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1.
J Women Aging ; 36(3): 197-209, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38193149

RESUMO

Financial wellbeing in retirement is contingent on realizations of financial expectations developed earlier in life and may differ substantially by gender. People's standard of living in retirement is tied to stability in work and income trajectories during working years along with retirement benefits and savings. Women have a greater overall income disadvantage relative to men, including reduced life course labor force exposure that may restrict retirement savings and benefits. Using the Canadian Longitudinal and International Study of Adults (LISA) and 20 years of linked tax record data (N = 2,353), we explore the association between instability in work and income histories and lower perceived retirement standard of living (PRSOL), net of retirement benefits, for women and men in Canada. Results show that for women, life course effects shaping PRSOL are driven by cumulative disability exposure and bouts of social assistance. For men, PRSOL is influenced more by cumulative unemployment. Although retirement benefits do not offset histories of work and income instability for either gender, income assistance is protective for women in retirement while personal investments are protective for men. Overall, our findings suggest that despite Canada's relatively generous pension program in later life, life course instability in work and income have persisting, gendered effects on financial wellbeing in retirement that underscore financial and health disadvantage for women across the life course.


Assuntos
Renda , Aposentadoria , Humanos , Aposentadoria/economia , Aposentadoria/psicologia , Feminino , Masculino , Canadá , Pessoa de Meia-Idade , Renda/estatística & dados numéricos , Estudos Longitudinais , Idoso , Fatores Sexuais , Pensões/estatística & dados numéricos , Emprego/estatística & dados numéricos , Emprego/psicologia
2.
Aging Ment Health ; 23(11): 1452-1466, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-30380913

RESUMO

Objectives: Research on the influence of companion animals (CA) on the health of older adults has yielded contradictory results. Selection factors, leading to heterogeneity both between and within groups of CA owners and non-owners, likely bias results. We conduct analyses to identify typologies of owners and non-owners. Methods: Using data on older adults (60+) from the 2012 Health and Retirement Study (HRS), and the HRS companion animal module, (owners = 478) and (non-owners = 624), we conducted latent class analyses (LCA). We used key demographic, health, daily engagement, and pet characteristic variables to complete our analyses. Results: Analyses revealed five clusters of CA owners and four clusters of non-owners. Health and CA related characteristics distinguishing clusters suggest important sources of variability and reflect qualitatively different profiles of owners and non-owners. We also found CA owners were more likely than non-owners to be high on neuroticism and to be less extroverted than non-owners-but again there was considerable within group variability. Implications: Factors that select people into pet ownership not only work individually to characterize ownership, they create distinct typologies of CA owners and non-owners that likely contribute to subsequent health outcomes. In order to determine if having a CA is beneficial to health in later life and for whom, future research should consider selection factors like those identified in the typologies. Statistical analyses, such as LCA, that can adequately account for these selection factors is necessary to avoid biases in the interpretation of results.


Assuntos
Nível de Saúde , Animais de Estimação , Atividades Cotidianas , Fatores Etários , Idoso/psicologia , Idoso/estatística & dados numéricos , Idoso de 80 Anos ou mais , Animais , Gatos , Cães , Exercício Físico , Extroversão Psicológica , Feminino , Humanos , Análise de Classes Latentes , Pessoa de Meia-Idade , Neuroticismo , Gravidez
3.
Demography ; 55(1): 165-188, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-29313243

RESUMO

The present study employs discrete-time hazard regression models to investigate the relationship between student loan debt and the probability of transitioning to either marital or nonmarital first childbirth using the 1997 National Longitudinal Survey of Youth (NLSY97). Accounting for nonrandom selection into student loans using propensity scores, our study reveals that the effect of student loan debt on the transition to motherhood differs among white, black, and Hispanic women. Hispanic women holding student loans experience significant declines in the probability of transitioning to both marital and nonmarital motherhood, whereas black women with student loans are significantly more likely to transition to any first childbirth. Indebted white women experience only a decrease in the probability of a marital first birth. The results from this study suggest that student loans will likely play a key role in shaping future demographic patterns and behaviors.


Assuntos
Etnicidade/estatística & dados numéricos , Características da Família , Grupos Raciais/estatística & dados numéricos , Apoio ao Desenvolvimento de Recursos Humanos/estatística & dados numéricos , Adolescente , Adulto , Negro ou Afro-Americano/estatística & dados numéricos , Criança , Escolaridade , Feminino , Hispânico ou Latino/estatística & dados numéricos , Humanos , Estudos Longitudinais , Estado Civil/estatística & dados numéricos , Estados Unidos , População Branca/estatística & dados numéricos , Adulto Jovem
4.
Soc Sci Res ; 54: 246-62, 2015 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26463547

RESUMO

A large body of literature documents the link between social support, stress, and women's mental health during pregnancy and the postpartum period; however, uncertainty remains as to whether a direct effect or stress mediating pathway best describes the relationship between these factors. Moreover, specific dimensions of social support that may be influential (family type, sources of support) have largely been neglected. Using data from the Fragile Families and Child Well-being Study (N=4150), we examine the pathway between social support, stress exposure, and postpartum depression in greater detail. Findings reveal that social support is a significant, protective factor for postpartum depression, and the variety of support providers in a woman's social network is important, especially in the context of family type. Findings also reveal the importance of considering social support and stress exposure as part of a larger causal pathway to postpartum mental health.


Assuntos
Depressão Pós-Parto , Saúde Mental , Período Pós-Parto , Apoio Social , Estresse Psicológico , Adolescente , Adulto , Pré-Escolar , Depressão Pós-Parto/etiologia , Depressão Pós-Parto/prevenção & controle , Família , Feminino , Humanos , Lactente , Saúde Materna , Mães , Inquéritos e Questionários , Saúde da Mulher , Adulto Jovem
5.
Innov Aging ; 8(3): igae013, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38544525

RESUMO

Background and Objectives: This study aimed to evaluate the measurement properties of 2 emerging psychological resilience (PR) measures constructed for use in large national data sources and to test their reliability across social axes including race/ethnicity, gender, and socioeconomic status. Research Design and Methods: Using 2006/2008 data, the Simplified Resilience Score and the Add Health Resilience Scale were tested using overall and multigroup measurement models in a structural equation modeling framework. Results: Both PR measures perform well as reliable, 1-factor latent constructs capturing adaptive capacity at various life stages. Both measures showed measurement consistency across social axes, with specific differences in item measurement across some racial/ethnic groups. Discussion and Implications: The results indicate these measures represent high quality, consistent measures of PR in nationally representative aging and health data. The availability of reliable, valid measures of PR enables consistent evaluation of resilience in health and aging processes.

6.
J Aging Health ; 35(1-2): 50-61, 2023 01.
Artigo em Inglês | MEDLINE | ID: mdl-35532214

RESUMO

OBJECTIVES: To investigate the impact of intergenerational mobility-measured as the difference between one's own and one's father's education level-on overall life-satisfaction among Hispanic, White, and Black older Americans. METHODS: Data from the Health and Retirement Study were used to estimate life satisfaction by race/ethnicity using ordinary least squares regression (N = 5,057). RESULTS: Hispanic and Black older Americans report greater educational gains relative to their fathers compared to Whites. Despite having the lowest reported education levels, Hispanics report the highest life satisfaction across race/ethnic groups. However, net of education level and other factors, intergenerational mobility decreased rather than increased life satisfaction for Hispanic older Americans. DISCUSSION: These results indicate that intergenerational mobility may not confer equal benefits for overall life satisfaction across racial/ethnic groups. As Hispanic individuals continue to achieve higher education levels, it is unclear whether upward mobility will translate to positive or negative assimilation consequences.


Assuntos
Hispânico ou Latino , População Branca , Estados Unidos , Humanos , Idoso , Negro ou Afro-Americano , Etnicidade , Satisfação Pessoal
7.
J Fam Issues ; 33(3): 341-368, 2012 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-22328798

RESUMO

Using typologies outlined by Gottman and Fitzpatrick as well as institutional and companionate models of marriage, the authors conducted a latent class analysis of marital conflict trajectories using 20 years of data from the Marital Instability Over the Life Course study. Respondents were in one of three groups: high, medium (around the mean), or low conflict. Several factors predicted conflict trajectory group membership; respondents who believed in lifelong marriage and shared decisions equally with their spouse were more likely to report low and less likely to report high conflict. The conflict trajectories were intersected with marital happiness trajectories to examine predictors of high and low quality marriages. A stronger belief in lifelong marriage, shared decision making, and husbands sharing a greater proportion of housework were associated with an increased likelihood of membership in a high happiness, low conflict marriage, and a decreased likelihood of a low marital happiness group.

8.
J Gerontol B Psychol Sci Soc Sci ; 77(7): e117-e122, 2022 07 05.
Artigo em Inglês | MEDLINE | ID: mdl-34604902

RESUMO

OBJECTIVES: Research on the impact of coronavirus disease 2019 (COVID-19) among older adults has primarily focused on relatively acute virus outcomes, but it is likely financial hardships during this time have eroded the adaptive capacity of older adults. It is also possible these impacts vary by race and ethnicity. We examine changes in psychological resilience (PR) among older adults before and during the pandemic to determine whether financial hardships and other stressors have altered this resource for White, Black, and Hispanic older adults. METHOD: Using the COVID-19 module released by the Health and Retirement Study (n = 735), we examined changes in PR between 2016 and 2020 related to financial hardships during COVID-19. We tested interactions to determine whether the effects were patterned by race and ethnicity. RESULTS: Consistent with previous literature, resilience was relatively stable during this time on average. Financial hardship during COVID-19 diminished resilience, but this effect was concentrated primarily among White Americans. DISCUSSION: The results suggest that PR is a relatively stable resource in later life, even during the pandemic. However, this resource may be affected in the face of specific challenges in later life. Policies related to financial hardship during the pandemic should be seen as supporting the capacity for older adults to adapt to current as well as future challenges.


Assuntos
COVID-19 , Resiliência Psicológica , Negro ou Afro-Americano , Idoso , Etnicidade , Estresse Financeiro , Humanos
9.
J Gerontol B Psychol Sci Soc Sci ; 76(6): 1241-1250, 2021 06 14.
Artigo em Inglês | MEDLINE | ID: mdl-32750146

RESUMO

OBJECTIVES: Research on life course inequality and successful aging has sought to understand how events and challenges may lead to poor outcomes in later life for some individuals, while others fare well in the face of adversity. Among internalized resources, research suggests psychological resilience is protective in the face of challenges, but little is known about the predictive efficacy of this measure compared to other resources such as mastery. This paper examines connections between psychological resilience and later life health compared to other internalized resources. METHOD: Standardized associations between 4 resources (resilience, mastery, optimism, hopelessness) and 5 health outcomes were tested using short-term health transitions and longer term health trajectories in a structural equation modeling (SEM) framework using the Leave Behind Questionnaire (LBQ) and linked Health and Retirement Study (HRS) between 2006/2008 and 2014/2016 (n = 11,050-12,823). RESULTS: Psychological resilience had consistent and robust associations with health transitions and trajectories. Further, the effects of this resource were generally 4-10 times greater than for mastery, optimism, and hopelessness in combined models. Trajectory analyses replicate these findings and suggest the beneficial associations of resilience over time were persistent for some health outcomes, and cumulative for others. DISCUSSION: The results suggest that psychological resilience is powerfully associated with health in later life, with substantially greater predictive efficacy than other commonly used resource measures. Future research should establish how this intrapersonal resource works alongside structural and interpersonal resources to promote and protect health and functioning in the face of challenges and adversity.


Assuntos
Envelhecimento/psicologia , Otimismo , Satisfação Pessoal , Resiliência Psicológica , Autoimagem , Adaptação Psicológica , Idoso , Feminino , Humanos , Masculino , Aposentadoria/psicologia , Apoio Social
10.
J Aging Health ; 33(3-4): 237-248, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-33345683

RESUMO

Objectives: We examine the impact of exposure to the dead, dying, and wounded (DDW) during military service on the later-life depressive symptom trajectories of male United States veterans, using psychological resilience as an internal resource that potentially moderates negative consequences. Methods: The Health and Retirement Study (2006-2014) and linked Veteran Mail Survey were used to estimate latent growth curve models of depressive symptom trajectories, beginning at respondents' first report of resilience. Results: Veterans with higher levels of resilience do not have increased depressive symptoms in later life, despite previous exposure to DDW. Those with lower levels of resilience and previous exposure to DDW experience poorer mental health in later life. Discussion: Psychological resilience is important for later-life mental health, particularly for veterans who endured potentially traumatic experiences. We discuss the importance acknowledging the role individual resources play in shaping adaptation to adverse life events and implications for mental health service needs.


Assuntos
Resiliência Psicológica , Veteranos , Humanos , Masculino , Saúde Mental , Inquéritos e Questionários , Estados Unidos
11.
J Gerontol B Psychol Sci Soc Sci ; 76(2): 403-414, 2021 01 18.
Artigo em Inglês | MEDLINE | ID: mdl-31899492

RESUMO

OBJECTIVES: Increased loneliness is a common consequence of widowhood in later life. However, individuals with high levels of perceived social support from friends tend to cope more effectively following major social losses like widowhood. Military service is associated with cultivation of strong social support structures. This effect may not only influence those who serve, but also their spouses. Roughly half of older women today are married to veterans, which could shape how they cope with widowhood. We tested two hypotheses: (a) widows of veterans will be less lonely following widowhood compared to their nonveteran counterparts, and (b) this effect will be explained by perceived social support from friends. METHODS: We used the Health and Retirement Study (HRS) to examine changes in loneliness following widowhood among wives of veterans and nonveterans. We used Ordinary Least Squares regression and mediation tests to address our hypotheses. RESULTS: Net of baseline differences, widows of veterans reported statistically lower levels of loneliness (p < .05) following widowhood compared to widows of nonveterans. Widows of veterans retained the same level of perceived social support from friends pre- and postwidowhood, whereas nonveteran wives experienced a loss. Perceived social support from friends mediated the association between veteran status of the deceased spouse and loneliness. DISCUSSION: Our findings suggest wives of veterans may have more resilient social support structures than nonveteran spouses, helping them cope at widowhood. Future research should explore whether these effects persist in association with other major stressful events in later life.


Assuntos
Envelhecimento/psicologia , Amigos/psicologia , Solidão/psicologia , Apoio Social , Veteranos/psicologia , Viuvez/psicologia , Adaptação Psicológica , Idoso , Luto , Feminino , Humanos , Masculino , Psicologia Militar , Resiliência Psicológica , Rede Social , Estados Unidos
12.
J Gerontol B Psychol Sci Soc Sci ; 75(2): 448-458, 2020 01 14.
Artigo em Inglês | MEDLINE | ID: mdl-29669010

RESUMO

OBJECTIVES: This study evaluated (a) whether the association between chronic conditions and functional limitations vary by race/ethnicity, and (b) whether socioeconomic status accounted for any observed racial variation in the association between chronic conditions and functional limitations. METHOD: The Health and Retirement Study data were used to assess whether race/ethnicity moderated the association between chronic conditions and functional limitations, and whether education, income, and/or wealth mediated any of the observed moderation by race/ethnicity. RESULTS: Results from structural equation models of latent growth curves with random onset indicated that (a) the positive association between chronic conditions and functional limitations onset was larger for African Americans and Hispanics than it was for Whites, but (b) this difference largely persisted net of socioeconomic status. DISCUSSION: African Americans and Hispanics endure a multiplicative double disadvantage in the early stages of the disablement process where they experience (a) a more rapid onset and higher levels of functional limitations, and (b) greater risk of functional limitation onset associated with chronic conditions compared to their White counterparts. Moreover, basic economic policies are unlikely to curtail the greater risk of functional limitations onset associated with chronic conditions encountered by African Americans and Hispanics.


Assuntos
Atividades Cotidianas , Doença Crônica/epidemiologia , Pessoas com Deficiência/estatística & dados numéricos , Disparidades nos Níveis de Saúde , Grupos Raciais/estatística & dados numéricos , Negro ou Afro-Americano/estatística & dados numéricos , Idoso , Idoso de 80 Anos ou mais , Doença Crônica/etnologia , Feminino , Hispânico ou Latino/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Fatores Socioeconômicos , Estados Unidos/epidemiologia , População Branca/estatística & dados numéricos
13.
J Gerontol B Psychol Sci Soc Sci ; 75(6): 1292-1301, 2020 06 02.
Artigo em Inglês | MEDLINE | ID: mdl-30517753

RESUMO

OBJECTIVES: Drawing from cumulative inequality (CI) theory, the current study examined racial disparities in impairment as individuals approached death to determine whether proposed mechanisms hypothesized to fuel or diminish racial disparities at late ages were at work at the end of individualized life spans. METHOD: Black-white disparities were analyzed among decedents using latent growth curves based on the data from the North Carolina Established Populations for Epidemiologic Studies of the Elderly (EPESE) (N = 1,926). RESULTS: Consistent with previous literature, racial inequalities in functional disparities diminish at late ages. However, significant black-white disparities emerge as older adults approach death, exponentially increasing within the 2 years immediately preceding death. Further, these disparities are not fully mediated by socioeconomic status. DISCUSSION: The results confirm that CI in health outcomes is observable in late life among individual life spans, suggesting the years surrounding death may be a particularly vulnerable period for health inequality. Future research should examine how advantaged statuses translate to increased access to health-related resources that aid in maintaining greater functional independence until the last stage of life.


Assuntos
Envelhecimento , Morte , Estado Funcional , Disparidades nos Níveis de Saúde , Saúde das Minorias , Fatores Socioeconômicos , Negro ou Afro-Americano/estatística & dados numéricos , Idoso , Envelhecimento/etnologia , Envelhecimento/fisiologia , Envelhecimento/psicologia , Feminino , Humanos , Longevidade , Masculino , Saúde das Minorias/etnologia , Saúde das Minorias/estatística & dados numéricos , Avaliação das Necessidades , North Carolina/epidemiologia , Classe Social , População Branca/estatística & dados numéricos
14.
Gerontologist ; 60(3): 428-438, 2020 04 02.
Artigo em Inglês | MEDLINE | ID: mdl-31504497

RESUMO

BACKGROUND AND OBJECTIVES: In later life, the loss of a spouse due to divorce or widowhood is common and can lead to elevated depressive symptoms and loneliness. Research suggests that companion animal (CA) may be beneficial for psychological health, but limited research has explored whether CA can buffer negative consequences of social losses. RESEARCH DESIGN AND METHODS: This study uses data drawn from the Health and Retirement Study (HRS) to examine changes in depressive symptoms and loneliness in relation to a social loss among those with/without a CA. We used inverse-probability weighted regression to adjust for selection factors and isolate effects of CA ownership on changes in psychological health. RESULTS: Regardless of CA ownership, spousal loss was associated with psychological health consequences. Facing a social loss without a CA was related to statistically greater increases in depressive symptoms relative to those with a pet (2.580 vs. 1.207 symptoms, respectively). Similarly, experiencing a loss was associated with significantly greater increases in loneliness, with statistically greater increases in loneliness among those without a CA (p < .01). However, those with a CA did not experience greater increases in loneliness than those who did not experience a loss. DISCUSSION AND IMPLICATIONS: In later life, CA ownership may buffer against the detrimental consequences of major social losses on psychological health. Future research on the therapeutic effects of CA ownership, as well as pet therapy, during other major life stage transitions is needed to help isolate potential mechanisms driving the benefits of human-animal interactions.


Assuntos
Divórcio/psicologia , Animais de Estimação/psicologia , Viuvez/psicologia , Adaptação Psicológica , Idoso , Idoso de 80 Anos ou mais , Animais , Gatos , Depressão/psicologia , Cães , Feminino , Humanos , Solidão/psicologia , Estudos Longitudinais , Masculino , Saúde Mental , Pessoa de Meia-Idade , Cônjuges/psicologia , Inquéritos e Questionários
15.
J Gerontol B Psychol Sci Soc Sci ; 74(5): 832-841, 2019 06 14.
Artigo em Inglês | MEDLINE | ID: mdl-29788363

RESUMO

OBJECTIVES: Drawing on the life course framework and theoretical concept of resilience, we examine the impact of early-life service-related exposures (SREs) on later-life functional impairment trajectories among older U.S. male veterans. We conceptualize resilience as a psychological resource potentially moderating the lasting negative consequences of traumatic military exposures. METHOD: Using the 2013 Veterans Mail Survey linked to the Health and Retirement Study 2006-2014 Leave Behind Questionnaire and RAND Data File (v.N), we estimate latent growth curve models of functional impairment trajectories. RESULTS: SRE to death has a persistent positive effect on functional limitations and activities of daily living limitations. Psychological resilience significantly moderates this association, such that veterans maintaining higher levels of resilience in the face of adverse exposures have considerably less functional impairment over time compared to their counterparts with low levels of resilience. DISCUSSION: Our findings point to the importance of psychological resilience in later life, especially within the realm of traumas occurring in early life. We discuss implications for current military training programs, stressing the importance of research considering individual resources and processes that promote adaptation in the face of adverse life events.


Assuntos
Militares/psicologia , Resiliência Psicológica , Veteranos/psicologia , Exposição à Guerra/efeitos adversos , Atividades Cotidianas/psicologia , Adulto , Idoso , Humanos , Masculino , Pessoa de Meia-Idade , Estados Unidos , Adulto Jovem
16.
Gerontologist ; 59(6): 1122-1130, 2019 11 16.
Artigo em Inglês | MEDLINE | ID: mdl-30247641

RESUMO

BACKGROUND AND OBJECTIVES: Spousal loss is a stressful life event that often results in significant depressive symptoms, with men often experiencing more significant depressive symptoms than women. Recent research suggests that psychological resilience may play a role in shaping how well people recover from the loss of a spouse. This study examined the moderating effect of resilience on widowhood in relation to changes in depressive symptoms for men and women. RESEARCH DESIGN AND METHODS: This study used data from the Health and Retirement Study to examine a change in depressive symptoms for men and women who experience spousal loss compared to those who remain continuously married (N = 5,626). We used the Simplified Resilience Score, which is based on measures drawn from the psychosocial and lifestyle questionnaire. Ordinary least squares regression was used to assess depression following reported spousal loss for widows relative to their continuously married counterparts. RESULTS: Results show resilience moderated depressive symptoms following spousal loss, but these effects varied by gender. Resilience was significantly and negatively associated with depressive symptoms for married but not for widowed women. However, for widowed men, resilience was significantly and negatively associated with depressive symptoms, and a high resilience score buffered the effect of widowhood. DISCUSSION AND IMPLICATIONS: Our study suggests that having high levels of resilience prior to spousal loss may help offset persistent depressive symptoms, especially for men. Implications for future research and clinical practice are discussed.


Assuntos
Depressão/epidemiologia , Resiliência Psicológica , Viuvez/psicologia , Adaptação Psicológica , Idoso , Estudos de Casos e Controles , Depressão/psicologia , Ajustamento Emocional , Feminino , Humanos , Análise dos Mínimos Quadrados , Masculino , Pessoa de Meia-Idade , Fatores Sexuais , Viuvez/estatística & dados numéricos
17.
Innov Aging ; 3(1): igz007, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30972373

RESUMO

BACKGROUND AND OBJECTIVES: The veteran population is aging. Combat exposure is associated with negative health and psychological outcomes in some, but not all veterans; others even appear to experience gains. One mechanism driving these varied responses might be early life relationships. This study investigated the extent to which the quality of early maternal relationships influences the association between combat exposures and life satisfaction (LS) among older male veterans. RESEARCH DESIGN AND METHODS: Data were drawn from a pooled sample of male veterans in the Health and Retirement Study who completed the 2013 Veteran Mail Survey (N = 1,160). We used ordinary least squares regression to examine the association between combat exposures (with and without exposure to death) and LS, and the moderating effect of maternal relationship quality on this association. RESULTS: We found a significant positive association between maternal relationship quality and LS, and a significant association of combat that was dependent on maternal relationship quality. Specifically, combat-exposed veterans with poor maternal relationship quality reported lower LS, whereas combat-exposed veterans with high relationship quality reported higher LS-relative to their noncombat-exposed counterparts. The effects of exposure to death of hazardous toxins did not mediate or moderate this relationship. DISCUSSION AND IMPLICATIONS: Findings indicate that maternal relationships had a lasting influence on whether combat contributed to a positive, negative, or neutral long-term effect on wellbeing. Findings support previous studies that suggest early life factors may play an important role in the fostering of resilient health outcomes over the life course. Implications for preventative strategies in soldiers are discussed.

18.
J Gerontol B Psychol Sci Soc Sci ; 73(8): e131-e142, 2018 10 10.
Artigo em Inglês | MEDLINE | ID: mdl-28158777

RESUMO

Objectives: Drawing on life-course perspective and cumulative advantage theory, we examined whether service related exposures (SREs)-combat and exposure to death-have lasting impacts on depressive symptom and psychiatric problem trajectories of aging veterans. Methods: The Health and Retirement Study and linked 2013 Veterans Mail Survey were used to examine SREs and mental health among older veterans between 2002 and 2012 (N = 1,662). Latent growth curves were used to measure how individuals vary from average mental health trajectories based on SREs and other important covariates. Results: Exposure to death had a significant and lasting effect on depressive symptoms for veterans in late life but was reduced to nonsignificance when physical health trajectories were included. Combat and exposure to death had independent and robust impacts on psychiatric problems, which were robust in final models. Discussion: SREs presented varied and significant impacts, suggesting that combat does not work alone in driving poor mental health trajectories, and that exposure to death is a more robust risk marker for later outcomes.


Assuntos
Conflitos Armados/psicologia , Saúde Mental/estatística & dados numéricos , Veteranos/psicologia , Idoso/psicologia , Idoso/estatística & dados numéricos , Conflitos Armados/estatística & dados numéricos , Depressão/epidemiologia , Depressão/etiologia , Feminino , Nível de Saúde , Humanos , Masculino , Fatores de Risco , Inquéritos e Questionários , Estados Unidos/epidemiologia , Veteranos/estatística & dados numéricos
19.
Gerontologist ; 58(6): 1085-1095, 2018 11 03.
Artigo em Inglês | MEDLINE | ID: mdl-28977488

RESUMO

Background and Objectives: Men are at higher risk of experiencing poorer adjustment to widowhood compared to women, a transition that is associated with increased loneliness. Military service may play an important role in how men process widowhood, particularly among current cohorts of older men. The present study explores whether military experiences relate to better adjustment to widowhood, that is, reduction of loneliness associated with widowhood for men. We examine (a) whether military experience, especially exposure to death, shapes changes in loneliness following widowhood relative to those without military experience, and (b) if any observed benefits of military experience are explained by greater social engagement. Research Design and Methods: We use the Health and Retirement Study and linked Veterans Mail Survey to address respondents while they are continuously married (T1) and at widowhood four years later (T2) using Ordinary Least Squares (OLS) regression. To address our hypotheses, we examine whether military experience without exposure to death, and/or military experience with exposure to death moderates the overall negative effect of widowhood for loneliness relative to civilians. Results: There is a significantly lower level of loneliness among veterans with exposure to death relative to civilians who become widowed; however, veterans without exposure to death remain similar to civilian widowers. Social engagement does not explain the benefits associated with military exposures for widowers. Discussion and Implications: Although exposure to death early in life is traumatic, our research suggests that such adversity within the specific context of the military may help enhance resilience during the transition to widowhood.


Assuntos
Adaptação Psicológica , Luto , Solidão/psicologia , Militares , Resiliência Psicológica , Veteranos/psicologia , Viuvez/psicologia , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Estudos Longitudinais , Masculino , Casamento , Pessoa de Meia-Idade , Meio Social , Inquéritos e Questionários
20.
J Aging Health ; 30(2): 167-189, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-28553798

RESUMO

OBJECTIVE: Disability declined in lower levels of impairment during the late 20th century. However, it is unclear whether ADL disability also declined, or whether it did so across race. In this study, we examine cohorts entering later life between 1984 and 1999, by race, to understand changing ADL disability. METHOD: We used latent class methods to model trajectories of ADL disability and subsequent mortality in the National Long-Term Care Survey among cohorts entering older adulthood (ages 65-69) between 1984 and 1999. We examined patterns by race, focusing on chronic condition profiles. RESULTS: White cohorts experienced consistent declines in ADL disability but Blacks saw little improvement with some evidence for increased disability. Stroke, diabetes, and heart attack were predominant in predicting disability among Blacks. DISCUSSION: Declining disability trends were only observed consistently among Whites, suggesting previous and future disability trends and their underlying causes should be examined by race.


Assuntos
Atividades Cotidianas , Doença Crônica , Assistência de Longa Duração , Idoso , População Negra/estatística & dados numéricos , Doença Crônica/etnologia , Doença Crônica/mortalidade , Avaliação da Deficiência , Pessoas com Deficiência/estatística & dados numéricos , Feminino , Humanos , Assistência de Longa Duração/métodos , Assistência de Longa Duração/estatística & dados numéricos , Masculino , Inquéritos e Questionários , Estados Unidos/epidemiologia , População Branca/estatística & dados numéricos
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