Linked Lives: Does Disability and Marital Quality Influence Risk of Marital Dissolution among Older Couples?

Using fourteen waves of data from the Health and Retirement Study (HRS), a longitudinal panel survey with respondents in the United States, this research explores whether marital quality—as measured by reports of enjoyment of time together—influences risk of divorce or separation when either spouse acquires basic care disability. Discrete-time event history models with multiple competing events were estimated using multinomial logistic regression. Respondents were followed until they experienced the focal event (i.e., divorce or separation) or right-hand censoring (i.e., a competing event or were still married at the end of observation). Disability among wives was predictive of divorce/separation in the main effects model. Low levels of marital quality (i.e., enjoy time together) were associated with marital dissolution. An interaction between marital quality and disability yielded a significant association among couples where at least one spouse acquired basic care disability. For couples who acquired disability, those who reported low enjoyment were more likely to divorce/separate than those with high enjoyment; however, the group with the highest predicted probability were couples with low enjoyment, but no acquired disability.

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Patterns and correlates of mis-implementation in state chronic disease public health practice in the United States

BMC Public Health ◽

10.1186/s12889-020-10101-z ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Margaret M. Padek ◽

Stephanie Mazzucca ◽

Peg Allen ◽

Emily Rodriguez Weno ◽

Edward Tsai ◽

...

Keyword(s):

Public Health ◽

United States ◽

Decision Making ◽

Chronic Disease ◽

Multinomial Logistic Regression ◽

Public Health Practice ◽

State Level ◽

The United States ◽

Organizational Level ◽

Effective Programs

Abstract Background Much of the disease burden in the United States is preventable through application of existing knowledge. State-level public health practitioners are in ideal positions to affect programs and policies related to chronic disease, but the extent to which mis-implementation occurring with these programs is largely unknown. Mis-implementation refers to ending effective programs and policies prematurely or continuing ineffective ones. Methods A 2018 comprehensive survey assessing the extent of mis-implementation and multi-level influences on mis-implementation was reported by state health departments (SHDs). Questions were developed from previous literature. Surveys were emailed to randomly selected SHD employees across the Unites States. Spearman’s correlation and multinomial logistic regression were used to assess factors in mis-implementation. Results Half (50.7%) of respondents were chronic disease program managers or unit directors. Forty nine percent reported that programs their SHD oversees sometimes, often or always continued ineffective programs. Over 50% also reported that their SHD sometimes or often ended effective programs. The data suggest the strongest correlates and predictors of mis-implementation were at the organizational level. For example, the number of organizational layers impeded decision-making was significant for both continuing ineffective programs (OR=4.70; 95% CI=2.20, 10.04) and ending effective programs (OR=3.23; 95% CI=1.61, 7.40). Conclusion The data suggest that changing certain agency practices may help in minimizing the occurrence of mis-implementation. Further research should focus on adding context to these issues and helping agencies engage in appropriate decision-making. Greater attention to mis-implementation should lead to greater use of effective interventions and more efficient expenditure of resources, ultimately to improve health outcomes.

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Beyond Religiosity: A Model to Explain Spirituality Among Middle-Aged and Older Adults

Innovation in Aging ◽

10.1093/geroni/igaa057.1333 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 413-414

Author(s):

Carlyn Vogel ◽

Debra Dobbs ◽

Brent Small

Keyword(s):

United States ◽

Older Adults ◽

Good Life ◽

Multinomial Logistic Regression ◽

College Experience ◽

The United States ◽

Strong Connection ◽

Deep Appreciation ◽

The World ◽

High Level

Abstract Spirituality is difficult to define as researchers assign it different meanings and individuals’ perceptions can vary. For example, spirituality may connect to religiosity, while others consider religiosity a less significant part of spirituality. This study investigates factors outside of religiosity that are significantly associated with spirituality to inform the characteristics of the concept. Webster’s (2004) existential framework of spirituality was used to guide variable selection. The National Survey of Midlife in the United States wave three (MIDUS 3; 2013-2014; n = 2,594; Mage = 63.5, SD = 11, range = 39–92) was used to examine individuals’ reported levels of spirituality. Multinomial logistic regression was conducted to examine factors related to low and high levels of spirituality compared to a moderate level. Participants with low spirituality were more likely to be male, less likely to be mindful, mediate/chant, feel a strong connection to all life, to indicate that they cannot make sense of the world, and to be religious. Participants with high spirituality were more likely to be female, have at least some college experience, be mindful, meditate/chant, feel deep inner peace, have a sense of deep appreciation, think that a sense of purpose is important for a good life, and have a high level of religiosity. Framed by Webster’s conceptual model, the current study observed that religiosity is significantly associated with spirituality and that other mindfulness-based aspects are also present within this concept. Incorporating mindfulness with religious efforts will more accurately and holistically address spirituality.

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Spousal Loss and Cognitive Functioning: Do Pre-Loss Marital Quality and Gender Matter?

Innovation in Aging ◽

10.1093/geroni/igaa057.1178 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 366-366

Author(s):

Joohong Min ◽

Jieun Song

Keyword(s):

Cognitive Decline ◽

Cognitive Functioning ◽

Marital Quality ◽

The United States ◽

Cognitive Change ◽

Life Transitions ◽

Cognitive Changes ◽

Spousal Loss ◽

And Gender ◽

The Impact

Abstract Prior research has found that the risk of cognitive decline increases after the death of a spouse. In general, the impact of life transitions is contingent on contextual factors such as socio-demographic characteristics or relationship quality. However, there is limited research on how marital quality before spousal loss and gender influence the association between spousal loss and cognitive change. The current study examines the effects of spousal loss on change in cognitive functioning as well as the moderating effects of pre-loss marital quality and gender. Data from two waves of the Midlife in the United States (MIDUS) study were analyzed (MIDUS2: 2004-05, MIDUS3: 2013-14). The analytic sample consists of two groups: (1) 179 bereaved adults who were age 54 or older at MIDUS2 (M = 65.2, SD = 9.5) and whose spouses died between MIDUS2 and MIDUS3, and (2) 179 non-bereaved adults, matched with the bereaved group on age and gender, who did not experience spousal loss between the two waves. Cognitive function was assessed via BTACT (Brief Telephone Adult Cognition Test) at both waves. Regression results show that both pre-loss marital quality and gender significantly moderate the association between spousal loss and change in cognitive functioning. Specifically, relative to their counterparts, men and those who reported better marital relationships prior to spousal death had a greater risk of cognitive decline after a spouse’s death. The findings suggest the significance of pre-loss marital quality and gender for cognitive changes in widowhood and have implications for the development of efficient interventions

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Let’s Drink to Being Socially Active: Family Characteristics, Social Participation, and Alcohol Abuse across Mid- and Later-life

Journal of Health and Social Behavior ◽

10.1177/0022146520962456 ◽

2020 ◽

Vol 61 (4) ◽

pp. 453-469

Author(s):

Eric M. Vogelsang ◽

Joseph T. Lariscy

Keyword(s):

Older Adults ◽

Alcohol Abuse ◽

Social Participation ◽

Drinking Behavior ◽

Marital Dissolution ◽

Later Life ◽

Family Characteristics ◽

Negative Consequences ◽

Linked Lives ◽

Using Data

Researchers and practitioners often extol the health benefits of social relationships and social participation for older adults. Yet they often ignore how these same bonds and activities may contribute to negative health behaviors. Using data from the Wisconsin Longitudinal Study (16,065 observations from 7,007 respondents), we examined how family characteristics, family history, and social participation predicted three measures of alcohol abuse between ages 53 and 71. Results indicate that, generally, greater social participation is associated with increased drinking days per month. We also found that religious participation and having ever lived with an alcoholic are each associated with reporting possible alcohol dependence but not with alcohol consumption itself. Lastly, we identified gendered associations between marital dissolution and drinking behavior. These findings contextualize the increasing rates of alcohol abuse among older adults by emphasizing the possible negative consequences of “linked lives” on health via relationship stress and group norms.

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The health and relationship dynamics of late-life couples: a systematic review of the literature

Ageing and Society ◽

10.1017/s0144686x08007903 ◽

2009 ◽

Vol 29 (3) ◽

pp. 455-480 ◽

Cited By ~ 62

Author(s):

RUTH B. WALKER ◽

MARY A. LUSZCZ

Keyword(s):

Systematic Review ◽

Marital Quality ◽

Late Life ◽

The United States ◽

Health It ◽

Social Emotional ◽

Marital Relations ◽

The Impact ◽

The Relationship ◽

Adequate Communication

ABSTRACTLate-life husband and wife relationships are increasingly recognised as an important factor in promoting wellbeing, particularly in terms of the health, social, emotional, financial and practical needs of older people. Knowledge of marital dynamics and how they affect both members of a couple remains scarce. This systematic review aimed to identify and appraise research that has focused explicitly on the dynamics of the relationship, as evinced by data frombothspouses. Implementing rigorous identification strategies, 45 articles were identified and reviewed. These studies were grouped into three broad thematic areas: marital relations and satisfaction; concordance in emotional state or physical health; and the interplay between marital quality and wellbeing. The issues found to affect marital relations and satisfaction in late life included equality of roles, having adequate communication, and transitions to living apart. There is strong evidence for couple concordance in depression, that marital relationships affect ill-health, longevity and recovery from illness, and reciprocally that ill-health impacts on the marriage itself. The research also suggests important gender differences in the impact of marital dynamics on health. It has led to the conclusion that there is a need for more diverse studies of late-life marriages, particularly ones that examine the dynamics of non-traditional elderly couples and that extend beyond a predominant focus on the Caucasian population of the United States.

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Exploring Attitudes About the Legality of Self-Managed Abortion in the US: Results from a Nationally Representative Survey

Sexuality Research and Social Policy ◽

10.1007/s13178-021-00572-z ◽

2021 ◽

Author(s):

Sarah Raifman ◽

M. Antonia Biggs ◽

Lauren Ralph ◽

Katherine Ehrenreich ◽

Daniel Grossman

Keyword(s):

Multinomial Logistic Regression ◽

Public Attitudes ◽

The United States ◽

Public Affairs ◽

Policy Implications ◽

Reproductive Age ◽

Factors Associated ◽

The Us ◽

The Law ◽

Nationally Representative

Abstract Introduction Twenty-four states have at least one law in place that could be used to prosecute people for self-managed abortion (SMA), or the termination of a pregnancy outside of the formal healthcare system. We investigated factors associated with public attitudes about SMA legality and legal access to abortion more generally. Methods In August 2017, we surveyed a nationally representative sample of English- and Spanish-speaking women ages 18–49 years in the United States (US) using Ipsos Public Affairs’ KnowledgePanel. Unadjusted and adjusted multinomial logistic regression estimates identify characteristics associated with believing that SMA should not be against the law, compared to should be against the law, with weighting to account for sampling into the panel. Results Overall, 76% (95% CI: 74.3%-77.1%) and 59% (95% CI: 57.3%-60.4%) of participants (n = 7,022, completion rate 50%) reported that abortion and SMA, respectively, should not be against the law; 1% and 19% were unsure. Among those living in a state with at least one law that could be used to prosecute an individual for SMA, the majority (55%, 95% CI: 52.7%-57.9%) believed SMA should not be against the law. Factors associated with believing SMA should not be against the law, compared to should be against the law, included prior abortion experience and higher levels of education and income. Conclusion Most reproductive age women in the US believe that SMA should not be criminalized. There is more uncertainty about SMA legality than about the legality of abortion more generally. Policy Implications US laws that criminalize SMA are not supported by the majority of the people living in their jurisdictions.

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Couple Religiosity and Well-Being Among Older Adults in the United States

Journal of Aging and Health ◽

10.1177/08982643211042159 ◽

2021 ◽

pp. 089826432110421

Author(s):

Laura Upenieks ◽

Jeremy E. Uecker ◽

Markus H. Schafer

Keyword(s):

Social Life ◽

Latent Class ◽

Well Being ◽

The United States ◽

Older Couples ◽

Logistic Regression Models ◽

Ordered Logistic Regression ◽

Individual Trait ◽

The Us ◽

Married Men

Objectives: This article evaluates whether couples’ religious similarity is consequential for the health of older married men and women. Alternatively, we examine whether women’s religiosity alone is health-protective to their husbands . Methods: Using dyadic data from the US National Social Life, Health, and Aging Project, a representative sample of 913 individuals ages 62–91 plus their marital partners, we perform latent-class analysis to separate older couples into classes based on religious characteristics. Ordered logistic regression models are then used to assess whether different combinations of religious (dis)similarity are associated with married men and women’s well-being. Results: We find that older women in highly religious, homogamous marriages report better mental and physical health relative to women in heterogamous and secular (non-religious) marriages. No significant associations were observed for men. Discussion: Our results emphasize that religiosity is not only an individual trait—dis/similarities within a couple have important implications for older women’s well-being.

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Prepregnancy Depression and Breastfeeding Duration: A Look at Maternal Age

Journal of Pregnancy ◽

10.1155/2018/4825727 ◽

2018 ◽

Vol 2018 ◽

pp. 1-7 ◽

Cited By ~ 3

Author(s):

Jordyn T. Wallenborn ◽

Anny-Claude Joseph ◽

Whitney C. Graves ◽

Saba W. Masho

Keyword(s):

Mental Health ◽

Maternal Age ◽

Multinomial Logistic Regression ◽

Age Groups ◽

The United States ◽

Poor Mental Health ◽

Breastfeeding Duration ◽

Pregnancy Risk ◽

Care Models ◽

History Of

Background. In the United States, major depressive disorder affects one in five women aged 20-40 years. During these childbearing years, depression can negatively impact maternal behaviors that are crucial for infant growth and development. This study examined the relationship between prepregnancy depression and breastfeeding duration by maternal age. Methods. Data from Phase 7 (2012-2013) of the Pregnancy Risk Assessment Monitoring System (N=62,483) were analyzed. Prepregnancy depression was dichotomized while breastfeeding duration was categorized as never breastfed, breastfed 8 weeks or less, and breastfed more than 8 weeks. Maternal age was a significant effect modifier; therefore, results were stratified by maternal age. Multinomial logistic regression was used to obtain odds ratios and 95% confidence intervals (CI). Results. For women aged 20-24, 25-29, and 30-34 years with prepregnancy depression, the odds of never breastfeeding and breastfeeding 8 weeks or less were significantly higher than in women with no history of prepregnancy depression. Notably, among women aged 25-29 with prepregnancy depression, the odds of never breastfeeding and breastfeeding 8 weeks or less were 93% (adjusted odds ratio (AOR) = 1.93, 95% CI =1.57-2.37) and 65% (AOR = 1.65, 95% CI = 1.37-1.99) higher compared to women with no history of prepregnancy depression, respectively. Conclusions. Having a history of poor mental health before pregnancy may increase the likelihood of premature breastfeeding cessation. A woman’s mental health status before pregnancy should be considered in reproductive and prenatal care models. Efforts should be made to understand challenges women of specific age groups face when trying to breastfeed.

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Measuring the availability of “good jobs” in the United States for working-class men during the Great Recession and recovery

10.31235/osf.io/tn64k ◽

2020 ◽

Author(s):

Janette Dill ◽

Robert Francis

Keyword(s):

Working Class ◽

Great Recession ◽

Food Service ◽

The United States ◽

Job Quality ◽

Full Time ◽

The Great Recession ◽

Predicted Probability ◽

Time Work ◽

The Impact

In this study, we use the 2004, 2008, and 2014 panels of the Survey for Income and Program Participation (SIPP) to measure the impact of the Great Recession and recovery on the availability of “good jobs” for men without a college degree. We define “good jobs” using a cluster of job quality measures, including wage thresholds of at least $15, $20, or $25 per hour, employer-based health insurance, full-time work hours, and protection from layoff. We find that the Great Recession and aftermath (2008-2015) resulted in a 1-10% reduced probability of being in a “good job” across most industries, with especially large losses in manufacturing, retail, transportation, and food service (compared to 2004-2007). In the 2014 panel, there is only a slight post-recession recovery in the predicted probability of being in a “good job,” and the probability of being in a “good job” remains well below 2004 levels. Although the probability of being on layoff from a “good jobs” does decrease substantially in the 2014 cohort as compared to the rate of layoff during the Great Recession, our clustered measure of job quality shows that access to “good jobs” remains limited for most working-class men and that the recovery from the Recession has largely not reached the working-class.

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Patterns and Correlates of Mis-implementation in State Chronic Disease Public Health Practice in the United States

10.21203/rs.3.rs-32392/v3 ◽

2021 ◽

Author(s):

Margaret Padek ◽

Stephanie Mazzucca ◽

Peg Allen ◽

Emily Rodriguez Weno ◽

Edward Tsai ◽

...

Keyword(s):

Public Health ◽

United States ◽

Decision Making ◽

Chronic Disease ◽

Multinomial Logistic Regression ◽

Public Health Practice ◽

State Level ◽

The United States ◽

Organizational Level ◽

Effective Programs

Abstract Background: Much of the disease burden in the United States is preventable through application of existing knowledge. State-level public health practitioners are in ideal positions to affect programs and policies related to chronic disease, but the extent to which mis-implementation occurring with these programs is largely unknown. Mis-implementation refers to ending effective programs and policies prematurely or continuing ineffective ones. Methods: A 2018 comprehensive survey assessing the extent of mis-implementation and multi-level influences on mis-implementation was reported by state health departments (SHDs). Questions were developed from previous literature. Surveys were emailed to randomly selected SHD employees across the Unites States. Spearman’s correlation and multinomial logistic regression were used to assess factors in mis-implementation. Results: Half (50.7%) of respondents were chronic disease program managers or unit directors. Forty nine percent reported that programs their SHD oversees sometimes, often or always continued ineffective programs. Over 50% also reported that their SHD sometimes or often ended effective programs. The data suggest the strongest correlates and predictors of mis-implementation were at the organizational level. For example, the number of organizational layers impeded decision-making was significant for both continuing ineffective programs (OR=4.70; 95% CI=2.20, 10.04) and ending effective programs (OR=3.23; 95% CI=1.61, 7.40). Conclusion: The data suggest that changing certain agency practices may help in minimizing the occurrence of mis-implementation. Further research should focus on adding context to these issues and helping agencies engage in appropriate decision-making. Greater attention to mis-implementation should lead to greater use of effective interventions and more efficient expenditure of resources, ultimately to improve health outcomes.

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