scholarly journals A Study of Social Isolation, Multimorbidity and Multiple Role Demands Among Middle-Age Adults Based on the Canadian Longitudinal Study on Aging

2021 ◽  
pp. 009141502110404
Author(s):  
Andrew V. Wister ◽  
Lun Li ◽  
Barbara A. Mitchell
Keyword(s):  
Longitudinal Study ◽  
Social Isolation ◽  
Multiple Roles ◽  
Future Research ◽  
Full Time ◽  
Middle Aged ◽  
Increased Risk ◽  
The Difference ◽  
Role Demands ◽  
Over Time

Given the increasing complexity and fluidity of parenting, caregiving, and paid work patterns, in tandem with an increased risk of multimorbidity in mid-life, this study examines the relationship between these three concurrent roles and social isolation among middle-aged persons across multimorbidity statuses. Drawing upon life course theory, we applied linear mixed models to analyze 29,847 middle-aged participants from two waves of the Canadian Longitudinal Study on Aging. Findings reveal that participants experience greater social isolation over time, albeit the difference is extremely small. Among participants without multimorbidity, holding multiple roles is associated with lower social isolation. For those with multimorbidity, being employed full-time and providing intensive care are associated with social isolation. The occurrence of multiple roles demonstrates unique associations with social isolation among those with and without multimorbidity over time. Future research should study multimorbidity as a salient contextual variable. Moreover, enhanced support is needed for multimorbid middle-aged individuals with different role demands.

scholarly journals A Study of Social Isolation, Multimorbidity and Multiple Role Demands among Middle-age Adults Based on the CLSA

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 597-598
Author(s):  
Lun Li ◽  
Andrew Wister ◽  
Barbara Mitchell
Keyword(s):  
Social Isolation ◽  
Family Caregiving ◽  
Protective Factor ◽  
Middle Age ◽  
Multiple Roles ◽  
Middle Aged ◽  
Protective Function ◽  
Increased Risk ◽  
Longitudinal Effects ◽  
Over Time

Abstract Our understanding of the influence of concurrent multiple social and family roles on social isolation among the middle-aged generation remains limited. Given the increasing complexity of parenting, caregiving and working patterns over recent decades in many countries, and greater concern of multimorbidity in mid-life, this study examines the longitudinal effects of these contexts on social isolation among middle-aged persons. We apply Linear Mixed Models to analyze a sub-sample of 29,847 middle-aged (aged 45 to 64) participants drawn from the Baseline and Follow-up 1 waves of the Canadian Longitudinal Study on Aging. Separated analyses were conducted for participants with or without multimorbidity in order to identify patterns across these groups. Both middle-aged participants with and without multimorbidity experienced greater social isolation over time. Among participants without multimorbidity, holding multiple roles serves as a protective function to prevent social isolation over time. Among participants with multimorbidity, the parenting role remain as a protective factor; however, the caregiving role increases the risk of social isolation over time. This study confirms several life-course transitions from middle age to older age, including increased risk of social isolation and caregiving demand, and decreased parenting and working involvement. Different associations were uncovered among middle-aged persons occupying multiple roles on social isolation with and without multimorbidity over time. The findings emphasize the necessity to study multimorbidity as a salient contextual factor, and to provide enhanced support to multimorbid middle-aged individuals with increasing family caregiving demands.

scholarly journals Informal caregiving patterns and trajectories of psychological distress in the UK Household Longitudinal Study

2018 ◽  
Vol 49 (10) ◽  
pp. 1652-1660 ◽  
Author(s):  
Rebecca E. Lacey ◽  
Anne McMunn ◽  
Elizabeth Webb
Keyword(s):  
Psychological Distress ◽  
Longitudinal Study ◽  
Regression Coefficient ◽  
Informal Caregivers ◽  
Informal Caregiving ◽  
Representative Study ◽  
Increased Risk ◽  
The Uk ◽  
Over Time

AbstractBackgroundApproximately seven million people in the UK are engaged in informal caregiving. Informal caregivers are at risk of poorer mental and physical health. However, less is known about how the relationship between the informal caregiving and psychological distress changes over time. The aim of this study was to investigate longitudinal associations between the informal caregiving and psychological distress amongst UK men and women aged 16+.MethodsData were analysed from the UK Household Longitudinal Study (UKHLS, n = 9368), a nationally representative study of UK households. Longitudinal linear mixed modelling was used to estimate associations between the longitudinal patterns of informal caregiving (non-caregiver/one episode of 1–2 years/intermittent caregiving/3+ years caregiving) and trajectories of psychological distress across seven waves of UKHLS data.ResultsInformal caregiving was not associated with psychological distress for men. Women engaged in long-term (⩾3 years) or intermittent caregiving had higher levels of psychological distress at the point of initiation, compared with women who were not caregivers throughout the study period (3+ years caregiver: regression coefficient 0.48, 95% confidence interval (CI) 0.07–0.89; intermittent caregiver: regression coefficient 0.47, 95% CI 0.02–0.92). Trajectories of psychological distress changed little over time, suggesting a plateau effect for these caregiving women.ConclusionsWomen engaged in long-term or repeated shorter episodes of informal caregiving reported more symptoms of psychological distress than non-caregiving women. Given the increased risk of reporting psychological distress and the increasing importance of the informal care sector, the risk of poorer mental health of informal caregivers should be a priority for public health.

scholarly journals Risk factors for depression during the COVID-19 pandemic: a longitudinal study in middle-aged and older adults

BJPsych Open ◽  
2021 ◽  
Vol 7 (5) ◽  
Author(s):  
Jamie Rutland-Lawes ◽  
Anna-Stiina Wallinheimo ◽  
Simon L. Evans
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Longitudinal Study ◽  
Regression Models ◽  
Protective Factor ◽  
Significant Risk ◽  
Living Alone ◽  
Depression Symptoms ◽  
Middle Aged ◽  
Increased Risk

Background The COVID-19 pandemic and resultant social restrictions have had widespread psychological ramifications, including a rise in depression prevalence. However, longitudinal studies on sociodemographic risk factors are lacking. Aims To quantify longitudinal changes in depression symptoms during the pandemic compared with a pre-pandemic baseline, in middle-aged and older adults, and identify the risk factors contributing to this. Method A total of 5331 participants aged ≥50 years were drawn from the English Longitudinal Study of Ageing. Self-reported depression symptoms in June/July 2020 were compared with baseline data from 2–3 years prior. Regression models investigated sociodemographic and lifestyle variables that could explain variance in change in depression. Results Within-participant depression scores increased significantly from pre-pandemic levels: 14% met the criteria for clinical depression at baseline, compared with 26% during the pandemic. Younger age, female gender, higher depression scores at baseline, living alone and having a long-standing illness were significant risk factors. Gender-stratified regression models indicated that older age was protective for women only, whereas urban living increased risk among women only. Being an alcohol consumer was a protective factor among men only. Conclusions Depression in UK adults aged ≥50 years increased significantly during the pandemic. Being female, living alone and having a long-standing illness were prominent risk factors. Younger women living in urban areas were at particularly high risk, suggesting such individuals should be prioritised for support. Findings are also informative for future risk stratification and intervention strategies, particularly if social restrictions are reimposed as the COVID-19 crisis continues to unfold.

scholarly journals The Longitudinal Relationships Between Social Isolation, Frailty, and Health Outcomes Among Canadian Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 173-174
Author(s):  
Fereshteh Mehrabi ◽  
François Béland
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Longitudinal Study ◽  
Health Outcomes ◽  
Cognitive Decline ◽  
Social Isolation ◽  
Social Participation ◽  
Community Dwelling ◽  
Global Public Health ◽  
Over Time

Abstract Social isolation and frailty are global public health issues that may lead to poor health outcomes. We tested the two following hypotheses: 1) changes in social isolation and frailty are associated with adverse health outcomes over two years, 2) the associations between social isolation and health vary across different levels of frailty. We estimated a series of latent growth models to test our hypotheses using data from the FRéLE longitudinal study among 1643 Canadian community-dwelling older adults aged 65 years and over. Missing data were handled by pattern mixture models with the assumption of missing not at random. We measured social isolation through social participation, social networks, and social support from different social ties. We assessed frailty using Fried’s criteria. Our results revealed that higher frailty at baseline was associated with a higher rate of comorbidity, depression, and cognitive decline over two years. Less social participation at baseline was associated with comorbidity, depression, and changes in cognitive decline. Less social support from friends, children, partner, and family at baseline was associated with comorbidity, cognitive decline, and changes in depression. Fewer contacts with grandchildren were related to cognitive decline over time. The associations of receiving less support from partner with depression and participating less in social activities with comorbidity, depression, and cognitive decline were higher among frail or prefrail than robust older adults over time. This longitudinal study suggests that intimate connectedness and social participation may ameliorate health status in frail older populations, highlighting the importance of age-friendly city policies.

scholarly journals Regional Relocation and Phonetic Dialect Markers

2021 ◽  
Vol 7 (2) ◽  
pp. 39-47
Author(s):  
Victoria Kuo
Keyword(s):  
Longitudinal Study ◽  
Correlation Analysis ◽  
Hypothesis Testing ◽  
The Other ◽  
Pearson’S Correlation ◽  
Regional Dialect ◽  
Pearson's Correlation ◽  
The Difference ◽  
Phonological Change ◽  
Over Time

  This paper tracks phonological change in the (ING) morpheme in two YouTube personalities over time. Both participants relocated to a different dialect region than their hometowns over the course of their careers, motivating the hypothesis of this paper: geographic relocation is a catalyst for adult accent change. With a longitudinal study method, I selected audio clips from different periods in each YouTuber’s life and collected formant measurements of the targeted words. Based on a Pearson’s correlation analysis and hypothesis testing models, the participants showed statistically significant progression in their speech over time. Additionally, the speakers exhibited audible shifts most likely as an effect of aging. It is inconclusive whether this study’s observations are influenced by the difference in dialect or societal pressures of the relocated locations without further research in the other variables of each regional dialect. 

The Association of Social Isolation With the Risk of Stroke Among Middle-Aged and Older Adults in China

2019 ◽  
Vol 188 (8) ◽  
pp. 1456-1465 ◽  
Author(s):  
Zi Zhou ◽  
Cen Lin ◽  
Jiaping Ma ◽  
Samuel D Towne ◽  
Yaofeng Han ◽  
...  
Keyword(s):  
Older Adults ◽  
Social Isolation ◽  
Direct Effect ◽  
Stroke Risk ◽  
Structural Model ◽  
Marginal Structural Model ◽  
Middle Aged ◽  
Frequency Of Contact ◽  
Increased Risk ◽  
Nationally Representative

Abstract Given that there is limited research examining the specific role social isolation plays in stroke risk, we aimed to estimate the controlled direct effect of social isolation on stroke risk in China. A nationally representative sample (n = 12,662) of persons aged 45 years or more at baseline (2011), with corresponding follow-ups in 2013 and 2015, was taken from the China Health and Retirement Longitudinal Study. Stroke was assessed through a self- or proxy-reported physician’s diagnosis. Social isolation was measured by incorporating marital status, frequency of contact with friends, family, and children, and participation in social activities. A marginal structural model with stabilized inverse probability weights was applied to examine the controlled direct effect of social isolation on stroke risk. Overall, 245 persons had a stroke within the 4-year timeline under study. The total effect model indicated that persons experiencing social isolation had a 64% increased risk of stroke (odds ratio (OR) = 1.64, 95% confidence interval (CI): 1.26, 2.13). Results from the marginal structural model also indicated that socially isolated persons had an increased risk of stroke (OR = 2.39, 95% CI: 1.49, 3.82) after adjustment for depression. Interventions to reduce social isolation may be particularly beneficial in preventing the occurrence of stroke among middle-aged and older adults in China.

A Latent Transition Analysis of Youth Bullying Victimization Patterns over Time and Their Relations to Delinquency

2020 ◽  
pp. 088626052095863
Author(s):  
Saijun Zhang ◽  
Jun Sung Hong ◽  
Ying Hao ◽  
Na Youn Lee ◽  
Alex R. Piquero
Keyword(s):  
Elementary School ◽  
Peer Victimization ◽  
Latent Transition Analysis ◽  
Family Context ◽  
Transition Analysis ◽  
Youth Delinquency ◽  
Increased Risk ◽  
Latent Transition ◽  
The Difference ◽  
Over Time

Peer victimization patterns from elementary school transitioning into late middle school have not been assessed in detail. Even less work has considered how these patterns differ across family context and then are linked to delinquency in adolescence. This study used longitudinal data ( n = 2,892) from the Fragile Families and Child Wellbeing Study to examine peer victimization classification and change over six years while distinguishing across sex and family contexts. Latent transition analysis (LTA) shows that youth can be classified into minor victimization, mainly verbal victimization, and all-type victimization subgroups over time with some sex differences, regardless of whether they were in two-parent families. The majority of the youth were in either the mainly verbal victimization (53% for boys; 42% for girls) or all-type victimization (12% for boys; 21% for girls) statuses when they were about 9 years old, but substantial transition positioned most boys (84%) and girls (82%) in the minor victimization status instead when they were about 15 years old. Youth who were Hispanic, in two-parent families, and more open to parents had a reduced risk of peer victimization, but youth who were in a poor family had an increased risk of peer victimization. Peer victimization statuses were significantly associated with youth delinquency, and there were sex and time differences in the association. In year 9, 45% to 94% of boys and 24% to 75% of girls were involved in delinquency based on their victimization statuses, but the difference was 48% to 67% for boys and 39% to 59% for girls in year 15. The findings suggest developing and implementing peer victimization prevention starting from early elementary school, concurrently addressing peer victimization and delinquency, and paying close attention to sex and family context differences.

scholarly journals Loneliness, social isolation and risk of cardiovascular disease in the English Longitudinal Study of Ageing

2018 ◽  
Vol 25 (13) ◽  
pp. 1387-1396 ◽  
Author(s):  
Nicole K Valtorta ◽  
Mona Kanaan ◽  
Simon Gilbody ◽  
Barbara Hanratty
Keyword(s):  
Cardiovascular Disease ◽  
Social Isolation ◽  
Social Relationships ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
Increased Risk ◽  
Incident Cardiovascular Disease ◽  
English Longitudinal Study ◽  
Over Time

Background There is increasing evidence of an association between social relationships and morbidity in general, and cardiovascular disease in particular. However, recent syntheses of the evidence raise two important questions: is it the perceived quality or the more objective quantity of relationships that matters most; and what are the implications of changes in relationships over time? In this study, we investigate the cumulative effects of loneliness and social isolation on incident cardiovascular disease. Design A secondary analysis of prospective follow-up data from the English Longitudinal Study of Ageing (ELSA). Methods To assess the association between social isolation or loneliness and incident cardiovascular disease, lagged values of exposure to loneliness and isolation were treated as time-varying variables in discrete time survival models controlling for potential confounders and established cardiovascular disease risk factors. Results A total of 5397 men and women aged over 50 years were followed up for new fatal and non-fatal diagnoses of heart disease and stroke between 2004 and 2010. Over a mean follow-up period of 5.4 years, 571 new cardiovascular events were recorded. We found that loneliness was associated with an increased risk of cardiovascular disease (odds ratio 1.27, 95% confidence interval 1.01–1.57). Social isolation, meanwhile, was not associated with disease incidence. There was no evidence of a cumulative effect over time of social relationships on cardiovascular disease risk. Conclusions Loneliness is associated with an increased risk of developing coronary heart disease and stroke, independently of traditional cardiovascular disease risk factors. Our findings suggest that primary prevention strategies targeting loneliness could help to prevent cardiovascular disease.

Timing of Adult Transitions

2011 ◽  
Vol 16 (4) ◽  
pp. 314-323 ◽  
Author(s):  
Eija Räikkönen ◽  
Katja Kokko ◽  
Johanna Rantanen
Keyword(s):  
Life Satisfaction ◽  
Longitudinal Study ◽  
Psychological Functioning ◽  
Well Being ◽  
Intimate Relationship ◽  
Self Esteem ◽  
Full Time ◽  
The Difference ◽  
Childhood Antecedents ◽  
Full Time Employment

Regarding the differences in timing of adult transitions (i.e., completion of education, full-time employment, having an intimate relationship, having a child) and their relation to childhood antecedents and adulthood psychological functioning, 282 participants were examined. The study was based on the ongoing Finnish Jyväskylä Longitudinal Study of Personality and Social Development in which the same individuals have been followed from age 8 to mid-adulthood. Three groups were formed: On-Time Transitions (all transitions by age 27), Late Transitions (at least one transition after age 27), and Partial Transitions (not all transitions at age 42). Participants with all transitions (On-Time or Late) were socially more active in childhood than participants with partial transitions. Furthermore, participants with on-time transitions were more likely females, and participants with late transitions came more likely from high SES families than participants with partial transitions. Regarding psychological functioning, the participants with all transitions reported higher psychological well-being and self-esteem at ages 36 and 42, and higher life satisfaction at age 42 than participants with partial transitions. Furthermore, participants with on-time transitions showed higher life satisfaction at ages 27 and 36 than participants with late transitions, but by age 42 the difference leveled off.

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