Pub Date : 2024-08-31DOI: 10.1007/s10433-024-00818-w
Giorgio Di Gessa, Christian Deindl
Although the long-term consequences of informal care provision have been well investigated, few studies have examined the trajectories of informal care provision among older people and the socioeconomic, demographic, health, and family characteristics associated with them. We use data from four waves of the English Longitudinal Study of Ageing, with 6561 respondents followed for 6 years (2012/3-2018/9). We used group-based trajectory modelling to group people's provision of care over time into a finite number of distinct trajectories of caregiving. Using multinomial logistic regressions, we then investigated the characteristics associated with these trajectories. Four distinct trajectories of caregiving were identified: "stable intensive", "increasing intensive", "decreasing", and "stable no care". Results suggest that although there are socioeconomic, demographic, and health differences across the trajectories of caregiving (with younger women in good health and poorer socioeconomic status more likely to care intensively throughout), family characteristics are their main drivers. Respondents who live alone, with no children, and no parents alive are more likely to never provide care, whereas those with older parents and who live with adults in poor health are more likely to provide stable intensive care. Also, changes in family characteristics (e.g. death of parents, widowhood, or deterioration of the partner's health) are associated with trajectories representing increases or decreases in caregiving over time. Overall, trajectories of informal caregiving undertaken by older people are varied and these patterns are mostly associated with both the availability and health of family members, suggesting that need factors represent the most immediate reason for caregiving commitments.
尽管对提供非正规护理的长期后果进行了深入研究,但很少有研究考察了老年人提供非正规护理的轨迹以及与之相关的社会经济、人口、健康和家庭特征。我们使用了英国老龄化纵向研究(English Longitudinal Study of Ageing)的四波数据,对 6561 名受访者进行了为期 6 年(2012/3-2018/9)的跟踪调查。我们使用基于群体的轨迹模型,将人们在一段时间内提供的护理归类为有限数量的不同护理轨迹。然后,我们使用多叉逻辑回归法研究了与这些轨迹相关的特征。我们确定了四种不同的护理轨迹:"稳定的强化护理"、"强化护理的增加"、"强化护理的减少 "和 "稳定的无护理"。结果表明,虽然在不同的护理轨迹中存在社会经济、人口和健康方面的差异(健康状况良好和社会经济地位较差的年轻女性更有可能在整个过程中都进行密集护理),但家庭特征是其主要驱动因素。独居、无子女和父母不在世的受访者更有可能从不提供护理,而父母年长和与健康状况不佳的成年人生活在一起的受访者则更有可能提供稳定的集中护理。此外,家庭特征的变化(如父母双亡、丧偶或伴侣健康状况恶化)也与随着时间推移护理增加或减少的轨迹有关。总体而言,老年人进行非正式护理的轨迹是多种多样的,这些模式大多与家庭成员的可用性和健康状况有关,这表明需求因素是承诺提供护理的最直接原因。
{"title":"Determinants of trajectories of informal caregiving in later life: evidence from England.","authors":"Giorgio Di Gessa, Christian Deindl","doi":"10.1007/s10433-024-00818-w","DOIUrl":"10.1007/s10433-024-00818-w","url":null,"abstract":"<p><p>Although the long-term consequences of informal care provision have been well investigated, few studies have examined the trajectories of informal care provision among older people and the socioeconomic, demographic, health, and family characteristics associated with them. We use data from four waves of the English Longitudinal Study of Ageing, with 6561 respondents followed for 6 years (2012/3-2018/9). We used group-based trajectory modelling to group people's provision of care over time into a finite number of distinct trajectories of caregiving. Using multinomial logistic regressions, we then investigated the characteristics associated with these trajectories. Four distinct trajectories of caregiving were identified: \"stable intensive\", \"increasing intensive\", \"decreasing\", and \"stable no care\". Results suggest that although there are socioeconomic, demographic, and health differences across the trajectories of caregiving (with younger women in good health and poorer socioeconomic status more likely to care intensively throughout), family characteristics are their main drivers. Respondents who live alone, with no children, and no parents alive are more likely to never provide care, whereas those with older parents and who live with adults in poor health are more likely to provide stable intensive care. Also, changes in family characteristics (e.g. death of parents, widowhood, or deterioration of the partner's health) are associated with trajectories representing increases or decreases in caregiving over time. Overall, trajectories of informal caregiving undertaken by older people are varied and these patterns are mostly associated with both the availability and health of family members, suggesting that need factors represent the most immediate reason for caregiving commitments.</p>","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11365911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-30DOI: 10.1007/s10433-024-00819-9
Larissa Zwar, Hans-Helmut König, André Hajek
Family-centered values are important for caregiving. However, findings on their association with burden are inconsistent. We aim to analyze whether positive aspects of caregiving are mediating the effect of familism on burden among informal caregivers of older adults in Germany. Participants (n = 277) were drawn from the Attitudes Toward Informal Caregivers (ATTIC) project and include informal long-term caregivers of older relatives (aged ≥ 60) quota-sampled from Germany (December 2023). Mediation analyses (linear OLS regression) with robust standard errors were conducted with the classic and the counterfactual causal mediation framework. The classic approach indicated a significant positive direct effect of familism on burden, a significant negative direct effect of PAC on burden and a significant negative indirect effect of familism via PAC on burden; the total effect was not significant. The causal mediation approach supports this; the interaction between familism and PAC was not significant. Thus, sociocultural family-centered values seemed to worsen burden but also to reduce it through positive experiences of caregiving, which did not depend on the strength of familism values. The findings advance our understanding of the mechanisms underlying the stress appraisal of the informal care situation and emphasize the role of positive experiences of care.
{"title":"Look on the bright side: the relation between family values, positive aspects of care and caregiver burden.","authors":"Larissa Zwar, Hans-Helmut König, André Hajek","doi":"10.1007/s10433-024-00819-9","DOIUrl":"https://doi.org/10.1007/s10433-024-00819-9","url":null,"abstract":"<p><p>Family-centered values are important for caregiving. However, findings on their association with burden are inconsistent. We aim to analyze whether positive aspects of caregiving are mediating the effect of familism on burden among informal caregivers of older adults in Germany. Participants (n = 277) were drawn from the Attitudes Toward Informal Caregivers (ATTIC) project and include informal long-term caregivers of older relatives (aged ≥ 60) quota-sampled from Germany (December 2023). Mediation analyses (linear OLS regression) with robust standard errors were conducted with the classic and the counterfactual causal mediation framework. The classic approach indicated a significant positive direct effect of familism on burden, a significant negative direct effect of PAC on burden and a significant negative indirect effect of familism via PAC on burden; the total effect was not significant. The causal mediation approach supports this; the interaction between familism and PAC was not significant. Thus, sociocultural family-centered values seemed to worsen burden but also to reduce it through positive experiences of caregiving, which did not depend on the strength of familism values. The findings advance our understanding of the mechanisms underlying the stress appraisal of the informal care situation and emphasize the role of positive experiences of care.</p>","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11364734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-13DOI: 10.1007/s10433-024-00817-x
Maura K M Gardeniers, Martijn Huisman, Erik Jan Meijboom, Emiel O Hoogendijk, Marjolein I Broese van Groenou
As health impairment increases, older adults utilize care from different types of caregivers, but little is known about changes in the composition of care networks. We mapped the transitions between different care networks to gain insight into which people develop care networks that include informal, privately and publicly paid care. We used three waves (2012-2015-2018) of the Longitudinal Aging Study Amsterdam with 1413 Dutch community-dwelling adults, aged 64-100. Network types were identified using six types of caregivers: (1) co-resident, (2) non-co-resident children, (3) other kin, (4) neighbours/friends/acquaintances, (5) publicly paid, (6) privately paid, in a latent transition analysis with mortality and moving to a care facility as missing states. Five types of care networks were identified: (1) no care, (2) privately paid, (3) mixed informal, (4) mixed publicly paid, (5) co-resident. The co-resident network was the most unstable and had a high transition rate to nursing homes. Participants from the privately paid care network often transitioned to a mixed informal network and rarely transitioned to a mixed publicly paid network. Transitions out of the no-care network were mostly to the privately paid network. The two mixed care networks were the most stable. Transitions appeared to be most triggered by deteriorating health. Transitions to institutional care were most likely in the mixed informal, mixed publicly paid and the co-resident network. Thus, these networks appear to require additional support to facilitate ageing in place.
{"title":"Transitions between care networks: a prospective study among older adults in the Netherlands.","authors":"Maura K M Gardeniers, Martijn Huisman, Erik Jan Meijboom, Emiel O Hoogendijk, Marjolein I Broese van Groenou","doi":"10.1007/s10433-024-00817-x","DOIUrl":"10.1007/s10433-024-00817-x","url":null,"abstract":"<p><p>As health impairment increases, older adults utilize care from different types of caregivers, but little is known about changes in the composition of care networks. We mapped the transitions between different care networks to gain insight into which people develop care networks that include informal, privately and publicly paid care. We used three waves (2012-2015-2018) of the Longitudinal Aging Study Amsterdam with 1413 Dutch community-dwelling adults, aged 64-100. Network types were identified using six types of caregivers: (1) co-resident, (2) non-co-resident children, (3) other kin, (4) neighbours/friends/acquaintances, (5) publicly paid, (6) privately paid, in a latent transition analysis with mortality and moving to a care facility as missing states. Five types of care networks were identified: (1) no care, (2) privately paid, (3) mixed informal, (4) mixed publicly paid, (5) co-resident. The co-resident network was the most unstable and had a high transition rate to nursing homes. Participants from the privately paid care network often transitioned to a mixed informal network and rarely transitioned to a mixed publicly paid network. Transitions out of the no-care network were mostly to the privately paid network. The two mixed care networks were the most stable. Transitions appeared to be most triggered by deteriorating health. Transitions to institutional care were most likely in the mixed informal, mixed publicly paid and the co-resident network. Thus, these networks appear to require additional support to facilitate ageing in place.</p>","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11322471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141976931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-19DOI: 10.1007/s10433-024-00816-y
Marie Agapitos, Graciela Muniz-Terrera, Annie Robitaille
The prevalence of informal caregiving is increasing as populations across the world age. Caregiving has been found to be associated with poor mental health outcomes including depressive symptoms. The purpose of this study is to examine the mean trajectory of depressive symptomatology in older caregivers in a large European sample over an eight-year period, the effects of time-varying and time-invariant covariates on this trajectory, and the mean trajectory of depressive symptomatology according to pattern of caregiving. The results suggest that depressive symptoms in the full sample of caregivers follow a nonlinear trajectory characterized by an initial decrease which decelerates over time. Caregiver status and depressive symptoms were significantly associated such that depressive symptoms increased as a function of caregiver status. The trajectory in caregivers who report intermittent or consecutive occasions of caregiving remained stable over time. Significant associations were found between sociodemographic, health and caregiving characteristics and the initial levels and rates of change of these trajectories. While these results point to the resilience of caregivers, they also highlight the factors that are related to caregivers' adaptation over time. This can help in identifying individuals who may require greater supports and, in turn, ensuring that caregivers preserve their well-being.
{"title":"Older caregivers' depressive symptomatology over time: evidence from the Survey of Health, Ageing and Retirement in Europe.","authors":"Marie Agapitos, Graciela Muniz-Terrera, Annie Robitaille","doi":"10.1007/s10433-024-00816-y","DOIUrl":"10.1007/s10433-024-00816-y","url":null,"abstract":"<p><p>The prevalence of informal caregiving is increasing as populations across the world age. Caregiving has been found to be associated with poor mental health outcomes including depressive symptoms. The purpose of this study is to examine the mean trajectory of depressive symptomatology in older caregivers in a large European sample over an eight-year period, the effects of time-varying and time-invariant covariates on this trajectory, and the mean trajectory of depressive symptomatology according to pattern of caregiving. The results suggest that depressive symptoms in the full sample of caregivers follow a nonlinear trajectory characterized by an initial decrease which decelerates over time. Caregiver status and depressive symptoms were significantly associated such that depressive symptoms increased as a function of caregiver status. The trajectory in caregivers who report intermittent or consecutive occasions of caregiving remained stable over time. Significant associations were found between sociodemographic, health and caregiving characteristics and the initial levels and rates of change of these trajectories. While these results point to the resilience of caregivers, they also highlight the factors that are related to caregivers' adaptation over time. This can help in identifying individuals who may require greater supports and, in turn, ensuring that caregivers preserve their well-being.</p>","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11264649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-26DOI: 10.1007/s10433-024-00815-z
Frauke Meyer-Wyk, Susanne Wurm
While the link between self-perceptions of aging (SPA) and healthy aging is well established, less is known about the association between social factors and SPA. The present study investigated whether higher social network diversity is associated with more positive and less negative SPA and whether this association is moderated by age. We examined cross-sectional data from the German Ageing Survey of 2008 (DEAS; N = 6205, 40-85 years, 49.5% female). Network diversity was assessed as the number of social roles in an individual's network (such as spouse, friend and colleague). Three domains of SPA were measured using the Aging-Related Cognitions Scale (AgeCog): ongoing development (positive SPA), social losses (negative SPA) and physical losses (negative SPA). We conducted multiple linear regression models and tested for a moderator effect of age using an interaction term of age and network diversity. Results showed that at higher ages older adults with higher network diversity reported more positive SPA related to ongoing development and more negative SPA related to social losses than those with less diverse networks, indicating that age has a moderating effect. We found no association between network diversity and negative SPA related to physical losses and no indication that age was relevant to this relationship. The present study adds to evidence on the role of social networks in SPA. Our findings suggest that in certain SPA domains and depending on age, network diversity is related to both more positive and more negative SPA, which emphasizes the importance of considering domain-specific SPA.
{"title":"The role of social network diversity in self-perceptions of aging in later life.","authors":"Frauke Meyer-Wyk, Susanne Wurm","doi":"10.1007/s10433-024-00815-z","DOIUrl":"10.1007/s10433-024-00815-z","url":null,"abstract":"<p><p>While the link between self-perceptions of aging (SPA) and healthy aging is well established, less is known about the association between social factors and SPA. The present study investigated whether higher social network diversity is associated with more positive and less negative SPA and whether this association is moderated by age. We examined cross-sectional data from the German Ageing Survey of 2008 (DEAS; N = 6205, 40-85 years, 49.5% female). Network diversity was assessed as the number of social roles in an individual's network (such as spouse, friend and colleague). Three domains of SPA were measured using the Aging-Related Cognitions Scale (AgeCog): ongoing development (positive SPA), social losses (negative SPA) and physical losses (negative SPA). We conducted multiple linear regression models and tested for a moderator effect of age using an interaction term of age and network diversity. Results showed that at higher ages older adults with higher network diversity reported more positive SPA related to ongoing development and more negative SPA related to social losses than those with less diverse networks, indicating that age has a moderating effect. We found no association between network diversity and negative SPA related to physical losses and no indication that age was relevant to this relationship. The present study adds to evidence on the role of social networks in SPA. Our findings suggest that in certain SPA domains and depending on age, network diversity is related to both more positive and more negative SPA, which emphasizes the importance of considering domain-specific SPA.</p>","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11208383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141459950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-13DOI: 10.1007/s10433-024-00814-0
Sabrina Cipolletta, Dario Signorello, Sara Zuppiroli, Alexandra Hering, Nicola Ballhausen, Giovanna Mioni, Matthias Kliegel, Mauro Gaspari, Franca Stablum
The development of easily accessible and usable social and cognitive enhancement trainings is becoming a priority to reduce the impact of aging on quality of life. Since most activities of daily living (e.g., making a meal) require problem-solving skills, problem-solving interventions could be used to improve and/or maintain functional abilities in aging to prolong independence. To design an effective problem-solving training and increase older adults' adherence to the training, this study examined older adults' perceptions of their challenges in activities of daily living, their skills and difficulties in using information technology (IT), and their motivations and expectations for participating in a web-based problem-solving training activity. Four focus groups (two in Italy and two in the Netherlands) were conducted with older adults aged between 65 and 84 years, a total of 27 participants. The data were analyzed using the Atlas.ti 8 software for the thematic analysis. The analysis identified five thematic areas: interests and activities, difficulties and concerns, experiences and motivations for training, expertise and resources, suggestions for the design of the new training. The results were used to develop a first prototype of a Shared, Web-based, Intelligent Flexible Thinking Training (SWIFT), adapted to future user needs. The participation of older adults in this design phase was critical to understanding their needs, motivations, and expectations regarding the implementation and use of a cognitive enhancement training.
{"title":"A focus group study for the design of a web-based tool for improving problem-solving in older adults.","authors":"Sabrina Cipolletta, Dario Signorello, Sara Zuppiroli, Alexandra Hering, Nicola Ballhausen, Giovanna Mioni, Matthias Kliegel, Mauro Gaspari, Franca Stablum","doi":"10.1007/s10433-024-00814-0","DOIUrl":"10.1007/s10433-024-00814-0","url":null,"abstract":"<p><p>The development of easily accessible and usable social and cognitive enhancement trainings is becoming a priority to reduce the impact of aging on quality of life. Since most activities of daily living (e.g., making a meal) require problem-solving skills, problem-solving interventions could be used to improve and/or maintain functional abilities in aging to prolong independence. To design an effective problem-solving training and increase older adults' adherence to the training, this study examined older adults' perceptions of their challenges in activities of daily living, their skills and difficulties in using information technology (IT), and their motivations and expectations for participating in a web-based problem-solving training activity. Four focus groups (two in Italy and two in the Netherlands) were conducted with older adults aged between 65 and 84 years, a total of 27 participants. The data were analyzed using the Atlas.ti 8 software for the thematic analysis. The analysis identified five thematic areas: interests and activities, difficulties and concerns, experiences and motivations for training, expertise and resources, suggestions for the design of the new training. The results were used to develop a first prototype of a Shared, Web-based, Intelligent Flexible Thinking Training (SWIFT), adapted to future user needs. The participation of older adults in this design phase was critical to understanding their needs, motivations, and expectations regarding the implementation and use of a cognitive enhancement training.</p>","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11176128/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141312003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-23DOI: 10.1007/s10433-024-00810-4
Tim Kuball, Georg Jahn
Beyond objective indicators of social status (e.g., income or education), the subjective social status (SSS; i.e., the self-assessed position in a social hierarchy) is associated with psychological well-being and physiological functioning. Existing research has focused on older adults' current status evaluations, neglecting perceived temporal stability or change in SSS which can further impact self-perception and emotional well-being. In the present study, we examined older adults' (N = 191; mean age = 73.5) SSS with regard to their past, present, and future. Examining SSS for multiple time-points allowed us to identify profiles representing trajectories of status from the past to the future by conducting latent profile analysis. Furthermore, we tested associations of the identified trajectory-profiles with aging anxiety and negative affect. Results showed that, on average, participants anticipated higher future status losses than they had experienced in the past, regardless of age. In the more nuanced profile analysis, we identified four trajectory-profiles: A high (17%), a moderate (57%), and a low perceived social status (14%) trajectory, as well as a profile representing a perceived decrease in status (12%). While a lower status was associated with more aging anxiety and negative affect, most aging anxiety and negative affect was found for profiles representing a low initial status-level and a perceived decrease in status. Findings implicate that social status comparisons with others but also status comparisons with past- and future-selves are relevant for older adults. The discussion highlights the benefits of improving or stabilizing subjective assessments of status in later adulthood.
{"title":"Subjective social status across the past, present, and future: status trajectories of older adults.","authors":"Tim Kuball, Georg Jahn","doi":"10.1007/s10433-024-00810-4","DOIUrl":"10.1007/s10433-024-00810-4","url":null,"abstract":"<p><p>Beyond objective indicators of social status (e.g., income or education), the subjective social status (SSS; i.e., the self-assessed position in a social hierarchy) is associated with psychological well-being and physiological functioning. Existing research has focused on older adults' current status evaluations, neglecting perceived temporal stability or change in SSS which can further impact self-perception and emotional well-being. In the present study, we examined older adults' (N = 191; mean age = 73.5) SSS with regard to their past, present, and future. Examining SSS for multiple time-points allowed us to identify profiles representing trajectories of status from the past to the future by conducting latent profile analysis. Furthermore, we tested associations of the identified trajectory-profiles with aging anxiety and negative affect. Results showed that, on average, participants anticipated higher future status losses than they had experienced in the past, regardless of age. In the more nuanced profile analysis, we identified four trajectory-profiles: A high (17%), a moderate (57%), and a low perceived social status (14%) trajectory, as well as a profile representing a perceived decrease in status (12%). While a lower status was associated with more aging anxiety and negative affect, most aging anxiety and negative affect was found for profiles representing a low initial status-level and a perceived decrease in status. Findings implicate that social status comparisons with others but also status comparisons with past- and future-selves are relevant for older adults. The discussion highlights the benefits of improving or stabilizing subjective assessments of status in later adulthood.</p>","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11116347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-22DOI: 10.1007/s10433-024-00812-2
Zhenzhi Wang, Zhen Sun, Hui Zheng
Purpose: Dementia and chronic pain (CP) are prevalent among older adults. However, no study has systematically reviewed the association between dementia and CP. Therefore, we performed this study to gather evidence about the potential relationship between the two.
Methods: Two authors independently searched PubMed, Embase, and Web of Science to identify all records published up to 1 September 2022 that explored the association between CP and dementia. The methodological quality of the studies was assessed using the Newcastle Ottawa Scale (NOS). A fixed or random-effects model was used to pool the risk estimates.
Results: Among the initial 3296 articles retrieved, 19 were included in the review (1 cross-sectional, and 18 cohort). The pooled result showed the risk of dementia was 1.42 times higher in CP patients (HR = 1.42, 95% CI 1.23-1.64, P < 0.001). dementia and CP subtypes, gender, and age did not significantly affect the results.
Conclusion: Our study shows that people who suffered from CP are at an increased risk of developing dementia, regardless of gender, age, and dementia and CP subtypes.
{"title":"Association between chronic pain and dementia: a systematic review and meta-analysis.","authors":"Zhenzhi Wang, Zhen Sun, Hui Zheng","doi":"10.1007/s10433-024-00812-2","DOIUrl":"10.1007/s10433-024-00812-2","url":null,"abstract":"<p><strong>Purpose: </strong>Dementia and chronic pain (CP) are prevalent among older adults. However, no study has systematically reviewed the association between dementia and CP. Therefore, we performed this study to gather evidence about the potential relationship between the two.</p><p><strong>Methods: </strong>Two authors independently searched PubMed, Embase, and Web of Science to identify all records published up to 1 September 2022 that explored the association between CP and dementia. The methodological quality of the studies was assessed using the Newcastle Ottawa Scale (NOS). A fixed or random-effects model was used to pool the risk estimates.</p><p><strong>Results: </strong>Among the initial 3296 articles retrieved, 19 were included in the review (1 cross-sectional, and 18 cohort). The pooled result showed the risk of dementia was 1.42 times higher in CP patients (HR = 1.42, 95% CI 1.23-1.64, P < 0.001). dementia and CP subtypes, gender, and age did not significantly affect the results.</p><p><strong>Conclusion: </strong>Our study shows that people who suffered from CP are at an increased risk of developing dementia, regardless of gender, age, and dementia and CP subtypes.</p>","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11111427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-22DOI: 10.1007/s10433-024-00813-1
Essi-Mari Tuomola, Kirsi E Keskinen, Taina Rantanen, Erja Portegijs
In old age, walking difficulty may reduce opportunities to reach valued activity destinations. Walking modifications, e.g., slower pace or using a walking aid, may enable individuals to continue going where they wish, and hence postpone the consequences of the onset of walking difficulties. We studied visited activity destinations (type, distance) among older people with varying degrees of walking limitations. Community-dwelling 75-85-year-old people living in Jyväskylä (N = 901) were asked to state whether they had no difficulty walking 2 km, had modified their walking, or had difficulty walking. On a digital map, participants located physical exercise, attractive, and regular destinations they had visited during the past month. Destination counts and median distance to destinations from home were computed. Participants with intact walking reported higher counts of physical exercise (IRR = 1.45, 95% CI [1.31, 1.61]) and attractive destinations (IRR = 1.23, 95% CI [1.10, 1.40]) than those with walking difficulty and also visited these destinations further away from home than the others (b = 0.46, 95% CI [0.20, 0.71]). Those with walking modifications reported higher counts of physical exercise destinations than those with walking difficulty (IRR = 1.23, 95% CI [1.09, 1.40]). Counts of regular destinations and distance traveled were not associated with walking limitations. Walking modifications may help people with walking difficulty reach destinations further away from home, potentially contributing to their sense of autonomy. For those with walking difficulty, a low count of destinations other than regular destinations, e.g., shops or healthcare facilities, may signal their abandonment of recreational activities and a decrease in their life space, potentially leading to reduced well-being.
到了老年,行走困难可能会减少到达有价值的活动目的地的机会。改变行走方式,如放慢步伐或使用助行器,可以使人们继续前往他们希望去的地方,从而推迟因行走困难而产生的后果。我们研究了有不同程度步行障碍的老年人访问的活动目的地(类型、距离)。我们要求居住在于韦斯屈莱市的 75-85 岁社区居民(901 人)说明他们在步行 2 公里时是否没有困难、是否改变了步行方式或是否有困难。在数字地图上,参与者找到了他们在过去一个月中进行体育锻炼、具有吸引力和经常光顾的目的地。我们计算了目的地计数和从家到目的地的中位距离。与行走不便的参与者相比,行走能力正常的参与者报告的体育锻炼次数(IRR = 1.45,95% CI [1.31,1.61])和有吸引力的目的地次数(IRR = 1.23,95% CI [1.10,1.40])更高,而且与其他参与者相比,这些目的地离家更远(b = 0.46,95% CI [0.20,0.71])。与步行有困难的人相比,步行有障碍的人报告的体育锻炼目的地次数更高(IRR = 1.23,95% CI [1.09,1.40])。常规目的地计数和旅行距离与步行限制无关。步行改装可以帮助有步行困难的人到达离家更远的目的地,从而增强他们的自主意识。对于步行有困难的人来说,除常规目的地(如商店或医疗机构)外,其他目的地的计数较低可能意味着他们放弃了娱乐活动,生活空间缩小,从而可能导致幸福感降低。
{"title":"Associations between walking limitations and reported activity destinations among older adults.","authors":"Essi-Mari Tuomola, Kirsi E Keskinen, Taina Rantanen, Erja Portegijs","doi":"10.1007/s10433-024-00813-1","DOIUrl":"10.1007/s10433-024-00813-1","url":null,"abstract":"<p><p>In old age, walking difficulty may reduce opportunities to reach valued activity destinations. Walking modifications, e.g., slower pace or using a walking aid, may enable individuals to continue going where they wish, and hence postpone the consequences of the onset of walking difficulties. We studied visited activity destinations (type, distance) among older people with varying degrees of walking limitations. Community-dwelling 75-85-year-old people living in Jyväskylä (N = 901) were asked to state whether they had no difficulty walking 2 km, had modified their walking, or had difficulty walking. On a digital map, participants located physical exercise, attractive, and regular destinations they had visited during the past month. Destination counts and median distance to destinations from home were computed. Participants with intact walking reported higher counts of physical exercise (IRR = 1.45, 95% CI [1.31, 1.61]) and attractive destinations (IRR = 1.23, 95% CI [1.10, 1.40]) than those with walking difficulty and also visited these destinations further away from home than the others (b = 0.46, 95% CI [0.20, 0.71]). Those with walking modifications reported higher counts of physical exercise destinations than those with walking difficulty (IRR = 1.23, 95% CI [1.09, 1.40]). Counts of regular destinations and distance traveled were not associated with walking limitations. Walking modifications may help people with walking difficulty reach destinations further away from home, potentially contributing to their sense of autonomy. For those with walking difficulty, a low count of destinations other than regular destinations, e.g., shops or healthcare facilities, may signal their abandonment of recreational activities and a decrease in their life space, potentially leading to reduced well-being.</p>","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11111429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141077139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This paper proposes comparative research on support provided outside the household by older adults in Europe. In studying social support, the network perspective is widely used, investigating, in particular, the ego-centered support networks of individuals. The analysis is based on data from Wave 7 of the Survey of Health Ageing and Retirement in Europe (SHARE). It examines the characteristics of ego-support networks of individuals aged 65 and over in 12 European countries, which are grouped into a novel welfare regime typology. Through Multiple Correspondence Analysis, we jointly looked into the categorical variables describing the recipients (alters) of the support provided by older adults and the welfare regime classification. As a main result, countries grouped in "High degree of familialism by default" category specialized in supporting family-related alters, particularly with childcare or personal care. In contrast, the elders in countries belonging to "High degree of de-familialisation" typology provided a more varied but less demanding support, to non-relatives alters and less oriented to care. The analyses show that the SHARE provides a solid opportunity to face the topic.
{"title":"Which support is provided in which country? Patterns among older adults in Europe.","authors":"Emanuela Furfaro, Elvira Pelle, Giulia Rivellini, Susanna Zaccarin","doi":"10.1007/s10433-024-00808-y","DOIUrl":"10.1007/s10433-024-00808-y","url":null,"abstract":"<p><p>This paper proposes comparative research on support provided outside the household by older adults in Europe. In studying social support, the network perspective is widely used, investigating, in particular, the ego-centered support networks of individuals. The analysis is based on data from Wave 7 of the Survey of Health Ageing and Retirement in Europe (SHARE). It examines the characteristics of ego-support networks of individuals aged 65 and over in 12 European countries, which are grouped into a novel welfare regime typology. Through Multiple Correspondence Analysis, we jointly looked into the categorical variables describing the recipients (alters) of the support provided by older adults and the welfare regime classification. As a main result, countries grouped in \"High degree of familialism by default\" category specialized in supporting family-related alters, particularly with childcare or personal care. In contrast, the elders in countries belonging to \"High degree of de-familialisation\" typology provided a more varied but less demanding support, to non-relatives alters and less oriented to care. The analyses show that the SHARE provides a solid opportunity to face the topic.</p>","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11070411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}