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Journal of Aging & Social Policy

Xing Ren, Heng Xi, Shaoguo Zhai, Ming Zhou
A retirement age postponement policy will not only increase pension income but also reduce pension payments, which will cause an accumulation effect on the size of the pension fund and relieve the intensifying pressure on pension payments. Based on the analysis of historical data in order to predict the population and pension scale in China, this research shows that the working-age population will gradually decrease, the supply of labor will decrease, and the demographic dividend will gradually disappear between 2018 and 2055 if the current retirement policy remains unrevised...
October 25, 2018: Journal of Aging & Social Policy
Ashley Carr, Simon Biggs
The regulation of care services has become the principal means by which the state influences provision. In this article we examine the regulation of dementia care within organizations to show how some care activities attract more regulation than others. While often perceived to be overwhelming, regulation is in fact unevenly distributed at the system, organization and, in particular, the care practice levels. In practice, some areas of care are heavily regulated, while others are less so. Drawing on research interviews with staff (N = 60) at three levels of care provider organizations-senior managers, facility managers, and direct care workers-a continuum of regulation, with regulations collecting around some care activities and not others, is developed...
October 25, 2018: Journal of Aging & Social Policy
Verena Menec, Cara Brown
This interpretive review examined the empirical evidence of the factors that facilitate or hinder the implementation of age-friendly community and city (AFCC) initiatives. Thirteen studies were included in the review. Findings show three themes: enablers (consisting of the subthemes of multilevel leadership and a common vision, effective governance and management, and diverse partnerships); process-related factors (e.g., linking to other strategies); and contextual factors (e.g., rural/urban). Moreover, several underlying influencers intersect with these themes, such as how age-friendliness is conceptualized...
October 15, 2018: Journal of Aging & Social Policy
David W Hancock, Amelia E Talley
The present study seeks to confirm the factor structure of the succession, identity, and consumption (SIC) scale of prescriptive ageism as a modern measure of intergenerational ageism, with particular utility for institutionalized ageism and policy in health care, the workplace, and residential facilities. In addition, measurement invariance of the scale is tested for gender and racial/ethnic groups. Confirmatory factor analysis was performed on the scale as initially proposed, treating the items as categorical variables (see for treatment of Likert-type items as categorical)...
October 9, 2018: Journal of Aging & Social Policy
Nils Dahl, Alex Ross, Paul Ong
Self-neglect in old age has severe effects on a person's health and quality of life and poses diverse challenges for primary caregivers and the community. The authors provide a narrative overview of the literature on self-neglect and summarize what is known to date about the main approaches for describing self-neglect, the factors that contribute to self-neglect, and the interventions that have been attempted. We found that answering the question about what factors led people into a state of self-neglect was extremely complex since many studies described a variety of interlinked factors, some of which are sociocultural and others medical...
August 17, 2018: Journal of Aging & Social Policy
Moritz Hess, Jürgen Bauknecht, Sebastian Pink
This study investigates how flexibility in working hours affects retirement timing. It tests the assumption that decreasing weekly working hours delays retirement and extends working life. Using data from four waves of the Survey of Health, Ageing and Retirement in Europe (SHARE) and of the English Longitudinal Study of Ageing (ELSA), we analyze whether a shift from full-time to part-time work delays retirement. Results show that older workers who reduce their working hours retire earlier than those who stay in full-time employment...
October 2018: Journal of Aging & Social Policy
Jiby Mathew Puthenparambil
The early 1990s economic setback brought significant reforms favoring the outsourcing of care in Finnish municipalities. Here, outsourcing refers to the practice of municipalities employing private organizations through different means (e.g., open tendering) to deliver public care services. In this context, this study examines the growth in the outsourcing of service housing and home-help services in 311 municipalities from 2001 to 2015 and investigates the municipal factors associated with outsourcing using four dimensions: care needs, population size, economic situation, and political ideology of the municipality...
October 2018: Journal of Aging & Social Policy
Katarina Andersson, Anders Hanberger, Lennart Nygren
This article explores how local politicians and care unit managers in Swedish eldercare experience and respond to state supervision (SSV). Twelve politicians and twelve managers in 15 previously inspected municipalities were interviewed about their experiences of and reactions to SSV in relation to their views of care quality and routines in eldercare practice. The findings indicate that local managers and political chairs perceived SSV in eldercare positively at a superficial level but were critical of and disappointed with specific aspects of it...
October 2018: Journal of Aging & Social Policy
Maria João Bárrios, Ana Alexandre Fernandes, António Manuel Fonseca
The aging population has an impact on health, social, and economic issues in regard to individuals, communities, and organizations. The challenge for local policies in response to aging is to create sufficient resources to meet the population's needs, wishes, and rights as people age. Active aging constitutes one of the guiding perspectives on policies. Taking into account the local governance perspective, the Model for Aging Local Policies Analysis (MALPA) was created in order to convert the active aging paradigm into a practical approach, as a technique to evaluate and analyze local aging policies...
October 2018: Journal of Aging & Social Policy
Hui-Peng Liew
No abstract text is available yet for this article.
October 2018: Journal of Aging & Social Policy
Simone Pettigrew, Sophie L Cronin, Richard Norman
Autonomous vehicles (AVs) have the potential to improve the health and well-being of older people. This exploratory study involved in-depth interviews with 43 key stakeholders across a broad range of sectors to identify the primary policy implications of AVs for aging populations. Four main issues were evident: a general lack of salience of the needs of older people in the AV discourse, the perceived dominance of the commercial drivers of AV technology, the implications of the particular characteristics of the senior segment, and a lack of available analyses to guide decision making...
August 1, 2018: Journal of Aging & Social Policy
Wayne L Anderson, Sharon K Long, Zhanlian Feng
Individuals dually eligible for Medicare and Medicaid often receive fragmented and inefficient care. Using Minnesota fee-for-service claims, managed care encounters, and enrollment data for 2010-2012, we estimated the likely impact of Minnesota Senior Health Option (MSHO)-seen as the first statewide fully integrated Medicare-Medicaid model-on health care and long-term services and supports use, relative to Minnesota Senior Care Plus (MSC+), a Medicaid-only managed care plan with Medicare fee for service. Estimates suggest that MSHO enrollees had significantly higher use of primary care and, potentially, of community-based services, combined with lower use of hospital-based care than similar MSC+ enrollees...
July 6, 2018: Journal of Aging & Social Policy
Tao Kong, Po Yang
Facing a rapidly aging population, China has recently started to formulate and implement policies with the aim to provide old-age care. While well-developed old-age care policies commonly include a built-in component that assesses eligibility based on vulnerability, no such process is established in the context of China. Here, based on data from the China Health and Retirement Longitudinal Study collected in both 2011 and 2013, we (a) developed a simple and effective strategy for identifying vulnerable Chinese elderly, which can serve as a basis for policy targeting, and (b) improved the policy relevance and targeting efficiency of this vulnerability measure by including additional health indicators...
July 6, 2018: Journal of Aging & Social Policy
Michael Lepore, Angela M Greene, Kristie Porter, Linda Lux, Emily Vreeland, Catherine Hawes
Residential care facilities operating without a state license are known to house vulnerable adults. Such unlicensed care homes (UCHs) commonly operate illegally, making them difficult to investigate. We conducted an exploratory, multimethod qualitative study of UCHs, including 18 subject matter expert interviews and site visits to three states, including a total of 30 stakeholder interviews, to understand UCH operations, services provided, and residents served. Findings indicate that various vulnerable groups reside in UCHs; some UCHs offer unsafe living environments; and some residents are reportedly abused, neglected, and financially exploited...
June 11, 2018: Journal of Aging & Social Policy
Yue Li, Xueya Cai, Charlene Harrington, Michael Hasselberg, Yeates Conwell, Xi Cen, Helena Temkin-Greener
This study aimed to examine racial and ethnic differences in significant depressive symptoms among long-term nursing home residents. We analyzed the 2014 national Minimum Data Set linked to a nursing home file and estimated multivariable logistic regressions to determine the associations of race and ethnicities with significant depressive symptoms (score ≥ 10 on the 9-item Patient Health Questionnaire [PHQ-9] scale) and whether associations were explained by resident and nursing home covariates. Stratified analyses further determined independent associations in subgroups of residents...
June 8, 2018: Journal of Aging & Social Policy
Mohamed Ismail, Shereen Hussein
Population aging is a phenomenon occurring across the globe including in countries traditionally exhibiting population dividends and "youth bulges." The Gulf Corporation Council countries are no exception as they currently experience a process of population aging, albeit at a different stage from many developed countries. However, due to historically high fertility rates and fast-paced epidemiological transition, some of these countries will experience population aging at a higher pace than what has been observed in Europe and the United States...
June 8, 2018: Journal of Aging & Social Policy
Kylie Meyer, Laura Rath, Zach Gassoumis, Natalie Kaiser, Kathleen Wilber
Family caregivers are the cornerstone of the long-term supports and services infrastructure in the United States, yet they often contend with many challenges related to this role. Public policy has been slow to change, leaving many caregivers vulnerable to health and economic consequences. Using models of policy making, we identify barriers to advancing policies that support family caregivers and overcome policy drift. We draw on discussions from the California Task Force on Family Caregiving as it prepares state policy recommendations...
June 8, 2018: Journal of Aging & Social Policy
Sarah Gibney, Eithne Sexton, Sinead Shannon
The objective of this study was to measure consensus among expert stakeholders on a set of positive aging outcome indicators in Ireland. Stakeholders from academic, public, and voluntary sectors and older people participated in a 3-round, online Delphi study to evaluate indicators for participation, security, healthy aging, attitudes to aging, and information access. Evaluation criteria included: acceptability, utility, accessibility, ranking, and balance and coherence. Consensus was achieved on 56 key indicators that are aligned with action areas in the National Positive Ageing Strategy...
June 8, 2018: Journal of Aging & Social Policy
Anja K Leist, Rafael Novella, Javier Olivera
Maintaining cognitive function is a prerequisite of living independently, which is a highly valued component in older individuals' well-being. In this article we assess the role of early-life and later-life nutritional status, education, and literacy on the cognitive functioning of older adults living in poverty in Peru. We exploit the baseline sample of the Peruvian noncontributory pension program Pension 65 and find that current nutritional status and literacy are strongly associated with cognitive functioning for poor older adults...
June 8, 2018: Journal of Aging & Social Policy
Yuan Yuan Fu, Ernest Wing-Tak Chui, Chi Kin Law, XinYi Zhao, Vivian W Q Lou
Because of its rapidly aging population, Hong Kong faces great challenges in the provision and financing of long-term care (LTC) and needs to explore sustainable funding mechanisms. However, there is a paucity of research on older people's willingness to pay (WTP) for LTC services in Hong Kong. This study utilizes data collected in Hong Kong in 2011 (N = 536) to investigate older people's receptivity to this financing mode by assessing their co-payments for a community care service voucher scheme and then testing how potential factors affect respondents' amount of co-payment...
May 10, 2018: Journal of Aging & Social Policy
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