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.

The individual: growing into society

2017 ◽  
Author(s):  
Adrian Bonner
Keyword(s):  
Social Inclusion ◽  
Later Life ◽  
Well Being ◽  
Neuropsychological Development ◽  
Supportive Environment ◽  
Mind And Body ◽  
The Individual ◽  
Fear And Anxiety ◽  
Health And Well Being

This chapter examines the main developmental processes underlying future emotional and social behaviours. Early life experiences, combined with the development of social networks, exert a strong influence on health and well-being in later life, which in turn are mediated by the development of prosocial behaviour, coping skills, resilience, and optimal cognitive functioning. These complex issues require a healthy mind and body and the motivation to benefit and learn from a supportive environment. The chapter first provides an overview of neuropsychological development and the role of affection, fear and anxiety in early development before discussing social anxiety, communication and socialisation, and the well-being of children. It also considers the interrelationships between poverty, child abuse and neglect and concludes with an assessment of social inclusion strategies, troubled families, deviant and anti-social behaviour, the link between mental health and human distress.

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 HESR innovation in analysis that supports decision making and action

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
B Barr
Keyword(s):  
Decision Making ◽  
Health Equity ◽  
Social Protection ◽  
Well Being ◽  
Status Report ◽  
Policy Performance ◽  
European Health ◽  
The Individual ◽  
Health And Well Being ◽  
Inform Decision Making

Abstract The European Health Equity Status Report makes innovative use of microdata, at the level of the individual, to decompose the relative contributions of five essential underlying conditions to inequities in health and well-being. These essential conditions comprise: (1) Health services (2) Income security and social protection (3) Living conditions (4) Social and human capital (5) Employment and working conditions. Combining microdata across over twenty sources, the work of HESRi has also produced disaggregated indicators in health, well-being, and each of the five essential conditions. In conjunction with indicators of policy performance and investment, the HESRi Health Equity Dataset of over 100 indicators is the first of its kind, as a resource for monitoring and analysing inequities across the essential conditions and policies to inform decision making and action to reduce gaps in health and well-being.

scholarly journals Perceived Control and Aging: A Mini-Review and Directions for Future Research

Gerontology ◽  
2017 ◽  
Vol 63 (5) ◽  
pp. 435-442 ◽  
Author(s):  
Stephanie A. Robinson ◽  
Margie E. Lachman
Keyword(s):  
Sex Education ◽  
Perceived Control ◽  
Later Life ◽  
Well Being ◽  
Reciprocal Relationship ◽  
Control Beliefs ◽  
Future Research ◽  
Cross Sectional ◽  
As Stress ◽  
Health And Well Being

This brief review on perceived control and aging is organized according to 3 perspectives of research involving description, explanation, and modification. An extensive body of literature has utilized cross-sectional and correlational methods to describe the sociodemographic variations and outcomes associated with perceived control. This work has focused on differences in perceived control as a function of age, sex, education, socioeconomic status, and culture and has identified positive associations with many aging-related outcomes involving health and well-being. With growing evidence regarding the health benefits of perceived control in the context of a declining sense of control with aging, there has been an increased effort to uncover the mechanisms involved, with the hopes of developing methods to maintain and/or promote adaptive control beliefs throughout adulthood. Through longitudinal and experimental work, researchers are beginning to clarify the directionality and elucidate the mechanisms to explain the associations. Recent evidence from longitudinal studies shows that control beliefs have an impact on subsequent changes in health. Yet, the findings suggest that it is not a unidirectional relationship. A conceptual model suggesting an ongoing reciprocal relationship between perceived control and health and well-being is discussed. Research examining the mechanisms that link perceived control to aging-related outcomes can help to inform and to develop effective interventions that are tailored to the individual's specific barriers and goals. We consider new directions for research, including more attention to intraindividual variability and reactivity to daily challenges, such as stress, with the goal of advancing our understanding of how perceived control contributes to aging-related outcomes. More work is needed to develop strategies to enhance control beliefs in later life. Although it will not always be possible to modify control beliefs, researchers can take these beliefs into account when developing interventions. A personalized approach is recommended as a way to tailor interventions that are compatible with individuals' beliefs about control to facilitate adaptive behavior change. Conclusions focus on selected issues and considerations for future research.

scholarly journals Discordant Chronic Conditions and Depressive Symptoms: Longitudinal Associations Among Middle-Aged and Older Couples

2019 ◽  
Author(s):  
Courtney A Polenick ◽  
Kira S Birditt ◽  
Angela Turkelson ◽  
Benjamin C Bugajski ◽  
Helen C Kales
Keyword(s):  
Depressive Symptoms ◽  
Marital Quality ◽  
Chronic Conditions ◽  
Later Life ◽  
Well Being ◽  
Middle Aged ◽  
Older Couples ◽  
Individual Level ◽  
The Individual ◽  
Over Time

Abstract Objectives Individuals often manage chronic conditions in middle and later life that may diminish well-being. Little is known, however, about discordant conditions (i.e., two or more conditions with competing self-management requirements) among older couples and their links to depressive symptoms. We considered discordant conditions at both the individual level and the couple level (i.e., between spouses), along with their long-term implications for depressive symptoms. Methods The U.S. sample included 1,116 middle-aged and older couples drawn from five waves (2006–2014) of the Health and Retirement Study. Longitudinal actor-partner interdependence models evaluated whether individual-level and couple-level discordant chronic health conditions were concurrently linked to depressive symptoms, and whether these associations became stronger over time. Models controlled for age, minority status, education, prior wave depressive symptoms, and each partner’s baseline report of negative marital quality and number of chronic conditions in each wave. Results Wives and husbands reported significantly greater depressive symptoms when they had individual-level discordant conditions about 2 years after baseline, and these links intensified over time. Beyond this association, husbands had significantly greater depressive symptoms when there were couple-level discordant conditions. Discussion Individual-level and couple-level discordant conditions may have lasting implications for depressive symptoms during midlife and older adulthood.

scholarly journals Growing Older in Social Work: Perspective on Systems of Support to Extend Working Lives—Findings from a UK Survey

2020 ◽  
Vol 50 (2) ◽  
pp. 405-426 ◽  
Author(s):  
Paula McFadden ◽  
John Moriarty ◽  
Heike Schröder ◽  
Patricia Gillen ◽  
Gillian Manthorpe ◽  
...  
Keyword(s):  
Social Work ◽  
Social Workers ◽  
Later Life ◽  
Intention To Leave ◽  
Well Being ◽  
Individual Characteristics ◽  
Management Support ◽  
Quality Of Working Life ◽  
Working Lives ◽  
Health And Well Being

Abstract Social work, like many other human service professions, is ageing. This article reports and discusses the findings of a UK social work survey undertaken in 2018 (1,397 responses). It investigated how organisational policies and individual factors were affecting individual social workers’ decisions about working in later life. The survey measured (i) social workers’ attitudes to ageing at work and self-reported planning around retirement; (ii) mental health and well-being, quality of working life and home and work interface and (iii) intention to leave work and retirement planning. Statistical analysis enabled examination of how the interrelationship of these factors and relevant individual characteristics interact within the systemic work environment. Findings revealed that all participants had considered factors that might cause them to retire early. Framing the findings in an ecological conceptual model suggests that age-inclusive professional and organisational cultures, age-positive human resource management, support from line managers, fair working conditions and the ability to manage health and well-being, might enable social workers to extend their working lives in line with government policy. These findings provide insights for social work workforce policymakers and for employers to assist in their development of organisational and individual adjustments to sustain well-being in the social work profession.

scholarly journals Marital quality and loneliness in later life

2016 ◽  
Vol 34 (1) ◽  
pp. 114-135 ◽  
Author(s):  
Jeffrey E. Stokes
Keyword(s):  
Marital Quality ◽  
Married Couples ◽  
Later Life ◽  
Well Being ◽  
Dyadic Data ◽  
Initial Wave ◽  
Opposite Sex ◽  
Health And Well Being ◽  
Unpleasant Experience ◽  
The U.S

Loneliness is not merely an unpleasant experience but is harmful for older adults’ health and well-being as well. While marriage buffers against loneliness in later life, even married adults experience loneliness, and aspects of adults’ marriages may either protect against or actually foster loneliness among spouses. The current study analyzed dyadic data from 1,114 opposite-sex married Irish couples who participated in the initial wave of The Irish Longitudinal Study on Ageing (2009–2011) in order to extend findings of two prior dyadic studies of marital quality and loneliness in the U.S. to older married couples in Ireland and to directly compare two theoretical and methodological frameworks used by these studies to explain associations between husbands’ and wives’ reports of marital quality and loneliness in later life. Results revealed that both spouses’ perceptions of positive and negative marital quality were significantly related with husbands’ and wives’ loneliness and that spouses’ reports of loneliness were significantly related with one another. Findings also indicated that associations between marital quality and loneliness were similar for Irish and American couples in later life. Comparison of differing modeling strategies suggested that emotional contagion may serve as a pathway for dyadic partner effects.

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