Social Capital and Health Among Older Adults in China: a Multi-level Analysis

Social Capital and Health Among Older Adults in China: a Multi-level Analysis

Date: August 2012
Creator: Shen, Yuying
Description: Health and well-being of older adults has become a worldwide public health concern and has been attracting increasing attention from scholars across the globe. But little is known about the health of the Chinese elderly. Using data from the China Health and Retirement Longitudinal Study (CHARLS) --Pilot, a pilot survey in 2008 in two provinces of China, Gansu and Zhejiang, this dissertation examines the association between social capital at both the individual- and community- levels and three health outcomes among older adults in China. A series of multi-level models were estimated using SAS 9.2. Statistical results indicate that such individual-level social capital variables as perceived help and support in the future, help from others, and birthplace significantly impacted health among older Chinese adults. When examining the relationship between community-level social capital and health, this study confirms the significant association between community-level social capital and good health independent of individual-level predictors. This study also indicates that the impact of gender and rural-urban Hukou status interacts with the province of residence. The results were discussed in terms of cultural legacy in the Chinese cultural setting, the current social dynamics related to old age support, health-related government reforms, and various disparities across different ...
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Creativity and Affective Traits Across the Life Span: Developmental Influences Among Adolescents and Older Adults

Creativity and Affective Traits Across the Life Span: Developmental Influences Among Adolescents and Older Adults

Date: August 2003
Creator: Wohl, Elizabeth C.
Description: In recent years, empirical research has consistently supported an association between susceptibility to affective illness and creativity at the level of eminent achievement and at the non-eminent, or "everyday creativity" level. Although this research has provided greater evidence for the existence of this link, it has simultaneously unearthed more questions about how and why such an association exists. The purpose of this research was twofold: first, to provide further analysis of the nature of the relationship between hypomanic traits and creativity by employing a longitudinal study to determine the extent to which inter-individual differences over time in creativity are predicted by hypomanic traits. Second, the purpose of the cross-sectional analysis in the present study was to further determine how developmental components such as age and expertise may help unravel the ways in which hypomanic traits contribute to creativity and to further describe inter-individual differences among these variables. The first hypothesis, which proposed that the direction of the relationship between hypomanic traits and creativity could be predicted, was not supported by these results. The second research hypothesis was partially supported: hypomanic traits predict creativity in the combined adolescent and older adult samples. However, upon further examination of the regression analyses, the ...
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Variations of the Hand Test with young and older adults

Variations of the Hand Test with young and older adults

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Date: August 2001
Creator: Radika, Lisa M.
Description: To explore the influence that variations in projective stimuli might have on the respondent's ability to identify with pictorial representations of hands derived from the Hand Test (Wagner, 1961, 1983), 61 young adults (M age = 23) and 60 older adults (M age = 73) were presented with four alternate versions of hand stimuli (young male, young female, old male, and old female) in addition to the original Hand Test. Results indicated main effects for age and gender of respondent, which were primarily consistent with previous Hand Test research. Main effects for gender and age of hand stimuli (p < .05) were also found. Significant interaction effects were revealed for age of respondent by age of hand stimuli and for age of respondent by gender of hand stimuli (p < .05). These interactions resulted in the elicitation of a variety of responses to a differentiated manner than a standard set of Hand Test stimuli. A gender of respondent by gender of hand stimuli interaction effect was also found (p &lt; .05), suggesting that gender alterations of the card may also be beneficial for increasing respondent identification for some individuals. Overall, the results of variations in Hand Test stimuli, as they ...
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Vision Impairment and Depression in the Older Adult

Vision Impairment and Depression in the Older Adult

Date: August 2005
Creator: Otters, Rosalie V.
Description: The older adult population in the United States is rapidly expanding both because of longer life expectancies as well as the aging of the baby boomers. While vision impairment is a growing concern among older adults, there have been few, mostly small studies, of the impact of vision impairment on this population. The present study uses a national data set, the Second Supplement on Aging (1994 -1996) from the National Health Interview Survey, in a cross-sectional study of 9,447 civilian non-institutionalized persons, aged 70 years and over at the time of their interview. The SOA II has been studied in the context of a social theory of aging that emphasizes interdependence through the life course using a stress process model that has been refined into a disability model. Disability is understood as a social construction outcome rather than as a medical outcome. Vision impairment is the stressor which is mediated by health (falls, functioning and self-health report), financial resources (education, income and having only public health insurance) and social support (marital, living along, having no living children, social activities in number and intensity). Depression is a possible, but not a necessary result of vision impairment. Disability may result when a ...
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Depression, activities of daily living, and retirement.

Depression, activities of daily living, and retirement.

Access: Use of this item is restricted to the UNT Community.
Date: May 2006
Creator: Jackson, Lauren Innes
Description: Depression is a common clinical and subclinical psychiatric disorder in the middle-age to older adult population. This study examined the relationship between depression and activities of daily living (ADLs) in middle-age to older adults. This study examined longitudinal data from the 1998, wave 4, and 2000, wave 5, of the Health and Retirement Study (HRS), a National Panel Study sponsored by the National Institute on Aging. A negative cross-sectional and longitudinal relationship between higher ADL scores and depression was hypothesized. A goal of the present study was to determine the temporal precedence of these two constructs using a cross-lag panel design to first examine the cross-sectional relationship between ADLs and depression at time-one and at time-two, and then the time-one to time-two longitudinal relationships to examine temporal precedence possible causal relationships. Finally, differences in these correlational relationships by retirement status and then by marital status were tested. There were several interesting findings, including those who were retired in both 1998 and 2000 reported fewer ADLs (i.e., worse functioning), but also reported better health than those who were working in both 1998 and 2000. Similarly, those people who were not married in both 1998 and 2000 reported fewer ADLs but better ...
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Change in depression of spousal caregivers of dementia patients.

Change in depression of spousal caregivers of dementia patients.

Date: August 2006
Creator: Tweedy, Maureen P.
Description: Caring for a family member or loved one with dementia places a heavy burden on those providing the care. Caregivers often develop chronic depression because of having to deal with this burden. A great deal of literature has been published discussing coping effectiveness, effects of social support, and other internal and external means of support for the caregiver. However, little has been written about the changes, if any, in depression that the caregiver experiences after the termination of care, either through institutionalization or death of the person with dementia. This study examined whether there is a change in depression of spousal caregivers after institutionalization of the dementia care recipient as well as any changes in depression that may have occurred as a result of the death of the dementia care recipient. Two theoretical models, the wear and tear model and the adaptation model were discussed in terms of caregiver depression after institutionalization of the dementia care recipient. Two other theoretical models, the relief model and the stress model, were discussed in terms of caregiver depression after the death of the dementia care recipient. Datasets from the National Institute on Aging sponsored Health and Retirement Study were analyzed. Results indicate that ...
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Cohort differences in perceptions of helpful counselor characteristics

Cohort differences in perceptions of helpful counselor characteristics

Date: August 2002
Creator: Utermark, Tamisha L
Description: The present study examined age cohort differences in older and younger adults as they relate to perceptions of helpful counselor characteristics. The present study also assessed whether previous help-seeking behavior influences perceptions of what counselor characteristics would be helpful. The social influence model is used as basis for predictions. The first research hypothesis for the present study was that there would be an age by cohort interaction in perceptions of helpful counselor characteristics at both Time 1 (1991) and Time 2 (2001). The second research hypothesis was that there would be a main effect for cohort, with more recently born cohorts preferring more interpersonal counselor characteristics. The third research hypothesis was that there would be a main effect for age in endorsement of the social influence model. The fourth research hypothesis was that there would be a significant difference between the perceptions of those individuals who had previously sought help from a mental health professional and those individuals who had not sought help, regardless of age and cohort. A revised Adjective Check List (Gough, 1965; Gough & Heilbrum, 1983) was used to assess perceptions of helpful counselor characteristics. Chi-square analyses, MANOVA/supplementary ANOVAs, and exploratory factor analyses were used to test ...
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Psychosocial Determinants of Diabetic Control and Satisfaction with Diabetes Care

Psychosocial Determinants of Diabetic Control and Satisfaction with Diabetes Care

Date: May 2011
Creator: Dzivakwe, Vanessa G.
Description: Diabetes mellitus affects 7.8% of the American population. National health statistic data and other research shows that racial/ethnic disparities exist in terms of prevalence and treatment outcomes. The present study investigated the role of patient health beliefs (i.e., locus of control, self-efficacy) and the doctor-patient relationship (e.g., satisfaction and collaboration with health care provider), as relative predictors of diabetic control (i.e., HbA1c levels) and overall satisfaction with diabetes care, in older adult participants with diabetes. Demographic, psychosocial, and diabetes-related data from the Health and Retirement Study (HRS) 2003 Diabetes Study were analyzed to compare treatment outcomes among non-Hispanic White, non-Hispanic Black, and Hispanic individuals with various types of diabetes. Non-Hispanic White individuals exhibited better diabetic control than their minority counterparts (F(2, 592) = 7.60, p < .001); however, no significant group differences were noted in terms of psychosocial factors. Diabetic control was best predicted by time since diagnosis (&#946; = -.21, p < .001), satisfaction with diabetes self-care (&#946; = .19, p < .001) and age (&#946; = .12, p < .01). In addition, satisfaction with provider care was best predicted by perceived collaboration with provider (&#946; = .44, p < .001), satisfaction with diabetes self-care (&#946; = .22, p ...
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Attrition in Longitudinal Studies Using Older Adults: A Meta-Analysis

Attrition in Longitudinal Studies Using Older Adults: A Meta-Analysis

Date: December 2005
Creator: Rhodes, Anthony Ryan
Description: Longitudinal methods have become an improved and essential means of measuring intra-individual change over time. Yet one of the greatest and most hazardous drawbacks studying participants over multiple sessions can be the loss of participants over time. This study attempts to illuminate the problem of attrition in longitudinal research by estimating the mean effect sizes for participant loss across 57 studies published in 13 prestigious journals which regularly use older participants. Results estimate overall attrition to be around 34% of the original sample. The subsequent break down of attrition into its subtypes yield mean effect sizes for attrition due to Refusal (8%), Loss of contact (10%), Illness (6%), and Death (14%) in studies sampling from adults 50 years or older. Analyses were then conducted via meta-analytic one-way ANOVA and weighted regression to identify possible moderators of overall attrition and their four subtypes.
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Pets and the level of loneliness in community dwelling older adults.

Pets and the level of loneliness in community dwelling older adults.

Date: December 2006
Creator: Nunnelee, Jane Baker
Description: Loneliness is a significant problem for older adults and can lead to negative health and social outcomes. Having a companion pet is beginning to be recognized as a way loneliness can be reduced for older persons. The purpose of this descriptive study was to determine the effect of pets on the level of loneliness in persons 60 years old or older who live alone and independently in a large metropolitan community in the North Central Texas area. Using a non-random snowball sample of older individuals (N = 252), who met the study criteria, each subject was administered the researcher-developed demographic data survey instrument containing the following variables: (a) pets - having a pet/wanting a pet, (b) age, (c) gender, (d) marital status, (e) living alone, (f) losses within the last six months, (g) interactions with family members, (h) interactions with others outside of the family, (i) highest educational level achieved, (j) employment or volunteer involvement in the community, (k) religious participation, and (l) self perceived health status. The UCLA Loneliness Scale Version 3 was used to obtain the loneliness scores. Prediction of loneliness and relationship with the independent variables was tested using frequency, correlation, analysis of variance (ANOVA), and multivariate ...
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