The Life-Course Trajectory toward Living Alone

Hays, Judith C.; George, Linda K.

doi:10.1177/0164027502243001

Cited by 22 publications

(15 citation statements)

References 42 publications

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“…Due in part to the gender gap in life expectancy, more older Black women than men are unmarried and live with others or alone (Peek et al 2004). Black households tend to have “permeable boundaries” and more frequent transitions (Dilworth-Anderson 1992; Hays and George 2002; Peek et al 2004). Black elders are also are less likely than whites to be institutionalized (Dilworth-Anderson et al 2005); they have stronger expectations for intergenerational co-residence and for filial responsibility than do older whites (Burr and Mutchler 1999; Lee et al 1998).…”

Section: African Americansmentioning

confidence: 99%

Chronic Illness Self-care and the Family Lives of Older Adults: A Synthetic Review Across Four Ethnic Groups

Gallant

Spitze

Grove

2010

J Cross Cult Gerontol

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The purpose of this paper is to integrate the literature on family and social ties among older ethnic minority men and women with the literature on chronic illness self-care among elders in these groups, in order to increase understanding of social influences on self-care behavior, raise questions for future research, and inform culturally appropriate interventions to maximize the health-promoting potential of social relationships. The paper presents demographic and chronic illness prevalence information, and then summarizes literature about patterns of chronic illness self-care behaviors for older AfricanAmericans, Latinos, Asian-Americans, and American Indians in the U.S. For each group, the sociological literature about residential, cultural, and socioeconomic patterns, family lives, and other social ties is then reviewed, and the self-care literature that has accounted for these patterns is discussed. Finally, six themes are outlined and related questions are identified to further illuminate the social context of older adults' chronic illness self-care. KeywordsChronic illness; Ethnic minorities; Family; Older adults; Self-care; Social ties Although living with chronic illness is a reality for the majority of older adults in the United States, there are significant disparities in chronic illness prevalence across racial and ethnic groups (NCHS 2006). Furthermore, racial and ethnic minorities experience greater complications and higher death rates from most chronic illnesses (NCHS 2006;Harris 2001). To reduce these disparities in chronic illness outcomes, we need to better understand how members of these groups live with and manage chronic illnesses, in order to design effective intervention strategies that will enhance chronic illness outcomes (Becker and Newsom 2005).Self-care behaviors, defined as "the range of health and illness behaviors undertaken by individuals on behalf of their own health" (Dean 1992), play a crucial role in enhancing quality of life and active life expectancy among older adults (Ory and DeFriese 1998). This is particularly true for chronic illness self-care behaviors, which often involve regimens of

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Section: African Americansmentioning

confidence: 99%

Chronic Illness Self-care and the Family Lives of Older Adults: A Synthetic Review Across Four Ethnic Groups

Gallant

Spitze

Grove

2010

J Cross Cult Gerontol

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“…Studies often do not include moves within a residential setting (e.g., continuing care retirement community, assisted living, nursing home; Altus & Mathews, 2002;Hirth, Banaszak-Holl, & McCarthy, 2000;Nagelkerk & Kirk, 1990). Although the focus of this article is actual change in residence, it is important to acknowledge the related issue of changes in living arrangements that do not result in a physical relocation of the older adult (see Choi, 1999;Hays, 2002;Hays & George, 2002;Rogerson et al, 1997;Wilmoth, 1998).…”

Section: Housing Typementioning

confidence: 99%

Measurement of Late-Life Residential Relocation: Why Are Rates for Such a Manifest Event So Varied?

Sergeant¹,

Ekerdt²,

Chapin³

2008

The Journals of Gerontology Series B: Psychological Sciences an

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Objectives. This methods article examines how characteristics of residential relocation (e.g., housing type) and research design decisions (e.g., level of analysis, geographic scale) influence reported rates for residential relocation among older adults. Methods. Examination of key studies on late-life residential relocation (1992-2005) revealed a wide range of residential mobility rates and factors that contributed to this variation. These rates were rescaled to a common 5-year time period to allow for a degree of comparison across methodological approaches. Results. We identified a wide range of rates for residential relocation in the literature (from 5% to more than 30% for a 5-year time period). Research design decisions accounted for much of the variation in these rates across studies; geographic scale was associated with the greatest amount of variation. Discussion. We translate the findings into concrete suggestions for investigators. The article provides the background needed to identify the research design best suited to the end purpose of studies on residential relocation (e.g., inform economic policy, understand the individual's aging experience, plan for long-term-care systems). These methodological issues are also relevant to other areas of investigation in which relocation influences the variables being studied (e.g., caregiving, urban planning, neighborhood development).

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“…Sharp differences in patterns of living arrangements across racial, ethnic, and immigrant groups have been noted (e.g., Angel, Angel, & Himes, 1992;Burr & Mutchler, 1992;Hays & George, 2002;Himes, Hogan, & Eggebeen, 1996). Evidence shows that African Americans, Hispanics and immigrants are more likely than whites and native-born persons to live in complex households and less likely to live in institutions.…”

Section: Literature Reviewmentioning

confidence: 99%

Residential independence among older persons: community and individual factors

Burr

Mutchler

2007

Popul Res Policy Rev

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The objective of this study is to evaluate an expanded version of the resource model of living arrangements among older persons. This expanded model includes community-level measures of geriatric health services and housing market conditions. We employ the first two waves of the National Survey of Families and Households to test static and longitudinal fixed effects models of residential living arrangements. We find that residing in areas with higher levels of geriatric health care services increases the likelihood of residential independence, net of other contextual factors and individual characteristics. Our results show that housing market conditions are not related to levels of or changes in residential independence when control variables are included in the models. The results for the individual-level resource variables show that persons with greater economic resources, more children, and better functional status are better able to maintain independence and are less likely to die or live in a nursing home. This study shows the utility of expanding on micro-level approaches to understanding community living arrangements among older persons. Future investigations should include measures of the policy environment, transportation constraints and opportunities, and a more complete array of indicators of health and social services oriented toward helping elderly persons maintain their independence. Copyright Springer Science+Business Media B.V. 2007Geriatric services, Living arrangements, Contextual models,

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The Life-Course Trajectory toward Living Alone

Cited by 22 publications

References 42 publications

Chronic Illness Self-care and the Family Lives of Older Adults: A Synthetic Review Across Four Ethnic Groups

Chronic Illness Self-care and the Family Lives of Older Adults: A Synthetic Review Across Four Ethnic Groups

Measurement of Late-Life Residential Relocation: Why Are Rates for Such a Manifest Event So Varied?

Residential independence among older persons: community and individual factors

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