Older Women on the U.S.-México Border: Exploring the Health of Hispanics and Non-Hispanic Whites

ABSTRACT

Research on ethnicity and socioeconomic status (SES) suggests that Hispanics are more likely than non-Hispanic Whites to experience poverty and low levels of education, which may relate to poorer health status. This study used a health survey to examine income, education, ethnicity, birthplace, and age on self-reported health factors of women age 60 and older on the U.S.-México border. Results show that income, age, and education were significantly associated with several health factors (Physical Health, Emotional Health, General Health, Energy Level, and Activity Potential). Older women with lower SES, regardless of ethnicity, reported poorer health than younger-old women with higher SES.     

Older women on the U.S.-Mexico border: exploring the health of Hispanics and non-Hispanics Whites

Research on ethnicity and socioeconomic status (SES) suggests that Hispanics are more likely than non-Hispanic Whites to experience poverty and low levels of education, which may relate to poorer health status. This study used a health survey to examine income, education, ethnicity, birthplace, and age on self-reported health factors of women age 60 and older on the U.S.-Mexico border. Results show that income, age, and education were significantly associated with several health factors (Physical Health, Emotional Health, General Health, Energy Level, and Activity Potential). Older women with lower SES, regardless of ethnicity, reported poorer health than younger-old women with higher SES.     

Gender difference in physical performance, body composition and dietary intake in homebound elders

Considering that the most vulnerable subgroup of elders for poor nutritional status and functional decline is the increasing number of homebound women, we examined gender differences in physical performance, body composition, and dietary intake in a randomly recruited sample of 345 homebound elders (81% women, 48% black, > 65% income < $750/month). After controlling for demographic and health-related factors, the results from multivariate analyses indicated that women were more likely than men to report the lowest nutrient intake and were 2.9 times more likely to be at the worst level of overall physical performance. These results suggest a heightened vulnerability of homebound older women to poor physical performance, low dietary intake, and increased Body Mass Index (BMI). Prospective research is now needed to examine the interrelationships between physical performance, dietary intake, and body composition among the growing homebound older population.     

Gender Differences in Physical Performance,Body Composition,and Dietary Intake in Homebound Elders

ABSTRACT

Considering that the most vulnerable subgroup of elders for poor nutritional status and functional decline is the increasing number of home-bound women, we examined gender differences in physical performance, body composition, and dietary intake in a randomly recruited sample of 345 home-bound elders (81% women, 48% black > 65% income < $750/month). After controlling for demographic and health-related factors, the results from multivariate analyses indicated that women were more likely than men to report the lowest nutrient intake and were 2.9 times more likely to be at the worst level of overall physical performance. These results suggest a heightened vulnerability of homebound older women to poor physical performance, low dietary intake, and increased Body Mass Index (BMI). Prospective research is now needed to examine the interrelationships between physical performance, dietary intake, and body composition among the growing homebound older population.     

From the Editor

The purposes of this study were to examine medication adherence in older women with coronary heart disease and to identify barriers and facilitators of medication adherence. Methods: The study used a semistructured interview guide and established measures to examine medication taking 3 months after hospital discharge. Results: Thirty-two women completed the study: 65.6% were adherent to medications, but others were less adherent and self-modified their therapy. Over half (52.1%) suffered side effects, 71.9% had experienced psychological barriers, and all had economic barriers. Facilitators included a pillbox system (85%) and discharge medication counseling (90%). Conclusion: Tailored interventions to improve adherence in older women are needed.     

Factors Associated with Advance Care Planning Among Older Women in Southwest Florida

ABSTRACT

As the nation's population continues to age, many older women will face care needs that can be anticipated in advance. However, little is known about the advance care plans of older women and the characteristics of those who plan. This study utilized a stratified random sampling design to survey older women (n = 124) in the state of Florida regarding their attitudes toward future care and planning behavior in social-environmental, health, and financial domains. Regression analyses were conducted to determine factors most predictive of attitudes toward future care and planning behavior by domain. Results suggest that advanced age predicts greater planning behavior, while living alone is associated with less advance care planning behavior. Other factors associated with less planning by domains of care needs include income status, chronic health conditions, educational attainment, and religious status. Nonaccepting attitudes toward planning were associated with a decreased likelihood to have advance care planning documents.     

Impact of demographic variables on women’s economic empowerment: An ordered probit model

The present study aimed to empirically examine the demographic variables that determine women’s economic empowerment. A sample of 500 married women between 21 and 49 years old (M_age = 35.49, SD = 7.66) was conveniently selected from district Multan (Pakistan). Control over economic resources was used as a proxy for women’s economic empowerment. Ordered probit regression was run to assess the demographic determinants (i.e., age, education, paid job, income, and property) of economic empowerment of the least empowered, moderately empowered, and highly empowered women. Paid job, age, income, and property appeared as positive and significant predictors of women’s economic empowerment. Implications of the study were also discussed.     

Population growth and poverty in the developing world

The links between rapid population growth and the absolute poverty currently affecting 780 million people in the developing countries (excluding China and other centrally planned economies) were examined. Absolute poverty is defined as having less than the income necessary to ensure a daily diet of 2150 calories per person ($200 per person a year in 1970 United States dollars). Focus is on poverty and demography in the developing world (defining poverty; income, fertility and life expectancy; demographic change and poverty), effect of poverty on fertility, family planning programs and the poor, and the outlook for the future. Rapid population growth stretches both national and family budgets thin with the increasing numbers of children to be fed and educated and workers to be provided with jobs. Slower per capita income growth, lack of progress in reducing income inequality, and more poverty are the probable consequences. Many characteristics of poverty can cause high fertility -- high infant mortality, lack of education for women in particular, too little family income to invest in children, inequitable shares in national income, and the inaccessibility of family planning. Experience in China, Indonesia, Taiwan, Colombia, Korea, Sri Lanka, Cuba and Costa Rica demonstrate that birthrates can decline rapidly in low income groups and countries when basic health care, education, and low-cost or free family planning services are made widely available.     

Factors associated with advance care planning among older women in Southwest Florida

As the nation's population continues to age, many older women will face care needs that can be anticipated in advance. However, little is known about the advance care plans of older women and the characteristics of those who plan. This study utilized a stratified random sampling design to survey older women (n = 124) in the state of Florida regarding their attitudes toward future care and planning behavior in social-environmental, health, and financial domains. Regression analyses were conducted to determine factors most predictive of attitudes toward future care and planning behavior by domain. Results suggest that advanced age predicts greater planning behavior, while living alone is associated with less advance care planning behavior. Other factors associated with less planning by domains of care needs include income status, chronic health conditions, educational attainment, and religious status. Nonaccepting attitudes toward planning were associated with a decreased likelihood to have advance care planning documents.     

Socio-demographic Correlates of Subjective Well-being in Urban India

This study aimed to explore subjective well-being (SWB) in an urban Indian sample. Adults (n = 1099) belonging to two wards in the city of Bangalore in South India, responded to a study-specific questionnaire. This paper is based on data generated as part of an ongoing larger study looking at correlates of SWB. Almost equal number of men and women responded to the study and their age ranged from 20 to 81 years (mean age 37 years). Majority of them were married, Hindus, from middle socio-economic status, had studied above pre-university level and more than half were earning. The mean scores on positive affect (40.9), negative affect (27.6) and life satisfaction (24) suggested above average levels of SWB. Higher age, being married, having higher education, higher income and working in a full time job seemed to improve life satisfaction and decrease negative affect. Religion was also significantly associated with negative affect. Step-wise regression analysis suggested that only education and income were important predictors of positive affect, while negative affect was better predicted by age, income, work status and religion. Life satisfaction was predicted by income, age and education. The important correlates of SWB for men and women were somewhat different. Overall, sociodemographic variables have minimal effect on SWB in urban India and research needs to explore other predictors of SWB.     

<Emphasis Type="Bold">Women’s Progress for Men’s Gain? Gender-Specific Changes in the Return to Education as Measured by Family Standard of Living, 1990 to 2009–2011</Emphasis>

This study investigates gender-specific changes in the total financial return to education among persons of prime working ages (35–44 years) using U.S. Census data from 1990 and 2000, and the 2009–2011 American Community Survey. We define the total financial return to education as the family standard of living as measured by family income adjusted for family size. Our results indicate that women experienced significant progress in educational attainment and labor market outcomes over this time period. Ironically, married women’s progress in education and personal earnings has led to greater improvement in the family standard of living for married men than for women themselves. Gender-specific changes in assortative mating are mostly responsible for this paradoxical trend. Because the number of highly educated women exceeds the number of highly educated men in the marriage market, the likelihood of educational marrying up has substantially increased for men over time while women’s likelihood has decreased. Sensitivity analyses show that the greater improvement in the family standard of living for men than for women is not limited to prime working-age persons but is also evident in the general population. Consequently, women’s return to education through marriage declined while men’s financial gain through marriage increased considerably.     

Gender Differences in Disability-Free Life Expectancy for Selected Risk Factors and Chronic Conditions in Canada

SUMMARY

This article shows how mortality and morbidity patterns differ for women and men 45 years of age and older. The impact on disability-free life expectancy was calculated for selected risk factors and chronic conditions: low income, low education, abnormal body mass index, lack of physical activity, smoking, cancer, diabetes, and arthritis. For each factor, the expected number of years free of disability was calculated for men and women using multi-state life tables. In terms of disability-free life expectancy, the greatest impacts on affected women were for diabetes (14.1 years), arthritis (8.8 years), and physical inactivity (6.0 years), while for affected men, the greatest impacts were for diabetes (10.5 years), smoking (6.9 years), arthritis (6.5 years), and cancer (6.4 years). The implications of these results are discussed from the perspective of developing programs designed to improve population health status.     

American families: trends and correlates

Discussion focused on the nature of the roles of the family, a review of the major demographic changes (marriage, cohabitation, nonfamily households, remarriage, fertility, teenage pregnancy, and female employment) affecting the American family in the past decades, and the nature of the impact on women, men, and children. There were four major trends identified: 1) increased proportions of children living in single-parent families due to high rates of divorce and increased childbearing outside of marriage; 2) increased proportions of adults in nontraditional living arrangements; 3) increased female labor force participation during all stages of the life cycle; and 4) decreased proportions of children and increased proportions of older people out of total population due to declining mortality and fertility rates. Family formation arises out of childbearing and childrearing roles, the need for companionship and emotional support, and the opportunities for specialization and trade, and the economies of scale. The costs of family living may include the potential for disagreement, conflict, loss of privacy, and time and money. There were a number of reasons identified for not maintaining traditional families consisting of a married couple with children. The trends were for later age at marriage: 24.4 years in 1992 for women, increased cohabitation (almost 50% cohabiting prior to first marriage in 1985-86), decreased number of married couple households, and increased number of adults in non-family households. The divorce rate has risen over the past 100 years with peaks in the 1970s; the reasons were identified as increased baby boomers and new marriages, increased labor participation of women, and changes in gender roles. The stabilization and slight decline in rates may be due to a natural leveling, the likelihood of greater stability within new marriages, and the aging of the baby boomers. An anticipated increase in divorce rates in the future was also justified. Remarriage rates varied by gender, age at separation/divorce, presence of children, race/ethnicity, and education. Fertility remained stable at 1.8 during the late 1970s and early 1980s and increased slightly to 2.0 in 1989. IN 1990, there were 25% out-of-wedlock births compared to 5% in 1960. About 12% of births in 1989 were to teenagers. There has been an increase in female-headed households, the median income of which in 1992 was $13,012, or 33% of married couple income.     

人口老龄化、老年贫困与养老保障--基于德国的数据与经验

人口老龄化及老年女性比重较高增加了老年贫困的概率。对此,德国主要采取两项对策避免老年贫困：养老保障是第一道防线,里斯特／吕鲁普养老金、最低养老金等都是重要的政策选项;社会救助提供了最后一道有效安全网。借鉴德国经验,中国应通过完善多支柱模式并逐步扩大第二支柱比重、养老保险参量改革、建立老年低收入群体收入保护机制、建立健全老年社会救助制度等措施来有效解决人口老龄化过程中老年人特别是老年低收入群体的养老保障问题,有效规避老年贫困风险。     

Relative Income,Race, and Fertility

If a white husband's income is higher than expected for men of his age, race, education, job characteristics, and region, economic theory predicts higher complete fertility for his wife. In the present study one per cent public use samples from the 1970 Census for California and Hawaii were used to examine the effect of relative income on Japanese, Chinese, and black fertility. Relative income was defined in two ways: (1) with regard to earnings of husbands of the same race, education, employment, and state; (2) with regard to earnings of white husbands of the same education, employment, and state. High relative incomes defined in each way were associated with increased completed fertility of Japanese and Chinese in Hawaii, where Orientals form a majority. Neither definition of high relative income was associated with the completed fertility of Japanese, Chinese, or blacks in California, where non-whites form a minority. The results suggest that the effect of relative income on fertility for a racial group will be positive only where there are few racial barriers to their attainment of high incomes.     

Wealth Accumulation Inequality: Does Investment Risk Tolerance and Equity Ownership Drive Wealth Accumulation?

This study examined the savings aspect of wealth accumulation by estimating differences in financial risk tolerance and equity ownership among individual investors. Data were obtained from a proprietary dataset that collected over 15,000 risk-tolerance attitude responses between late 2007 and early 2013. Two research methodologies were utilized: cluster analysis and ANCOVA. The cluster analysis identified four investor profiles: (a) young lower-income women, (b) young unmarried men, (c) young college-educated men, and (d) older men with high income and education. Results from the ANCOVA test indicated that each cluster had significantly different levels of equity ownership, controlling for financial risk tolerance. Results provide a framework and methodology for future research on issues related to wealth inequality, investment behavior, and risk attitudes. The ability to group individuals similarly can be an important tool for researchers, policy makers, social activists, financial advisers, financial counselors, and educators when analyzing the household and macroeconomic wealth profile of United States residents.     

An Econometric Analysis of the Relationship Between Millennium Development Goals,Economic Growth and Financial Development in South Africa

The relationship between financial development, economic growth and millennium development goals are unsettled in the literature. Using four indicators of financial development, this paper studies the link between the three variables in South Africa. In general, per capita income improves per capita spending on education in the short run. However, total domestic credit to GDP ratio decreases spending on education. There are highly significant long run relationships among the variables. Improving access to private sector credit and increasing per capita incomes are associated with improvement in health outcomes in South Africa. There are no short run nor long run relationships between household spending on clothes, economic growth and financial sector development. Improved private sector credit also improves household spending on food. In general, there are long run relationships between per capita spending on food, per capita income and financial sector development.

     

Effects of receipt of Social Security retirement benefits on older women’s employment

Labor force participation of women has declined since 1999; however, labor force participation of women 62+ has increased. The 2000–2006 waves of Health and Retirement Study (HRS) data, the initial years of the continuing upward trajectory, were used to test the effects of receipt of Social Security retirement benefits on older women’s employment. The models tested: (a) the effect of receipt of Social Security retirement benefits on whether employed; and (b) for women receiving Social Security retirement benefits, the effect of age elected receipt of benefits on whether employed. Both models included the effects of human capital characteristics and income sources. Receipt of Social Security benefits, pension income, and current age reduced the likelihood of employment; while educational level, good to excellent health, and nonmarried marital status increased the likelihood of employment. The older the woman was when she elected Social Security benefits, the more likely she was to be employed.     

One-child families also have possibilities for getting rich]

The common people believe that families with more children have a larger labor force and more income, and that families with 1 child have a smaller labor force and thus less income. Recent findings from Zhangqiu County of Shandong Province show that families with only 1 child have 67.8% more income than families with 2 children. The reason is that families with 1 child have fewer dependents and the financial burden for them is less. When the husband goes to work, the wife, who is taking care of only one child, will have more time and energy for part-time work to be done at home to increase income. In addition, if a family has fewer children, expenditures are also lower, and this is a beneficial condition for becoming wealthy. Furthermore, the nation offers a great many financial privileges and special treatment to families with 1 child, such as tuition exemptions, medical and health care allowances, more grain quotas, and better marketing arrangements for products from households with 1 child. All these have improved the livelihood of families with 1 child. An adequate ideological education to families with 1 child is needed in order to increase their motivation and productivity. Good nurseries and kindergartens are also needed so that parents may concentrate on their daily work and improve productivity. Birth control measures for childbearing women should be improved and efforts should be made to emphasize the importance of birth control to the nation.     

Access to Health Care: Social Determinants of Preventive Cancer Screening Use in Northern British Columbia

The purpose of this study was to examine theextent to which social factors are influentialin determining women's access to cancerscreening services in Prince George, BritishColumbia. Specifically, this study evaluatedthe association of age, income, education, workstatus, disability, marital status, andimmigrant status with previous use of screeningmammography and Pap tests. Data was obtainedfrom the 1994 National Population HealthSurvey, which contains a sample of 416 womenfrom the Prince George area. A series oflogistic regression analyses were used todistinguish ever versus never beenscreened as well as recency of previousscreening. Participation rates in screeningmammography in Prince George are comparativelyhigh; however, no association was found betweensocial factors and previous mammography use.This suggests women in Prince George areparticipating in mammography servicesregardless of social background. Participationrates in Pap test screening in Prince Georgeare high and are similar to provincialaverages; however, while a large percentage ofwomen have been screened, this percentagevaries across social groups. Immigrant women,single women, and women with less education areover represented among women who have never hada Pap test. In addition, older women are lesslikely to obtain a recent Pap test whencompared to younger women. This study suggeststhat certain groups of women in northernBritish Columbia experience low participationin health services, resulting in a higher riskfor poor health and a poor quality of life.