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Use of Home and Community Based Services in Urban China: Experiences of Older Adults with Disabilities. 中国城市家庭和社区服务的使用:残疾老年人的经验。
IF 2 Q3 GERONTOLOGY Pub Date : 2022-03-01 Epub Date: 2022-01-13 DOI: 10.1007/s10823-021-09444-w
Hong Li, Ling Xu, Iris Chi, Yin Yin

This study examined the factors related to the use of home and community based services (HCBS) by urban Chinese older adults with disabilities. The study used data from the 2006 Sample Survey on Aged Population in Urban/Rural China. A total of 3,920 older adults who experienced at least one disability were included in this sample. Of the study participants, 13.9% used housekeeping services and 12.2% used doctor/nurse home visit services. Results from logistic regression tests showed that older adults' gender, educational attainment, financial strain, family support, and number of chronic illnesses were significantly related to their use of housekeeping services. Additionally, older adults' levels of disability were significantly related to doctor/nurse home visit services. Findings underscore the importance of service needs in Chinese older adults' use of HCBS and also reveal that factors related to service use vary depending on specific services.

本研究调查了中国城市残疾老年人使用家庭和社区服务(HCBS)的相关因素。该研究使用了2006年中国城乡老年人口抽样调查的数据。共有3920名经历过至少一种残疾的老年人被纳入该样本。在研究参与者中,13.9%的人使用家政服务,12.2%的人使用医生/护士家访服务。logistic回归检验结果显示,老年人的性别、受教育程度、经济压力、家庭支持和慢性病数量与他们使用家政服务显著相关。此外,老年人的残疾水平与医生/护士家访服务显著相关。研究结果强调了服务需求在中国老年人使用HCBS中的重要性,并揭示了与服务使用相关的因素因具体服务而异。
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引用次数: 0
Location and Provision of Support from Migrants to Left-behind Parents in Rural Cambodia. 移民对柬埔寨农村留守父母的位置和提供支持。
IF 2 Q3 GERONTOLOGY Pub Date : 2022-03-01 Epub Date: 2022-01-15 DOI: 10.1007/s10823-021-09447-7
Zachary Zimmer, Benjamas Penboon, Aree Jampaklay

Cambodia is a country where labor migration has been consistently high, particularly out of rural areas. Migration increases the distance between parents and their children, which may lead to a reduction in sources of support. Based on these contemporary realities, it is important to understand the factors that impact provision of support from migrants to their parents. This study examines determinants of support provision, with a focus on migrant location. Based on family solidarity and altruism theories, other factors were considered that indicate migrant's ability to provide, the degree of parental vulnerability and degree of interaction. We hypothesized that the likelihood of migrant support provision to left-behind parents related to their location, ability to provide and needs of the household. Data were sourced from the 2011 Cambodian Rural Urban Migration Project (CRUMP) (N = 3700). In bivariate analysis, 77% of both international and rural to urban internal migrants provide monetary support. Rural to urban internal migrants are most likely, and international migrants least likely, to be providing instrumental support. When examining fully adjusted models, it is rural to urban internal migrants that are the most likely to provide both monetary and instrumental support. Both types of support are more likely to be provided by female migrants and to households headed by females. Results show that left-behind parents are not completely unsupported in rural Cambodia, but support provision may be impacted by other determinants. This study provides baseline information for policy makers to design suitable policies that may optimize the positive impact of migration for migrants and left-behind parents.

柬埔寨是一个劳动力迁移率一直很高的国家,特别是农村地区。移徙增加了父母与子女之间的距离,这可能导致支助来源的减少。基于这些当代现实,了解影响移民向其父母提供支持的因素是很重要的。本研究考察了支持提供的决定因素,重点是移民地点。基于家庭团结和利他主义理论,本文还考虑了移民提供能力、父母脆弱性程度和相互作用程度的其他因素。我们假设向留守父母提供移民支持的可能性与他们的位置、提供能力和家庭需求有关。数据来自2011年柬埔寨农村城市移民项目(CRUMP) (N = 3700)。在双变量分析中,77%的国际和农村到城市的内部移民提供了资金支持。农村到城市的国内移徙者最有可能提供工具性支助,而国际移徙者最不可能提供工具性支助。在检查完全调整的模型时,农村到城市的内部移民最有可能提供货币和工具支持。这两种支助更有可能由女性移徙者和以女性为户主的家庭提供。结果表明,在柬埔寨农村,留守父母并非完全不受支持,但支持提供可能受到其他决定因素的影响。本研究为政策制定者提供了基线信息,以设计合适的政策,优化移民和留守父母的积极影响。
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引用次数: 0
Socio-Demographic Predictors of E-Government Use in Later Life: Results from the Israel Social Survey. 晚年电子政务使用的社会人口预测因素:来自以色列社会调查的结果。
IF 2 Q3 GERONTOLOGY Pub Date : 2022-03-01 Epub Date: 2022-01-19 DOI: 10.1007/s10823-022-09448-0
Dennis Rosenberg
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引用次数: 0
The Good Old Days: how Older Adults in Present-Day Ghana Compare themselves to Older Adults in Past Generations. 美好的过去:当今加纳的老年人如何与过去几代人的老年人进行比较。
IF 2 Q3 GERONTOLOGY Pub Date : 2022-03-01 Epub Date: 2021-12-03 DOI: 10.1007/s10823-021-09445-9
Paul A Issahaku

This study explores nostalgia among older adults in present-day Ghana by investigating how they subjectively compare themselves to older adults in the past. A purposive sample of 23 older adults provided data through semi-structured face-to-face interviews and data analysis employed a general inductive approach, with a focus on content and thematic analytic procedures. The findings show an overall theme of 'the good old days', how participants compare themselves negatively to older adults in their past, believing and feeling that older adults in the past enjoyed better health and longevity and had more care and respect. While participants generally praise the past for its perceived virtue and vitality, they scold the present for a perceived degeneration. Findings of this study support theoretical descriptions and empirical research conclusions on nostalgia as: an emotionally invested remembrance of the past; a yearning to relive the past or reconnect with people and things past, or to return to places in the past; and an evocation of the beauty of the past in contrast to the ugliness of the present. Consonant with this, the study shows how participants evoke the beauty of the past, where, comparatively, older adults enjoyed a life of dignity. In what is characteristic of nostalgic evocations, participants reclaim the lost beautiful past, where people ate natural - healthy - foods, engaged in physically active work, and were stronger into late adulthood. Again, consonant with nostalgia as a discourse of critique of the present with the past as yardstick, participants express disenchantment with the present for a perceived steady degradation of the values of care, respect, and obedience to elders, which made older adults in past generations a privileged class. To this end, we may conclude that nostalgia not only speaks to the present from the past, it seeks to recreate the past in the future.

本研究通过调查他们如何主观地将自己与过去的老年人进行比较,探讨了当今加纳老年人中的怀旧情绪。有目的的23名老年人样本通过半结构化的面对面访谈提供数据,数据分析采用一般归纳方法,重点是内容和主题分析程序。调查结果显示了一个“美好的过去”的总体主题,即参与者如何将自己与过去的老年人进行负面比较,认为并感觉过去的老年人更健康、更长寿,得到更多的照顾和尊重。虽然参与者普遍赞扬过去的美德和活力,但他们却指责现在的堕落。本研究结果支持了对怀旧的理论描述和实证研究结论:怀旧是一种对过去的情感投入记忆;渴望重温过去,或与过去的人和事重新联系,或回到过去的地方;它唤起了过去的美丽与现在的丑陋形成对比。与此相一致的是,这项研究显示了参与者如何唤起过去的美好,在那里,相对而言,老年人享受着有尊严的生活。在怀旧唤起的特征中,参与者重温了失去的美好过去,在那里人们吃天然健康的食物,从事体力活动,并且在成年后期更强壮。再一次,与怀旧作为一种以过去为尺度批判现在的话语相一致,参与者表达了对现在的觉醒,因为他们认为关心、尊重和服从长辈的价值观在不断退化,而这些价值观使过去几代老年人成为特权阶级。为此,我们可以得出这样的结论:怀旧不仅是从过去说起现在,它还试图在未来重现过去。
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引用次数: 1
"I tried to control my emotions": Nursing Home Care Workers' Experiences of Emotional Labor in China. “我试图控制自己的情绪”:中国养老院护理员情绪劳动的经验。
IF 2 Q3 GERONTOLOGY Pub Date : 2022-03-01 Epub Date: 2022-02-18 DOI: 10.1007/s10823-022-09452-4
Zhe Yan

Despite dramatic expansions in the Chinese nursing home sector in meeting the increasing care needs of a rapidly aging population, direct care work in China remains largely devalued and socially unrecognized. Consequently, scant attention has been given to the caregiving experiences of direct care workers (DCWs) in Chinese nursing homes. In particular, given the relational nature of care work, there is little knowledge as to how Chinese DCWs manage emotions and inner feelings through their emotional labor. This article examines the emotional labor of Chinese DCWs through ethnographic data collected with 20 DCWs in one nursing home located in an urban setting in central China. Data were analyzed using conventional content analysis and constant comparison. Participants' accounts of sustaining a caring self, preserving professional identity, and hoping for reciprocity revealed implicit meanings about the often-conflicting nature of emotional labor and the nonreciprocal elements of care work under constrained working conditions. Importantly, the moral-cultural notion of bao ( norm of reciprocity) was found to be central among DCWs in navigating strained resources and suggested their agency in meaning-construction. However, their constructed moral buffers may be insufficient if emotional labor continues to be made invisible by care organizations.

尽管为了满足快速老龄化人口日益增长的护理需求,中国的养老院行业急剧扩张,但中国的直接护理工作在很大程度上仍然被低估,得不到社会的认可。因此,对中国养老院直接护理员(DCWs)的护理经验缺乏关注。特别是,鉴于护理工作的关系性质,关于中国家庭护理人员如何通过情绪劳动管理情绪和内心感受的知识很少。本文通过对位于中国中部城市的一家养老院的20名DCWs收集的人种学数据,对中国DCWs的情绪劳动进行了研究。数据分析采用常规含量分析和恒值比较。参与者关于维持关怀自我、保持职业身份和希望互惠的描述揭示了情绪劳动经常冲突的本质和受约束工作条件下护理工作的非互惠因素的隐含含义。重要的是,互惠规范的道德文化观念在DCWs对紧张资源的导航中起着核心作用,并暗示了他们在意义建构中的代理作用。然而,如果情绪劳动继续被护理机构忽视,他们构建的道德缓冲可能是不够的。
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引用次数: 1
Leisure Time Satisfaction and Activity Preferences Among Ethnically Diverse Aging Parents in Metro Vancouver. 大温哥华地区不同种族老年父母的休闲时间满意度和活动偏好
IF 2 Q3 GERONTOLOGY Pub Date : 2021-12-01 Epub Date: 2021-09-22 DOI: 10.1007/s10823-021-09440-0
Barbara A Mitchell, Andrew V Wister, Ian A Fyffe

It is well established that family and work-retirement transitions are increasingly becoming more complicated, extended, and reversible among aging parents. Combined with improved life expectancy, older parents are now confronted with new opportunities and challenges including their access to leisure activities. However, a paucity of research exists with regard to the extent to which older-aged parents are satisfied with their amount of leisure time as well as their ideal leisure preferences. Drawing upon socio-cultural life course theory, this paper examines how socio-demographic and ethnocultural variables (i.e., gender, ethnic identity), family-related factors (e.g., presence of children in the household), and socio-economic and work contexts (i.e., income satisfaction and retirement status) shape leisure time satisfaction and activity preferences. Data are drawn from the "Families and Retirement Project," a sample of 588 diverse (British-, Chinese-, Iranian/Persian-, South-Asian Canadians) aged 50 + (mean age = 59.6) residing in Metro Vancouver with at least one young adult child aged 19-35. Quantitative analyses reveal that leisure time satisfaction is higher among: those reporting lower levels of parental stress, the fully retired, those with less education, and among Chinese parents (compared to British). Moreover, strong variations by ethnic background are shown in preferred leisure activity, based on a thematic analysis of data. Results are discussed in terms of contributions to a socio-cultural family life course activity theory. Implications for community service provision (e.g., culturally sensitive and relevant recreational programs and services) are also highlighted, given the salience of participation in enjoyable leisure activities to healthy aging.

众所周知,在年迈的父母中,家庭和工作-退休的过渡正变得越来越复杂、延长和可逆。随着预期寿命的延长,老年父母现在面临着新的机遇和挑战,包括他们获得休闲活动的机会。然而,关于老年父母对他们的闲暇时间以及他们理想的闲暇偏好的满意程度的研究很少。根据社会文化生命历程理论,本文研究了社会人口统计学和民族文化变量(即性别、种族认同)、家庭相关因素(如家庭中是否有孩子)以及社会经济和工作环境(即收入满意度和退休状况)如何塑造休闲时间满意度和活动偏好。数据来自“家庭和退休项目”,该项目调查了588名年龄在50岁以上(平均年龄为59.6岁)的不同族裔(英国人、中国人、伊朗人/波斯人、南亚加拿大人),他们至少有一个年龄在19-35岁之间的成年子女。定量分析显示,与英国父母相比,中国父母对闲暇时间的满意度更高:父母压力较小的人、完全退休的人、受教育程度较低的人以及中国父母。此外,根据对数据的专题分析,在偏好的休闲活动中显示出种族背景的强烈差异。结果讨论了贡献方面的社会文化家庭生命历程活动理论。鉴于参加愉快的休闲活动对健康老龄化的重要性,还强调了对社区服务提供的影响(例如,对文化敏感和相关的娱乐节目和服务)。
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引用次数: 2
Validating the Self-assessed Wisdom Scale (SAWS) in an Iranian Sample: Psychometric and Developmental Findings. 在伊朗样本中验证自我评估的智慧量表(SAWS):心理测量学和发展的发现。
IF 2 Q3 GERONTOLOGY Pub Date : 2021-12-01 Epub Date: 2021-10-19 DOI: 10.1007/s10823-021-09442-y
Fereshteh Cheraghi, Jeffrey Webster, Parvin Kadivar, Ali Asgari, Farhad Mazlum

This study aimed to investigate the validity and factor structure of the Self-Assessed Wisdom Scale (SAWS; Webster in J Adult Dev 10:13-22, 2003) in an Iranian population. Participants (235 male, 340 female) were recruited in Tehran, Iran and ranged in age from 17 to 88 years. Cronbach alpha's for the subscales ranged from .63 to .81, and their inter-correlations ranged from .42 to .53. Exploratory factor analysis extracted 5 factors that were similar with the original structure. Confirmatory factor analysis supported 5-factor model of the SAWS. The SAWS's total and subscale scores positively correlated with two other measures of wisdom (indicating convergent validity). The SAWS correlated weakly with age. Women scored higher in the SAWS subscales of emotional regulation, reminiscence/reflectiveness, and humor, which accounted for a significant gender difference in total wisdom. Although the age differences are consistent with prior research, the gender differences are relatively novel. Overall, results indicate that the SAWS has excellent psychometric properties and can be used in cross-cultural work.

本研究旨在探讨智慧自评量表(SAWS)的效度及因子结构。韦伯斯特在J成人发展10:13-22,2003)在伊朗人口。参与者(235名男性,340名女性)在伊朗德黑兰招募,年龄从17岁到88岁不等。子量表的Cronbach α值范围为0.63 ~ 0.81,其相互关系范围为0.42 ~ 0.53。探索性因子分析提取出5个与原结构相似的因子。验证性因子分析支持SAWS的5因素模型。SAWS的总分和子量表得分与另外两项智慧测量呈正相关(表明收敛效度)。SAWS与年龄相关性较弱。女性在情绪调节、回忆/反思和幽默的SAWS亚量表中得分更高,这说明了总体智慧的显著性别差异。虽然年龄差异与先前的研究一致,但性别差异相对较新。总体而言,结果表明SAWS具有良好的心理测量特性,可用于跨文化工作。
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引用次数: 1
Smoking and Drinking Behaviors among Older Adults: A Comparative Analysis of Three Southeast Asian Countries. 东南亚三国老年人吸烟和饮酒行为的比较分析。
IF 2 Q3 GERONTOLOGY Pub Date : 2021-12-01 Epub Date: 2021-09-20 DOI: 10.1007/s10823-021-09438-8
John Knodel, Wiraporn Pothisiri

Studies on the two major health-risk behaviors of smoking tobacco and drinking alcohol among older populations, particularly in Southeast Asia, are limited. This paper provides comparative analyses of the prevalences and correlates of smoking tobacco and drinking alcohol among older people in Myanmar, Vietnam, and Thailand, using data from the latest available national aging surveys in the three countries. The analyses were conducted within a multivariate framework. Gender-specific results show that smoking tobacco and drinking alcohol are more common among older men than women in all three countries. However, the prevalence of smoking and drinking among men declines at older ages. The multivariate analyses reveal that a higher level of education has a significant negative association with smoking and drinking in all three settings, but the magnitude and the direction of associations vary considerably between countries and genders. Area of residence is correlated with smoking among men in all three countries, whereas co-residential arrangements with spouse, children, or both significantly reduce alcohol consumption among men in Myanmar and among men and women in Thailand. In all three settings a significant complementary relationship between smoking and drinking is observed. From a policy perspective this implies that a successful reduction in smoking could be achieved through anti-drinking campaigns and vice versa.

在老年人中,特别是在东南亚,对吸烟和饮酒这两种主要健康风险行为的研究是有限的。本文对缅甸、越南和泰国老年人中吸烟和饮酒的患病率及其相关因素进行了比较分析,使用的数据来自这三个国家最新的全国老龄化调查。分析是在多变量框架内进行的。按性别分列的结果表明,在这三个国家中,吸烟和饮酒在老年男性中比在老年女性中更为普遍。然而,男性吸烟和饮酒的流行率随着年龄的增长而下降。多变量分析显示,在所有三种情况下,较高的教育水平与吸烟和饮酒有显著的负相关,但这种关联的程度和方向在国家和性别之间存在很大差异。在这三个国家中,居住地区与男子吸烟有关,而与配偶、子女或两者共同居住的安排大大减少了缅甸男子和泰国男女的饮酒量。在所有三种情况下,吸烟和饮酒之间存在显著的互补关系。从政策角度来看,这意味着可以通过反饮酒运动成功地减少吸烟,反之亦然。
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引用次数: 0
Measurement Invariance of the Brief Resilient Coping Scale (BRCS) in Peruvian and Spanish Older Adults. 秘鲁和西班牙老年人短暂弹性应对量表(BRCS)测量的不变性。
IF 2 Q3 GERONTOLOGY Pub Date : 2021-12-01 Epub Date: 2021-11-08 DOI: 10.1007/s10823-021-09441-z
Jose M Tomas, Tomás Caycho-Rodríguez, José Ventura-León, Patricia Sancho, Cirilo H García, Walter L Arias

Although the Brief Resilient Coping Scale (BRCS) has been validated in some European and American countries, there are no studies that evaluate its factorial invariance among different nations. In this sense, the objective of the study is to evaluate the factorial invariance of the BRCS in samples of older adults in Peru and Spain, using multigroup Confirmatory Factor Analysis. 236 older adults from Peru participated (Mean age = 72.8, SD = 6.90) and 133 older adults from Spain (Mean age = 71, SD = 7). In the Peruvian sample 78.4% were women and 21.6% men; while in the Spanish sample the majority were women (69.9%). The BRCS was scalar invariant but not strictly invariant between Spain and Peru. Our results found invariance of the structure, factor loadings and intercepts in both countries. These results support the use of BRCS in studies that compare the resilience between samples of older adults in both countries, and encourage applied research for the development of resilience in older adults in Spain and Peru.

虽然简要弹性应对量表(BRCS)在欧美一些国家已经得到了验证,但目前还没有研究评估其在不同国家之间的因子不变性。从这个意义上说,本研究的目的是利用多组验证性因子分析来评估秘鲁和西班牙老年人样本中BRCS的因子不变性。来自秘鲁的236名老年人(平均年龄= 72.8,SD = 6.90)和来自西班牙的133名老年人(平均年龄= 71,SD = 7)参与了研究。秘鲁样本中78.4%为女性,21.6%为男性;而在西班牙的样本中,大多数是女性(69.9%)。西班牙和秘鲁之间的BRCS是标量不变的,但不是严格不变的。我们的研究结果发现,两国的结构、因子载荷和截距都是不变的。这些结果支持BRCS在两国老年人样本间弹性比较研究中的使用,并鼓励西班牙和秘鲁老年人弹性发展的应用研究。
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引用次数: 4
"Homelessness and Health Problems Are Not Distinct:" the Challenges of Rural-Urban Migrant Homeless Older People in Ethiopia. "无家可归和健康问题并非泾渭分明:"埃塞俄比亚农村-城市移民无家可归老年人的挑战。
IF 2 Q3 GERONTOLOGY Pub Date : 2021-12-01 Epub Date: 2021-11-08 DOI: 10.1007/s10823-021-09443-x
Getachew Gebeyaw, Messay Gebremariam Kotecho, Margaret E Adamek

Compared with western countries, research on homelessness among older people in developing nations is minimal. Unlike in Global North nations that offer income security in late-life, in areas like Sub-Saharan Africa abject poverty contributes to older adults migrating from rural areas to urban centers in search of a means of livelihood. The aim of this study was to explore the challenges faced by homeless older rural-urban migrants in Kobo Town, Ethiopia. This cross-sectional study employed a qualitative descriptive case study. Purposive sampling was used to identify ten older adult migrants who had been homeless for more than a year. Data from in-depth interviews was supplemented with key informant interviews, observation, and document review. The narrative data was analyzed using thematic analysis. Study results revealed that homeless elders faced multiple challenges including lack of necessities such as food, shelter, and water, mobility issues, lack of employment access, social exclusion, and psychological struggles. The findings call attention to the need for practical access to social and economic empowerment responses to prevent and curb homelessness among older adults in developing nations.

与西方国家相比,发展中国家对老年人无家可归问题的研究很少。与北半球国家在晚年提供收入保障不同,在撒哈拉以南非洲等地区,赤贫导致老年人从农村地区迁移到城市中心,寻找谋生手段。本研究的目的是探讨埃塞俄比亚Kobo镇无家可归的老年农村-城市移民所面临的挑战。本横断面研究采用定性描述性案例研究。有目的的抽样被用来确定10名年长的成年移民,他们无家可归超过一年。从深度访谈中获得的数据辅以关键信息提供者访谈、观察和文件审查。采用主题分析法对叙事数据进行分析。研究结果显示,无家可归的老年人面临着多重挑战,包括缺乏食物、住所和水等必需品,流动性问题,缺乏就业机会,社会排斥和心理斗争。研究结果提醒人们注意,需要切实获得社会和经济赋权,以预防和遏制发展中国家老年人的无家可归现象。
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引用次数: 2
期刊
Journal of Cross-Cultural Gerontology
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