Relationship, Choice, Health, and Typologies of Unpaid Care Labor for Older Adults

2021 ◽  
pp. 019394592110014
Author(s):  
Robin Tarter ◽  
Exu Anton Mates ◽  
Allison Lindauer ◽  
Dena Hassouneh
Keyword(s):  
Emotional Stress ◽  
Structural Equation ◽  
Hierarchical Cluster ◽  
Health Impact ◽  
Equation Modeling ◽  
Physical Strain ◽  
Unpaid Care ◽  
Hands On ◽  
Care Labor ◽  
National Alliance

Providing unpaid care labor to older adult friends and relatives is associated with deleterious health outcomes, especially among persons who feel they have no choice when taking on care responsibilities. We used hierarchical cluster analysis and structural equation modeling of data from the National Alliance for Caregiving’s Caregiving in the U.S. 2015 Survey to explore choice—outcome relationships. We identified three distinct care typologies, hands-on, household, and managerial care. Perceived lack of choice predicted emotional stress directly and indirectly through household and managerial care; predicted physical strain directly and indirectly through all care typologies; but only predicted negative health impact indirectly through mediation. Lack of choice had greater direct effects on emotional stress and negative health impact for adult–descendants compared to participants with other relationships with recipients, for whom the effects of lack of choice on outcomes were mediated through household and managerial care.

scholarly journals CHOICE MODERATES RELATIONSHIPS BETWEEN LEVEL AND DURATION OF CARE AND THE HEALTH IMPACT OF CARING FOR AN OLDER PARENT

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S109-S109
Author(s):  
Robin Tarter ◽  
Dena Hassouneh ◽  
Allison Lindauer ◽  
Nathan Dieckmann
Keyword(s):  
Emotional Stress ◽  
Structural Equation ◽  
Structural Equation Models ◽  
Negative Impact ◽  
Adult Child ◽  
Health Impact ◽  
Caregiver Health ◽  
Perceived Choice ◽  
The Impact ◽  
National Alliance

Abstract The perception of choice in the caregiving role has emerged as a key theme in qualitative gerontological caregiving research but few studies have examined choice quantitatively. The aim of our study was to test whether perceived choice moderated the relation between level and duration of care and the health impact of caring for a parent over the age of 65. We tested these questions in a series of structural equation models using existing data from the National Alliance for Caregiving, Caregiving in the U.S. 2015 Survey. We found that for adult-child caregivers of parents who reported a lack of choice in taking on the caregiving role, greater responsibilities for assistance with activities of daily living (ADLs) (p<0.01) and instrumental ADLS (p<0.01), and greater time providing care (p<0.05) predicted the negative impact of caregiving on caregiver health. The number of ADLs performed also predicted the emotional stress of caregiving for parents (p<0.01). Conversely, for caregivers who reported that they did have a choice in taking on the caregiving role, level and duration of care were not significantly related to the impact of caregiving on caregiver health, or the emotional stress of caregiving. Women were significantly more likely to report a lack of choice than men (p<0.05). Additional research is needed to explore the meaning of choice, and the ways in which choice may be especially constrained for daughters who care for older adults, in order to develop interventions to ameliorate the potentially deleterious health effects of caregiving on adult-children.

scholarly journals Mental Health of Refugees and Migrants during the COVID-19 Pandemic: The Role of Experienced Discrimination and Daily Stressors

2021 ◽  
Vol 18 (12) ◽  
pp. 6354
Author(s):  
Eva Spiritus-Beerden ◽  
An Verelst ◽  
Ines Devlieger ◽  
Nina Langer Primdahl ◽  
Fábio Botelho Guedes ◽  
...  
Keyword(s):  
Mental Health ◽  
Structural Equation ◽  
Descriptive Analysis ◽  
Health Impact ◽  
Equation Modeling ◽  
Daily Stressors ◽  
Health Crisis ◽  
The Impact ◽  
Migrant Groups

The COVID-19 pandemic is a defining global health crisis of our time. While the impact of COVID-19, including its mental health impact, is increasingly being documented, there remain important gaps regarding the specific consequences of the pandemic on particular population groups, including refugees and migrants. This study aims to uncover the impact of the COVID-19 pandemic on the mental health of refugees and migrants worldwide, disentangling the possible role of social and daily stressors, i.e., experiences of discrimination and daily living conditions. Descriptive analysis and structural equation modeling were used to analyze the responses of N = 20,742 refugees and migrants on the self-reporting global ApartTogether survey. Survey findings indicated that the mental health of refugees and migrants during the COVID-19 pandemic was significantly impacted, particularly for certain subgroups, (i.e., insecure housing situation and residence status, older respondents, and females) who reported experiencing higher levels of increased discrimination and increases in daily life stressors. There is a need to recognize the detrimental mental health impact of the COVID-19 pandemic on particular refugee and migrant groups and to develop interventions that target their unique needs.

Hands-On Approach to Structural Equation Modeling

2002 ◽  
Vol 47 (4) ◽  
pp. 478-480 ◽  
Author(s):  
Jan-Eric Gustafsson ◽  
Rita Martenson
Keyword(s):  
Structural Equation Modeling ◽  
Structural Equation ◽  
Equation Modeling ◽  
Hands On

scholarly journals The IPOET matrix: measuring resource integration

2018 ◽  
Vol 26 (5) ◽  
pp. 953-971
Author(s):  
Kristian Johan Sund ◽  
Stuart Barnes ◽  
Jan Mattsson
Keyword(s):  
Structural Equation ◽  
Dynamic Capabilities ◽  
Measurement Instrument ◽  
Hierarchical Cluster ◽  
Value Theory ◽  
Equation Modeling ◽  
Resource Integration ◽  
Cross Sectional ◽  
Content Type ◽  
Resource Orchestration

PurposeThe recently developed resource orchestration theory studies the processes by which managers handle resources to create competitive advantages. According to this theory, it is the way that resources interact with each other that results in such advantages. Resource integration, i.e. the alignment, or fit between resources, is one important outcome of resource orchestration processes. This paper aims to develop a scale and outline approaches to measuring such resource integration.Design/methodology/approachUsing a typology of five types of resources derived from value theory, the authors develop a scale for measuring the fit between resource types, i.e. the degree of resource integration. The authors illustrate the method using a case example of an IT company and demonstrate how a variety of statistical methods including hierarchical cluster analysis, structural equation modeling, social network analysis and methods from biostatistics can provide measures of resource integration.FindingsThe authors develop a scale and associated measures that can help scholars systematically measure and identify firms with a high or low level of resource integration capability. This makes it possible to investigate further these companies and reconstruct how they support dynamic capabilities, as well as commonalities across firms with high and low levels of this capability.Originality/valueExisting studies on resource orchestration have failed to provide us with a reliable measurement instrument that can be used both in cross-sectional work, and in repeated or time-series studies, allowing us to assess the degree to which a wider range of resources in an organization are integrated. The authors develop and demonstrate such an instrument.

scholarly journals Perceived discrimination, self-exclusion and well-being among people with HIV as a function of lipodystrophy symptoms

2017 ◽  
Vol 34 (1) ◽  
pp. 7 ◽  
Author(s):  
Maria Jose Fuster-Ruiz de Apodaca ◽  
Fernando Molero ◽  
Eneko Sansinenea ◽  
Francisco-Pablo Holgado ◽  
Alejandro Magallares ◽  
...  
Keyword(s):  
Structural Equation ◽  
Perceived Discrimination ◽  
Hierarchical Cluster ◽  
Well Being ◽  
Equation Modeling ◽  
Negative Effects ◽  
Mediating Role ◽  
Ex Post ◽  
Ex Post Facto

This study examined the effects of perceived discrimination on the well-being of people with HIV and the mediating role of self-exclusion as a function of the participants' symptoms of lipodystrophy. An ex post facto study with a sample of 706 people with HIV was conducted. Self-perception of lipoatrophy and lipohypertrophy, perceived discrimination, self-exclusion and psychological well-being were measured. Results of hierarchical cluster analysis showed participants could be categorized into three groups: no lipodystrophy, mixed syndrome with predominant lipoaccumulation and lipoatrophy. Results of structural equation modeling revealed that the negative effects of perceived discrimination on well-being were mediated to a large extent by self-exclusion. Invariance analysis revealed that the mediating role of self-exclusion was not the same in the three clusters. Complete mediation of self-exclusion in the groups without lipodystrophy and with predominant lipoaccumulation was confirmed. Regarding lipoatrophy, the negative effects of perceived discrimination were greater and only partly mediated by self-exclusion. In conclusion, having lipodystrophy exposed people to more discrimination; lipoatrophy was the most stigmatizing condition.

A Psychometric Study of the Quality Perception Questionnaire

2012 ◽  
Vol 71 (2) ◽  
pp. 101-106 ◽  
Author(s):  
Raffaele Cioffi† ◽  
Anna Coluccia ◽  
Fabio Ferretti ◽  
Francesca Lorini ◽  
Aristide Saggino ◽  
...  
Keyword(s):  
Structural Equation ◽  
Factor Model ◽  
Equation Modeling ◽  
Fit Indices ◽  
Quality Perception ◽  
Italian Survey ◽  
Confirmatory Factor ◽  
Instrument Measuring ◽  
Hospital Structures

The present paper reexamines the psychometric properties of the Quality Perception Questionnaire (QPQ), an Italian survey instrument measuring patients’ perceptions of the quality of a recent hospital admission experience, in a sample of 4400 patients (Mage = 56.42 years; SD = 19.71 years, 48.8% females). The 14-item survey measures four factors: satisfaction with medical doctors, nursing staff, auxiliary staff, and hospital structures. First, we tested two models using a confirmatory factor analysis (structural equation modeling): a four orthogonal factor and a four oblique factor model. The SEM fit indices and the χ² difference suggested the acceptance of the second model. We then did a simulation using a bootstrap with 1000 replications. Results confirmed the four oblique factor solution. Third, we tested whether there were significant differences with respect to age or sex. The multivariate general linear model showed no significant differences in the factors with respect to sex or age.

Suicide Risk Among College Student

Crisis ◽  
2015 ◽  
Vol 36 (6) ◽  
pp. 416-423 ◽  
Author(s):  
Richard Shadick ◽  
Faedra Backus Dagirmanjian ◽  
Baptiste Barbot
Keyword(s):  
Sexual Minority ◽  
Students Of Color ◽  
Structural Equation ◽  
Suicide Risk ◽  
Equation Modeling ◽  
First Year ◽  
Chi Square ◽  
First Year College ◽  
Marginalized Groups ◽  
First Year College Students

Abstract. Background: Research on young adults in the general population has identified a relationship between sexual minority identification and risk for suicide. Differential rates of suicidal ideation and attempts have also been found across racial and ethnic groups. Aims: This study examined risk for suicide among university students, based on membership in one or more marginalized groups (sexual minority and racial minority identification). Method: Data were collected from first-year college students (N = 4,345) at an urban university. Structural equation modeling was employed to model a suicidality construct, based on which a "risk for suicide" category system was derived. Chi-square and logistic regression analyses were then conducted to estimate the relationship between the background variables of interest and suicide risk. Results: Students who identified as lesbian, gay, or bisexual (LGB) were associated with higher suicide risk than their heterosexual peers. Students of color were slightly less at risk than their heterosexual peers. However, LGB students of color were associated with elevated suicide risk relative to heterosexual peers. Conclusion: Results indicate that belonging to multiple marginalized groups may increase one's risk for suicide, though these effects are not simply additive. Findings highlight the complexity of the intersection between marginalized identities and suicidality.

Low Self-Control of Emotions as an Antecedent of Self-Reported Physical Symptoms: A Longitudinal Perspective

2001 ◽  
Vol 6 (1) ◽  
pp. 26-35 ◽  
Author(s):  
Marja Kokkonen ◽  
Lea Pulkkinen ◽  
Taru Kinnunen
Keyword(s):  
Structural Equation ◽  
Negative Emotions ◽  
Physical Symptoms ◽  
Self Control ◽  
Personality Characteristics ◽  
Equation Modeling ◽  
Eysenck Personality Questionnaire ◽  
Positive Direction ◽  
Data Collections ◽  
Low Self Control

The study was part of the Jyväskylä Longitudinal Study of Personality and Social Development, underway since 1968, in which children's low self-control of emotions was studied using teacher ratings at age 8 in terms of inattentiveness, shifting moods, aggression, and anxiety. The study was based on data from 112 women and 112 men who participated in the previous data collections at ages 8, 27, and 36. At age 27, the participants had been assessed in Neuroticism (N) using the Eysenck Personality Questionnaire , and at age 36 they filled in several inventories measuring, among others, conscious and active attempts to repair negative emotions in a more positive direction as well as physical symptoms. The present study used structural equation modeling to test the hypothesis that personality characteristics indicating low self-control of emotions at ages 8 and 27 are antecedents of self-reported physical symptoms at age 36; and that this relationship is indirect, mediated by attempts to repair negative emotions in a more positive direction. The findings showed, albeit for men only, that inattentiveness at age 8 was positively related to self-reported physical symptoms at age 36 via high N at age 27 and low attempts to repair negative emotions at age 36. Additionally, N at age 27 was directly linked to self-reported physical symptoms at age 36. The mediation of an active attempt to repair negative emotions was not found for women. Correlations revealed, however, that shifting moods and aggression in girls were antecedents of self-reported physical symptoms in adulthood, particularly, pain and fatigue.

Validating the Factor Structure of the Stigma of Suicide Scale–Short Form Spanish Version Among Healthcare Students

Crisis ◽  
2020 ◽  
pp. 1-5
Author(s):  
Ruthmarie Hernández-Torres ◽  
Paola Carminelli-Corretjer ◽  
Nelmit Tollinchi-Natali ◽  
Ernesto Rosario-Hernández ◽  
Yovanska Duarté-Vélez ◽  
...  
Keyword(s):  
Factor Structure ◽  
Structural Equation ◽  
Short Form ◽  
Small Sample Size ◽  
Small Sample ◽  
Spanish Version ◽  
Equation Modeling ◽  
Cross Sectional ◽  
Healthcare Students ◽  
Spanish Speaking

Abstract. Background: Suicide is a leading cause of death among Spanish-speaking individuals. Suicide stigma can be a risk factor for suicide. A widely used measure is the Stigma of Suicide Scale-Short Form (SOSS-SF; Batterham, Calear, & Christensen, 2013 ). Although the SOSS-SF has established psychometric properties and factor structure in other languages and cultural contexts, no evidence is available from Spanish-speaking populations. Aim: This study aims to validate a Spanish translation of the SOSS-SF among a sample of Spanish-speaking healthcare students ( N = 277). Method: We implemented a cross-sectional design with quantitative techniques. Results: Following a structural equation modeling approach, a confirmatory factor analysis (CFA) supported the three-factor model proposed by Batterham and colleagues (2013) . Limitations: The study was limited by the small sample size and recruitment by availability. Conclusion: Findings suggest that the Spanish version of the SOSS-SF is a valid and reliable tool with which to examine suicide stigma among Spanish-speaking populations.

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