The life satisfaction of elderly Chinese widows living alone and those living with adult children

Care of China's elderly population is of concern due to its projected growth as well as to changes in elder care patterns related to shifting social and economic conditions. Increases in life expectancy and, therefore, in the duration of widowhood, particularly for women, magnifies this concern. Studies that examine the living arrangements and life satisfaction of elderly widows in China are limited. This study of 147 elderly widows, both men and women, examined differences in the life satisfaction of those who live with their adult children and those who live alone. This study also examined whether the relationship between living arrangement and life satisfaction was moderated by levels of family and community support. According to study findings, elderly widows living alone have higher life satisfaction than those living with their adult children, and this effect remains with the introduction of controls for health status, family support, community support, gender, age, income and educational level. Further, neither family nor community support moderate the relationship between living arrangement and life satisfaction, although each exerts a direct effect on life satisfaction.     

The global healthy ageing agenda: The impact of education,gender, childhood conditions and social engagement in rural South Africa

This paper examines factors associated with the likelihood of healthy ageing and the propensity to utilise health care resources for a rural community in South Africa and the associated policy implications. Our results suggest education exerts a positive influence, and its marginal impact is more prominent for females than males. Further, we show that better childhood health is associated with increased likelihood of ageing well. We also demonstrate an inverse relationship between health care utilisation and healthy ageing. The results presented here suggest that strategic policy investments across life courses in education and child-health fosters not only broader development goals but also enhances healthy ageing trajectories and improve the health and wellbeing of individuals across life stages. This study contributes to informing on the UN’s healthy ageing global strategic agenda in the context of a poor rural region.     

HEALTH NEEDS OF MIGRANT VIETNAMESE WOMEN IN SOUTH‐WEST BRISBANE: AN EXPLORATORY STUDY

This study was conducted in the southwest area of Brisbane, Australia, and is designed to explore and assess the health needs of Vietnamese migrant women. The needs of this group are becoming increasingly urgent due to ageing of the original immigrant refugee community and decreased capacity for support from their children and families. The study used a qualitative research strategy involving focus groups and in‐depth interviews with Vietnamese women between 18–65 years and interviews with Vietnamese health care providers. It shows that the women have had to deal with culture shock, low self‐esteem, lack of friends and relatives, unrecognized professional skills and most importantly in health terms, low socioeconomic status. Significant barriers to access health services and to improved health and well‐being were also identified, such as language difficulties, transportation, time, and knowledge about health education. Recognition of specific requirements of sub‐populations as well as broader socio‐economic and cultural determinants of health should be a guide to more effective planning and implementation of health promotion strategies. The changing needs, over time, of these sub‐populations should also be recognized.     

农村老年人精神生活的缺失与社区工作的介入——基于苏北地区的调查

本研究以苏北乡镇为例,分析老年人的精神生活与心理需求的现况。研究发现,配偶关系、代际关系和社区互动关系会直接影响老年人的精神生活质量;农村老年人对于精神文化生活存在着强烈的需求,希望通过参与社区活动的方式获取更多的情感支持和精神慰藉。农村社区工作者应当帮助老年人重建角色认知,运用小组工作的方法,扩展老年人社交和精神生活的机会与空间,以维护老年人的社会联结度和生活满足感。     

The relationship between adverse childhood experiences,health and life satisfaction in adults with care experience: The mediating role of attachment

Adverse childhood experiences (ACEs) are associated with a plethora of negative outcomes. Research has also found that adults who were separated from parental care and lived in alternative care settings during childhood have high levels of ACEs and are more likely to have poor outcomes. A growing body of research has supported the importance of attachment as a mechanism underlying the relationship between ACEs and adult wellbeing. However, little work has examined the role that attachment may play in the outcomes of adults who resided in residential and foster care during childhood. The current study examined the role of attachment avoidance and anxiety in the associations between ACEs and mental health, physical health, and life satisfaction in a sample of 529 adults with alternative care experience from 11 nations. Attachment avoidance partially mediated the relationship between ACEs and life satisfaction, mental health, and physical health. Attachment anxiety partially mediated the relationship between ACEs and life satisfaction and mental health, but not physical health. Taken together, the present study suggests that both attachment anxiety and avoidance play important, but unique, roles in understanding the relationship between ACEs and health and wellbeing for adults with care experience. Implications and limitations are discussed.     

Sheltered Housing and Community

This paper considers the role of sheltered housing following the introduction of new community care arrangements in 1993 and examines the continuing uncertainty about its exact role as community care continues to develop. It reports on a study conducted in Shropshire, using a postal survey and interviews with older people and service professionals. The study highlights the importance of sheltered housing for older people, particularly in relieving them of concerns about maintenance and repairs, social isolation and security. These factors were crucial for their overall peace of mind and quality of life. While only a small proportion of tenants received help under social services' community care arrangements, the additional support, monitoring and service coordination provided by wardens helped some of them to remain in sheltered housing when residential or nursing home care might otherwise have been necessary. Sheltered housing was overwhelmingly popular with older people — but their satisfaction was closely associated with the availability and quality of the warden service. Although sheltered housing is not currently in vogue in housing policy, the paper argues that it plays a vital role in local provision for older people and needs to be more closely integrated into community care policy, while at the same time preserving the characteristics that make it popular with its residents.     

Surviving social support: Care challenges facing Taiwanese centenarians

In Taiwan, centenarians are the fastest growing demographic among the 65+ population. However, the general population knows little about the country's oldest citizens. There is an urgent need for research to focus on the ‘super old’ community in order to allocate sufficient public and private resources towards their care. This study explored the living conditions of Taiwanese centenarians as well as their care and support systems through a quantitative questionnaire and in‐depth interviews with the centenarians or their caregivers. The total sample size of the study was 100. Sample characteristics regarding age, gender, living arrangement, physical and mental health status, daily functioning and overall life satisfaction are presented. It was found that a much higher percentage of Taiwanese centenarians lived with family members in their own homes, while their counterparts in Western societies were institutionalised. This study also identifies the concept of symbiotic care grounded in a family network.     

Depression,Hopelessness, and Suicidal Ideation Among the Elderly

Abstract

This study attempts to compare levels of depression, hopelessness, and suicidal ideation among elderly males and females, in reference to their living arrangement, i.e., community vs. nursing homes. For many elderly people, old age is characterized by various losses: physiological, functional, social, cognitive, financial, etc. The outcomes of such losses often include, more often than not, environmental isolation, a subjective feeling of loneliness, anxiety, depression, and frequently, loss of motivation to continue living. In light of the rise in life expectancy and the multitude of losses which can be associated with the aging process, it is probable that one out of five elderly persons will spend part of his/her life in a long term care institute. Such living arrangements may have negative effects on the mental health of its residents, because placement is often accompanied by feelings of lack of control over one's own life, and inability to make decisions regarding daily issues. Elderly persons living in the community (227: 78 men, 149 women) and 91 living in nursing homes (33 men, 58 women), in both independent and frail functional status (ADL), participated in the study. Findings show significantly more hopelessness, helplessness, and depression among residents of nursing homes compared to those living in the community, differences between men and women living in both environments, and a correlation between other demographic variables and the three dependent variables of the study. The conclusions of the study indicate a need to pay interdisciplinary attention to the mental health of elderly residents of nursing homes, particularly in the preliminary stages of placement and adjustment.     

Migration, ageing and mental health: an ethnographic study on perceptions of life satisfaction, anxiety and depression in older Somali men in east London

This ethnographic study was carried out in the aftermath of an epidemiological investigation, the first of its kind, on the health and social status of Somalis aged 60 years and over living in Tower Hamlets, east London. The main aims of the study are to explore views on mental health and well-being and identify sources of stress and support so as to gain greater understanding of background factors of life satisfaction and depression in 'first-generation' older Somali migrants in Tower Hamlets (males). Face-to-face interviews were conducted among 28 males in Somali with the help of a bilingual interpreter from the same age, sex and cultural background of participants. Several factors were perceived to decrease life satisfaction and increase vulnerability to depression in male Somalis, in particular low family support in the face of increasing physical disability, loneliness, inadequate access to community services and inability to return home. Social isolation, low level of control over one's life, helplessness and social degradation – ageism, perceived racial/religious discrimination and, to a lesser extent, racial harassment – were common themes identified in people who said to be depressed. Family support was the main buffer against depression; other coping resources were represented by religious practices and reliance on Somali peers. Avoidance coping seemed to encompass denial of depression in participants who had low mood. The study revealed multiple reasons for ill-being, in particular in people who had high expectations about medical and social care. Low levels of distress were found in Somalis who felt supported by their families. There is a need for social workers and other health professionals to advance discussions of mental-health issues in the community and for service providers to promote greater access to culturally relevant medical and social services for Somali elders in Tower Hamlets and strengthen their informal support networks.     

Subjective Well‐being Poverty of the Elderly Population in China

Poverty is represented not only by objective well‐being indicators which include income and consumption levels, but also by subjective indicators which reflect what a person feels. It is estimated in this article that the incidence of subjective well‐being poverty (SWP) among the Chinese rural elderly population in 2006 was 9.7 per cent, about 4.2 times as much as that of the country's total rural population in the same year, which was 2.3 per cent. Over 16 per cent of the rural elderly population and 11.5 per cent of the urban elderly population rated their life satisfaction as poor or very poor. In terms of SWP, senior citizens, especially those who live in rural areas or who are women or very aged, have become a special group among the poor in China. This article suggests that China's social policies for the new stage take into account the issue of absolute poverty and also that of SWP. A multi‐dimensional strategy system targeting the issue of poverty needs to be established, and a policy system to address poverty reduction as well as old age security and care should be implemented.     

Why Ugandan rural households are opting to pay community health insurance rather than use the free healthcare services

Twikirize JM, O'Brien C. Why Ugandan rural households are opting to pay community health insurance rather than use the free healthcare services Uganda reintroduced free healthcare in 2001, but today, nine years later, less than 30 per cent of the population are using these services. This study investigated why rural households were under‐utilising the government's free health services and turning to community health insurance instead. A survey carried out on 260 randomly selected households was triangulated with qualitative data gained from 3 focus groups and 12 in‐depth interviews. The findings showed that 21 per cent of the households always accessed the government's free health services, while 79 per cent used private health services. The reasons given were poor quality services, including frequent drug stock‐outs, unmotivated and insufficiently trained health personnel, and overcrowding. Factors influencing enrolment in community health insurance included easier access to healthcare, financial protection against the cost of care, better quality care and benefits related to mutual assistance. This has both practical and policy implications, which are discussed in this article.     

Examining the Relationship between Domestic Violence and Depression among Koreans: The Role of Self‐esteem and Social Support as Mediators

Domestic violence is a prevalent social issue in Korea affecting a significant number of people every day. It is thus important to examine how the experience of domestic violence affects their mental health to better address their needs. Using stress‐coping theory as a theoretical framework, this study examines the domestic violence and depression relationship among Korean men and women. Two aspects of self‐esteem and informal and formal social support are examined as potential mediators of this relationship. The data was the first wave of Korean Welfare Panel Study data including 2477 individuals with experiences of abuse. Structural equation modeling procedures were used for analyses. Domestic violence was significantly associated with self‐worth, self‐deprecation, and depression. The experiences of violence eroded self‐worth while reinforcing self‐deprecation and those with more exposure to violence showed a higher level of depression. Self‐deprecation played a significant role in mediating the effect of domestic violence on depression. However, different findings were yielded for social support. While informal social support was significantly associated with domestic violence, formal social support was not associated with domestic violence. Findings suggest for mental health interventions targeting self‐esteem, particularly the diminution of self‐deprecation in working with the victims. Suggestions for future research and implications for social work are also discussed.     

Caregiver Burden: A Comparison Between Elderly Women as Primary and Secondary Caregivers for Their Spouses

The overall purpose of this research was to examine the burdens of caregiving on elderly women who serve as primary and secondary caregivers for their impaired spouses. Fifty women 60 years and older identified as spousal caregivers participated in an in-person structured interview. Data were analyzed to compare primary caregivers (caregivers living with their spouses) and secondary caregivers (caregivers of institutionalized spouses) on the following factors: loneliness, depression, time constraints, perceived health status, financial status and perceived life satisfaction. Findings suggest that both groups of women are equally susceptible to the burdens inherent in caregiving. Time constraints were identified as the one major difference between caregiving groups. In addition, the results indicate that spousal caregivers, both primary and secondary, are an at-risk population and are especially vulnerable to loneliness, mild depression, financial worries and low life satisfaction.     

对农村文化贫困女性的社会学考究

农村女性文化贫困体现在文化素质低、思想观念陈旧、生活方式落后、心理健康堪忧等方面。农村女性应以进城务工女性和都市现代女性作为参照群体,以她们的价值和规范作为评价自身和她人的基准,从自身主观意识的觉醒、自立意识的增强、文化水平的提高、文化生活品位提升等方面来解决其文化贫困问题,以积极状态面对生活,在社会主义新农村建设和农村文化建设中发挥积极作用。     

Well‐being among employed and non‐employed caregiving women in Taiwan

Chou Y‐C, Kröger T, Chiao C, Pu C‐Y. Well‐being among employed and non‐employed caregiving women in Taiwan This study addressed various groups of non‐employed/employed and non‐caring/caring women in Taiwan. Data from the 2006 National Taiwanese Women Survey (at age 16–64, n= 6,017) were analysed to determine whether there are differences in terms of well‐being, as measured by self‐rated health and family life satisfaction, between women who work and/or care and between different carer groups. Other factors associated with well‐being of carers of young children (n= 1,697) were also analysed. The results showed that non‐employed carers of disabled adults stood out as the most disadvantaged group. However, the importance of work has been replaced by support among carers of young children. This study suggests that unpaid carers, particularly carers of disabled adults who are non‐employed, ought to be supported by policies. To improve carers' well‐being, care–work reconciliation among working‐age women needs to be included in the future care scheme in Taiwan.     

Social capital and subjective well-being of rural women in China

ABSTRACT

Rural women in China are facing a difficult life situation. They are suffering from both physical and psychological pains. This addresses attention to their mental health and subjective well-being. Based on the Social Capital Theory, this study aims to present the subjective well-being of rural women in China, and explore the related factors. Using the CGSS 2015 survey data, 2355 rural female samples were extracted. T-test, Explanatory Factor Analysis, and stepwise analysis based on the ordered logistic regression model were used. The results showed that the interpersonal interaction factor in social network dimension, the overall trust factor and bonding trust factor in social trust dimension were significantly associated with subjective well-being. The social norms dimension had a weak correlation with subjective well-being. Furthermore, the study also explored the role of the sociodemographic variables and other potential factors. The results echoed to ‘happiness-income paradox’.     

Tackling the problem of teenage pregnancy in looked‐after children: a peer mentoring approach

Teenage pregnancy is associated with adverse health and social outcomes, even after adjusting for prior disadvantage, and is recognized as a major public health issue. Rates of teenage pregnancy in the UK are among the highest in Europe. Interventions introduced in the past decade to address the problem, such as improved sex and relationships education in schools, have been accompanied by a fall in teenage pregnancy rates in the UK. However, this decline has not been mirrored among looked‐after children. In this paper, we discuss why this may be the case. We suggest that a system of peer mentoring, involving a young person, whose experience of life post‐care has been positive, may be an effective approach to tackling the problem of pregnancy in this group. Peer mentoring has the potential to assist young people in developing self‐esteem, confidence and in making choices regarding their education, personal development and relationships.     

Does social capital predict happiness,health, and life satisfaction in an urban Australian community?

Abstract

This paper investigates the extent to which social capital and participation in community activities predicts happiness, health, and life satisfaction in Australia. Residents of a Gold Coast suburb completed a random door‐to‐door survey, with a 74% response rate (n = 249). Ordinal regression analyses revealed that only two elements of social capital—Value of Life and Feelings of Trust and Safety—predicted happiness (β = 0.4, P = 0.00; β = 0.12, P = 0.00), life satisfaction (β = 0.46, P = 0.00; β = 0.09, P = 0.02), and health (β = 0.29, P =0.00; β = 0.11, P = 0.00). In terms of community activities, not participating in social activities predicted both unhappiness (β = ‐0.16, P = 0.05) and reduced life satisfaction (β = ‐0.20, P = 0.01). Such findings suggest that how social capital is defined and measured is important, as only two of the seven elements—life satisfaction and health—predicted happiness. The key implication is that implementing strategies, initiatives, and urban designs that facilitate feelings of trust and safety may foster health, happiness, and life satisfaction.