scholarly journals SOCIAL STRATIFICATION AND TRAJECTORIES OF LIVING ARRANGEMENTS AMONG OLDER AMERICANS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S281-S281
Author(s):  
Jersey Liang ◽  
BoRin Kim ◽  
Xiao Xu ◽  
James Raymo ◽  
Mary Beth Ofstedal ◽  
...  
Keyword(s):  
Old Age ◽  
Social Stratification ◽  
Living Arrangements ◽  
Well Being ◽  
Cross Sectional ◽  
Term Care ◽  
Older Americans ◽  
Rate Of Increase ◽  
Race Ethnicity ◽  
Young Old

Abstract Living arrangements are critical to intra-family exchanges that affect older persons’ health and well-being. The conventional conceptualization of living arrangements has emphasized coresidence with children, while overlooking proximate residence from children. Additionally, existing research often relied on cross-sectional data which confound intrapersonal differences with interpersonal variations. This study examined the dynamics of living arrangements in old age by depicting their trajectories as a function of social stratification (i.e., age, gender, race/ethnicity, education, income, and wealth). Data came from the Health and Retirement Study and included a national sample of 7,822 older Americans with at least one living child from 1998 to 2014. Multi-level mixed effects models were employed to analyze the trajectories of living arrangements and their key determinants for the young-old and the old-old separately. Among the young-old (age 65-74, N=4,917), the probability of coresidence increased slightly over time, whereas the probabilities of proximate residence and distant residence decreased slightly and remained stable respectively, and the risk for institutionalization increased moderately. Similar but more accelerated trajectories were observed among the old-old (age 75+, N=2,905). Age, gender, race/ethnicity, education, income, and asset were significantly associated with not only the levels of the probabilities of various living arrangements but also their slopes. For instance, among the old-old, Hispanics had a lower level of nursing home residence as well as a slower rate of increase in the risk of institutionalization than Whites. These findings may inform public policies to strengthen family-based support and long-term care for older people.

Preparations for Old Age and Well-Being in Later Life in Thailand: Gender Matters?

2016 ◽  
Vol 37 (6) ◽  
pp. 783-810 ◽  
Author(s):  
Wiraporn Pothisiri ◽  
Nekehia T. Quashie
Keyword(s):  
Life Satisfaction ◽  
Old Age ◽  
Social Stratification ◽  
Living Arrangements ◽  
Later Life ◽  
Well Being ◽  
Interaction Effects ◽  
Negative Interaction ◽  
Term Care ◽  
Socioeconomic Resources

Data from the 2011 Survey of Older Persons in Thailand examines the association between preparations for old age (financial, health, caregiving, living arrangements, and spiritual) and three measures of well-being: financial satisfaction, life satisfaction, and physical health. The study further explores the role of social stratification and the gendered nature of these relationships. The sample ( N = 10,235) is restricted to adults 60 years and above, who are retired and answered the survey independently. Multivariate logistic regression analyses indicate that different forms of preparation are positively associated with post-retirement well-being for men and women but socioeconomic resources are positively associated with all three well-being outcomes. Furthermore, for women, there are significant negative interaction effects of income and financial preparation on life satisfaction, as well as negative interaction effects of disability and caregiver preparation on self-rated health. Implications for long-term care, socioeconomic inequality, and gender inequality in paid labor are discussed.

Health, Longevity, and Welfare Inequality of Older Americans

2021 ◽  
pp. 1-45
Author(s):  
Ray Miller ◽  
Neha Bairoliya
Keyword(s):  
Expected Utility ◽  
Well Being ◽  
Poor Health ◽  
Cost Of Living ◽  
Cross Sectional ◽  
Older Americans ◽  
The Cost ◽  
Welfare Inequality ◽  
Health And Mortality ◽  
Over Time

Abstract We estimate the distribution of well-being among the older U.S. population using an expected utility framework that incorporates differences in consumption, leisure, health, and mortality. We find large disparities in welfare that have increased over time. Incorporating the cost of living with poor health into elderly welfare substantially increases the overall inequality. Disparity measures based on cross-sectional income or consumption underestimate the growth in aggregate welfare inequality. Moreover, health is a better indicator of an individual's relative welfare position than income or consumption.

scholarly journals OLD AGE HOMES: ARE THEY ACCEPTABLE TO PAKISTANI GERIATRIC POPULATION? RESULTS OF A SURVEY OF ELDERLY OUTPATIENTS VISITING TEACHING HOSPITALS IN KARACHI, PAKISTAN

2018 ◽  
Vol 8 (2) ◽  
pp. 107-111 ◽  
Author(s):  
Waris Qidwai ◽  
Imdad Ali Khushk ◽  
Fizzah Farooq ◽  
Muhammad Yusuf Hafiz ◽  
Kashmira Nanji
Keyword(s):  
Old Age ◽  
The Elderly ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Teaching Hospitals ◽  
Chi Square ◽  
Geriatric Population ◽  
Cross Sectional ◽  
Term Care ◽  
Old Age Homes

Background: Worldwide, some one million people pass the sixty year old threshold every month (Ageing, WHO). Between 2010 and 2050, the number of older people in less developed countries is projected to increase. Methods: Cross-sectional study conducted in Outpatient clinics (OPD) of two hospitals in Karachi from April to May 2013. Elderly (> 60 years of age) visiting the clinics were consecutively recruited. 477 elderly were approached and a pretested, structured questionnaire was used to obtain information. Data was analyzed using SPSS version 19 and Pearson chi-square test was used to identify the factors related to choosing of "Old Age Homes". Results: A total of 400 participants were selected. Fifty-five percent of the elderly were in between 60 to 65 years of age and majority was males 54.8 percent. Elderly were aware of the presence of "Old Age Homes" in Pakistan, however only 7 percent choose to live in there. The main reason was found to be that the elderly did not want to go away from their families and loved ones. Conclusion: In conclusion, majority of the participants felt insecure to live in a home with strangers. However, "Old Age Homes" were preferred choice for those with chronic diseases or those living alone. Media should initiate public education programs to reduce social stigmas in seeking alternate long-term care services outside of the family.

scholarly journals HEALTH AND WELL-BEING OF OLDER ADULTS IN LONG-TERM CARE FACILITIES: LESSONS FROM LONGITUDINAL STUDIES.

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S242-S242
Author(s):  
Robert O Barker ◽  
Andrew Kingston ◽  
Fiona Matthews ◽  
Barbara Hanratty
Keyword(s):  
Older Adults ◽  
Longitudinal Studies ◽  
Long Term Care ◽  
Well Being ◽  
Cross Sectional ◽  
Term Care ◽  
Complex Needs ◽  
People With Dementia ◽  
Care Facilities

Abstract Older adults in long-term care facilities (LTCF) have complex needs for health care and support. There is a perception that residents’ needs are increasing over time, but little research evidence to back this up. In this study we brought together data on 1640 residents in LTCFs from three longitudinal studies, and conducted repeated cross-sectional analyses across a 25 year period. We found that the prevalence of severe disability amongst residents has increased from 56% to 80% over a 20 year period, driven by increases in difficulties in bathing and dressing. The prevalence of multimorbidity also increased from 29% to 56% between 2006 and 2014. A growth in the number of people with dementia, cardiovascular and cerebrovascular diseases contributed to this. We conclude that residents in LTCFs have become a selected subset of the population, characterised by increasing needs for support. This poses an important challenge for future care provision.

scholarly journals Resilience Significantly Contributes to Exceptional Longevity

2010 ◽  
Vol 2010 ◽  
pp. 1-9 ◽  
Author(s):  
Yi Zeng ◽  
Ke Shen
Keyword(s):  
Well Being ◽  
Cognitive Status ◽  
Cross Sectional ◽  
Exceptional Longevity ◽  
Positive Effects ◽  
Healthy Longevity ◽  
Logistic Regressions ◽  
Policies And Programs ◽  
Young Old

Objective. We aim to investigate whether centenarians are significantly more resilient than younger elders and whether resilience significantly contributes to exceptional longevity.Data. We use a unique dataset from the Chinese Longitudinal Healthy Longevity Survey with the largest sample to date of centenarians, nonagenarians, octogenarians, and a compatible group of young old aged 65–79.Methods and Results. Logistic regressions based on the cross-sectional sample show that after controlling for various confounders, including physical health and cognitive status, centenarians are significantly more resilient than any other old-age group. Logistic regression analyses based on the longitudinal data show that nonagenarians aged 94–98 with better resilience have a 43.1% higher likelihood of becoming a centenarian compared to nonagenarians with lower resilience.Conclusions. Resilience significantly contributes to longevity at all ages, and it becomes even more profound at very advanced ages. These findings indicate that policies and programs to promote resilience would have long-term and positive effects on the well-being and longevity for senior citizens and their families.

scholarly journals Importance of living arrangements and coparenting quality for young children’s mental health after parental divorce: a cross-sectional parental survey

2021 ◽  
Vol 5 (1) ◽  
pp. e000657
Author(s):  
Malin Bergström ◽  
Raziye Salari ◽  
Anders Hjern ◽  
Robin Hognäs ◽  
Kersti Bergqvist ◽  
...  
Keyword(s):  
Mental Health ◽  
Preschool Children ◽  
Living Arrangements ◽  
Child Mental Health ◽  
Mental Health Problems ◽  
Well Being ◽  
Health Problems ◽  
Parental Separation ◽  
Cross Sectional ◽  
Intact Families

BackgroundParental separation has been associated with adverse child mental health outcomes in the literature. For school-aged children, joint physical custody (JPC), that is, spending equal time in both parents’ homes after a divorce, has been associated with better health and well-being than single care arrangements. Preschool children’s well-being in JPC is less studied. The aim of this study was to investigate the association of living arrangements and coparenting quality with mental health in preschool children after parental separation.MethodsThis cross-sectional population-based study includes 12 845 three-year-old children in Sweden. Mental health was measured by parental reports of the Strength and Difficulties Questionnaire and coparenting quality with a four-item scale. The living arrangements of the 642 children in non-intact families were categorised into JPC, living mostly with one parent and living only with one parent.ResultsLinear regression models, adjusted for sociodemographic confounders, showed an association between increased mental health problems and living mostly and only with one parent (B=1.18; 95% CI 0.37 to 2.00, and B=1.20; 95% CI 0.40 to 2.00, respectively), while children in intact families vs JPC did not differ significantly (B=−0.11; 95% CI −0.58 to 0.36). After adjusting the analyses for coparenting quality, differences in child mental health between the post divorce living arrangements were, however, minimal while children in intact families had more mental health problems compared with JPC (B=0.70; 95% CI 0.24 to 1.15). Factorial analysis of covariance revealed that low coparenting quality was more strongly related to mental health problems for children in intact families and JPC compared with children living mostly or only with one parent.ConclusionsThis study suggests that coparenting quality is a key determinant of mental health in preschool children and thus should be targeted in preventive interventions.

scholarly journals A Life-Course View on Ageing Consumers: Old-Age Trajectories and Gender Differences

2021 ◽  
Author(s):  
Matthias Pannhorst ◽  
Florian Dost
Keyword(s):  
Gender Differences ◽  
Survey Data ◽  
Old Age ◽  
Well Being ◽  
Cross Sectional ◽  
Dynamic Cluster ◽  
Longitudinal Survey Data ◽  
Age Cohort ◽  
Active Lifestyles ◽  
And Gender

AbstractThis study presents a dynamic, model-based view of consumers’ ageing developments, focused on gender differences, to uncover the pathways and socioeconomic transitions that female and male consumers take through old age. The analysis of longitudinal survey data spanning 15 years uses a latent Markov dynamic cluster model with transitions over time. The resulting life courses allow an exploration of lifestyle-related changes in multiple consumer well-being variables beyond age 50. Substantial well-being differences appear in the ageing paths of men and women. In both cases, a dominant chronological sequence through old age is complemented by less common transitions, rarely associated with advanced age. Although the model does not use chronological age as an independent variable, it outperforms purely agebased, or age- cohort-, and period-based models in predicting old-age consumer wellbeing. These results highlight the importance of considering within-cohort diversity when modelling the accompaniments of old age: while some older consumers enjoy active lifestyles, others of similar age succumb to depression and loneliness, rendering age an insufficient predictor of well-being states. In the future, the presented model could be matched with other, even cross-sectional, consumer survey data to help predict various dynamics in the ageing consumer population.

scholarly journals Successful Aging and Personal Well-Being Among the Chilean Indigenous and Non-Indigenous Elderly

Aquichan ◽  
2019 ◽  
Vol 19 (3) ◽  
pp. 1-15
Author(s):  
Lorena Patricia Gallardo-Peralta ◽  
Esteban Sánchez-Moreno
Keyword(s):  
Old Age ◽  
Successful Aging ◽  
Social Inclusion ◽  
Well Being ◽  
Social Risk ◽  
Subjective Well Being ◽  
Religious Experiences ◽  
Cross Sectional ◽  
Health Satisfaction ◽  
Life Paths

Objective: The aim of this research was to analyse the association between successful aging (SA) and subjective well-being (SWB) in different domains. Method: The study is quantitative and cross-sectional, with a sample consisting of 800 older people, including 569 indigenous (Aymara and Mapuche) participants living in northern and southern Chile. Results: Domains associated with SA are satisfaction with health, satisfaction with social relationships, satisfaction with future security, and satisfaction with spiritual and religious experiences. SA is also positively associated with being a woman, being young, and not being indigenous. Conclusion: The research has two main practical implications. First, SWB domains may be incorporated into socio-health interventions as they relate to elements that can be changed or improved (health, social inclusion, security, and beliefs). Second, this study suggests a situation of risk among older indigenous Chileans, confirming the premise that the life paths of indigenous Chileans at social risk give rise to a more socially unequal old age with; therefore, it is important to analyse positive aspects that promote better old age.

scholarly journals Intimacy for older adults in long-term care: a need, a right, a privilege—or a kind of care?

2021 ◽  
pp. medethics-2020-107171
Author(s):  
Vanessa Schouten ◽  
Mark Henrickson ◽  
Catherine M Cook ◽  
Sandra McDonald ◽  
Nilo Atefi
Keyword(s):  
Older Adults ◽  
Long Term Care ◽  
Family Members ◽  
Well Being ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Term Care ◽  
Survey Tool ◽  
Whole Person

BackgroundTo investigate attitudes of staff, residents and family members in long-term care towards sex and intimacy among older adults, specifically the extent to which they conceptualise sex and intimacy as a need, a right, a privilege or as a component of overall well-being.MethodsThe present study was a part of a two-arm mixed-methods cross-sectional study using a concurrent triangulation design. A validated survey tool was developed; 433 staff surveys were collected from 35 facilities across the country. Interviews were conducted with 75 staff, residents and family members.ResultsIt was common for staff, residents and family members to talk about intimacy and sexuality in terms of rights and needs. As well as using the language of needs and rights, it was common for participants to use terms related to well-being, such as fun, happiness or being miserable. One participant in particular (a staff member) described receiving intimate touch as a ‘kind of care’—a particularly useful way of framing the conversation.ConclusionWhile staff, residents and family frequently used the familiar language of needs and rights to discuss access to intimate touch, they also used the language of well-being and care. Reframing the conversation in this way serves a useful purpose: it shifts the focus from simply meeting minimum obligations to a salutogenic approach—one that focuses on caring for the whole person in order to improve overall well-being and quality of life.

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