Journal of Aging Studies最新文献

‘The point isn't that we're old, but that we're the founders’: A generational perspective on older adults' protest participation “问题不在于我们老了，而在于我们是创始人”：从一代人的角度看老年人参与抗议活动

IF 1.9 3区社会学 Q2 GERONTOLOGY

Journal of Aging Studies

Pub Date : 2025-12-10 DOI: 10.1016/j.jaging.2025.101395

Gabriela Spector-Mersel , Ayelet Dassa

A generational perspective is effective in exploring older adults' social participation, yet it has rarely been employed to examine their political engagement. To explore the potential role of generational affiliation in later-life protest participation, we employed Mannheim's generational framework to investigate older Israelis' massive participation in the 2023 social protest. Through four focus-group interviews, comprising 27 Israeli Jews regularly participating in the protest, we scrutinised participation motivations, experiences, and the meanings attributed to their age concerning participation. A framework analysis identified four themes: 1) Participants recounted a narrative of participation that positioned their protest as linking their past contributions to Israel's founding and existence, to the future, represented by their offspring. This narrative, based on participants' self-identification as the founding generation, provided a sense of generativity, stemming from their efforts to protect the legacy they leave for future generations. 2) Participation experience intertwined a sense of generational belonging, establishing participants' collective identity as founders, and intergenerational belonging, representing their desire to belong to the state they built, thereby resisting their ageist marginalization. 3) Participants' self-depiction as the ‘tribal elders,’ guiding and supporting younger protesters, was intertwined with being ‘the founders,’ permitting them to acknowledge age-related limitations in the protest without being considered ‘ordinary’ old people. 4) Participants neutralised age as relevant in their protest, corresponding with their mythic founders' status. Our study demonstrates the merits of a generational perspective in identifying further layers of meaning in older people's political participation. Its employment can enrich understanding of past findings and generate future insights regarding this growing phenomenon.

代际视角在探索老年人的社会参与方面是有效的，但很少被用来研究他们的政治参与。为了探索代际关系在晚年抗议参与中的潜在作用，我们采用了曼海姆的代际框架来调查以色列老年人在2023年社会抗议中的大规模参与。通过四个焦点小组访谈，包括27名经常参加抗议的以色列犹太人，我们仔细研究了参与的动机、经历，以及他们参与的年龄所带来的意义。一项框架分析确定了四个主题：1)参与者讲述了他们的参与叙事，将他们的抗议定位为将他们过去对以色列的建立和存在的贡献与他们后代所代表的未来联系起来。这种基于参与者作为开国元勋一代的自我认同的叙述，提供了一种产生感，源于他们努力保护自己为后代留下的遗产。2)参与体验交织着代际归属感，建立了参与者作为创始人的集体身份认同；代际归属感，代表了他们对自己所建立的国家的归属感，从而抵制了年龄歧视的边缘化。3)参与者将自己描述为引导和支持年轻抗议者的“部落长者”，这与“发起人”的身份交织在一起，让他们在抗议活动中承认与年龄有关的限制，而不会被视为“普通”老年人。4)参与者将年龄作为抗议的相关因素，与他们神话般的创始人身份相对应。我们的研究证明了代际视角在确定老年人政治参与的更深层次意义方面的优点。它的使用可以丰富对过去发现的理解，并对这一日益增长的现象产生未来的见解。

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引用次数: 0

Tragedy or ordeal? How reshaping discourses can contribute to reimagining approaches to care and the value of life in times of crisis 悲剧还是磨难？在危机时刻，重塑话语如何有助于重新构想护理方法和生命价值

IF 1.9 3区社会学 Q2 GERONTOLOGY

Journal of Aging Studies

Pub Date : 2025-12-01 DOI: 10.1016/j.jaging.2025.101384

Sabrina Lessard , Tamara Sussman

Attending to the discourses surrounding a crisis can offer important insights into who and what is valued in society. The COVID-19 pandemic offers just this opportunity as it represents a modern societal crisis.

Our former work, which examined media discourses surrounding life in LTC during the COVID-19 pandemic, revealed a discourse that framed life in LTC as tragic. In this study, using a life story approach, we explore how, if at all, the tragedy discourse shifts when older persons in LTC (n = 15) are invited to share their experiences of COVID-19.

Our analysis revealed three interrelated categories that together highlight the myriad of factors impacting the value of life in LTC during the COVID-19 pandemic and which act as counter-narratives to the dominant discourse. These counter-narratives are captured in the categories: COVID-19 as a component of a larger life story; Resisting isolation despite restrictions; and Contrasting experiences of life in LTC before, during, and after COVID-19, and highlight how residents strove to retain a sense of belonging, care and connection during this time of crisis.

Introducing counter-narratives of residents who lived through COVID-19 in LTC provides an impetus for reconstructing this period of global unrest from that of a tragedy to that of an ordeal. It also reminds us of the valiant efforts people continue to make to ensure the value of their lives are seen and recognized even when dominant discourses are supporting their erasure.

参与围绕危机的讨论可以提供重要的见解，了解社会中有价值的人和东西。COVID-19大流行提供了这一机会，因为它代表了一场现代社会危机。我们之前的工作考察了COVID-19大流行期间围绕LTC生活的媒体话语，揭示了一种将LTC生活视为悲剧的话语。在本研究中，我们采用生活故事的方法，探讨了当LTC的老年人（n = 15）被邀请分享他们的COVID-19经历时，悲剧话语如何发生变化（如果有的话）。我们的分析揭示了三个相互关联的类别，它们共同突出了在COVID-19大流行期间影响LTC生命价值的无数因素，并作为主流话语的反叙述。这些相反的叙述分为以下几类：2019冠状病毒病是一个更大的生活故事的组成部分；不顾限制抵制隔离；并对比了在COVID-19之前、期间和之后LTC的生活经历，并突出了居民在这一危机时期如何努力保持归属感、关怀和联系感。在LTC引入经历COVID-19的居民的反叙述，为从悲剧到磨难的全球动荡时期的重建提供了动力。它还提醒我们，即使在主流话语支持抹杀他们的时候，人们仍在继续做出勇敢的努力，以确保他们生命的价值被看到和认可。

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引用次数: 0

‘Kindness, respect and consultation’ versus ‘being kept active and busy’: The differences between residents' and families' expectations of high-quality care in nursing homes “友善、尊重和咨询”与“保持活跃和忙碌”：居民和家庭对养老院高质量护理期望的差异

IF 1.9 3区社会学 Q2 GERONTOLOGY

Journal of Aging Studies

Pub Date : 2025-12-01 DOI: 10.1016/j.jaging.2025.101383

Jo-Anne Rayner, Deirdre Fetherstonhaugh, Linda McAuliffe

High-quality care is a right and an expectation of older people living in nursing homes; however, recent Australian evidence suggests that the care provided is sub-standard. To understand what older Australians living in nursing homes and their family members expect of high-quality aged care, semi-structured interviews were undertaken with older people (n = 51) and family members (n = 29) in 15 nursing homes. Transcripts were thematically analysed. Findings suggest that older peoples' and family members' expectations of high-quality care differ. Overwhelmingly, older people spoke about meals and the interpersonal aspects of care, including the importance of relationships with others, being treated respectfully as individuals with kindness, being given choice and involvement in care decisions, and staff responding to their care needs promptly. For families, high-quality care was about having a clean physical environment, more staff to provide individualised care, better communication with families, and keeping their relatives active and busy. Older people also spoke about the need for more staff, but their concern related to staff workload rather than the quality of their care. This research found that the care priorities of older people in nursing homes differ from those of their families. Staff must not assume that the expectations of older people and families regarding high-quality care are the same; they should provide person-centred care to older people and improve communication with families.

高质量的护理是生活在养老院的老年人的权利和期望；然而，最近澳大利亚的证据表明，所提供的护理是不合标准的。为了了解住在养老院的澳大利亚老年人及其家庭成员对高质量老年护理的期望，我们对15家养老院的老年人（n = 51）和家庭成员（n = 29）进行了半结构化访谈。对转录本进行主题分析。研究结果表明，老年人和家庭成员对高质量护理的期望不同。绝大多数老年人谈到了膳食和护理的人际关系方面，包括与他人建立关系的重要性，被尊重地对待，被给予选择并参与护理决策，以及工作人员及时响应他们的护理需求。对于家庭来说，高质量的护理是指有一个干净的物理环境，更多的工作人员提供个性化护理，更好地与家人沟通，让他们的亲属保持活跃和忙碌。老年人也谈到需要更多的工作人员，但他们担心的是工作人员的工作量，而不是他们的护理质量。这项研究发现，老年人在养老院的护理优先级不同于他们的家庭。工作人员不能认为老年人和家庭对高质量护理的期望是相同的；它们应为老年人提供以人为本的护理，并改善与家庭的沟通。

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引用次数: 0

(not) lovely: Enacting solidarity in dementia care through participatory Arts. （不）可爱：通过参与式艺术在痴呆症护理中发挥团结作用。

IF 1.9 3区社会学 Q2 GERONTOLOGY

Journal of Aging Studies

Pub Date : 2025-12-01 Epub Date: 2025-08-07 DOI: 10.1016/j.jaging.2025.101352

Chloé Bradwell

This article considers how artists can help highlight the value of negative emotions for care home residents living with dementia. It continues the discussion on arts and health in dementia care by looking at wellbeing beyond mere individual happiness and considering sadness as an integral part of it. This study focuses on Entelechy Arts, a participatory arts company creating cultural programmes for isolated older adults and those in care environments. Focusing on a specific interaction from their Walking Through Walls programme, this article offers a thick description and theoretical analysis of how the creative practitioners fostered solidarity among artists, residents, and staff by validating a resident's feelings of sadness and anger through kinaesthetic attunement. The study argues that by attuning to negative emotions, artists can challenge notions of utopian happiness. This counters the idea that negative emotions must be suppressed to promote wellbeing and enact solidarity as a collective and activist act of care. This is critical in the context of care home residents living with dementia, for whom negative feelings are often interpreted as challenging behaviours that can lead to medication and isolation. Instead, this paper suggests that artists can help re-frame such behaviours as important relational acts that challenge the normalisation of oppressive institutional systems.

这篇文章探讨了艺术家如何帮助老年痴呆症患者强调负面情绪的价值。它继续讨论痴呆症护理中的艺术和健康，通过关注幸福而不仅仅是个人幸福，并将悲伤视为其不可分割的一部分。这项研究的重点是Entelechy Arts，这是一家参与式艺术公司，为孤立的老年人和护理环境中的老年人创造文化节目。这篇文章聚焦于他们的“穿墙行走”项目的具体互动，对创造性的实践者如何通过动觉调谐来验证居民的悲伤和愤怒情绪，从而培养艺术家、居民和工作人员之间的团结进行了详尽的描述和理论分析。该研究认为，通过适应负面情绪，艺术家可以挑战乌托邦式幸福的概念。这反驳了必须抑制负面情绪以促进幸福和制定团结作为集体和积极的关怀行为的观点。对于患有痴呆症的养老院居民来说，这一点至关重要，因为对他们来说，负面情绪往往被解释为具有挑战性的行为，可能导致药物治疗和孤立。相反，本文建议艺术家可以帮助将这些行为重新定义为挑战压迫性制度系统正常化的重要关系行为。

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引用次数: 0

Editorial for special issue Ethical concerns: Envisioning ethnographic fieldwork with cognitively impaired older adults 特刊社论伦理问题：设想与认知受损的老年人民族志田野调查

IF 1.9 3区社会学 Q2 GERONTOLOGY

Journal of Aging Studies

Pub Date : 2025-12-01 DOI: 10.1016/j.jaging.2025.101358

Barbara Pieta , Cristina Douglas , Matthew Lariviere , Maria D. Vesperi

引用次数: 0

Aging into (in)visibility: Tracing Hijra life narratives in Dayanita Singh's Myself Mona Ahmed. 衰老进入可见性：追踪达安妮塔·辛格的《我自己·莫娜·艾哈迈德》中的海吉拉生活叙事。

IF 1.9 3区社会学 Q2 GERONTOLOGY

Journal of Aging Studies

Pub Date : 2025-12-01 Epub Date: 2025-08-07 DOI: 10.1016/j.jaging.2025.101350

Riya Chawla, Preeti Bhatt

The most poignant challenges experienced by South Asian Hijras (the culturally marginalized transgender community in India that is associated with various rituals, roles, and responsibilities) are related to the lack of family support and discrimination due to their gender identity. Family support for the Hijras is usually withdrawn at a very early age, and it becomes even more devastating as they age, leading to their social isolation and causing them emotional distress. Predominant literature on the trans community in India focuses on the young queer body and the triumphant coming of age of trans individuals as young queer adults. In contrast, the representation of older queer individuals in literature is strikingly absent. This paper attempts to demystify the aging experiences of transgender individuals in India through a critical analysis of the landmark photobook of Dayanita Singh's Myself Mona Ahmed (2001) to gain insight about how they cultivate solidarity in the community to imagine a collective trans future. Dayanita Singh documents Mona Ahmed's journey of loneliness when her adopted daughter Ayesha is forcibly taken away; later, she has a falling out with her community, leading her to become an "outcast of an outcast." The cultural significance associated with conventional family structure and inter-generational bonds makes the estrangement from one's family even more devastating for the trans community. Through this paper, we will delve into the story of Mona Ahmed, an upper-class Muslim trans woman who is seen to be constantly oscillating between her identities and repeatedly trying to recreate a family as an aging transgender person.

南亚海吉拉（印度文化边缘化的跨性别群体，与各种仪式、角色和责任有关）所经历的最尖锐的挑战与缺乏家庭支持和因其性别认同而受到的歧视有关。家庭对海吉拉的支持通常在很小的时候就被撤回，随着年龄的增长，这种支持变得更具破坏性，导致他们在社会上被孤立，并造成他们的情绪困扰。关于印度跨性别群体的主要文献集中在年轻的酷儿身体和跨性别个体作为年轻酷儿成人的胜利到来。相比之下，文学作品中对老年酷儿个体的描述却少得惊人。本文试图通过对Dayanita Singh的《我是Mona Ahmed》（2001）具有里程碑意义的摄影集的批判性分析，来揭示印度跨性别者的衰老经历，以了解他们如何在社区中培养团结，以想象一个集体的跨性别未来。Dayanita Singh记录了Mona Ahmed的孤独之旅，她的养女Ayesha被强行带走；后来，她与她的社区闹翻了，导致她成为一个“被遗弃者的被遗弃者”。与传统家庭结构和代际关系相关的文化意义使得与家庭的疏远对跨性别群体来说更具破坏性。通过本文，我们将深入研究莫娜·艾哈迈德（Mona Ahmed）的故事，她是一位上流社会的穆斯林跨性别女性，人们看到她不断地在自己的身份之间摇摆，并一再试图作为一个上了年纪的跨性别者重建一个家庭。

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引用次数: 0

Exit, voice and loyalty in everyday home care practice for older adults: Using a telephone diary method 老年人日常家庭护理实践中的退出、发声和忠诚：使用电话日记法

IF 1.9 3区社会学 Q2 GERONTOLOGY

Journal of Aging Studies

Pub Date : 2025-12-01 DOI: 10.1016/j.jaging.2025.101385

Håkan Jönson, Tove Harnett

Older adults are often portrayed as unwilling or unable to address quality issues in the formal care they receive. This study explores a methodology that captures the everyday reactions of older care users to quality problems, offering a nuanced understanding of their voice and agency when dissatisfied with care services. Using a telephone diary method, eight care users were contacted twice a week over three weeks to discuss the services they had received in recent days. The data, comprising 45 interviews, were analyzed using Hirschman's exit, voice, loyalty framework to identify strategies employed by care users. Four strategies were identified: (1) everyday voice, involving reminders and complaints to staff and managers; (2) temporary exits, where users avoided unpleasant situations, sometimes as a signal to the organization; (3) renegotiation of needs, involving communication with needs assessors to revise service decisions; and (4) silence, motivated by loyalty, resignation, or fear of being labeled a “problematic” care user. The findings highlight that care users employ various strategies to improve service quality, many of which might not surface during single-occasion interviews. Recognizing these strategies, care providers should enhance communication channels to address concerns. Addressing the fear of being labeled as problematic is essential, as it risks silencing crucial feedback. This study advocates for reinterpreting expressions of dissatisfaction as efforts to uphold older adults' human rights as rights-holders, reframing voice activities as a pathway to quality improvements.

老年人经常被描绘成不愿意或不能解决他们接受的正式护理的质量问题。本研究探索了一种方法，该方法捕捉了老年护理用户对质量问题的日常反应，在对护理服务不满意时，提供了对他们的声音和代理的细微理解。采用电话日记法，研究人员在三周内每周联系八位护理使用者两次，讨论他们最近几天接受的服务。数据，包括45个访谈，分析使用赫希曼的退出，声音，忠诚度框架，以确定护理使用者采用的策略。确定了四种策略：(1)日常发声，包括对员工和经理的提醒和投诉；(2)临时出口，用户在此避免不愉快的情况，有时作为向组织发出的信号；(3)重新协商需求，与需求评估者沟通，修改服务决策；(4)出于忠诚、顺从或害怕被贴上“问题”护理使用者的标签而保持沉默。研究结果强调，护理使用者采用各种策略来提高服务质量，其中许多可能不会在单次访谈中出现。认识到这些策略，护理提供者应加强沟通渠道，以解决问题。消除对被贴上问题标签的恐惧是至关重要的，因为这可能会让重要的反馈噤声。本研究主张将不满的表达重新解释为维护老年人作为权利持有人的人权的努力，将发声活动重新定义为提高质量的途径。

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引用次数: 0

Introducing the FACE framework: Rethinking age-friendly communities through lived experiences in regional Australia 介绍FACE框架：通过澳大利亚地区的生活经验重新思考老年人友好型社区

IF 1.9 3区社会学 Q2 GERONTOLOGY

Journal of Aging Studies

Pub Date : 2025-11-14 DOI: 10.1016/j.jaging.2025.101382

Ting Song , Amy Tapsell , Lorna Moxham , Mark Jones , David Hailey , Bo Du , Rod Young , Ping Yu

With the unprecedented growth of the ageing population and increasing urbanisation, age-friendly community (AFC) initiatives have gained significant global momentum. However, existing AFC research has largely prioritised the perspectives of implementers in metropolitan or rural contexts, leaving a critical gap in understanding how community members, particularly those in regional areas, conceptualise age-friendliness and express their needs and priorities. Guided by environmental gerontology, which emphasises the dynamic interaction between individuals and their environments, and geographical gerontology, which focuses on the role of place and spatial context, this qualitative study explores perceptions of AFCs among middle-aged and older adults (≥45 years) living in the Illawarra region of New South Wales, Australia. Semi-structured interviews were conducted with 30 participants, transcribed verbatim and analysed thematically. From participants' perspectives, we developed the FACE framework, comprising four interconnected dimensions: Facilitators, Ambitions, Conditions, and Engagement. Facilitators represent the drivers of AFC development, including government, non-government organisations, and individuals who raise awareness and provide support. Ambitions capture older adults' aspirations for independence, continuity of lifestyle, and emotional security. Conditions include intrinsic factors (e.g., mobility, health, emotional well-being) and extrinsic factors (e.g., housing, transport, health care, recreational infrastructure) that shape the fulfilment of the ambitions. Engagement reflects older adults' participation in community life, shaped by the availability, accessibility, affordability, and acceptability of relevant services and resources. The FACE framework offers a structured, community-informed, and theoretically grounded approach to guide the development and evaluation of AFCs, particularly in regional settings, with potential adaptability to diverse communities across Australia and internationally. By centring the lived experiences and perspectives of middle-aged and older residents, this study contributes to a more comprehensive and place-sensitive understanding of AFCs.

随着老龄化人口的空前增长和城市化进程的加快，老年友好社区（AFC）倡议在全球范围内获得了巨大的动力。然而，现有的AFC研究在很大程度上优先考虑了大都市或农村背景下的实施者的观点，在理解社区成员，特别是区域地区的社区成员如何概念化老年友好并表达他们的需求和优先事项方面留下了重大空白。在环境老年学（强调个体与环境之间的动态相互作用）和地理老年学（关注地点和空间背景的作用）的指导下，本定性研究探讨了生活在澳大利亚新南威尔士州伊拉瓦拉地区的中老年人（≥45岁）对AFCs的看法。对30名参与者进行了半结构化访谈，逐字记录并按主题进行分析。从参与者的角度出发，我们开发了FACE框架，包括四个相互关联的维度：促进者、抱负、条件和参与度。促进者代表着亚足联发展的推动者，包括政府、非政府组织和提高意识并提供支持的个人。野心是指老年人对独立、生活方式的连续性和情感安全的渴望。条件包括影响实现抱负的内在因素（如流动性、健康、情感幸福）和外在因素（如住房、交通、保健、娱乐基础设施）。参与反映了老年人对社区生活的参与，受相关服务和资源的可得性、可及性、可负担性和可接受性的影响。FACE框架提供了一个结构化的、社区知情的、理论基础的方法来指导afc的发展和评估，特别是在区域环境中，具有潜在的适应性，适用于澳大利亚和国际上不同的社区。通过集中中老年居民的生活经验和观点，本研究有助于对afc进行更全面和地点敏感的理解。

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引用次数: 0

Aging, death, and dying: Perspectives of older persons in the eastern region of Ghana 老龄化、死亡和临终：加纳东部地区老年人的观点

IF 1.9 3区社会学 Q2 GERONTOLOGY

Journal of Aging Studies

Pub Date : 2025-11-05 DOI: 10.1016/j.jaging.2025.101381

Mavis Dako-Gyeke , Kwamina Abekah-Carter , Richard Baffo Kodom , F. Akosua Agyemang , Vyda Mamley Hervie

The meanings older persons ascribe to aging, death, and dying vary across cultures; hence, the need to engage them to share their perspectives on these concepts. Drawing on the life course theoretical perspective, this study explored the beliefs of older persons about aging, death, and dying at Akropong and Adukrom in the Eastern Region of Ghana. Utilizing the qualitative research design, data were gathered from 34 older persons through in-depth interviews and focus group discussions. The data were transcribed and analyzed thematically, and the findings showed that aging is a life process that entails changes in a person's physical and mental capacities, as well as social roles. Additionally, participants shared their notions about aging well and the benefits of aging. Regarding death and dying, the participants indicated that these were inevitable phases of life and further made distinctions between good death and bad death. Moreover, they described uncertainties surrounding the dying process and the preparations they had made towards dying. The findings provide insights that could inform government policy, social work, and social welfare systems to support and enhance the well-being and self-worth of older persons in Ghana and beyond. This can be achieved through the provision of culturally grounded and contextually relevant care and interventions.

老年人赋予衰老、死亡和临终的含义因文化而异；因此，有必要让他们分享他们对这些概念的看法。从生命历程理论的角度出发，本研究探讨了加纳东部地区阿克罗蓬和阿杜克罗姆老年人对衰老、死亡和死亡的看法。采用定性研究设计，通过深度访谈和焦点小组讨论，对34名老年人进行数据收集。这些数据被转录并进行了主题分析，结果表明，衰老是一个生命过程，它需要一个人的身体和精神能力以及社会角色的变化。此外，参与者还分享了他们对衰老的看法和衰老的好处。关于死亡和临终，与会者指出，这是生命中不可避免的阶段，并进一步区分了善死和恶死。此外，他们还描述了死亡过程的不确定性，以及他们为死亡所做的准备。研究结果为政府政策、社会工作和社会福利系统提供了参考，以支持和提高加纳及其他地区老年人的福祉和自我价值。这可以通过提供以文化为基础和与环境相关的护理和干预措施来实现。

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引用次数: 0

Fear scarcity but also inequality: Imbalanced upstream support and older parents' self-reported health in China 担心稀缺，但也担心不平等：中国上游支持不平衡和老年父母自我报告的健康状况

IF 1.9 3区社会学 Q2 GERONTOLOGY

Journal of Aging Studies

Pub Date : 2025-10-29 DOI: 10.1016/j.jaging.2025.101380

Anning Hu , Ye Yuan

Objectives

Given the rapidly aging population in China, the health of older individuals is increasingly reliant on support from their adult children. This study aims to investigate how imbalances in this support, referred to as imbalance in upstream transfer, impact the reported health status of older adults.

Methods

We employed the generalized propensity score weighting regression and causal mediation analysis to reveal the impact of imbalance in upstream transfer on older individuals' self-reported health, illustrating both transactional and norm-based mediation mechanisms.

Results

Imbalance in upstream transfer is predominantly evident in daily caregiving tasks, such as household chores assistance, while financial support for elders is more evenly distributed among adult children. Irrespective of the type of support provided, imbalance in upstream transfer demonstrates a significantly negative impact on the self-reported health status of older parents. This finding remains robust across various empirical measures and modeling strategies. The Causal mediation analysis reveals that imbalance in upstream transfer increases the average level of support provided to older parents, indirectly mitigating its direct adverse effects on their reported health. However, imbalance in upstream transfer is also associated with discrepancies in older parents' perceived sufficiency of caregiving from adult children, which in sequence detrimentally affects their health status.

Discussion

The “global” characteristics jointly manifested by supports provided by all caregivers significantly impact the wellbeing of older individuals, highlighting the importance of addressing a special kind of “domestic” resource disparities in societies with a collectivist culture like China.

鉴于中国人口的快速老龄化，老年人的健康越来越依赖于其成年子女的支持。本研究旨在探讨这种支持的不平衡，即上游转移的不平衡，如何影响老年人报告的健康状况。方法采用广义倾向得分加权回归和因果中介分析，揭示上游转移失衡对老年人自我报告健康的影响，说明交易型和规范型两种中介机制。结果上游转移的平衡性主要体现在家务帮扶等日常照护任务中，而老年人的经济支持在成年子女中分配更为均匀。无论所提供的支助类型如何，上游转移的不平衡对老年父母自我报告的健康状况产生了显著的负面影响。这一发现在各种实证测量和建模策略中仍然是稳健的。因果中介分析表明，上游转移的不平衡增加了对老年父母的平均支持水平，间接减轻了其对报告健康的直接不利影响。然而，上游转移的不平衡也与老年父母对成年子女照顾的充分程度的认知差异有关，这反过来对他们的健康状况产生不利影响。所有照顾者提供的支持共同表现出的“全球”特征显著地影响了老年人的福祉，突出了在中国这样的集体主义文化社会中解决一种特殊的“国内”资源差距的重要性。

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