Migration and Psychological Well-Being Among Older Adults: A Growth Curve Analysis Based on Panel Data From the Health and Retirement Study, 1996-2006

2010 ◽  
Vol 22 (7) ◽  
pp. 882-913 ◽  
Author(s):  
Don E. Bradley ◽  
Marieke Van Willigen
Author(s):  
Melissa McInerney ◽  
Ruth Winecoff ◽  
Padmaja Ayyagari ◽  
Kosali Simon ◽  
M. Kate Bundorf

The Affordable Care Act (ACA) dramatically expanded health insurance, but questions remain regarding its effects on health. We focus on older adults for whom health insurance has greater potential to improve health and well-being because of their greater health care needs relative to younger adults. We further focus on low-income adults who were the target of the Medicaid expansion. We believe our study provides the first evidence of the health-related effects of ACA Medicaid expansion using the Health and Retirement Study (HRS). Using geo-coded data from 2010 to 2016, we estimate difference-in-differences models, comparing changes in outcomes before and after the Medicaid expansion in treatment and control states among a sample of over 3,000 unique adults aged 50 to 64 with income below 100% of the federal poverty level. The HRS allows us to examine morbidity outcomes not available in administrative data, providing evidence of the mechanisms underlying emerging evidence of mortality reductions due to expanded insurance coverage among the near-elderly. We find that the Medicaid expansion was associated with a 15 percentage point increase in Medicaid coverage which was largely offset by declines in other types of insurance. We find improvements in several measures of health including a 12% reduction in metabolic syndrome; a 32% reduction in complications from metabolic syndrome; an 18% reduction in the likelihood of gross motor skills difficulties; and a 34% reduction in compromised activities of daily living (ADLs). Our results thus suggest that the Medicaid expansion led to improved physical health for low-income, older adults.


2020 ◽  
Vol 33 (4) ◽  
pp. 587-597
Author(s):  
Ryan P. Chesnut ◽  
Cameron B. Richardson ◽  
Nicole R. Morgan ◽  
Julia A. Bleser ◽  
Daniel F. Perkins ◽  
...  

1999 ◽  
Vol 54B (5) ◽  
pp. P283-P292 ◽  
Author(s):  
E. McAuley ◽  
J. Katula ◽  
S. L. Mihalko ◽  
B. Blissmer ◽  
T. E. Duncan ◽  
...  

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S280-S281
Author(s):  
Rita X Hu ◽  
Lydia Li ◽  
Toni C Antonucci

Abstract Research has suggested that grandparents caring for grandchildren experience both psychological gains and loss. Less clear is what happens to these grandparents after they exit from the caregiving role. This study used the Health and Retirement Study (HRS) 2010 to 2014 data to examine the effects of transitioning out of caregiving on the psychological well-being of grandparents. Psychological well-being was measured by the Positive and Negative Affect Schedule. We defined caregiving grandparents as grandparents who provide 100+ hours of care per year to their grandchildren. In the first wave, 8,278 respondents in the HRS were identified as caregiving grandparents. Among them, 3,914 continued to be caregivers and 4,364 transitioned out of the caregiving role by indicating they are no longer providing care in the second wave. Grandparents who transitioned out of caregiving are more likely to be older in age, less educated and not married. Linear regression analysis was conducted to compare the two groups (continuing vs. exiting caregiving) on positive and negative affect, controlling for the first wave’s measures of the dependent variable, sociodemographic characteristics and health status of respondents. Results show that grandparents who continued caregiving had less decline in positive affect than grandparents who transitioned out of caregiving (b = -0.05, SE = 0.02, p<0.01), adjusting for covariates. But they were not significantly different in negative affect. These findings indicate that older adults may have fewer sources of joy after exiting the role of caregivers of their grandchildren.


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