scholarly journals Water, Sanitation and the Risk of Chronic Conditions among Older Persons in Ghana: Results from the WHO Study on Global AGEing and adult health (SAGE) Wave 2

2020 ◽  
Author(s):  
Razak M Gyasi ◽  
Shiellah N. Simiyu ◽  
Moussa Bagayoko
Keyword(s):  
Older People ◽  
Chronic Conditions ◽  
Later Life ◽  
Well Being ◽  
Adult Health ◽  
Significant Interaction Effect ◽  
Water And Sanitation ◽  
Logistic Regression Models ◽  
Sanitation Services ◽  
Global Ageing

Abstract Objective Water and sanitation have been related to the health of populations, yet, the effects of these factors on the occurrence of chronic conditions (CC) in later life have been least explored. This study examines the association of CC with water and sanitation among older Ghanaians and whether the associations are moderated by gender and residence. Methods Data from the WHO-SAGE Wave 2 comprising of 4735 adults aged ≥ 50 years were analyzed in this study. The primary outcome was CC and the exposures included sources of water, sanitation facilities and the sharing of sanitation facilities. Generalized logistic regression models estimated the effects of water and sanitation indicators on the occurrence of CC. Results Overall, 18.8% of the sample reported at least one CC. Compared to men and rural residents, women and urban residents respectively were more likely to report CC (p < 0.001). After full adjustments, logistic regressions showed that the use of unimproved sanitation (OR = 1.732, CI: 1.377–5.418) and sharing of sanitation facilities (OR = 1.624, CI: 1.095–1.320) were associated with higher odds of CC. However, the use of water did not reach significance (p = 0.125). We found a significant interaction effect for type of toilet × gender (OR = 3.498, CI: 1.744–16.442), source of water × residence (OR = 5.935, CI: 1.320-26.685) and type of toilet × residence (OR = 1.998, CI: 1.462–8.642). Conclusions The use of unimproved sanitation facilities and the sharing of sanitation facilities are associated with the occurrence of CC among older people. Policy and public health interventions targeted at improving the health and well-being of older people should conspicuously include improving access to sanitation services.

scholarly journals Discordant Chronic Conditions and Depressive Symptoms: Longitudinal Associations Among Middle-Aged and Older Couples

2019 ◽  
Author(s):  
Courtney A Polenick ◽  
Kira S Birditt ◽  
Angela Turkelson ◽  
Benjamin C Bugajski ◽  
Helen C Kales
Keyword(s):  
Depressive Symptoms ◽  
Marital Quality ◽  
Chronic Conditions ◽  
Later Life ◽  
Well Being ◽  
Middle Aged ◽  
Older Couples ◽  
Individual Level ◽  
The Individual ◽  
Over Time

Abstract Objectives Individuals often manage chronic conditions in middle and later life that may diminish well-being. Little is known, however, about discordant conditions (i.e., two or more conditions with competing self-management requirements) among older couples and their links to depressive symptoms. We considered discordant conditions at both the individual level and the couple level (i.e., between spouses), along with their long-term implications for depressive symptoms. Methods The U.S. sample included 1,116 middle-aged and older couples drawn from five waves (2006–2014) of the Health and Retirement Study. Longitudinal actor-partner interdependence models evaluated whether individual-level and couple-level discordant chronic health conditions were concurrently linked to depressive symptoms, and whether these associations became stronger over time. Models controlled for age, minority status, education, prior wave depressive symptoms, and each partner’s baseline report of negative marital quality and number of chronic conditions in each wave. Results Wives and husbands reported significantly greater depressive symptoms when they had individual-level discordant conditions about 2 years after baseline, and these links intensified over time. Beyond this association, husbands had significantly greater depressive symptoms when there were couple-level discordant conditions. Discussion Individual-level and couple-level discordant conditions may have lasting implications for depressive symptoms during midlife and older adulthood.

scholarly journals Loneliness as a Biographical Disruption—Theoretical Implications for Understanding Changes in Loneliness

2020 ◽  
Vol 75 (9) ◽  
pp. 2029-2039
Author(s):  
Deborah J Morgan ◽  
Vanessa Burholt
Keyword(s):  
Risk Factors ◽  
Social Network ◽  
Older People ◽  
Later Life ◽  
Well Being ◽  
Narrative Interviews ◽  
Biographical Disruption ◽  
Stability And Change ◽  
Life Study ◽  
Over Time

Abstract Objectives While a great deal is known about the risk factors that increase vulnerability to loneliness in later life, little research has explored stability and change in levels of loneliness. Methods Narrative interviews were conducted with 11 participants who were identified as being lonely during Wave 1 of the Maintaining Function and Well-being in Later Life Study Wales (CFAS Wales). The interviews were used to explore stability and change in levels of loneliness from the perspective of older people themselves. The interviews focused on participant’s perspectives of the events that triggered loneliness, stability, and change in levels of loneliness over time as well as participant’s responses to loneliness. Results The findings show that participants experienced losses and loneliness as biographical disruption. How participants and their wider social network responded to these losses had implications for the individual’s trajectory through loneliness. Discussion Drawing on a biographical lens, the study reframed the events that triggered loneliness as disruptive events. This article discusses the utility of biographical disruption in understanding stability and change in loneliness. The findings suggest how drawing on valued identities may help lonely adults transition out of loneliness.

scholarly journals EMOTIONS AND WELL-BEING IN LATER LIFE CHILDHOOD HAPPINESS, SELF-MASTERY, AND LATER-LIFE HEALTH

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S576-S576
Author(s):  
Haena Lee ◽  
Markus H Schafer
Keyword(s):  
Depressive Symptoms ◽  
Family Environment ◽  
Social Life ◽  
Successful Aging ◽  
Living Arrangement ◽  
Later Life ◽  
Well Being ◽  
Adult Health ◽  
Growing Up ◽  
Self Rated Health

Abstract Considerable work has documented that positive childhood memories, especially childhood happiness, predict better health among young adults. However, it is not known whether growing up happy has enduring health consequences across the life course. Using two waves of the National Social Life, Health and Aging Project (2010-2011 and 2015-2016; N = 1,937), we investigate the relationship between childhood happiness and changes in physical, mental, and biological functioning in later life. Childhood happiness was retrospectively assessed using a question: “When I was growing up, my family life was always happy.” Self-rated health, depressive symptoms, and frailty over a five-year period were examined to reflect changes in functional status. Childhood SES and living arrangement were examined to assess childhood sociodemographic background. Educational attainment, family support and strain, and self-mastery were considered as potential mediators. We find that, among other childhood factors, childhood happiness significantly predicts older adult health. Specifically, childhood happiness was associated with better self-rated health and lower depressive symptoms at follow-up, net of baseline health conditions. We did not find a relationship between frailty and childhood happiness. Unlike prior work, we found no significant effect of childhood SES on the measured outcomes. Associations between childhood happiness and self-rated health and depression were mediated by psychosocial resources including self-mastery and perceived social support from family members. This implies that growing up in nurturing, cherished family environment has the potential to cultivate social relationships and build resilience which could provide an important pathway to successful aging.

scholarly journals LIFE COURSE ORIGINS OF FRAILTY IN LATER LIFE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S59-S59
Author(s):  
Monica Williams-Farrelly ◽  
Kenneth F Ferraro
Keyword(s):  
Health Outcomes ◽  
Parental Behavior ◽  
Later Life ◽  
Clinical State ◽  
Adult Health ◽  
Logistic Regression Models ◽  
Health Outcomes Research ◽  
Age Related ◽  
And Function ◽  
Retirement Study

Abstract Frailty, generally characterized as a clinical state of increased vulnerability resulting from age-related decline in reserve and function across multiple physiologic systems, has been gaining attention in recent years due to its high correlates with a number of poor health outcomes including falls, hospitalization, and mortality. Similar to other adult health outcomes, research on the etiology of frailty has begun to move from proximal risk factors only to those more distal in time. This research uses data from the Health and Retirement study (2004-2016) to examine whether childhood exposures predict developing frailty in later life. A series of ordinal logistic regression models were estimated to test whether six domains of childhood exposures (socioeconomic status, infectious disease, chronic disease, impairments, risky adolescent behavior, and risky parental behavior) were associated with frailty, composed of five components: unintentional weight loss, weakness, slowness, exhaustion, and low energy expenditure (Fried et al., 2001). After adjusting for demographic factors, experiencing multiple SES misfortunes or risky adolescent behaviors in childhood are associated with higher odds of frailty in later life (OR= 1.24 and 2.37, respectively), while experiencing any infectious diseases is associated with lower odds of frailty (OR= 0.67 and 0.72). After further adjusting for adult characteristics, experiencing 2 or more chronic diseases in childhood is associated with a 1.35 higher odds of incident frailty over an 8-year period. These results reveal some of the early exposures that may raise frailty risk in later life but also the mid-life factors that mediate those risks.

The gendered impact of the National Pension Scheme on late-life economic well-being: evidence from the Korean retirement and income study

2017 ◽  
Vol 18 (1) ◽  
pp. 3-19 ◽  
Author(s):  
Seung-Min Park
Keyword(s):  
Older People ◽  
Labour Market ◽  
Later Life ◽  
Well Being ◽  
Policy Option ◽  
Pension Scheme ◽  
Third Wave ◽  
Content Type ◽  
South Korean ◽  
Economic Well Being

Purpose The purpose of this paper is to analyse the effect of the National Pension Scheme (NPS) on the economic well-being of older people in South Korea. Design/methodology/approach It analyses older people aged 60 and over sampled from the third wave of the Korean retirement and income study. Findings The analysis shows a gendered effect. The NPS is positively associated with the economic well-being of only older men. This gendered impact is probably attributable to the inherent patriarchal structure of the NPS that is based on the strong male bread-winner model. Originality/value The results suggest that promoting the female labour market participation, and also reforming the gender structure of the NPS and South Korean labour market, can be a potential policy option to amend gendered economic well-being in later life.

scholarly journals Relationship between vulnerability and life satisfaction in older population in Russia

2021 ◽  
Vol 5 (4) ◽  
pp. 66-92
Author(s):  
Victoria V. Fokina
Keyword(s):  
Life Satisfaction ◽  
Age Groups ◽  
Well Being ◽  
Adult Health ◽  
Subjective Well Being ◽  
Physical Vulnerability ◽  
Older Population ◽  
Financial Situation ◽  
The Relationship ◽  
Global Ageing

The article examines the relationship between various components of vulnerability and life satisfaction among older people in Russia. Empirically, the study bases on data from the first wave of the WHO Study on Global Ageing and Adult Health (SAGE) for 2007–2010. The analysis showed that physical vulnerability, or frailty, is associated with a significantly lower level of life satisfaction of the older population. At the same time, there are differences in this relationship between age groups, and an increase in the physical vulnerability of individuals aged 75–89 years old reduces their subjective well-being to a greater extent in comparison with the group of individuals aged 60–74 years old. The financial situation of individuals also plays a significant role: lack of income to cover daily needs negatively affects subjective well-being. Socializing with friends is another predictor of life satisfaction in older age.

The effect of ageing on personality

2013 ◽  
Author(s):  
Bob Woods ◽  
Gill Windle
Keyword(s):  
Social Networks ◽  
Older People ◽  
Perceived Control ◽  
Rank Order ◽  
Later Life ◽  
Well Being ◽  
Self Esteem ◽  
Personality Change ◽  
Ways Of Coping ◽  
Stable Development

Ageing and personality interact. Whilst experiences that may be associated with age, including changes in roles and social networks, losses and health challenges, may require adaptation of aspects of personality, personality across the life-span fundamentally influences how ageing is experienced. There are indications that extraversion, conscientiousness and openness show reduced levels in later life, but people’s rank order on personality traits remains stable. Development continues into later life, but builds on earlier experiences and ways of coping. Personality resources such as self-esteem, perceived control, self-efficacy and resilience shape the person’s response to adversity in later life, enabling older people to maintain high levels of well-being, despite the challenges. Dementia, the ultimate challenge, is accompanied by personality change, with raised neuroticism and lowered conscientiousness both predicting its onset and accompanying its course. Pre-morbid personality does also appear to have some influence on behavioural problems experienced.

Disability, Psychological Well-Being, and Social Interaction in Later Life in China

2019 ◽  
Vol 41 (4) ◽  
pp. 362-389 ◽  
Author(s):  
Ning Hsieh ◽  
Linda Waite
Keyword(s):  
Social Interaction ◽  
Social Life ◽  
Functional Performance ◽  
Later Life ◽  
Well Being ◽  
World Health ◽  
Adult Health ◽  
Cross Sectional ◽  
Psychological Well Being ◽  
Sectional Analysis

Many studies show that disability predicts lower social participation and poorer psychological well-being. However, few have examined how disability, social interaction, and psychological well-being interrelate with one another. We use diary data from World Health Organization's Study on Global AGEing and Adult Health, 2007–2010 ( N = 8,771) and mediation analysis to examine the links between disability, daily social interaction, and the momentary and global well-being of older adults in China. We find suggestive support for the hypothesis that psychological well-being predicts social interaction in the context of disablement, but little evidence for the converse. Specifically, in a cross-sectional analysis, disability predicts lower levels of momentary affect, happiness, and life satisfaction, which are linked to spending more time alone and participating in fewer activities with grandchildren, friends, and coworkers. These findings are consistent with the hypothesis that a less active social life is explained by poor functional performance and compromised psychological vibrancy.

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