scholarly journals FAMILY-MEMBER LOSS AS A CUMULATIVE BURDEN FOR HEALTH AMONG BLACK AND WHITE OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S604-S604
Author(s):  
Rachel Donnelly
Keyword(s):  
Older Adults ◽  
Life Course ◽  
Family Member ◽  
Functional Limitations ◽  
Black Americans ◽  
Later Life ◽  
Cardiometabolic Health ◽  
Black And White ◽  
Family Loss ◽  
The Life Course

Abstract The health consequences of multiple family member deaths across the life course has received less attention in the bereavement literature. Moreover, recent research shows that black Americans are more likely than white Americans to lose multiple family members. I analyze longitudinal data from the Health and Retirement Study (1992-2014) to assess how multiple family member losses across the life course are associated with declines in health among older adults. Findings suggest that multiple family losses prior to midlife are associated with a number of indicators of poor health (e.g., functional limitations, cardiometabolic health) and steeper declines in health as individuals age. Losses after midlife additionally undermine health declines for older adults. Thus, family member loss functions as a cumulative burden of stress across the life course that erodes health in mid- and later-life. Family loss disproportionately burdens black Americans and serves as a unique source of disadvantage for black families.

scholarly journals Family Member Death and Subjective Life Expectancy Among Black and White Older Adults

2018 ◽  
Vol 32 (3-4) ◽  
pp. 143-153
Author(s):  
Rachel Donnelly ◽  
Debra Umberson ◽  
Tetyana Pudrovska
Keyword(s):  
Older Adults ◽  
Life Expectancy ◽  
Life Course ◽  
Family Member ◽  
Well Being ◽  
White Americans ◽  
Black And White ◽  
Survival Expectations ◽  
The Life Course

Objective: To examine whether exposure to family member deaths throughout the life course is associated with subjective life expectancy—a person’s assessment of their own mortality risk—at age 65, with attention to differences by race. Method: We analyzed 11 waves of data from a study of men and women above age 50 (Health and Retirement Study; n = 13,973). Results: Experiencing the deaths of multiple family members before the respondent is 50 years old is negatively associated with subjective life expectancy at age 65. Discussion: Understanding the life-course predictors of older adults’ subjective life expectancy is particularly important because survival expectations influence long-term planning, health, and longevity. Moreover, Black Americans are exposed to more family member deaths earlier in their life compared with White Americans, with implications for long-term health and well-being.

scholarly journals Transitions, generations andinformal learning in later life

2012 ◽  
Vol 18 (4) ◽  
pp. 29
Author(s):  
John Field
Keyword(s):  
Older Adults ◽  
Older People ◽  
Life Course ◽  
Demographic Change ◽  
Life Histories ◽  
Later Life ◽  
Identity Change ◽  
Social Scientists ◽  
Life Chances ◽  
The Life Course

The nature of transitions across the lifecourse is changing, as are the ways in which these transitions are understoodand investigated by social scientists. Much earlier debate on older adults’ transitions has tended to be rooted in acco-unts of relatively fixed social roles and age-based social stages. However, while we can detect some tendencies towardsdestandardization and restandardization of the lifecourse in later life, we can also see significant continuities in theinfluences of socio-economic position, gender, and ethnicity, as well as of generational position, that continue to affectpeople’s life chances, as well as the expectations and experiences of transition of older people. The paper examines theinterplay of these complex and contradictory structural positions and cultural locations on transitions, and considersthe ways in which older people use and understand learning, formally and informally, as a way of exercising agencyand recreating meaning. It will draw on recent research into the life histories of adults in Scotland, a relatively smallcountry with a typically European pattern of demographic change. The study was concerned with agency, identity,change and learning across the life course, and this paper will concentrate on the evidence relating to experiences oftransition in later life. It will particularly focus on the idea of ‘educational generations’ as a key concept that helps usunderstand how adults use and interpret learning in later life.

scholarly journals BEREAVEMENT IN A FAMILY CONTEXT

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S604-S604
Author(s):  
Jeffrey E Stokes ◽  
Kyungmin Kim ◽  
Deborah Carr
Keyword(s):  
Older Adults ◽  
Life Course ◽  
Family Context ◽  
Future Research ◽  
Family Networks ◽  
Depressive Symptomology ◽  
Death Of A Parent ◽  
Relationship Importance ◽  
Family Loss ◽  
The Life Course

Abstract Bereavement is an impactful, often difficult experience for individuals throughout the life course. Moreover, bereavement experiences inherently involve wider family networks: The death of a spouse is often also the death of a parent, grandparent, or sibling, as well. The present symposium investigates a variety of different family loss experiences that individuals are exposed to in adulthood and older age, and situates such bereavement in a larger family context. Stahl explores how daily routines and sleep patterns can be altered by spousal bereavement, and assesses an intervention designed to improve widowed older adults’ behaviors and, in turn, reduce their depressive symptomology. Kim and colleagues analyze the death of a parent in adulthood, examining the extent to which pre-loss relationship quality and relationship importance may predict post-loss symptoms of grief. Stokes and colleagues extend this intergenerational perspective, examining the death of a grandparent in adulthood, and whether adult grandchildren’s relationships with their middle-generation parents – bereaved adult children themselves – impact their experiences of grief after loss. Focus is also paid to the influence of gender across all three generations. Lastly, Donnelly explores the cumulative consequences of experiencing multiple family deaths throughout the life course for adults’ health trajectories. Together, these papers expand the scope of bereavement research to incorporate spousal, multigenerational, and cumulative loss experiences and their repercussions for midlife and older adults. As discussant, Carr will assess the contributions of these papers to theory and the literature, and highlight potential directions for future research concerning aging, families, and bereavement.

scholarly journals AGING SEXUAL STEREOTYPES AND SEXUAL EXPRESSION IN MID- AND LATER LIFE: EXAMINING THE STEREOTYPE MATCHING EFFECT

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S888-S888
Author(s):  
Maggie Syme ◽  
Tracy Cohn
Keyword(s):  
Older Adults ◽  
Life Course ◽  
Online Survey ◽  
Later Life ◽  
Older Age ◽  
Sexual Stereotypes ◽  
Matching Effect ◽  
Convenience Sample ◽  
Sexual Stigma ◽  
The Life Course

Abstract Ageist sexual stereotypes are culturally embedded and may prohibit midlife and older adults from achieving sexual wellness when internalized over the life course (i.e., stereotype embodiment), which was examined in the current study. A cross sectional, convenience sample of 972 adults aged 50 and older was recruited online via a crowdsourcing platform. Participants completed an online survey assessing aging sexual stigma and their participation in a spectrum of sexual and intimate behaviors. Two hierarchical linear regressions examined study hypotheses predicting a) sexual and b) intimate behaviors among middle age and older adults, while accounting for several known covariates (e.g., education, relationship status, health). Results suggest that older age (β = -.24, p < .001), being a woman (β = -.29, p < .001), and higher levels of aging sexual stigma (β = -.30, p < 0.001) were associated with less sexual activity (F(19, 945) = 32.51, p < .001, R2 = 0.40). For intimate behaviors, older age (β = -0.14, p < .05) and higher levels of aging sexual stigma (β = -0.24, p < .001) were significantly associated with lower levels of intimate activity (F(19, 945) = 39.80, p < .001, R2 = 0.45). Contrary to expectations, neither gender nor age cohort moderated the effect of aging sexual stigma. Ageist sexual stereotypes appear to affect individual sexual health and wellness via internalized beliefs. Future studies should focus on the potential malleability of aging sexual stigma beliefs, and at what point(s) in the life course they are modifiable.

Life Course Stressors and Functional Limitations in Later Life among White, Black, and Hispanic Adults: Deleterious, Hardening, or Benign?

2021 ◽  
Author(s):  
Madison R Sauerteig ◽  
Kenneth F Ferraro ◽  
Shawn Bauldry
Keyword(s):  
Older Adults ◽  
Life Course ◽  
Race And Ethnicity ◽  
Functional Limitations ◽  
Ethnic Disparities ◽  
Later Life ◽  
Mediation Analyses ◽  
Inequality Theory ◽  
Hispanic Adults ◽  
Cumulative Inequality

Abstract Objectives Although striking racial and ethnic disparities in health are manifest during later life, they may be rooted in early-life exposures. Drawing from cumulative inequality theory, we investigate whether life course stressors are associated with risk of later life functional limitations and whether this relationship differs by race and ethnicity. Methods We utilize longitudinal data from the Health and Retirement Study to test whether child and adult stressors predict trajectories of the occurrence and severity of functional limitations among a diverse sample of older adults. Results Child and adult stressors are associated with greater occurrence and severity of functional limitations during later life. Mediation analyses reveal the indirect influence of child stressors via adult stressors on occurrence and severity of functional limitations; however, the indirect effects are slightly stronger for Black and Hispanic adults than their White counterparts. Discussion Child stressors, in and of themselves, do not increase functional limitations among Black and Hispanic people but are associated with greater adult stress exposure, predisposing them to more functional limitations. Results suggest that childhood stressors are associated with distinct social pathways to functional limitations among Black, White, and Hispanic older adults.

scholarly journals ESPO and Social Research, Policy, and Practice Section Symposium: It’s a Practice, Not an End State: Centering Equity in Gerontological Research and Policy

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 318-318
Author(s):  
Sarah Dys ◽  
Claire Pendergrast
Keyword(s):  
Older Adults ◽  
Life Course ◽  
Research Policy ◽  
Social Research ◽  
Later Life ◽  
Grant Writing ◽  
Policy And Practice ◽  
Research Activities ◽  
Services And Supports ◽  
The Life Course

Abstract Social, economic, and health inequities shape the experience of aging, reflecting a landscape of unequal resources, opportunities, and stressors that accumulate over the life-course. These inequities are not accidental, but rather reflect systems of power that act through institutions, policies, and people to simultaneously privilege some groups and disadvantage others based on socially constructed categories. These systems include, but are not limited to, racism, ageism, and capitalism. The unequal and unjust distribution of resources and opportunities over the lifespan results in health, social, and economic disparities in older adulthood. For example, Black older adults are at higher risk of experiencing chronic disease burden and shorter life expectancy than white older adults due to greater economic disinvestment, interpersonal and systemic racial discrimination, and lower health services access over the life course. This symposium features three leading scholars whose work centers racial and health equity in later life. The symposium will engage with issues related to long-term services and supports infrastructure, community-engaged and culturally relevant programs and education, and research activities (e.g., recruitment, study design, grant writing, dissemination). Panelists will also discuss their research agendas and recent scholarship, career trajectories, insights, and practices. We hope symposium attendees will identify opportunities and strategies for focusing on elimination of health disparities across the life-course in their own work. We believe this symposium can serve as an opportunity for SRPP members and emerging scholars and practitioners to center equity, highlight intersectionality, and amplify our colleagues at the forefront of addressing inequity through their work.

Things and possessions

2018 ◽  
pp. 29-44
Author(s):  
David J. Ekerdt
Keyword(s):  
Older Adults ◽  
Life Course ◽  
Later Life ◽  
Social Concern ◽  
Standard View ◽  
Social Actors ◽  
Important Material ◽  
Material Basis ◽  
Material Agency ◽  
The Life Course

Researchers commonly chart the life course as a progression of intangibles, yet the life course also has an important material basis: it is enacted and embodied with things and sometimes in the service of things, possessions in particular. A material convoy of possessions accompanies social actors from cradle to grave, and the materiality of these things necessitates labour on their behalf. In later life, the convoy has added characteristics: it is an accumulation of things that have endured and are perhaps more “sticky”; it is more challenging to accommodate; and its eventual disposition becomes a shared, social concern. The standard view, which is difficult to doubt, is that possessions cohere around a person or household and these persons’ subjectivity gives meaning to the objects. At the same time, it is possible to maintain that things have a ‘material agency’ that shapes older adults’ behavior in ways unintended by human subjectivity.

scholarly journals Linking Mastery Across the Life Course to Mobility Device Use in Later Life

2017 ◽  
Vol 74 (7) ◽  
pp. 1222-1232 ◽  
Author(s):  
Kenzie Latham-Mintus ◽  
Philippa J Clarke
Keyword(s):  
Life Course ◽  
Functional Limitations ◽  
Later Life ◽  
Health Promoting Behaviors ◽  
Growth Mixture ◽  
The Face ◽  
Health Promoting ◽  
Device Use ◽  
The Life Course ◽  
Mobility Device

Abstract Objectives Mastery in older ages is shaped by earlier-life experiences. Prior research has demonstrated that mastery is associated with health-promoting behaviors; however, little research has examined whether mastery histories influence health behaviors such as mobility device use in later life. Method Using 25 years of data from the Americans’ Changing Lives Survey (N = 1,427), this research explores whether different trajectories of life course mastery influence the odds that an older adult will use a mobility device when experiencing functional impairment. We used growth mixture models with a distal outcome and examined the relationship between functional limitations and mobility device use as it varies across latent classes of life course mastery, controlling for social and health factors. Results The odds of device use in the face of functional limitations were significantly higher among those with a history of high life course mastery, relative to those with low life course mastery, all things being equal. Discussion Our findings suggest that mastery over the life course is a source of psychological human capital that is associated with health-promoting behaviors in later life among those with functional limitations.

scholarly journals Economic Inequality Over the Life Course: Causes and Effects of Cumulative Dis/Advantage Processes

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 585-586
Author(s):  
Jessica Kelley ◽  
Stephen Crystal ◽  
Jessica Kelley
Keyword(s):  
Older Adults ◽  
Life Course ◽  
Student Loans ◽  
Economic Inequality ◽  
Age Groups ◽  
Later Life ◽  
Economic Policies ◽  
Structural Racism ◽  
The Life Course ◽  
The Impact

Abstract Economic inequality has grown rapidly in all age groups in the past several decades. In each successive cohort, the wealth gap grows for young people and seems to accelerate faster over the life course. While rising inequality has taken its toll on Baby Boomers, we have become acutely aware of the increasing economic pressures across the entire life course (work precarity; student loans) that will manifest in the greatest degree of inequality in older adulthood seen to date. This session explores the forces that have shaped the degree of inequality among current older adults and are setting the stage for future cohorts of older adults. Presenters will explore several aspects of this issue: the growing state of the “risk retirement,” the impact of income inequality on later-life wealth and health, the structural racism written into economic policies intended to help Americans accumulate wealth and maintain health, and the market disadvantage for GED recipients compared to high school diploma recipients.

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

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