor for mortality and morbidity. Unfortunately, the echocardiographic evaluation of LV mass from the parasternal (PS) approach is frequently limited in older, obese or emphysematous individuals. This poses a selection bias to the epidemiological assessment of LV hypertrophy. Methods: In order to assess whether the subcostal (SC) view may reliably substitute the PS view to evaluate LV mass in older adults, 614 unselected persons aged ≥65 years participating in a population-based survey on heart failure in the elderly, and 54 randomly selected healthy individuals 35-64 years old, underwent a complete echocardiographic examination including M-mode PS and SC scanning. Results: Overall, both PS and SC views were available for LV mass estimate (Devereux’s formula) in 314 subjects(age: 69.9±0.5 years, mean±SEM) with normal LV kinetics and sinus rhythm. The SC view underestimated (p<0.001) LV diastolic dimension (LVDD) and overestimated (p<0.012) free wall thickness (FWT), whereas septum thickness was similar in the two views. As a consequence, LV mass was underestimated from the SC view (76.2±1.2 g/m 2 ) as compared to the PS view (87.9±1.4 g/m 2 ; p<0.001). The SC view was 99% specific but only 25% sensitive for the diagnosis of LV hypertrophy (LV mass >116 and >104 g/m 2 in men and women, respectively), based on the PS view. When age, body weight and gender were entered in multivariate regression models with the SC measures, the first two variables significantly contributed to the prediction of both LVDD and FWT, and gender only to the prediction of LVDD. LV mass was recalculated using measures from the SC view, corrected on the basis of the regression equations. The corrected value did not differ from that obtained from the PS view and the sensitivity of the SC view for the diagnosis of LV hypertrophy increased to 51% with unmodified specificity (98%). Conclusions: The SC view significantly underestimates LV mass. However, correction for simple demographic and anthropometric variables greatly improves its reliability for estimating LV mass and hypertrophy in unselected older adults.


2016 ◽  
Vol 70 (9) ◽  
pp. 917-923 ◽  
Author(s):  
Chenkai Wu ◽  
Michelle C Odden ◽  
Gwenith G Fisher ◽  
Robert S Stawski

2021 ◽  
Vol 6 ◽  
Author(s):  
Dorly J.H. Deeg ◽  
Wouter De Tavernier ◽  
Sascha de Breij

This study examines occupation-based differences in life expectancy and the extent to which health accounts for these differences. Twentyseven-year survival follow-up data were used from the Dutch population-based Longitudinal Aging Study Amsterdam (n = 2,531), initial ages 55–85 years. Occupation was based on longest-held job. Results show that the non-skilled general, technical and transport domains had an up to 3.5-year shorter life expectancy than the academic professions, accounting for the compositional characteristics age and gender. Statutory retirement age could be made to vary accordingly, by allowing a proportionally greater pension build-up in the shorter-lived domains. Health accounted for a substantial portion of the longevity difference, ranging from 20 to 66%, depending on the health indicator. Thus, health differences between occupational domains today can be used as a means to tailor retirement ages to individuals’ risks of longevity. These data provide a proof of principle for the development of an actuarially fair method to determine statutory retirement ages.


Author(s):  
Silke Behrendt ◽  
Barbara Braun ◽  
Randi Bilberg ◽  
Gerhard Bühringer ◽  
Michael Bogenschutz ◽  
...  

Abstract. Background: The number of older adults with alcohol use disorder (AUD) is expected to rise. Adapted treatments for this group are lacking and information on AUD features in treatment seeking older adults is scarce. The international multicenter randomized-controlled clinical trial “ELDERLY-Study” with few exclusion criteria was conducted to investigate two outpatient AUD-treatments for adults aged 60+ with DSM-5 AUD. Aims: To add to 1) basic methodological information on the ELDERLY-Study by providing information on AUD features in ELDERLY-participants taking into account country and gender, and 2) knowledge on AUD features in older adults seeking outpatient treatment. Methods: baseline data from the German and Danish ELDERLY-sites (n=544) were used. AUD diagnoses were obtained with the Mini International Neuropsychiatric Interview, alcohol use information with Form 90. Results: Lost control, desired control, mental/physical problem, and craving were the most prevalent (> 70 %) AUD-symptoms. 54.9 % reported severe DSM-5 AUD (moderate: 28.2 %, mild: 16.9 %). Mean daily alcohol use was 6.3 drinks at 12 grams ethanol each. 93.9 % reported binging. More intense alcohol use was associated with greater AUD-severity and male gender. Country effects showed for alcohol use and AUD-severity. Conclusion: European ELDERLY-participants presented typical dependence symptoms, a wide range of severity, and intense alcohol use. This may underline the clinical significance of AUD in treatment-seeking seniors.


2007 ◽  
Author(s):  
Juliet Acolatse ◽  
Olga Rosito ◽  
Rowena G. Gomez

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