Health as a life course trajectory of complete well-being in social context

2018 ◽  
pp. 57-78
Author(s):  
Sean A. Valles
Keyword(s):  
Social Context ◽  
Life Course ◽  
Well Being

scholarly journals Positive Subjective Health of Older Homeless and Older Irish Travelers: a Participant-Led Approach

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 107-107
Author(s):  
Bridin Carroll ◽  
Kieran Walsh
Keyword(s):  
Older People ◽  
Life Course ◽  
Community Care ◽  
Well Being ◽  
Subjective Health ◽  
Social Connections ◽  
Structural Determinants ◽  
Care Models ◽  
Nuanced Understanding ◽  
Positive Ageing

Abstract Older people experiencing homelessness and older Irish Travellers (OTOH) are both over-represented in the cohort who use acute health services. Impending health care reform in Ireland will be based on primary care models, meaning home and community care will be, for the first time, underpinned by a regulatory framework. For these reasons, this study aims to gain a nuanced understanding of how OTOH, as marginalised older people, might be best served by new home care and community care models. Using a qualitative, voice-led approach, a life course and structural determinants lens is employed to probe the health conditions, experiences and expectations of OTOH, as well as their perceptions and values around the concept of ‘home’. The research processes and outcomes of one of five phases of research are presented in this paper: participant-led research. In this phase, five OTOH were trained and assisted to complete a short research project which fed into the goals of the wider study. Emergent findings suggest that social connections underpin health and well-being for OTOH, throughout the life course, and presently. This was also seen as a fundamental element for healthy and positive ageing. In addition, ‘home’ was defined with reference to the presence (or absence) of familial or other social connections. This study represents an important contribution to scholarship on old age social exclusion. It is entirely novel in its approach to focusing on OTOH health and wellbeing. The outputs of this study also have important implications for upcoming health reform policies in Ireland.

scholarly journals A Faith to Move Mountains? Childhood Abuse, Religious Change, and Mental Health at Midlife

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 461-461
Author(s):  
Laura Upenieks
Keyword(s):  
Mental Health ◽  
Life Course ◽  
Childhood Abuse ◽  
Childhood Maltreatment ◽  
Well Being ◽  
The United States ◽  
Religious Attendance ◽  
Three Dimensions ◽  
Religious Importance ◽  
The Life Course

Abstract Of all the various forms of adversity experienced during childhood, childhood maltreatment (emotional and physical abuse) is shown to have the largest impacts on mental health and well-being. Yet we still have a limited understanding of why some victims of early maltreatment suffer immense mental health consequences later on in the life course, while others are able to cushion the blow of these early insults. Using two waves of data from the National Survey of Midlife Development in the United States (MIDUS), this study considers change in religiosity as a buffer across three dimensions for victims of childhood abuse: religious importance, attendance, and the specific act of seeking comfort through religion. Results suggest that increases in religious comfort during adulthood are positively associated with adult mental health for victims of abuse, while decreases in religious comfort over time were associated with worse mental health. Changes in religious attendance and religious importance were not significant associated with mental health for victims of abuse. Taken together, my results show that the stress-moderating effects of religion for victims of childhood maltreatment are contingent on the stability or increases or decreases in religiosity over the life course, which has been overlooked in previous work.

scholarly journals Subjective Well-Being and Parenthood in Chile

2021 ◽  
Vol 18 (14) ◽  
pp. 7408
Author(s):  
Consuelo Novoa ◽  
Claudio Bustos ◽  
Vasily Bühring ◽  
Karen Oliva ◽  
Darío Páez ◽  
...  
Keyword(s):  
Social Context ◽  
Well Being ◽  
Positive And Negative Affect ◽  
Subjective Well Being ◽  
Cultural Perception ◽  
Probabilistic Database ◽  
The Social ◽  
Life Trajectory ◽  
Being There ◽  
And Gender

Being a parent plays an important role in people’s life trajectory and identity. Though the general cultural perception is that having children is a source of subjective well-being, there is evidence that, at least in some societies, the subjective well-being of those who are parents is worse, in some aspects, than that of those who are not. This gap has been the object of interest and controversy. The aim of this study was to compare Chilean adults with and without children in a broad set of well-being indicators, controlling for other sociodemographic variables. A public national probabilistic database was used. The results show that, in terms of positive and negative affect, those who are not parents achieve greater well-being than those who have children. Other results also pointed in that direction. The implications of the social context and gender, which are aspects that pose a burden for the exercise of parenthood in Chile, are discussed.

scholarly journals Towards a standardized approach of assessing social context of persons receiving home care in Flanders, Belgium: the development and test of a social supplement to the interRAI instruments

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shauni Van Doren ◽  
Kirsten Hermans ◽  
Anja Declercq
Keyword(s):  
Social Context ◽  
Home Care ◽  
Living Arrangements ◽  
Quantitative Research ◽  
Developmental Process ◽  
Stage Iv ◽  
Well Being ◽  
Frequency Distributions ◽  
Early Evaluation ◽  
Care Assessment

Abstract Background Apart from a person’s physical functioning, the early identification of social context indicators which affect patient outcomes - such as environmental and psychosocial issues - is key for high quality and comprehensive care at home. During a home care assessment, a person’s biomedical and functional problems are typically considered. Harder to define concepts, such as psychosocial well-being or living arrangements, are not routinely documented, even though research shows they also affect functioning and health outcomes. The purpose of this study is to develop and test a concise, integrated assessment (BelRAI Social Supplement) that evaluates these social context indicators for persons receiving home care to complement existing interRAI- instruments. Methods The development of the BelRAI Social Supplement is a multi-stage process, based upon the revised MRC-framework, involving both qualitative and quantitative research with stakeholders such as; clients, informal caregivers, care professionals and policy makers. The developmental process encompasses four stages: (I) item generation based on multiple methods and content validation by a panel of stakeholders (II) assessing feasibility and piloting methods, (III) early evaluation, and (IV) final evaluation. Stage II and III are covered in this paper. Results During Stages I and II, a testable version of the BelRAI Social Supplement was developed in an iterative process. In Stage III, 100 care professionals assessed 743 individuals receiving home care in Flanders between December 2018 and December 2019. Using inter-item correlation matrixes, frequency distributions and regular feedback from the participants, the BelRAI Social Supplement was improved and prepared for Stage IV. The updated version of the instrument consists of four main sections: (1) environmental assessment; (2) civic engagement; (3) psychosocial well-being; and (4) informal care and support. In total, the BelRAI Social Supplement contains a maximum of 76 items. Conclusions The BelRAI Social Supplement was reviewed and shortened in close collaboration with care professionals and other experts in Flanders. This study resulted in an instrument that documents need-to-know social context determinants of home dwelling adults.

scholarly journals Veteran Status Matters! Life Course Perspectives on the Health and Well-Being of Aging Veterans

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 636-636
Author(s):  
Avron Spiro
Keyword(s):  
Life Course ◽  
Vietnam Veterans ◽  
Military Service ◽  
Combat Veterans ◽  
Well Being ◽  
Veterans Health ◽  
Negative Effects ◽  
Veteran Status ◽  
The Impact ◽  
Health And Well Being

Abstract Military service during early life can result in exposure to traumatic events that can reverberate throughout life. Although much attention is focused on the negative effects of military service, many veterans report positive effects. These papers explore life course effects of military service on veterans’ health and well-being. Three used national US longitudinal cohorts (HRS, MIDUS); two sampled veterans from Oregon or from Korea. Three compared veterans to non-veterans; two examined veterans only. Cheng and colleagues found that veterans in HRS are more likely to be risk-averse than non-veterans. Risk aversion matters because it determines how people make decisions and predicts a wide array of health and economic outcomes. Kurth and colleagues examined Oregon veterans from several wars, finding PTSD symptoms were highest among Vietnam combat veterans, the oldest cohort; there were no differences among non-combat veterans. Piazza and colleagues examined in MIDUS the impact of veteran status on cortisol, a stress biomarker, finding older veterans more likely had non-normative patterns than did younger or non-veterans. Lee and colleagues studied patterns of mental health among Korean Vietnam veterans, identifying two patterns as ‘normal’ and ‘resilient’ encompassing half the sample; these veterans demonstrated positive outcomes of military service. Frochen and colleagues compared depression trajectories between veterans and non-veterans in HRS, finding veterans had less depression than non-veterans, but among veterans, trajectories varied based on extent of service. in sum, these papers demonstrate that military service can have positive as well as negative effects on veterans’ health and well-being in later life. Aging Veterans: Effects of Military Service across the Life Course Interest Group Sponsored Symposium.

scholarly journals Thirty years after the fall of the Berlin Wall - Do East and West Germans still differ in their attitudes towards women’s employment and the division of housework?

2020 ◽  
Author(s):  
Gundula Zoch
Keyword(s):  
Life Course ◽  
Maternal Employment ◽  
Well Being ◽  
West Germany ◽  
Female Employment ◽  
Gender Ideologies ◽  
East And West Germany ◽  
East And West ◽  
The Life Course ◽  
East West

Previous cross-sectional studies show less traditional gender ideologies among East Germans after German reunification and even suggest slightly increasing East-West disparities. These findings challenge the assumptions of stable ideologies over the life-course as well as cohort replacement-based convergence over time. This study expands on previous research by analysing differences and trends in gender ideologies in the context of East and West Germany using data from the German Family Panel pairfam (2008-2018). It distinguishes between three cohorts born in the early 1970s, 1980s and 1990s who have different socialisation experiences before and after reunification. The results show smaller East-West differences in gender ideologies for the youngest cohort compared with larger gaps for the two older cohorts born before reunification. Convergence of ideologies is partly due to modernisation trends in West Germany and re-traditionalisation effects in East Germany across cohorts, but also due to attitudinal changes with age. Attitudes towards housework and female employment have particularly converged, while views on maternal employment and the consequences for children’s well-being continue to differ between East and West Germany. The findings underline the importance of persistent, long-lasting ideology differences due to the regime‐specific socialisation and composition resulting from the division of Germany, but also emphasizes the role of ideology change across cohorts and over the life-course for the overall converging trends in gender ideologies.

scholarly journals Time and Collective Biology: Relationships Between Individual and Societal Life Course Ideologies in Mexican Men’s Sexual Health Treatment

2021 ◽  
Vol 42 (1) ◽  
pp. 66-80
Author(s):  
Emily Wentzell
Keyword(s):  
Sexual Health ◽  
Life Course ◽  
Aging Treatment ◽  
Population Level ◽  
Well Being ◽  
Mexican Population ◽  
Medical Decisions ◽  
Race And Gender ◽  
Sexually Transmitted ◽  
Over Time

People may seek to embody cultural ideals of the life course through their use or rejection of medical interventions, including but not limited to anti-aging treatments. Here, I analyze this phenomenon via interviews with men engaging with two different forms of sexual health medicine in urban Mexico: erectile-dysfunction treatment and testing for sexually transmitted infections (STIs). I argue that, in contrast to the biomedical understanding of patients as individuals who change during their lives, my interlocutors understood themselves as components in broader “collective biologies” that change on a longer timeline. These are culturally-defined groups that people understand to be comprised of interrelated members whose behaviors concretely affect the group’s physical and social well-being over time. In both medical arenas discussed here, men used or rejected sexual health interventions in response to local narratives about the nature of the Mexican population as a collective biology, including ideas about how it should change over time away from its roots in the colonial past. They characterized predispositions to machismo and disinterest in preventative health care as embodied inheritances that the Mexican population should reject in order to achieve health-promoting modernity in the future. My analysis describes how these interlocutors sought to live out desirably modern forms of race and gender through their medical decisions in a way that they hoped would contribute to positive, embodied change in the Mexican social body over time. These findings show that, despite the assumptions of individualism generally naturalized in anti-aging treatment and biomedicine, people may make medical decisions in an effort to aid collective change over population-level timescales.

Sign in / Sign up

Export Citation Format

Share Document