Living arrangements, coresidence preference, and mortality risk among older Taiwanese

2017 ◽  
Vol 6 (2) ◽  
pp. 192-204
Author(s):  
Wen-Shan Yang ◽  
Yao-Chi Shih ◽  
Yang-Tzu Li
Keyword(s):  
Mortality Risk ◽  
Living Arrangements ◽  
Living Arrangement ◽  
Elderly Care ◽  
The Elderly ◽  
Chinese Society ◽  
Elderly Persons ◽  
Content Type ◽  
Mortality Risks ◽  
Elderly Health

Purpose Although coresidence with children when one becomes old is an ideal in Chinese society, the drastic socio-economic development in Taiwan has brought some fundamental changes to living arrangements of the elderly population. The purpose of this paper is to examine the relationship between family living arrangements and elderly health in Taiwan, given the secular trend of more elderly persons choosing to live with their spouse or to live independently. Design/methodology/approach The authors utilized panel data from the “1989 Survey of Health and Living Status of the Elderly in Taiwan” with follow-ups up to 2007 to examine how living arrangements of the elderly affect the risk of mortality using discrete-time hazard models. The authors stratified the analyses by the elderly’s preference to coreside with children, and examined whether the effects of living arrangement varied by age, controlling for sociodemographics, health status, health behaviors, and social relationships observed at the baseline. Findings The authors found that both the associations of living arrangements and coresidence preference with that mortality risk were largely weakened when controlling for other variables. Only among respondents expressing preference for coresidence were living arrangements associated with mortality risks, and these effects increased with age. For those who did not intend to live with children, the authors found no evidence suggesting living arrangements were associated with mortality risks. The dynamics of living arrangements among the elderly and elderly care policies in Taiwan are discussed for further research. Originality/value To the authors knowledge, no previous research has examined living arrangements and mortality risks with respect to coresidence preference.

Living Arrangement Preferences of Elderly People in Taiwan as Affected by Family Resources and Social Participation

2012 ◽  
Vol 37 (4) ◽  
pp. 381-394 ◽  
Author(s):  
Yen-Jong Chen ◽  
Ching-Yi Chen
Keyword(s):  
Elderly People ◽  
Social Participation ◽  
Living Arrangements ◽  
Independent Living ◽  
Choice Theory ◽  
Living Arrangement ◽  
Large Family ◽  
The Elderly ◽  
Elderly Persons ◽  
Family Resources

This article investigates living arrangement preferences of elderly people in Taiwan, including coresidence with family (their children or spouse), coresidence with spouse only, living alone, and living in an institution. The authors consider the effects of three factors: the elderly persons’ health situation, their family resources, and their social participation, such as community workshops or political activities. Accordingly, the authors propose empirical logit models based on the well-developed discrete choice theory. Empirical results reveal that (1) elderly people with higher socioeconomic status, prefer either independent living arrangements or coresidence with their children, (2) elderly people with more family resources, such as large family size, prefer to coreside with their children, and (3) elderly people with adequate social support and/or contact networks prefer independent living arrangements.

Patterns of living arrangements of the elderly in mainland China

2017 ◽  
Vol 6 (2) ◽  
pp. 179-191 ◽  
Author(s):  
Jiehua Lu ◽  
Yun Zhang
Keyword(s):  
Elderly People ◽  
Living Arrangements ◽  
Census Data ◽  
Living Arrangement ◽  
Mainland China ◽  
The Elderly ◽  
Living Alone ◽  
Population Census ◽  
Content Type ◽  
Healthy Longevity

Purpose The purpose of this paper is to examine the changes and consequences of the patterns of Chinese elderly population’s living arrangements. It contains information that can be considered for future policy making for the elderly and to gain a better understanding of the social transition in China. Design/methodology/approach Based on the analysis of the population census data in 2000 and 2010, the authors examined the changes and trends of the living arrangements of the elderly Chinese population. Furthermore, the authors analyzed factors influencing the Chinese elderly’s living arrangements according to the data acquired from the Chinese Longitudinal Healthy Longevity Survey. Findings First, the proportion of the elderly people living with children has been decreasing. Second, the proportions of elderly people “living alone” and “living with spouse independently” has largely increased. Third, the changes and trends showed differences between urban and rural regions. Originality/value By looking at the characteristics among elderly people with different living arrangement patterns, those that are “living alone” are typically in disadvantaged conditions, and thus special attention should be paid with regards to related research and policies for the elderly who are “living alone.”

Mortality risk by living arrangements for the elderly Belgian population

2017 ◽  
Vol 4 (1) ◽  
Author(s):  
Michel Poulain ◽  
Luc Dal ◽  
Anne Herm
Keyword(s):  
Gender Gap ◽  
Mortality Risk ◽  
Living Arrangements ◽  
Living Arrangement ◽  
The Elderly ◽  
Personnes Âgées ◽  
Living Alone ◽  
Age Difference ◽  
Belgian Population ◽  
And Gender

RésuméObjectifs : Le risque de décéder aux âges élevés est associé avec l’état matrimonial, mais également avec la situation de ménage de la personne considérée (avec qui une personne vit). Cette étude analyse comment l’association entre situation de ménage et risque de décéder varie en fonction de l’âge et du sexe. Données et méthodes : Nous utilisons des données extraites du Registre national belge concernant la situation de ménage de plus de 3 millions de personnes âgées de 60 ans et plus, ob-servées du 1er janvier 1991 au 31 décembre 2010. Tout d’abord nous calculons et comparons les probabilités annuelles de décéder pour les personnes selon les différentes situations de ménage. Ensuite nous construisons des tables de mortalité mul-ti-états en utilisant les probabilités annuelles de transition entre différentes situations de ménage et ce, afin de reconstituer les trajectoires de situation de ménage. Résultats : Nos résultats confirment l’effet protectif associé au fait de vivre en couple marié, mais ils montrent également que vivre seul aux âges plus élevés devient favo-rable à la survie. Un croisement apparaît entre les risques de décéder de ceux vivant seuls et ceux vivant avec d’autres personnes, mais pas avec leur conjoint. Toutefois de fortes différences ressortent selon le sexe. Enfin vivre en ménage collectif est largement défavorable pour la survie par comparaison à tous les types de ménages privés et ce, pour les deux sexes. Discussion : La façon dont le risque de décéder varie selon la situation de ménage est différente selon le sexe et diminue avec l’âge de fa-çon relative. Parmi d’autres explications, le rôle sélectif de l’état de santé est majeur, tout comme le soutien du conjoint qui est, dans la plupart des cas, le premier donneur de soin. Selon cette perspective, la différence d’espérance de vie en santé entre hommes et femmes et la différence d’âges entre conjoints pourraient contribuer à expliquer les différences du risque de décéder selon la situation de ménage entre les hommes et les femmes. Nos résultats sont importants dans le cadre des politiques sociales relatives aux personnes âgées et plus particulièrement pour l’évaluation des besoins futurs de nos populations vieillissantes.AbstractObjectives: Mortality risk in old age is associated with both marital status and living arrangements (with whom a person is living). This study analyses how the association between living arrangements and mortality risk varies by age and gender. Data and methods: We use a dataset extracted from the Belgian national register for the population aged 60 years and over, from 1 January 1991 to 31 December 2010, that includes more than three million persons and describes their living arrangements. First we compute and compare single-year probabilities of death for each living arrangement. Then, in order to recompose the living arrangement trajectories, we construct multistate life tables using annual probabilities of the transitions between successive living arrangements. Results: Our results confirm the protective effect of living with a spouse, and also show that at older ages living alone becomes advantageous. A crossover occurs in the mortality risks of those living alone and those living with others (not with a spouse), but large differences appear between the genders. Institutional living arrangements are largely detrimental for survival compared with private living arrangements for both genders. Discussion: The variation of mortality risk by living arrangements is gender-specific and decreases by age in relative terms. Among possible explanations, the selective role of health is paramount, as well as the presence of a spouse, who is the primary caregiver in most cases. According to this perspective, the gender gap in healthy life expectancy and the age difference between spouses contribute to explaining the gender differences. Our findings are highly relevant to social policies and the social discourse pertaining to the future needs of the elderly within the context of population ageing.

Living Arrangement Choices among the Elderly

1985 ◽  
Vol 4 (3) ◽  
pp. 127-144 ◽  
Author(s):  
Andrew V. Wister
Keyword(s):  
Social Norms ◽  
Living Arrangements ◽  
Living Arrangement ◽  
The Elderly ◽  
Elderly Persons ◽  
Elderly Age ◽  
Physical Strength ◽  
Private Households ◽  
Age Segregation ◽  
Socio Demographic Factors

ABSTRACTThis research explores factors which differentiate non-institutionalized elderly persons living alone, living only with a spouse, and living with other persons (with or without a spouse present). Special attention is devoted to the measurement and investigation of several social norms and personal preferences. These factors are organized in terms of a decision-making framework developed from micro-economic and demographic theory. Choice of a living arrangement is seen as the product of underlying norms and preferences, a set of socio-demographic factors, and constraints on choice. This research relies on data from 454 personal interviews drawn from a stratified random sample of persons 65 and over living in private households in London, Ontario, Canada.Data analysis indicates that the decision of whom to live with is complex and is influenced by a large group of variables. However, the most important factors are the social norms and personal preferences of the respondents. Of these, a preference for independence and privacy surfaces as the strongest predictor of living arrangements. Being able to do what one wants without outside interference in conjunction with a private living style tends to be viewed by older persons as very important household ‘goods’. The expected separateness of the elderly, age segregation or differentiation, and kinship obligations and ties were found to be influential social norms affecting living arrangement decisions. The analysis also suggests that the constraining effects of domestic competence, physical strength and mobility, and availability of kin for co-residence are also important. In addition, several socio-demographic variables including age, sex and ethnicity arise as significant predictors of living arrangements.

Understanding tenants’ motivations for co-living arrangements: a case study of Klang Valley, Malaysia

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Vania Christy ◽  
Teck Hong Tan
Keyword(s):  
Living Arrangements ◽  
Service Providers ◽  
Living Arrangement ◽  
Content Type ◽  
Living Space ◽  
Depth Interview ◽  
Klang Valley ◽  
User Ratings ◽  
Method Approach

Purpose The purpose of this study is to fill a knowledge gap by analyzing the motivations of tenants to co-living spaces in Klang Valley, Malaysia as the motives of co-living spaces are related to how well that space supports their needs. Design/methodology/approach Tenants’ behaviors were examined using a convergent parallel mixed-method approach, which included a survey and an in-depth interview. A total of 175 respondents were interviewed using purposive sampling. Findings The results show that the preference for co-living attributes has changed during the pandemic. User ratings of preference for physical and leasing attributes of co-living spaces are significant in terms of co-living motivations. The findings also revealed that tenants prefer twin-sharing and master bedrooms when choosing a co-living space to stay in. Research limitations/implications Identifying the factors that influence such motivations is critical for housing developers and co-living service providers to pay close attention to improving tenants’ living experiences. Originality/value There is interest in the co-living spaces that are available for rent. However, very little research is based on an understanding of how the tenants in Klang Valley, Malaysia perceive this type of living arrangement. A better understanding and prediction of tenants’ needs and preferences may lead to a better understanding of the attributes that influence their motivations for using co-living spaces.

scholarly journals Should the family or the state provide support for the elderly people? Findings from a two-generational Finnish study

2019 ◽  
Vol 39 (1/2) ◽  
pp. 138-155 ◽  
Author(s):  
Antti O. Tanskanen ◽  
Johanna Kallio ◽  
Mirkka Danielsbacka
Keyword(s):  
Older Adults ◽  
Elderly People ◽  
Elderly Care ◽  
The Elderly ◽  
The State ◽  
Younger Adults ◽  
Content Type ◽  
Public Opinions ◽  
The Family ◽  
Nationally Representative

Purpose The purpose of this paper is to investigate public opinions towards elderly care. The authors analysed respondents’ opinions towards financial support, practical help and care for elderly people. Design/methodology/approach The authors used nationally representative data collected in Finland in 2012. Respondents represent an older generation (born between 1945 and 1950, n=1,959) and their adult children (born between 1962 and 1993, n=1,652). Findings First, the authors compared the opinions of older and younger Finns but did not find that older adults were more likely than younger adults support the state responsibility, or vice versa. It was also when only actual parent-child dyads (n=779) from same families were included. Next, the authors found that several socioeconomic and family-related variables were associated with public opinions of elderly care in both generations. For instance, in both generations lower-income individuals supported the state’s responsibility more compared to their better-off counterparts. Originality/value The study provides important knowledge on attitudes towards elderly care using unique two-generational data of younger and older adults.

scholarly journals Service robots: value co-creation and co-destruction in elderly care networks

2018 ◽  
Vol 29 (2) ◽  
pp. 178-205 ◽  
Author(s):  
Martina Čaić ◽  
Gaby Odekerken-Schröder ◽  
Dominik Mahr
Keyword(s):  
Elderly People ◽  
Elderly Care ◽  
Social Contact ◽  
The Elderly ◽  
Service Robots ◽  
Value Networks ◽  
Content Type ◽  
Value Network ◽  
Assistive Robots ◽  
Socially Assistive Robots

Purpose The purpose of this paper is to investigate the potential roles for service robots (i.e. socially assistive robots) in value networks of elderly care. Taking an elderly person’s perspective, it defines robot roles according to their value co-creating/destroying potential for the elderly user (i.e. focal actor), while acknowledging consequences for a network of users around the elderly (i.e. network actors). Design/methodology/approach This qualitative, interpretative study employs in-depth phenomenographic interviews, supported by generative cards activities (i.e. Contextual Value Network Mapping), to elicit an elderly person’s tacit knowledge and anticipate the effects of introducing an automated actor on institutionalized value co-creation practices. Findings The proposed typology identifies six roles of socially assistive robots in an elderly person’s value network (enabler, intruder, ally, replacement, extended self, and deactivator) and links them to three health-supporting functions by robots: safeguarding, social contact, and cognitive support. Research limitations/implications Elderly people have notable expectations about the inclusion of a socially assistive robot as a new actor in their value networks. The identified robot roles inform service scholars and managers about both the value co-destruction potential that needs to be avoided through careful designs and the value co-creation potential that should be leveraged. Originality/value Using network-conscious phenomenographic interviews before the introduction of a novel value proposition sheds new light on the shifting value co-creation interplay among value network actors (i.e. elderly people, formal and informal caregivers). The value co-creation/destruction potential of socially assistive robots and their corresponding roles in care-based value networks offer insights for the design of meaningful robotic technology and its introduction into the existing service networks.

scholarly journals Living alone vs. living with someone as a predictor of mortality after a bone fracture in older age

2020 ◽  
Vol 32 (9) ◽  
pp. 1697-1705
Author(s):  
Kaisa Koivunen ◽  
Elina Sillanpää ◽  
Mikaela von Bonsdorff ◽  
Ritva Sakari ◽  
Katja Pynnönen ◽  
...  
Keyword(s):  
Mortality Risk ◽  
Living Arrangements ◽  
Cox Regression ◽  
Living Arrangement ◽  
Living Alone ◽  
Cox Regression Analysis ◽  
Health Decline ◽  
Fracture Time ◽  
Incidence And Mortality

Abstract Background Living alone is a risk factor for health decline in old age, especially when facing adverse events increasing vulnerability. Aim We examined whether living alone is associated with higher post-fracture mortality risk. Methods Participants were 190 men and 409 women aged 75 or 80 years at baseline. Subsequent fracture incidence and mortality were followed up for 15 years. Extended Cox regression analysis was used to compare the associations between living arrangements and mortality risk during the first post-fracture year and during the non-fracture time. All participants contributed to the non-fracture state until a fracture occurred or until death/end of follow-up if they did not sustain a fracture. Participants who sustained a fracture during the follow-up returned to the non-fracture state 1 year after the fracture unless they died or were censored due to end of follow-up. Results Altogether, 22% of men and 40% of women sustained a fracture. During the first post-fracture year, mortality risk was over threefold compared to non-fracture time but did not differ by living arrangement. In women, living alone was associated with lower mortality risk during non-fracture time, but the association attenuated after adjustment for self-rated health. In men, living alone was associated with increased mortality risk during non-fracture time, although not significantly. Conclusion The results suggest that living alone is not associated with pronounced mortality risk after a fracture compared to living with someone.

scholarly journals Family Care, Social Services, and Living Arrangements Factors Influencing Psychosocial Well-Being of Elderly from Selected Households in Ibadan, Nigeria

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
D. Oladeji
Keyword(s):  
Social Services ◽  
Living Arrangements ◽  
Health Care Services ◽  
Survey Design ◽  
Family Care ◽  
Well Being ◽  
The Elderly ◽  
Elderly Persons ◽  
Factors Influencing ◽  
Ibadan Nigeria

This study examined family care, social services, and living arrangements factors influencing the psychosocial well-being of the elderly from selected households in Ibadan, Nigeria. The participants for the study consisted of 280 elderly persons randomly drawn from selected households in five local government areas of Ibadan metropolis. A descriptive survey design was employed in collecting the data from the respondents. Data collected were analyzed using chi-square () statistics. Results obtained indicated that significant relationships existed between family care (, df = 12, ), social services (, df = 12, ), and living arrangements (, df = 6, ) and psychosocial well-being of elderly. The results implicate the need for the framework on the complex system of the elderly services. These areas of service include economic services, attitudes toward aging, roles played by the elderly, and health care services.

scholarly journals Difficulties encountered in care for elderly persons with dementia: coping based on participatory research

2018 ◽  
Vol 21 (1) ◽  
pp. 35-43
Author(s):  
Barbara Martins Corrêa da Silva ◽  
Célia Pereira Caldas ◽  
Helena Maria Shchelowski Leal David ◽  
Michel Jean Marie Thiollent
Keyword(s):  
Family Caregivers ◽  
Participatory Research ◽  
Action Plan ◽  
Elderly Care ◽  
The Elderly ◽  
University Hospital ◽  
Support Network ◽  
Elderly Persons ◽  
Care For The Elderly ◽  
People With Dementia

Abstract Objective: to analyze the proposal of an action plan created by nurses to deal with difficulties in caring for the elderly. The aim of the present study was therefore to analyze the difficulties that family caregivers find in relation to access to services, material resources and the support network when meeting the care needs of the elderly in accordance with Brazilian public policy. Method: the methodology of participatory research and content analysis proposed by Bardin was used. The context was the Geriatric service of a university hospital. The group of co-researchers included eight nurses and 12 caregivers of elderly people with dementia. Results: the following categories emerged from the analysis: contradictions and work proposals. The contradictions category revealed reflections about the difference between the proposed care for the elderly and the reality of a lack of care and the precarious conditions of health services. This situation leads to overburdening of caregivers. The work proposals refer to the strategies used by nurses to establish a relationship of support to family caregivers to cope with the difficulties involved in care for the elderly. Conclusion: nurses recognize that they are professionals capable of receiving, listening to and managing the needs of family caregivers of the elderly, thus promoting the health of the elderly and the caregivers themselves, preparing the family of the patient for home care and coping with difficulties experienced in elderly care.

Sign in / Sign up

Export Citation Format

Share Document