"I Am the Only Child of my Parents:" Perspectives on Future Elder Care for Parents among Chinese only-Children Living overseas.

The 1979 One-Child Policy in China created a generation of only children, leading to increased elder care dilemmas for this generation and its aging parents, particularly for young adults studying or working abroad. The current study used in-depth, semi-structured interviews with Chinese young adults who were currently studying or working in Montreal, Canada (N = 20), whose parents still lived in China. The interviews focused on the following topics: elder care patterns of respondents' grandparents; family values and expectations; perceptions of professional long-term care institutions (in China and Canada); and future plans for taking care of aging parents. Respondents described their grandparents' care as following traditional elder care patterns with multiple familial caregivers, which they appreciated as a positive model that defined their own obligations towards parents. Respondents reported being very close to their parents. Some planned to settle down in Canada and bring their parents, others planned to go back to China. Citing the tradition of filial piety, they expected to take care of their parents in the future, but they also considered the dilemmas involved in caring for aging parents without siblings to share the task, potentially requiring them to find compromises between their personal lives and caring for older parents. Those who planned to settle in Canada raised additional concerns about the challenges of bringing over their parents, including acculturation and access to and communication with health and long-term care providers. The results are discussed in the context of contemporary demographic, economic, and policy concerns about aging, family care, and immigration.

Contemporary gendered pathways into adulthood in South Korea.

The transition to adulthood has become increasingly uncertain and variable. Among South Koreans, this transition has become more de-standardized since 1990, reflecting the effects of long-term economic stagnation and persistent, traditional gender norms, but little is known about the variability in pathways to adulthood among recent cohorts. This study employs sequence analysis to examine early life course trajectories between the ages of 19 and 35 and assess gender and cohort differences for South Koreans born between 1970 and 1985 (N = 8647), using the Korean Labor and Income Panel Study (KLIPS, Wave 1-23). The main results show that pathways into adulthood have become more varied in the current socioeconomic and cultural contexts in South Korea, particularly for women compared to men. At the same time, new gender-specific pathways into adulthood have appeared, while the traditional, distinctly gendered breadwinner-homemaker trajectory has declined.

Are physicians and patients in agreement? Exploring dyadic concordance.

Dyadic concordance in physician-patient interactions can be defined as the extent of agreement between physicians and patients in their perceptions of the clinical encounter. The current research specifically examined two types of concordance: informational concordance-the extent of agreement in physician and patient responses regarding patient information (education, self-rated health, pain); and interactional concordance-the extent of physician-patient agreement regarding the patient's level of confidence and trust in the physician and the perceived quality of explanations concerning diagnosis and treatment. Using a convenience sample of physicians and patients (N = 50 dyads), a paired survey method was tested, which measured and compared physician and patient reports to identify informational and interactional concordances. Factors potentially related to dyadic concordance were also measured, including demographic characteristics (patient race, gender, age, and education) and clinical factors (whether this was a first visit and physician specialty in family medicine or oncology). The paired survey showed informational discordances, as physicians tended to underestimate patients' pain and overestimate patient education. Interactional discordances included overestimating patients' understanding of diagnosis and treatment explanations and patients' level of confidence and trust. Discordances were linked to patient dissatisfaction with physician listening, having unanswered questions, and feeling the physician had not spent enough time. The paired survey method effectively identified physician-patient discordances that may interfere with effective medical practice; this method may be used in various settings to identify potential areas of improvement in health communication and education.

Aging among Jewish Americans: implications for understanding religion, ethnicity, and service needs.

PURPOSE: This article challenges popular conceptions of the nature of ethnicity and religiousness in the gerontological literature. Using the example of older Jewish Americans, the authors argue for more nuanced definitions and usage of terms such as "religion" and "ethnicity" in order to begin to understand the complex interweaving of these two dimensions in the lives of older persons. DESIGN AND METHODS: The analyses used data from the 2000-2001 National Jewish Population Survey (NJPS) as well as comparisons with the 1990 NJPS. There were 1,099 respondents aged 65 years and older in the 2000-2001 NJPS who reported themselves to be Jewish. This sample was then split into three groups: those who reported observing only Judaism and were affiliated with a denomination within Judaism (n = 776) or were not affiliated (n = 277) and those who reported observing another faith in addition to Judaism (n = 46). RESULTS: Respondents to the 2000-2001 NJPS were older, wealthier, and less likely to be members of a religious denomination than those in the 1990 NJPS. Denominational affiliates were more likely than the other two groups to have a strong ethnic identity but less likely to indicate that religion was important in their lives. Denomination members were also more likely to be children or grandchildren of immigrants. IMPLICATIONS: Several key assumptions in the study of ethnicity and religiousness in much of current gerontological research need reassessment especially assumptions about the links between religious identification, beliefs, practices, and communal solidarity.

Women of the 1950s and the "normative" life course: the implications of childlessness, fertility timing, and marital status for psychological well-being in late midlife.

We explore women's psychological well-being in late midlife in relation to childlessness and timing of entry into motherhood. Using two U.S. surveys, Health and Retirement Study (HRS) (1992) and National Survey of Families and Households (NSFH) (Sweet, Bumpass, & Call, 1988), we assess the well-being of childless women in their 50s compared to mothers with early, delayed, or normatively timed first births. We focus on the cohorts born between 1928 and 1941, who experienced strong normative pressures during the baby boom with regard to marriage and child-bearing. We find few differences among childless women but lower well-being among early mothers, related to singlehood and poorer socioeconomic status. Unmarried mothers are significantly disadvantaged regardless of maternal timing, controlling for socioeconomic status. Current maternal demands are independently related to well-being and help to explain observed differences in family satisfaction. Overall, childlessness and off-time child-bearing are related to midlife well-being through their link with more proximate factors, particularly current marital status, health, and socioeconomic status.