Caring for older parents in Norway - How does it affect labor market participation and absence from work?

As the population ages, younger generations will increasingly be called upon to provide informal care to their aging parents. To prepare for this development, it is essential to understand how employees combine the dual responsibilities of work and caring for aging parents. By analyzing data collected in Norway in 2022 from a nationally representative sample of 6049 respondents, aged 35 to 67, we investigated how caring for older parents affects labor market participation and work absence. We provide descriptive statistics and conduct analyses with structural equation modeling. These analyses indicated that caregiving had no substantial impact on overall participation in the workforce. However, employees did use work absences to assist their parents. We differentiate between using holidays, compensatory time, and three types of formal leave: paid, unpaid, and sick leave. More than a third of the formal leave was taken as sick leave. Women were moderately more likely to use work absence to care for their parents. We conclude that caregiving for older parents currently has little effect on work participation in Norway and attribute the favorable situation in Norway to its comprehensive public elderly care system. However, a contributing factor is Norway's generous sick leave policy. Although intended for use when employees are sick themselves, sick leave is used by employees to provide care to aging parents. Sick leave seems to act as a safety valve. To mitigate the effects of informal care on work participation, welfare states may create conditions that allow employees to combine work and informal care without resorting to unauthorized sick leave. A solution could be to extend the existing support scheme for employees with young children to those providing care for their aging parents.

After Hospital: Should Older Care-Needing Patients Be Transferred to Their Homes or to an Intermediate Care Institution?

BACKGROUND: In most European countries, communities need to provide health and social care services to an increasing number of severely ill patients discharged from hospitals. We investigated whether nurses in hospitals and in the communities' health and social care services experienced that the administration in the municipalities allocated older patients the right type of services after hospital discharge. METHODS: We used data from Norway, with a qualitative pilot study and quantitative analysis (structural equation modeling) of surveys involving 2431 nurses on inpatient wards in acute hospitals and 4312 nurses working in nursing homes or home nursing. RESULTS: Dissatisfaction was widespread with the use of patients' homes the first days after hospital discharge. Among nurses working in hospitals, 38% were commonly or very commonly disagreeing with the use of the patient's home after hospital discharge, 25% among home nurses, and 18% among nurses in nursing homes. Home nurses were more prone to oppose the use of patients' homes if they also experienced that their service had inadequate staffing or inadequate medical equipment. CONCLUSIONS: This research indicates conflicting priorities between the bureaucracy and nurses involved in actual work with older patients. From the nurses' perspective, the municipalities' administration was offering too few older patients short-term-stay in an intermediate care institution as part of the clinical pathway from hospital to home. However, providing more recourses to home nursing would improve their ability to provide sufficient care to older patients discharged from hospital.

Nurses' experiences of transitions of older patients from hospitals to community care. A nation-wide survey in Norway'.

Moving older patients from hospitals to community services is a critical phase of integrated care. Yet there has been little large-scale research on the quality of these transitions. We investigated how Norwegian nurses working in community care services (N = 4312) and at in-patient wards at hospitals (N = 2421) experienced the quality of transitions of older patients from hospitals to community care. We tested hypotheses derived from qualitative research and consistent with predictions, we found that compared to hospital nurses, the nurses working in community care experienced lower quality of patient transitions and were less satisfied with information exchange on patients' condition and needs. Further, when comparing groups of community nurses, we confirmed the hypothesis that nurses in home nursing were more dissatisfied with the quality of transitions and information exchange than nurses in nursing homes. We conclude that hospital nurses should have more face-to-face or telephone contact with community nurses, and specifically with home nurses. Further, we suggest that means are implemented to promote a mutual understanding of the older patients' pathway from one service to the other, and to improve co-ordination across the services.

Supporting the old but neglecting the young? The two faces of ageism.

Ageism is the most prevalent form of prejudice and is experienced by both older and younger people. Little is known about whether these experiences are interdependent or have common origins. We analyze data from 8,117 older (aged 70 and over) and 11,647 younger respondents (15-29 years) in representative samples from 29 countries in the European Social Survey. Using multilevel structural equation modeling, we test the hypothesis that older people are less likely, and younger people more likely, to suffer age discrimination if they live in a country with stronger structural support for older people. We also test the hypothesis that although stronger social norm against age discrimination reduce age discrimination suffered by older people it does not inhibit discrimination against younger people. These hypotheses are supported, and the results underline the neglected problem of ageism toward youth. Findings highlight that strategies for reducing age prejudice must address ageism as a multigenerational challenge, requiring attention to intergenerational cohesion and resource distribution between ages. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Should I stay or should I go? Nurses' wishes to leave nursing homes and home nursing.

AIMS: This study investigates the prevalence of nurses' wishes to leave work in elderly care services and aims to explain differences between younger and older nurses. BACKGROUND: Health-and-care services, and specifically elderly care services, experience problems recruiting and retaining nurses. METHOD: A nationwide survey among nurses in Norway with 4,945 nurses aged 20-73 (mean age = 41.8), 95% female. Structural equation modelling was used, analysing the whole sample as well as analysing younger and older nurses as separate groups. RESULTS: Of the nurses surveyed, 25% wanted to work outside elderly care services and 25% were uncertain. The wish to leave was much more frequent among younger nurses. Reported working conditions were a strong predictor of the wish to leave, and a much stronger predictor among younger nurses than older nurses in nursing homes. CONCLUSIONS: Working conditions are a major predictor of nurses' wishes to leave elderly care services, especially among younger nurses in nursing homes. IMPLICATIONS FOR NURSING MANAGEMENT: Attempts to reduce turnover in elderly care services need to address the working conditions for younger nurses, for instance by reducing the time young nurses work in isolation.

Perceived age discrimination across age in Europe: From an ageing society to a society for all ages.

Ageism is recognized as a significant obstacle to older people's well-being, but age discrimination against younger people has attracted less attention. We investigate levels of perceived age discrimination across early to late adulthood, using data from the European Social Survey (ESS), collected in 29 countries (N = 56,272). We test for approximate measurement invariance across countries. We use local structural equation modeling as well as moderated nonlinear factor analysis to test for measurement invariance across age as a continuous variable. Using models that account for the moderate degree of noninvariance, we find that younger people report experiencing the highest levels of age discrimination. We also find that national context substantially affects levels of ageism experienced among older respondents. The evidence highlights that more research is needed to address ageism in youth and across the life span, not just old adulthood. It also highlights the need to consider factors that differently contribute to forms of ageism experienced by people at different life stages and ages. (PsycINFO Database Record

Caring too much? Lack of public services to older people reduces attendance at work among their children.

The need to provide care for older people can put a strain on their adult children, potentially interfering with their work attendance. We tested the hypothesis that public care for older people (nursing homes or home care services) would moderate the association between having an older parent in need of care and reduced work attendance among the adult children. The analysis used data from a survey of Norwegian employees aged 45-65 (N = 529). Institutional care for older people in need of care (i.e. nursing homes) was associated with improved work attendance among their children-their daughters in particular. Data also indicated a moderating effect: the link between the parents' reduced health and reduced work attendance among the children was weaker if the parent lived in a nursing home. However, the results were very different for home-based care: data indicated no positive effects on adult children's work attendance when parents received non-institutionalised care of this kind. Overall, the results suggest that extending public care service to older people can improve their children's ability to combine work with care for parents. However, this effect seems to require the high level of care commonly provided by nursing homes. Thus, the current trend towards de-institutionalising care in Europe (and Norway in particular) might hamper work attendance among care-giving adult children, women in particular. Home care services to older people probably need to be extended if they are intended as a real alternative to institutional care.

What do older people think that others think of them, and does it matter? The role of meta-perceptions and social norms in the prediction of perceived age discrimination.

Psychological theories of aging highlight the importance of social context. However, very little research has distinguished empirically between older people's perception of how others in their social context perceive them (personal meta-perceptions) and the shared perceptions in society (societal meta-perceptions). Drawing on theories of intergroup relations and stereotyping and using a multilevel perspective, this article examines how well older people's perceptions of age discrimination (PAD) are predicted by (a) older people's personal meta-perceptions, (b) societal meta-perceptions, and (c) social norms of intolerance toward age prejudice. Aging meta-perceptions are differentiated into the cognitive and affective components of ageism. Multilevel analyses of data from the European Social Survey (Nover 70 years of age = 8,123, 29 countries; European Social Survey (ESS) Round 4 Data, 2008) confirmed that older people's personal meta-perceptions of negative age stereotypes and specific intergroup emotions (pity, envy, contempt) are associated with higher PAD. However, at the societal-level, only paternalistic meta-perceptions were consistently associated with greater PAD. The results show that a few meta-perceptions operate only as a psychological phenomenon in explaining PAD, some carry consonant, and others carry contrasting effects at the societal-level of analysis. This evidence extends previous research on aging meta-perceptions by showing that both the content of meta-perceptions and the level of analysis at which they are assessed make distinct contributions to PAD. Moreover, social norms of intolerance of age prejudice have a larger statistical effect than societal meta-perceptions. Social interventions would benefit from considering these differential findings. (PsycINFO Database Record

Shaping the Development of Prejudice: Latent Growth Modeling of the Influence of Social Dominance Orientation on Outgroup Affect in Youth.

Social dominance orientation (SDO) has been theorized as a stable, early-emerging trait influencing outgroup evaluations, a view supported by evidence from cross-sectional and two-wave longitudinal research. Yet, the limitations of identifying causal paths with cross-sectional and two-wave designs are increasingly being acknowledged. This article presents the first use of multi-wave data to test the over-time relationship between SDO and outgroup affect among young people. We use cross-lagged and latent growth modeling (LGM) of a three-wave data set employing Norwegian adolescents (over 2 years, N = 453) and a five-wave data set with American university students (over 4 years, N = 748). Overall, SDO exhibits high temporal rank-order stability and predicts changes in outgroup affect. This research represents the strongest test to date of SDO's role as a stable trait that influences the development of prejudice, while highlighting LGM as a valuable tool for social and political psychology.

One of few or one of many: Social identification and psychological well-being among minority youth.

Feeling belongingness with small social groups such as the family or a group of friends predicts psychological well-being. Acculturation research has argued for similar effects of belongingness with large social groups. In particular, a strong ethnic identity is assumed to improve psychological well-being among members of minority groups, but this conclusion has been drawn based on cross-sectional data. This study uses three-wave longitudinal data collected among adolescents from ethnic minority groups (N = 705), comparing identification with small groups (the family and the school class) with identification with large groups (the ethnic in-group and the nation) as predictors of psychological well-being (self-esteem, mental health problems, and life satisfaction). Analyses suggest that identification with small groups, in particular with the family, can predict developments in psychological well-being (self-esteem and mental health). In contrast, the data gave no support for causal effects from ethnic identity or national identity, in spite of substantial bivariate correlations with all three dimensions in psychological well-being. The findings have implications for acculturation research. In particular, research on ethnic or national identity as predictors of psychological well-being will benefit from adding small-group identities as covariates and using longitudinal data.

Perceived Age Discrimination as a Mediator of the Association Between Income Inequality and Older People's Self-Rated Health in the European Region.

OBJECTIVES: The relative income hypothesis predicts poorer health in societies with greater income inequality. This article examines whether the psychosocial factors of perceived age discrimination and (lack of) social capital may help explain the adverse effect of inequality on older people's health. METHODS: Self-rated health, perceived age discrimination, and social capital were assessed in the 2008/9 European Social Survey (European Social Survey Round 4 Data, 2008). The Gini coefficient was used to represent national inequalities in income in each of the 28 European Social Survey countries. Mediation analyses (within a multilevel structural equation modeling paradigm) on a subsample of respondents over 70 years of age (N = 7,819) were used to examine whether perceived age discrimination mediates the negative effect of income inequality on older people's self-rated health. RESULTS: Perceived age discrimination fully mediated the associations between income inequality and self-rated health. When social capital was included into the model, only age discrimination remained a significant mediator and predictor of self-rated health. DISCUSSION: Concrete instances of age discrimination in unequal societies are an important psychosocial stressor for older people. Awareness that the perception of ageism can be an important stressor and affect older patient's self-reported health has important implications for the way health practitioners understand and treat the sources of patient's health problems in later life.

Subjective social status of older people across countries: the role of modernization and employment.

OBJECTIVES: To test and expand upon modernization theory's account of subjective social status (SSS) of older people in society. It was hypothesized that perceptions of older people's social status should be higher in more modernized countries and that the proportion of older people in employment should moderate the relationship between modernization and SSS of older people. METHODS: Data were from the "Experiences and Expressions of Ageism" module in the fourth round of the European Social Survey. The sample analyzed included 45,706 individuals from 25 countries in the European region. Multilevel modeling was used to test the hypotheses. RESULTS: The SSS of older people (aged 70 years and older) was perceived to be higher in countries with very high levels of modernization and in countries with a higher proportion of older people in employment. The positive association between modernization and SSS of older people was stronger within countries with a lower proportion of older people in employment. DISCUSSION: The proportion of older people who are employed is an important factor that is related to perceptions of the social status of older people in less modern societies. The individual and societal implications are discussed, specifically in relation to policies promoting active aging.

'Being old and ill' across different countries: social status, age identification and older people's subjective health.

OBJECTIVE: It has been suggested that the extent to which older adults identify with 'old-age' is associated with greater subjective ill-health. Based on social identity theory, we hypothesise that the societal social status of older people should moderate this relationship, such that the effect of age-identification on subjective health should be stronger in countries in which older people have lower social status. DESIGN AND MAIN OUTCOME MEASURES: Subjective health, age identification and the perceived status of people over 70 were assessed in a subsample of older respondents (N = 6185) of the 2008/2009 European Social Survey. We examined whether country-level differences in the perceived status of older adults moderated the effect of age identification on subjective ill-health. RESULTS: 20% of the total variance in older people's subjective ill-health was due to country differences. The hypothesised cross-level interaction was significant in that the negative association between old age identification and subjective health was stronger in countries where the social status of older people is perceived to be lower. CONCLUSION: The results provide an important insight into being ascribed a higher social status is likely to have a protective function for older people.

Revisiting the paradox of well-being: the importance of national context.

OBJECTIVES: Despite age-related changes or declines in circumstances, health or income, many older people are able to maintain subjective well-being (SWB) in later life. This is known as the paradox of well-being. To date, much research has focused on either individual- (e.g., age, health, and income) or country-level (e.g., national wealth, inequality) differences in SWB. The present research investigates how these levels combine, and whether the paradox of well-being persists across different economic contexts. METHOD: This research uses the 2008-2009 European Social Survey to test the multilevel hypothesis that economic circumstances, reflected by a country's Gross Domestic Product (GDP), affect the paradox of well-being, that is, the relationship between age and SWB. Analyses also account for other relevant psychological, individual, and country differences. Possible avenues by which GDP affects SWB are also explored. RESULTS: The multilevel analysis revealed that GDP disproportionally affects the SWB of older people relative to younger people, and that the paradox of well-being is only observed in countries with higher GDP. DISCUSSION: The findings clarify the relationship between age and SWB by demonstrating that the paradox of well-being is conditional on the economic context. Implications for individual- and country-level strategies for successful aging are discussed.

Why men (and women) do and don't rebel: effects of system justification on willingness to protest.

Three studies examined the hypothesis that system justification is negatively associated with collective protest against ingroup disadvantage. Effects of uncertainty salience, ingroup identification, and disruptive versus nondisruptive protest were also investigated. In Study 1, college students who were exposed to an uncertainty salience manipulation and who scored higher on system justification were less likely to protest against the governmental bailout of Wall Street. In Study 2, May Day protesters in Greece who were primed with a system-justifying stereotype exhibited less group-based anger and willingness to protest. In Study 3, members of a British teachers union who were primed with a "system-rejecting" mind-set exhibited decreased system justification and increased willingness to protest. The effect of system justification on nondisruptive protest was mediated by group-based anger. Across very different contexts, measures, and methods, the results reveal that, even among political activists, system justification plays a significant role in undermining willingness to protest.

What will the others think? In-group norms as a mediator of the effects of intergroup contact.

The influence of social norms in the context of intergroup relations has long been recognized by social psychologists, yet research on intergroup contact and social norms have usually remained disconnected. We explored the influence of direct and indirect friendship on attitudes towards ethnic minorities in Norway, and in particular the role of in-group norms about the social approval of intergroup contact as a mechanism that distinguishes direct from indirect contact. Using a sample of school students from 89 classrooms (N=823), we tested this hypothesis with both one level and multi-level structural equation modelling (ML-SEM), where the amount of contact of other classroom members was considered as a form of indirect contact. The results suggest that the intergroup contact of other in-group members (in-group friends or classmates) affects attitudes towards the out-group by changing the perception of in-group norms and by reducing intergroup anxiety. In contrast, direct contact (or contact at the individual level in the case of ML-SEM), improved attitudes only by reducing intergroup anxiety, and did not affect the perception of in-group norms.