Older Workers’ Access to Employer-Sponsored Retiree Health Insurance, 2000–2006

Using a multivariate framework, we analyze trends in employer provision of retiree health insurance (RHI), eligibility for new retirees, and retiree contributions. Data come for the Medical Expenditure Panel Survey—Insurance Component (MEPS-IC). While RHI provision to existing retirees decreased, eligibility for new retirees declined even more. Contribution requirements increased between 2000 and 2006 for retirees not yet eligible for Medicare (less than 65 years of age), but remained stable for those who were eligible (65 years of age or older). These results suggest growing financial instability for retirees.     

What Explains Divorced Women's Poorer Health? The Mediating Role of Health Insurance and Access to Health Care in a Rural Iowan Sample

Economic restructuring in rural areas in recent decades has been accompanied by rising marital instability. To examine the implications of the increase in divorce for the health of rural women, we examine how marital status predicts adequacy of health insurance coverage and health care access, and whether these factors help to account for the documented association between divorce and later illness. Analyzing longitudinal data from a cohort of over 400 married and recently divorced rural Iowan women, we decompose the total effect of divorce on physical illness a decade later using structural equation modeling. Divorced women are less likely to report adequate health insurance in the years following divorce, inhibiting their access to medical care and threatening their physical health. Full‐time employment acts as a buffer against insurance loss for divorced women. The growth of marital instability in rural areas has had significant ramifications for women's health; the decline of adequate health insurance coverage following divorce explains a component of the association between divorced status and poorer long‐term health outcomes.     

How Does Occupational Access for Older Workers Differ by Education?

To assess the employment opportunities of older job-changers in the years prior to retirement, this study examines the how the breadth of occupations in which they find employment narrows as they age past their prime working years and how this differs by gender and educational attainment. The results indicate that workers who change jobs in their early 50s find employment in a reasonably similar set of occupations as prime-age workers, with opportunities narrowing at older ages. They also indicate that job opportunities broadened significantly for better-educated older workers since the late 1990s. While job opportunities now narrow significantly for less-educated men in their late 50s, this narrowing primarily occurs in the early 60s for women and better-educated men. In contrast to previous research, the study finds that employer policies that emphasize hiring from within are less important barriers to the hiring of older job-seekers. The study also finds that the narrowing of job opportunities is associated with a general decline in job quality as measured by median occupational earnings, a decline associated with differences in occupational skill requirements and the underlying economic environment. These results suggest that older hiring is not as limited to a select few occupations as it had been in previous decades, and that policy reforms aimed at increasing opportunities and improving labor market fluidity might best be served if they focused on less-educated men.     

Is It Better for Older People to Live With Their Children?

EVER since there have been families in China, it has been traditional for the elderly to spend their later years living at home with their children; if the children have married and presented their parents with grandchildren, the household may consist of a large extended family in which three to four generations live under one roof. Nowadays, many elderly Chinese still fit into this mold. According to a sampling survey taken in 1995, among households with older members, 67.64 million seniors—or 74.73 percent of the total—lived with their adult children. Though some older people live apart     

Older People’s Motivations to Engage in Political Organizations: Evidence from a Catalan Study

This study explored the motivations of Catalan older people to engage in political organizations. The sample consisted of 192 people aged 65 and over who were active members of three types of political organizations: neighborhood associations, political parties/trade unions, and single-issue organizations. Their answers to an open-ended question were content analyzed, and a series of Chi-square tests were run to assess the association of the resulting categories with the type of organization in which participants were active. The results show that the motives for engaging in political organizations were mainly focused on introducing changes in the community, although the scope of the changes desired tended to vary. While some participants expressed idealistic motivations, others stated that they become involved in order to stand up for a cause in which they believed. One in six participants was motivated by self-interest, either related to personal growth or to self-protective needs. Motives for participating were related to the type of organization in which participants were active, suggesting that organizations should consider the influence of their own particular context and characteristics in developing recruitment and retention strategies.     

Older Parents Providing Child Care for Adult Children: Does It Pay Off?

This study examined whether past grandparental child care is related to present support from adult children. On the basis of social exchange theory, the authors expected that grandparental child care creates a debt that is repaid in the form of receiving support later in life. Using data from the Longitudinal Aging Study Amsterdam (N = 349 parents, N = 812 adult children), the authors found that grandparents who frequently provided child care for sons in the past more often received instrumental and emotional support from these sons approximately 13 years later than grandparents who less frequently provided child care. Investments in daughters did not pay off. Instrumental support other than child‐care provision did not predict receiving support from either sons or daughters, but emotional support did. These results support the notion of long‐term reciprocity in parent–child relationships, but its importance depends on the child's gender and the type of earlier investment.     

Who Pays for Seniors Housing and Care Communities? Evidence from the Residents Financial Survey

To examine the financial characteristics of residents in assisted living and independent living communities and to see how they currently pay for their care arrangements, we surveyed 2,617 residents in assisted living and independent living communities. We asked them how they pay for their current costs and verified their answers by examining self-reported information on their cost and income. Residents stated that they are largely paying for their community costs independently. Approximately one third of respondents reported using their assets and income to cover their current costs. The data supported the notion that individuals living in assisted living and independent living communities are largely mid- to high-income elderly. However, the cross-sectional analysis showed that length of time in the community was positively associated with paying for their expenses independently out of income, after controlling for many confounders including age, education, and lifetime earnings to try to rule out differential longevity and differential selection over time. Further longitudinal analysis is needed to understand the cause and the implications of the positive correlation between ability to pay one's bills out of income and the length of time in the community before conclusions about spend-down can be made.     

Does caregiving increase poverty among women in later life? Evidence from the Health and Retirement survey

Given the rapid aging of the U.S. population and reductions in federal funding, elder care has become a major issue for many families. This paper focuses on a long-term consequence of elder care by asking how caring for elderly parents affects women's subsequent risks of living in poverty. Using longitudinal data from the Health and Retirement Study, we examine whether and how caregiving for parents in 1991 increases women's risks of living in households with incomes less than the poverty threshold, receiving public assistance, and receiving Medicaid in 1999. Our findings illustrate that caregiving in earlier life raises women's poverty risks in later life by intensifying the negative effects of stopping work and declining health on women's economic well-being.     

Barriers in Access to the Treatment for People with Gambling Disorders. Are They Different from Those Experienced by People with Alcohol and/or Drug Dependence?

A prevalence of gambling disorders is diversified depending on the region of the world. Almost three quarters of pathological gamblers had never sought a professional treatment as well as an assistance in self-help groups. Reasons why they do not initiate a treatment are complex. The aim of the article is to compare barriers to the treatment for people with gambling disorders found in presented study and barriers to alcohol and drug treatment identified in the available literature. The semi structured interviews were applied and conducted with people with gambling disorders, social workers, therapists employed in the addiction treatment facilities, General Practitioners and psychiatrists. Selection of the respondents was based on purposive sampling. In total, 90 interviews were completed. Respondents identified individual barriers as well as structural ones. Individual barriers include internal resistance and a fear of the treatment. In turn structural barriers apply to the organization of the therapy, infrastructure, personnel, and the therapeutic program. A comparison of barriers experienced by people with gambling disorders and substance use disorders showed that they are largely similar, but people with gambling disorders also experience specific barriers. Empirical studies focused specifically on treatment needs of people experiencing gambling disorders may improve an offer of help for them. More adequate treatment options could contribute to the increasing in the number of people who start the treatment. It can result in improving their quality of life and may have positive impact on public health.     

Does funding for HIV and sexually transmitted disease prevention matter? Evidence from panel data

Since the onset of the AIDS epidemic, the Centers for Disease Control and Prevention (CDC) has allocated several billion dollars for the prevention of HIV and other sexually transmitted diseases (STDs) in the United States. Using state-level data from 1981 to 1998, the authors found that greater amounts of prevention funding in a given year are associated with reductions in reported gonorrhea incidence rates in subsequent years. The authors conclude that funding for STD and HIV prevention, on the whole, appears to have a discernable impact on the incidence of STDs.     

Does Increased Use of Generic Medicines by Elders in Belgium Help to Contain Escalating Health Care Budgets?

This study explored the use of generic medicines among elders in Belgium. The generic market share by volume for elders in 2010 was 23.1%, while this was 23.7% for the total Belgian population in 2009. Pharmaceutical expenditure in Belgium was €649.74 per capita for elders in 2010. Calculations of possible savings through an increased use of generic medicines showed that these savings were rather limited (4.48% when the generic market share by volume increased to 95%). The full potential of generic medicines in the elder population has not yet been realized in Belgium, due to the limited use of generic medicines and their relatively high prices. The Belgian government should implement additional incentives for physicians, pharmacists, and patients to increase the use of generics and combine these with policies to lower prices of generic medicines and policies to decrease the volume of medicines used by elders and rationalize the prescribing of medicines for elders.     

From Welfare to Work? Social Policy for Disabled People of Working Age in the United Kingdom in the 1990s

Disabled people of working age have been at the heart of recent welfare restructuring in the United Kingdom, but this has received little attention from mainstream social policy analysis. Both Conservative and Labour governments have introduced measures to promote labour force participation among disabled people, whilst discouraging dependence on welfare benefits. Whilst this new approach has been justified in terms of reducing poverty, its underlying imperatives are essentially inegalitarian. The welfare reform process has been driven by a number of official concerns including a perception of unsustainable fiscal pressures and a belief that perverse incentives in the social security benefit system have undermined economic efficiency. Moreover, it has been legitimated by an ideology of citizenship, which has shifted the moral responsibility for needs satisfaction away from the state to the individual. The paper concludes by identifying a better approach to welfare reform for disabled people of working age.     

Does It Cost Less to Live in Rural Areas? Evidence from New Data on Food Security and Hunger*

Abstract Rural‐urban differences in the association of food insecurity and hunger with income suggest that the cost of living is substantially lower in rural than in urban areas. This implies that the official poverty rate overstates rural economic hardship compared with that in urban areas. Geographic differences in cost of living implied by the association between food insecurity and income provide some validation of the cost of housing adjustment proposed by the National Academy of Sciences (NAS) panel on improving the measurement of poverty, but suggest that the NAS adjustment generally overcorrects for cost of living and would be seriously problematic in some regions.