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Informal Care and Subjective Well-Being among Older Adults in Selected European Countries 欧洲部分国家老年人的非正式护理与主观幸福感
IF 1 Q4 GERONTOLOGY Pub Date : 2023-02-07 DOI: 10.1007/s12126-023-09521-0
Anita Abramowska-Kmon, Wojciech Łątkowski, Maja Rynko

A person’s health status is one of the strongest determinants of well-being. The negative impact of poor health on subjective well-being may be moderated by providing care to individuals in need. In this paper, we investigate the relationships between receiving informal care and the amount of care received and subjective well-being among people aged 65 or older in selected European countries. Our analysis of data from the 6th wave of the Survey of Health, Ageing and Retirement in Europe (SHARE) showed that receiving regular informal care was associated with higher subjective well-being among older people in Northern European countries, and with lower subjective well-being among older males in Southern European countries. Moreover, we found that the perception of the amount of help received affected the subjective well-being of older people, as those who reported that the support they received was either insufficient or met their needs had lower subjective well-being than those who were not in need of care. Our results also showed that receiving formal care was negatively related with subjective well-being among older adults in Northern Europe and Central and Eastern Europe. In the context of population ageing and the growing need for care, social policies that support both sides of the caregiving relationship could enhance subjective quality of life.

一个人的健康状况是幸福感的最强决定因素之一。向有需要的人提供护理可能会减轻健康状况不佳对主观幸福感的负面影响。在本文中,我们调查了部分欧洲国家 65 岁或以上人群中接受非正规护理、接受护理的数量与主观幸福感之间的关系。我们对第六次欧洲健康、老龄和退休调查(SHARE)数据的分析表明,在北欧国家,定期接受非正规护理与老年人较高的主观幸福感相关,而在南欧国家,接受非正规护理与老年男性较低的主观幸福感相关。此外,我们还发现,对所获帮助程度的感知也会影响老年人的主观幸福感,因为与不需要照顾的老年人相比,那些表示所获支持不够或不能满足其需求的老年人的主观幸福感较低。我们的研究结果还显示,在北欧和中东欧的老年人中,接受正规护理与主观幸福感呈负相关。在人口老龄化和护理需求日益增长的背景下,支持护理关系双方的社会政策可以提高主观生活质量。
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引用次数: 0
Health Trajectories of Older Chinese Adults: Gender Disparities and Cohort Differences 中国老年人健康轨迹的性别差异与队列差异
IF 1 Q4 GERONTOLOGY Pub Date : 2023-01-26 DOI: 10.1007/s12126-023-09520-1
Lanlan Chu

This study investigates the gender disparities and cohort differences in the health trajectories of older Chinese adults. Drawn on a nationally representative dataset from the 2008–2018 Chinese Longitudinal Healthy Longevity Survey, this paper uses a growth-curve model to identify the health trajectories of older adults in functional limitations, chronic diseases, depressive symptoms and cognitive skills. Older women are found to have slightly fewer functional limitations than older men at an earlier age; however, this gap is reversed later because of women’s higher deterioration rate in physical function. Compared to men, older women have more chronic diseases at younger ages, but this trend is changed after age 90 years due to a faster decline rate in chronic diseases for women. The gender gap in the depressive symptom trajectories narrows with age, whereas the gap in the trajectories of cognitive skills widens. The cohort differences favouring later-born cohorts decrease with age in the trajectory of functional limitations. The latest cohort born in 1940 or after has the fastest increase in chronic diseases and depressive symptoms among all the cohorts. These results are further verified using the random-effect model and pooled ordinary least squares. Policymakers should promote gender equality and reduce cohort differences to achieve the national goal of “Healthy China”.

本研究探讨了中国老年人健康轨迹的性别差异和队列差异。根据 2008-2018 年中国健康长寿纵向调查的全国代表性数据集,本文采用成长曲线模型,从功能限制、慢性病、抑郁症状和认知能力等方面识别老年人的健康轨迹。结果发现,老年女性在较早年龄段的功能限制略少于老年男性;然而,由于女性身体功能退化率较高,这一差距在较晚年龄段出现逆转。与男性相比,老年女性在年轻时患有更多的慢性病,但由于女性慢性病的下降速度更快,这一趋势在 90 岁以后有所改变。随着年龄的增长,抑郁症状轨迹上的性别差距在缩小,而认知能力轨迹上的差距在扩大。在功能限制的轨迹上,偏向于晚出生队列的队列差异随着年龄的增长而缩小。在所有队列中,1940 年或之后出生的最新队列在慢性病和抑郁症状方面增长最快。使用随机效应模型和集合普通最小二乘法进一步验证了这些结果。决策者应促进性别平等,缩小队列差异,以实现 "健康中国 "的国家目标。
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引用次数: 0
Back to Basics: The Role of Living Arrangement on Self-Reported Morbidity Among Older Adults in India 回归基本:生活安排对印度老年人自我报告发病率的作用
IF 1 Q4 GERONTOLOGY Pub Date : 2023-01-12 DOI: 10.1007/s12126-023-09517-w
Pradeep Kumar, Donald R Mawkhlieng, Debashree Sinha, Manoj Alagarajan

India’s traditional kinship behavior have undergone certain fundamental changes due to recent development and functioning of Indian society. Of all, the most dominant change is in the form of co-residence of children with their parents in old age. Without familial support, falling or no income and poor health, today, older adults are the most vulnerable population sub-group in the total population. Therefore, by using the India Human Development Survey-II, 2011-12 data we study the relevant association of living arrangement on health status of the older adults. Our results indicate that older adults living alone have significant and strong association with adverse health conditions such as Cataract, Hypertension, and Heart Disease. On the backdrop of health variations of older adults, it is understood that among other socio-economic conditions, living arrangement have serious implications on the health status of the older adults. Thus, we strongly support the notion that older adults with proper family care and support are more likely to be in a better health position as compared to those deprived of it.

由于印度社会近年来的发展和运作,印度传统的亲属关系行为发生了一些根本性的变化。其中,最主要的变化是子女与父母同住养老。由于没有家庭支持、收入减少或没有收入以及健康状况不佳,如今,老年人已成为总人口中最脆弱的人口亚群体。因此,我们利用《印度人类发展调查-II》(2011-12 年)的数据,研究了生活安排对老年人健康状况的相关影响。我们的研究结果表明,独居老年人与白内障、高血压和心脏病等不良健康状况有着显著而密切的联系。在老年人健康状况变化的背景下,我们认识到,在其他社会经济条件中,居住安排对老年人的健康状况有严重影响。因此,我们强烈支持这样一种观点,即与缺乏家庭照顾和支持的老年人相比,得到适当家庭照顾和支持的老年人更有可能处于更健康的状态。
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引用次数: 0
“I Don’t Want to Have the Time When I Do Nothing”: Aging and Reconfigured Leisure Practices During the Pandemic "我不想有无所事事的时间":大流行病期间的老龄化和重新配置的休闲实践。
IF 1 Q4 GERONTOLOGY Pub Date : 2023-01-11 DOI: 10.1007/s12126-023-09519-8
Ashwin Tripathi, Tannistha Samanta

In this paper, we contend that urban middle-class older Indians engaged in “serious leisure” as a way to reimagine and reconfigure the structure of everyday life during the pandemic-led epochal downtime. In particular, we heuristically show that leisure activity patterns and constraint negotiation strategies among older Indians followed conceptual semblances with the dominant leisure-based typology of Serious Leisure Perspective. By thematically analysing household surveys (n = 71), time-use diaries and in-depth interviews (n = 15) of middle to upper middle-class individuals (55–80 years), we show how both men and women distinguished between serious leisure that is marked by motivation, agency and perseverance with that of unstructured, routinized free-time (or causal leisure). Time-use diaries suggested that despite the changed realities of heightened domestic time available to both genders due to the pandemic, women recorded higher proportion of their daily hours in household management and caregiving. Although women were governed by moral-cultural self-descriptions in their engagement with leisure, it was often associated with an enhanced sense of self-actualisation, self-management and identity. Overall, we show how the social codes of age and gender were inextricably linked with the practice of leisure during the pandemic.

在本文中,我们认为城市中产阶级老年印度人参与 "严肃休闲 "是在大流行病导致的时代性停滞期间重新想象和重构日常生活结构的一种方式。特别是,我们启发式地表明,印度老年人的休闲活动模式和约束协商策略与以休闲为基础的主流类型学 "严肃休闲视角 "在概念上相似。通过对中上层中产阶级(55-80 岁)的家庭调查(n = 71)、时间使用日记和深度访谈(n = 15)进行专题分析,我们展示了男性和女性是如何区分以动机、能动性和毅力为特征的严肃休闲与非结构化、常规化的自由时间(或因果休闲)的。时间利用日记表明,尽管由于大流行病,男女两性的家务时间都有所增加,但妇女每天用于家务管理和护理的时间比例更高。尽管妇女在参与休闲活动时受到道德-文化自我描述的制约,但这往往与自我实现、自我管理和身份认同感的增强有关。总之,我们展示了年龄和性别的社会规范是如何与大流行病期间的休闲实践密不可分地联系在一起的。
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引用次数: 0
Systematic Literature Review (SLR) on Community Support Among the Older Adults 老年人社区支持的系统文献综述
IF 1 Q4 GERONTOLOGY Pub Date : 2023-01-10 DOI: 10.1007/s12126-023-09518-9
Abdul Aziz Marzuki, Nik Norliati Fitri Md Nor, Siti Masayu Rosliah Abdul Rashid

The number of developed and developing countries globally is steadily increasing due to the advanced development in various fields. Nevertheless, the development of a country can cause the nation to face an ageing population with a sizeable older adult population due to demographic changes. The changes in the overall demographics have resulted in shifting the role of providing support and care for older adults to the local community. The significant population of older adults and higher demand for older adults’ support and care have caused the shift in caring for them. Hence, this study aimed to investigate community support for senior citizens in this country through a Systematic Literature Review (SLR) of previous research papers. This study utilised the SLR method according to the publication standard of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) by reviewing various research and survey designs. The findings from 14 articles highlighted the forms of community support and the role of the community towards older adults. This literature analysis is critical and valuable for future research to understand the relationship between support for older adults and the well-being of older adults.

由于各领域的先进发展,全球发达国家和发展中国家的数量稳步增长。然而,由于人口结构的变化,一个国家的发展会使其面临人口老龄化的问题,老年人口规模庞大。整体人口结构的变化导致为老年人提供支持和护理的角色向当地社区转移。庞大的老年人口和对老年人支持和护理的更高需求导致了对老年人护理的转变。因此,本研究旨在通过对以往研究论文的系统文献综述(SLR),调查我国社区对老年人的支持情况。本研究根据《系统性综述和元分析首选报告项目》(PRISMA)的出版标准,采用系统性文献综述的方法,对各种研究和调查设计进行了回顾。14 篇文章的研究结果强调了社区支持的形式以及社区对老年人的作用。这项文献分析对于未来研究了解对老年人的支持与老年人福祉之间的关系至关重要,也很有价值。
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引用次数: 0
A Study on Mental Health Service Needs among Older Adults and the Policy Response in China: Experiences in Urban Shanghai 中国老年人心理健康服务需求及政策响应研究——以上海城市为例
IF 1 Q4 GERONTOLOGY Pub Date : 2023-01-05 DOI: 10.1007/s12126-022-09516-3
Honglin Chen, Yanyan Chen, Yan Wang, Hongtu Chen, Levkoff Sue, Tianshu Pan, Yuanyuan Wang, Yanling He

Despite increasing awareness of mental health problems among older adults, limited mental health services are available to meet their needs. The proposed study aimed to evaluate the need for mental health services among older adults in Shanghai, China, and identify gaps in the existing service system to inform policy making. Based on 80 face-to-face interviews amongst several groups of older adults and community officers, doctors and government stakeholders, the study found that (a) the mental health needs of older adults living with family members mainly present as needs for social interaction, sense of belonging, and self-realization; (b) special groups, such as older adults living alone, mainly desire support to address loneliness, older adults with physical disabilities desire social respect, and those with mental disabilities seek social acceptance; and (c) community cadres and other stakeholders have paid little attention to demands related to mental well-being among older people. It is necessary to deliver mental health education to community stakeholders and the public, popularize mental health knowledge, and publicize professional psychological counseling and treatment services. Meanwhile, policy makers should allocate resources to train professional mental health services personnel to meet these growing mental health needs and increase financial support for mental health services for older adults.

尽管老年人对心理健康问题的认识不断提高,但能满足他们需求的心理健康服务却十分有限。本研究旨在评估中国上海老年人对心理健康服务的需求,并找出现有服务体系中的不足,为政策制定提供参考。通过对多组老年人、社区干部、医生和政府相关人员进行 80 次面对面访谈,研究发现:(a)与家人同住的老年人的心理健康需求主要表现为社会交往、归属感和自我实现的需求;(b)特殊群体,如独居老年人,主要希望得到支持以解决孤独感,肢体残疾老年人希望得到社会尊重,精神残疾老年人寻求社会接纳;(c)社区干部和其他相关人员很少关注老年人的心理健康需求。因此,有必要对社区相关人员和公众开展心理健康教育,普及心理健康知识,宣传专业的心理咨询和治疗服务。同时,政策制定者应分配资源,培养专业的心理健康服务人员,以满足这些日益增长的心理健康需求,并增加对老年人心理健康服务的财政支持。
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引用次数: 0
The Relationship Between Health Professionals’ Attitudes Towards the Older People and Personality Traits 卫生专业人员对老年人的态度与人格特质的关系
IF 1 Q4 GERONTOLOGY Pub Date : 2022-12-19 DOI: 10.1007/s12126-022-09515-4
Dilek Baykal, Necmiye Comlekci̇, Gulbeyaz Can

As in the whole world, the older population is increasing in Turkey as well. They get older, people need more healthcare. Therefore, it communicates more with health professionals. This study examines the relationship between attitudes of health professionals toward older people and personality traits of health professionals affecting these attitudes. Quantitative cross-sectional and correlational design was used in this study. Between February 2019–2020, a total of 235 health professionals working in 2 research hospitals completed a questionnaire of Kogan’s Attitudes Toward Old People Scale and The Eysenck Personality Questionnaire-Revised/Abbreviated Form. The study group was consisted of health professionals with 27.38 ± 5.6 years mean age. It was found that health professionals showed extraversion personality traits, and their attitudes towards the older people were positive (98.19 ± 14.18). It was determined that female health professionals displayed extraversion personality traits compared to men, and their attitudes towards the older people was within the edge of positive. It was found that those with 1–4 years of working duration and poor income had neuroticism personality trait, and those with poor income had negative attitudes towards older people. In general, health professionals’ attitudes and behaviors towards older people are positive. Personality traits and some socio-demographic characteristics may be effective in attitudes and behaviors towards older people. During the training of health professionals, the issues of attitude to older patient should be emphasized. The education they receive can affect their attitude towards the patient.

与全世界一样,土耳其的老年人口也在不断增加。随着年龄的增长,人们需要更多的医疗保健服务。因此,他们需要与医疗专业人员进行更多的沟通。本研究探讨了医疗专业人员对老年人的态度与影响这些态度的医疗专业人员个性特征之间的关系。本研究采用定量横断面和相关性设计。2019年2月至2020年2月期间,共有235名在2家研究型医院工作的医护人员完成了科根老年人态度量表和艾森克人格问卷-修订版/简表的问卷调查。研究组的医护人员平均年龄为(27.38 ± 5.6)岁。研究发现,医护人员表现出外向型人格特征,他们对老年人的态度是积极的(98.19 ± 14.18)。与男性相比,女性卫生专业人员表现出外向型人格特征,她们对老年人的态度处于积极的边缘。研究发现,工作年限为 1-4 年且收入较低者具有神经质人格特质,收入较低者对老年人持消极态度。总体而言,卫生专业人员对老年人的态度和行为是积极的。人格特质和一些社会人口特征可能会影响对老年人的态度和行为。在对卫生专业人员进行培训时,应强调对老年患者的态度问题。他们所接受的教育会影响他们对病人的态度。
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引用次数: 0
Perceived Adequacy of Material Support Systems Available to the Childless Older Adults in Southeastern Nigeria: Implications for Social Workers 尼日利亚东南部无子女老年人可获得的物质支持系统的充分性:对社会工作者的影响
IF 1 Q4 GERONTOLOGY Pub Date : 2022-12-08 DOI: 10.1007/s12126-022-09514-5
Samuel O. Ebimgbo, Chinwe U. Nnama-Okechukwu, Chinyere E. Onalu, Agha A. Agha

Children are considered as social and economic safety nets for their elderly parents in many developing countries, including Nigeria. This perception is driven by the fact that state-sponsored welfare systems are almost non-existent thereby placing parents as the sole care providers for their young children, and grown children as the sole care providers for their older parents. What this may mean for older people without children is that they are left with inadequate material support which could affect their well-being and life satisfaction. This study examines the adequacy of material support systems for childless older adults in southeast Nigeria with the aim to inform policy and social work interventions to ensure adequate support for the older adults. Twelve childless older adults aged 75 and older partook in the in-depth interview. The collected data was analyzed thematically. Except for the government support system, childless older adults receive material support from the networks of family, community, and churches. However, the support available from these networks seems to be inadequate and irregular. The study recommends for the political will by government to ensure that the newly approved national policy on ageing benefits older adults. Social workers are highly needed to ensure that other necessary programmes are established, and also strengthen the systems that support older adults.

在包括尼日利亚在内的许多发展中国家,儿童被视为老年父母的社会和经济安全网。造成这种看法的原因是,国家支持的福利制度几乎不存在,因此,父母是年幼子女的唯一照顾者,而成年子女则是年长父母的唯一照顾者。这对没有子女的老年人来说,可能意味着他们得不到足够的物质支持,从而影响他们的幸福感和生活满意度。本研究探讨了尼日利亚东南部无子女老年人物质支持系统的充足性,旨在为政策和社会工作干预提供信息,以确保为老年人提供充足的支持。12 名 75 岁及以上无子女的老年人参加了深入访谈。对收集到的数据进行了专题分析。除政府支持系统外,无子女老年人从家庭、社区和教会网络中获得物质支持。然而,这些网络提供的支持似乎并不充分,也不固定。研究建议政府要有政治意愿,确保新批准的国家老龄化政策惠及老年人。非常需要社会工作者来确保制定其他必要的方案,并加强支持老年人的系统。
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引用次数: 0
Active Aging and Well-being of Older Northern Women in Finland 芬兰北部老年妇女的积极老龄化和福祉
IF 1 Q4 GERONTOLOGY Pub Date : 2022-12-08 DOI: 10.1007/s12126-022-09513-6
Tuula Heinonen, Heli Valokivi, Hai Luo

Ageing among older Northern Finnish women was the subject of this qualitative study where community-based group interviews were held to learn about the experiences and views of 36 women about the activities that they thought helped them to remain active and well. Focus group discussions and self-produced drawings were used as methods to elicit ideas and experiences about what active ageing meant to those who participated. Manual thematic coding and collective analysis of the themes from group data were applied. The study participants identified outdoor pursuits and experiences in natural environments as well as group activities that they thought contributed to active ageing and well-being in older age. Nordic pole walking, berry picking, balancing time alone and gathering with others were featured in these group discussions, as were cultural aspects, such as sisu, that played a role in motivating the participants. The participants also provided some suggestions for ageing actively and maintaining well-being as women aged. The results of this study have implications for policies and services that promote active ageing and well-being of older women and for the development of culturally relevant local and national programs and activities.

这项定性研究以芬兰北部老年妇女的老龄化问题为主题,通过社区小组访谈的形式,了解了 36 名妇女的经验和观点,她们认为哪些活动有助于她们保持活跃和健康。焦点小组讨论和自制图画被用来征集关于积极老龄化对参与者的意义的想法和经验。对小组数据进行了人工主题编码和集体主题分析。研究参与者确定了在自然环境中的户外活动和体验,以及他们认为有助于活跃老年生活和老年幸福的集体活动。北欧竹竿行走、采摘浆果、平衡独处和与他人相聚的时间,这些都是小组讨论的主题,还有文化方面的主题,如 "西苏"(sisu),这些都在激励参与者方面发挥了作用。参与者还提出了一些随着女性年龄的增长积极养老和保持身心健康的建议。这项研究的结果对促进老年妇女积极养老和福祉的政策和服务,以及对制定与文化相关的地方和国家计划和活动具有重要意义。
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引用次数: 0
Environmental and Caregivers-Related Factors Influencing the Psychosocial Well-Being of Older Adults with Dementia: A Systematic Review 环境和照顾者相关因素影响老年痴呆患者的社会心理健康:一项系统综述
IF 1 Q4 GERONTOLOGY Pub Date : 2022-11-14 DOI: 10.1007/s12126-022-09512-7
Mohammad Rababa, Ayham Aldrawsheh, Audai A. Hayajneh, Ayat Da’seh

Dementia is caused by neurological problems resulting in a deterioration in cognitive functions; it negatively affects all aspects of life in older adults. However, there are few research studies examining the health outcomes of people with dementia (PWD). To analyze previous research on environmental and caregiver-related factors influencing the psychological and behavioral well-being of PWD residing in community or nursing home settings. A systematic review method was used. An electronic search was conducted in June 2021 using several electronic research databases, limited to the years between 2016 and 2021, and restricted by abstract and full text, English language, and the combination of keywords. Two researchers independently selected and screened the articles based on the eligibility criteria. The articles were summarized according to aim, design, sample size, setting, instruments, and main findings. An analysis of previous research on the impact of physical and social environment and caregiver-related factors on the psychosocial and behavioral outcomes of PWD was performed. The reviewed studies indicated a significant correlation between environmental factors, mental health, quality of life (QoL), positive and negative affectivity, and agitation in PWD; those who lived in their own homes or in a similar setting had higher levels of social interactions with relatives and caregivers and higher QoL. The communication between PWD and their caregivers was also highlighted, as it helped reduce aggressiveness, anxiety, depression, and isolation among PWD. Moreover, many caregiver-related factors, including financial and social burdens, correlated negatively with their quality of care.

痴呆症是由神经系统问题导致认知功能退化引起的,对老年人生活的各个方面都有负面影响。然而,很少有研究探讨痴呆症患者(PWD)的健康状况。为了分析以往关于影响居住在社区或疗养院的痴呆症患者心理和行为健康的环境和护理相关因素的研究。采用系统综述法。2021 年 6 月,研究人员使用多个电子研究数据库进行了电子检索,检索时间仅限于 2016 年至 2021 年,检索条件包括摘要和全文、英文以及关键词组合。两名研究人员根据资格标准独立选择和筛选文章。根据目的、设计、样本量、环境、工具和主要发现对文章进行了汇总。研究人员分析了以往关于物理和社会环境以及照顾者相关因素对残疾人社会心理和行为结果的影响的研究。所回顾的研究表明,环境因素与残疾人的心理健康、生活质量(QoL)、积极和消极情绪以及躁动之间存在明显的相关性;居住在自己家中或类似环境中的残疾人与亲属和护理人员的社交互动水平较高,生活质量也较高。残疾人与照顾者之间的沟通也得到了强调,因为这有助于减少残疾人的攻击性、焦虑、抑郁和孤独感。此外,许多与照顾者相关的因素,包括经济和社会负担,与他们的照顾质量呈负相关。
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引用次数: 0
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