Expenditure Flows Near Widowhood

Using data from the 1980–2001 Consumer Expenditure Surveys, we investigate how impending widowhood affects households’ expenditure patterns. We find that total annual expenditures are $4,027 higher for about-to-be-widowed households compared to otherwise comparable continuously married couples. Within subcategories, expenditures average $4,108 higher for the miscellaneous subcategory which includes expenditures on funerals/burials. We conclude that differences in the needs-adjusted incomes of married and widowed households may be partly a function of pre-widowhood differences in their expenditure patterns that lead about-to-be-widowhood households to draw down on financial wealth.     

Aging in black America: Service needs and utilization patterns

This paper profiles the findings of an analysis of the black elders in the Supplement on Aging to the 1984 National Health Interview Survey. This national survey offers insight into the prevalence rates of various health problems and limitations in activities of daily living (ADL) or instrumental activities of daily living (IADL). Focusing on the 65 + sample of elders, older blacks report higher rates of chronic problems such as arthritis, hypertension, diabetes, and strokes than older whites, but are less likely to report cancer. Older blacks are more likely than older whites to experience three or more ADL limitations, and almost 14% had three or more IADL limitations. These findings are important in view of the trend toward determining multiple ADLs to determine eligibility for various in-home services. Since many of the problems experienced by black elders may be life-style related, an opportunity may exist for effective intervention with health promotion strategies.     

Marital transitions and mental health

Most research identifies marital disruption as a precursor for poor mental health but is generally unable to discount the potential selection effect of poor mental health leading to marital disruption. We use data from nine annual waves of the British Household Panel Survey to examine social selection and social causation as competing explanations. Mental health is measured using the general health questionnaire. We examine mental health at multiple time points prior to and after a marital transition through separation or divorce and compare this process to those who experience widowhood. All groups transitioning out of marriage have a higher prevalence of poor mental health afterwards but for those separated or divorced, poor mental health also precedes marital disruption, lending support to both social-causation and social-selection processes. The processes both preceding and after the transition to widowhood differ, with increased prevalence of disorder centering around the time surrounding the death itself     

Adult daughter aging mother relationship over the life cycle: The Turkish case

Effects of mothers and daughters life cycle changes on mother–daughter relationships in the present study. The life cycle transitions focused on in this study are daughters' marriage and parenthood and mothers' widowhood and declining health. In-depth interviews were conducted with thirty Turkish adult daughter–aging mother pairs. Analyses of interviews with mothers and daughters revealed that age related changes reported by Turkish mothers and daughters were similar to those reported by western participants. Mother–daughter relationships were transformed when daughters got married, had children, and when mothers became widows. Relationships generally improved over the life cycle. Shared sense of femaleness increased and was reinforced by daughters' experience of wife and mother roles and resulted in greater empathy for mothers. Mothers' widowhood and declining health were associated with role reversal. Certain culture specific themes emerged. These were transfer of the responsibility for the daughter's honor from the family to the husband, stress on filial obligations, view of care giving and care taking as cyclic over the life cycle, explanations of conflicts by external norms and/or circumstances, association of women with places and/or relationships. Ambivalence voiced by daughters was interpreted as renegotiation of roles within a society in transition from traditional to more individualist norms.     

Ethno-cultural diversity in the experience of widowhood in later life: Chinese widows in Canada

This paper utilizes Helena Znaniecka Lopata's concept of life frameworks as a lens through which to understand the experience of widowhood amongst elderly Chinese immigrant women living in Toronto, Canada. While Lopata defined life frameworks as including social supports, social relations and social roles, for these widows, personal resources (framed in Chinese cultural context) were also important aspects of life frameworks. In-depth interviews with 20 widows contacted through a Chinese community center were conducted in Mandarin and Cantonese and then transcribed and interpreted through team-based qualitative analyses. These women ranged in age from 69 to 93 years and had been in Canada an average of 17 years, with over half of them widowed following immigration. Our analysis framed the widows' narratives in terms of four types of supports defined by Lopata: social, service, financial and emotional supports. They had fairly extensive social and service supports focused primarily around family and the Chinese community. Although norms of filial piety traditionally dictate sons as primary supports, daughters predominated as providers of supports to these widows. Interpreted from a life course perspective, financial supports were deemed sufficient, despite overall limited financial means. Emotional support was more nuanced and complex for these widows. Loneliness and feelings of social isolation were prevalent. Nevertheless, themes of acceptance and satisfaction dominated our findings, as did reciprocity and exchange. The narrative accounts of these widows depict a complexity of experience rooted in their biographies as Chinese women and as immigrants, rather than primarily in widowhood itself.     

The Influence of Marital Status and Age on the Housing Behavior of Older Southern Women

Age and marital status are frequently cited as predictors of the housing and living arrangements of individuals and families. This study investigates the influence of marital status and age on the housing behavior of older Southern women. The sample consisted of 227 widowed female houshold heads and 227 married females living with their spouse. These subjects were part of larger sample of 1,804 households living in non-metropolitan areas in seven southern states. It is a contributing study to the S141 Southern Regional Housing Project "Housing for Low and Moderate Income Families." The analysis strategy was executed on six groupings of dependent variables. These were: (a) current housing situation, (b) housing costs, (c) geographic mobility, (d) housing satisfaction, (e) decision making and (f) consumer acceptance of housing alternatives. The results suggest that widowhood and age are both relatively important determinants of housing behavior and attitudes. The effects of widowhood appeared to be strongest in determining the housing situation, housing satisfaction and several attitudes toward housing alternatives. The effects of age appeared most powerful in determining housing costs, mobility and several attitudes about housing alternatives.     

Gender,Preloss Marital Dependence,and Older Adults’ Adjustment to Widowhood

I examine how preloss emotional and instrumental dependence on one's spouse affects older adults’ psychological adjustment to widowhood. Analyses are based on 297 persons from the Changing Lives of Older Couples (CLOC) study, a prospective study of widowhood among adults aged 65 and older. Women who were most emotionally dependent on their spouses had the poorest self‐esteem while still married, yet evidence the highest levels of self‐esteem following loss. Men who were most dependent on their wives for home maintenance and financial management tasks experience the greatest personal growth following loss. These results suggest that widowed persons who were once highly dependent upon their spouses reap psychological rewards from the recognition that they are capable of managing on their own.     

A comparison of widowhood and well-being among older Greek and British-Australian migrant women

The impact of widowhood on well-being has been well-documented, but to date has not focused extensively on the experience of older migrants who have aged in a foreign land. This study aimed to examine the well-being of older migrant widows from two groups in South Australia: British-born (n = 61) and Greek-born (n = 60) Australian migrants, who had been widowed, on average, 13 years. All participants completed a self-report questionnaire in their preferred language. Three indicators of current well-being (self-rated health, depression and loneliness) as well as variables expected to differ cross-culturally, and potentially influence well-being (mourning rituals; continuing bonds to one's spouse; religiosity; social support) were measured. Greek-born widows displayed higher levels of mourning rituals, continuing bonds and religiosity than the British. Both groups perceived similarly high levels of familial social support. Greek widows also reported worse self-rated health, and increased symptoms of depression and loneliness compared to the British. This paper suggests that the detrimental impact of widowhood on well-being may be greater for non-English speaking migrants who are ageing outside of their country of origin, and who, despite residing in an English-speaking host country for several decades, have retained the linguistic, cultural and religious practices and traditions of their home country.     

Trade-Offs Between Formal Home Health Care and Informal Family CareGiving

Using 1994 National Long Term Care Survey data, we estimated logistic regressions of formal and informal home health care use and hours. Home health care use and intensity were differentially impacted by chronic conditions, are higher for Medicaid enrollees and rural or small town residents, but lower for HMO enrollees. Decreases in the probability of home health care use increased informal instrumental activities of daily living (IADL) support four hours and decreased informal activities of daily living (ADL) support eight hours weekly. IADL caregiving substituted for formal care, but ADL caregiving declined with reductions in formal care. Public policy reducing formal home health care access may reduce informal ADL caregiving and increase informal IADL caregiving, producing net declines in support.     

Role of Marital Quality in Explaining Depressive Symptoms After Marital Termination Among Older Adults

This study assesses whether prior marital quality moderates the impact of divorce or widowhood on subsequent depression. Poor marital quality may buffer depression associated with divorce/widowhood; conversely, the effect of divorce/widowhood on depression could be exacerbated by previous marital quality. Three waves from the National Survey of Families and Households based on respondents, ages 50 and older, (N?=?2,570) included eight marital quality measures. We find limited evidence suggesting higher marital quality elevates, while lower marital quality decreases, depression after divorce. No moderating effects were found for widowhood. Additionally, health condition is more important than current marital status for elders’ well-being after divorce or widowhood. Heterogeneity in the context of the marriage before divorce should be considered when examining marital termination effects on elders’ depression.     

Transition secured? A follow-up study of adolescents who have left secure residential care

Many adolescents who make the transition to adulthood experience problems after their departure from secure residential care. Research suggests that these young people are often in need of support after they have left secure care. Little is known about the experiences and perceptions of adolescents during and after this transition. The aim of this article is to assess these experiences for a group of 24 adolescents in the Netherlands that have left secure residential care. The results show, in line with previous studies, that many adolescents experience problems during their transition from secure care, especially with regard to finances, school and employment, and living arrangements. In contrast to other studies, a majority of the adolescents reports to have received support in the year following their departure. Relatively few adolescents move to independence after their departure, which suggests that many adolescents are not ready for making a true transition into adulthood yet.     

Impact of Widowhood on Parent–Child Relations: Does Parents' Personality Matter?

The authors evaluated the extent to which the short‐term effect of late life widowhood on parent–child relationships is moderated by 5 personality traits—Extraversion, Agreeableness, Conscientiousness, Emotional Stability, and Openness to Experience—and how these interactive effects differ by gender. Data were from the Changing Lives of Older Couples Study (N = 1,532). The results indicated that the effects of widowhood on positive and negative interactions with children were significantly moderated by Agreeableness, Extraversion, and Openness to Experience. An agreeable personality helped widowed persons receive more positive interactions, whereas Openness to Experience reduced negative interactions. Widowed persons with higher Extraversion reported more negative interactions. Furthermore, moderating effects of Extraversion and Openness to Experience differed by gender; specifically, higher Extraversion scores predicted increased positive interactions with children for widowed women but decreased positive interactions for widowed men. The significant association between Openness to Experience and decreased negative interactions with children was more apparent among men than among women.     

Repartnering After Union Dissolution in Later Life

The authors estimated the timing of repartnering among individuals who had experienced a union dissolution at age 45 or older, treating cohabitation and marriage as competing risks. The analysis used retrospective data from the 2007 Canadian General Social Survey and life table analysis and Cox models to examine patterns of repartnering. The study offered three major conclusions. First, age constraints on repartnering are large when union dissolution occurs in midlife or later. This age constraint is particularly strong for women and contributes to a wide gender gap in repartnering. Second, in contrast to repartnering at earlier life stages, cohabitation is not the predominant choice of repartnering for those experiencing union dissolution at age 45 and older. Third, union exit status (divorce, cohabitation separation, and widowhood) is a key repartnering differential. The most disadvantageous routes to repartnering are through the experience of cohabitation separation and widowhood.     

Factors Related to the Institutionalization of Older Aged Individuals Using Home- and Community-Based Care Services: Data From the South Korea Long-Term Care Insurance Program, 2008–2013

South Korea introduced a public long-term care insurance (LTCI) program in response to its rapidly aging population. This study analyzed the association between living arrangement and caregiver type with institutionalization in LTCI grade 1 (very severe limitations), 2 (severe limitations), and 3 (moderate limitations) beneficiaries using data from the LTCI cohort, 2008 to 2013. The dependent variable was alteration status from home to institutional care within 1 year of receiving home service. Independent variables were living arrangement and primary caregiver type. The analysis was conducted using the generalized estimating equation model. Higher likelihoods of institutionalization were found in individuals living with a non-family member compared to individuals living with their spouses. Individuals without a caregiver or with a paid caregiver were also more likely to experience institutionalization than individuals with a spouse primary caregiver. Our findings underscore the importance of monitoring identified vulnerable groups of individuals to attain LTCI sustainability and enhance elderly quality of life.     

Self-Identity in Marriage and Widowhood*

Theories of symbolic interaction and ethnomethodology assume that everyone undertakes a complex process of construction of reality, including self-identity, in interaction with significant others. Utilizing insights into variations in identity reformulation in marriage obtained from a study of American metropolitan women, this paper concentrates on variations of identity reformulation among widows. The major hypothesis guiding the discussion is that the higher the education of the woman, as measured by formal schooling, the more she is likely to experience and undertake identity reformulation in marriage and in widowhood. The less education a woman has, the less she will be consciously affected in her identity formulation by these events.     

Impact of physical activity on activity of daily living in moderate to severe dementia: a critical review

The objectives of this study were to describe the different modalities of physical activity programs designed for moderate to severe dementia and to identify their impact on functional independence in activities of daily living (ADL). A critical review of randomized controlled trials related to the impact of physical activity programs in moderately to severely demented persons on ADL performance and meta-analysis of the identified studies were performed. Among the 303 identified articles, five responded to the selection criteria. Four out of the five studies demonstrated limited methodological quality. In one high-quality study, physical activity programs significantly delayed deterioration of ADL performance. The program components and ADL assessment tools vary widely across studies. Although the proposed treatments have not proven their efficiency in improving the ADL status of the patients, they were able to limit the decline in ADL functioning. Future research is warranted in order to identify clinically relevant modalities for physical activity programs for people with moderate to severe dementia.     

No regrets: Widows' stories about the last days of their husbands' lives

This article looks at the stories older women, who were participants in a study of older women's experiences of widowhood, told about their husbands' deaths. The findings are based on in-depth, narrative interviews with 28 women over 50 whose husbands had died within the previous five years. Most participants told their husbands' death stories without being asked to. There were three major parts to these death stories: finding out their husbands were dying; taking care of their husbands while coming to terms with the fact of their impending deaths; and the period immediately before and at the actual time of death. These stories appear to give meaning and comfort to widows as they recount them. They provide bridges or transition experiences through which women come to understand their own journey from wife to widow.     

Construct validity and physical performance of older adults in different hierarchical physical-disability level

The purpose of this study was to test the construct validity of the hierarchical levels of self-reported physical disability using health-related variables and physical-performance tests as criteria. The study participants were a community-based sample of 368 adults age 60 years or older. These older adults were grouped into 4 levels according to their physical-disability status (able, mildly disabled, moderately disabled, and severely disabled groups) based on their self-reported measures on the mobility, instrumented activity of daily living (IADL), and activities of daily living (ADL) domains. Health-related variables (body-mass index, number of comorbidities, depression status, mental status, and self-perceived health status) and eight performance-based tests demonstrated significant group differences. Self-reported measures of physical disability can be used to categorize older adults into different stages of physical functional decline.     

Changes in Parent,Sibling, and Peer Support During the Transition to Young Adulthood

Longitudinal trajectories of parent, sibling, and peer support during the transition to young adulthood were compared among 600 participants (51.1% female) from Asian, European, and Latin American backgrounds. Participants completed questionnaires at 12th grade, 2 and 4 years after high school. Results indicated that parent support increased across this period for participants from European backgrounds but remained stable for participants from Asian and Latin American backgrounds. Peer and sibling support remained relatively stable. Supports had specific implications for self‐esteem and depressive mood. On average, young adults with higher levels of support reported greater expectations to reciprocate support within the family. Together, these findings highlight the changing dynamics of family and friends during the transition to young adulthood.     

Long-term care preferences among older adults: a moving target?

This study investigates long-term care preferences across three hypothetical scenarios and over one year of time among a sample of disabled older women receiving informal care (n = 420). Unpaid or paid help in one's home was preferred, given scenarios of instrumental activities of daily living (IADL) and activities of daily living (ADL) needs; nursing home care was most preferred for dementia care. While aggregate preferences for long-term care were relatively stable, there was considerable fluctuation in individuals' preferences over time, with just 52.5%, 44.4%, and 44.6% of participants retaining their initial first choice across IADL, ADL, and dementia scenarios, respectively. Implications of study findings are discussed.