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Wu Y, Chen J, Yin G, Shen M, Li Q. Mediated relationships between coping style and social support on the quality of life of disabled older adults. Int J Nurs Pract 2024:e13279. [PMID: 38880939 DOI: 10.1111/ijn.13279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Revised: 04/23/2024] [Accepted: 05/17/2024] [Indexed: 06/18/2024]
Abstract
OBJECTIVE This study aimed to explore the relationship between coping styles, social support and quality of life among disabled older adults and to examine the mediating role of coping styles in the relationship between social support and quality of life. METHODS Using a purposive sampling method, three investigators conducted a face-to-face questionnaire survey of eligible participants in the geriatric department of a tertiary care hospital in one of the largest cities in southern China between August 2021 and March 2022. A total of 187 questionnaires were collected, of which 176 were valid, with an effective response rate of 94.1%. RESULTS Social support and positive coping were positively related to disabled older adults' quality of life, while negative coping was negatively related to both social support and disabled older adults' quality of life. According to the mediating effect analysis after covariate adjustment, positive coping completely mediated the relationship between social support and older adults' quality of life (p < 0.01), with the mediating effect size accounting for 76.9% of the total effect. Negative coping had some mediating effect on the relationship between social support and older adults' quality of life (p < 0.01), with the mediating effect size accounting for 13.0% of the total effect. CONCLUSION The quality of life of disabled older adults is low, which is closely related to their social support and coping styles. Therefore, it is important to recognize and emphasize the key role that social support systems play in improving the quality of life of this population, broaden their access to social support and guide them to adopt positive coping styles.
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Affiliation(s)
- Yuanrong Wu
- School of Nursing and Health, Nanfang College, Guangzhou, Guangdong, China
| | - Jiaru Chen
- The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China
| | - Guo Yin
- School of Nursing and Health, Nanfang College, Guangzhou, Guangdong, China
| | - Manxuan Shen
- The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China
| | - Qin Li
- The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China
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Lin X, Ou J, Wang Y, Wu Y, Yang L, Zhang M, Zhou C. Coping target checklist for home-based older adults living with disabilities and their spousal caregivers. Public Health Nurs 2024; 41:383-391. [PMID: 38311855 DOI: 10.1111/phn.13282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Revised: 12/21/2023] [Accepted: 01/11/2024] [Indexed: 02/06/2024]
Abstract
BACKGROUND The substantial rise in the population of older adults living with disabilities is a prominent concern, presenting a profound challenge for healthcare and social welfare systems. Community-based home care is seen as an effective approach to meet the care needs of older adults living with disabilities. OBJECTIVE To construct a coping target checklist for home-based older adults living with disabilities and their spousal caregivers. METHODS The initial draft was developed based on a comprehensive literature review, followed by two rounds of Delphi correspondence final version. RESULTS A comprehensive literature review resulted in the development of 7 modules, 20 topics. After round 1, 3 items were removed, 3 sections, 1 topic and 1 objective were new additions, 16 items were modified, split or combined. Four sections, 3 sections (Individual coping target for spousal caregivers, Individual coping target for older adults living with disabilities, and Shared coping target), 7 modules, 18 topics and 49 objectives were finally identified in round 2. The content of the list tool is derived from three perspectives: self-management strategies for older adults living with disabilities, caregiving strategies for spousal caregivers, and combined. CONCLUSIONS The coping target checklist was intended to be evidence-based and reflective of a practical direction for home-based older adults living with disabilities and their spousal caregivers living at home.
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Affiliation(s)
- Xiaolu Lin
- Nursing Department, Nanfang Hospital, Southern Medical University, Guangdong, China
| | - Jiexia Ou
- Nursing Department, Nanfang Hospital, Southern Medical University, Guangdong, China
| | - Yanfang Wang
- Nursing Department, Nanfang Hospital, Southern Medical University, Guangdong, China
| | - Yanni Wu
- Nursing Department, Nanfang Hospital, Southern Medical University, Guangdong, China
| | - Lingli Yang
- Nursing Department, Nanfang Hospital, Southern Medical University, Guangdong, China
| | - Mi Zhang
- Nursing Department, Nanfang Hospital, Southern Medical University, Guangdong, China
| | - Chunlan Zhou
- Nursing Department, Nanfang Hospital, Southern Medical University, Guangdong, China
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Foong HF, Hamid TA, Ibrahim R, Bagat MF. The Moderating Roles of Intrinsic and Extrinsic Religiosity on the Relationship between Social Networks and Flourishing: A Study on Community-Dwelling Widowed Older Adults in Malaysia. Healthcare (Basel) 2023; 11:healthcare11091300. [PMID: 37174842 PMCID: PMC10178463 DOI: 10.3390/healthcare11091300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2023] [Revised: 04/23/2023] [Accepted: 04/28/2023] [Indexed: 05/15/2023] Open
Abstract
Widowhood affects the social networks and well-being of older adults. Religion might moderate the relationship between a stressor and well-being. This study aimed to identify the moderating roles of intrinsic and extrinsic religiosity on the relationship between social networks and flourishing among widowed older people and whether this relationship varied across gender. This study involved 655 community-dwelling widowed older Malaysians from Wave 1 (2012-2013) of "Identifying Psychosocial Risks and Quantifying the Economic Costs of Age-Related Cognitive Decline among Older Malaysians" in Peninsula Malaysia. The moderated hierarchical multiple linear regression analysis was conducted to examine the moderating roles of religiosity. Results showed that the moderating effect of religiosity on the relationship between social networks and flourishing was only observed for extrinsic religiosity, not intrinsic religiosity. In terms of gender differences, extrinsic religiosity moderated the relationship between social networks, flourishing only among widows but not widowers. Widows with low levels of extrinsic religiosity should join activities or programs that could expand their social networks to promote higher well-being despite widowhood.
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Affiliation(s)
- Hui Foh Foong
- Malaysian Research Institute on Ageing (MyAgeingTM), Universiti Putra Malaysia, Serdang 43400, Selangor, Malaysia
| | - Tengku Aizan Hamid
- Malaysian Research Institute on Ageing (MyAgeingTM), Universiti Putra Malaysia, Serdang 43400, Selangor, Malaysia
| | - Rahimah Ibrahim
- Malaysian Research Institute on Ageing (MyAgeingTM), Universiti Putra Malaysia, Serdang 43400, Selangor, Malaysia
- Department of Human Development and Family Studies, Faculty of Human Ecology, Universiti Putra Malaysia, Serdang 43400, Selangor, Malaysia
| | - Mohamad Fazdillah Bagat
- Malaysian Research Institute on Ageing (MyAgeingTM), Universiti Putra Malaysia, Serdang 43400, Selangor, Malaysia
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Li PS, Hsieh CJ, Shih YL, Lin YT, Liu CY. The effect of research on life satisfaction in middle-aged and older adults: physical disability and physical activity as a parallel and serial mediation analysis. BMC Geriatr 2023; 23:176. [PMID: 36973665 PMCID: PMC10044714 DOI: 10.1186/s12877-023-03873-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Accepted: 03/06/2023] [Indexed: 03/29/2023] Open
Abstract
BACKGROUND AND OBJECTIVE Maintaining the life satisfaction of frail middle-aged and older adults when they experience physical disability, lower activity status, or complex conditions that are related to each other is now an urgent issue. Therefore, the purpose of this study was to provide evidence for the impact of frailty in middle-aged and older adults on life satisfaction under the simultaneous occurrence and correlation of physical disability and physical activity status. METHODS Data from the 2015 Taiwan Longitudinal Study in Ageing (TLSA) were analyzed by PROCESS in SPSS to explore three different mediation models (N = 4,421). The first was a parallel mediation model for exploring life satisfaction in middle-aged and older adults with frailty through physical disability or physical activity. The second was a serial mediation model for examining physical disability and physical activity in causal chains linked with a specific direction of flow and to test all combinations. The third was a moderated mediation model for testing whether the indirect effect of frailty status on life satisfaction through physical disability or physical activity was moderated by age stratification. RESULTS Physical disability and physical activity partially mediated the relationship between frailty status and life satisfaction (IEOVERALL = -0.196, 95% CI: -0.255 to -0.139). The causal path with the highest indirect effect was found to be that between frailty and physical disability; increased frailty led to higher physical disability, which in turn affected physical activity, leading to lower life satisfaction (IE = 0.013, 95% CI: 0.008 to 0.019). The different stratifications by age significantly increased the mediating effect of physical activity (Index of Moderated Mediation = -0.107, SE = 0.052, 95% CI: -0.208 to -0.005) but did not reduce the mediating effect of physical disability. CONCLUSION This study provides evidence that physical activity and physical disability influence the development of frailty. It also has a significant impact on the life satisfaction of middle-aged and older adults.
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Affiliation(s)
- Pei-Shan Li
- School of Nursing, College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, 112, Taiwan R.O.C
- Department of Nursing, Taipei Veteran General Hospital, Taipei, 112, Taiwan R.O.C
| | - Chia-Jung Hsieh
- School of Nursing, College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, 112, Taiwan R.O.C..
| | - Ya-Ling Shih
- Department of Nursing, Yuanpei University of Medical Technology, Hsinchu, 300, Taiwan R.O.C
| | - Ya-Ting Lin
- Department of Nursing, St. Mary's Junior College of Medicine, Nursing, and Management, Yilan County, 266, Taiwan R.O.C
| | - Chieh-Yu Liu
- Department of Health Care Management, National Taipei University of Nursing and Health Sciences, Taipei, 112, Taiwan R.O.C
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Wang J, Pang M, Kong F. Association between self-reported oral health and life satisfaction among China's migrant elderly following children: The mediating effect of social support. Front Public Health 2023; 11:950942. [PMID: 36866087 PMCID: PMC9971942 DOI: 10.3389/fpubh.2023.950942] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Accepted: 01/23/2023] [Indexed: 02/16/2023] Open
Abstract
Purpose Focusing on the life satisfaction of the migrant elderly following children (MEFC) is of great theoretical and practical significance. We aimed to examine the effect of self-reported oral health on life satisfaction among the MEFC in Weifang, China, and to further explore the mediating role of social support on the relationship between self-reported oral health and life satisfaction. Methods We conducted a cross-sectional survey for 613 participants using multi-stage random sampling in Weifang, China, in August 2021. The Social Support Rating Scale was used to assess social support for the MEFC. We used the Chinese version of the Geriatric Oral Health Assessment Index (GOHAI) to evaluate self-reported oral health. We assessed life satisfaction for the MEFC via the Satisfaction with Life Scale. The data were scrutinized through descriptive analysis, a chi-square test, a t-test, Pearson correlation analysis, and structural equation modeling (SEM). Results The mean GOHAI, social support, and life satisfaction scores were 54.95 ± 6.649, 38.89 ± 6.629, and 27.87 ± 5.584, respectively. SEM analysis indicated that the self-reported oral health of the MEFC exerts a positive effect on life satisfaction and social support, and social support has a positive and direct effect on life satisfaction. Social support partially mediates the association between self-reported oral health and life satisfaction (95% confidence interval: 0.023-0.107, P < 0.001), with its mediating effect accounting for 27.86% of the total effect. Conclusion The mean score of life satisfaction was 27.87 ± 5.584 among the MEFC in Weifang, China, suggesting relatively high life satisfaction. Our findings underscore an empirical association between self-reported oral health and life satisfaction and imply that social support mediates this relationship.
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Affiliation(s)
- Jieru Wang
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China,NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, China
| | - Mingli Pang
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China,NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, China
| | - Fanlei Kong
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China,NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, China,*Correspondence: Fanlei Kong ✉
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Cui M, Miao W, Chen J, Yang W, Geng Z, Qian X, Geng G. Effects of an emotional support programme on older adults living in nursing homes: A quasi-experimental study. Geriatr Nurs 2022; 45:180-187. [PMID: 35512507 DOI: 10.1016/j.gerinurse.2022.04.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2022] [Revised: 04/13/2022] [Accepted: 04/14/2022] [Indexed: 11/28/2022]
Abstract
This study aimed to examine the feasibility and validity of an emotional support programme developed for older adults living in nursing homes, using a quasi-experimental design. Older adults in the intervention group attended a 12-week emotional support programme while those in the control group received usual care. Outcome variables, assessed at baseline and at 1-month and 3-month follow ups, included nursing home adjustment, perceived social support, and quality of life. Group-by-time interaction effects were found concerning nursing home adjustment and perceived social support. Significant improvements in the two variables were observed in the intervention group, but no significant difference was found in quality of life. The emotional support programme based on social learning theory resulted in significant improvements in nursing home adjustment and perceived social support. To respond to the demands of an ageing society, further studies are needed on this topic.
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Affiliation(s)
- Min Cui
- MSN, Nantong University Medical School, No19, Qixiu Road, Chong Chuan District, Nantong, Jiangsu, China
| | - Weiwei Miao
- MSN, Nantong University Medical School, No19, Qixiu Road, Chong Chuan District, Nantong, Jiangsu, China
| | - Jianqun Chen
- MSN, North Nantong Nursing Home, No18, Fuda Road, Chong Chuan District, Nantong, Jiangsu, China
| | - Wenwen Yang
- MSN, Nantong University Medical School, No19, Qixiu Road, Chong Chuan District, Nantong, Jiangsu, China
| | - Zihan Geng
- BM, Nantong University Medical School, No19, Qixiu Road, Chong Chuan District, Nantong, Jiangsu, China
| | - Xiangyun Qian
- MSN, Nantong Third People's Hospital, No. 60 Qingnian Zhong road, Chongchuan District, Nantong, Jiangsu 226001, China.
| | - Guiling Geng
- MSN, Nantong University Medical School, No19, Qixiu Road, Chong Chuan District, Nantong, Jiangsu, China.
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Negative old-age life events and well-being in later life: the moderating and mediating role of loneliness. Int Psychogeriatr 2021; 33:1265-1276. [PMID: 33593463 DOI: 10.1017/s1041610220004196] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
OBJECTIVES Although older adults often experience negative life events or loss experiences, they rarely experience large decreases in their quality of life or well-being. Emotionally satisfying relationships in older adults may serve as a protective factor that reduces the impact of negative events in decreasing well-being. The availability of these close social contacts is essential, and their potential for alleviating feelings of loneliness after negative events could have an important role in promoting well-being. The aim of this study was to test the hypothetical moderation and mediation effects of social and emotional loneliness on the occurrence of negative old-age life events and well-being in later life. DESIGN This was a cross-sectional survey conducted as part of the Detection, Support and Care for older people - Prevention and Empowerment research project (2015-2018). SETTING Participants were community-dwelling older adults in Flanders (Belgium). PARTICIPANTS The sample composed of 770 participants aged 60 years and over. MEASUREMENTS Participant demographics, social and emotional loneliness, and subjective well-being were measured. Moderation and mediation analyses were performed using the regression-based approach as conducted by Hayes and Rockwood (2017). RESULTS Results indicated that a low degree of (social) loneliness is a protective, moderating factor and (emotional) loneliness is a mediating factor on the effects of negative life events on well-being in later life. CONCLUSIONS Findings highlight the importance of emotionally and socially satisfying social contacts in order to maintain positive subjective well-being in later life when negative life events may occur.
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Xu H, Sheng J, Wu X, Zhan K, Tao S, Wen X, Liu W, Cudjoe O, Tao F. Moderating effects of plastic packaged food on association of urinary phthalate metabolites with emotional symptoms in Chinese adolescents. ECOTOXICOLOGY AND ENVIRONMENTAL SAFETY 2021; 216:112171. [PMID: 33812210 DOI: 10.1016/j.ecoenv.2021.112171] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/19/2020] [Revised: 03/02/2021] [Accepted: 03/17/2021] [Indexed: 05/26/2023]
Abstract
Previous research reports that diet is the main source of phthalate exposure to adolescents, and phthalate is associated with adolescent mental and behavioral problems. However, no study has explored the moderating effects of eating behavior in this association. This study aimed to analyze the moderating effects of plastic packaged food consumption in the longitudinal association between phthalate metabolite concentration and emotional symptoms in adolescents. This school-based survey was carried out among adolescents in two Chinese provinces. We conducted a baseline and follow-up surveys for 893 freshmen using the purposive sampling method from December 2018 to November 2019. We used food frequency questionnaire to assess eating behavior. The Chinese version of 21-item Depression Anxiety Stress Scales was used to assess emotional symptoms, and high-performance liquid chromatography-tandem mass spectrometry was used to analyze the concentration of six urine phthalate metabolites. The results of latent moderation model indicated that plastic packaged food consumption moderated the association of low molecular weight phthalate (LMWP) with depressive symptoms (β = 0.27, P = 0.002), anxiety symptoms (β = 0.89, P < 0.01), and stress symptoms (β = 0.23, P = 0.019). The moderating effects were significant at the higher scores (β = 0.14-0.35, P < 0.05) and/or the lower scores (β = -0.35 to -0.12, P < 0.05) of plastic packaged food consumption. The results suggest that plastic packaged food consumption to some extent moderates the longitudinal association of phthalate exposure with emotional symptoms in adolescents.
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Affiliation(s)
- Honglv Xu
- School of Medicine, Kunming University, 2 Puxin Road, Kunming 650214, Yunnan, PR China; Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People's Republic of China, 81 Meishan Road, Hefei 230032, Anhui, PR China
| | - Jie Sheng
- Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People's Republic of China, 81 Meishan Road, Hefei 230032, Anhui, PR China
| | - Xiaoyan Wu
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, 81 Meishan Road, Hefei 230032, Anhui, PR China; Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People's Republic of China, 81 Meishan Road, Hefei 230032, Anhui, PR China
| | - Kai Zhan
- Anhui Key Laboratory of Livestock and Poultry Product Safety Engineering, Institute of Animal Husbandry and Veterinary Medicine, Anhui Academy of Agricultural Science, Hefei 230031, Anhui, PR China
| | - Shuman Tao
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, 81 Meishan Road, Hefei 230032, Anhui, PR China; Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People's Republic of China, 81 Meishan Road, Hefei 230032, Anhui, PR China
| | - Xing Wen
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, 81 Meishan Road, Hefei 230032, Anhui, PR China; Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People's Republic of China, 81 Meishan Road, Hefei 230032, Anhui, PR China
| | - Wenwen Liu
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, 81 Meishan Road, Hefei 230032, Anhui, PR China; Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People's Republic of China, 81 Meishan Road, Hefei 230032, Anhui, PR China
| | - Obed Cudjoe
- University of Cape Coast, Department of Microbiology and Immunology, School of Medical Sciences, Cape Coast, Ghana; Department and the Key Laboratory of Microbiology and Parasitology, Anhui, School of Basic Medical Sciences, Anhui Medical University, Hefei 230032, China
| | - Fangbiao Tao
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, 81 Meishan Road, Hefei 230032, Anhui, PR China; Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People's Republic of China, 81 Meishan Road, Hefei 230032, Anhui, PR China.
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Deimling G, Phelps EK, Gilbert M, Ciaralli S. Life satisfaction among older adult, long‐term cancer survivors: A comparison of Black with White survivors. Psychooncology 2019; 28:1335-1341. [DOI: 10.1002/pon.5087] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2019] [Revised: 03/26/2019] [Accepted: 04/05/2019] [Indexed: 11/12/2022]
Affiliation(s)
- Gary Deimling
- Department of SociologyCase Western Reserve University Cleveland Ohio 44106–7124
| | - Erin K. Phelps
- Department of SociologyCase Western Reserve University Cleveland Ohio 44106–7124
| | - Marissa Gilbert
- Department of SociologyCase Western Reserve University Cleveland Ohio 44106–7124
| | - Spencier Ciaralli
- Department of SociologyCase Western Reserve University Cleveland Ohio 44106–7124
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