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Journal of Aging & Social Policy

Chia-Yu Yeh, Chen-Kang Chang, Feng-An Yang
The increasing elderly population puts significant health, economic, and social burdens on society. Physical activity is one of the most cost-effective ways to maintain the health of the elderly. This study adopts a Treatment Effects model to investigate the causal relationship between environment attributes and physical activity among the elderly, while taking endogeneity into account. The data were collected from 274 participants by face-to-face interviews in Taichung, Taiwan. Performing physical activity regularly in parks is the most important measure of the amount of physical activity by the elderly...
September 8, 2017: Journal of Aging & Social Policy
Philip Taylor
No abstract text is available yet for this article.
August 18, 2017: Journal of Aging & Social Policy
Simon Otjes, André Krouwel
This article analyses the electoral support of the Dutch pensioners' party 50Plus. Due to its open electoral system and aging population, the Netherlands is a key case to study pensioners' parties (Hanley, 2011). Our study shows that this pensioners' party appeals to voters that are characterized by their age and their dependence on the welfare state, as well as their policy positions on new lines of political conflict. In particular their position on the new economic dimension (which concerns welfare state reform) and the new cultural dimension (which concerns immigration and EU integration) is distinct...
August 16, 2017: Journal of Aging & Social Policy
Rose Keimig
Due to the myriad factors straining China's traditional family-based eldercare system, today unprecedented numbers of older adults are turning to institutions for caregiving needs. As researchers and policy makers organize conferences, analyze trends, and allocate resources, the subjective experiences of elders themselves are often forgotten or ignored. While providers recognize that institutionalized elders are at an increased risk for mental health issues, most cite personnel and resource shortages as insurmountable barriers to provision...
August 8, 2017: Journal of Aging & Social Policy
Penelope Ann Shaw
The author, a former university faculty member who taught English to speakers of other languages and now a nursing home resident, shares her observations about how English language proficiency, culture and religious differences affect her care. She provides examples of communication challenges that can be annoying or cause harm, her coping strategies and reasons why many certified nursing assistants might never be fully fluent in English. She explains how international certified nursing assistants can benefit residents because of skills developed by family-centered care in their countries of origin...
August 2, 2017: Journal of Aging & Social Policy
Jennifer A Pooler, Vanessa A Hoffman, Fata J Karva
Food insecurity has been associated with poor health and health outcomes among older adults, yet food assistance resources are available and underutilized. Routine screening and referral for food insecurity in primary care is one avenue to connect food insecure older adults with available resources. This qualitative study aims to better understand primary care providers' (PCPs) beliefs about food security screening and referrals in a primary care setting and perceived barriers to implementation. PCPs (n = 16) who have older adult patients but do not routinely screen for food insecurity were interviewed by phone...
August 2, 2017: Journal of Aging & Social Policy
Eltony Mugomeri, Peter Chatanga, Ts'ele Khetheng, Jotham Dhemba
The southern African country of Lesotho introduced an old age pension scheme in 2004 with the aim of enhancing the quality of life (QoL) of the nation's elderly population. This study is the first to assess the physical, psychological, social, and environmental aspects of the health-related QoL of the elderly in Lesotho since the pension scheme was adopted. Data for this study were gathered using the World Health Organization QoL-BREF questionnaire. Mean QoL scores were compared across demographic, socioeconomic, and clinical variables using analysis of variance, t test, and regression analysis...
July 2017: Journal of Aging & Social Policy
Ama P Fenny
Ghana has introduced a National Health Insurance Scheme (NHIS). Embedded in the NHIS is a policy to exempt poor and vulnerable groups from premiums and user fees. There has been some debate as to why the start-off age for exemption among the elderly is 70 years. Ghana has a shorter life expectancy than middle- and high-income countries and its current age of retirement is 60 years. This study explores the financial and social implications of continuing to charge premiums to people aged 60 to 69 years. Based on the analysis of data from a representative household survey, it is recommended that the exemption policy should be expanded to include all vulnerable elderly persons, regardless of age...
July 2017: Journal of Aging & Social Policy
Josh Curtis, Weizhen Dong, Naomi Lightman, Matthew Parbst
Canada's old age security (OAS), a flat-benefit public pension, is internationally lauded as an accessible and effective safety net for seniors. This paper explores discrepancies in OAS uptake using Canadian Census data from 1996 to 2011. Our findings demonstrate disparities in OAS uptake based on immigration status, language proficiency, and visible minority status, disputing claims of "universal" OAS provision. Multivariate analyses confirm a strong "immigrant effect," with being in Canada for 20 years or less leading to lower rates of OAS utilization...
July 2017: Journal of Aging & Social Policy
Luisa R Blanco, Emma Aguila, Arturo Gongora, O Kenrik Duru
We conducted a qualitative study on retirement preparedness among middle-aged and older low-income Hispanics in Los Angeles. Data were derived from four focus groups conducted in the greater Los Angeles area. Findings demonstrate how behavioral and cultural factors-family experiences, religiosity, and denial of retirement-explain the lack of savings and preparedness for retirement. Findings also indicate that the majority of participants want to be economically independent and to keep working until they are unable to do so...
July 2017: Journal of Aging & Social Policy
Kai You, Robert L Strawderman, Yue Li
Medicare Part D has been successful in providing affordable prescription drug coverage with relatively high levels of beneficiary reported satisfaction. We use nationally representative survey data to examine whether racial/ethnic disparities exist in reported Part D satisfaction and plan evaluations. Compared to non-Hispanic White Medicare beneficiaries, Hispanic beneficiaries are considerably more likely to report to switch to a new plan in the next year and, among beneficiaries auto-enrolled in a Part D plan, are less likely to be very satisfied with the currently enrolled plan...
July 2017: Journal of Aging & Social Policy
Meiriel Tavares Araujo, Isabela Cancio Velloso, Christine Ceci, Mary Ellen Purkis
It is estimated that in 2025, Brazil will have the sixth largest elderly population in the world. Beyond the economic consequences of this projection, this changing demographic portends significant changes in the social realm. The aim of this study was to review and consider a range of government documents directed towards elderly Brazilian citizens that have been developed over the past thirty years to explore the ways that caregivers of older persons are positioned in daily care practices through the discourses such documents deploy...
June 16, 2017: Journal of Aging & Social Policy
Jung-Kyu Choi, Minjin Kang, Euasin Joung
As a result of aging populations, institutionalization of older people is creating an increasing financial burden in many countries. The purpose of the present study was to explore the impact of in-home service utilization on institutionalization. The subjects were newly certified as eligible for long-term care insurance between January and February 2009 in Korea. The follow-up period was 40 months, to April 2012. We used logistic regression models to identify factors influencing the transition to institutional service, adjusting for gender, age, living status, income level, activities of daily living, and chronic disease...
April 17, 2017: Journal of Aging & Social Policy
Micah Segelman, Orna Intrator, Yue Li, Dana Mukamel, Peter Veazie, Helena Temkin-Greener
Medicaid waiver programs for home- and community-based services (HCBS) have grown rapidly and serve a population at high risk for nursing home (NH) admission. This study utilized the Medicaid Analytic Extract Personal Summary File and the NH Minimum Data Set and tested whether higher levels of per-beneficiary HCBS spending were associated with (1) lower risk of long-term (90+ days) NH admission and (2) higher functional/cognitive impairment at admission for new enrollees in 1915(c) aged or aged and disabled waiver programs...
April 17, 2017: Journal of Aging & Social Policy
Andy Cochrane, Sinéad McGilloway
This case study examines the role of philanthropic funding in building capacity for aging research in Ireland, and how this investment has addressed the lack of evidence to support planning for an aging population. The funding has supported a range of initiatives including the national longitudinal study on aging (TILDA), the creation of three professorships/chairs, and the establishment of four new research centers. Important potential outcomes are emerging across other domains including research-informed policy development and the generation of health benefits...
March 31, 2017: Journal of Aging & Social Policy
Matthew C Nattinger, Brian Kaskie
Continued growth in the number of individuals with dementia residing in assisted living (AL) facilities raises concerns about their safety and protection. However, unlike federally regulated nursing facilities, AL facilities are state-regulated and there is a high degree of variation among policies designed to protect persons with dementia. Despite the important role these protection policies have in shaping the quality of life of persons with dementia residing in AL facilities, little is known about their formation...
March 2017: Journal of Aging & Social Policy
Andrea Louise Campbell
No abstract text is available yet for this article.
March 2017: Journal of Aging & Social Policy
Hong Li, Ling Xu, Iris Chi
Guided by Cantor's social care model, this study identified individual, family, and social support factors that influence urban older adults' need for home- and community-based services, including medical and rehabilitation, instrumental care and support, and psychosocial services. The data were extracted from the Sample Survey on Aged Population in Urban/Rural China conducted by the China Research Center on Aging in 2006. Results from multiple logistic regression show that older adults' need for medical and rehabilitation services is significantly related to instrumental activities of daily living, depression, not having filial children, friend support networks, and having a confidant...
March 2017: Journal of Aging & Social Policy
Min Li, Cuntong Wang
The new rural cooperative medical system (NCMS) is the primary form of social insurance in rural China. This study aims to explore how the NCMS influences the health care seeking behaviors of middle-aged and older Chinese, considering the family and community contexts. A series of multi-level (three-level) models using data from the first wave of the China Health and Retirement Longitudinal Study (CHARLS) are used. We find that the presence of NCMS coverage has a statistically significant association with seeking inpatient and outpatient care but not physical checkups among middle-aged and older rural Chinese: Rural residents insured by NCMS were more likely to seek inpatient and outpatient care than people who were not insured...
March 2017: Journal of Aging & Social Policy
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