scholarly journals Stressful Family Contexts and Health in Divorced and Married Mothers

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 394-394
Author(s):  
Kandauda Wickrama ◽  
Eric Klopack
Keyword(s):  
Marital Quality ◽  
Preventive Intervention ◽  
Financial Stress ◽  
Later Life ◽  
Health Problems ◽  
Policy Formation ◽  
Marital Stress ◽  
Short And Long Term ◽  
Married Mothers ◽  
The Life Course

Abstract Using prospective data over 25 years from a sample of 416 women, the first objective of the current study was to investigate the biopsychosocial process over the second-half of the life course comparing mothers with diferent marital histories. The second objective was to investigate this biopsychosocial process for 296 maried mothers focusing on their marital quality over middle years. The results suggested that, compared to being married, divorcing in early-midlife launched an adverse biopsychosocial process for women leading to physical pain, physical limitations, and depressive symptoms over their mid-later years, largely through early-midlife financial stress, regardless of later recoupling. However, subsequent financial stress did not influence divorced mothers’ later-life health problems, suggesting their development of resilience. For consistently married mothers, both marital stress and financial stress uniquely influenced all three health problems throughout their mid-later years. For all mothers, these health problems progressed over mid-later years, as indicated through their stabilities and mutual influences, and these health problems also selected mothers into further escalating financial and marital stress over their mid-later years. Elucidating differential short- and long-term health influences of marital and financial stressors for divorced and married mothers provides a potentially useful information for targeted early preventive intervention efforts and policy formation. Such interventions can promote and develop resiliency factors, thereby aiding middle-aged mothers to prevent from adverse biopsychosocial processes.

scholarly journals Heterogeneity in Husbands’ and Wives’ Physical Pain Trajectories over Mid-Later Years: Biopsychosocial Stratification and Implications for Later Life Well-Being

2021 ◽  
Author(s):  
Kandauda A S Wickrama ◽  
Tae Kyoung Lee ◽  
Catherine Walker O’Neal
Keyword(s):  
Preventive Intervention ◽  
Growth Mixture Modeling ◽  
Later Life ◽  
Well Being ◽  
Policy Formation ◽  
Physical Pain ◽  
Growth Mixture ◽  
Pain Trajectories ◽  
The Individual ◽  
Health And Well Being

Abstract Background and Objectives The present study investigated pain trajectories of husbands and wives over their mid-later years, the grouping of these trajectories, and differences in baseline biopsychosocial profiles and health and well-being outcomes in later years across the pain trajectory groups. Research Design and Methods Growth mixture modeling was used to identify latent classes of 244 husbands’ and wives’ physical pain trajectories over their mid-later years (1994-2015, average ages of 44-65 years). Analyses were conducted to identify how these pain trajectory classes were associated with respondents’ biopsychosocial profiles in 1994 and health and well-being in later years (2017, (>67 years). Results The individual pain trajectories of husbands and wives were clustered into three heterogeneous groups with differing trajectory patterns. Non-normative pain trajectory groups (with either a high pain level and/or persistent pain) were associated with adverse baseline biopsychosocial characteristics. These groups also experienced poorer health and well-being outcomes in later years (2017) compared to those with consistently low pain after controlling for lagged measures in 2015. Discussion and Implications The identification of pain trajectory groups and characteristics of group members provides a potentially useful prognostic tool for early preventive intervention efforts, treatment, and policy formation. Such interventions can promote and develop resiliency factors, thereby aiding in the redirection of middle-aged husbands’ and wives’ adverse pain trajectories.

scholarly journals Life Course Patterns of Concurrent Trajectories of BMI and Affective Symptoms of Rural Mothers: Socioeconomic Antecedents and Disease Outcomes in Later Life

2017 ◽  
Vol 74 (7) ◽  
pp. 1233-1244 ◽  
Author(s):  
Kandauda (K A S) Wickrama ◽  
Eric T Klopack ◽  
Catherine Walker O’Neal ◽  
Steven R H Beach ◽  
Tricia Neppl ◽  
...  
Keyword(s):  
Health Risk ◽  
Health Outcomes ◽  
Latent Class ◽  
Preventive Intervention ◽  
Growth Mixture Modeling ◽  
Later Life ◽  
Policy Formation ◽  
Socioeconomic Background ◽  
Middle Aged ◽  
Disease Outcomes

Abstract Objectives The current study, using prospective data over 25 years (1991–2015), concurrently investigates patterns of body mass index (BMI) and affective symptom trajectories in middle-aged mothers and the socioeconomic antecedents and disease outcomes of these patterns. Method Growth mixture modeling was used to identify latent classes of conjoint health risk trajectories (BMI, depressive symptoms, and anxiety symptoms) from 1991 to 2001. For each latent class, we identified mean trajectories of each health risk. Then, analyses were conducted identifying how these conjoint health risk classes were associated with respondents’ socioeconomic background profiles in 1991 and subsequent chronic health problems in 2015. Results Socioeconomic background profiles were significantly associated with initially high-risk trajectories. There was a statistically significant association between membership in certain classes of conjoint trajectories and physical health outcomes in later years. Consistent patterns of association with changes in different health outcomes including onset of diseases were observed when classes of conjoint risk trajectories are examined. Discussion The identification of members of various conjoint risk trajectory groups provides a potentially useful prognostic tool for early preventive intervention efforts, treatment, and policy formation. Such interventions should promote and develop resiliency factors, thereby aiding in the redirection of middle-aged women’s adverse risk trajectories.

scholarly journals Dyadic Patterns of Marital Quality During Later Life

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 344-344
Author(s):  
Jennifer Bulanda ◽  
Taka Yamashita ◽  
J Scott Brown
Keyword(s):  
Growth Rate ◽  
Growth Rates ◽  
Marital Quality ◽  
Married Couples ◽  
Later Life ◽  
Marital Stability ◽  
Cross Sectional ◽  
Level Data ◽  
Nationally Representative ◽  
The Life Course

Abstract Although earlier cross-sectional studies suggested a U-shaped curve in marital quality over the life course, recent longitudinal studies find stability or continual decline (Proulx, Ermer, & Kanter, 2017). It is important to better understand patterns of marital quality during later life, as marital quality is associated with older adults’ marital stability, health, and longevity. However, few studies have utilized couple-level data to examine marital quality trajectories, and only one has examined dyadic patterns during later life (Wickrama et al., 2020). We use nationally-representative data from the 2006-2016 waves of the Health and Retirement Study (HRS) to examine positive and negative dimensions of marital quality among a sample of continuously-married couples over age 50 in which both partners provided data on marital quality at three time points (n = 1,389 couples). A survey-weighted latent growth curve model simultaneously examines two marital quality trajectories: own and spouse’s. Preliminary results show that mean baseline positive and negative marital quality are similar for own and spouse’s trajectories. Although growth rates are statistically non-significant for positive marital quality, the variance of growth rate is statistically significant for spouse’s trajectory (0.001, p < 0.05), and greater baseline own positive marital quality is associated with negative growth of spouse’s positive marital quality. Growth rates are similar for own and spouse’s trajectories of negative marital quality, and variance of growth rate is statistically significant for spouse’s negative marital quality trajectory. Results point to stability in marital quality over time, and suggest the importance of using couple-level data.

Midlife Marital and Financial Stress and the Progression of Later-Life Health Problems for Husbands and Wives

2021 ◽  
pp. 089826432110043
Author(s):  
Kandauda A. S. Wickrama ◽  
Catherine W. O’Neal
Keyword(s):  
Psychological Distress ◽  
Health Outcomes ◽  
Physical Health ◽  
Financial Stress ◽  
Later Life ◽  
Family Systems Theory ◽  
Path Model ◽  
Financial Strain ◽  
Interpersonal Processes ◽  
Marital Stress

Objectives: Locating the family systems theory within the life course stress process perspective, this study investigates how husbands’ and wives’ marital and financial stress were implicated in their subsequent physical health, psychological distress, and loneliness. Methods: Using prospective data from 254 husbands and wives over 27 years, a path model examined the influence of marital stress and family financial stress during midlife (40–50 years) on later-life (65+ years) physical health, psychological distress, and loneliness. Results: For wives, loneliness was a mechanism linking marital stress to their health outcomes and their husbands’ physical health. For husbands, physical health was a mechanism linking financial strain to husbands’ health outcomes and wives’ physical health. Discussion: The findings emphasize the consideration of midlife financial and marital stress for policies and programs for older adults, particularly the prevention of loneliness and improving interpersonal processes, as ways to protect from earlier stressful experiences.

Associations between life-course frailty and later-life heart size and function in the 1946 NSHD British birth cohort-an epidemiological study

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
C.C Topriceanu ◽  
J.C Moon ◽  
R Hardy ◽  
A.D Hughes ◽  
N Chaturvedi ◽  
...  
Keyword(s):  
Life Course ◽  
Birth Cohort ◽  
Frailty Index ◽  
Later Life ◽  
Left Ventricular ◽  
Step Change ◽  
Deficit Accumulation ◽  
Heart Size ◽  
And Function ◽  
The Life Course

Abstract Background Cardiovascular diseases are an important component of the multi-morbidity syndrome which is associated with negative health outcomes resulting in a major societal economic burden. An objective way to assess multi-morbidity is to calculate a frailty index based on medical deficit accumulation. Late-life frailty has been validated to predict mortality, but little is known about the association between life-course frailty and cardiovascular health in later-life. Purpose To study the association between life-course frailty and later-life heart size and function using data from the world's longest running birth cohort with continuous follow-up. Methods A 45-deficit frailty index (FI) was calculated at 4 age-intervals across the life-course (0 to 16 years old, 19 to 44 years old, 45 to 54 years old and 60 to 64 years old) in participants from the UK 1946 Medical Research Council (MRC) National Survey of Heath and Development (NSHD) birth cohort. The life-course frailty indices (FI0_16, FI19_44, FI45_54 and FI60_64) reflect the cumulative medical deficits at the corresponding age-intervals. They were used to derive FImean and FIsum reflecting overall-life frailty. The step change in deficit accumulation between age-intervals was also calculated (FI2-1, FI3-1, FI4-1, FI3-2, FI4-2, FI4-3). Echocardiographic data at 60–64 years provided: E/e' ratio, ejection fraction (EF), myocardial contraction fraction index (MCFi) and left ventricular mass index (LVmassi). Generalized linear mixed models with gamma distribution and log link assessed the association between FIs and echo parameters after adjustment for sex, socio-economic position and body mass index. Results 1.805 NSHD participants were included (834 male). Accumulation of a single deficit had a significant impact (p<0.0001 to p<0.049) on LVmassi and MCFi in all the life-course FIs and overall FIs. LVmassi increased by 0.89% to 1.42% for the life-course FIs and by 0.36%/1.82% for FIsum and FImean respectively. MCFi decreased by 0.62% to 1.02% for the life-course FIs and by 0.33%/ 1.04%. for FIsum and FImean respectively. One accumulated deficit translated into higher multiplicative odds (13.2 for FI60-64, 2.1 for FI4-1, 75.4 for FI4-2 and 78.5 for FI4-3) of elevated filling pressure (defined as E/e' ratio >13, p<0.0.005 to p<0.02).A unit increase in frailty decreased LV EF (%) by 11%/12% for FI45-54 and FI60-64 respectively, by 10% to 12% for FI2-1, FI3-1, FI4-1 and FI4-2, and 4%/15% for FIsum and FImean respectively (p<0.0014 to p<0.044). Conclusion Frailty during the life-course, overall life-frailty and the step change in deficit accumulation is associated with later-life cardiac dysfunction. Frailty strain appears to have its greatest impact on pathological myocardial hypertrophy (high LVmassi and low MCFi) potentially paving the way to later-life systolic or diastolic dysfunction in susceptible individuals. Funding Acknowledgement Type of funding source: None

scholarly journals Body size throughout the life-course and incident benign prostatic hyperplasia-related outcomes and nocturia

BMC Urology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Saira Khan ◽  
K. Y. Wolin ◽  
R. Pakpahan ◽  
R. L. Grubb ◽  
G. A. Colditz ◽  
...  
Keyword(s):  
Body Size ◽  
Benign Prostatic Hyperplasia ◽  
Life Course ◽  
Early Life ◽  
Prostate Volume ◽  
Late Life ◽  
Later Life ◽  
Normal Weight ◽  
Prostatic Hyperplasia ◽  
The Life Course

Abstract Background Existing evidence suggests that there is an association between body size and prevalent Benign Prostatic Hyperplasia (BPH)-related outcomes and nocturia. However, there is limited evidence on the association between body size throughout the life-course and incident BPH-related outcomes. Methods Our study population consisted of men without histories of prostate cancer, BPH-related outcomes, or nocturia in the intervention arm of the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial (PLCO) (n = 4710). Associations for body size in early- (age 20), mid- (age 50) and late-life (age ≥ 55, mean age 60.7 years) and weight change with incident BPH-related outcomes (including self-reported nocturia and physician diagnosis of BPH, digital rectal examination-estimated prostate volume ≥ 30 cc, and prostate-specific antigen [PSA] concentration > 1.4 ng/mL) were examined using Poisson regression with robust variance estimation. Results Men who were obese in late-life were 25% more likely to report nocturia (Relative Risk (RR): 1.25, 95% Confidence Interval (CI): 1.11–1.40; p-trendfor continuous BMI < 0.0001) and men who were either overweight or obese in late-life were more likely to report a prostate volume ≥ 30 cc (RRoverweight: 1.13, 95% CI 1.07–1.21; RRobese: 1.10, 95% CI 1.02–1.19; p-trendfor continuous BMI = 0.017) as compared to normal weight men. Obesity at ages 20 and 50 was similarly associated with both nocturia and prostate volume ≥ 30 cc. Considering trajectories of body size, men who were normal weight at age 20 and became overweight or obese by later-life had increased risks of nocturia (RRnormal to overweight: 1.09, 95% CI 0.98–1.22; RRnormal to obese: 1.28, 95% CI 1.10–1.47) and a prostate volume ≥ 30 cc (RRnormal to overweight: 1.12, 95% CI 1.05–1.20). Too few men were obese early in life to examine the independent effect of early-life body size. Later-life body size modified the association between physical activity and nocturia. Conclusions We found that later-life body size, independent of early-life body size, was associated with adverse BPH outcomes, suggesting that interventions to reduce body size even late in life can potentially reduce the burden of BPH-related outcomes and nocturia.

scholarly journals Parallel Process Latent Growth Modeling of the Relationships Between Social Cohesion and Mental Health in Later Life

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 307-307
Author(s):  
Sok An ◽  
Kyeongmo Kim ◽  
Minhong Lee
Keyword(s):  
Mental Health ◽  
Social Cohesion ◽  
Mental Health Problems ◽  
Initial Level ◽  
Later Life ◽  
Health Problems ◽  
Latent Growth ◽  
Functional Disabilities ◽  
Score Range ◽  
Over Time

Abstract Previous literature suggests that social factors (e.g., social cohesion, social support) are protective predictors of mental health problems. However, there might be a reciprocal relationship between social factors and mental health and the relationship changes over time. Therefore, this study examined the longitudinal relationship between community social cohesion and mental health using a latent growth curve model with 8 waves of the National Health and Aging Trends Study (NHATS; 2011-2018), a nationally representative panel study of Medicare beneficiaries in the United States. Social cohesion measured the perceived level of mutual trust by three items (score range: 0-6) and mental health was measured by PHQ-4 (score range: 0-12). The final model including covariates (age, gender, functional disabilities) fit the data well: χ2=1036.383, p&lt;.001; RMSEA=.037; CFI=.960; and SRMR=.070. Initial level of social cohesion was negatively associated with initial level of mental health problem (β=−.23, p&lt; .001), suggesting that higher levels of social cohesion was associated with lower levels of mental health problems. The covariance between social cohesion slope and mental health slope was significant (β=−.16, p&lt; .01), suggesting an increase in social cohesion was associated with a decrease in mental health problems over time. Functional disabilities significantly influenced mental health over time, while functional disabilities did not influence social cohesion consistently. This study adds to the growing literature on the ways mental health status and social connection have reciprocal relationships over time. Therefore, mental health status in later life could be decreased by improving social cohesion and connectedness with the community.

scholarly journals Social Participation Across Midlife and Later Life: Evidence From the Silent Generation

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 408-408
Author(s):  
Eric Vogelsang
Keyword(s):  
Social Participation ◽  
Early Adulthood ◽  
Later Life ◽  
Silent Generation ◽  
School Activities ◽  
Wisconsin Longitudinal Study ◽  
Different Types ◽  
Exercise Activity ◽  
The Life Course ◽  
Made In

Abstract Despite the well-established benefits of social participation for individuals and communities, little is known about how it varies throughout the life course. Drawing upon data collected between 1957 and 2011 by the Wisconsin Longitudinal Study (22,023 observations from a cohort of 6,627), this study provides four valuable results. One, I find evidence of five distinct social participation trajectories between the ages of 35 and 71; the majority of which demonstrate social disengagement over time. Two, these participation declines are primarily attributable to changes in meeting friends and group exercise activity. Three, the most pronounced activity differences separating those in more favorable and unfavorable participation trajectories are cultural event attendance and voluntary group membership. Lastly, I identify particular high school activities that are associated with social participation decades later. In total, these results highlight heterogeneity among different types of social activities, and underscore the possible consequences of membership decisions made in early adulthood.

Sex in an ideology of love

2017 ◽  
Author(s):  
Torbjörn Bildtgård ◽  
Peter Öberg
Keyword(s):  
Older People ◽  
Life Course ◽  
Case Studies ◽  
Intimate Relationships ◽  
Later Life ◽  
Sexual Intimacy ◽  
Sexual Norms ◽  
Gerontological Research ◽  
The Life Course ◽  
Loving Relationship

Until recently the sex life of older people was more or less invisible in family and gerontological research. This chapter contributes to breaking this silence by focusing on the role and meaning of sex in intimate relationships in later life. Based on biographical case studies, the chapter investigates how sexual norms have changed over the life course of contemporary cohorts of older people and how they have experienced this change. The chapter considers sexual intimacy as part of new intimate relationships established late in life and questions the persistent assumption that older people who date are primarily looking for companionate relationships. It is shown that older people’s ideas about sex are deeply embedded in an ideology of love, where sex tends to be viewed as a natural part of a loving relationship, while sex outside of a loving relationship – also in a loveless marriage – is frowned on.

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