The State of Elder Care in Mexico

Robledo, Luis Miguel Gutiérrez; Ortega, Mariana; Lopera, Victoria Eugenia Arango

doi:10.1007/s13670-012-0028-z

Cited by 22 publications

(7 citation statements)

References 2 publications

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“…Understanding how marital characteristics influence mental health among older couples in Mexico is becoming increasingly important given rapid population aging, the large proportion of older adults who arrive in late-life with a partner (Wong et al, 2017), and the limited institutional support for older adults in Mexico, which often leads older adults to rely on support from family (Peek et al, 2012;Robledo et al, 2012). The central role that a spouse plays in one's life makes the marital relationship a key resource to consider for mental health outcomes in old age.…”

Section: Discussionmentioning

confidence: 99%

“…These patterns suggest that older married adults in Mexico may have gotten married earlier in life, and not divorced, thus spending greater portions of their lives with their partner leading to an integral role of partners for mental health in late-life. The importance of family may be further amplified by the lack of strong institutional support systems for older adults in Mexico (Robledo et al, 2012), which has led older adults to rely on family in late-life (Peek et al, 2012).…”

Section: The Need For Research In Mexicomentioning

confidence: 99%

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Spousal Support, Spousal Strain, and Loneliness in Older Mexican Couples

Sáenz

2020

The Journals of Gerontology: Series B

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Objectives A growing body of research has identified factors related to loneliness among older adults. Fewer have investigated predictors of loneliness within married couples. This analysis investigates how spousal support and strain relate with loneliness within older couples (age 50+), and whether these associations are modified by functional limitation. The study focuses on Mexico, a country experiencing rapid aging occurring alongside historically limited institutional support for older adults, and where traditional gender roles extend to marriage. Methods The analytic sample consisted of 3,584 husband-wife dyads from the 2012 and 2015 Mexican Health and Aging Study. Loneliness was measured using the Three-Item Loneliness Scale. Associations between spousal support, strain, and loneliness were estimated within husband-wife dyads using the Actor-Partner Interdependence Model. Results Experiencing more spousal support was associated with less loneliness, whereas experiencing spousal strain was associated with more loneliness three years later among married adults. The associations between spousal support/strain and loneliness were stronger among husbands with limitations in Activities of Daily Living (ADL) when compared to their counterparts without ADL limitations. Discussion Among married adults, spousal support and strain may be important factors to understand loneliness within marriage. Effects should be interpreted within the context of functional limitation.

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Section: Discussionmentioning

confidence: 99%

Section: The Need For Research In Mexicomentioning

confidence: 99%

Spousal Support, Spousal Strain, and Loneliness in Older Mexican Couples

Sáenz

2020

The Journals of Gerontology: Series B

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“…Health services and users are divided by whether they receive services from social security institutions the Ministry of Health at the federal or local level, and private sector providers. This is a highly fragmented system where institutions offer different services, work independently and parallel to each other, and are financed through different mechanisms [ 64 ]. Hence, access to and quantity and quality of care varies greatly.…”

Section: Discussionmentioning

confidence: 99%

Non-contributory pension programs and frailty of older adults: Evidence from Mexico

Aguila

López-Ortega²,

Robledo³

2018

PLoS ONE

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Non-contributory pension programs in the developing world seek to provide older adults with an income that may improve their health and wellbeing in old age by enabling access to health care and better nutrition. There is no previous evidence of the effects of non-contributory pensions on frailty, a comprehensive measure of health and well-being of the oldest old. We aimed to estimate the effects of non-contributory pension programs on frailty of older adults in the state of Yucatan, Mexico. We use rich panel data, including objective markers and self-reported assessments of health and well-being, for 944 adults at least 70 years of age in two communities of Yucatan, Mexico. The first wave was collected in 2008; the second wave was collected in 2010, 18 months after implementation of a monthly state pension in one community and 12 months after a federal pension paid every two months in the other. We found the state pension led to a statistically significant decrease in the severity of frailty for women, but the federal pension was associated with an increase. We found no statistically significant change in the frailty index for men in either community. Among explanations for these findings are monthly payments being more likely to be spent on health care, medicines, and more regular food expenditures, enabling women who previously lacked independent means of support to increase their longer-term health. The federal program paid every two months led to irregular patterns of food expenditure and increased ownership of durable goods but had no effects on health care utilization, subsequently leading to deterioration in longer-term health for women.

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“…The older persons in the current study mentioned that they did not have qualified doctors or hospitals in their own areas and had to either travel within the city or from out of the region to seek care at a specialized hospital. The older persons need the comfort of well-coordinated specialist care for multiple conditions and good treatment (Oliver et al, 2014) and well-trained human resources for geriatric care (Gutiérrez Robledo et al, 2012). A study in Nepal reporting perspectives of older persons indicate that the physical environment and human resource need to be improved to create older people friendly hospitals (Karki et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

Experiences of Older Persons in Seeking Care at a Private Hospital in Urban India

Ganorkar

Kabir

Rustomfram

et al. 2020

Gerontology and Geriatric Medicine

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Objective: The study aims to describe the experiences of older persons in seeking health care in a private hospital in urban India. Methods: Semi-structured interviews were conducted with 50 older persons admitted in or visiting a private hospital in Hyderabad city in India between the period November 2017 and April 2018. The data were analyzed using Content Analysis. Results: Dimensions related to payment mechanisms, quality of health care staff, and hospital quality were reported to be important for the older persons. Payment mechanisms were related to discounts, insurance support, and reducing out-of-pocket expenditure. Quality of care was related to optimizing hospital operational processes like discharge time, standard of treatment, and trustworthiness of the medical staff. Discussion: Payment mechanism can be made friendly for the older persons. Quality of hospital including its staff can be enhanced by developing geriatric-specific competencies which can help them to understand and treat complex health problems specific for the older population.

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The State of Elder Care in Mexico

Cited by 22 publications

References 2 publications

Spousal Support, Spousal Strain, and Loneliness in Older Mexican Couples

Spousal Support, Spousal Strain, and Loneliness in Older Mexican Couples

Non-contributory pension programs and frailty of older adults: Evidence from Mexico

Experiences of Older Persons in Seeking Care at a Private Hospital in Urban India

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