Cognitive abilities,self-efficacy,and financial behavior

This paper investigates the effect of cognitive abilities on financial behavior among older adults. Using the U.S. Health and Retirement Study, I find that cognitive abilities significantly affect financial behavior through two channels: ability and self-efficacy. People with higher cognition scores achieve better financial outcomes. This positive association is especially strong in tasks having high demand of cognitive abilities, which confirms the ability channel of the cognitive ability effect. In addition, there is evidence for the self-efficacy channel as a secondary source of cognitive influence. Lower cognitive abilities decrease people’s sense of self-efficacy, which, in turn, significantly decreases financial management efficiency. The findings have important policy implications, specifically that more effort is needed to assist the growing older population through the cognitive aging process and that noncognitive skills, as a secondary source of influence, also warrant attention.     

Professional Perspectives on Decision Making about the Long-term Care of Older People

With the increasing pressure on social and health care resources,professionals have to be more explicit in their decision makingregarding the long-term care of older people. This groundedtheory study used 19 focus groups and nine semi-structured interviews(99 staff in total) to explore professional perspectives onthis decision making. Focus group participants and intervieweescomprised care managers, social workers, consultant geriatricians,general medical practitioners, community nurses, home care managers,occupational therapists and hospital discharge support staff.The emerging themes spanned context, clients, families and services.Decisions were often prompted by a crisis, hindering professionalsseeking to make a measured assessment. Fear of burglary andassault, and the willingness and availability of family to helpwere major factors in decisions about living at home. Serviceavailability in terms of public funding for community care,the availability of home care workers and workload pressureson primary care services influenced decision ‘thresholds’regarding admission to institutional care. Assessment toolsdesigned to assist decision making about the long-term careof older people need to take into account the critical aspectsof individual fears and motivation, family support and the availabilityof publicly funded services as well as functional and medicalneeds.     

Senior centres in the lives of older Americans: implications for Chinese older adults

As a critical community resource, the senior centre has provided older Americans with a wide array of recreational, nutritional, health, and social service programmes. Funding resources include the Older Americans Act allocations, local organisations and governments, national charities, voluntary associations, and religious associations. The types of programmes offered at a senior centre reflect two models: social agency model or voluntary organisation model. The five most popular programmes are nutrition, health and fitness, recreation, volunteering, and social services. Participation in senior centre activities has positive impacts on the overall well-being of older adult participants. With the rapid growth in the ageing population and improved life expectancy in China, senior centres may serve as a focal point for Chinese older adults by providing a broad spectrum of social services to enhance the well-being of community-dwelling older adults, to support their independence and dignity, and to facilitate ageing in place in later life.     

College students with congenital heart disease: A critical time for transition

As medical and surgical advances improve, more young adults with congenital heart disease (CHD) are attending college. This case study illustrates some of the issues that these young adults may face as they attend college and discusses the role that college health practitioners can play in easing that transition. Participants: A case of a male with CHD presenting to the college health clinic with a new onset headache. Methods: The authors discuss some of the unique challenges that college health practitioners may face when caring for students with CHD. In addition, they make recommendations on how best to care for these patients and how best to coordinate care with CHD students other care providers. Results: This student with a history of coarctation of the aorta presented with new onset headaches and was found to have high blood pressure. He was diagnosed with recurrent coarctation, underwent percutaneous treatment with stenting and quickly resumed classes. Conclusions: As more students with CHD enter college, college health providers will need to understand some of the health risks that CHD students face. In addition, understanding some of the optimal ways to coordinate care with CHD providers can ease the transition that CHD students face as they enter college.     

Thriving Older African American Women: Aging After Jim Crow

ABSTRACT

This paper is based on the findings of small group discussions with self-defined successful African American women age 60+ in Charlotte, North Carolina. These women, who lived through the Jim Crow era and thrived in spite of the obstacles, continue to seek meaning in their lives through the roles they play in their families, churches, and communities. They feel strongly that there is a core of key values that continue to hold meaning and struggle to impart these values to those whose lives they touch. The key values identified include education, religion, work, and giving back to the community, and illustrate the integration of both traditional and nontraditional definitions of success. Mentoring is proposed as an important concept for understanding the lives of African American women in later life.     

Towards a Society for All Ages

Summary

Any social action plan, scheme, or program for welfare or intervention can be formulated only on the basis of data generated by research findings. Empirical data forms the backbone of the formulation of policy. This paper outlines the summary of the Indian research effort in the area of aging. An examination of the research trends shows both strengths and weaknesses. The generation of large and varied pieces of data across disciplines is a strength, while the absence of methodological rigor, integration of research effort, and the building of theory are the lacunae. The needs of the elderly, elder-care issues, State vs. family care, elder abuse, interventional and action plan research are some areas that need accentuation. Documentation of data, creation of databases, and a national body for overseeing research are requirements that cannot be delayed any longer.     

Lessons from the Grey Area: A Closer Inspection of At-risk Gamblers

The study takes a closer look at at-risk gamblers, with the objective to see how they differ from no-risk gamblers. The data comes from a national gambling survey in 2002, and the age group is 15–74 years. The sample consists of 4188 current gamblers with no current gambling problems or pathology. The analysis includes cross-tabulations and a logistic regression. The results show that at-risk gamblers differed substantially from no-risk gamblers in terms of demographic characteristics, gambling behaviour and the presence of other assumed risk factors. Demographic segments with a higher risk of falling into the at-risk group are men, young people, divorced or single people, and non-western immigrants. Furthermore, gambling problems in the family, beginners luck and misconceptions about winning chances significantly increased the odds for at-risk gambling. The study concludes that at-risk gamblers deserve more attention from research, that their similarity with problem gamblers increases the likelihood that many of them will eventually develop a gambling problem, and that their tendency to be superstitious about winning chances might be exploited in preventive work.     

Making Sense of Organizational Change: Voices of Older Volunteers

The role of voluntary and community sector organizations in the delivery of public services is increasing and these changes bring new responsibilities and benefits to organizations that have the capacity to participate. There are concerns within the sector about the implications for citizenship and participation. The sector is highly dependent on volunteers yet little is known about how organizational change in response to new relationships with the statutory sector impact upon the commitment and well-being of people who volunteer. This paper addresses that gap in knowledge for older volunteers. Drawing upon collaborative research with a voluntary organization in the north of England, the authors explore the meanings and aspirations of volunteering for older people, and explain how and why changes associated with closer engagement with public service delivery and less grant dependency can be disempowering for them.

Quality of Life Enhancement Research Program: Lessons Learned

The attempted Quality of Life Enhancement program appeared to be a novel method for creating a symbiotic and sustainable relationship between a large Southeastern university and local nursing home and assisted living facilities (ALF), through which ALF residents would attend university arts and sporting events. During implementation, it was discovered that this project was unsustainable, undesired, unneeded by many care centers, difficult to implement, and required a dedicated and specialized staff. After attempting to enroll 14 local care facilities, only 2 were interested in becoming involved and produced 5 eligible participants. During the program itself, coordination with facilities and residents was difficult to maintain and unique transportation and accommodation needs were challenging to overcome. Finally, data collection was time consuming and generally unfruitful. Ultimately the project was discontinued after a year of attempted recruitment and implementation of inclusive changes to protocol. While creating an ongoing relationship with local care facilities and local universities may enhance opportunities for residents and research into important areas, such relationships take time, effort, and specialized staff to maintain.     

中国老年人的主观年龄及影响因素分析

随着中国老龄化进程的加快,越来越多的研究开始探讨老年的定义和标准,但很少有研究直观地描述和分析老年人对自身进入老年的年龄标准的看法以及其主观年龄的差异。本研究使用2014年至2018年中国老年社会追踪调查的三期数据,比较分析不同队列在不同实际年龄(日历年龄)下认定的自身进入老年的年龄标准的变化以及不同实际年龄老年人的主观年龄的差异。数据分析结果显示受访者自我认定的老年的年龄标准平均为70岁,远高于社会上通常认定的60岁或65岁的标准;主观年龄和主观外表年龄平均在68岁左右,低于受访者的平均实际年龄(71岁),超过六成的受访者的主观年龄与主观外表年龄比实际年龄“更年轻”。进一步的统计模型分析结果显示健康状况越好、与子女同住、有广泛的朋友支持网络以及更愿意参与村居委会投票的老年人所认定的自己进入老年的年龄标准也更高。更多的社区娱乐场所或设施和室外活动场地也能显著地提高受访者认定的进入老年的年龄标准。更高的受教育程度以及更好的健康状况是促使老年人的主观年龄和主观外表年龄小于实际年龄的重要因素。本文直观地描述了不同实际年龄的老年人所认定的自身进入老年的年龄标准以及其主观年龄与实际年龄的差异,为与年龄相关的老龄政策的制定提供了参考。