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1.
J Med Internet Res ; 24(1): e20466, 2022 01 03.
Artigo em Inglês | MEDLINE | ID: mdl-34982040

RESUMO

BACKGROUND: Social isolation has a negative impact on the quality of life of older people; therefore, studies have focused on identifying its sociodemographic, economic, and health determinants. In view of the growing importance of the internet as a means of communication, it is essential to assess whether internet use interferes with social isolation. OBJECTIVE: This study specifically aims to clarify the relationship between internet use and social isolation of individuals aged ≥50 years, for which other surveys present contradictory results. METHODS: We performed logistic regression analysis with social isolation as the dependent variable, internet use as the interest variable, and several other sociodemographic, economic, and health characteristics of the individuals as control variables. The sample size was 67,173 individuals aged 50 years and older from 17 European countries (Portugal, Greece, Italy, Spain, Denmark, Sweden, Austria, Belgium, France, Germany, Switzerland, Luxemburg, Poland, Czech Republic, Slovenia, Estonia, and Croatia) plus Israel, who were interviewed in the Survey of Health, Ageing and Retirement in Europe (SHARE), wave 6. RESULTS: The results show that countries differ in the level of social isolation and rate of internet use by individuals aged 50 years and older. They also evidence that in most of the countries analyzed, social isolation of internet users was lower compared to that of nonusers after controlling for a set of sociodemographic, economic, and health characteristics of the individuals that have been previously described in the literature as determinants of social isolation. Indeed, on average, although 31.4% of individuals in the nonuser group experienced high social isolation, only 12.9% of individuals who used the internet experienced this condition. CONCLUSIONS: Internet users show lower social isolation. This result underlines the importance of promoting e-inclusion in Europe as a way to counter social isolation of individuals aged 50 years and older.


Assuntos
Qualidade de Vida , Aposentadoria , Idoso , Envelhecimento , Europa (Continente)/epidemiologia , Humanos , Internet , Pessoa de Meia-Idade , Isolamento Social
2.
J Gerontol Nurs ; 48(1): 42-46, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34978489

RESUMO

Research has substantiated that social isolation and loneliness are linked to poorer health, earlier death, and reduced quality of life among older adults. Although there has been research focusing on social networks of nursing home residents and interventions to decrease loneliness and improve social interactions for older adults in varied settings, there is a gap in research relating to social networks of older adults in assisted living and retirement communities. The goal of the current review was to summarize relevant research findings related to this topic published in the past 5 years. The literature review included searching three electronic databases (CINAHL, EBSCOhost, and PubMed) for research articles published between January 2015 and March 2020. A total of 475 articles were identified, which was narrowed to 16 articles included for full review after inclusion and exclusion criteria were applied. Following analysis, three themes were identified in the literature: Social Connections Within an Assisted Living Community, Social Networks Between Residents and Their Adult Children, and Influence of Physical Structure on Social Networks of Residents. [Journal of Gerontological Nursing, 48(1), 42-46.].


Assuntos
Qualidade de Vida , Aposentadoria , Idoso , Humanos , Solidão , Isolamento Social , Rede Social
3.
Res Aging ; 44(1): 54-64, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-33511917

RESUMO

We investigate how preloss marital quality is associated with changes in psychological distress and physical health among older widow(er)s. Using prospective data with a 2-year follow-up from the Health and Retirement Study, we selected 546 respondents who transitioned into widowhood. Respondents were classified as supportive, ambivalent, aversive, or neutral groups. The supportive and ambivalent group experienced greater increase in depressive symptoms compared to the aversive group, in widowhood. The aversive group showed greater increase in chronic conditions compared to the supportive group. Findings indicated that spousal loss may result in more psychological distress for those with supportive and ambivalent marital relationship. Yet, those with mostly negative accounts of their marriage may experience worsened physical health, albeit no increase in psychological distress. Understanding different benefits and challenges facing older individuals after a positive or negative marriage may help direct support and interventions efforts toward older couples during marriage and in widowhood.


Assuntos
Casamento , Viuvez , Adaptação Psicológica , Feminino , Humanos , Estudos Prospectivos , Aposentadoria
4.
J Strength Cond Res ; 36(1): 106-112, 2022 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-34941610

RESUMO

ABSTRACT: Klawitter, L, Vincent, BM, Choi, BJ, Smith, J, Hammer, KD, Jurivich, DA, Dahl, LJ, and McGrath, R. Handgrip strength asymmetry and weakness are associated with future morbidity accumulation in americans. J Strength Cond Res 36(1): 106-112, 2022-Identifying strength asymmetries in physically deconditioned populations may help in screening and treating persons at risk for morbidities linked to muscle dysfunction. Our investigation sought to examine the associations between handgrip strength (HGS) asymmetry and weakness on accumulating morbidities in aging Americans. The analytic sample included 18,506 Americans aged ≥50 years from the 2006-2016 Health and Retirement Study. Handgrip strength was measured on each hand with a handgrip dynamometer, and persons with an imbalance in strength >10% between hands had HGS asymmetry. Men with HGS <26 kg and women with HGS <16 kg were considered as weak. Subjects reported the presence of healthcare provider-diagnosed morbidities: hypertension, diabetes, cancer, chronic lung disease, cardiovascular disease, stroke, arthritis, and psychiatric problems. Covariate-adjusted ordinal generalized estimating equations analyzed the associations for each HGS asymmetry and weakness group on future accumulating morbidities. Of those included in our study, subjects at baseline were aged 65.0 ± 10.2 years, 9,570 (51.7%) had asymmetric HGS, and 996 (5.4%) were weak. Asymmetry alone and weakness alone were associated with 1.09 (95% confidence interval [CI]: 1.04-1.14) and 1.27 (CI: 1.11-1.45) greater odds for future accumulating morbidities, respectively. Having both HGS asymmetry and weakness was associated with 1.46 (CI: 1.29-1.65) greater odds for future accumulating morbidities. Handgrip-strength asymmetry, as another potential indicator of impaired muscle function, is associated with future morbidity status during aging. Exercise professionals and related practitioners should consider examining asymmetry and weakness with handgrip dynamometers as a simple and noninvasive screening method for helping to determine muscle dysfunction and future chronic disease risk.


Assuntos
Fragilidade , Força da Mão , Envelhecimento , Feminino , Humanos , Masculino , Morbidade , Aposentadoria , Estados Unidos
5.
Otolaryngol Clin North Am ; 55(1): 33-41, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-34823719

RESUMO

The goal of this article is to discuss factors associated with career change and give data and recommendations of how to prepare for a career change in regards to early, mid, and late career.


Assuntos
Aposentadoria , Humanos
6.
Arch Gerontol Geriatr ; 98: 104563, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-34741895

RESUMO

BACKGROUND: The aging society and climate changes pose significant challenges globally. Environmental volunteering solves these two problems by engaging older people in nature conservation as a possible model of productive aging. This review examines the current state of environmental volunteerism for older adults. METHODS: We systematically searched for articles in Medline, Embase, CENTRAL, CINAHL, and PsycINFO. Environmental volunteerism was defined as nature conservation activity without payment. There were 9 studies with a total of 328 participants. We conducted a narrative synthesis and meta-ethnography, which focused on types, benefits, motivations, and drawbacks of environmental volunteerism. RESULTS: Three types of volunteering were identified: greening, recycling, and project-oriented. Their shared factors included physical activity, social connection, and meaningful purpose. Environmental volunteerism associated with benefits in physical health, mental wellbeing, social capital, and personal empowerment with no apparent drawbacks. Retired people find a purpose to live, opportunities for socialization and physical activity, and increased self-esteem in the process. The motivations for initiation and continued engagement were found to be socialization, generativity, usefulness to others, and pro-environmental attitude. Among them, socialization was the most mentioned motivation, and generativity was the unique factor for older adults compared with the general population. CONCLUSION: Environmental volunteerism may be a positive model for older adults, society, and environment. Policymakers can encourage more older adults to engage in environmental volunteering with concerns of motivations, found by this study. Future studies can further strengthen the evidence and explore more types of environmental volunteerism.


Assuntos
Envelhecimento , Voluntários , Idoso , Humanos , Motivação , Aposentadoria , Autoimagem
7.
Environ Res ; 203: 111889, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-34418451

RESUMO

Depressive symptoms have become a serious public health issue worldwide. Several studies showed that air pollution, especially fine particulate matter (PM2.5), may be a risk factor of mental disorders. However, existing studies reported inconsistent results and little evidence is available in developing countries, like China. To fill the gap, in this study, we explored the relationship between ambient PM2.5 exposure and depressive symptoms among middle-aged and elderly Chinese adults in the Chinese Health and Retirement Longitudinal Study (CHARLS). The social and demographic variables and depressive symptoms were obtained from the Wave4 of CHARLS in 2018. PM2.5 concentrations were obtained from the national urban air quality real-time release platform of China Environmental Monitoring Station. We applied generalized linear mixed models to determine the association between PM2.5 exposure and depressive symptoms. A total of 15,105 middle-aged and elderly adults from CHARLS Wave4 were included in the analyses. We found positive impact of ambient PM2.5 on depressive symptoms for the exposure windows of 30-day, 60-day, 120-day, 180-day, 1-year and 2-year. The most significant increase was observed for 180-day moving average. For every 10 µg/m3 increment in PM2.5 exposure, the incidence of depressive symptoms increased by 9% (OR = 1.09; 95%CI: 1.05, 1.14) after adjusting for age, sex and residence. In interaction analyses, we found PM2.5 had weaker effect on depressive symptoms among people who used to drink alcohol (OR = 1.05; 95%CI: 1.00, 1.10) and exercise (OR = 1.10; 95%CI: 1.02, 1.18). People living in western China (OR = 1.09; 95%CI: 1.03, 1.16) were more vulnerable than those living in eastern China (OR = 0.99; 95%CI: 0.94, 1.05). In conclusion, exposure to PM2.5 was significantly associated with depressive symptoms in middle-aged and elder Chinese adults, particularly for people who never drink, with lower physical activity levels, or lived in western China.


Assuntos
Poluentes Atmosféricos , Poluição do Ar , Adulto , Idoso , Poluentes Atmosféricos/efeitos adversos , Poluentes Atmosféricos/análise , Poluição do Ar/efeitos adversos , Poluição do Ar/análise , China/epidemiologia , Estudos Transversais , Depressão/epidemiologia , Exposição Ambiental/efeitos adversos , Exposição Ambiental/análise , Humanos , Estudos Longitudinais , Pessoa de Meia-Idade , Material Particulado/efeitos adversos , Material Particulado/análise , Aposentadoria
8.
Sci Total Environ ; 806(Pt 3): 150738, 2022 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-34606864

RESUMO

Soil organic carbon (SOC) is strongly affected by farm cropping, which covers >10% of the earth's surface. Land retirement of marginal fields, now a global initiative, can increase SOC storage but reported accumulation rates are variable. Here, we quantify SOC in crop fields and retired marginal land in an intensely farmed 10,000 km 2 region of central North America, testing nutrients, soil texture and management as drivers of SOC storage. Overwhelmingly, SOC was associated with farm management with among-farm differences varying >fourfold (17.4-81 t ha -1) in the top 15 cm. Total farm SOC averaged 502.2 t farm -1 but again ranged widely (216-1611 t farm -1). Farm-specific SOC was often, but not always, higher on farms with N-rich silt-clay soils, and lower on sandy soils with higher P relating to former tobacco production. In contrast, within-farm SOC between crop fields and retired land did not significantly differ with time. Low SOC on retired lands was associated with persistently high soil N and P and elevated microbial respiration. Retired soils did possess substantially larger pools of lignin-rich root biomass to depths of 60 cm, which may signify eventual SOC accumulation possibly as nutrient legacies diminish. Our work shows that management legacy, interacting with soil texture and nutrients, predicts SOC more than short-term retirement. Indeed, crop fields averaged 67% of farm SOC because they represented up to 94% of total farm area - SOC retention on cropland remains a management priority, above and beyond gains with retirement. Interestingly, the largest per-volume SOC levels were in remnant forest that contained 25% of farm SOC despite only averaging 11% of farm area. Maintaining SOC stocks in farm landscapes may be more quickly attained by protecting remnant forest, with retired lands needing time to re-build SOC stocks.


Assuntos
Carbono , Solo , Sequestro de Carbono , Fazendas , Aposentadoria
9.
Sci Total Environ ; 807(Pt 1): 150755, 2022 Feb 10.
Artigo em Inglês | MEDLINE | ID: mdl-34619215

RESUMO

About 2.8 billion people around the world still depend on biomass as their primary energy source. This traditional custom affects the environment and severely impacts the health and life quality of the rural residents, especially in the elderly group. Based on the published data from the China Health and Retirement Longitudinal Study (CHARLS) conducted in 2018, this paper carefully explores the impact of the energy consumption revolution on the health of rural elderly adults and its response mechanism. The results from the empirical analysis show that: (1) The positive response of rural families to the energy consumption revolution can significantly improve the elderly adults' health condition; (2) The energy consumption revolution can improve the rural elderly adults' health by enhancing the home environmental sanitation (home environmental effect) and life satisfaction (psychological effect); (3) In the process of energy consumption revolution affecting the rural elderly's health, the factor age plays a negative regulatory role, in other words, the older the elderly, the lower the marginal effect of energy consumption revolution on their health improvement. This paper uses the propensity score matching method to deal with the endogenous problem of the regression model, and uses a placebo test and the substitution estimation method to check the robustness of the empirical results. As well, this research puts forward some policy suggestions, such as increasing investment in energy infrastructure in rural areas, reducing the cost of using clean energy, combining environmental energy protection with increasing energy income, and improving medical security conditions in rural areas.


Assuntos
Renda , População Rural , Adulto , Idoso , China , Humanos , Estudos Longitudinais , Aposentadoria
10.
J Glob Health ; 11: 08008, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34956639

RESUMO

Background: Little is known about the associations between vision impairment, hearing impairment, and cognitive function. The aim of this study was to examine whether vision and hearing impairment were associated with a high risk for cognitive impairment in middle-aged and older Chinese adults. Methods: A total of 13 914 Chinese adults from the China Health and Retirement Longitudinal Study (CHARLS) baseline were selected for analysis. Sensory impairment was assessed from a single self-report question, and we categorized sensory impairment into four groups: no sensory impairment, vision impairment, hearing impairment, and dual sensory impairment. Cognitive assessment covered memory, mental state, and cognition, and the data was obtained through a questionnaire. Results: Memory was negatively associated with hearing impairment (ß = -0.043, 95% confidence interval (CI) = -0.076, -0.043) and dual sensory impairment (ß = -0.033, 95% CI = -0.049, -0.017); mental status was negatively associated with vision impairment (ß = -0.034, 95% CI = -0.049, -0.018), hearing impairment (ß = -0.070, 95% CI = -0.086, -0.055), and dual sensory impairment (ß = -0.054, 95% CI = -0.070, -0.039); and cognition was negatively associated with vision impairment (ß = -0.028, 95% CI = -0.044, -0.013), hearing impairment (ß = -0.074, 95% CI = -0.090, -0.059), and dual sensory impairment (ß = -0.052, 95% CI = -0.067, -0.036), even after adjusting for demographics, social economic factors, and lifestyle behavior. Conclusions: Vision and hearing impairment are negatively associated with memory, mental status, and cognition for middle-aged and elderly Chinese adults. There were stronger negative associations between sensory impairment and cognitive-related indicators in the elderly compared to the middle-aged.


Assuntos
Aposentadoria , Transtornos da Visão , Adulto , Idoso , China/epidemiologia , Cognição , Humanos , Estudos Longitudinais , Pessoa de Meia-Idade , Transtornos da Visão/epidemiologia
11.
PLoS One ; 16(12): e0261251, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34965266

RESUMO

This research examined the influence of cognitive interdependence-a mental state reflecting a collective representation of the self-in-relationship-on the anticipation for and experiences with the transition into retirement. Among soon-to-be retirees (Study 1), greater cognitive interdependence was associated with seeing partners as more instrumental to one's goals both pre- and post-retirement, anticipating greater goal alignment post-retirement, and having directly involved partners in retirement planning to a greater extent than those relatively lower in cognitive interdependence. Among recent retirees (Study 2), retrospective cognitive interdependence was associated with post-retirement goal alignment and goal instrumentality, and the extent to which they believed they had directly involved their partners in retirement planning. However, it was post-retirement goal alignment that was associated with greater ease of retirement and subjective well-being. Finally, soon-to-be retirees relatively high in cognitive interdependence responded to concerns about their retirement (i.e., goal discordance and high retirement ambivalence) by wanting to involve their partners in their retirement plans to a greater extent (Study 3). These studies highlight the importance of romantic partners across the lifespan, and how partners might influence retirement planning, the transition to retirement, and well-being among recent retirees.


Assuntos
Cognição , Aposentadoria/psicologia , Cônjuges , Idoso , Humanos , Pessoa de Meia-Idade , Modelos Teóricos , Estatística como Assunto
12.
Alzheimers Res Ther ; 13(1): 182, 2021 11 03.
Artigo em Inglês | MEDLINE | ID: mdl-34732248

RESUMO

BACKGROUND: To evaluate the association of physical activity (PA) intensity with cognitive performance at baseline and during follow-up. METHODS: A total of 4039 participants aged 45 years or above from the China Health and Retirement Longitudinal Study were enrolled in visit 1 (2011-2012) and followed for cognitive function in visit 2 (2013-2014), visit 3 (2015-2016), and visit 4 (2017-2018). We analyzed the association of PA intensity with global cognition, episodic memory, and mental intactness at baseline using adjusted regression methods and evaluated the long-term effect of PA intensity using multiple measures of cognition scores by mixed effect model. RESULTS: In cross-sectional analysis, mild and moderate PA, rather than vigorous PA, was associated with better cognitive performance. The results remained consistent in multiple sensitivity analyses. During the follow-up, participant with mild PA had a 0.56 (95% CI 0.12-0.99) higher global cognition, 0.23 (95% CI 0.01-0.46) higher episodic memory, and 0.33 (95% CI 0.01-0.64) higher mental intactness, while those with moderate PA had a 0.74 (95% CI 0.32-1.17) higher global score, 0.32 (95% CI 0.09-0.54) higher episodic memory, and 0.43 (95% CI 0.12-0.74) higher mental intactness, compared with individuals without PA. Vigorous PA was not beneficial to the long-term cognitive performance. CONCLUSIONS: Our study indicates that mild and moderate PA could improve cognitive performance, rather than the vigorous activity. The targeted intensity of PA might be more effective to achieve the greatest cognition improvement considering age and depressive status.


Assuntos
Cognição , Aposentadoria , Idoso , China/epidemiologia , Estudos Transversais , Exercício Físico , Humanos , Estudos Longitudinais
13.
Sichuan Da Xue Xue Bao Yi Xue Ban ; 52(6): 987-991, 2021 Nov.
Artigo em Chinês | MEDLINE | ID: mdl-34841766

RESUMO

Objective: To study the relationship between oral disease and depressive symptoms in middle-aged and older adult populations in China. Methods: The data from the China Health and Retirement Longitudinal Study (CHARLS) done between 2013 and 2015 were analyzed. A total of 3828 middle-aged and older adults showing no depressive symptoms in an assessment with the 10-item Centre for Epidemiological Studies Depression Scale (CES-D-10) were selected as the subjects of observation, and oral disease was taken as the dependent variable. Changes in depressive symptoms in the population were tracked in 2015, and the Cox proportional hazards model was used to estimate the relationship between oral diseases and depressive symptoms. Results: The detection rate of depressive symptoms was 29.3% in middle-aged and older adults with oral diseases, and that of middle-aged and older adults without oral diseases was 20.4%, the difference being statistically significant ( P<0.001). After controlling for confounding factors, Cox proportional hazards model analysis found an association between oral diseases and depressive symptoms (hazard ratio [ HR]=0.683, 95% confidence interval [ CI]: 0.583-0.800). It was more likely for middle-aged and older women ( HR=0.708, 95% CI: 0.573-0.874) with oral diseases to develop depressive symptoms than men ( HR=0.644, 95% CI: 0.506-0.819) did ( P<0.05). Conclusion: Oral diseases in the middle-aged and older adult populations tended to lead to depressive symptoms, and women showed higher rate than men did. Prevention and control measures should be taken actively in the course of oral disease treatment to promote mental health of middle-aged and older adults.


Assuntos
Depressão , Aposentadoria , Idoso , China/epidemiologia , Depressão/epidemiologia , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos
14.
Adv Health Care Manag ; 202021 Dec 06.
Artigo em Inglês | MEDLINE | ID: mdl-34779181

RESUMO

Employee turnover is a growing challenge for health-care providers delivering patient care today. US population demographics are shifting as the population ages, which leaves the field of health care poised to lose key leaders and employees to retirement at a time when patient care has grown more complex. This means health care will lose its core of key employees at a time when skilled leadership and specialized knowledge is most needed and directly impacts health care's ability to deliver quality care. Operational succession planning (OSP) may be one solution to manage this looming challenge in health care, as the process identifies and develops the next generation of leadership. Thus, this exploratory national study used a quantitative and cross-sectional design to examine the relationship between OSP and employee turnover. Demographic and 10-point Likert scale data were collected from n = 66 medical practices, using an online survey instrument. Data were analyzed using various descriptive and inferential statistical methods. Distribution (frequency and chi-square) analyses of the study sample, one-way analysis of variance (ANOVA), and regression analyses were performed across seven demographic characteristics of the medical practices: Specialty, Ownership Structure, Number of full-time equivalent (FTE) Physicians, Number of FTE Clinical Employees, Number of FTE Nonclinical Employees, Number of FTE Employees Left Position, and Region. Study results provided statistically significant evidence to support the relationship between OSP and employee turnover, highlighting that OSP was associated with lower employee turnover. The finding suggests that OSP can serve as an effective mechanism for increasing employee retention.


Assuntos
Liderança , Reorganização de Recursos Humanos , Estudos Transversais , Emprego , Humanos , Aposentadoria , Estados Unidos
15.
J Aging Stud ; 59: 100977, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34794722

RESUMO

Although the importance of older citizens' civic engagement has been highlighted in research and policy, the topic remains underexplored. In this study, we discuss older Portuguese citizens' motivations for civic engagement. The research is based on interviews with eighteen participants aged over 60, who are retired but active in civic organisations, in which they hold or have held leadership positions. We employed thematic analysis to examine the qualitative data. The findings suggest a range of motivations for participation, with personal and ideological/political motives emerging as relevant for involvement, retention and leaving, and interpersonal relationships motivating involvement and retention. However, the specific motivations differ as a function of not only the stages of involvement/retention/leaving, but also the type of organisation and the participants' life experiences. There are notable differences between the motivations for involvement in cultural and recreational organisations, neighbourhood organisations and volunteer programmes, where the emphasis is on fostering interpersonal relationships, and the more ideological/political motivations that appear as determinant within political and activist organisations. As such, this study brings a more complex understanding of the range of motivations for civic engagement in later life, with significant implications for fostering older citizens' mobilisation and sustained engagement.


Assuntos
Relações Interpessoais , Motivação , Idoso , Humanos , Aposentadoria , Voluntários
16.
Artigo em Inglês | MEDLINE | ID: mdl-34769861

RESUMO

The current study examined how neighborhood environments are related to older adults' perceived control over time. A longitudinal study design was employed using data sampled from the Health and Retirement Study (HRS) 2014 and 2018. In total, 3170 older adults, whose age ranged between 60 and 99 years at the baseline, were followed up with a 4-year lag. Measures included two domains of neighborhood characteristics: social cohesion and physical disorder (at baseline and follow-up) and perceived control (at follow-up). Path coefficients between the latent factors were examined using structural equation modeling. Results showed that there was a significant cross-sectional and longitudinal association between neighborhood social cohesion and older adults' perceived control, while neighborhood physical disorder was cross-sectionally associated with perceived control. Study findings provide evidence for promoting social integration and social capital in their neighborhood that might contribute to older adults' perceived competence and beliefs in control.


Assuntos
Aposentadoria , Capital Social , Estudos Transversais , Estudos Longitudinais , Características de Residência
17.
Artigo em Inglês | MEDLINE | ID: mdl-34770069

RESUMO

Retirement living (RL) communities may be an ideal setting in which to utilize peer-leaders to implement or support health and wellbeing interventions. To date, this literature has not been systematically summarized. The purpose of this study was to fill this gap with a particular focus on describing the extent to which interventions addressed each level of the social ecological model of behavior change. This review utilized established frameworks for assessing methodological quality of studies, including the CONSORT guidelines and RoB2 bias assessment for cluster randomized controlled trials. A total of 153 records were identified from database searches, and seven studies met inclusion criteria. Overall, there is emerging evidence that peer-led health and wellbeing programs in RL communities can positively impact both health behavior, such as increased physical activity or nutrition, and health status, such as lower blood pressure. The study quality was modest to very good, but only one study was deemed not to have a high risk of bias. Peers are generally cost-effective, more accessible, and relatable leaders for health interventions that can still produce impactful changes. Future studies are needed to better understand how to sustain promising interventions.


Assuntos
Comportamentos Relacionados com a Saúde , Aposentadoria , Análise Custo-Benefício , Grupo Associado
18.
Int J Qual Stud Health Well-being ; 16(1): 1985414, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34696699

RESUMO

Purpose: This study is a qualitative inquiry into meaning making during retirement transition. The study focuses on how Slovak retirees reconstruct meanings during the transition and the factors which both help and hinder this process.Methods: Forty individuals (M = 63.36; SD = 2.47) who had recently transitioned into retirement were interviewed and data were analysed using the Consensual Qualitative Research-Modified approach.Results: The analysis generated five basic domains with categories and subcategories of the participants' responses. The analysis showed that once retired, the participants generally continued to rely on previous meaning sources such as work and family; however, there were changes such as switching from job-related work to work related to hobbies and housekeeping, or from financially providing for the family to maintaining family relationships and grandparenting. The main factors facilitating the meaning making process were positive attitudes and social support for meaning. The risk factors included lack of finances, poor health of retiree or a close person, and the loss of a spouse.Conclusions: In general, the research showed that the main features of the retirees' meaning making processes were maintaining accessible sources, compensating for sources lost during the transition, and managing beneficial and risk factors.


Assuntos
Aposentadoria , Humanos , Pesquisa Qualitativa , Eslováquia
19.
Int J Qual Stud Health Well-being ; 16(1): 1984376, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34633914

RESUMO

PURPOSE: This study aimed to describe community-dwelling older adults' perceptions of health and well-being in life after retirement. METHODS: This study is part of a larger project using a mixed-methods design to address lifestyles' influence on community-dwelling older adults' health. Individual semi-structured interviews were conducted with 18 older adults in age 70 to 95 years. Data were analysed according to a phenomenographic approach. RESULTS: The results encompass four categories describing variations in community-dwelling older adults' perceptions of health and well-being after retirement: feeling well despite illness and disease, interacting with and being useful for oneself and others, independently embracing opportunities and engaging in life, and maintaining a healthy lifestyle. CONCLUSIONS: The absence of illness and disease is not a clear prerequisite for a sense of health and well-being. To promote and preserve health and well-being after retirement, older adults strived for-and coached themselves to uphold-a balance in life, focusing on not burdening others. This life orientation after retirement must be acknowledged by society at large, especially from an ageist perspective, and in health and social care to preserve and promote health and well-being.


Assuntos
Vida Independente , Aposentadoria , Idoso , Idoso de 80 Anos ou mais , Promoção da Saúde , Humanos , Aprendizagem , Apoio Social
20.
Cad Saude Publica ; 37(10): e00084120, 2021.
Artigo em Português | MEDLINE | ID: mdl-34644751

RESUMO

Aging of the Brazilian population with the country's diversity of demographic and territorial characteristics motivated this study on the effects of retirement pensions on health and wellbeing. The study thus analyzes the effects of retirement pensions in Brazil by age and contribution time through measures of overall self-rated health, depressive symptoms on the CES-D scale, and household and head-of-household income. The analyses were also disaggregated by gender and locality. The method used was Propensity Score Matching with data from 9,412 individuals 50 years or older obtained from the Brazilian Longitudinal Study of Aging (ELSI-Brazil), collected in the years 2015 and 2016. In overall self-rated health, there was an increase in the probability of rating health as good or excellent for women in urban areas, both for those retired by contribution time (more than 9%) and by age (more than 7%). There was a reduction in the probability of depressive symptoms for women that retired by contribution time (11%), while for men from rural areas there was a reduction of more than 16%. There were important increases in income in all the subgroups. The study aimed to help offset the lack of evidence on the effects of retirement pensions in Brazil, and the results generally suggest that the effects of retirement pensions on individuals´ health and wellbeing are beneficial but quite heterogeneous between men and women and between rural and urban areas.


Assuntos
Pensões , Aposentadoria , Brasil , Feminino , Humanos , Renda , Estudos Longitudinais , Masculino
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