scholarly journals EXPLORING THE MULTIDIMENSIONAL BIOPSYCHOSOCIAL PATHWAYS LINKING SOCIAL STATUS AND HEALTH AMONG OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S818-S818
Author(s):  
Heather R Farmer ◽  
Amy Thierry ◽  
Linda A Wray
Keyword(s):  
Older Adults ◽  
Social Status ◽  
Well Being ◽  
The United States ◽  
Physical And Mental Health ◽  
Race And Gender ◽  
Reactive Protein ◽  
Race Ethnicity ◽  
And Gender ◽  
Using Data

Abstract An abundant literature has documented the social patterning of health, where those with lower social status experience poorer outcomes relative to those with higher status. This symposium examines how social status (e.g., age, race/ethnicity, gender, and SES) impacts various aspects of midlife and older adults’ lives and their psychological and physical health. The research presented in this symposium lend support to utilizing a biopsychosocial framework for understanding mechanisms of health and aging. First, Heather Farmer et al. will explore race and gender differences in elevated C-reactive protein (CRP), a marker of inflammation linked to poor acute and chronic outcomes, using data from the Health and Retirement Study (HRS). Linda Wray and Amy Thierry will use HRS data to test whether race/ethnicity and sex interact to produce unequal outcomes in functional status. Jen Wong et al. will utilize data from the Midlife in the United States (MIDUS) survey to investigate the moderating influences of age, gender, marital status, and social support on caregiving and psychological well-being. Collin Mueller and Heather Farmer will use HRS data to examine how perceptions of unfair treatment are associated with healthcare satisfaction and self-rated health across Black, Latinx, and White subpopulations. Taken together, this work highlights the need for a comprehensive approach to better address physical and mental health disparities over the life course. After attending this session, participants will have a stronger understanding of how social status shapes important outcomes in older adults’ lives and some of the mechanisms responsible for these variations.

Marital Quality and Well-Being Among Older Adults: A Typology of Supportive, Aversive, Indifferent, and Ambivalent Marriages

2020 ◽  
pp. 016402752096914
Author(s):  
Yingling Liu ◽  
Laura Upenieks
Keyword(s):  
Older Adults ◽  
Marital Quality ◽  
Large Body ◽  
Well Being ◽  
The United States ◽  
Life Course Perspective ◽  
Multiple Indicators ◽  
Using Data ◽  
Health And Well Being ◽  
Synergistic Relationship

A large body of work has linked marital quality to the health and well-being of older adults, but there is a lack of agreement on how to best measure dimensions of marital quality. Drawing on a stress-process life course perspective, we construct a typology of marriage type that captures the synergistic relationship between positive and negative marital qualities and health. Using data from Wave 1 (2005/2006) and Wave 2 (2010/2011) of the NSHAP survey from the United States, we examine the association between supportive, aversive, ambivalent, and indifferent marriages for older adults that remained married over the study period on multiple indicators of well-being (depression, happiness, and self-rated health; N = 769 males and 461 females). Results suggest that older adults in aversive marriages reported lower happiness (men and women) and physical health (men). There was less evidence that those in ambivalent and indifferent marriages reported worse well-being.

scholarly journals EDUCATIONAL ATTAINMENT AND YOUNG ADULT HEALTH IN THE UNITED STATES: DIFFERENCES BY RACE AND GENDER

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S591-S591
Author(s):  
Grace A Noppert
Keyword(s):  
Health Outcome ◽  
The United States ◽  
Adult Health ◽  
Race And Gender ◽  
Logistic Regression Models ◽  
And Gender ◽  
Using Data ◽  
Young Adult Health ◽  
Ethnicity And Gender ◽  
The Relationship

Abstract There is compelling evidence to suggest that educational disparities in health differ by both race and gender. This study examines the relationship between respondents’ education and six health outcomes related to cardiometabolic and inflammatory outcomes using data from Wave IV of the National Longitudinal Study of Adolescent to Adult Health (ages 24-32 years; N = 13,458). We used logistic regression models to examine the relationship between education and the odds of each health outcome. Models were stratified by race and gender. We found that the association between education and each health outcome differed by race/ethnicity and gender. While among whites we observed an association between education and each health outcome, for blacks we observed no such associations. It may be that the benefits of education are particularly salient for those in more structurally advantaged positions, pointing to the continued need to address structural inequalities by both gender and race.

To Survive on This Shore

2021 ◽  
Vol 2021 (139) ◽  
pp. 211-223
Author(s):  
Jess T. Dugan ◽  
Vanessa Fabbre
Keyword(s):  
United States ◽  
Older Adults ◽  
Social Worker ◽  
Lived Experiences ◽  
Life Stories ◽  
Geographic Location ◽  
The United States ◽  
Gender Nonconforming ◽  
Race Ethnicity ◽  
And Gender

Abstract For over five years, photographer Jess T. Dugan and social worker Vanessa Fabbre traveled throughout the United States creating To Survive on This Shore: Photographs and Interviews with Transgender and Gender Nonconforming Older Adults. Seeking subjects whose lived experiences exist at the complex intersections of gender identity, age, race, ethnicity, sexuality, socioeconomic class, and geographic location, they documented the life stories of this important but largely underrepresented group of older adults. The resulting photographs and interviews provide a nuanced view into the struggles and joys of growing older as a transgender person and offer a poignant reflection on what it means to live authentically despite seemingly insurmountable odds.

Social Work in Health Care with Older Adults: Future Challenges

2005 ◽  
Vol 86 (3) ◽  
pp. 329-337 ◽  
Author(s):  
Barbara J. Berkman ◽  
Daniel S. Gardner ◽  
Bradley D. Zodikoff ◽  
Linda K. Harootyan
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Social Work ◽  
Work Practice ◽  
Well Being ◽  
The United States ◽  
Social Work Practice ◽  
Care Practice ◽  
Physical And Mental Health ◽  
Future Challenges

Dramatic changes in demography, epidemiology, and the financing and delivery of health care have significantly affected the lives of older adults and their families. The authors review current and future trends in aging and health care in the United States and their implications for social work practice in enhancing the health and well-being of older adults and their caregivers. Health care social work in the 21st century requires the development and application of evidence-based knowledge that reflects the interrelatedness of aging, physical and mental health, and intergenerational family processes. The authors demonstrate the value of social work research to issues that are in the forefront of gerontological health care practice, policy, and education.

Mortality From Forces of Nature Among Older Adults by Race/Ethnicity and Gender

2020 ◽  
pp. 073346482095467
Author(s):  
Rachel M. Adams ◽  
Candace M. Evans ◽  
Mason Clay Mathews ◽  
Amy Wolkin ◽  
Lori Peek
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Alaska Native ◽  
The United States ◽  
Mortality Rates ◽  
Adult Males ◽  
Race Ethnicity ◽  
And Gender ◽  
Ethnicity And Gender ◽  
Related Mortality

Older adults are especially vulnerable to disasters due to high rates of chronic illness, disability, and social isolation. Limited research examines how gender, race/ethnicity, and forces of nature—defined here as different types of natural hazards, such as storms and earthquakes—intersect to shape older adults’ disaster-related mortality risk. We compare mortality rates among older adults (60+ years) in the United States across gender, race/ethnicity, and hazard type using the Centers for Disease Control and Prevention’s Wonder database. Our results demonstrate that older adult males have higher mortality rates than females. American Indian/Alaska Native (AI/AN) males have the highest mortality and are particularly impacted by excessive cold. Mortality is also high among Black males, especially due to cataclysmic storms. To address disparities, messaging and programs targeting the dangers of excessive cold should be emphasized for AI/AN older adult males, whereas efforts to reduce harm from cataclysmic storms should target Black older adult males.

The effect of time volunteering and charitable donations in later life on psychological wellbeing

2010 ◽  
Vol 31 (4) ◽  
pp. 590-610 ◽  
Author(s):  
NAMKEE G. CHOI ◽  
JINSEOK KIM
Keyword(s):  
Older Adults ◽  
Social Capital ◽  
Later Life ◽  
The United States ◽  
Psychological Wellbeing ◽  
Physical And Mental Health ◽  
Moderate Amount ◽  
Charitable Donations ◽  
Using Data ◽  
Positive Direct

ABSTRACTAlthough accumulated research findings point to both short- and long-term salutary effects of time volunteering on older adults' physical and mental health, little research has been done on the effect of older adults' making charitable donations on their wellbeing. Guided by activity theory and the theory of volunteering and using data from the first and second waves of Midlife Development in the United States (MIDUS, 1995–1996 and MIDUS II, 2004–2006), this study examined the question of whether time volunteering and charitable donations nine years earlier had a positive direct effect on psychological wellbeing among individuals age 55 and above. Controlling for time 1 (T1) psychological wellbeing and T1 human, cultural, and social capital resources, a moderate amount (up to ten hours monthly) of T1 time volunteering and any amount of T1 charitable donations had a direct positive effect on time 2 (T2; nine years later) psychological wellbeing. The findings also show a greater effect on psychological wellbeing of any amount of charitable donations than of any amount of time volunteering, although the extent of the effect of both time volunteering and charitable donations was small. With regard to human, cultural, and social capital resources, T1 self-rated health and generative quality were significant predictors of T2 psychological wellbeing, but T1 social capital had no significant effect on T2 psychological wellbeing.

A Qualitative Study of the Social and Lived Experiences of Homebound Older Adults

2021 ◽  
pp. 073346482110403
Author(s):  
Joyce M. Cheng ◽  
George P. Batten ◽  
Nengliang (Aaron) Yao
Keyword(s):  
Older Adults ◽  
Qualitative Study ◽  
Health Care Providers ◽  
Lived Experiences ◽  
Well Being ◽  
The United States ◽  
Care Providers ◽  
Physical And Mental Health ◽  
Cross Sectional ◽  
Homebound Older Adults

Objective: The number of homebound older adults is increasing in the United States. We aimed to examine their social and lived experiences and to understand their perspectives on their situation, feelings, and coping mechanisms. Methods: We conducted a cross-sectional qualitative study using semi-structured interviews with 18 older homebound individuals in Central Virginia. Results: Homebound older adults experienced both physical and mental health challenges that restricted their ability to participate in activities of daily living, recreation, and social interactions. Participants often felt dependent, helpless, lonely, and socially isolated. Those who communicated regularly with friends, family, and health care providers reported positive benefits from these interactions. Discussion: Participants faced challenges to their physical, emotional, and mental well-being. Our findings might help clinicians, policymakers, and community organizations understand how to better support homebound older adults. We should provide educational opportunities, respect their autonomy, and implement initiatives to address their isolation and loneliness.

Race and Gender Differences Under Federal Sentencing Guidelines

2012 ◽  
Vol 102 (3) ◽  
pp. 256-260 ◽  
Author(s):  
Todd Sorensen ◽  
Supriya Sarnikar ◽  
Ronald L Oaxaca
Keyword(s):  
Utility Maximization ◽  
Probit Model ◽  
The United States ◽  
Criminal History ◽  
Sentencing Guidelines ◽  
Race And Gender ◽  
Federal Sentencing Guidelines ◽  
Gender Based ◽  
And Gender ◽  
Using Data

Using data from the United States Sentencing Commission, we examine how judicial biases may have influenced sentences during the era of the Federal criminal sentencing guidelines. Our utility maximization model of judicial sentencing preferences leads to a partially censored ordered probit model that accounts for mass points in the sentencing distribution that occur at the upper and lower guideline limits and at sentences involving no prison time. Our results indicate that racial- and gender-based discrepancies exist, even after controlling for circumstances such as the severity of the offense and past criminal history.

White Men Can’t Jump, but Does It Even Matter? Exit Discrimination in the NBA

Social Forces ◽  
2021 ◽  
Author(s):  
Davon Norris ◽  
Corey Moss-Pech
Keyword(s):  
Racial Disparities ◽  
Event History Analysis ◽  
Organizational Structures ◽  
The United States ◽  
Race And Gender ◽  
History Analysis ◽  
Worker Performance ◽  
History Of ◽  
And Gender ◽  
Using Data

Abstract Diffuse status characteristics, such as race and gender, affect individuals’ professional opportunities and outcomes. Scholars suggest two possible explanations for these status disparities. First, uncertainty in measuring workers’ performances forces employers to rely on status as a heuristic or proxy for quality. Second, a history of racism and sexism in the United States creates a deeper cultural devaluation of low-status individuals that permeates organizational structures such that status advantage would persist even after accounting for observed worker performance. However, researchers struggle to accurately and objectively measure worker performance, making it difficult to adjudicate between these two perspectives. We overcome this problem using the case of the National Basketball Association (NBA) in which detailed player statistics are widely available to the public and decision makers. We analyze whether there is a racial disparity in the odds of exiting the league using discrete-time event history analysis. Using data from 1980–2017, we demonstrate that after accounting for player performance, Black players have 30% higher odds of exiting the league in a given season. We find this disparity is mostly driven by White bench players allowing us to elucidate how Whiteness operates as a credential in the NBA by giving marginal White players benefits such as longer careers than comparable Black players. These findings demonstrate that racial disparities in workplaces may persist even once performance is captured and in cases like the NBA where we might expect racial disparities to be minimized.

scholarly journals Coping During the COVID-19 Pandemic: A Qualitative Study of Older Adults Across the United States

2021 ◽  
Vol 9 ◽  
Author(s):  
Jessica M. Finlay ◽  
Jasdeep S. Kler ◽  
Brendan Q. O'Shea ◽  
Marisa R. Eastman ◽  
Yamani R. Vinson ◽  
...  
Keyword(s):  
Mental Health ◽  
United States ◽  
Older Adults ◽  
Coping Strategies ◽  
Daily Life ◽  
Qualitative Content Analysis ◽  
Well Being ◽  
The United States ◽  
Physical And Mental Health ◽  
Sample Mean

Objective: Older adults may struggle with stresses and daily life challenges associated with the Coronavirus Disease 2019 (COVID-19) pandemic. Yet they may also utilize emotional and behavioral coping strategies. This qualitative paper aims to identify ways of coping with worries and stress during the pandemic from the perspectives of older adults in the United States.Methods: The COVID-19 Coping Study recruited 6,938 adults aged ≥55 through online multi-frame sampling from April 2-May 31, 2020 across all 50 US states, the District of Columbia, and Puerto Rico. The online questionnaire focused on the effects of COVID-19 on daily life, mental health, and well-being. This included an open-ended question regarding participants' coping strategies. We used qualitative content analysis to identify and code diverse coping strategies. Our general inductive approach enabled findings to emerge from the most frequent and dominant themes in the raw data.Results: A total of 5,180 adults [74% of the total sample; mean age 67.3 (SD 7.9); 63.8% female] responded to the question about using strategies to cope with living through the COVID-19 pandemic. Frequently-reported strategies included exercising and going outdoors, modifying routines, following public health guidelines, adjusting attitudes, and staying socially connected. Some coping strategies were health-limiting (e.g., overeating), while most strategies encouraged self-improvement, positive adjustment, and wellness.Conclusions: This study provides novel qualitative evidence on coping strategies of older adults early in the COVID-19 pandemic. Findings can inform community and clinical interventions to support older adults that harness positive coping strategies such as exercise, modified routines, and social strategies to improve physical and mental health, foster social support, and encourage meaningful daily activities during times of stress and trauma.

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