scholarly journals Impact of intergenerational transfers on fertility

POPULATION ◽  
2021 ◽  
Vol 24 (1) ◽  
pp. 77-89
Author(s):  
Vyacheslav Babyshev
Keyword(s):  
World War Ii ◽  
Older People ◽  
Empirical Test ◽  
Social Systems ◽  
Intergenerational Transfers ◽  
Substitution Effect ◽  
The Elderly ◽  
Economic Reason ◽  
Elderly Parents ◽  
Increased Risk

On the theoretical basis of the "generational economy" the article describes the "model of overlapping generations" and "life cycle model" as the cause of the existence of intergenerational transfers. The classification of approaches to their study is carried out. Based on the exchange model (the concept of childbearing as a long-term investment in future transfers from adult children to elderly parents) and the theory of substitutions (crowding out private transfers by public social systems), the "elderly security hypothesis" is highlighted as a possible socio-economic reason for the demographic transition. Based on the works of A. Cigno, a theoretical review of this theory is made using the concepts of ^substitution effect» and «free rider effect». According to the works of R. Fenge and B. Scheubel, the "income effect" and "price effect" are defined as the key parameters for testing this hypothesis. An overview of the existing scientific and practical works on the topic of research is made, highlighting methods and results on the following examples: Italy after World War II, Germany at the turn of the 19th and 20th centuries, Brazil in 1991-2000, Hungary in 19502006, 34 OECD countries in the 1990s and the consolidated data for 121 countries at present. The author has carried out his own empirical test of the «hypothesis of elderly security» in the countries of the world on the basis of UN and OECD statistics. Coverage, social security spending, replacement rate, mandatory premium rate, and an increased risk of poverty among older people support the safe aging theory of upward intergenerational transfers from children to parents. But the internal rate of return of pension systems and the average income of older people support the competing hypothesis of top-down intergenerational transfers from parent to child. It is concluded that, with a relatively low standard of living of population, intergenerational transfers go from children to parents, but when a certain level of national welfare is reached, the movement of transfers changes to the opposite direction.

scholarly journals Population aging and the historical development of intergenerational transfer systems

Genus ◽  
2020 ◽  
Vol 76 (1) ◽  
Author(s):  
Ronald Lee
Keyword(s):  
Older People ◽  
Population Aging ◽  
Intergenerational Transfers ◽  
The Elderly ◽  
Intergenerational Transfer ◽  
Agricultural Revolution ◽  
Public Transfers ◽  
Working Age ◽  
Social Sharing ◽  
Private Transfers

Abstract From our evolutionary past, humans inherited a long period of child dependency, extensive intergenerational transfers to children, cooperative breeding, and social sharing of food. Older people continued to transfer a surplus to the young. After the agricultural revolution, population densities grew making land and residences valuable assets controlled by older people, leading to their reduced labor supply which made them net consumers. In some East Asian societies today, elders are supported by adult children but in most societies the elderly continue to make private net transfers to their children out of asset income or public pensions. Growing public intergenerational transfers have crowded out private transfers. In some high-income countries, the direction of intergenerational flows has reversed from downward to upwards, from young to old. Nonetheless, net private transfers remain strongly downward, from older to younger, everywhere in the world. For many but not all countries, projected population aging will bring fiscal instability unless there are major program reforms. However, in many countries population aging will reduce the net cost to adults of private transfers to children, partially offsetting the increased net costs to working age adults for public transfers to the elderly.

scholarly journals Mental Disorders, Cognitive Impairment and the Risk of Suicide in Older Adults

2021 ◽  
Vol 12 ◽  
Author(s):  
Agnieszka Kułak-Bejda ◽  
Grzegorz Bejda ◽  
Napoleon Waszkiewicz
Keyword(s):  
Older Adults ◽  
Bipolar Disorder ◽  
Cognitive Impairment ◽  
Mental Disorders ◽  
Anxiety Disorders ◽  
Older People ◽  
Mood Disorders ◽  
The Elderly ◽  
Increased Risk ◽  
The World

More than 600 million people are aged 60 years and over are living in the world. The World Health Organization estimates that this number will double by 2025 to 2 billion older people. Suicide among people over the age of 60 is one of the most acute problems. The factors strongly associated with suicide are mentioned: physical illnesses, such as cancer, neurologic disorder, pain, liver disease, genital disorders, or rheumatoid disorders. Moreover, neurologic conditions, especially stroke, may affect decision-making processes, cognitive capacity, and language deficit. In addition to dementia, the most common mental disorders are mood and anxiety disorders. A common symptom of these disorders in the elderly is cognitive impairment. This study aimed to present the relationship between cognitive impairment due to dementia, mood disorders and anxiety, and an increased risk of suicide among older people. Dementia is a disease where the risk of suicide is significant. Many studies demonstrated that older adults with dementia had an increased risk of suicide death than those without dementia. Similar conclusions apply to prodromal dementia Depression is also a disease with a high risk of suicide. Many researchers found that a higher level of depression was associated with suicide attempts and suicide ideation. Bipolar disorder is the second entity in mood disorders with an increased risk of suicide among the elderly. Apart from suicidal thoughts, bipolar disorder is characterized by high mortality. In the group of anxiety disorders, the most significant risk of suicide occurs when depression is present. In turn, suicide thoughts are more common in social phobia than in other anxiety disorders. Suicide among the elderly is a serious public health problem. There is a positive correlation between mental disorders such as dementia, depression, bipolar disorder, or anxiety and the prevalence of suicide in the elderly. Therefore, the elderly should be comprehensively provided with psychiatric and psychological support.

scholarly journals Engaging older people in an internet platform for cardiovascular risk self-management: a qualitative study among Dutch HATICE participants

BMJ Open ◽  
2018 ◽  
Vol 8 (1) ◽  
pp. e019683 ◽  
Author(s):  
Tessa van Middelaar ◽  
Cathrien R L Beishuizen ◽  
Juliette Guillemont ◽  
Mariagnese Barbera ◽  
Edo Richard ◽  
...  
Keyword(s):  
Primary Care ◽  
Older People ◽  
Computer Literacy ◽  
The Elderly ◽  
Self Management ◽  
Daily Routine ◽  
Semistructured Interview ◽  
User Friendliness ◽  
Increased Risk ◽  
Internet Platform

ObjectivesTo study older peoples’ experiences with an interactive internet platform for cardiovascular self-management, to assess which factors influence initial and sustained engagement. To assess their views on future use within primary care.DesignQualitative semistructured interview study, with thematic analysis.SettingPrimary care in the Netherlands.ParticipantsPeople ≥65 years with an increased risk of cardiovascular disease who used the ‘Healthy Ageing Through Internet Counselling in the Elderly’ internet platform with remote support of a coach. Participants were selected using a purposive sampling method based on gender, age, level of education, cardiovascular history, diabetes, duration of participation and login frequency.ResultsWe performed 17 interviews with 20 participants, including three couples. In the initial phase, platform engagement was influenced by perceived computer literacy of the participants, user-friendliness, acceptability and appropriateness of the intervention and the initial interaction with the coach. Sustained platform use was mainly facilitated by a relationship of trust with the coach. Other facilitating factors were regular automatic and personal reminders, clear expectations of the platform, incorporation into daily routine, social support and a loyal and persistent attitude. Perceived lack of change in content of the platform could work both stimulating and discouraging. Participants supported the idea of embedding the platform into the primary care setting.ConclusionsHuman support is crucial to initial and sustained engagement of older people in using an interactive internet platform for cardiovascular self-management. Regular reminders further facilitate sustained use, and increased tailoring to personal preference is recommended. Embedding the platform in primary healthcare may enhance future adoption.Trial registration numberISRCTN48151589; Pre-results.

scholarly journals Reminiscence Therapy through Kidung Bali for Depression of older people living in Urban area

2021 ◽  
Vol 11 (02) ◽  
pp. 94-99
Author(s):  
Sukardin Sukardin ◽  
Hadi Suryatno ◽  
Ni Wayan Dewi Parwati ◽  
Ni Made Sumartyawati
Keyword(s):  
Older People ◽  
Urban Area ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
The Elderly ◽  
Mean Value ◽  
Wilcoxon Test ◽  
Geriatric Depression ◽  
Reminiscence Therapy ◽  
Increased Risk

Abstract: Aging process impacted the existence of health-related problems. Depression is one of the most common health problems that occurred in older people. Effects experienced by elderly depression is an increased risk of getting various diseases. So that we need therapy as an alternative treatment for depression in the elderly. Objectives: This study aimed to determine the effect of Reminiscence therapy through Kidung Bali on the changes in depression in the elderly in Urban area. Methods: This research was a quasi-experimental study performed on 33 Elderly in Mataram. Participants were randomly selected. The Geriatric Depression Scale (GDS) questionnaire was used to collect data related to Elderly Depression. Reminiscence therapy was conducted over five days, the duration of treatment approximately 30-40 minutes each meeting. Data were analyzed using Pearson and Spearman correlation and Wilcoxon-test in SPSS 24. Results: : This study illustrated that there was a change in the Geriatric Depression Scale score.  Before giving the reminiscence therapy, a mean value was 5.67, and after being given the reminiscence therapy, the mean Value changed to 3.15. Statistical test results showed the p-value <α (0.000 <0.05).  Conclusion: It can be concluded that There was an effect of Reminiscence therapy through Kidung Bali to elderly depression in Urban area. Reminiscence therapy through Kidung Bali is an alternative option in reducing depression in the elderly. Keywords: Reminiscence therapy, Kidung Bali, Elderly, Depression.  

scholarly journals Institutul Național de Cercetări Economice, Chișinău, Republica Moldova

2021 ◽  
Vol 32 (2) ◽  
Author(s):  
Mariana Buciuceanu-Vrabie ◽  
Tatiana Tabac
Keyword(s):  
Qualitative Study ◽  
Older People ◽  
Social Services ◽  
Social Impact ◽  
The Elderly ◽  
Community Level ◽  
Social Risks ◽  
Increased Risk ◽  
The Social ◽  
The Individual

Articolul se focusează pe evaluarea situației persoanelor în vârstă din Republica Moldova în contextul pandemiei COVID-19. Prin diagnosticarea socială a deschiderii structurale, instituționale, comunitare și inter-generaționale la nevoile acestei categorii de populație, se evidențiază provocările pandemice cu care aceasta se confruntă. Metodologia cercetării are la bază rezultatele studiului calitativ, realizat în lunile august−septembrie 2020 și aprilie−mai 2021 cu persoanele vârstnice, reprezentanții administrației publice locale și asistenții sociali. Prin constatări argumentate empiric, în articol sunt actualizate principalele dificultăți parvenite în contextul pandemiei și profunzimea impactului social asupra persoanelor în vârstă la nivel comunitar. Pe lângă riscul direct asupra stării de sănătate fizică, excluderea și discriminarea persoanelor în vârstă s-a accentuat în timpul pandemiei COVID-19, s-a evidențiat riscul sporit de violență și neglijare, și cazurile de stigmatizare la nivel comunitar. Resursele individuale/ familiale ale persoanelor vârstnice, în special în cazul infectării cu COVID-19 și a tratamentului, au jucat un rol important în depășirea crizei. Consecințele COVID-19 se asociază cu agravarea stării de sănătate a persoanelor vârstnice și creșterea necesarului de în servicii medicale. Atitudinile „age-iste” au loc și în perioada după carantină, subminând drepturile persoanelor vârstnice la servicii de calitate. Astfel, se accentuează necesitatea monitorizării continue a situației și combaterii atitudinilor „age-iste” în perioada post pandemie. Cuvinte-cheie: COVID-19; populația în vârstă; studiul calitativ; riscuri sociale; accesul la serviciile sociale; izolare, violență. ●●●●● The paper focuses on assessing the situation of older persons in the Republic of Moldova, in the context of the COVID-19 pandemic. The social diagnosis of the structural, institutional, community and intergenerational openness to the needs of this category of population highlights the pandemic challenges it faces. The methodology of the study is based on the results of the qualitative study conducted in August−September 2020 and April−May 2021 with the older people, local public administration and social workers. Through empirically reasoned findings, the paper updates the main difficulties encountered in the context of the pandemic and the depth of the social impact on the older people at community level. In addition to the direct risk to physical health, the exclusion and discrimination of the older people increased during the COVID-19 pandemic, there has been an increased risk of violence and neglect, and cases of stigma at community level. The individual/family resources of the older people, especially in the case of COVID-19 infection and treatment, have played an important role in overcoming the crisis. The consequences of COVID-19 are associated with a worsening of the health of the elderly and an increase in the need for medical services. “Ageist” attitudes also occurred in the post-quarantine period, undermining the rights of older people to quality services. Thus, the need for continuous monitoring of the situation and combating "ageist" attitudes in the post-pandemic period is emphasized. Keywords: COVID-19, older adults, qualitative study, social risks, access to social services, isolation, violence.

scholarly journals Perceptions of What Is Important for Appetite—An Interview Study With Older People Having Food Distribution

2019 ◽  
Vol 5 ◽  
pp. 237796081881712
Author(s):  
Marlene Nordlander ◽  
Ulf Isaksson ◽  
Åsa Hörnsten
Keyword(s):  
Older People ◽  
Elderly People ◽  
Qualitative Content Analysis ◽  
The Elderly ◽  
Food Distribution ◽  
Sustainable Food ◽  
Culturally Adapted ◽  
Increased Risk ◽  
Centered Care ◽  
Home Living

The proportion of older people in the population increases and more and more continue living in their own homes. Appetite among the elderly people is important to their nutrition and health. The increased risk of unintended weight loss and malnutrition is linked to food distribution among home-living elderly people. The aim was to describe experiences and perceptions of what matters to appetite among home-living elderly people having food distribution. The design was qualitative where interview data were collected among 13 interviewees in 2017 to 2018. Data were analyzed using qualitative content analysis. The results are presented in three domains: the food, the meal situation, and the adaptation to meal service with categories and themes responding to each domain. The six themes related to appetite among the elderly people concerned the following: eating tasty, savory, and culturally adapted food; eating healthy and sustainable food; eating alone or together with others; eating in a pleasant meal environment; having choices to make about the meal; and last, accepting disabilities and increased dependency. One conclusion is that many aspects should be taken into consideration when promoting appetites of people who also get food distribution. It is highly individual and an understanding of which aspects are relevant must be considered; consequently, person-centered care is suggested to promote appetite.

Assessment of the Therapeutic Effect of Physiotherapy on Minimizing Imbalances of Geriatric Patients

2020 ◽  
Vol 62 (2) ◽  
pp. 86-91
Author(s):  
Justyna Pawlak ◽  
Małgorzata Dudkiewicz ◽  
Łukasz Kikowski
Keyword(s):  
Quality Of Life ◽  
Therapeutic Effect ◽  
Body Mass ◽  
Geriatric Patients ◽  
The Elderly ◽  
Risk Of Falling ◽  
Increased Risk ◽  
Climbing Stairs ◽  
Tinetti Test

Introduction: The progressing aging process and comorbidities worsen the efficiency of the balance system in the elderly, which leads to a weakening of stability and, as a consequence, to falls and injuries. The first ones lead to: worsening of functioning, reduced mobility, an increased risk of disease and mortality, therefore systematic physical activity and shaping the balance using physiotherapy, which can prevent dangerous falls is very important. Aim: Assessment of the therapeutic effect of physiotherapy on minimizing imbalances in geriatric patients. M aterial and Methods: The study group consisted of 46 people, including 32 women (69.6%) and 14 men (30.4%); average age of respondents – 72.5 years. They were patients of the Department of Rehabilitation of Poddębice Health Center, Ltd. The researchers used a self-made questionnaire, body mass to height index (BMI) and the Tinetti Test. Results: Patients with an elevated BMI (89.1%), as well as those taking more than 4 medication (78.3%), have had more falls over the past year (respectively 91.4% and 81.4%). After the use of comprehensive therapy, none of the patients achieved a worse result than before the physiotherapy while 91.3% of the respondents had an increase in the number of points scored in the Tinetti Test. The percentage of patients at high risk of falling reduced from 67.4% to 37%. There was also a decrease in the fear of walking (in 58.7%), falling (in 57.7%) and climbing stairs (in 47.9%). According to 78.3% of respondents, physiotherapy positively affected their independence and quality of life. Conclusions: The use of comprehensive physiotherapy reduces the fear of walking, climbing stairs and falling, which can be a good predictor of prevention. Both polypragmasia and an elevated body mass index (BMI) increase the risk of falling. Comprehensive physiotherapy of geriatric patients helps to improve balance and gait stereotype. Physiotherapy for the elderly helps improve the quality of life, independence, minimize imbalances, and thus reduce the risk of falls. Balance exercises play an important role in preventing falls.

scholarly journals Exploring Local Initiatives to Improve the Work Environment: A Qualitative Survey in Swedish Home Care Practice

2021 ◽  
pp. 108482232098693
Author(s):  
Christofer Rydenfält ◽  
Roger Persson ◽  
Inger Arvidsson ◽  
Charlotte Holgersson ◽  
Gerd Johansson ◽  
...  
Keyword(s):  
Home Care ◽  
Work Environment ◽  
Gender Equality ◽  
Musculoskeletal Disorders ◽  
Work Organization ◽  
The Elderly ◽  
Care Practice ◽  
Change Initiatives ◽  
Increased Risk ◽  
Local Initiatives

Home care for the elderly constitutes a large and growing part of the social welfare system. Though, home care work is associated with a number of work environment-related challenges, including an increased risk for injuries, musculoskeletal disorders, high levels of sick leave and staff turnover, as well as stress and high workload, research is sparse. The present study explores local initiatives to improve the work environment initiated by the home care organizations themselves, and asks whether or not these initiatives affected gender equality. A qualitative web survey was sent to Swedish home care organizations, with open questions about change initiatives intended to have a positive effect on the work environment. There is an impressive amount of local work environment-related change initiatives going on. 80 categories of change initiatives were identified in answers from 178 units. However, these change initiatives were seldom evaluated or made accessible to stakeholders outside the organization. Main themes were concerned with work organization, digitalization, and planning, which largely follows trends in society (ie, digitalization, teamwork), rather than the actual needs identified by research (eg, musculoskeletal disorders). Despite apparent gender-related challenges, little of the work was associated with gender equality. The results indicates that there is a huge learning potential as the identified initiatives can serve as inspiration for others. However, to fully take advantage of these type of initiatives, more systematic evaluations are required.

scholarly journals Age is just a number: Is frailty being ignored in vascular access planning for dialysis?

2021 ◽  
pp. 112972982198990
Author(s):  
Kulli Kuningas ◽  
Nicholas Inston
Keyword(s):  
Decision Making ◽  
Kidney Disease ◽  
Vascular Access ◽  
Clinical Condition ◽  
The Elderly ◽  
Dialysis Access ◽  
Adverse Health Outcomes ◽  
Risk Of Mortality ◽  
Increased Risk ◽  
First Choice

Current international guidelines advocate fistula creation as first choice for vascular access in haemodialysis patients, however, there have been suggestions that in certain groups of patients, in particular the elderly, a more tailored approach is needed. The prevalence of more senior individuals receiving renal replacement therapy has increased in recent years and therefore including patient age in decision making regarding choice of vascular access for dialysis has gained more relevance. However, it seems that age is being used as a surrogate for overall clinical condition and it can be proposed that frailty may be a better basis to considering when advising and counselling patients with regard to vascular access for dialysis. Frailty is a clinical condition in which the person is in a vulnerable state with reduced functional capacity and has a higher risk of adverse health outcomes when exposed to stress inducing events. Prevalence of frailty increases with age and has been associated with an increased risk of mortality, hospitalisation, disability and falls. Chronic kidney disease is associated with premature ageing and therefore patients with kidney disease are prone to be frailer irrespective of age and the risk increases further with declining kidney function. Limited data exists on the relationship between frailty and vascular access, but it appears that frailty may have an association with poorer outcomes from vascular access. However, further research is warranted. Due to complexity in decision making in dialysis access, frailty assessment could be a key element in providing patient-centred approach in planning and maintaining vascular access for dialysis.

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