The effects of COVID-19-era unemployment and business closures upon the physical and mental health of older Europeans: Mediation through financial circumstances and social activity.

COVID-19-era lockdown policies resulted in many older persons entering unemployment, facing financial difficulties and social restrictions, and experiencing declining health. Employing the Survey of Health, Ageing and Retirement in Europe's first COVID-19 module (summer 2020) (N = 11,231) and the Karlson-Holm-Breen method for decomposition of effects within non-linear probability models (logistic regression modelling), we examined associations of pandemic-era lost work with older Europeans' (50-80 years of age) self-assessed health, depressive symptoms, and anxiety symptoms, and mediation through households' difficulties making ends meet, loneliness, and curtailed face-to-face contact with non-relatives. We find that lost work was associated with detriments in all three health outcomes. Total mediation was 23% for worsened self-assessed health, 42% for depressive symptoms, and 23% for anxiety symptoms. In all cases, combined mediation through the two social activity variables was approximately twice the magnitude of mediation through household financial difficulties. This evidence highlights the extent of employment's value for friendship formation and sustenance, and social activity, during the pandemic-era social restrictions. This might be accentuated among older persons because of the social constrictions often concomitant to advancing age. These results emphasize that the social correlates of lost employment, beyond the financial concomitants, should receive thorough research and policy attention, perhaps especially for older adults during public health crises.

The Health Effects of Workforce Involvement and Transitions for Europeans 50-75 Years of Age: Heterogeneity by Financial Difficulties and Gender.

A prominent demographic trend throughout the industrialized world is population aging. Concerns about economic growth and labour force shortages have led many European nations to enact policies aimed at prolonging working life. Understanding how paid work among late-middle-aged and senior adults is associated with health is therefore important. Using a sample of persons who were 50-75 years of age in 2015 from waves six (2015) and seven (2017) of the Survey of Health, Ageing and Retirement in Europe (n = 38,884), this study shows how a comprehensive set of six workforce involvement/transitions patterns are associated with health. The results show benefits of paid work, especially among respondents having financial difficulties. There is further heterogeneity by gender. The more fragmented employment histories of 50-75-year-old women are associated with stable paid work being of less benefit for addressing financial difficulties and with their health being especially vulnerable to unemployment while they are undergoing financial troubles.

The Role of Country-Level Availability and Generosity of Healthcare Services, and Old-Age Ageism for Missed Healthcare during the COVID-19 Pandemic Control Measures in Europe.

Objectives: The effects of the COVID-19 outbreak on non-COVID-19-related healthcare need further investigation. Methods: Using the Survey of Health, Ageing and Retirement in Europe's COVID-19 module (2020) (N = 57,025), country-level data from the European Social Survey (2008) and OECD (2020), and logistic regressions, this study examines predictors of older Europeans' forgone, postponed, and denied healthcare during the pandemic. Results: Country-level availability of physicians, healthcare systems' generosity, and beliefs that older persons burden healthcare systems all increased forgone healthcare. Healthcare system generosity increased postponed and denied healthcare. Greater medical resources decreased denied healthcare. Furthermore, missed healthcare varied by individual-level gender (higher rates among women), age, education, and health. Discussion: This study reveals predictors of missed healthcare during the pandemic. To decrease unintended health consequences of a pandemic, both individual-level determinants, such as gender and health, and contextual-level determinants, such as healthcare systems' characteristics, should be considered in research and practice.

Changes in neighborhood-level socioeconomic disadvantage and older Americans' cognitive functioning.

BACKGROUND: While associations of neighborhood conditions with cognitive functioning at older ages have been established, few studies have investigated with a dynamic perspective if changing neighborhood socioeconomic conditions affect older residents' cognitive declines, and which putative factors mediate this relationship. METHOD: Using data from waves 2 (2010-2011) and 3 (2015-2016) of the National Social Life, Health, and Aging Project (NSHAP) survey (n = 1837), ordinary least squares regressions and mediation analyses were conducted, adjusting for multiple confounders and testing eight putative mediators. RESULTS: Worsening neighborhood socioeconomic circumstances were associated with cognitive declines. Changes in depressive symptoms, sizes of close social networks, and physical activity substantially mediated this relationship. DISCUSSION: While 18.10% of the total effect occurred through these mechanisms, further pathways may work through contextual- and individual-level variables not assessed in the NSHAP.

Changes in Neighborhood-Level Concentrated Disadvantage and Social Networks Among Older Americans.

Close social networks provide older persons with resources, including social support, that maintain their well-being. While scholarship shows how networks change over time, a dearth of research investigates changing social contexts as causes of network dynamics. Using the first two waves of the National Social Life, Health, and Aging Project survey (N = 1,776), this study shows how rising neighborhood-level concentrated disadvantage through the Great Recession of 2007-2009 was associated with smaller close networks, largely due to fewer new close ties gained, among older Americans. Worsening neighborhood circumstances pose obstacles to older residents' acquisition of new close ties, including heightened fear, lower generalized trust, stress and depression, and declines in local institutions that attract both residents and nonresidents.

Multiple vulnerabilities: The effects of neighborhood structural changes upon older residents' mental health and perceptions of the broader community.

Neighborhoods' structural conditions are consequential for their social circumstances and residents' well-being. Neighborhood effects might be accentuated among older residents because their daily activities and social lives are more confined to their immediate communities. This study examines how changing neighborhood socioeconomic disadvantage affects older residents' depression and stress, as well as perceptions of neighborhood context. This study employed waves 2 (2010-2011) and 3 (2015-2016) of the National Social Life, Health, and Aging Project survey (N = 2357) and fixed-effects linear regression models to study these relationships. While rising neighborhood socioeconomic disadvantage was associated with more depression and stress, it was negatively associated with overall neighborhood social capital and neighborhood social cohesion, and was only associated with lower perceptions of neighborhood safety among respondents who relocated to new neighborhoods. Beyond cross-sectional associations, changing neighborhood socioeconomic disadvantage is associated with changes in mental health and perceptions of neighborhood social context.

As Goes the City? Older Americans' Home Upkeep in the Aftermath of the Great Recession.

The private home is a crucial site in the aging process, yet the upkeep of this physical space often poses a challenge for community-dwelling older adults. Previous efforts to explain variation in disorderly household conditions have relied on individual-level characteristics, but ecological perspectives propose that home environments are inescapably nested within the dynamic socioeconomic circumstances of surrounding spatial contexts, such as the metro area. We address this ecological embeddedness in the context of the Great Recession, an event in which some U.S. cities saw pronounced and persistent declines across multiple economic indicators while other areas rebounded more rapidly. Panel data (2005-6 and 2010-11) from a national survey of older adults were linked to interviewer home evaluations and city-level economic data. Results from fixed-effects regression support the hypothesis that older adults dwelling in struggling cities experienced an uptick in disorderly household conditions. Findings emphasize the importance of city-specificity when probing effects of a downturn. Observing changes in home upkeep also underscores the myriad ways in which a city's most vulnerable residents- older adults, in particular-are affected by its economic fortunes.

For everything a season? A month-by-month analysis of social network resources in later life.

It is widely acknowledged that informal social ties provide older persons with many resources that serve to protect and improve their levels of health and well-being. Most studies on this topic, however, ignore the month or season of the year during which data was accumulated. This study proposes two hypotheses to explain seniors' social network resources over the calendar year: the "fluctuation hypothesis", which proposes that seasonal variation, in the form of weather fluctuations, institutional calendars, and holidays, might influence the social lives and resources of older persons, and the "network stability" perspective, which, informed by tenets of convoy theory and socioemotional selectivity theory, emphasizes the increasing importance of close network ties as individuals age and the stability of these ties. Using two waves (2005-2006 and 2010-2011) of the National Social Life, Health, and Aging Project (NSHAP), a nationally representative sample of community-dwelling older adults aged 57-85 in the United States, we examine a diverse set of nine social connectedness outcomes. Results, overall, support the network stability perspective, as the only social connectedness outcome found to significantly vary by month of year was average closeness with network members. We conclude by suggesting some methodological considerations for survey research and by noting how these findings complement the growing literature on inter-year fluctuation in social networks and social support. Changes in older adults' networks, while frequently observable over the course of years, do not seem to be seasonally patterned.

Gender and Relationship Status Interaction and Likelihood of Return to Work Post-Retirement.

Population aging is an issue of mounting importance throughout the industrialized world. Concerns over labour force shortages have led to policies that prolong working life. Accordingly, present-day workforce participation patterns of older individuals are extensively varied. This study utilized the 2007 General Social Survey to examine factors associated with post-retirement paid work, focusing on the interaction between gender and relationship status, among Canadians aged 50 to 74 who had retired at least once. We find that although being in a relationship is associated with a higher likelihood of post-retirement work for men, the opposite is true for women. Our findings suggest that the gendered association between relationship status and post-retirement work results partly from the gendered associations between relationship status and one's motivation for learning and community involvement, career orientation, and sense of independence. Gendered meanings of relationship status are thus revealed through analysis of post-retirement work.