Chapter 3 Decision-Making and Satisfaction with a Continuing Care Retirement Community

Abstract

We draw on both life course and decision-making theories to examine decision strategies prior to moving to a continuing care retirement community (CCRC) and subsequent satisfaction following the move. Multivariate analyses drawing on panel data for a sample of 92 older adults (age 64 to 94) before and after their move to a CCRC show that frequent residential relocation in the adult years reduces the odds of considering staying in one's own home. Cognitive orientations at time 1 predict subsequent satisfaction with the move to a CCRC: mastery increases the odds, desiring age-integrated housing reduces the odds.     

Social Security in the Middle East

Abstract

The countries of the Middle East all have traditional social insurance type social security programs. The move towards defined contribution individual accounts that is occurring in some regions has not affected this region The social security programs in the Middle East are not facing the problems of financing found in Europe and North America, in part because they still have relatively high fertility rates and are thus little affected by population aging. They tend to have low retirement ages and some of the wealthy countries of the region provide very generous benefits. Many of them need to consider reforms that raise retirement ages. A characteristic of many of the social security old-age benefit programs of the region is that they exclude foreign workers, who in some countries account for more than half the workforce.     

'Pitbulls' and Populist Politicians: Sarah Palin,Pauline Hanson and the Use of Gendered Nostalgia in Electoral Campaigns

Abstract

Sarah Palin and Pauline Hanson were charismatic and populist politicians, whose home states of Alaska and Queensland became central to their political narrative. Both women gained political influence at times of intense debate regarding their respective countries' national identities. Voters perceived the states to be locales that evoked antiestablishment authenticity, and which echoed the historical dynamism of frontier society. The women used this association to consolidate their call for social renewal that would return politics to sections of the citizenry who felt themselves to be marginalized. The women's authority was augmented by gendered stereotypes that directed attention to their apparent vulnerability and honesty in attempting public service. Although their messages were calibrated differently, Palin and Hanson both demanded moral and political renewal, and generated intense support through their sexualized rhetoric of economic security and social nostalgia.     

Social Security in Asia and the Pacific

Abstract

In terms of numbers of people, the global challenges facing social security systems are largely Asian. Because of rapid population aging in Asia, while it accounted for 28% of the world's population aged 60 and older in 1985, that percentage will more than double to 58% in 2050. Provident funds are a prominent feature of retirement income systems in the region-Asia and the Pacific contain the majority of the world's countries with provident funds. These programs typically provide lump-sum benefits, and thus, do not provide annuity protection against outliving one's resources. Because of the influence of Confucian philosophy with its emphasis on family responsibility for elders, countries in the region have been relatively slow in developing social security programs. China does not have a social security program for workers who do not work for the government or in government-owned enterprises.     

Peer support and food security in deaf college students

Abstract

Objective: The purpose of the study was to investigate whether peer support and demographic characteristics predicted food security among deaf college students. Participants: The sample included 166 deaf college students at Gallaudet University. Methods: Participants completed a bilingual online survey in American Sign Language (ASL) and English. This survey included USDA’s 6-item food security survey, questions about peer support and socio-demographic characteristics. Results: Out of 166 students (mean age =23; SD?=?6), 60.7% were food secure. About 26.4% were at-risk for low food security and another 12.9% had very low food security. The sample included respondents who identified as people of color (54%) and women (52%). Binary logistic regression revealed that compared to people who reported always receiving peer support, people who never received peer support were 16.3 times more likely to experience food insecurity (adj OR: 16.325, 95% CI 1.824–146.107). Conclusions: This study demonstrates a strong relationship between peer support and deaf college students' food security experiences.     

A Comparison of Early Retirement Pensions in the United States and Russia

Abstract

Early retirement pensions for particular occupations free national policy to establish the social security early retirement age at a later age that is more appropriate for the population as a whole. This paper focuses on early retirement pensions in the United States and the Russian Federation. While comparing early retirement pensions generally, the paper provides a more detailed discussion of the pensions for musicians. While this is an unconventional group to choose for the study of pensions, study of their pensions yields insights into the principles underlying retirement age policy in the two countries.     

Attitudes Toward Aging and Retirement Homes Before and After Entry Into a Retirement Home

The change of one's habitual living conditions in favor of institutionalized living in a retirement home can be a stressful event. Therefore, the question arises: How does entry into a retirement home affect attitudes toward one's life and aging and toward retirement homes? In order to answer this question, we used longitudinal data from 53 older individuals who were surveyed before and after entry into a retirement home. The data revealed that attitudes toward one's life and aging changed negatively and attitudes toward retirement homes changed positively; however, there are gains and losses in both attitudes.     

A Stage of Migration Approach to Understanding Nursing Home Placement in Latino Families

ABSTRACT

This article introduces a dual application of Drachman and Ryan's stage of migration framework by applying the framework to an analysis of experiences of 25 nursing home residents with a prior history of migration from Cuba, the Dominican Republic, Ecuador, Mexico, and Puerto Rico. The stages of premigration and departure, transit, and resettlement are discussed in relation to research findings about the residents' earlier migration to the mainland United States and more recent move into a nursing home. Implications for social work practice with residents, families, and as members of interdisciplinary teams are addressed.     

CCRC Here We Come! Reasons for Moving to a Continuing Care Retirement Community

Abstract

To better understand why people move to CCRCs, we conducted qualitative interviews with 20 elders who were planning on moving into one such facility within six months of the interview. In this paper, we describe participants' reasons for moving and their perceptions of the trade-off or anticipated gains and losses inherent in the move. Push factors included desire to plan while still able to do so; optimal timing and being ready for a change; fear of burdening family; burden of home and yard maintenance; own or spouse's failing health; and environmental barriers. Pull factors included attachment to the community; joining friends and neighbors who were moving at the same time; proximity to family; amenities of the CCRC and the prospect of long-term care in the future. One of the unanticipated findings was that far from considering this as their last move, participants looked forward to anew and exciting phase of life.     

Social Security Reform Ideas in Japan

Abstract

Japan has a complex social security system. This article discusses the demographic and economic situation in Japan as background for understanding the setting in which the social security system functions. Japan has a three-pillar system for retirement income. The first pillar is the social security pension plan; the second pillar is the voluntary occupational pension plan; and the third pillar is personal savings, including the personal pension plan. The most important part of the retirement income system is the social security pension plan, which paid benefits accounting for 64% of the total income of elderly households in 1998. The five Employees' Pension Plans are established on a compulsory social insurance basis. Most large Japanese employers have a mandatory retirement age. Over 90% of all employees, including public sector ones, must retire from their career jobs at age 60.     

Altering the Curriculum of the Home: Learning Environments for Korean and U.S. Students

ABSTRACT

The family and home environment are considered the most significant influences on children's development and learning. These factors directly influence student ability, motivation, and interest in learning. This study focuses on alterable factors in the home environment (i.e., homework time, attitudes, expectations, reading). A multiple-factor model provides a framework to discuss the family influences that appear to explain achievement differences. To gain perspective from international comparative studies, statistical findings highlight family practices in Korea and the United States. The implications from this article discuss altering the curriculum of the home, providing supportive family conditions, early intervention, and family–school collaborations. Altering constructive factors in the home environment in any culture may strongly influence children's learning and development.     

Influence of Expectations for Parental Support on Intergenerational Coresidence Behavior

Abstract

Using the 1988 and 1992 waves of the National Survey of Families and Households (NSFH), this study examines whether the expectation of support by young adults is widely held and if such a belief predicts if young adults will at some point live with their parents before their final launch. At issue is whether or not the increase in young adults in the parental home represents a normative shift in the expectations that children have of their parents or perhaps is indicative of some other process. The findings suggest that expectation of support does in fact predict living at home but only 31% of the respondents felt that parents were obligated to let their adult children live with them. Findings are placed within a broader context of how shifts in age at first marriage and educational attainment influence young adults' transitions out of the home.     

THE TAXPAYER RELIEF ACT OF 1997 AND HOMEOWNERSHIP: IS SMALLER NOW BETTER?

Prior to the Taxpayer Relief Act of 1997 (TRA97), the capital gain from the sale of a home was taxed differently for those over and under the age of 55. TRA97 eliminated this differential treatment. Using a difference‐in‐difference approach, we find that home sellers slightly under the age of 55 were 6.2% more likely to move for a less expensive house to maintain, 6.6% less likely to move for a larger place, and 5.2% more likely to reside in a condominium after TRA97's enactment, relative to those slightly over 55. (JEL H24, R21)     

The Mobility of Elderly Residents Living in Suburban Territories

Abstract

Many authors have observed die elders' unanimous aspirations to age in place. Such residential aspirations echo theoretical concepts such as “environmental-fit.” Aging residents adapt to their residential environment according to their autonomy level, their financial and social resources, as well as the meanings they invest in both residential situations and lifestyle (Lord, 2004; Wagnild, 2001). Therefore, the suburbs constitute a challenge for aging residents' intentions to remain in their home for as long as possible. These low-density environments encourage car dependency for almost every daily activity. In that regard, many studies have investigated the daily mobility patterns of elders living in such areas. However, most of them have focused on aspects linked to transportation and driving security (Rosenbloom, 2003). In this context, with a socio-anthropological (in-depth interviews) method, the elders' daily mobility is explored in a complex layering of issues. Two interdisciplinary qualitative researches on the daily and residential mobility of elderly suburbanites have been used: a group living in Quebec City's Post-War suburbs in Canada (n = 56) and another in Marseille's periurban suburbs in France (n = 36). The results show that we must investigate beyond the elders' “emotional attachment”to their “home” in order to explain the everyday tensions underlying accessibility and daily mobility. Aging in a single-family house is more than a deliberate choice. Moving away from one's neighborhood is considered a last resort alternative by the majority. Instead, the elderly from both milieus will adapt their lifestyles to the environment by redesigning their daily activities and their mobility practices in order to age in place. Therefore, adapting daily mobility practices to social interactions and social representations all become a sine qua nonecondition.     

Leisure activity and adjustment in retirement

A sample of retired persons in a southern metropolitan area responded to a questionnaire designed to investigate the interrelationship between level of leisure activity and adjustment in retirement Adjustment was measured by two indices, life satisfaction and alienation. The survey's results show that persons who have more leisure activities are more satisfied with their lives and are less alienated than those who have few leisure activities.     

Blood,Sweat, and Tears: Navigating Creepy versus Cool in Wearable Biotech

ABSTRACT

This paper considers how personal data protections figure into the design process of wearable technology. The data question is becoming especially important in the face of recent innovations in biotechnology that capitalize on the new fungibility of biology and electronics, in which new biotech wearables capitalize on the ability to analyze and track changes in blood, sweat, and tears. Interviews and participant observation with wearable tech designers, data scientists, fashion tech entrepreneurs, and select experts in cybersecurity and intellectual property law, reveal a range of approaches to data protection in design within the culture where wearables are beginning to merge with biotech. While a few respondents were extremely vigilant about protecting consumer’s privacy, the majority felt that when consumers ‘opt in’ to data sharing, they should be cognizant of the risks. From their perspective, it is not necessarily the producer’s responsibility to protect user's personal data. These attitudes present a problematic logic, which leaves users vulnerable to data exploitation. The paper concludes by arguing that this laissez-faire culture is the environment in which wearable biotech is being developed and will be deployed. This emerging technology raises issues about bodies, data, and ownership in crucial need of analysis and critique to push its move into the mainstream toward more equitable and inclusive ends.     

Meeting the needs of adolescents living with HIV through home based care: Lessons learned from Tanzania

PurposeHome based care is central to HIV care and support throughout Africa. Most programs have not addressed the unique needs of adolescents living with HIV, who display lower retention in HIV care and treatment adherence. This study examined the experiences of adolescents living with HIV in Tanzania in order to identify ways to improve home based care to better meet their needs.MethodsWe conducted a qualitative study in Dar es Salaam and Tanga Region consisting of in-depth interviews with 14 adolescents living with HIV, 10 primary caregivers, and 12 providers assigned to their households. Interviews examined adolescents' experiences of growing up with HIV, perceptions of current home based care, and challenges in increasing acceptability of services.ResultsWe found the program did not align well with adolescents' expectations. Adolescents felt home based care to be more relevant to their caregivers and did not form independent relationships with providers. They expressed anxiety that participation might lead to inadvertent disclosure of their status and consequent discrimination. Both adolescents and their caregivers felt disappointment that no material or financial support was available despite widespread poverty, although they appreciated receiving psychosocial support and practical referrals. Providers demonstrated motivation to work with adolescents but acknowledged lacking requisite skills such as ways to communicate with young people and key messages to deliver.ConclusionsDespite challenges, we identified feasible adaptations to make home based care more adolescent-centered. These include actively engaging adolescents in program design, improving provider training in communication with adolescents, and proactively addressing unrealistic expectations. Finally, increasing referral links to a wider range of services could improve program effectiveness by integrating it into a broader development approach.     

Retirement Plan Participation in an Era of Change: The Case of a Rural Region*

Individual savings are critical for retirement as government and employer‐based provisions fade or become less secure. Rural communities are vulnerable given their higher proportion of elderly and more who rely on Social Security. Using a telephone survey of working‐age residents in Michigan's rural Upper Peninsula, this research investigates factors associated with participation in tax‐advantaged retirement plans that have largely replaced defined‐benefit pension plans for earmarked retirement savings. The project also identifies factors predictive of making maximum contributions to those retirement plans. We consider several distinct categories of variables to reflect the social embeddedness of economic action. In addition, the research included community variables describing aspects of respondents' social context, a new component of the savings discourse, which we show to be significantly related to saving outside a tax‐advantaged retirement plan and making maximum contributions to a tax‐advantaged retirement plan.     

Adaptation to Divorce: An Attachment-Based Intervention with Long-Term Divorced Parents

ABSTRACT

The aim of this attachment-based intervention was to elaborate, through shared narratives in a divorce recovery group, a representation of the events, the self, and the relationship that contribute to a better adaptation to the situation of divorce. After an 8-month intervention, participants felt better (negative affect was reduced and positive affect was increased) and less lonely (scores in both social and romantic loneliness decreased). Participants were also rated as more secure after the intervention. These findings suggest positive changes in the model of self following the intervention.     

Mothers matter: A feminist perspective on child welfare-involved women

ABSTRACT

Mothers involved in child welfare services are often marginalized and misunderstood while the system focuses on protecting their children. These women are mothering within a context of poverty, violence, addictions, and racism, leaving them with minimal resources and supports. Using a feminist perspective, this article seeks to shift the common perception that children must always be regarded as needing to be protected from these mothers. Rather, a richer understanding of these women and more focus on attending to their needs may provide an added measure of safety and security for their children. An appreciation for the relationships central to these women’s experiences can provide child welfare workers with the ability to create strong working alliances and move families toward safe reunification.