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Yang L, Wang L, Di X, Dai X. Utilisation of community care services and self-rated health among elderly population in China: a survey-based analysis with propensity score matching method. BMC Public Health 2021; 21:1936. [PMID: 34696767 PMCID: PMC8546940 DOI: 10.1186/s12889-021-11989-x] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2021] [Accepted: 10/08/2021] [Indexed: 11/10/2022] Open
Abstract
Background Elderly care and elderly health are the enormous challenges in such an aging society as China. Community care services have been developing rapidly in recent years in China as an increasingly mainstream care resource to promote elderly health. The purpose of this study is to examine the association between using community care services and self-rated health among Chinese elderly. Methods A cross-sectional survey was conducted in 2019 and 612 elderly people from China’s Shaanxi province were enrolled. The binary logistic regression was first employed to explore the association between community care services utilisation and elderly health. Given the potential selection bias issue, the propensity score matching method was hired to generate comparable samples between participants who used these services and participants who didn’t, and further examine the health benefits of using four types of services. Results The results of the binary logistic regression showed that the use of community care services predicted a better health status of elderly individuals. Overall, the results of the propensity score matching method showed the similar results. Specifically, with the nearest neighbors matching algorithm, using daily care services was significantly associated with a 0.246 increase in the self-rated health of the elderly (T = 1.83). For medical care services, the mean of self-rated health of elderly individuals who used these services was 3.542, significantly higher than those who didn’t (T = 2.15). For spiritual comfort services, elderly individuals using these services showed a significant increase by 0.280 in the self-rated health (T = 1.82). For social and recreational services, the result of the nearest neighbor matching method was not statistically significant, while the results of kernel matching method and the mahalanobis matching method showed a significant increase in the self-rated health among elderly individuals using these services (T = 2.03, T = 2.03, respectively). All the estimated results passed the Rosenbaum bounds analysis and were not sensitive to hidden bias. Conclusions Using community care services improved the self-rated health of the elderly. More effective measures may be implemented to increase access to care resources for senior citizens, and further improve their health status. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-021-11989-x.
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Affiliation(s)
- Liu Yang
- School of Public Policy and Administration, Xi'an Jiaotong University, People's Republic of China, No 28 West Road, Xi'an, Xianning, 710049, Shaanxi, China
| | - Lijian Wang
- School of Public Policy and Administration, Xi'an Jiaotong University, People's Republic of China, No 28 West Road, Xi'an, Xianning, 710049, Shaanxi, China.
| | - Xiaodong Di
- School of Public Policy and Administration, Xi'an Jiaotong University, People's Republic of China, No 28 West Road, Xi'an, Xianning, 710049, Shaanxi, China
| | - Xiuliang Dai
- School of Public Policy and Administration, Xi'an Jiaotong University, People's Republic of China, No 28 West Road, Xi'an, Xianning, 710049, Shaanxi, China
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Keyes L, Li Q, Collins B, Rivera-Torres S. Senior Center Service Utilization: Do Social Ties Affect Participation Patterns? J Appl Gerontol 2020; 41:526-533. [PMID: 33267712 DOI: 10.1177/0733464820975905] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
PURPOSE A better understanding of service utilization patterns at senior service centers can improve program development and constituent usage. THEORY This research examines whether participation in senior center activities is a function of senior socialization that reinforces and supports existing social ties by selecting specific activities in senior centers. METHODS A total of 924 participants of senior centers in a municipality in the Southwest were surveyed. RESULTS We find that having closer friends influences participation in certain senior center services. We also find that gender, race, ethnicity, and income also explain different usage rates beyond age. CONCLUSION Opportunities to foster social interaction to grow and reduce barriers to participation and market to a broader range of current and potential participants are discussed.
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Affiliation(s)
| | - Qiwei Li
- University of North Texas, Denton, USA
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Kim JH, Silverstein M. Are Filial Piety and Ethnic Community Engagement Associated With Psychological Wellbeing Among Older Chinese American Immigrants? A Cultural Resource Perspective. Res Aging 2020; 43:63-73. [DOI: 10.1177/0164027520937477] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This research examined whether perceived receipt of filial piety from adult children and ethnic community engagement—two major ethnocultural resources—were associated with psychological wellbeing of older Chinese American immigrants. Analyses used data from the PINE study, a sample of older Chinese adults in Chicago. Tobit regression revealed that elders who received more filial piety and visited community centers experienced less loneliness and depression than their counterparts did. Tests of interactions showed that community center visits moderated the negative relationship between perceived filial piety and depression. Results suggest the importance of community engagement for diminishing depressive symptoms in older Chinese American immigrants, particularly those with culturally weak intergenerational ties. Discussion centers on how visiting community centers in ethnically dense neighborhoods compensates for unfulfilled filial piety expectations by protecting the mental health of minority elders within a rapidly growing and acculturating immigrant population.
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Kim J, Kim J. Exploring Health Benefits through Senior Center Engagement: A Qualitative Investigation of Older Korean Immigrants. ACTIVITIES, ADAPTATION & AGING 2019. [DOI: 10.1080/01924788.2019.1698121] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Junhyoung Kim
- School of Public Health, Indiana University, Bloomington, Indiana, USA
| | - Jaehyun Kim
- Department of Health and Human Performance, Texas State University, San Marcos, Texas, USA
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Chen Q, Amano T, Park S, Kim B. Home and Community-based Services and Life Satisfaction among Homebound and Poor Older Adults. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2019; 62:708-727. [PMID: 31293224 DOI: 10.1080/01634372.2019.1639094] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/12/2018] [Revised: 06/25/2019] [Accepted: 06/29/2019] [Indexed: 06/09/2023]
Abstract
Little evidence exists regarding the role of Home and Community-Based Services (HCBS) utilization on life satisfaction among older people who are both homebound and low-income. Guided by the personal-environment (P-E) fit perspective, this study aims to: (1) describe characteristics of older people with homebound and low-income status; (2) investigate how the combination of homebound and low-income status is associated with life satisfaction; and (3) examine whether HCBS utilization moderates the association between homebound and low-income status and life satisfaction. Data were drawn from the 2012 Health and Retirement Study, and the sample included respondents who were 51+ years who completed a questionnaire for HCBS utilization (n= 1,662). Results describe sociodemographic, health-related, and environmental characteristics of older adults. Combined homebound and low-income status was a significant predictor of lower life satisfaction (β = -0.15, p< .05), but better life satisfaction when they used HCBS (β = 0.33, p <.10). These findings suggest that promoting HCBS utilization is a promising strategy to enhance well-being among those homebound and poor. Further studies are needed to test the effectiveness of HCBS with longitudinal data and to investigate the details of effective HCBS utilization such as frequency of use and types of services.
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Affiliation(s)
- Qingru Chen
- Medical Social Work Department, Huadong Hospital affiliated to Fudan University , Shanghai , China
| | - Takashi Amano
- Brown School, Washington University in St. Louis , St. Louis , MO , USA
| | - Sojung Park
- Brown School, Washington University in St. Louis , St. Louis , MO , USA
| | - Borin Kim
- College of Health and Human Services, University of New Hampshire , Durham , NH , USA
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Abstract
RÉSUMÉLes centres pour personnes âgées ont été identifiés comme des points focaux pour la prestation de services pour la population vieillissante, qui est en forte croissance au Canada et aux États-Unis. Malgré ce rôle important des centres pour personnes âgées, peu de recherches leur ont été consacrées. Cet examen de portée a ciblé les études empiriques en langue anglaise portant sur les centres pour personnes âgées qui ont été publiées dans des revues scientifiques depuis 2000. Un total de 58 études ont été repérées (n = 51 pour les études américaines, n = 7 pour les études canadiennes). La majorité de ces articles était centrée sur des thèmes liés à la participation d’individus dans les centres pour personnes âgées, et quelques études seulement traitaient du milieu associé aux centres pour personnes âgées. Ces résultats suggèrent que les recherches futures devraient cibler les avantages de la programmation des centres pour personnes âgées, avec une attention particulière sur les besoins des baby-boomers, sur les facteurs clés liés au financement, aux espaces et au personnel, ainsi que sur les caractéristiques et les rôles des centres pour personnes âgées dans le contexte canadien.
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Smith ML, Bergeron CD, Ahn S, Towne SD, Mingo CA, Robinson KT, Mathis J, Meng L, Ory MG. Engaging the Underrepresented Sex: Male Participation in Chronic Disease Self-Management Education (CDSME) Programs. Am J Mens Health 2018; 12:935-943. [PMID: 29355070 PMCID: PMC6131430 DOI: 10.1177/1557988317750943] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2017] [Revised: 08/30/2017] [Accepted: 10/31/2017] [Indexed: 12/13/2022] Open
Abstract
Females are more likely than males to participate in evidence-based health promotion and disease prevention programs targeted for middle-aged and older adults. Despite the availability and benefits of Stanford's Chronic Disease Self-Management Education (CDSME) programs, male participation remains low. This study identifies personal characteristics of males who attended CDSME program workshops and identifies factors associated with successful intervention completion. Data were analyzed from 45,375 male CDSME program participants nationwide. Logistic regression was performed to examine factors associated with workshop attendance. Males who were aged 65-79 (OR = 1.27, p < .001), Hispanic (OR = 1.22, p < .001), African American (OR = 1.13, p < .001), Asian/Pacific Islander (OR = 1.26, p < .001), Native Hawaiian (OR = 3.14, p < .001), and residing in nonmetro areas (OR = 1.26, p < .001) were more likely to complete the intervention. Participants with 3+ chronic conditions were less likely to complete the intervention (OR = 0.87, p < .001). Compared to health-care organization participants, participants who attended workshops at senior centers (OR = 1.38, p < .001), community/multipurpose facilities (OR = 1.21, p < .001), and faith-based organizations (OR = 1.37, p < .001) were more likely to complete the intervention. Men who participated in workshops with more men were more likely to complete the intervention (OR = 2.14, p < .001). Once enrolled, a large proportion of males obtained an adequate intervention dose. Findings highlight potential strategies to retain men in CDSME programs, which include diversifying workshop locations, incorporating Session Zero before CDSME workshops, and using alternative delivery modalities (e.g., online).
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Affiliation(s)
- Matthew Lee Smith
- Center for Population Health and Aging,
Texas A&M University, College Station, TX, USA
- Department of Environmental and
Occupational Health, School of Public Health, Texas A&M University, College
Station, TX, USA
- Department of Health Promotion and
Behavior, College of Public Health, The University of Georgia, Athens, GA, USA
| | | | - SangNam Ahn
- Center for Population Health and Aging,
Texas A&M University, College Station, TX, USA
- Division of Health Systems Management
and Policy, School of Public Health, The University of Memphis, Memphis, TN,
USA
| | - Samuel D. Towne
- Center for Population Health and Aging,
Texas A&M University, College Station, TX, USA
- Department of Health Promotion and
Community Health Sciences, School of Public Health, Texas A&M University,
College Station, TX, USA
| | - Chivon A. Mingo
- Gerontology Institute, College of Arts
& Sciences, Georgia State University, Atlanta, GA, USA
| | - Kayin T. Robinson
- Department of Health Promotion and
Behavior, College of Public Health, The University of Georgia, Athens, GA, USA
| | - Jamarcus Mathis
- Department of Health Promotion and
Behavior, College of Public Health, The University of Georgia, Athens, GA, USA
| | - Lu Meng
- Department of Environmental and
Occupational Health, School of Public Health, Texas A&M University, College
Station, TX, USA
| | - Marcia G. Ory
- Center for Population Health and Aging,
Texas A&M University, College Station, TX, USA
- Department of Environmental and
Occupational Health, School of Public Health, Texas A&M University, College
Station, TX, USA
- Department of Health Promotion and
Community Health Sciences, School of Public Health, Texas A&M University,
College Station, TX, USA
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Abstract
Despite agreement among stakeholders that senior centers can promote physical and mental health, research on senior center use in urban populations is limited. Our objective was to describe demographic and health factors associated with senior center use among urban, low-income older adults in order to inform programming and outreach efforts. We used data from a 2009 telephone survey of 1036 adults randomly selected from rosters of New York City public housing residents aged 65 and older. We analyzed senior center use by race/ethnicity, age, gender, health, housing type, and income, and used a forward selection approach to build best-fit models predicting senior center use. Older adults of all ages and of both genders reported substantial use of senior centers, with nearly one third (31.3%) reporting use. Older adults living alone, at risk of depression, or living in specialized senior housing had the greatest use of centers. Senior center use varied by race/ethnicity, and English-speaking Hispanics had a higher prevalence of use than Spanish-speaking Hispanics (adjusted prevalence ratio [PR]=1.69, 95% CI: 1.11-2.59). Spanish-speaking communities and older adults living in non-senior congregate housing are appropriate targets for increased senior center outreach efforts.
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Kim HS, Miyashita M, Harada K, Park JH, So JM, Nakamura Y. Psychological, social, and environmental factors associated with utilization of senior centers among older adults in Korea. J Prev Med Public Health 2012; 45:244-50. [PMID: 22880156 PMCID: PMC3412987 DOI: 10.3961/jpmph.2012.45.4.244] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2011] [Accepted: 03/08/2012] [Indexed: 11/09/2022] Open
Abstract
OBJECTIVES The purpose of the study was to examine the relationships among the psychological, social, and environmental factors influencing the utilization of senior centers among older adults in Korea. METHODS A questionnaire survey was administered to two types of older adults who lived in Seoul, Korea: 262 older adults who used senior centers (3 places) and 156 older adults who did not use senior centers. RESULTS Our results showed clearly that the utilization of the senior centers in Korea is affected by higher self-efficacy (odds ratio [OR], 6.08; 95% confidence interval [CI], 3.31 to 12.32), higher perceived benefits (OR, 1.71; 95% CI, 1.16 to 4.36), lower perceived barriers (OR, 6.43; 95% CI, 3.07 to 11.45), higher family support (OR, 4.21; 95% CI, 2.02 to 8.77), and higher support from friends (OR, 4.08; 95% CI, 2.38 to 7.81). The results also showed that participants whose total travel time was 15 to 29 minutes (OR, 2.84; 95% CI, 1.21 to 3.64) or less than 14 minutes (OR, 4.68; 95% CI, 3.41 to 8.41) were more likely to use a senior center than those who had to travel more than 30 minutes. CONCLUSIONS This study showed that the utilization of senior centers in Korea is affected by psychological, social, and environmental factors, specifically by self-efficacy, perceived benefits, perceived barriers, social support, convenience of transportation, and total travel time to the senior centers. The effects of longer-term utilization of the senior centers by non-users on health-related outcomes in a large population warrant attention.
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Affiliation(s)
- Hyun-Shik Kim
- Graduate School of Sport Sciences, Waseda University, Tokorozawa, Japan
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10
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Chen YM, Berkowitz B. Older adults' home- and community-based care service use and residential transitions: a longitudinal study. BMC Geriatr 2012; 12:44. [PMID: 22877416 PMCID: PMC3444350 DOI: 10.1186/1471-2318-12-44] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2011] [Accepted: 07/26/2012] [Indexed: 11/10/2022] Open
Abstract
Background As Home-and Community-Based Services (HCBS), such as skilled nursing services or personal care services, have become increasingly available, it has become clear that older adults transit through different residential statuses over time. Older adults may transit through different residential statuses as the various services meet their needs. The purpose of this exploratory study was to better understand the interplay between community-dwelling older adults’ use of home- and community-based services and their residential transitions. Methods The study compared HCBS service-use patterns and residential transitions of 3,085 older adults from the Second Longitudinal Study of Aging. Based on older adults’ residential status at the three follow-up interviews, four residential transitions were tracked: (1) Community-Community-Community (CCC: Resided in community during the entire study period); (2) Community-Institution-Community (CIC: Resided in community at T1, had lived in an institution at some time between T1 and T2, then had returned to community by T3); (3) Community-Community-Institution (CCI: Resided in community between at T1, and betweenT1 and T2, including at T2, but had used institutional services between T2 and T3); (4) Community-Institution-Institution (CII: Resided in community at T1 but in an institution at some time between T1 and T2, and at some time between T2 and T3.). Results Older adults’ use of nondiscretionary and discretionary services differed significantly among the four groups, and the patterns of HCBS use among these groups were also different. Older adults’ use of nondiscretionary services, such as skilled nursing care, may help them to return to communities from institutions. Personal care services (PCS) and senior center services may be the key to either support elders to stay in communities longer or help elders to return to their communities from institutions. Different combinations of PCS with other services, such as senior center services or meal services, were associated with different directions in residential transition, such as CIC and CII respectively. Conclusions Older adults’ differing HCBS use patterns may be the key to explaining older adults’ transitions. Attention to older adults’ HCBS use patterns is recommended for future practice. However, this was an exploratory study and the analyses cannot establish causal relationships.
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Affiliation(s)
- Ya-Mei Chen
- National Taiwan University, College of Public Health, Institute of Health Policy and Management, Room 633, No.1 7, Xu-Zhou Road, Taipei 100, Taiwan.
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11
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A conceptual framework for examining the promise of the NORC program and Village models to promote aging in place. J Aging Stud 2012. [DOI: 10.1016/j.jaging.2012.01.003] [Citation(s) in RCA: 47] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Abstract
To examine the effectiveness of mixed-mode methodology, this article draws on a study that used both online and paper surveys to collect data on a sample of the over 50 population in a small New England town. Respondents were offered the option of responding online or with a paper survey, an approach that addresses some of the major concerns about using online surveys among groups with limited Internet access while also reducing costs and simplifying data entry. The authors demonstrate that response mode does not have a significant effect on survey answers once demographic variables (such as employment and income) are added to the analysis. In addition, the results from this survey suggest that the Internet is useful as a tool to collect data from those over 50.
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Affiliation(s)
| | - Anna Curtis
- University of Massachusetts, Amherst, Amherst, MA, USA
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Kim HS, Harada K, Miyashita M, Lee EA, Park JK, Nakamura Y. Use of senior center and the health-related quality of life in Korean older adults. J Prev Med Public Health 2012; 44:149-56. [PMID: 21894063 PMCID: PMC3249251 DOI: 10.3961/jpmph.2011.44.4.149] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Objective The purpose of the present study was to examine the relationship between the use of senior center and health-related quality of life in Korean older adults. Methods A questionnaire survey was conducted to two types of older adults who lived in Busan, Korea: 154 older adults who used a senior center and 137 older adults who did not use a senior center. The Korean version of short-form 36-item health survey was administered to assess the health-related quality of life. Demographic variables were obtained from a questionnaire. These were gender, age, family status, marital status, education, monthly income, present illness, body mass index and physical activity. Results The 8-domain scales of physical function and role-physical were significantly higher in the users of the senior center compared with the non-users (F=4.87, p=0.027 and F=7.02, p=0.009, respectively). The 8-domain scales of vitality was also significantly higher in the users of the senior center compared with the non-users (F=7.48, p=0.007). Conclusions The present study showed that the users of the senior center have higher physical function, role-physical and vitality compared with the non-users. These findings suggest that although the results are unable to specify causal relationships using the senior center may lead to some improvement in health-related quality of life.
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Affiliation(s)
- Hyun Shik Kim
- Graduate School of Sport Sciences, Waseda University, Tokorozawa, Japan
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Hand BD, Cavanaugh S, Forbes W, Govern J, Cress ME. Changes in Health-Related Quality of Life and Functional Fitness With Exercise Training in Older Adults Who Attend Senior Centers. ACTIVITIES ADAPTATION & AGING 2012. [DOI: 10.1080/01924788.2011.647530] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Giunta N, Morano C, Parikh NS, Friedman D, Fahs MC, Gallo WT. Racial and ethnic diversity in senior centers: comparing participant characteristics in more and less multicultural settings. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2012; 55:467-483. [PMID: 22852991 DOI: 10.1080/01634372.2011.653519] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
The 2008 Health Indicators Project surveyed a probability sample (N = 1,870) of New York City senior center participants. Attendees of racially and ethnically diverse and nondiverse senior centers were compared across 5 domains: demographics; health and quality of life; social support networks; neighborhood perceptions and engagement; health service access/utilization. Although homogeneous and diverse center participants demonstrate similar health and quality-of-life outcomes, those from diverse centers demonstrate greater risk of social isolation, receive less family support, and more likely seek medical care from hospitals or community clinics. Implications and future directions for research, practice and policy are discussed.
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Affiliation(s)
- Nancy Giunta
- Silberman School of Social Work at Hunter College, City University of New York, New York, NY 10035, USA.
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Fitzpatrick TR, Farone DW. Leisure, Household Activities, and Health Among Mexican American Elders with Cancer. J Psychosoc Oncol 2011; 29:199-214. [DOI: 10.1080/07347332.2010.548441] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
| | - Diane W. Farone
- b Department of Social Work , Arizona State University , Phoenix, AZ, USA
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Tang F, Heo JG, Weissman M. Racial differences in social engagement and health status among older women. SOCIAL WORK IN PUBLIC HEALTH 2011; 26:110-122. [PMID: 21213191 DOI: 10.1080/10911350902986930] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
This study examined health disparities and the potential intervention role of social engagement in eliminating health disparities. Using a sample of 85 older women of 101 senior center participants in the city of Pittsburgh, this study found that racial differences existed in senior center activity participation and physical functioning between white and non-white women, and the sustained activity engagement was associated with physical functioning. The activity participation model explained more variance in physical functioning among older women than in the whole sample, including both males and females. The findings indicated that older women who participated in senior center activity for a sustained period experienced fewer functional limitations and chronic conditions than those short-term participants. The study discussed the importance of senior centers as a community-based resource in providing social integration through a variety of activities among non-white older women.
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Affiliation(s)
- Fengyan Tang
- School of Social Work, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
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Tang F, Lee Y. Home- and Community-Based Services Utilization and Aging in Place. Home Health Care Serv Q 2010; 29:138-54. [DOI: 10.1080/01621424.2010.511518] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Fengyan Tang
- a University of Pittsburgh , Pittsburgh, Pennsylvania, USA
| | - Yeonjung Lee
- a University of Pittsburgh , Pittsburgh, Pennsylvania, USA
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Abstract
Nationally, 11,000 senior centers play a vital role in supporting community-dwelling older adults by offering a diverse array of recreational, nutritional, health, and social service programs. The purpose of this study was to identify innovative models of senior centers nationwide and evaluate their impact on the communities they serve. Applying a multiple-case study approach to a national survey sample, six innovative models were identified by members of the New Models Taskforce (NMTF), a project sponsored by the National Institute of Senior Centers (NISC). The NMTF hoped to document the innovative efforts of senior centers to reimagine and reposition themselves within the aging services field. This article will highlight the defining characteristics of each model and discuss their implications for the field. The potential impact of each model on the senior center field will be illustrated.
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Fitzpatrick TR. The quality of dyadic relationships, leisure activities and health among older women. Health Care Women Int 2010; 30:1073-92. [PMID: 19894152 DOI: 10.1080/07399330903199367] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
We examined the combined influence of dyadic relationships and leisure activities on health. We used self-administered survey to collect data at senior centers from French and English older women (N = 257) in Montreal, Quebec. Multiple regression analyses (OLS) were used to examine the main effects of dyadic quality and leisure activities on physical and mental health. Despite controlling for specific dyadic groups, meals, and bingo, we find that the quality of dyadic relationships has a strong influence on mental health measured by spirit, happiness, and an interesting life. Leisure activities are also a significant predictor and appear to improve physical health measured by self-reported health and the number of chronic conditions. Implications for gerontology practitioners in the United States, Canada, and other Western cultures, along with research strategies, are discussed.
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Affiliation(s)
- Tanya R Fitzpatrick
- McGill Center for Research and Teaching on Women, McGill University, Montreal, Quebec, Canada.
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Choi NG, McDougall GJ. Comparison of depressive symptoms between homebound older adults and ambulatory older adults. Aging Ment Health 2007; 11:310-22. [PMID: 17558582 PMCID: PMC6415761 DOI: 10.1080/13607860600844614] [Citation(s) in RCA: 67] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Due to the social isolation imposed by chronic illness and functional limitations, homebound older adults are more vulnerable to depression than their mobility-unimpaired peers. In this study, we compared 81 low-income homebound older adults, aged 60 and older, with their 130 ambulatory peers who attended senior centers, with respect to their depressive symptoms, depression risk and protective factors, and self-reported coping strategies. Even controlling for sociodemographics, health problems, and other life stressors, being homebound, as opposed to participating in senior centers, was significantly associated with higher depressive symptoms. However, when the coping resources-social support and engagement in frequent physical exercise, in particular-were added to the regression model, the homebound state was no longer a significant factor, showing that the coping resources buffered the effect of the homebound state on depressive symptoms. In terms of self-reported coping strategies, even among the depressed respondents, only a small proportion sought professional help, and that was largely limited to consulting their regular physician and social workers, who may not have had professional training in mental health interventions.
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Affiliation(s)
- Namkee G Choi
- School of Social Work, University of Texas at Austin, Austin, TX 78712-0358, USA.
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