Home and Community-Based Service Utilization among Older Adults in Urban China: The Role of Social Capital

2020 ◽  
Vol 63 (8) ◽  
pp. 790-806 ◽  
Author(s):  
Changmin Peng ◽  
Jeffrey A. Burr ◽  
Kyungmin Kim ◽  
Nan Lu
2019 ◽  
Vol 90 (3) ◽  
pp. 297-316
Author(s):  
Jingyue Zhang ◽  
Nan Lu

The present study examined the moderating role of family social capital in the relationship between community-based cognitive social capital and depressive symptoms among community-dwelling older adults in urban China. Cross-sectional data were derived from a community survey conducted in Suzhou, China, in late 2015. Data from 441 respondents were included in the final analysis. Multiple group analysis was used to test the hypotheses. The latent construct of community-based cognitive social capital was based on trust and reciprocity indicators. Measurement invariance was established across groups with high or low family social capital. The results show that family social capital had a moderation effect on the relationship between community-based cognitive social capital and depressive symptoms. The effects of community-based cognitive social capital on depressive symptoms were higher among those with low family social capital. The findings demonstrate the interplay between family and community-based cognitive social capital. Policy and intervention implications are discussed.


2018 ◽  
Vol 40 (8) ◽  
pp. 740-761 ◽  
Author(s):  
Nan Lu ◽  
Nan Jiang ◽  
Vivian W. Q. Lou ◽  
Yue Zeng ◽  
Meng Liu

The present study aimed to test the moderating effect of gender on the relationship between social capital and life satisfaction among older adults in urban China. A quota sampling method was used to select 456 older adults aged 60 and older from 16 local communities in Suzhou city in 2015. Hierarchical multiple regression was employed to test the proposed models. The associations between family social capital and life satisfaction were higher among older men than women. Trust and helping others were stronger predictors of older women’s life satisfaction than their male counterparts. Citizenship activities affected life satisfaction among older men only. The findings highlight the important role of social capital in sustaining and/or improving life satisfaction among both older women and men. Policy and intervention implications are discussed.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S340-S341
Author(s):  
Claire Pendergrast ◽  
Basia Belza ◽  
Ann Bostrom ◽  
Nicole Errett

Abstract Older adults are more susceptible to adverse health outcomes during and after a disaster compared with their younger counterparts. Developing community resilience, or strengthening communities to reduce the negative impacts of disasters, has the potential support older adults’ health and well-being. Community-based organizations (CBOs), such as senior centers and Villages, provide social services and programming that support aging in place and may support older adults’ resilience to disasters. This study examines CBO leadership perspectives on the role of CBOs in building disaster resilience for older adults aging in place, as well as perceived barriers and facilitators to incorporating disaster resilience activities into organizational programming. In-depth interviews were conducted with a purposive sample of staff-members of CBOs serving older adults aging in place in King County, Washington. Participants included representatives from 14 organizations that varied in size, geographic setting, organizational structure, and ethnic, linguistic, and socio-economic backgrounds of organizational members. The sample included five government-run senior centers, seven non-profit senior centers, and two Villages. Interviews were audio-recorded and transcribed verbatim. We used a combined inductive and deductive approach to code and thematically analyze the data. Results indicate that local context, leadership risk perception, collaborations, and existing services and programming influence CBOs’ willingness to engage in activities supporting disaster resilience for older adults aging in place. Findings suggest that CBOs supporting aging in place may support disaster resilience for older adults by serving as a trusted source of disaster preparedness information and tailoring disaster-related messages for an older adult audience.


2012 ◽  
Vol 22 (6) ◽  
pp. 1371-1379 ◽  
Author(s):  
Hiam Chemaitelly ◽  
Caroline Kanaan ◽  
Hind Beydoun ◽  
Monique Chaaya ◽  
Mona Kanaan ◽  
...  

2019 ◽  
Vol 32 (7-8) ◽  
pp. 744-752 ◽  
Author(s):  
Sae Hwang Han ◽  
Bei Wu ◽  
Jeffrey A. Burr

Objective: This study examined the associations between edentulism, dental care service utilization, and cognitive functioning trajectories among older adults. Method: Longitudinal data from the Health and Retirement Study (2006-2014) were employed to examine individuals aged 51 and older who were identified as having normal cognition at baseline ( N = 12,405). Cognitive functioning was measured with a modified version of the Telephone Interview for Cognition Status. Edentulism was self-reported as total tooth loss at baseline. Dental care service utilization was measured by self-report of having visited a dentist at least once during the previous 2 years. Results: The results indicated that edentulism and dental care service utilization were independently associated with cognitive decline during the observation period. Findings also showed that dental care service utilization moderated the association between edentulism and cognitive decline. Discussion: The findings suggested that providing access to dental services may promote cognitive health and potentially reduce health care expenditures.


2019 ◽  
Vol 55 (3) ◽  
pp. 399-418 ◽  
Author(s):  
Eelco Jacobs ◽  
Irna Hofman

Abstract Despite overwhelming interest in the role of social capital in international development, attention to the interplay of community-based development aid with local collective-action dynamics in Central Asia and particularly Tajikistan has remained limited. This paper investigates donor-induced local institutions for collective action in rural Tajikistan with a focus on the introduction of a community-based health insurance. Social capital and collective-action theories are used to interpret results from qualitative research in two Rushan District villages in the Gorno-Badakhshan region. By highlighting the role of donor embeddedness, and the perceived legitimacy of different decision-making structures, the article contends that the perception of such externally-induced change depends on the community’s capacity to reach beyond the intra-communal solidarity network through bridging and linking capital. The findings suggest this can be fostered by addressing trust, and the role of effective development brokers, with due attention to power relations within communities and towards external agents.


Author(s):  
Jingyue Zhang ◽  
Nan Lu

The present study investigated individual-level determinants of community social capital among older adults in urban China, with a particular emphasis on health and family social capital. A quota sampling method was used to select 456 adults aged 60 or older from 16 local communities in the city of Suzhou in 2015. Multiple indicators and multiple courses in structural equation modeling were used to examine the proposed model. Latent constructs of community social capital (i.e., cognitive social capital and structural social capital) were established. The results showed that family social capital and instrumental activities of daily living were the most influential determinants of cognitive social capital, whereas activities of daily living and socioeconomic status were the most important determinants of structural social capital. We demonstrate the application of social capital theory in an urban Chinese context. Future policy development and social work interventions should use a more comprehensive social capital latent constructs and health indicators as screening instruments. The promotion of family social capital could play an important role in enhancing cognitive social capital among older adults.


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