European Journal of Ageing最新文献

Cohort and gender differences in the association between childlessness and social exclusion in old age. 无子女与老年社会排斥之间的队列和性别差异。

IF 3.7 2区社会学

European Journal of Ageing Pub Date : 2024-11-18 DOI: 10.1007/s10433-024-00831-z

Julia Sauter, Iuliana Precupetu, Marja Aartsen

{"title":"Cohort and gender differences in the association between childlessness and social exclusion in old age.","authors":"Julia Sauter, Iuliana Precupetu, Marja Aartsen","doi":"10.1007/s10433-024-00831-z","DOIUrl":"10.1007/s10433-024-00831-z","url":null,"abstract":"Social exclusion (SE) and its detrimental health outcomes are a key concern in European policies. This study investigates whether childless older adults face a higher risk of SE compared to those with children, how these potential differences have evolved, and whether SE among childless older men differs from that experienced by childless older women. Children are perceived in most cultures as an insurance of social integration in old age. Delayed childbearing and falling birth rates in Western countries have raised concerns about the old age of those who remain childless and reach the last decades of their lives more socially excluded. The exclusionary risks of not having children may be gendered and different across time, but research on this topic is underdeveloped. The analysis utilizes data from the first (2002) and ninth (2018) rounds of the European Social Survey (ESS), focusing on participants aged between 65 and 74. The study reveals that childless older adults have fewer social meetings and engage in fewer social activities than parents. Findings are robust concerning time and gender, as the disadvantage of not having children compared to those with children is similar over time and for men and women. The results highlight that childless older adults face an elevated risk of SE.","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":"21 1","pages":"36"},"PeriodicalIF":3.7,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevention of frailty in relation with social out-of-home activities in older adults: results from the Survey of Health, Ageing, and Retirement in Europe. 预防老年人体弱与外出社交活动的关系：欧洲健康、老龄化和退休调查的结果。

IF 3.7 2区社会学

European Journal of Ageing Pub Date : 2024-11-16 DOI: 10.1007/s10433-024-00829-7

Sandra A Mümken, Enrique Alonso-Perez, Christine Haeger, Julie L O'Sullivan, Qian-Li Xue, Sonia Lech, Wolfram J Herrmann, Paul Gellert

{"title":"Prevention of frailty in relation with social out-of-home activities in older adults: results from the Survey of Health, Ageing, and Retirement in Europe.","authors":"Sandra A Mümken, Enrique Alonso-Perez, Christine Haeger, Julie L O'Sullivan, Qian-Li Xue, Sonia Lech, Wolfram J Herrmann, Paul Gellert","doi":"10.1007/s10433-024-00829-7","DOIUrl":"10.1007/s10433-024-00829-7","url":null,"abstract":"Out-of-home mobility and social participation have been identified as resources to postpone frailty. We aim to examine the mediating role and specific contribution of social out-of-home activities in frailty prevention. Data from the Survey of Health, Ageing, and Retirement in Europe (SHARE) waves six (w6), seven (w7), and eight (w8) were used. Frailty was measured with the SHARE version of the Edmonton Frail Scale (EFS) with frailty states fit, pre-fail and frail. First, a mediation model with 13,456 fit participants aged ≥ 50 years in w6 was specified with social network size, loneliness (UCLA 3-Item Loneliness Scale), and lack of motivation (EURO-D) as predictors and number of performed social out-of-home activities in w7 as mediator variable on EFS-scores in w8. Age, education, gender, cohabitation, widowhood, urban environment, and country served as covariates. Second, we investigated the association of increasing social out-of-home activities from w6 to w7 with change in EFS-score from w6 to w8 using a linear mixed model with 17,439 participants in all frailty states. Direct effects of loneliness (w6) and lack of motivation (w6) on EFS-scores (w8) were partially mediated by social out-of-home activities (loneliness ß = 0.005; 95% CI = 0.003-0.008) and (lack of motivation ß = 0.014; 95% CI = 0.009-0.019). The linear mixed model revealed a significant effect of increasing social out-of-home activities (w6-w7) on reduction of EFS-scores (w8) (ß = - 0.21; 95% CI = - 0.29-0.04; p < 0.001). Social out-of-home activities appear to play a crucial role in frailty prevention, which could be used for future interventions.","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":"21 1","pages":"35"},"PeriodicalIF":3.7,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569102/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Aging in place or aging out of place? Family caregivers' perspectives on care for older Pakistani migrants in Norway. 老有所养还是老无所养？家庭照顾者对照顾挪威巴基斯坦老年移民的看法。

IF 3.7 2区社会学

European Journal of Ageing Pub Date : 2024-11-11 DOI: 10.1007/s10433-024-00832-y

Sunita Shrestha, Sanjana Arora, Alistair Hunter, Jonas Debesay

{"title":"Aging in place or aging out of place? Family caregivers' perspectives on care for older Pakistani migrants in Norway.","authors":"Sunita Shrestha, Sanjana Arora, Alistair Hunter, Jonas Debesay","doi":"10.1007/s10433-024-00832-y","DOIUrl":"10.1007/s10433-024-00832-y","url":null,"abstract":"The aging population in Europe is increasing, with growing ethnic diversity among older individuals due to migration. Public policies emphasize 'aging in place' to address financial challenges and reduce the burden on the healthcare system. However, research often overlooks the heterogeneity among older people, especially non-European migrants. Also, research on family caregivers' role in enabling 'aging in place' for older relatives with migrant backgrounds is limited, despite many older non-European migrants' preference for family care in comparison to long-term institutional care. This study aims to explore the experiences and perspectives of family caregivers in the context of formal and informal care and their preferences regarding the place of care for older family members with migrant backgrounds, particularly the Pakistani Ahmadiyya community in Norway. Eighteen semi-structured individual interviews and two group interviews were conducted in Urdu and English with nineteen female family caregivers of older relatives, ages 25-62, residing in Norway. The analysis yielded three main themes: (1) \"Nursing homes are not for the ones who love their parents\", (2) Preferences for home with the possibility of sharing care, and (3) Mismatch between family care needs and formal care. Family caregivers' perception of health services has a decisive impact on their older relatives' demand and use of formal health services, emphasizing the need for trust. Even though home care services were seen as a viable option, they should be adapted so that the family caregivers can use them and feel supported in enabling 'aging in place' for older migrants.","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":"21 1","pages":"34"},"PeriodicalIF":3.7,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11554975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Job satisfaction declines before retirement in Germany. 在德国，退休前的工作满意度会下降。

IF 3.7 2区社会学

European Journal of Ageing Pub Date : 2024-11-11 DOI: 10.1007/s10433-024-00830-0

Georg Henning, Graciela Muniz-Terrera, Andreas Stenling, Martin Hyde

{"title":"Job satisfaction declines before retirement in Germany.","authors":"Georg Henning, Graciela Muniz-Terrera, Andreas Stenling, Martin Hyde","doi":"10.1007/s10433-024-00830-0","DOIUrl":"10.1007/s10433-024-00830-0","url":null,"abstract":"Job satisfaction has been found to increase with age. However, we still have a very limited understanding of how job satisfaction changes as people approach retirement. This is important as the years before retirement present specific challenges for older workers. We employed a time-to-retirement approach to investigate (i) mean levels of change in job satisfaction in the decade before retirement, and (ii) social inequalities and interindividual differences in change in pre-retirement job satisfaction. Data were drawn from the German Socioeconomic Panel Study (n = 2595). Latent growth curve modeling revealed that job satisfaction declined slightly as people approached retirement, with steeper declines in the very last years before retirement. However, the mean-level decline was very small. Education, age, health, region, marital status, and historical time, but not gender or caregiving mattered for level and change in job satisfaction before retirement. The findings demonstrate the importance of taking a time-to-retirement approach when examining experiences of older workers.","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":"21 1","pages":"33"},"PeriodicalIF":3.7,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11554980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cost-effectiveness analysis of the digital fall preventive intervention Safe Step among community-dwelling older people aged 70 and older. 对 70 岁及以上居住在社区的老年人进行数字化跌倒预防干预 "安全步 "的成本效益分析。

IF 3.7 2区社会学

European Journal of Ageing Pub Date : 2024-10-26 DOI: 10.1007/s10433-024-00828-8

Saranda Bajraktari, Marlene Sandlund, Beatrice Pettersson, Erik Rosendahl, Magnus Zingmark

{"title":"Cost-effectiveness analysis of the digital fall preventive intervention Safe Step among community-dwelling older people aged 70 and older.","authors":"Saranda Bajraktari, Marlene Sandlund, Beatrice Pettersson, Erik Rosendahl, Magnus Zingmark","doi":"10.1007/s10433-024-00828-8","DOIUrl":"https://doi.org/10.1007/s10433-024-00828-8","url":null,"abstract":"Falls are the most common cause of injury in older people, with consequences for the individual and society. With an increasing population of older people, falls and related costs are expected to increase. It is crucial to identify scalable and cost-effective interventions and subsequently reduce fall-related costs. The aim was to evaluate the cost-effectiveness of the Safe Step digital fall preventive exercise intervention over a period of 12 years and, in addition, to evaluate the impact of increased recruitment cost and decreased intervention effect. The intervention was evaluated in an observational study in a municipality context targeting community-dwelling older people of age 70 + . A Markov model with five states was used to model the cost-effectiveness of the Safe Step intervention and evaluate quality-adjusted life years (QALYs) and fall-related costs from a societal perspective. By using data from a meta-analysis as basis for the estimated intervention effect, the Safe Step intervention was compared with a no-intervention alternative. The results showed that the Safe Step intervention dominated no intervention. In the sensitivity analysis with the most conservative estimate of intervention effect, the ICER was €7 616 per QALY gained. Hence, Safe Step showed to be a cost-saving fall preventive intervention in older people at risk of falling and potentially cost-effective even with a low estimated intervention effect. Future studies on efficacy of fall preventive digital interventions will contribute in precising effect estimates and enhance the validity of these cost-effectiveness results.","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":"21 1","pages":"32"},"PeriodicalIF":3.7,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11511800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Internet self-efficacy moderates the association of information technology ability with successful ageing among older employees in three African samples. 在三个非洲样本中，互联网自我效能调节了信息技术能力与老年雇员成功老龄化之间的关系。

IF 3.7 2区社会学

European Journal of Ageing Pub Date : 2024-10-18 DOI: 10.1007/s10433-024-00827-9

Nestor Asiamah, Sylvester Hatsu, Frank Frimpong Opuni, Faith Muhonja, Confidence Chinwe Opara, Sarra Sghaier, Emelia Danquah

{"title":"Internet self-efficacy moderates the association of information technology ability with successful ageing among older employees in three African samples.","authors":"Nestor Asiamah, Sylvester Hatsu, Frank Frimpong Opuni, Faith Muhonja, Confidence Chinwe Opara, Sarra Sghaier, Emelia Danquah","doi":"10.1007/s10433-024-00827-9","DOIUrl":"10.1007/s10433-024-00827-9","url":null,"abstract":"The literature suggests that two distinct competencies [i.e., information technology ability (ITA), and internet self-efficacy] are necessary for the effective use of information technologies for successful ageing, but no study has examined the association of these skills on successful ageing and its domains (i.e., illness avoidance, functioning, and engagement with life). This study investigated whether Internet Self-Efficacy (ISE) moderates the potential association of ITA with successful ageing. The study adopted a cross-sectional design based on the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist and includes measures against confounding and common methods bias. The participants were 1186 older workers aged 50 years or older in three African countries (Kenya = 350; Nigeria = 260; Ghana = 576). The minimum sample size necessary was calculated, and data were analysed with hierarchical linear regression analysis. After controlling for the covariates, ITA and ISE had a positive association with successful ageing as well as illness avoidance, functioning, and engagement with life in the whole sample. ITA was also positively associated with successful ageing and its domains in Kenya and Ghana. The associations of ITA with successful ageing and its domains were positively moderated by ISE in the whole sample and within each of the three samples. Higher ITA can be associated with successful ageing among working older adults, and ITA positively influences successful ageing at different levels of ISE. Older adults with high ITA are more likely to avoid illness at a higher ISE.","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":"21 1","pages":"31"},"PeriodicalIF":3.7,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11489396/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Does social capital enhance political participation in older adults? Multi-level evidence from the European Quality of Life Survey. 社会资本会提高老年人的政治参与度吗？来自欧洲生活质量调查的多层次证据。

IF 3.7 2区社会学

European Journal of Ageing Pub Date : 2024-10-14 DOI: 10.1007/s10433-024-00825-x

Fredrica Nyqvist, Rodrigo Serrat, Mikael Nygård, Marina Näsman

{"title":"Does social capital enhance political participation in older adults? Multi-level evidence from the European Quality of Life Survey.","authors":"Fredrica Nyqvist, Rodrigo Serrat, Mikael Nygård, Marina Näsman","doi":"10.1007/s10433-024-00825-x","DOIUrl":"https://doi.org/10.1007/s10433-024-00825-x","url":null,"abstract":"This study explored the role of social capital for non-institutionalised and institutionalised political participation among older adults compared to younger age groups using European Quality of Life Survey data (EQLS) from 2016 and 33 countries (n = 36,908). Multilevel logistic regression analysis was employed to assess the association between individual- and country-level social capital and political participation. Findings revealed that, at the individual level, active associational engagement was positively related to both forms of political participation, while social trust and political trust were linked only to non-institutionalised participation-higher social trust and lower political trust were associated with a greater likelihood of participation. Country-level associational engagement was related to non-institutionalised political participation and country-level political trust with institutionalised participation. For older adults, active associational engagement had stronger individual and contextual effects on non-institutionalised political participation. These results enrich our understanding of political engagement in later life and highlight the unexplored potential for civic involvement among older adults.","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":"21 1","pages":"30"},"PeriodicalIF":3.7,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11473466/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Do middle-aged and older people underreport loneliness? experimental evidence from the Netherlands. 荷兰的实验证据：中老年人是否少报了孤独感？

IF 3.7 2区社会学

European Journal of Ageing Pub Date : 2024-10-05 DOI: 10.1007/s10433-024-00826-w

Thijs van den Broek, Jack Lam, Cecilia Potente

{"title":"Do middle-aged and older people underreport loneliness? experimental evidence from the Netherlands.","authors":"Thijs van den Broek, Jack Lam, Cecilia Potente","doi":"10.1007/s10433-024-00826-w","DOIUrl":"10.1007/s10433-024-00826-w","url":null,"abstract":"Despite the growing acknowledgment of the importance of loneliness among older individuals, questionnaire length constraints may hinder the inclusion of common multi-item loneliness scales in surveys. Direct, single-item loneliness measures are a practical alternative, but scholars have expressed concerns that such measures may lead to underreporting. Our aim was to test whether such reservations are justified. We conducted a preregistered list experiment among 2,553 people aged 50 + who participated in the Dutch Longitudinal Internet studies for the Social Sciences (LISS) panel. The list experiment method has been developed to unobtrusively gather sensitive information. We compared the list experiment estimate of the prevalence of frequent loneliness with the corresponding direct question estimate to assess downward bias in the latter. Next to pooled models, we estimated models stratified by gender to assess whether loneliness underreporting differed between women and men. Relying on the direct question, we estimated that 5.9% of respondents frequently felt lonely. Our list experiment indicated that the prevalence of frequent loneliness was 13.1%. Although substantial in magnitude, the difference between both estimates was only marginally significant (Δb: 0.072, 95% CI: - 0.003;0.148, p = .06). No evidence of gender differences was found. Although we cannot be conclusive that loneliness estimates are biased downward when a direct question is used, our results call for caution with direct, single-item measures of loneliness if researchers want to avoid underreporting. Replications are needed to gain more precise insights into the extent to which direct, single-item loneliness measures are prone to downward reporting bias.","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":"21 1","pages":"29"},"PeriodicalIF":3.7,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11456021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The lifestyle of new middle-aged and older adults in Taiwan described by wearable device: age and gender differences. 用可穿戴设备描述台湾新中老年人的生活方式：年龄与性别差异。

IF 3.7 2区社会学

European Journal of Ageing Pub Date : 2024-09-28 DOI: 10.1007/s10433-024-00824-y

Chih-Liang Wang, Cheng-Xue Li, Sheng-Fu Liang

{"title":"The lifestyle of new middle-aged and older adults in Taiwan described by wearable device: age and gender differences.","authors":"Chih-Liang Wang, Cheng-Xue Li, Sheng-Fu Liang","doi":"10.1007/s10433-024-00824-y","DOIUrl":"https://doi.org/10.1007/s10433-024-00824-y","url":null,"abstract":"Studies of lifestyle through comprehensive objective and subjective measurements of health outcomes are lacking. An examination of lifestyle factors in middle-aged and older adults in terms of age, gender, and the interaction effect of age and gender from physiological and psychological perspectives are imperative. Recent advances in technology such as actigraphy have facilitated objective measurements. This exploratory study contributes to research on age and gender interactions on circadian rhythm, physical activity, sleep, and psychological variables by employing wrist accelerometers to measure behavioral circadian rhythm objectively and by using questionnaires to assess psychological status subjectively. The data were drawn from 218 participants aged 50 and older from the \"Middle-aged and older adults Chinese Health and Actigraphy in Taiwan (MOCHA-T)\". The results: (1) older adult group is associated with declined physical activity (MVPA time 79.9 min VS. 107.9 min, p = .002), worse sleep efficiency (78.1% VS. 81.9%, p = .008), and earlier lifestyle (Acrophase 14.19 h VS. 14.69 h, p = .01) comparing to middle-aged group. (2) Women have a more regular lifestyle (Interdaily stability 0.6 VS. 051, p < 0.001), higher physical activity (MVPA time 105.7 min VS. 79.3 min, p = .004), and better sleep efficiency (81.6% VS. 77.8%, p = .011) than men. (3) Significant age-by-gender interactions existed in life satisfaction (p = .025), relative amplitude (p = .016), and total wake time (p = .038). Furthermore, aging was associated with significant increases in life satisfaction among men as well as significant decreases in relative amplitude and reductions in the total wake time among women. In conclusion, aging exerted differential effects on life satisfaction in men as well as relative amplitude and the total wake time in women. This result highlights disparities in lifestyle arising from interconnected social and biological challenges.","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":"21 1","pages":"27"},"PeriodicalIF":3.7,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11438744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142337021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Disability during the last ten years of life: evidence from a register-based study in Austria. 生命最后十年的残疾：来自奥地利登记研究的证据。

IF 3.7 2区社会学

European Journal of Ageing Pub Date : 2024-09-28 DOI: 10.1007/s10433-024-00823-z

Erwin Stolz, Anna Schultz, Julia Zuschnegg, Franziska Großschädl, Thomas E Dorner, Regina Roller-Wirnsberger, Wolfgang Freidl

{"title":"Disability during the last ten years of life: evidence from a register-based study in Austria.","authors":"Erwin Stolz, Anna Schultz, Julia Zuschnegg, Franziska Großschädl, Thomas E Dorner, Regina Roller-Wirnsberger, Wolfgang Freidl","doi":"10.1007/s10433-024-00823-z","DOIUrl":"https://doi.org/10.1007/s10433-024-00823-z","url":null,"abstract":"Analyses of late-life disability based on survey data of the oldest old often suffer from non-representative samples due to selective participation and attrition. Here, we use register data on the Austrian long-term care allowance (ALTCA) as a proxy for late-life disability. In this retrospective mortality follow-back study, we analyze receipt of ALTCA, a universal cash benefit based on physician-assessed disability in activities of daily living during the last 10 years of life, among all decedents aged 65 years and over from 2020 in Austria (n = 76,781) and its association with sex, age at death, and underlying cause of death. We find that on average, ALTCA was received for 3.5 and 5.3 years in men and women. At 10 years before death, 10% of men and 25% of women received ALTCA, which increased to 56% and 77% at one year before death. Both the probability and duration of ALTCA increased with age at death and varied by cause of death: Those who died from cancer, myocardial infarction, and external causes of death were less likely to receive ALTCA and for shorter durations, while those who died from dementia, Parkinson's disease, chronic heart disease, or chronic lung disease were more likely to receive it and longer so. Overall, our register-based estimates of the prevalence of late-life disability were higher than previous survey-based estimates. Policy-makers should be aware that costs of long-term care will rise as life expectancy rises and deaths from dementia and chronic heart disease will likely increase in the rapidly aging European societies.","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":"21 1","pages":"28"},"PeriodicalIF":3.7,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11438747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142337020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0