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Bruyneel A, Bouckaert N, Pirson M, Sermeus W, Van den Heede K. Unfinished nursing care in intensive care units and the mediating role of the association between nurse working environment, and quality of care and nurses' wellbeing. Intensive Crit Care Nurs 2024; 81:103596. [PMID: 38043435 DOI: 10.1016/j.iccn.2023.103596] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Revised: 11/13/2023] [Accepted: 11/17/2023] [Indexed: 12/05/2023]
Abstract
OBJECTIVES Unfinished care refers to the situation in which nurses are forced to delay or omit necessary nursing care. The objectives was: 1) to measure the prevalence of unfinished nursing care in intensive care units during the COVID-19 pandemic; 2) to examine whether unfinished nursing care has a mediating role in the relationship between nurse working environment and nurse-perceived quality of care and risk of burnout among nurses. DESIGN A national cross-sectional survey. SETTING Seventy-five intensive care units in Belgium (December 2021 to February 2022). MAIN OUTCOME MEASURES The Practice Environment Scale of the Nursing Work Index was used to measure the work environment. The perception of quality and safety of care was evaluated via a Likert-type scale. The risk of burnout was assessed using the Maslach Burnout Inventory scale. RESULTS A total of 2,183 nurse responses were included (response rate of 47.8%). Seventy-six percent of nurses reported at least one unfinished nursing care activity during their last shift. The staffing and resource adequacy subdimension of the Practice Environment Scale of the Nursing Work Index had the strongest correlation with unfinished nursing care. An increase in unfinished nursing care led to significantly lower perceived quality and safety of care and an increase in high risk of burnout. Unfinished nursing care appears to be a mediating factor for the association between staffing and resource adequacy and the quality and safety of care perceived by nurses and risk of burnout. CONCLUSIONS Unfinished nursing care, which is highly related to staffing and resource adequacy, is associated with increased odds of nurses being at risk of burnout and reporting a lower level of perceived quality of care. IMPLICATIONS FOR CLINICAL PRACTICE The monitoring of unfinished nursing care in the intensive care unit is an important early indicator of problems related to adequate staffing levels, the well-being of nurses, and the perceived quality of care.
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Affiliation(s)
- Arnaud Bruyneel
- Health Economics, Hospital Management and Nursing Research Dept, School of Public Health, Université Libre de Bruxelles, Belgium.
| | | | - Magali Pirson
- Health Economics, Hospital Management and Nursing Research Dept, School of Public Health, Université Libre de Bruxelles, Belgium
| | - Walter Sermeus
- KU Leuven Institute for Healthcare Policy, Leuven, Belgium
| | - Koen Van den Heede
- Belgian Health Care Knowledge Centre (KCE), Brussels, Belgium; KU Leuven Institute for Healthcare Policy, Leuven, Belgium
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Villalonga-Olives E, Majercak KR, Almansa J, Khambaty T. Longitudinal impact of volunteering on the cognitive functioning of older adults: A secondary analysis from the US Health and Retirement Study. Int J Nurs Sci 2023; 10:373-382. [PMID: 37545782 PMCID: PMC10401338 DOI: 10.1016/j.ijnss.2023.06.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2022] [Revised: 05/30/2023] [Accepted: 06/23/2023] [Indexed: 08/08/2023] Open
Abstract
Objectives To examine the relationship of volunteering with cognitive activity, social activity, and physical activity among older adults and, ultimately, with later cognitive functioning across different time periods. Methods We used individual responding to three waves of the US Health and Retirement Study panel data from 2008, 2012, and 2016 (n = 2,862). Self-reported questionnaires were used to assess annual volunteering frequency (non volunteering, volunteering <100 h and ≥100 h), and an adapted version of the Telephone Interview for Cognitive Status (TICS) was used to assess memory, mental processing, knowledge, language, and orientation. A structural equation model was estimated to assess effects on cognitive functioning throughout waves. Results Those participants that were part of volunteering activities in 2012 showed an increase between 2008 and 2012 in moderate physical activity (β = 0.19, P < 0.001 for those volunteering less than 100 h and β = 0.21, P < 0.001 for those volunteering at least 100 h), increase in social activity (β = 0.10, P = 0.052 for those volunteering less than 100 h and β = 0.12, P = 0.018 for those volunteering at least 100 h) and increase in higher cognitive activity (β = 0.13, P < 0.001 for those volunteering at least 100 h), compared to participants who did not volunteer. Higher levels of cognitive activity in 2008 and 2012 were associated with higher cognitive functioning on the following waves (β = 0.66 and β = 0.60, P < 0.001, respectively). Discussion Volunteering is a modifiable activity that can be increased to bolster cognitive functioning in older adulthood, primarily mediated by increased cognitive activity.
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Affiliation(s)
- Ester Villalonga-Olives
- Sciences and Health Outcomes Research Department, University of Maryland School of Pharmacy, Baltimore, MD, USA
| | - Kayleigh R. Majercak
- Sciences and Health Outcomes Research Department, University of Maryland School of Pharmacy, Baltimore, MD, USA
| | - Josue Almansa
- Department of Health Sciences, Community & Occupational Medicine, University Medical Center, University of Groningen, the Netherlands
| | - Tasneem Khambaty
- Department of Psychology, University of Maryland, Baltimore County, Baltimore, MD, USA
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Estes ML, Sittner KJ, Hill KX, Gonzalez MB, Handeland T. Community Engagement and Giving Back Among North American Indigenous Youth. JOURNAL OF COMMUNITY ENGAGEMENT AND SCHOLARSHIP 2023; 15:5. [PMID: 37065992 PMCID: PMC10101223 DOI: 10.54656/jces.v15i2.456] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/02/2023]
Abstract
"Volunteer participation" refers to free engagement in activities that benefit someone or something else. Volunteering can produce many benefits for individuals and communities. However, current research examining volunteer participation often excludes diverse viewpoints on what constitutes volunteering, particularly the perspectives of North American Indigenous youth. This oversight may result from researchers' conceptualization and measurement of volunteering from a Western perspective. Utilizing data from the Healing Pathways (HP) project, a longitudinal, community-based participatory study in partnership with eight Indigenous communities in the United States and Canada, we provide a detailed description of volunteer participation and community and cultural engagement. Overall, we employ a community cultural wealth lens to emphasize the various strengths and sources of resilience that these communities possess. At the same time, we encourage scholars and the wider society to broaden their views of volunteering, community involvement, and giving back.
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Affiliation(s)
- Michelle L Estes
- assistant professor in the Department of Sociology & Political Science at Tennessee Tech University
| | - Kelley J Sittner
- associate professor in the Department of Sociology at Oklahoma State University
| | - Kyle X Hill
- assistant professor in the Department of Indigenous Health, School of Medicine and Health Services, at the University of North Dakota. He is affiliated with the Turtle Mountain Band of Chippewa, the Sisseton-Wahpeton Oyate, and the Cheyenne River Sioux Tribe
| | - Miigis B Gonzalez
- Indigenous woman scholar and behavioral health researcher. Her research centers Indigenous worldviews and supports language and cultural revitalization to improve Indigenous well-being
| | - Tina Handeland
- member of the community research council for the Healing Pathways project. She is also a Citizen of the Lac du Flambeau Band of Lake Superior Chippewa Indians
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Volunteering Improves Employee Health and Organizational Outcomes Through Bonding With Coworkers and Enhanced Identification With Employers. J Occup Environ Med 2022; 64:370-376. [PMID: 35051961 DOI: 10.1097/jom.0000000000002485] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To understand the consequences of employee volunteering and possible psychological mechanisms that produce these effects. METHODS Using data from more than 50,000 responses to Britain's Healthiest Workplace survey, we employed structural equation modeling to investigate the effects of people volunteering. RESULTS Net of a number of controls, people who volunteered reported better self-reported health, less risk of depression, and higher levels of engagement and satisfaction. These results were partly explained by volunteering creating higher levels of interpersonal social bonding and greater identification with their employers. CONCLUSION Employers Employers should sponsor volunteer activities and provide workplace flexibility, because employees who volunteer have greater individual wellbeing and also higher levels of pro-employer outcomes such as engagement and job satisfaction.
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Physical activity time and lifestyle correlates of cardiovascular disease status in older adults in Accra. J Public Health (Oxf) 2022. [DOI: 10.1007/s10389-022-01712-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Abstract
Abstract
Aim
The maintenance of physical activity (PA) over the life course is considered a hallmark for ageing well, but individuals who practice PA also often pursue lifestyles (e.g., smoking) that may inhibit the medicinal impact of PA on them. PA is said to protect against cardiovascular diseases (CVDs), but the literature has little to say about the impact of PA on the risk of CVDs when it is associated with lifestyle factors, comorbidities, and personal characteristics. This study aimed to assess the association between PA time and CVDs, with relevant lifestyle factors, comorbidities, and personal characteristics treated as covariates.
Subject and methods
The study’s population was retired and working older people aged 60 years or more in Accra, Ghana. A total of 686 individuals responded to self-reported questionnaires. Pearson’s chi-square test and binary logistic regression were used to present findings.
Results
The study found that the risk of having one or more CVDs increases as time spent in moderate and vigorous PA increases, whereas individuals who drank alcohol a few days a week or most days a week are respectively 2 (OR = 2.415; p = 0.037) and 22 (OR = 21.933; p = 0.000) times more likely to have one or more CVDs compared to those who never drank alcohol.
Conclusion
Health education should not only encourage PA maintenance but should also make individuals aware of the need to avoid unhealthy behaviours to maximize the positive effect of PA on health.
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Fenn N, Reyes C, Monahan K, Robbins ML. How Ready Are Young Adults to Participate in Community Service? An Application of the Transtheoretical Model of Behavior Change. Am J Health Promot 2021; 36:64-72. [PMID: 34296641 DOI: 10.1177/08901171211034742] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
PURPOSE Engaging in community service, or unpaid work intended to help people in a community, is generally associated with greater overall well-being. However, the process of beginning and maintaining community service engagement has been sparsely examined. The current study applied the Transtheoretical Model (TTM) of behavior change to understanding community service readiness among young adults. DESIGN Cross-sectional design using an online survey. SETTING Participants were undergraduate students recruited at a mid-sized Northeastern US university in Spring 2018. SAMPLE Participants (N = 314) had a mean age of 20.36 years (SD = 3.69), were primarily White (78%), female (72%), and from moderately high socioeconomic backgrounds (as measured by parental level of education). MEASURES Socio-demographics including age, gender, race-ethnicity, and parental level of education; readiness, pros, cons, and self-efficacy for community service; civic engagement behavior; well-being. ANALYSIS Participants were classified into very low (n = 62), low (n = 59), moderate (n = 92), high (n = 46), and very high (n = 55) readiness for community service groupings. A MANOVA was conducted to assess relationships between groupings and community service TTM constructs, civic engagement, and well-being. RESULTS There were significant differences between readiness groupings on all main outcome variables, F(20, 1012) = 10.34, p < .001; Wilks' Λ = 0.54, η2 = .14. Post-hoc Games-Howell tests showed that those exhibiting higher levels of readiness reported fewer cons, greater pros, higher self-efficacy, more overall civic engagement, and greater well-being compared to lower readiness individuals. CONCLUSION Consistent with previous TTM applications, self-efficacy and the importance of pros increased across readiness groupings while the importance of cons decreased. Study findings may be used to inform readiness-tailored interventional work for increasing community service. This area of study would benefit from longitudinal research examining community service readiness beyond the college environment.
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Affiliation(s)
- Natalie Fenn
- Department of Psychology, University of Rhode Island, Kingston, RI, USA
| | - Cheyenne Reyes
- Department of Psychology, University of Rhode Island, Kingston, RI, USA
| | - Kathleen Monahan
- Department of Psychology, University of Rhode Island, Kingston, RI, USA
| | - Mark L Robbins
- Department of Psychology, University of Rhode Island, Kingston, RI, USA
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Chang HT, Chen HC, Hsu NW, Chou P. Volunteering and self-reported health outcomes among older people living in the community: the Yilan study, Taiwan. Qual Life Res 2021; 31:1157-1165. [PMID: 34235616 DOI: 10.1007/s11136-021-02933-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/25/2021] [Indexed: 10/20/2022]
Abstract
PURPOSE This study aimed to explore associations between volunteering and various self-reported health outcomes among older people, including subjective physical and mental health, self-rated health, and self-rated happiness. METHODS This questionnaire survey was conducted in Yilan, Taiwan. By convenient sampling, a total of 3692 older people living in the community were recruited from 2012 to 2016. Participants' engagement in community volunteer activities in the past month was recorded. Subjective physical and mental health were evaluated using the Short Form-12 version2 Health Survey physical and mental component summary scores. Self-rated health and happiness were each evaluated by a single question. Participants' demographic information and comorbidities were also recorded. We conducted multiple linear regression analyses adjusted for age, sex, marital status, body mass index, educational level, living status, comorbidities, smoking status, and status of alcohol drinking. RESULTSS After adjusting for covariates, volunteering was significantly associated with better subjective physical health, self-rated health, and self-rated happiness scores (B = 2.41, 95% confidence interval [CI] (1.56, 3.26); B = 3.46, 95% CI (2.66, 4.66), and B = 4.62, 95% CI (3.18, 6.05), respectively). The strength of the relationships between volunteering and various self-reported health outcomes differed. CONCLUSIONS Volunteering has positive associations on subjective physical health, self-rated health, and happiness for older people living in the community in Yilan, Taiwan. Further follow-up studies are needed to examine the mechanisms of associations between volunteering and various self-reported health outcomes, and clarify the differences in the strength of their associations.
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Affiliation(s)
- Hsiao-Ting Chang
- Department of Family Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.,School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan
| | - Hsi-Chung Chen
- Department of Psychiatry & Center of Sleep Disorders, National Taiwan University Hospital, Taipei, Taiwan
| | - Nai-Wei Hsu
- Community Medicine Research Center and Institute of Public Health, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan. .,Division of Cardiology, Department of Internal Medicine, National Yang Ming Chiao Tung University Hospital, Yilan, Taiwan. .,Public Health Bureau, Yilan County, No. 287, Sec. 2, Nuzhong Road, Yilan City, Yilan County, 26051, Taiwan.
| | - Pesus Chou
- Community Medicine Research Center and Institute of Public Health, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan
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Meyer RD, Meyer DK. Recruitment considerations for dental short-term missions relating to the holistic development of dentists. J Am Dent Assoc 2020; 151:944-955. [PMID: 33239158 DOI: 10.1016/j.adaj.2020.07.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2020] [Revised: 06/27/2020] [Accepted: 07/03/2020] [Indexed: 11/16/2022]
Abstract
BACKGROUND The universal need for dentistry persists and short-term missions (STMs) with dentists can make an incalculable difference to the participants and the recipients when charitable dental treatment is offered to underresourced people. The authors studied the holistic benefits of STMs for dentists, identified how STM detractors can be overcome, and provided recruitment recommendations for engaging dentists in STMs. METHODS The authors of this mixed-methods, phenomenological research explored recruitment recommendations for dentists considering dental STMs via evaluating the holistic benefits and the detractors through the integration of the following developmental areas: emotional, intellectual, physical, moral, social, and spiritual. RESULTS Dentist participants revealed a relatively equal distribution of holistic beneficial motivators and encouraged participation in dental STMs. The more diversified detractor responses suggested that STM-experienced dentists were not easily deterred from dental STM participation. CONCLUSIONS Outcomes of quantitative research instruments and qualitative interviews strongly suggested that dentists favored the benefits of dental STMs, almost equivalently, in 6 holistic developmental areas and generally disagreed that the detractors of dental STMs adversely affected their involvement. PRACTICAL IMPLICATIONS The dentists surveyed advocated for dental STMs as a "life-transforming," developmentally holistic experience that brings caring and hope in action to underserved people globally. Detractors of dental STMs can be overcome, and dentists essentially concurred that quality dental STMs could be performed in portable, often austere, situations. Beneficial recruitment recommendations are presented for dentists contemplating STM participation.
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Psychological Resilience of Volunteers in a South African Health Care Context: A Salutogenic Approach and Hermeneutic Phenomenological Inquiry. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17082922. [PMID: 32344504 PMCID: PMC7215793 DOI: 10.3390/ijerph17082922] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/13/2020] [Revised: 03/26/2020] [Accepted: 03/28/2020] [Indexed: 11/25/2022]
Abstract
Volunteering in non-Western countries, such as South Africa, is subject to poor infrastructure, lack of resources, poverty-stricken conditions and often conducted by volunteers from lower socio-economic spheres of society. Sustaining the well-being of volunteers in this context is essential in ensuring their continued capacity to volunteer. To do so, it is important to understand the psychological resilience of these volunteers and the resistance resources they employ to positively adapt to their challenging work-life circumstances. The aim of this qualitative hermeneutic phenomenological study was to explore volunteers’ psychological resilience from a salutogenic perspective. In-depth interviews were conducted with eight volunteers servicing government-run hospitals. Data were analysed through phenomenological hermeneutical analysis. Findings show a characteristic work-life orientation to be at the root of volunteers’ resilience. Their work-life orientation is based on a distinct inner drive, an other-directedness and a “calling” work orientation. It is proposed that this work-life orientation enables volunteers in this study context, to cope with and positively adapt to challenging work-life circumstances and continue volunteering. The elements of their work-life orientation are presented as intrapersonal strength resources fundamental to their psychological resilience. It is suggested that organisations invest in developmental interventions that endorse and promote these intrapersonal strengths.
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Guiney H, Keall M, Machado L. Volunteering in older adulthood is associated with activity engagement and cognitive functioning. AGING NEUROPSYCHOLOGY AND COGNITION 2020; 28:253-269. [PMID: 32223513 DOI: 10.1080/13825585.2020.1743230] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Introduction: Given evidence that activity engagement in older adulthood can have protective effects on the aging brain, we investigated the idea that volunteering in the community, which often encompasses social, cognitive, and physical activity, might benefit cognition. Method: Ninety-one retired 65- to 75-year-olds reported their sociodemographic characteristics, wellbeing, volunteering, and activity engagement. They also completed computerized cognitive tests that tapped specific functions known to decline disproportionately with age. Results: Volunteering at least monthly was associated with better working memory and more social and cognitive activity. Mediation analyses indicated that volunteering was indirectly related to switching performance via cognitive activity. However, the volunteering-working memory association did not depend on activity engagement, leaving the underpinning mechanisms unclear. Conclusions: These findings provide new insight into positive associations between older people's volunteering, activity engagement, and cognitive functioning. However, further work is needed to understand the mechanisms that drive volunteering-cognition links, and to establish causality.
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Affiliation(s)
- Hayley Guiney
- Department of Psychology and Brain Health Research Centre, University of Otago , Dunedin, New Zealand.,Brain Research New Zealand , Auckland, New Zealand
| | - Michael Keall
- Department of Public Health, University of Otago , Wellington, New Zealand
| | - Liana Machado
- Department of Psychology and Brain Health Research Centre, University of Otago , Dunedin, New Zealand.,Brain Research New Zealand , Auckland, New Zealand
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Papa R, Cutuli G, Principi A, Scherer S. Health and Volunteering in Europe: A Longitudinal Study. Res Aging 2019; 41:670-696. [PMID: 30845894 DOI: 10.1177/0164027519834939] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This article examines the relationship between health and volunteering in advanced age in a cross-national comparison. We used longitudinal data from five waves of the Survey of Health, Ageing and Retirement in Europe covering 13 European countries from 2004 to 2015 and employed dynamic random-effects probit models to study the consequences of declining health on voluntary work. Our results confirm that worsening health conditions (i.e., mobility limitations and depression) reduce the likelihood of volunteering, whereas chronic diseases do not. Most interestingly, we found important differences across countries: Worsening health reduces voluntary work participation, especially in contexts characterized by high rates of volunteering. Our findings have implications for policy makers and voluntary organizations that aim to encourage participation: Individual characteristics and contextual aspects must be taken into account, and people with health problems might need specific support through policies, recruitment, and retention even in contexts of overall high levels of volunteering.
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Affiliation(s)
- Roberta Papa
- 1 Centre for Socio-Economic Research on Ageing, IRCCS INRCA, Ancona, Italy
| | - Giorgio Cutuli
- 2 Department of Sociology and Social Research, University of Trento, Trento, Italy
| | - Andrea Principi
- 1 Centre for Socio-Economic Research on Ageing, IRCCS INRCA, Ancona, Italy
| | - Stefani Scherer
- 2 Department of Sociology and Social Research, University of Trento, Trento, Italy
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