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Jiang Z, Chen H, Lu T, Yin F, Ma Y. The Association Between Family Support and Changes in Self-Rated Health Among Chinese Older Adults: How Living Arrangements Moderate the Association? J Am Med Dir Assoc 2024; 25:810-816.e5. [PMID: 38182124 DOI: 10.1016/j.jamda.2023.11.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Revised: 11/27/2023] [Accepted: 11/28/2023] [Indexed: 01/07/2024]
Abstract
OBJECTIVES The study intends to investigate the association between family support and older adult health as well as the interaction between family support and living arrangements on their health. DESIGN Cross-sectional study. SETTING AND PARTICIPANTS Samples included in the final analysis (N = 11,430) come from the 2018 Chinese Longitudinal Healthy Longevity Survey (CLHLS). METHODS Multiple logistic regression analysis was used to analyze the associations between family supports, multiplicative interaction of family supports and living arrangements, and self-rated health change. Subgroup analysis on disabled older adults was supplemented. RESULTS Older adult individuals who received functional support, provided financial support, and had frequent emotional communication with their children in the past year reported better self-rated health. Moreover, having frequent emotional communication with children could bring better self-rated health for the older adults living with spouses and children (ORbetter vs same = 2.765, P < .01) and empty nesters who lived without children (ORbetter vs same = 1.551, P < .05). CONCLUSIONS AND IMPLICATIONS Our findings imply that functional support and emotional support may play an increasingly important role in the health of Chinese older individuals. The interaction between emotional support and 2 living arrangements mentioned above is relevant to better health of older individuals. We advocate for culturally tailored Age-Friendly Communities augmenting the geriatric health care framework. While bolstering social support for seniors, prioritizing fundamental needs is paramount for those with disabilities.
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Affiliation(s)
- Zixuan Jiang
- West China School of Public Health and West China Fourth Hospital, Sichuan University, Chen Du, China
| | - Hongyu Chen
- West China School of Public Health and West China Fourth Hospital, Sichuan University, Chen Du, China
| | - Tianren Lu
- West China School of Public Health and West China Fourth Hospital, Sichuan University, Chen Du, China
| | - Fei Yin
- West China School of Public Health and West China Fourth Hospital, Sichuan University, Chen Du, China
| | - Yue Ma
- West China School of Public Health and West China Fourth Hospital, Sichuan University, Chen Du, China; Institute of Systems Epidemiology, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chen Du, China.
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Gault S, Gnat L, Fletcher PC, Kirst M, MacDonald R, Morton Ninomiya ME. Current and ideal living arrangements and supports for Canadian adults with fetal alcohol spectrum disorder (FASD)-Part I: Perspectives from adults with FASD. Alcohol Clin Exp Res (Hoboken) 2024. [PMID: 38684334 DOI: 10.1111/acer.15336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/05/2024] [Revised: 03/30/2024] [Accepted: 04/09/2024] [Indexed: 05/02/2024]
Abstract
BACKGROUND Adults with fetal alcohol spectrum disorder (FASD) can thrive with lifelong support in daily living activities. Previous research examining living support for adults with FASD has heavily relied on caregiver reports rather than lived experiences, which can undermine opportunities for self-determination. In this study, we examined the perspectives of adults with FASD to better understand: (1) the ways in which they are supported with daily life activities; and (2) their ideal future living arrangements and supports. METHODS This article presents findings from the perspective of adults with FASD as part of a broader project involving both adults with FASD and the caregivers who support them. Interviews were conducted with four Canadian adults with FASD who live in housing with supportive services and seven adults with FASD who live at home with the support of caregivers. Framework analyses, a structured approach to analyzing qualitative data, were used to examine participants' perspectives. RESULTS In addition to providing support for previous findings, participants provided novel information regarding: (1) their daily living supports; (2) positive and negative aspects of their arrangements; and (3) ideal living environments and supports. CONCLUSIONS This study offers insight into participants' perspectives regarding their living support, which is critical to inform housing and aid in self-determination. Areas of support outlined by participants can be used to begin conversations regarding the support required in housing arrangements for adults with FASD.
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Affiliation(s)
- Siann Gault
- Wilfrid Laurier University, Waterloo, Ontario, Canada
| | - Lauren Gnat
- Wilfrid Laurier University, Waterloo, Ontario, Canada
| | | | - Maritt Kirst
- Wilfrid Laurier University, Waterloo, Ontario, Canada
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Gault S, Gnat L, Fletcher PC, Kirst M, O'Neill L, MacDonald R, Ninomiya MEM. Current and ideal living arrangements and supports for Canadian adults with fetal alcohol spectrum disorder: Part II-Perspectives from caregivers. Alcohol Clin Exp Res (Hoboken) 2024. [PMID: 38684339 DOI: 10.1111/acer.15337] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/05/2024] [Revised: 03/30/2024] [Accepted: 04/09/2024] [Indexed: 05/02/2024]
Abstract
BACKGROUND Caregivers supporting adults with fetal alcohol spectrum disorder (FASD) report concerns regarding living arrangements and services for their adult children with FASD. Best practices for living support for adults with FASD are under-researched, and few studies have explored the experiences of caregivers whose children are adults. This study examined the perspectives of caregivers who support adults (18+) with FASD regarding: (1) current ways adults with FASD are supported with daily life activities; and (2) ideal future living arrangements and supports. METHODS This article presents findings from the perspective of caregivers who support adults with FASD, as part of a broader project involving both adults with FASD and caregivers. Semi-structured interviews were conducted with 11 Canadian caregivers who live at home with an adult with FASD (aged 18+). Responses were examined using framework analysis, a structured approach to analyzing qualitative data. RESULTS Caregivers described their experiences and perspectives regarding: (1) current ways adults with FASD are supported in their daily activities; (2) strategies for successful support; (3) ideal future living arrangements and supports; and (4) concerns for the future. Notably, almost every participant raised pressing concerns regarding the future living arrangements for the person they support once they are no longer able to provide care. CONCLUSIONS This study explores caregivers' perspectives regarding living support needed by adults with FASD, which can inform support programs and housing services. Findings demonstrate an urgent need for policy change directed toward developing available, affordable, and appropriate housing for adults with FASD.
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Affiliation(s)
- Siann Gault
- Wilfrid Laurier University, Waterloo, Ontario, Canada
| | - Lauren Gnat
- Wilfrid Laurier University, Waterloo, Ontario, Canada
| | | | - Maritt Kirst
- Wilfrid Laurier University, Waterloo, Ontario, Canada
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Liao GZ, Huang Y, Guan JY, Luo MQ, Huang LY, Feng JY, Zhang YH, Zhang J. Comprehensively evaluating the relationships between marital status and other family factors with cardiovascular disease and long-term overall mortality in the elderly: a study of 48 510 Chinese individuals. Postgrad Med J 2024:qgae053. [PMID: 38598956 DOI: 10.1093/postmj/qgae053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2024] [Revised: 03/14/2024] [Accepted: 03/27/2024] [Indexed: 04/12/2024]
Abstract
BACKGROUND Marital status is associated with cardiovascular disease (CVD) incidence and overall mortality, yet limited research on this topic in elderly individuals is available. Our aim was to comprehensively assess the impact of marital status and other family factors on CVD incidence and long-term mortality among elderly people. METHODS Data from the Chinese Longitudinal Healthy Longevity Survey (2002/2005/2008-2018) for participants aged ≥60 years were analysed. A cross-sectional study initially examined the correlation between spouses, offspring, living arrangements, and CVD using logistic regression. Subsequently, a retrospective cohort study investigated the long-term associations of these factors with overall mortality via Kaplan-Meier and Cox regression analyses. RESULTS The study involved 48 510 subjects (average age: 87 years). The cross-sectional analysis revealed a correlation between living with a spouse and an increased incidence of heart disease (adjusted OR 1.27, 95% CI 1.04-1.55) and cerebrovascular disease/stroke (adjusted OR 1.26, 95% CI 1.11-1.42). According to the retrospective cohort analysis, living with a spouse significantly reduced overall mortality (adjusted HR 0.84, 95% CI 0.80-0.87), irrespective of marital relationship quality. Conversely, living with offspring (adjusted HR 1.12, 95% CI 1.08-1.16), having more children (adjusted Pnonlinearity = 0.427) or cohabitants (adjusted Pnonlinearity < 0.0001) were associated with increased overall mortality. CONCLUSION In the elderly population, being married and living with a spouse were not significantly associated with a decrease in CVD incidence but were associated with a reduction in long-term overall mortality. Living with offspring, having more children, or having a larger family size did not replicate the protective effect but indicated greater overall mortality.
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Affiliation(s)
- Guang-Zhi Liao
- State Key Laboratory of Cardiovascular Disease, Heart Failure Center, National Center for Cardiovascular Diseases, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 10037, China
| | - Yan Huang
- State Key Laboratory of Cardiovascular Disease, Heart Failure Center, National Center for Cardiovascular Diseases, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 10037, China
| | - Jing-Yuan Guan
- State Key Laboratory of Cardiovascular Disease, Heart Failure Center, National Center for Cardiovascular Diseases, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 10037, China
| | - Man-Qing Luo
- State Key Laboratory of Cardiovascular Disease, Heart Failure Center, National Center for Cardiovascular Diseases, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 10037, China
| | - Li-Yan Huang
- State Key Laboratory of Cardiovascular Disease, Heart Failure Center, National Center for Cardiovascular Diseases, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 10037, China
| | - Jia-Yu Feng
- State Key Laboratory of Cardiovascular Disease, Heart Failure Center, National Center for Cardiovascular Diseases, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 10037, China
| | - Yu-Hui Zhang
- State Key Laboratory of Cardiovascular Disease, Heart Failure Center, National Center for Cardiovascular Diseases, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 10037, China
| | - Jian Zhang
- State Key Laboratory of Cardiovascular Disease, Heart Failure Center, National Center for Cardiovascular Diseases, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 10037, China
- Key Laboratory of Clinical Research for Cardiovascular Medications, National Health Committee, Beijing 10037, China
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Ko H, Cho B, Lim KC, Jang SN, Chang SJ, Yi YM, Cho HR, Ryu SI, Noh EY, Park YH. Changes in the health status and health-related quality of life of community-dwelling older adults living alone: one-year follow-up from a cohort study. Front Public Health 2023; 11:1278008. [PMID: 38192567 PMCID: PMC10772141 DOI: 10.3389/fpubh.2023.1278008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2023] [Accepted: 12/06/2023] [Indexed: 01/10/2024] Open
Abstract
Background The percentage of older adults living alone is rapidly increasing, improving the health status and health-related quality of life (HRQoL) in this group is becoming a more significant public health issue. This study aimed to examine the changes in the HRQoL of older South Korean adults living alone and identify the factors that affect their HRQoL. Methods A longitudinal study design was followed. Data were collected at baseline and 1-year follow-up. Participants consisting of 789 older adults living alone in S*City aged>65 years completed a cohort survey regarding health status and HRQoL from August 2018 to August 2019. Trained interviewers conducted face-to-face interviews with the participants using a validated questionnaire (physical health, mental health, social health, and HRQoL). Generalized estimating equations were used to assess the change in health status and the interaction effect of time and gender. Then, a stepwise multiple logistic regression analysis was performed to identify factors related to HRQoL. Results Time differences were observed in the subjective evaluation of health status (SEH), IPAQ scores, frailty, nutritional status, and depression. Gender differences were observed in the SEH, IPAQ, frailty, loneliness, depression, and social support. The interaction between time and gender was observed in the IPAQ and HRQoL. At baseline, SEH, depressive symptoms, gender, frailty, and age were associated with HRQoL. After one year, HRQoL was associated with SEH, frailty, depressive symptoms, cost of living, suicidal thoughts, gender, social support, loneliness, and suicide attempts. Conclusion Our results highlight that HRQoL is associated with physical health, mental health, and social support. Future detailed studies are needed to determine whether governments and communities can prevent depression, loneliness, and suicidal thoughts through psychological support and provide economic support to improve the quality of life of older adults living alone.
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Affiliation(s)
- Hana Ko
- College of Nursing, Gachon University, Incheon, Republic of Korea
| | - Belong Cho
- Department of Family Medicine, College of Medicine, Seoul National University, Seoul, Republic of Korea
| | - Kyung-Choon Lim
- College of Nursing, Sungshin University, Seoul, Republic of Korea
| | - Soong-Nang Jang
- Red Cross College of Nursing, Chung-Ang University, Seoul, Republic of Korea
| | - Sun Ju Chang
- College of Nursing, Seoul National University, Seoul, Republic of Korea
- Institute of Nursing Science College of Nursing, Seoul National University, Seoul, Republic of Korea
| | - Yu Mi Yi
- College of Nursing, Kyungnam College of Information and Technology, Busan, Republic of Korea
| | - Hye Ryung Cho
- College of Nursing, Seoul National University, Seoul, Republic of Korea
| | - So Im Ryu
- Department of Nursing, Changwon National University, Changwon-si, Republic of Korea
| | - Eun-Young Noh
- Department of Nursing, Konkuk University, Chungju, Republic of Korea
| | - Yeon-Hwan Park
- College of Nursing, Seoul National University, Seoul, Republic of Korea
- Institute of Nursing Science College of Nursing, Seoul National University, Seoul, Republic of Korea
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Wang H, Tsuji T, Ide K, Nakagomi A, Ling L, Kondo K. Does eating with others promote happiness among older adults living alone? A 3-year longitudinal study of the Japan gerontological evaluation study. Int J Geriatr Psychiatry 2023; 38:e6033. [PMID: 38038625 DOI: 10.1002/gps.6033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/01/2023] [Accepted: 11/18/2023] [Indexed: 12/02/2023]
Abstract
OBJECTIVE Living a happy life is an essential issue for old adults. However, how eating with others contributes to happiness and whether this association is different by living arrangements or not is unknown. The current study examined the relationship between the frequency of eating with others and happiness among older adults according to their living arrangements using 3-year longitudinal data. METHODS The analyzed sample comprised 18,727 people (10,920 males and 7807 females) with low happiness (0-7 points on score of 0-10 points) from Japan Gerontological Evaluation Study (JAGES) in 2016. Our exposure was the frequency of eating with others: rarely, a few times a year, a few times a month, and a few times a week or more. We performed Modified Poisson Regression to examine the association between the frequency of eating with others and high happiness (8-10 points) in 2019 stratified by living arrangement (living alone/with others). RESULTS A total of 4352 (23.2%) people showed high happiness in 2019. After adjusting for age, sex, marital status, education, household income, social participation, illnesses under treatment, and depressive symptoms in 2016, the cumulative incidence ratio (CIR) for high happiness in 2019 among people living alone was more significant, that is, 1.28 (95% confidence intervals: 0.88-1.87), 1.50 (1.05-2.14), and 1.82 (1.26-2.63), than 1.28 (1.11-1.48), 1.30 (1.12-1.50), and 1.33 (1.16-1.52) among people living with others for those who ate with others a few times a year, a few times a month, and a few times a week or more compared to those who rarely ate with others, respectively. The interaction between the frequency of eating with others and living arrangements was statistically significant. The trend test showed that higher frequency of eating with others was significantly associated with high happiness. CONCLUSIONS Eating with others was associated with improved happiness among older adults, with such an association being stronger among people living alone.
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Affiliation(s)
- Hequn Wang
- Graduate School of Medical and Pharmaceutical Sciences, Chiba University, Chiba, Japan
- Center for Preventive Medical Sciences, Chiba University, Chiba, Japan
| | - Taishi Tsuji
- Center for Preventive Medical Sciences, Chiba University, Chiba, Japan
- Faculty of Health and Sport Sciences, University of Tsukuba, Tokyo, Japan
| | - Kazushige Ide
- Center for Preventive Medical Sciences, Chiba University, Chiba, Japan
- Department of Community General Support, Hasegawa Hospital, Chiba, Japan
| | - Atsushi Nakagomi
- Center for Preventive Medical Sciences, Chiba University, Chiba, Japan
| | - Ling Ling
- Center for Preventive Medical Sciences, Chiba University, Chiba, Japan
| | - Katsunori Kondo
- Center for Preventive Medical Sciences, Chiba University, Chiba, Japan
- Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology, Aichi, Japan
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Cheng KJ, Wilmoth JM. Socioeconomic Determinants of Anticipated and Actual Caregiving for Older Adults in India. Int J Aging Hum Dev 2023; 97:399-424. [PMID: 36503259 DOI: 10.1177/00914150221143998] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/04/2023]
Abstract
This study investigates adult children's informal caregiving for, and living arrangements with, older parents in urban India. We differentiated between anticipated caregiving, for respondents whose parents and parents-in-law do not currently need care, and actual caregiving, for respondents who have at least one parent or parent-in-law with care needs. The results based on the 2011 Osaka University Preference Parameters Study reveal different antecedents of anticipated and actual care. Females have lower odds of anticipated care but there were no gender differences in actual caregiving. Married people have higher odds of anticipating financial assistance, but lower odds of providing actual caregiving. Religiosity is positively related to anticipated care and co-residing but not actual caregiving. Wealth increases the odds of anticipating providing housework as well as anticipated and actual financial assistance, while decreasing the odds of actual care. Given these findings, strengthening public pension and long-term care services is warranted.
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Affiliation(s)
- Kent Jason Cheng
- Department of Social Science, Syracuse University Maxwell School of Citizenship and Public Affairs, Syracuse, NY, USA
| | - Janet M Wilmoth
- Department of Sociology and Aging Studies Institute, Syracuse University Maxwell School of Citizenship and Public Affairs, Syracuse, NY, USA
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Thériault ÉR, Walsh A, MacIntyre P, O'Brien PhD C. Self-efficacy in health among university students: the role of social support and place. J Am Coll Health 2023; 71:2510-2517. [PMID: 34586018 DOI: 10.1080/07448481.2021.1978455] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/22/2019] [Revised: 08/10/2021] [Accepted: 09/05/2021] [Indexed: 06/13/2023]
Abstract
OBJECTIVE The aim of this study was to better understand the role of students' living arrangements (on campus, off campus, with and without their parents) on their health self-efficacy. PARTICIPANTS A sample of undergraduate students (n = 216) were recruited by using word of mouth and visiting classrooms in a small Atlantic Canadian university. METHODS Participants completed a self-report questionnaire measuring health and sleep self-efficacy. Analyses of variance and covariance were used to compare the living arrangements of the students. RESULTS Differences between living arrangements were found. Students living on campus had higher health self-efficacy, particularly on the psychological well-being subscale, followed by those living off campus with their parents. Students living off campus without their parents had the lowest scores. CONCLUSION This study demonstrated that health self-efficacy varies according to students' living situations, thus illustrating the importance of keeping students' living arrangements in mind when designing health and well-being interventions.
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Affiliation(s)
- Éric R Thériault
- Department of Psychology, Cape Breton University, Sydney, Nova Scotia, Canada
| | - Audrey Walsh
- Nursing Department, Cape Breton University, Sydney, Nova Scotia, Canada
| | - Peter MacIntyre
- Department of Psychology, Cape Breton University, Sydney, Nova Scotia, Canada
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Shang Z, Liu Y, Xue D, Zheng Y, Li Y, Zhang B, Dai Y. The role of life satisfaction and living arrangements in the association between chronic disease and depression: a national cross-sectional survey. Front Psychol 2023; 14:1266059. [PMID: 37965656 PMCID: PMC10641446 DOI: 10.3389/fpsyg.2023.1266059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Accepted: 10/12/2023] [Indexed: 11/16/2023] Open
Abstract
Introduction For middle-aged and older people, depression is a frequent and prevalent illness. The purpose of this study was to examine the moderating function of living arrangements in the mediating model as well as the mediating role of life satisfaction in the association between chronic diseases and depressive symptoms. Methods The China Health and Retirement Longitudinal Study (CHARLS) provided the data for this investigation (2018). Respondents were grouped according to depression status to compare the differences between middle-aged and older people with different depression statuses. The moderating effect of living arrangements and the mediating effect of life satisfaction were tested using the Bootstrap program and the simple slope approach. Results The population's total prevalence of depressive symptoms was 30.3%. According to the mediating effect research, middle-aged and older people with chronic diseases experienced substantial direct effects on depressive symptoms (β = 1.011, p < 0.001). It has been established that life satisfaction has an 18.6% mediation effect between depressive symptoms and chronic diseases. Regarding the further moderating influence, it was discovered that chronic diseases had a more significant impact on the life satisfaction of middle-aged and older people who are in live alone than those who are living with others (β = 0.037, p < 0.05). Conclusion In middle-aged and older people, chronic diseases have a major influence on depressive symptoms. Life satisfaction mediated the relationship between chronic diseases and depressive symptoms, and living arrangements moderated the first part of the route in the mediation model. Therefore, life satisfaction and living arrangements should be important considerations to decrease the prevalence of depressive symptoms in middle-aged and older people.
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Affiliation(s)
- Zhao Shang
- School of Health Management, Fujian Medical University, Fuzhou, Fujian, China
| | - Yuqing Liu
- School of Health Management, Fujian Medical University, Fuzhou, Fujian, China
| | - Dongyu Xue
- School of Health Management, Fujian Medical University, Fuzhou, Fujian, China
| | - Yiping Zheng
- School of Health Management, Fujian Medical University, Fuzhou, Fujian, China
| | - Yueping Li
- School of Health Management, Fujian Medical University, Fuzhou, Fujian, China
| | - Baoquan Zhang
- Fujian Provincial Maternity and Children’s Hospital, Fuzhou, Fujian, China
| | - Yue Dai
- School of Health Management, Fujian Medical University, Fuzhou, Fujian, China
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Lee CC, Huang RY, Wu YL, Yeh WC, Chang HC. The Impact of Living Arrangements and Social Capital on the Well-Being of the Elderly. Healthcare (Basel) 2023; 11:2050. [PMID: 37510491 PMCID: PMC10379188 DOI: 10.3390/healthcare11142050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2023] [Revised: 07/03/2023] [Accepted: 07/12/2023] [Indexed: 07/30/2023] Open
Abstract
This study examines the impact of living arrangements and social capital on the subjective well-being of the elderly, as well as the mutual effects and relationships between the well-being and self-rated health status of the elderly. A total of 369 questionnaires were administered, and the effective recovery rate was 98.10%. The results indicate three key findings: (1) the current location for aging in place, social support, social activities, house ownership, and self-rated health status are indispensable factors affecting the well-being of the elderly. The best location for aging in place was the community, where the elderly's sense of well-being was highest-the next best options were aging at home and institutional care. (2) Elderly people with sole ownership of their homes were more likely to have higher levels of well-being than those owning jointly or who were tenants. (3) There was significant interaction between subjective well-being and self-rated health status.
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Affiliation(s)
- Chun-Chang Lee
- Department of Real Estate Management, National Pingtung University, Pingtung City 912301, Taiwan
| | - Ruo-Yu Huang
- Department of Real Estate Management, National Pingtung University, Pingtung City 912301, Taiwan
| | - Yun-Ling Wu
- Department of Real Estate Management, National Pingtung University, Pingtung City 912301, Taiwan
| | - Wen-Chih Yeh
- Department of Real Estate Management, HungKuo Delin University of Technology, New Taipei City 236354, Taiwan
| | - Hung-Chung Chang
- Department of Business Administration, Chihlee University of Technology, New Taipei City 220305, Taiwan
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Chai X, Liu L, Huang G, Tan Y. Exploring Living Arrangements as a Predictor of Canadians' Illicit Drug Use: Quantitative Findings From the Canadian Community Health Survey. Int J Public Health 2023; 68:1605619. [PMID: 37234942 PMCID: PMC10206041 DOI: 10.3389/ijph.2023.1605619] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2022] [Accepted: 04/05/2023] [Indexed: 05/28/2023] Open
Abstract
Objectives: About four percent of Canadians used illegal drugs in 2019, but it remains unknown whether their living arrangements are a relevant factor. Methods: We use the public version of the 2015-2016 Canadian Community Health Survey Annual Component. The binary logit model and complementary log-log model are applied to investigate to what extent living arrangements predict Canadians' recent illicit drug use. Results: Living alone is significantly associated with Canadians' illicit drug use. For young and older Canadians, those living with spouses/partners, children, or both are less likely to use illicit drugs than their solo-living counterparts. Middle-aged Canadians who lived with spouses/partners only or with children have significantly lower likelihoods of using illicit drugs compared to those living alone. Additionally, differences between men and women have been found. Spouses/partners and children play more positive roles for young and middle-aged women than for men. Conclusion: Our findings suggest that living with core families is a type of collectivity that may have positive effects on Canadians' health behaviours compared to those living alone, who, therefore, need more attention from health officials.
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Affiliation(s)
- Xiangnan Chai
- Department of Sociology, School of Social and Behavioral Sciences, Nanjing University, Nanjing, China
| | - Liu Liu
- Department of Social Work and Social Policy, School of Social and Behavioral Sciences, Nanjing University, Nanjing, China
| | - Guangli Huang
- Department of Social Work and Social Policy, School of Social and Behavioral Sciences, Nanjing University, Nanjing, China
| | - Yongzhen Tan
- Department of Social Work and Social Policy, School of Social and Behavioral Sciences, Nanjing University, Nanjing, China
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Peng C, Burr JA, Han SH. Cognitive function and cognitive decline among older rural Chinese adults: the roles of social support, pension benefits, and medical insurance. Aging Ment Health 2023; 27:771-779. [PMID: 35702759 PMCID: PMC10460523 DOI: 10.1080/13607863.2022.2088693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Accepted: 06/07/2022] [Indexed: 01/10/2023]
Abstract
OBJECTIVES This study investigated whether social support, pension benefits, and medical insurance coverage are related to cognitive function and decline among older rural Chinese adults and whether depressive symptoms represented a pathway linking these factors with cognitive function. METHODS Data are taken from three waves of the China Health and Retirement Longitudinal Study (N = 5,135). Cognitive function is assessed with episodic memory and depressive symptoms are assessed with the 10-item CESD Scale. Social support (intergenerational financial transfers, weekly contact with children, perceived availability of future support, and living arrangements), pension benefits, and medical insurance coverage are self-reported measures. Multilevel linear regression models are employed. RESULTS Intergenerational financial transfers, perceived availability of future support, and pension income are associated with higher levels of cognitive function. Living with others, perceived availability of future support, medical insurance coverage, and pension income are associated with a slower risk of cognitive decline. Depressive symptoms mediated the association between perceived availability of future support, living with others, pension income and level of cognitive function and the link between perceived availability of future support, pension income, and cognitive decline. CONCLUSION The findings suggested these modifiable factors should be taken into account when screening older adults for possible cognitive impairment and decline. Early interventions may also be helpful by expanding social resources and reducing psychological distress.
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Affiliation(s)
- Changmin Peng
- Department of Gerontology, McCormack Graduate School of Policy and Global Studies, University of Massachusetts Boston, Boston, MA, USA
| | - Jeffrey A. Burr
- Department of Gerontology, McCormack Graduate School of Policy and Global Studies, University of Massachusetts Boston, Boston, MA, USA
| | - Sae Hwang Han
- Department of Human Development and Family Sciences, School of Human Ecology, University of Texas at Austin, Austin, TX, USA
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13
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Suzuki R, Tsubota-Utsugi M, Sasaki R, Shimoda H, Fujino Y, Ikaga T, Kano T, Sakata K. [Environmental risks to housing and living arrangements among older survivors of the Great East Japan Earthquake and their relationships with housing type: The RIAS Study]. Nihon Koshu Eisei Zasshi 2023; 70:99-111. [PMID: 36310063 DOI: 10.11236/jph.21-146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 03/03/2023]
Abstract
Objective Over the course of their lives, people spend most of their time in the home environment. The Community-based Integrated Care System 2018 by the Ministry of Health, Labour and Welfare in Japan declared the importance of "housing" and "living arrangements" as essential elements to enable older adults to live independently and to protect their privacy and dignity in their communities. The present study aims to clarify the relationship between current housing type and "housing" and "living arrangements" among older survivors of the Great East Japan Earthquake (GEJE).Methods We used data obtained from 3,856 participants, aged 65 years or older, in the Research project for prospective Investigation of health problems Among Survivors of the GEJE (RIAS). Housing types were categorized as follows: "same housing," "temporary housing," "disaster public housing," "new housing" (in a different area), and "others." Healthy housing scores were calculated using a housing health checklist from the Nationwide Smart Wellness Housing Survey in Japan. "Living arrangements" were assessed based on residential status, social network, and social capital. To determine the risks associated with each "housing" and "living arrangement" category, we used multivariate logistic and linear regression models.Results The number of participants in each housing type was as follows: 2,531 in "same housing," 146 in "temporary housing," 234 in "disaster public housing," 844 in "new housing," and 101 in "others." Compared with those living in "same housing," those living in "disaster public housing," "new housing," and "others" had a significantly higher healthy housing score, whereas those living in "temporary housing" had a lower score. However, with regards to "living arrangements," the number of residents who were living alone was significantly higher among those in "disaster public housing," and those living in "disaster public housing" as well as "new housing" had low social capital compared with those living in "same housing." The likelihood of having a poor social network was substantially higher for those living in "disaster public housing." Sub-scale analyses indicated that "disaster public housing" was associated with less family support, whereas "new housing" was associated with less support from friends.Conclusion The present results indicate that older survivors-regardless of whether they live in the existing community-find it challenging to establish new social capital and social networks in a new location without the presence of "someone" they knew before the disaster.
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Affiliation(s)
- Ruriko Suzuki
- Faculty of Nursing, Graduate School of Nursing Sciences, Iwate University of Health and Medical Sciences.,Faculty of Social Welfare, Iwate Prefecture University
| | - Megumi Tsubota-Utsugi
- Department of Hygiene and Preventive Medicine, Iwate Medical University School of Medicine
| | - Ryohei Sasaki
- Department of Human Sciences, Center for Liberal Arts and Sciences, Iwate Medical University
| | - Haruki Shimoda
- Department of Hygiene and Preventive Medicine, Iwate Medical University School of Medicine
| | - Yoshihisa Fujino
- Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan
| | - Toshiharu Ikaga
- Department of System Design Engineering, Faculty of Science and Technology, Keio University
| | - Toru Kano
- Faculty of Social Welfare, Iwate Prefecture University
| | - Kiyomi Sakata
- Department of Hygiene and Preventive Medicine, Iwate Medical University School of Medicine
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14
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Hou X, Xiong Y, Qiao G, Zhou J. Association between caring for grandchildren based on living arrangements and cognitive function among Chinese middle-aged and older adults: The mediating roles of social activities and depressive symptoms. Front Public Health 2023; 11:1105066. [PMID: 36866086 PMCID: PMC9971921 DOI: 10.3389/fpubh.2023.1105066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Accepted: 01/16/2023] [Indexed: 02/16/2023] Open
Abstract
Introduction In the context of an aging population and age-related conditions increasing, the increasing number of middle-aged and older adults are involved in grandchildren care. This study aimed to 1) explore the association between caring for grandchildren based on living arrangements and cognitive function among Chinese middle-aged and older adults; and 2) investigate the mediating roles of social activities and depressive symptoms in the aforementioned association. Methods This study selected 5490 Chinese people (≥45 years old) from the 2018 China Health and Retirement Longitudinal Study (CHARLS). Participants answered questions related to socio-demographics, the Mini-mental State Examination, the intensity of grandchildren care, the Center for Epidemiological Studies Depression Scale, and social activity. Results The results showed that caring for grandchildren and cohabiting with a spouse was positively associated with cognitive function among Chinese middle-aged and older adults (B = 0.829, p < 0.001). Furthermore, there was a positive association between providing intensive or no-intensive grandchildren care and cognitive function. In contrast, caring for grandchildren but not cohabiting with a spouse was negatively associated with cognitive function (B = -0.545, p < 0.05). Moreover, directly and indirectly, caring for grandchildren was significantly associated with cognitive function among Chinese middle-aged and older adults, as mediated by social activities and depressive symptoms. Discussion The findings emphasize that living arrangements, social engagement, and psychological health could be considered when encouraging grandparent care as formal care.
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Affiliation(s)
- Xuebei Hou
- 1School of Nursing, Hubei University of Chinese Medicine, Wuhan, China
| | - Yuan Xiong
- 2Department of Tuina and Rehabilitation Medicine, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, China,3Department of Tuina and Rehabilitation Medicine, Affiliated Hospital of Hubei University of Chinese Medicine, Wuhan, China,4Department of Tuina and Rehabilitation Medicine, Hubei Institute of Traditional Chinese Medicine, Wuhan, China
| | - Guiyuan Qiao
- 1School of Nursing, Hubei University of Chinese Medicine, Wuhan, China,*Correspondence: Guiyuan Qiao ✉
| | - Jing Zhou
- 2Department of Tuina and Rehabilitation Medicine, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, China,3Department of Tuina and Rehabilitation Medicine, Affiliated Hospital of Hubei University of Chinese Medicine, Wuhan, China,4Department of Tuina and Rehabilitation Medicine, Hubei Institute of Traditional Chinese Medicine, Wuhan, China,5First Clinical Medical College, Hubei University of Chinese Medicine, Wuhan, China,Jing Zhou ✉
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15
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Choi Y, Pauly T, Zambrano Garza E, Broen T, Gerstorf D, Hoppmann CA. Having time to oneself in times of extended togetherness: Solitude experiences during the COVID-19 pandemic. Appl Psychol Health Well Being 2023; 15:217-237. [PMID: 36135342 DOI: 10.1111/aphw.12401] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Accepted: 09/07/2022] [Indexed: 01/09/2023]
Abstract
This study investigated how time to oneself (solitude) is experienced under conditions of extended togetherness with household members during the pandemic. Both structural (living arrangements) and qualitative characteristics (relationship quality and conflict) were examined for their association with solitude desire and daily solitude-affect links. We expected that people living with others and those with more high-quality as well as those with more conflictual relationships would report better affect quality when experiencing solitude. A Canadian adult lifespan sample (N = 141; Mage = 38.43 years, SDage = 17.51; 81% female; 73% White; data collected from April to August 2020) provided information on household size and relationship characteristics and completed repeated daily life assessments of solitude desire, solitude, and affect. Findings show that living arrangements were not associated with an increased desire for solitude or better affect quality from solitude. Individuals reporting higher relationship quality and individuals reporting more conflict showed more favorable affect quality on days when they had time in solitude than individuals reporting lower quality relationships and lower conflict. Findings add to the growing solitude literature by delineating who seeks and benefits from solitude, and under what conditions.
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Affiliation(s)
- Yoonseok Choi
- Department of Psychology, The University of British Columbia, Vancouver, British Columbia, Canada
| | - Theresa Pauly
- Department of Psychology, University of Zurich, Zurich, Switzerland
| | - Elizabeth Zambrano Garza
- Department of Psychology, The University of British Columbia, Vancouver, British Columbia, Canada
| | - Tiana Broen
- Department of Psychology, The University of British Columbia, Vancouver, British Columbia, Canada
| | - Denis Gerstorf
- Department of Psychology, Humboldt University, Berlin, Germany
| | - Christiane A Hoppmann
- Department of Psychology, The University of British Columbia, Vancouver, British Columbia, Canada.,Centre for Hip Health and Mobility, The University of British Columbia, Vancouver, British Columbia, Canada
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16
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Cohn-Schwartz E, Joshi R, McClure LA. The Associations of Loneliness and Social Support with Cognitive Impairment among Middle-Aged and Older Individuals with Diabetes. Int J Environ Res Public Health 2023; 20:1885. [PMID: 36767249 PMCID: PMC9914689 DOI: 10.3390/ijerph20031885] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/18/2022] [Revised: 01/13/2023] [Accepted: 01/14/2023] [Indexed: 06/18/2023]
Abstract
Diabetes mellitus is a chronic disease with significant morbidity and mortality and it is associated with poor cognitive performance in later life. This study seeks to determine the relationship between social support and cognitive function among participants with type 2 diabetes mellitus (T2DM). We used data from the Reasons for Geographic and Racial Differences in Stroke (REGARDS) study, including participants with T2DM aged 45 and older (n = 4821). We examined different aspects of perceived social support, measured as structural social support (e.g., marital status), functional social support (having a caregiver in case of sickness or disability), and loneliness. We examined cognitive functioning using a six-item screener. Our results indicate that adults who felt lonely for 5-7 days per week had almost double the odds of cognitive impairment compared to those who didn't feel lonely. These results suggest that among middle-aged and older individuals with T2DM, interventions targeting lonely adults and which aim to reduce loneliness may combat some of the risks of cognitive decline.
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Affiliation(s)
- Ella Cohn-Schwartz
- Department of Epidemiology, Biostatistics, and Community Health Sciences, Faculty of Health Sciences, Ben-Gurion University, Beer-Sheva 8410501, Israel
| | - Rennie Joshi
- Department of Epidemiology and Biostatistics, Drexel University Dornsife School of Public Health, Philadelphia, PA 19104, USA
| | - Leslie A. McClure
- Department of Epidemiology and Biostatistics, Drexel University Dornsife School of Public Health, Philadelphia, PA 19104, USA
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17
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Kure Pollstergaard K, Wiingreen R, Gregersen R, Mathiasen R, Mølholm Hansen B, Greisen G. Socioeconomic outcomes beyond 30 years of age in a cohort born with very low birth weight. Acta Paediatr 2023; 112:78-84. [PMID: 36176205 PMCID: PMC10091976 DOI: 10.1111/apa.16557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/23/2022] [Revised: 09/26/2022] [Accepted: 09/27/2022] [Indexed: 12/13/2022]
Abstract
AIM As survival of infants born prematurely has increased dramatically, questions on long-term consequences have emerged. Our aim was to investigate long-term effects of very low birth weight on socioeconomic outcomes. METHODS One hundred and fifty very low birth weight infants (VLBW) born from 1980 to 1982 at Rigshospitalet, Denmark, who had previously been followed up at age 2, 4 and 18 years, were compared to cohorts of low birth weight, normal birth weight (NBW) and a national population-based reference cohort. From the Danish national registers we obtained data regarding educational level, financial independence and living arrangements. In addition, we used the previously published results from the three cohorts. RESULTS The VLBW cohort had lower intelligence quotient and higher risk of significant school difficulties evaluated at age 4 and 18 years. When compared to the NBW cohort, at 30-36 years of age the VLBW cohort tended to have lower educational level, OR 1.7, 95% CI 0.8-3.9, were not financially independent OR 1.5, 95% CI 0.6-3.7, lived alone OR 2.0, 95% CI 1.0-3.8 and had higher rates of the combination of all three outcomes, OR 3.2, 95% CI 0.7-15.8. CONCLUSIONS We found trends towards poor socioeconomic outcomes in young adults born with VLBW. The relative disadvantages appeared smaller than that in childhood.
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Affiliation(s)
- Katrine Kure Pollstergaard
- Department of Neonatology, Juliane Marie Center, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark
| | - Rikke Wiingreen
- Department of Neonatology, Juliane Marie Center, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.,Department of Paediatrics and Adolescent Medicine, Copenhagen University Hospital, Hilleroed, Denmark
| | - Rasmus Gregersen
- Department of Neonatology, Juliane Marie Center, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark
| | - Rene Mathiasen
- Department of Pediatrics and Adolescent Medicine, Juliane Marie Center, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark
| | - Bo Mølholm Hansen
- Department of Paediatrics and Adolescent Medicine, Copenhagen University Hospital, Hilleroed, Denmark
| | - Gorm Greisen
- Department of Neonatology, Juliane Marie Center, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark
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18
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Yang H, Xu L, Qin W, Hu F, Li L, Chen C, Tang W. Gender differences in the modifying effect of living arrangements on the association of sleep quality with cognitive function among community-dwelling older adults: a cross-sectional study. Front Public Health 2023; 11:1142362. [PMID: 37213633 PMCID: PMC10196399 DOI: 10.3389/fpubh.2023.1142362] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Accepted: 03/28/2023] [Indexed: 05/23/2023] Open
Abstract
Background Sleep quality is considered to be associated with cognitive function for older adults, but little is known about whether living with others can buffer mild cognitive impairment in older adults with poor sleep quality. The objective of this study was to examine the role of living arrangements in sleep quality and cognitive function among older adults aged 65 and over. Methods 2,859 older adults over 65 years old were selected by using multi-stage stratified sampling method. Cognitive function and sleep quality were measured using Mini-Mental State Examination (MMSE) and Pittsburgh Sleep Quality Index (PSQI). Binary logistic regression was performed to examine the relationship between sleep quality and mild cognitive impairment, and the interaction effects of sleep quality and living arrangements on mild cognitive impairment stratified by gender. Results Poor sleep quality was associated with mild cognitive impairment among men and women regardless of living arrangements. The significantly protective role of living with others in reducing the incidence of mild cognitive impairment was found in men with poor sleep quality, but not in women. Conclusion Targeted support for older adults with poor sleep quality may be effective in preventing mild cognitive impairment, and gender differences should be taken into account when promoting cohabitations.
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Affiliation(s)
- Haifeng Yang
- Center for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China
- NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, Shandong, China
- Center for Health Economics Experiment and Public Policy Research, Shandong University, Jinan, Shandong, China
| | - Lingzhong Xu
- Center for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China
- NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, Shandong, China
- Center for Health Economics Experiment and Public Policy Research, Shandong University, Jinan, Shandong, China
- *Correspondence: Lingzhong Xu,
| | - Wenzhe Qin
- Center for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China
- NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, Shandong, China
- Center for Health Economics Experiment and Public Policy Research, Shandong University, Jinan, Shandong, China
| | - Fangfang Hu
- Center for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China
- NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, Shandong, China
- Center for Health Economics Experiment and Public Policy Research, Shandong University, Jinan, Shandong, China
| | - Lei Li
- Center for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China
- NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, Shandong, China
- Center for Health Economics Experiment and Public Policy Research, Shandong University, Jinan, Shandong, China
| | - Chenhui Chen
- Center for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China
- NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, Shandong, China
- Center for Health Economics Experiment and Public Policy Research, Shandong University, Jinan, Shandong, China
| | - Wenlong Tang
- Center for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China
- NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, Shandong, China
- Center for Health Economics Experiment and Public Policy Research, Shandong University, Jinan, Shandong, China
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19
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Thonglor R, Nakamura K, Seino K. Sociodemographic characteristics and functional health among Thai older adults in skipped generation households. Health Soc Care Community 2022; 30:e5213-e5222. [PMID: 35894153 DOI: 10.1111/hsc.13940] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/06/2021] [Revised: 05/14/2022] [Accepted: 07/04/2022] [Indexed: 06/15/2023]
Abstract
A substantial number of skipped generation households (SGHHs), where grandparents live with grandchildren in the absence of the middle generation, is observed in Thailand. The functional health (FH) of older adults with SGHHs is a concern because many of them take care of their grandchildren. While some studies have indicated the socioeconomic vulnerabilities of SGHHs, a social value on intergenerational exchange is considered favourable to SGHHs. This study examined the FH of older adults in SGHHs in comparison with those in other living arrangements, after adjusting for sociodemographic variables based on a population-based survey in Thailand. A total of 41,752 adults aged ≥60 years were selected for the analysis from the 2017 Survey of Older Persons in Thailand (SOPT). The living arrangements considered were SGHHs, living alone, living with a spouse only and co-residing with children with or without grandchildren. The FH was evaluated based on basic activities of daily living (ADL), functional ability and instrumental ADL, and analysed according to living arrangements using multiple regression analysis. The proportion of older adults in SGHHs in Thailand was 8.9%. Among them, 72.9% were in rural areas, 88.7% did not attain primary education and 53.9% were in two poorer quintiles of wealth status. After adjustment for sociodemographic variables, the FH of older adults in SGHHs was significantly higher than that of those co-residing with children with or without grandchildren, but significantly lower than that of those living alone or with a spouse only. The study highlighted that despite better FH than those who co-reside with children, sociodemographic characteristics of older adults in SGHHs seem to be at a disadvantage. Attention should be paid to social services to help families in SGHHs.
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Affiliation(s)
- Romnalin Thonglor
- Department of Global Health Entrepreneurship, Tokyo Medical and Dental University, Tokyo, Japan
- Faculty of Public Health, Naresuan University, Phitsanulok, Thailand
| | - Keiko Nakamura
- Department of Global Health Entrepreneurship, Tokyo Medical and Dental University, Tokyo, Japan
- WHO Collaborating Centre for Healthy Cities and Urban Policy Research, Tokyo, Japan
| | - Kaoruko Seino
- Department of Global Health Entrepreneurship, Tokyo Medical and Dental University, Tokyo, Japan
- WHO Collaborating Centre for Healthy Cities and Urban Policy Research, Tokyo, Japan
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20
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Chen WL. Living arrangements and health-related lifestyle among Taiwanese college students. J Am Coll Health 2022; 70:1981-1989. [PMID: 33175644 DOI: 10.1080/07448481.2020.1841770] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/06/2020] [Revised: 08/20/2020] [Accepted: 10/18/2020] [Indexed: 06/11/2023]
Abstract
ObjectiveThis study differentiated various living arrangements (ie living with two biological parents, living with one biological parent, living with friends, living in a dorm, and other) and examined its relationship with health-related lifestyles as well as the moderating role of gender differences. Methods: This study used data from the Taiwan Youth Project, a large-scale, longitudinal survey of Taiwanese youths. The data of 2313 sophomore college students who provided full information were analyzed. Regressions were used to examine the association between living arrangements and cigarette smoking, alcohol use, drug use, and physical exercise. Results: Compared to students living with two parents, students living with one parent reported a higher frequency of current cigarette smoking and alcohol use, and students living with friends/alone reported a higher frequency of current alcohol use. The associations between living arrangements and health-related lifestyle, including cigarette smoking, alcohol use, and exercise, varied by gender among college students. Conclusions: Both living in a dorm and living with two biological parents increase healthy lifestyles among Taiwanese college students.
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Affiliation(s)
- Wei-Lin Chen
- Center for Teacher Education, National Sun Yat-sen University, Kaohsiung, Taiwan
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21
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Preetz R, Greifenberg J, Hülsemann J, Filser A. Moving Back to the Parental Home in Times of COVID-19: Consequences for Students' Life Satisfaction. Int J Environ Res Public Health 2022; 19:ijerph191710659. [PMID: 36078374 PMCID: PMC9518347 DOI: 10.3390/ijerph191710659] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Revised: 08/23/2022] [Accepted: 08/24/2022] [Indexed: 06/01/2023]
Abstract
Residential independence from parents is a key marker for young adults' transition to adulthood. Losing this independence by returning to the parental home marks a regression of adult development with negative implications for returnees' subjective wellbeing. This paper investigates how a return to the parental home during the COVID-19 pandemic affects the life satisfaction of university students. We used nationwide survey data from German university students (N = 913) to analyze differences in life satisfaction for those who did or did not return to their parental homes. Our results revealed two main findings. First, university students who moved back to their parental home reported significantly lower life satisfaction than those who remained living independently. Second, the association between moving back and life satisfaction varied by age. A return to the parental home was more detrimental to older students' life satisfaction, while students aged 24 or younger did not experience a significant decrease when moving back to the parental home. We discuss the implications of our findings in the context of young adults' subjective wellbeing during the COVID-19 pandemic.
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Affiliation(s)
- Richard Preetz
- SOCIUM Research Center on Inequality and Social Policy, University of Bremen, 28359 Bremen, Germany
| | - Julius Greifenberg
- Institute for Social Sciences, University of Oldenburg, 26129 Oldenburg, Germany
| | - Julika Hülsemann
- Institute for Social Sciences, University of Oldenburg, 26129 Oldenburg, Germany
| | - Andreas Filser
- Research Data Centre (FDZ), Institute for Employment Research, 90478 Nuremberg, Germany
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22
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Ang S, Suen J. Receiving Social Support From Diverse Helpers: Associations With Quality of Life. Res Aging 2022; 45:399-409. [PMID: 35961019 DOI: 10.1177/01640275221120919] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
More older adults now live in non-family-based households, even as the provision of support to older adults within the domestic setting becomes more salient. This study examines the determinants of having non-immediate family or non-coresident helpers in older adults' received social support networks, and its associations with quality of life. Data were from a nationally representative study of Singaporeans aged 60 and above (N = 2248) who did not live alone. Findings show that those who received help solely from persons other than their spouse or child report a lower quality of life compared to other kinds of networks. However, those who had more non-coresident helpers than co-resident helpers experienced a higher quality of life compared to those who relied mainly on co-resident helpers. We suggest that policymakers should consider supporting a wider range of informal social support arrangements and providers, as networks of received social support become increasingly diverse.
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Affiliation(s)
- Shannon Ang
- Sociology, School of Social Sciences, Nanyang Technological University, Singapore
| | - Johan Suen
- Department of Sociology and Anthropology, Faculty of Arts and Social Sciences, National University of Singapore, Singapore
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23
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Ho KHM, Cheung DSK, Lee PH, Lam SC, Kwan RYC. Co-living with migrant domestic workers is associated with a lower level of loneliness among community-dwelling older adults: A cross-sectional study. Health Soc Care Community 2022; 30:e1123-e1133. [PMID: 34288198 DOI: 10.1111/hsc.13520] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/06/2021] [Revised: 06/02/2021] [Accepted: 07/07/2021] [Indexed: 06/13/2023]
Abstract
Loneliness (inclusive social loneliness and emotional loneliness) of older adults is a prominent public health issue internationally. Factors consistently associated with loneliness are age, gender, education, living arrangements, social network, and functional status. Intergenerational co-living with spouse and adult children is important for the exchange of social, emotional, practical, and financial support provided to older adults. Co-living with migrant domestic workers (MDWs) to care for older adults became an emergent phenomenon internationally, particularly in Asian countries. According to the convoy model of social relations, the effect of co-living with MDWs on older adults' loneliness is unknown. This study examined (1) the prevalence of loneliness among community-dwelling older adults; and (2) the association between co-living with MDWs and older adult loneliness. Using the Chinese version of the 6-item De Jong Gierveld Loneliness Scale on loneliness, 380 older adults were interviewed at busy points in Hong Kong, including subway stations. 35.3% of older adults experienced moderate-to-severe loneliness. Linear regression was performed to examine the association between co-living with MDWs and loneliness. The results showed that co-living with MDWs was significantly associated with lower levels of overall loneliness (β = -0.636; p = .022) and emotional loneliness (β = -0.298, p = .039), but not for social loneliness (β = -0.337, p = .084). While MDWs could be an attachment figure for older adults, they might not be effective in promoting the social integration of older adults. There is a need to investigate the barriers of social integration faced by older adults co-living with MDWs.
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Affiliation(s)
- Ken Hok Man Ho
- The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, Hong Kong
| | | | - Paul Hong Lee
- Department of Health Sciences, University of Leicester, Leicester, UK
| | - Simon Ching Lam
- School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Hong Kong
| | - Rick Yiu Cho Kwan
- School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Hong Kong
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Stancliffe RJ, Pettingell SL, Bershadsky J, Houseworth J, Tichá R. Community participation and staying home if you want: US adults with intellectual and developmental disabilities. J Appl Res Intellect Disabil 2022; 35:1199-1207. [PMID: 35661357 PMCID: PMC9545744 DOI: 10.1111/jar.13014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Revised: 04/25/2022] [Accepted: 05/01/2022] [Indexed: 11/30/2022]
Abstract
BACKGROUND Requiring adults with intellectual and developmental disabilities to go on community outings with co-residents and staff is contrary to community-living policy's focus on person centredness and choice of activities/companions. METHOD We analysed 2018-19 National Core Indicators data from 36 US states concerning 7968 adults living in staffed, non-family, multi-client settings. The focus outcome was being able to stay home if you want when others in your home go out. RESULTS The 42.0% of participants who could stay home were more likely to go out with friends, family or alone, and less likely to go out with staff. Those who could stay home participated in a similar variety of community activities and went out more often to shop or for errands. CONCLUSIONS Individuals who could stay home likely had more choice about where, when and with whom they went out. Strategies for greater person-centredness are proposed.
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Affiliation(s)
- Roger J Stancliffe
- Institute on Community Integration, University of Minnesota, Minneapolis, USA
| | - Sandra L Pettingell
- Institute on Community Integration, University of Minnesota, Minneapolis, USA
| | - Julie Bershadsky
- Institute on Community Integration, University of Minnesota, Minneapolis, USA
| | - James Houseworth
- Institute on Community Integration, University of Minnesota, Minneapolis, USA
| | - Renáta Tichá
- Institute on Community Integration, University of Minnesota, Minneapolis, USA
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Portacolone E, Torres JM, Johnson JK, Benton D, Rapp T, Tran T, Martinez P, Graham C. The Living Alone with Cognitive Impairment Project's Policy Advisory Group on Long-Term Services and Supports: Setting a Research Equity Agenda. Int J Environ Res Public Health 2022; 19:6021. [PMID: 35627558 PMCID: PMC9141001 DOI: 10.3390/ijerph19106021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/15/2022] [Revised: 05/06/2022] [Accepted: 05/06/2022] [Indexed: 12/17/2022]
Abstract
(1) Background: A United States national policy advisory group (PAG) was convened to identify barriers and facilitators to expand formal long-term services and support (LTSS) for people living alone with cognitive impairment (PLACI), with a focus on equitable access among diverse older adults. The PAG's insights will inform the research activities of the Living Alone with Cognitive Impairment Project, which is aimed at ensuring the equitable treatment of PLACI. (2) Methods: The PAG identified barriers and facilitators of providing effective and culturally relevant LTSS to PLACI via one-on-one meetings with researchers, followed by professionally facilitated discussions among themselves. (3) Results: The PAG identified three factors that were relevant to providing effective and culturally relevant LTSS to PLACI: (i) better characterization of PLACI, (ii) leveraging the diagnosis of cognitive impairment, and (iii) expanding and enhancing services. For each factor, the PAG identified barriers and facilitators, as well as directions for future research. (4) Conclusions: The barriers and facilitators the PAG identified inform an equity research agenda that will help inform policy change.
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Affiliation(s)
- Elena Portacolone
- Institute for Health & Aging, University of California, San Francisco, CA 94158, USA; (J.K.J.); (T.T.); (P.M.); (C.G.)
- Philip Lee Institute for Health Policy Studies, University of California, San Francisco, CA 94158, USA
| | - Jacqueline M. Torres
- Department of Epidemiology and Biostatistics, University of California, San Francisco, CA 94158, USA;
| | - Julene K. Johnson
- Institute for Health & Aging, University of California, San Francisco, CA 94158, USA; (J.K.J.); (T.T.); (P.M.); (C.G.)
| | - Donna Benton
- Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA 90089, USA;
| | - Thomas Rapp
- LIRAES, Université Paris Cité, 75006 Paris, France;
- Sciences Po Paris, LIEPP, 75006 Paris, France
| | - Thi Tran
- Institute for Health & Aging, University of California, San Francisco, CA 94158, USA; (J.K.J.); (T.T.); (P.M.); (C.G.)
| | - Paula Martinez
- Institute for Health & Aging, University of California, San Francisco, CA 94158, USA; (J.K.J.); (T.T.); (P.M.); (C.G.)
| | - Carrie Graham
- Institute for Health & Aging, University of California, San Francisco, CA 94158, USA; (J.K.J.); (T.T.); (P.M.); (C.G.)
- Center for Health Care Strategies, Hamilton, NJ 08619, USA
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Kim J, Lee YS, Kim TH. Effect of Number of Household Members on Falls among Disabled Older People. Int J Environ Res Public Health 2022; 19:5888. [PMID: 35627426 DOI: 10.3390/ijerph19105888] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Revised: 04/27/2022] [Accepted: 04/27/2022] [Indexed: 02/01/2023]
Abstract
Objectives: To investigate the effect of the number of cohabitating household members on falls among an disabled aging Korean population. Methods: We used data from the first to the fourth waves of the Korea Longitudinal Study of Aging. Using the first wave at baseline, data included 1414 individuals aged 45 years and older who needed assistance for performance of activities of daily living (ADL) or instrumental activities of daily living (IADL). We classified falls as overall falls, falls requiring medical treatment, and hip fractures caused by falls. The number of cohabitating family members was classified as none (living alone), one, two, or more. A generalized estimating equation with logit link was used to examine the association between the number of cohabitating household members with overall falls and injuries caused by falls. Results: Compared to living with two or more household members, living alone was associated with higher odds of overall falls, falls needing medical treatment, and hip fractures caused by falls (odds ratio (OR) 2.13, 95% confidence interval [CI] 1.36–3.34; OR 2.13, 95% CI 1.28–3.53; OR 1.93, 95% CI 1.01–3.69, respectively). These associations were particularly strong in individuals with cognitive decline. Conclusions Living alone is associated with higher odds of overall falls, falls needing medical treatment, and hip fractures caused by falls, particularly for those with cognitive decline. Conclusions: Intervention programs to prevent falls in disabled, aging adults, especially those living alone and those with declined cognitive function, need to provide home care services and promote the use of safety equipment.
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Forster BL, Reuter PR. Do college students' living arrangements affect their health behaviors and academic performance? J Am Coll Health 2022:1-7. [PMID: 35471933 DOI: 10.1080/07448481.2022.2066978] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Revised: 03/13/2022] [Accepted: 04/10/2022] [Indexed: 06/14/2023]
Abstract
Objective: To assess how living arrangements influence lifestyle habits and behaviors that impact the health and academic achievement of students. Participants: 876 undergraduate students at a university in Florida. Methods: Students in all colleges were invited to participate in an anonymous survey. The survey was comprised of questions based on living arrangements, grade point average (GPA), anthropometric measures, as well as health behaviors. Data analysis was performed employing least squares regression and Wilcoxon and Kruskal-Wallis Rank Sums Test tests. Results: Different living arrangements were related to different health behaviors, but not one arrangement was associated with unhealthy or healthy habits only. Overall, there was no significant association between students' living arrangement, body-mass index (body mass index), and self-reported GPA. Conclusion: While university students' living arrangements are associated with differences in health behaviors and habits, these differences have no significant impact on students' average BMI or GPA.
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Affiliation(s)
- Bridget L Forster
- Department of Rehabilitation Sciences, Marieb College of Health & Human Services, Florida Gulf Coast University, Fort Myers, Florida, USA
| | - Peter R Reuter
- Department of Rehabilitation Sciences, Marieb College of Health & Human Services, Florida Gulf Coast University, Fort Myers, Florida, USA
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Cheung ESL, Mui AC. Do Home and Community Environments Explain Self-Rated Health Among Older Canadians? Evidence From the 2018 Canadian Housing Survey. HERD 2022; 15:112-125. [PMID: 35272519 DOI: 10.1177/19375867221085603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
OBJECTIVES This study examined the associations between home and community environmental factors and self-rated health (SRH) among older Canadians and how these associations vary by gender and living arrangements. Background: In social gerontology research, the psychosocial determinants of SRH have been widely investigated. Based on the environmental gerontology framework, this study examined the home and community environmental correlates of SRH. METHOD The sample (aged 60 or older) was drawn from the 2018 Canadian Housing Survey (4,086 men living alone; 6,471 men living with others; 9,170 women living alone; 4,876 women living with others). Multiple regression analyses were used to examine the relationships between SRH and potential environmental correlates in a hierarchical model. RESULTS Findings show that older men and women living alone reported lower levels of SRH than those living with others. Regression findings show common and unique home and community environmental predictors of SRH by group. Common predictors of higher SRH were private housing residence, larger living space, satisfaction with dwelling, volunteering, no perceived need for community services, and community safety. Home maintenance needs predicted lower SRH among older men and women living with others; uninhabitable conditions predicted poor SRH among older men living with others and older women living alone. CONCLUSION Results support the important effects of place in terms of home and community environments for older adults' SRH, and associations differed by gender and living arrangements.
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Affiliation(s)
| | - Ada C Mui
- School of Social Work, Columbia University, New York, NY, USA
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29
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Lamidi EO, Nash SP. Two Decades of Change in Living Arrangements and Health of Middle-Aged and Older Adults in the U.S., 1997-2018. J Appl Gerontol 2022; 41:1407-1420. [PMID: 35209757 DOI: 10.1177/07334648221074685] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Although living arrangements of American adults have changed significantly over the past decades, we know little about changes in the association between living arrangements and health. This study uses pooled data from 1997 to 2018 National Health Interview Survey to examine trends in living arrangements and health among middle-aged (ages 40-64) and older adults (ages 65-84). The results show that increasing share of middle-aged and older adults are living with persons other than their spouses or cohabiting partners, and this living arrangement is increasingly associated with poor health. Co-residence with persons other than spouses or cohabiting partners is particularly related to serious psychological distress among older adult women. Living alone in midlife is increasingly associated with poor health, but there has been little change in health of older adults living alone. The findings call for targeted policies and programs to address the needs of middle-aged and older adults in diverse living arrangements.
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Affiliation(s)
- Esther O Lamidi
- Department of Sociology, 14676University of Colorado Colorado Springs, CO, USA
| | - Sue P Nash
- Department of Sociology, St. Mary's University, San Antonio, TX, USA
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30
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Pei Z, Hu F, Qin W, Zhao Y, Zhang X, Cong X, Liu C, Xu L. The relationship between living arrangements and depression among older adults in Shandong, China: The mediating role of social support. Front Psychiatry 2022; 13:896938. [PMID: 36451767 PMCID: PMC9701745 DOI: 10.3389/fpsyt.2022.896938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Accepted: 10/25/2022] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Living arrangements and social support have an impact on depression among older adults. However, the underlying mechanism between those variables remains unknown. This study aims to investigate the mediating role of social support in the relationship between living arrangements and depression among older adults. MATERIALS AND METHODS Multi-stage stratified sampling method was used to select 3,859 older adults from Taian City, Shandong Province, China, for cross-sectional investigation. Living arrangements were measured by a question. Social support and depression were measured using the Multidimensional Scale of Perceived Social Support and Patient Health Questionnaire-9. Multiple linear regression models were used to assess the relationship between living arrangements and depression and the possible influence of social support on the relationship between living arrangements and depression. RESULTS Statistics showed that 15.08% of older adults lived alone. After controlling for covariates, living arrangements (ß = 0.45, t = 2.87, P < 0.01) and social support (ß =-0.08, t =-16.93, P < 0.001) were significantly associated with depression. The linear regression model showed that social support mediated the relationship between living arrangements and depression, and the mediating effect accounted for 18.20% of the total effect. CONCLUSION This study revealed that living arrangements played an essential role in indirectly predicting depression in older adults through social support. This provided evidence for how to reduce depression in older adults.
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Affiliation(s)
- Zhongfei Pei
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China.,National Health Commission Key Laboratory of Health Economics and Policy Research, Cheeloo College of Medicine, Shandong University, Jinan, China.,Center for Health Economics Experiment and Public Policy Research, Shandong University, Jinan, China
| | - Fangfang Hu
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China.,National Health Commission Key Laboratory of Health Economics and Policy Research, Cheeloo College of Medicine, Shandong University, Jinan, China.,Center for Health Economics Experiment and Public Policy Research, Shandong University, Jinan, China
| | - Wenzhe Qin
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China.,National Health Commission Key Laboratory of Health Economics and Policy Research, Cheeloo College of Medicine, Shandong University, Jinan, China.,Center for Health Economics Experiment and Public Policy Research, Shandong University, Jinan, China
| | - Yan Zhao
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China.,National Health Commission Key Laboratory of Health Economics and Policy Research, Cheeloo College of Medicine, Shandong University, Jinan, China.,Center for Health Economics Experiment and Public Policy Research, Shandong University, Jinan, China
| | - Xiaohong Zhang
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China.,National Health Commission Key Laboratory of Health Economics and Policy Research, Cheeloo College of Medicine, Shandong University, Jinan, China.,Center for Health Economics Experiment and Public Policy Research, Shandong University, Jinan, China
| | - Xinxia Cong
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China.,National Health Commission Key Laboratory of Health Economics and Policy Research, Cheeloo College of Medicine, Shandong University, Jinan, China.,Center for Health Economics Experiment and Public Policy Research, Shandong University, Jinan, China
| | - Chuanli Liu
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China.,National Health Commission Key Laboratory of Health Economics and Policy Research, Cheeloo College of Medicine, Shandong University, Jinan, China.,Center for Health Economics Experiment and Public Policy Research, Shandong University, Jinan, China
| | - Lingzhong Xu
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China.,National Health Commission Key Laboratory of Health Economics and Policy Research, Cheeloo College of Medicine, Shandong University, Jinan, China.,Center for Health Economics Experiment and Public Policy Research, Shandong University, Jinan, China
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Wang W, Lu Z. Influences of Physical Environmental Cues on People With Dementia: A Scoping Review. J Appl Gerontol 2021; 41:1209-1221. [PMID: 34689638 DOI: 10.1177/07334648211050376] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Physical environmental cues can provide important support to people with dementia (PwD). Compared to interventions involving construction, some cues can be achieved more easily, with less expense, and with fewer disruptions to PwD's daily lives. This review aims to examine existing empirical evidence about the impacts of cues on PwD's behaviors. We adopted the PRISMA scoping review approach and identified 32 articles. The results show visual cues have been frequently studied. The signage facilitates PwD's wayfinding. Concealed doors (e.g., concealing doorknobs) effectively prevent exit attempts. PwD also eat better with tableware of higher-contrasting colors or good lighting conditions. Clearer toilet signage results in better continence. Applying cues properly contributes to improving PwD's well-being and decreasing the burden for caregivers. However, knowledge gaps still exist in the impacts of other sensory cues (e.g., tactile, olfactory, and auditory), which require further research.
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Affiliation(s)
- Wenjin Wang
- Department of Architecture, Texas A&M University, College Station, TX, USA
| | - Zhipeng Lu
- Department of Architecture, Texas A&M University, College Station, TX, USA
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Wilson-Genderson M, Heid AR, Cartwright F, Collins AL, Pruchno R. Change in Loneliness Experienced by Older Men and Women Living Alone and With Others at the Onset of the COVID-19 Pandemic. Res Aging 2021; 44:369-381. [PMID: 34344251 PMCID: PMC9039590 DOI: 10.1177/01640275211026649] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Building on theory suggesting that loneliness is distinct from living arrangements, social isolation, and perceived social support, we examined change in loneliness for older people at the onset of the COVID-19 pandemic. Analyzing 14-years of data with multilevel mixed-effects models, we found higher levels of loneliness among people living alone, people more socially isolated, and people with less perceived support. Gender affected changes in loneliness, controlling for social isolation, perceived support, living arrangements, age, education, income, health, and marital status. Women, whether living alone or with others, experienced increases in loneliness; women living alone reported the greatest increase in loneliness. Men living alone reported high levels of loneliness prior to the pandemic, but only a slight increase over time. These analyses, which demonstrate that loneliness changed at the onset of the pandemic as a function of gender and living arrangement identify older people most likely to benefit from intervention.
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Affiliation(s)
| | | | - Francine Cartwright
- New Jersey Institute for Successful Aging, Rowan University School of Osteopathic Medicine, Stratford, NJ, USA
| | | | - Rachel Pruchno
- New Jersey Institute for Successful Aging, Rowan University School of Osteopathic Medicine, Stratford, NJ, USA
- Rachel Pruchno, 42 E. Laurel Rd., Stratford, NJ 08084, USA.
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Xu X, Zhao Y, Gu D, Pei Y, Wu B. Health Behaviors and Self-Reported Oral Health among Centenarians in Nanjing, China: A Cross-Sectional Study. Int J Environ Res Public Health 2021; 18:7285. [PMID: 34299735 PMCID: PMC8304003 DOI: 10.3390/ijerph18147285] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/30/2021] [Revised: 07/02/2021] [Accepted: 07/05/2021] [Indexed: 11/01/2022]
Abstract
The role of health behaviors in oral health conditions in individuals of extremely old age remains understudied. This study included 185 participants aged 100 years or older from the Nanjing Centenarians Study (NCS) to examine the associations between health behaviors and oral health and investigate the potential moderating role of education and living arrangements in such relationships. The oral health status as an outcome included the self-reported oral health status and edentulous status. Health behavior variables included smoking, eating fruits, eating vegetables, participating in leisure activities, and practicing oral hygiene behaviors. Sociodemographic characteristics and health status were considered as confounders. Descriptive statistics, ordinal regression, and logistic regression models were used to address the research questions. Results showed that better oral health was reported by centenarians who were non-smokers, participated in more leisure activities, and practiced higher frequency of oral hygiene behaviors. Those who ate fruits daily and practiced more frequently oral hygiene behaviors were more likely to be dentate. The positive association of oral hygiene behaviors was stronger for centenarians who were formally educated and co-resided with family members. The results suggest that effective interventions should consider health behaviors and living arrangements in this growing population to improve their oral health status.
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Affiliation(s)
- Xin Xu
- Population Research Institute, Nanjing University of Posts and Telecommunications, Nanjing 210042, China;
| | - Yuan Zhao
- Population Research Institute, Nanjing University of Posts and Telecommunications, Nanjing 210042, China;
- Ginling College, Nanjing Normal University, Nanjing 210023, China
| | - Danan Gu
- Independent Researcher, New York, NY 10010, USA;
| | - Yaolin Pei
- Rory Meyers College of Nursing, New York University, New York, NY 10010, USA;
| | - Bei Wu
- Rory Meyers College of Nursing, New York University, New York, NY 10010, USA;
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Schmidt P, Egermann M, Sauerland C, Schulte AG. Caries Experience of Adults with Intellectual Disability in the Western Part of Germany. J Clin Med 2021; 10:2602. [PMID: 34204719 DOI: 10.3390/jcm10122602] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2021] [Revised: 06/09/2021] [Accepted: 06/10/2021] [Indexed: 01/12/2023] Open
Abstract
Background: In Germany, there is limited evidence on the oral health of adults with intellectual disabilities (AwID). Methods: In 2017/18, dental examinations of AwID and a questionnaire survey of their legal guardians were carried out. The mean D3MFT values were calculated to describe the caries experience. The prevalence of AwID with at least one fissure sealant (FS) was determined and associations between caries experience and various sociodemographic factors (e.g., age, gender, living arrangements) were investigated. Results: The data of 132 AwID (mean age 35.2 years; range 18–69 years) could be included. For all AwIDs the mean D3MFT value was 9.5 (95% CI 8.1–11.0). The mean D3MFT value for the 35–44-year-olds was 10.9 (95% CI 8.4–13.4). All caries-free persons (n = 14) were younger than 45 years. Furthermore, the mean D3MFT value for AwID living with their parents was lower at a statistically significant level than that of AwID in independent living arrangements. Moreover, younger AwIDs (18–34-year-olds) with at least one FS had a statistically significantly lower mean D3MFT value compared to those without any FS (D3MFT: 3.0 vs. 6.7). Conclusions: The dental health of AwID has improved in Germany in recent years, but, on average, AwIDs still have more missing teeth than their peers in the general population. Oral epidemiological studies on AwID should include information on their living arrangements to assess potential associations between sociodemographic factors and oral health.
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Shim MS, Kim Y, Park M, Kim GS. Factors influencing the perceived health status of older adults living alone based on the Korean National Health and Nutrition Examination Survey (2016-2018). Arch Gerontol Geriatr 2021; 96:104433. [PMID: 34052503 DOI: 10.1016/j.archger.2021.104433] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2021] [Revised: 04/19/2021] [Accepted: 05/06/2021] [Indexed: 11/20/2022]
Abstract
PURPOSE Older adults living alone have a lower level of health due to functional degradation and social isolation, and hence, it is important to assess their health condition and health-related factors. In this study we intended to evaluate the factors influencing the perceived health status of older adults living alone in Korea. MATERIALS AND METHODS Data from the 7th (2016-2018) Korean National Health and Nutrition Examination Survey (KNHANES) were used. Perceived health status and health-related and demographic characteristics of 1,074 older adults (age≥65 years) living alone were included in this study. A complex sample design analysis method was used to consider the characteristics of the raw data of the KNHANES, and a complex sample ordinal logistic regression analysis was performed to identify factors that affect perceived health status. RESULTS Female sex, low economic status, not consuming alcohol, perceived stress, high number of chronic diseases, underweight, and limitation of activity were risk factors of low perceived health status of older adults living alone. CONCLUSIONS Interventions to improve the identified health-related factors, such as stress, underweight, and activity limitation of older adults need to be devised. In addition, differences in risk factors according to sex should be considered when providing interventions. Furthermore, policies supporting the promotion of health status among older adults with low-income and living alone are warranted to improve health equity in Korea.
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Seo BK, Park GR. Housing, Living Arrangements and Mental Health of Young Adults in Independent Living. Int J Environ Res Public Health 2021; 18:ijerph18105250. [PMID: 34069214 PMCID: PMC8156951 DOI: 10.3390/ijerph18105250] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Revised: 05/12/2021] [Accepted: 05/13/2021] [Indexed: 11/29/2022]
Abstract
Young adults are prone to psychological stress and anxiety induced by major transitions to adulthood. While employment has predominated in previous research on the social determinants of young people’s mental health, this study examines the association between young people’s housing problems and mental health in the context of an unaffordable housing market. Using the Survey on the Living Conditions and Welfare Needs of Youths (n = 1308) in Korea, the study found that perceived poor housing quality and material hardship are negatively associated with the mental health of young adults living independently. Specifically, while poor housing quality and material hardship induced by housing cost burden were negatively associated with single-person households’ mental health, only poor housing quality was associated with non-single-person households’ mental health. This study is one of the few studies examining the linkage between housing problems and mental health of young adults and informs the interventions aimed at promoting the psychological well-being of young adults in the transition from parents’ homes to independent living.
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Affiliation(s)
- Bo-Kyong Seo
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong
- Correspondence:
| | - Gum-Ryeong Park
- Department of Health, Aging & Society, McMaster University, Hamilton, ON L8S 4L8, Canada;
- Department of Health Care Policy Research, Korea Institute for Health and Social Affairs, Sejong 30147, Korea
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Assaad R, Krafft C, Rolando DJ. Evaluating the impact of housing market liberalization on the timing of marriage: Evidence from Egypt. Popul Stud (Camb) 2021; 75:343-361. [PMID: 33955815 PMCID: PMC8497280 DOI: 10.1080/00324728.2021.1914853] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
The transition to adulthood around the world is increasingly characterized by young people’s desire to form independent households. Forming such households in Egypt generally requires buying or building a dwelling or obtaining a rental unit. Policies governing housing markets, such as rent control, and limited financing options have historically made access to housing for young couples challenging. In this paper, we use a difference-in-difference approach to evaluate how the liberalization of rental markets in Egypt affected the timing of marriage. We find that Egypt’s 1996 rental reforms accelerated marriages and led to a reversal in the trend of rising age at marriage.
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Abstract
OBJECTIVE We consider the prevalence of family complexity and its association with children's externalizing behavior problems over children's life course and over historical time. BACKGROUND A growing literature has demonstrated the prevalence and multidimensional nature of family complexity and its association with child behavior. The nature/strength of this association may have changed in recent cohorts as family complexity has become more common. METHOD Data are from the 1997 and 2014 cohorts of the Panel Study of Income Dynamics Child Development Supplement. Samples represent U.S. children ages 0-12 years born since 1985 (N=5,030). Ordinary least squares regression estimated change in the association between family complexity and behavior between cohorts. Difference-in-difference models estimated baseline and longitudinal differences in children's behavior as linked to family complexity. RESULTS The prevalence of family complexity has stabilized over the last two decades, and the antecedents to parental repartnering and complex sibship organization remain similar. The expectation that increasing family complexity contributes to elevated behavior problem scores was not supported. Instead, children who eventually acquired a step- or half-sibling or who experienced parents' union dissolution had elevated behavior problems prior to those changes. CONCLUSION The prevalence of and precursors to complex family organization were stable across recent child cohorts. The observed association between family complexity and child behavior problems may be attributable to selection mechanisms linked to both parents' family formation trajectories and to children's behavior, rather than to family change itself.
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Affiliation(s)
- Paula Fomby
- Survey Research Center and Population Studies Center, Institute for Social Research, University of Michigan, 426 Thompson St., Ann Arbor, MI 48104
| | - Ariane Ophir
- Department of Sociology, University of Wisconsin, 1180 Observatory Drive, Madison, WI 53706
| | - Marcia J Carlson
- Department of Sociology, University of Wisconsin, 1180 Observatory Drive, Madison, WI 53706
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Baekhøj Kortsen D, Predbjørn Krarup K, Jakobsen JK. DaPeCa-9 - cohabitation and socio-economic conditions predict penile cancer-specific survival in a national clinical study from Denmark. Scand J Urol 2021; 55:486-490. [PMID: 33554693 DOI: 10.1080/21681805.2021.1879928] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
BACKGROUND Cohabitation and social conditions predict prognosis in several cancers; recent data suggest this might also be the case in penile cancer. OBJECTIVE To assess the prognostic significance of cohabitation, living arrangements and socio-economic conditions for cancer-specific survival (CSS) in patients with penile squamous cell carcinoma (pSCC). METHODS We retrospectively evaluated CSS in 429 pSCC patients from a 10-year period. We assessed cohabitation, living arrangements and socio-economic conditions(SEC) as prognostic predictors. Kaplan-Meier estimates and Cox hazard rates (HR) with 95% confidence intervals were used for analysis. RESULTS Out of 429 pSCC patients, 137 (32%) were living alone and 292 (68%) were cohabiting. With a Cox HR at 1.91 (95% CI 1.3-2.98) patients living alone had a significantly lower median five-year survival rate at 69% (95% CI 60-77%) compared to cohabiting patients at 83% (95% CI 78-87%), p = 0.002. Comparing 60 (14%) from higher to 202 (47%) from medium and 95 (22%) patients from lower socio-economic groups we found Cox HRs at 1, 2.4 (95% CI 1.0-5.7, p = 0.04) and 3.4 (95% CI 1.4-8.1, p < 0.01) respectively. When comparing living arrangements, the trend that patients living in apartments and institutions had poorer outcomes than patients living in a house did not reach statistical significance. CONCLUSIONS Living alone and in poor socio-economic conditions predict poor prognosis in penile cancer in this national study. We make the case for further research in efforts to minimize cancer inequality pSCC patients.
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Peng S, Lai X, Qiu J, Du Y, Yang J, Bai Y, Jia Y, Meng L, Wang K, Zhang X. Living With Parents-In-Law Increased the Risk of Postpartum Depression in Chinese Women. Front Psychiatry 2021; 12:736306. [PMID: 34987424 PMCID: PMC8721192 DOI: 10.3389/fpsyt.2021.736306] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/05/2021] [Accepted: 12/02/2021] [Indexed: 11/17/2022] Open
Abstract
Background: A variety of psychological and socioeconomic factors contribute to the development of postpartum depression (PPD). However, the relationship between maternal living arrangements and PPD is unclear. Objective: To assess the relationship between maternal living arrangements and PPD in Chinese population. Methods: A cross-sectional survey was conducted among puerperal women delivered in Baoan Maternal and Child Health Hospital in Shenzhen, China. The Edinburgh Postnatal Depression Scale (EPDS) was used to assess PPD. A score of ≥10 was used as the threshold for postpartum depression. Results: A total of 4,813 women were recruited, of whom 2,535 (52.7%) lived only with their husbands, 664 (13.8%) lived with their parents, and 1,614 (33.5%) lived with their parents-in-law. Compared with women who lived with husbands, puerperal women who lived with their parents-in-law were more likely to be positive for PPD screening (14.1 vs. 10.5%, P < 0.001). After adjusting for other influencing factors, living with parents-in-law was significantly associated with the risk of PPD (OR = 1.38, 95% CI, 1.12-1.70). Additionally, stratification analyses showed that the association between living with parents-in-law and the presence of PPD was more significant in women with anxiety during pregnancy (P for interaction <0.05). Conclusions and Relevance: Our data confirms that the maternal living arrangements affect the risk of PPD, especially among women with anxiety during pregnancy. Therefore, more targeted preventive measures should be taken for postpartum depression in women who live with their parents-in-law.
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Affiliation(s)
- Songxu Peng
- Department of Maternal and Child Health, Xiangya School of Public Health, Central South University, Changsha, China
| | - Xin Lai
- Department of Maternal and Child Health, Xiangya School of Public Health, Central South University, Changsha, China
| | - Jun Qiu
- Department of Children's Intensive Research Center, Hunan Children's Hospital, Changsha, China
| | - Yukai Du
- Department of Maternal and Child Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Jing Yang
- Department of Public Health, Baoan Maternal and Child Health Hospital, Jinan University, Shenzhen, China
| | - Ying Bai
- Department of Public Health, Baoan Maternal and Child Health Hospital, Jinan University, Shenzhen, China
| | - Yanhong Jia
- Department of Public Health, Baoan Maternal and Child Health Hospital, Jinan University, Shenzhen, China
| | - Liping Meng
- Department of Public Health, Baoan Maternal and Child Health Hospital, Jinan University, Shenzhen, China
| | - Kewei Wang
- Department of Children's Intensive Research Center, Hunan Children's Hospital, Changsha, China
| | - Xiangyang Zhang
- CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China
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Howe AL. How strong is the housing assets pillar of funding for residential aged care? Australas J Ageing 2020; 39:366-374. [PMID: 33280225 DOI: 10.1111/ajag.12854] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2020] [Revised: 08/05/2020] [Accepted: 08/06/2020] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To explore reasons for the gap between the perception that high home ownership provides a strong pillar of funding for aged care accommodation and the actuality of half of those in residential care having this cost met by the Accommodation Supplement. METHODS Review of data from Australian Bureau of Statistics and administrative sources, and recent research studies. RESULTS Trends in payment methods show continuing reliance on the Accommodation Supplement. Reasons are found in patterns of home ownership at older ages, changes in tenure and living arrangements over the age range, and increasing use of the exchange value of housing assets. Policy tensions arise between protecting access for low means residents and requiring those who are able to pay to do so. CONCLUSIONS The housing assets pillar at advanced ages is not as strong as early in retirement and makes it increasingly unreliable as a source of funding.
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Affiliation(s)
- Anna L Howe
- Department of Sociology, Macquarie University, Hackett, Australian Capital Territory, Australia
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Ishikawa Y, Hifumi T, Urashima M. Influence of Living Alone or with a Spouse Only on the Short-Term Prognosis in Patients after an Acute Ischemic Stroke. Int J Environ Res Public Health 2020; 17:ijerph17218223. [PMID: 33172171 PMCID: PMC7664375 DOI: 10.3390/ijerph17218223] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/28/2020] [Revised: 10/26/2020] [Accepted: 11/04/2020] [Indexed: 11/16/2022]
Abstract
Background—This study aimed to explore whether living alone or with a spouse only affects the short-term prognosis of acute ischemic stroke patients. Methods—We conducted a retrospective cohort study of patients with a diagnosis of acute ischemic stroke from April 2014 to February 2019 in Japan. The primary outcome was defined as worsening by at least one grade on the modified Rankin Scale (mRS). The secondary outcome was set as the degree of worsening on the mRS. The outcomes were compared between three groups of patients: (1) those living alone (ALONE), (2) those living with their spouse only (SPOUSE), and (3) OTHERs. Results—In total, 365 patients were included in this study: 111 (30%) ALONE, 133 (36%) SPOUSE, and 121 (33%) OTHERs. Cardiogenic embolisms were observed more frequently in ALONE than in OTHERs. The primary outcome occurred in 88 (79.3%) patients in ALONE and in 96 (72.2%) patients in SPOUSE, both of which were higher than the 72 (59.5%) in OTHERs. After adjusting with 19 variables, the risk of worsening was higher in ALONE (odds ratio (OR): 2.90, 95% confidence interval (CI): 1.50–5.58) and SPOUSE (OR: 1.83, 95% CI: 1.00–3.33) compared with OTHERs. Conclusions—In patients with acute ischemic stroke, not only living alone but also living with a spouse only may be associated with a worse short-term prognosis, independent of other cardiovascular risks.
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Affiliation(s)
- Yohei Ishikawa
- Department of Emergency and Critical Care Medicine, St. Luke’s International Hospital, Tokyo 104-8560, Japan;
- Division of Molecular Epidemiology, The Jikei University School of Medicine, Tokyo 105-8461, Japan;
- Correspondence: ; Tel.: +81-3-3541-5151
| | - Toru Hifumi
- Department of Emergency and Critical Care Medicine, St. Luke’s International Hospital, Tokyo 104-8560, Japan;
| | - Mitsuyoshi Urashima
- Division of Molecular Epidemiology, The Jikei University School of Medicine, Tokyo 105-8461, Japan;
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Abstract
In times of hardship, moving in with family is one strategy for alleviating economic deprivation and uncertainty. The ability of the family to buffer against poverty may vary by the resources available to and the economic needs of individuals. I assess how the formation of extended-family households is associated with a move into or out of poverty and how this association varies by race and ethnicity, since economic resources and norms around extended-family households differ. Using longitudinal data that span four years, I estimate linear fixed effects regression models to assess how changes in living arrangements are related to changes in poverty. I find that moving into an extended-family household reduces poverty, especially for the joining family unit. Most of this poverty reduction occurs through a family safety net, with a non-poor family taking in poor family units.
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Irani E, Moore SE, Hickman RL, Dolansky MA, Josephson RA, Hughes JW. The Contribution of Living Arrangements, Social Support, and Self-efficacy to Self-management Behaviors Among Individuals With Heart Failure: A Path Analysis. J Cardiovasc Nurs 2020; 34:319-326. [PMID: 31058704 PMCID: PMC6557687 DOI: 10.1097/jcn.0000000000000581] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
BACKGROUND Living arrangements, social support, and self-efficacy have significant implications for self-management science. Despite the theoretical linkages among the 3 concepts, there is limited empirical evidence about their interplay and the subsequent influence on heart failure (HF) self-management. OBJECTIVE The aim of this study was to validate components of the Individual and Family Self-management Theory among individuals with HF. METHODS This is a secondary analysis of cross-sectional data generated from a sample of 370 individuals with HF. A path analysis was conducted to examine the indirect and direct associations among social environment (living arrangements), social facilitation (social support) and belief (self-efficacy) processes, and self-management behaviors (HF self-care maintenance) while accounting for individual and condition-specific factors (age, sex, race, and HF disease severity). RESULTS Three contextual factors (living arrangements, age, and HF disease severity) had direct associations with perceived social support and self-efficacy, which in turn were positively associated with HF self-management behaviors. Living alone (β = -.164, P = .001) was associated with lower perceived social support, whereas being an older person (β = .145, P = .004) was associated with better support. Moderate to severe HF status (β = -.145, P = .004) or higher levels of perceived social support (β = .153, P = .003) were associated with self-efficacy. CONCLUSIONS Our results support the Individual and Family Self-management Theory, highlighting the importance of social support and self-efficacy to foster self-management behaviors for individuals with HF. Future research is needed to further explore relationships among living arrangements, perceived and received social support, self-efficacy, and HF self-management.
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Affiliation(s)
- Elliane Irani
- Elliane Irani, PhD, RN Postdoctoral Fellow, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio. Scott Emory Moore, PhD, APRN, AGPCNP-BC Assistant Professor, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio. Ronald L. Hickman, PhD, RN, ACNP-BC, FNAP, FAAN Associate Professor and Associate Dean for Research, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio. Mary A. Dolansky, PhD, RN, FAAN Associate Professor, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio. Richard A. Josephson, MS, MD Professor, School of Medicine, Case Western Reserve University; and Director of Cardiovascular and Pulmonary Rehabilitation, Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio. Joel W. Hughes, PhD Professor, Department of Psychological Sciences, Kent State University, Ohio
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Zafeiridi E, McMichael AJ, Passmore AP, McGuinness B. Living alone for people on dementia medication: related use of drugs. Aging (Albany NY) 2020; 12:20924-20929. [PMID: 33085648 PMCID: PMC7655219 DOI: 10.18632/aging.104125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2020] [Accepted: 09/19/2020] [Indexed: 11/25/2022]
Abstract
Approximately one-third of people with dementia in the United Kingdom live alone. People living alone with dementia may receive different treatment for dementia and may have different comorbidities compared to people who live with a caregiver. This study explored differences in medication and demographic characteristics between people living alone with dementia and those living with a caregiver in Northern Ireland. People with dementia were identified through the first date that a dementia management medication was prescribed between 2010 and 2016. In total, 25,418 people were prescribed a dementia management medication. Data for whether people with dementia lived alone was extracted through the National Health Application and Infrastructure Services and from national datasets through the Honest Broker Service. Approximately 35% (n= 8,828) of people with dementia in Northern Ireland lived alone. People with dementia who lived alone were younger (mean= 75 years, SD= 8.50) compared to people who lived with a caregiver (mean= 77 years, SD= 7.82). Binary logistic regression highlighted that people who lived alone were more likely to be treated with donepezil medication for dementia and less likely to receive antidepressants. These findings indicate that living alone did not affect treatment for dementia and comorbidity medication in people on dementia medication.
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Affiliation(s)
- Evi Zafeiridi
- Centre for Public Health, Queen's University Belfast, Belfast, United Kingdom
| | - Alan J McMichael
- Centre for Public Health, Queen's University Belfast, Belfast, United Kingdom
| | - A Peter Passmore
- Centre for Public Health, Queen's University Belfast, Belfast, United Kingdom
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Tuomisto S, Koivula M, Åstedt-Kurki P, Helminen M. Family composition and living arrangements-Cross-sectional study on family involvement to self-managed rehabilitation of people with coronary artery disease. Nurs Open 2020; 7:1715-1724. [PMID: 33072355 PMCID: PMC7544853 DOI: 10.1002/nop2.555] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Revised: 05/21/2020] [Accepted: 06/11/2020] [Indexed: 11/24/2022] Open
Abstract
Aim To describe the family composition and living arrangements of persons diagnosed with coronary artery disease and those relationships to family involvement in self‐managed rehabilitation. Design A cross‐sectional study. Methods Data were collected with postal questionnaire from persons diagnosed with coronary artery disease (CAD) by using the Family Involvement in Rehabilitation (FIRE) scale. It measures family members' promotion of patients' rehabilitation and issues encumbering rehabilitation in family. Statistical methods were used to analyse the data. Results Patients' gender and having children in the family were predictors of issues encumbering rehabilitation in the family. But when examining living arrangements, patients who lived with a spouse or underage children had a better environment for recovery than those who lived alone or with adult children. More attention should be paid to targeting appropriate support for persons with coronary artery disease and their family members during the rehabilitation phase.
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Affiliation(s)
- Sonja Tuomisto
- Faculty of Social Sciences Health Sciences University of Tampere Tampere Finland
| | - Meeri Koivula
- Faculty of Social Sciences Health Sciences University of Tampere Tampere Finland
| | - Päivi Åstedt-Kurki
- Faculty of Social Sciences Health Sciences University of Tampere Tampere Finland.,Pirkanmaa Hospital District Tampere Finland
| | - Mika Helminen
- Faculty of Social Sciences Health Sciences University of Tampere Tampere Finland.,Research, Development and Innovation Centre Tampere University Hospital Tampere Finland
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Han WJ, Li Y, Whetung C. Who We Live With and How We Are Feeling: A Study of Household Living Arrangements and Subjective Well-Being Among Older Adults in China. Res Aging 2020; 43:388-402. [PMID: 33054559 DOI: 10.1177/0164027520961547] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Using a sample of Chinese adults over the age of 50 from wave 1 of the WHO Study on Global Ageing and Adult Health (n = 13,367), we investigated the relationship between living arrangements and subjective well-being (SWB) in regard to life satisfaction, happiness, and control. We also looked at the moderating role of resources, proxied by income and hukou status. Multivariate regression results indicate that living only with a spouse was significantly associated with better SWB. Multigenerational living arrangements may not always promote SWB, particularly when resources are constrained. Yet, results also underscore the importance of daughters and daughters-in-law in promoting SWB among older adults. Older adults in rural areas had better SWB, including greater life satisfaction if living with grandchildren only, compared to their urban peers living with a spouse only. Findings suggest that context matters in the association between living arrangements and older adults' SWB.
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Affiliation(s)
| | - Ying Li
- Renmin University of China, Beijing, China
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Srugo SA, Jiang Y, de Groh M. At-a-glance - Living arrangements and health status of seniors in the 2018 Canadian Community Health Survey. Health Promot Chronic Dis Prev Can 2020; 40:18-22. [PMID: 31939634 DOI: 10.24095/hpcdp.40.1.03] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Currently, 1 in 3 Canadian seniors meet the criteria for successful aging, which include low probability of disease and disability, high cognitive and physical ability and active engagement in life. The sociodemographic characteristic of living alone can identify high-risk seniors, due to its association with lower social support and interactions, thus increasing susceptibility to negative health outcomes in older age. However, limited data exists on the living arrangements of Canadian seniors. In this analysis, we present sociodemographic characteristics and measures of health and social well-being of seniors by living arrangement. This information should be used to identify and support vulnerable seniors and increase the prevalence of healthy aging among Canadians.
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Affiliation(s)
| | - Ying Jiang
- Public Health Agency of Canada, Ottawa, Ontario, Canada
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49
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Abstract
In the United Kingdom (UK), women are more likely to live alone in later life. Social factors such as household composition have been shown to affect health and wellbeing as we age. The health and well-being of older women who live alone are of interest to researchers, care providers, health organizations, and policymakers. This article contributes to the literature by detailing a scoping review, establishing the current evidence in this field. The purpose and context of the review are given. The methodology and resulting data are described. Gaps in the literature and implications for practice and research are given.
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Affiliation(s)
- Cat Forward
- The Graduate School, University of West London, London, UK
| | - H T A Khan
- The Graduate School, University of West London, London, UK
| | - P Fox
- The Graduate School, University of West London, London, UK
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50
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Kim N, Kim GU, Kim H. Comparative Study of Dietary Patterns by Living Arrangements: The Korea National Health and Nutrition Examination Survey (KNHANES) 2013-2015. Int J Environ Res Public Health 2020; 17:E2371. [PMID: 32244453 DOI: 10.3390/ijerph17072371] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/03/2020] [Revised: 03/27/2020] [Accepted: 03/27/2020] [Indexed: 11/16/2022]
Abstract
This study aimed to identify the dietary patterns of Koreans, comparing them according to their living arrangements, and to determine factors associated with the patterns. We analyzed nutritional data of 6719 Korean adults aged 19-64 years from the 2013-2015 Korea National Health and Nutrition Examination Survey using the exploratory factor and hierarchical and k-means cluster analyses. We used multinominal logistic regression to compare factors associated with each dietary pattern. We identified three dietary patterns based on meal preference and dessert type: "traditional meal with healthy dessert", "meal only", and "unhealthy dessert" (Kaiser-Meyer-Olkin = 0.90, Bartlett's test of sphericity p < 0.001). The "unhealthy dessert" dietary pattern was more frequent in people living alone (51.7%) than in those living with others (41.8%). Weight control, dining out, eating breakfast, and sleep were significantly associated with the "meal only"; eating breakfast was associated with the "unhealthy dessert" dietary pattern among those living alone. Lifestyle factors were associated with unhealthy dietary patterns in Korean adults living alone, warranting the need for a healthy diet and promotion of modifiable health behaviors for this subgroup. Thus, clinicians must provide comprehensive assessments and multidimensional interventions while considering lifestyle factors and unhealthy dietary patterns to improve the health status of them.
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