scholarly journals War across the life course: examining the impact of exposure to conflict on a comprehensive inventory of health measures in an aging Vietnamese population

2021 ◽  
Author(s):  
Zachary Zimmer ◽  
Kathryn Fraser ◽  
Kim Korinek ◽  
Mevlude Akbulut-Yuksel ◽  
Yvette Marie Young ◽  
...  
Keyword(s):  
Life Course ◽  
Health Outcomes ◽  
Later Life ◽  
Stressful Events ◽  
Long Term Effects ◽  
Post Traumatic Stress ◽  
Middle Income ◽  
The Life Course ◽  
The Impact ◽  
Effects Of War

Abstract Background The majority of evidence indicates that exposure to war and other traumatic events continue to have negative impacts on health across the life course. However, existing research on health effects of war exposure primarily concentrates on short-term impacts among veterans in high-income countries sent elsewhere to battle. Yet, most wars situate in lower- and middle-income countries, where many are now or will soon be entering old age. Consequently, the current burden of exposure to war has ignored an important global population. Methods The Vietnam Health and Aging Study (VHAS) is a longitudinal study designed to examine historical exposure to highly stressful events during the American War. Two modes of data collection, involving a sample of 2447 individuals aged 60+ years in northern Vietnam, took place between May and August 2018. Using this first wave of data, we generate indexed measures of war exposure and analyze their associations with a set of 12 health outcomes, accounting for confounding variables. Results Results indicate that greater exposure to three types of war exposure (death and injury, stressful living conditions, and fearing death and/or injury) in earlier life is associated with worse health in later-life across a large number of health outcomes, such as number of diagnosed health conditions, mental distress, somatic symptoms, physical functioning, post-traumatic stress symptoms and chronic pain. Conclusions Findings support a life course theory of health and point to long-term effects of war on health that require detailed attention.

scholarly journals CONTINUITY OF CAREER OVER THE LIFE COURSE ON LIFE SATISFACTION AND DEPRESSIVE SYMPTOMS IN LATER LIFE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S128-S129
Author(s):  
Melanie S Hill ◽  
James E Hill ◽  
Stephanie Richardson ◽  
Jessica Brown ◽  
Jeremy B Yorgason ◽  
...  
Keyword(s):  
High School ◽  
Life Satisfaction ◽  
Depressive Symptoms ◽  
Life Course ◽  
Career Choice ◽  
Early Adulthood ◽  
Later Life ◽  
Well Being ◽  
The Life Course ◽  
The Impact

Abstract Identity scholars have suggested that having a unified sense of past, present, and future is related to positive well-being outcomes (Whitbourne, Sneed & Skultety, 2009). One’s occupation can have a profound influence on an individual’s identity throughout the life course (Nazar & van der Heijden, 2012). Research has looked at career mobility among younger age groups (Baiyun, Ramkissoon, Greenwood, & Hoyte, 2018); however, less is known about the impact of career stability later in life. Consistency in career choice over the life course may have positive outcomes down the line as career becomes part of an individual's identity. The current study uses the Life and Family Legacies dataset, a longitudinal state-representative sample of 3,348, to examine individual’s careers at three points in the life course: high school (projected career choice), early adulthood, and later life. Results revealed that a match of desired career in high school and actual career in early adulthood was not predictive of life satisfaction or depressive symptoms in later life. However, a match of career in early adulthood and later life was significantly related to better life satisfaction and less depressive symptoms, which was explained through higher levels of job satisfaction. This study highlights the importance of acquiring and maintaining a career that is fulfilling to the individual over the course of early adulthood to later life.

scholarly journals YOU’LL SEE: YOUNGER RESEARCHERS INTERVIEWING OLDER PARTICIPANTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S706-S707
Author(s):  
Sarah Jen ◽  
Yuanjin Zhou ◽  
Mijin Jeong
Keyword(s):  
Qualitative Research ◽  
Life Course ◽  
Life Experience ◽  
Later Life ◽  
Research Process ◽  
Age Difference ◽  
Younger Women ◽  
Age Related ◽  
The Life Course ◽  
The Impact

Abstract In qualitative research, similarities and differences between the participant and researcher influence the research process and dynamics. Specifically, the age difference between older participants and relatively younger qualitative researchers is a common, but under-examined dynamic requiring nuanced, reflexive analysis. Using a life course conceptual framing, this study explored age-related participant-researcher dynamics in interviews from two qualitative studies of older women’s sexual experiences in later life. Participants included 25 women whose ages ranged from 55 to 93 and both studies were completed by the same researcher, a relatively younger woman (age 23 and 28 at times of data collection). A thematic analysis revealed three primary themes: 1) taking care - participants took care of the researcher by offering advice, asking about the researcher’s life, and expressing hopes for a positive future, 2) expertise – varied expertise was demonstrated by the researcher (e.g. substantive and scholarly) and participants (e.g. life experience), and 3) researcher growth - the researcher’s interviewing tactics shifted between the two studies (e.g. use of validation rather than consolation in response to aging-related concerns), indicating a shift in perceptions of aging and later life. Findings indicate that older women participants and younger women researchers are bound together through the life course, by shared gendered experiences, the fact that one will eventually become the other, and the mutual sharing of expertise and caring. Gerontology researchers must actively reflect on the impact of their own identities and aging perceptions on the interviewing process in order to enhance rigor in qualitative research.

scholarly journals The Impact of Life Course Employment and Domestic Duties on the Well-Being of Retired Women and the Social Protection Systems That Frame This

2018 ◽  
Vol 32 (5-6) ◽  
pp. 285-295 ◽  
Author(s):  
Sara Zella ◽  
Sarah Harper
Keyword(s):  
Life Course ◽  
Women’S Health ◽  
Women's Health ◽  
Social Protection ◽  
Positive Association ◽  
Later Life ◽  
Well Being ◽  
Welfare States ◽  
The Life Course ◽  
The Impact

Objectives: The article addresses whether specific combinations of employment and domestic duties over the life course are associated with variations in women’s health at the time of retirement. It also explores the differences of this relationship in four European welfare states. Method: Women from three waves of SHARE (Survey of Health, Aging and Retirement in Europe) are grouped using sequence analysis. Using logistic regression models, group differences in later life depression and self-reported health are tested. Predicted probabilities are applied to analyze welfares’ differences. Results: The findings confirm that a combination of employment and domestic duties across the life course has a positive association with later life health. Being outside the labor market is detrimental for women’s health. Well-being across the life course is framed by the welfare context in which women live. Discussion: We suggest that further research is needed to explore the mechanisms linking work and care trajectories to poor health and enable appropriate interventions.

Older Women and Sexuality: Experiences in Marital Relationships across the Life Course

2006 ◽  
Vol 25 (2) ◽  
pp. 129-140 ◽  
Author(s):  
Laura Hurd Clarke
Keyword(s):  
Life Course ◽  
Older Women ◽  
Sexual Interest ◽  
Later Life ◽  
Sexual Relationships ◽  
Sexual Scripts ◽  
Cultural Norms ◽  
Sexual Experiences ◽  
The Life Course ◽  
The Impact

ABSTRACTRates of sexual activity have been found to decline over the life course, as individuals experience marital transitions and the loss of partners, health problems, and decreased sexual interest. This article compares and contrasts earlier- and later-life sexual experiences and examines the changing meanings that older women ascribe to sexuality over the life course. Qualitative data from a study involving 24 women aged 52 to 90 who were remarried after age 50 illuminate a shift, as individuals age, from an emphasis on the importance of sexual intercourse and passion to a greater valuing of companionship, cuddling, affection, and intimacy. Situating the discussion in the context of changing cultural norms and sexual scripts, the article investigates the impact of health conditions on the women's sexual relationships as well as the women's tendency to have later-life sexual experiences more positive than were their earlier sexual experiences.

Basic Skills, Literacy Practices and the ‘Hidden Injuries of Class’

2015 ◽  
Vol 20 (1) ◽  
pp. 17-28 ◽  
Author(s):  
Mark Cieslik ◽  
Donald Simpson
Keyword(s):  
Life Course ◽  
Literacy Practices ◽  
Later Life ◽  
Literacy Learning ◽  
Social Identities ◽  
Life Chances ◽  
Corrosive Effect ◽  
The Life Course ◽  
The Impact

This paper draws on qualitative data from three research projects that examined the impact of poor skills on the life chances of adults living in two disadvantaged areas of England. We employed the theories of Goffman and Bourdieu to document how problems with literacy have a corrosive effect on the identities of interviewees, threatening their wellbeing. Though learning difficulties occur across all social backgrounds, the poor family resources and educational opportunities of our respondents meant they struggled to overcome their literacy problems when young, thus shaping later life course transitions. Thus the origins of the shame that our adults felt about their poor skills lie in part in the distinctive classed experiences they had when young. However, the resourcefulness of our respondents meant that many had secured employment, bought homes and become parents which obscured the ongoing psychic problems that a lifetime of poor skills had bestowed on our sample. The disjuncture between the apparent material standing of our sample and the ‘hidden injuries of class’ raises questions about how we understand the operation of class across the life course and the role of literacy, learning and wellbeing in the shaping of social identities.

scholarly journals Life-Course Transitions to Precarious Housing in Older Age

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 596-596
Author(s):  
Helen Barrie ◽  
Debbie Faulkner ◽  
Laurence Lester
Keyword(s):  
Older People ◽  
Life Course ◽  
Home Ownership ◽  
Later Life ◽  
Older Age ◽  
Middle Income ◽  
Life Course Transitions ◽  
Health And Wellbeing ◽  
Household Dynamics ◽  
The Life Course

Abstract Home is central to health and wellbeing; yet the changing nature of work, household dynamics and especially housing markets, with scant policy attention and action around this, means low-middle income households are struggling in many countries. In Australia, while older people are considered to be at less risk because of higher levels of home ownership, there is a growing body of evidence about the living situations of older people who have not attained or retained home ownership over the life course and have limited wealth and savings moving into later life. This paper presents the findings of multivariate regression modelling using HILDA, a national longitudinal panel survey, to identify the profile(s) of older people at risk of homelessness in Australia. The data makes it clear a range of structural and individual factors across the life course are increasingly impacting on the ability to live a good life in older age.

scholarly journals New Perspectives on Loneliness: From Micro Qualitative to Macro Quantitative Cross-National Comparisons

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 609-609
Author(s):  
Marja Aartsen
Keyword(s):  
Life Course ◽  
Ecological Model ◽  
Longitudinal Research ◽  
Qualitative Interviews ◽  
Later Life ◽  
Life Course Perspective ◽  
Effective Prevention ◽  
The Life Course ◽  
The Impact

Abstract Longitudinal research revealed a number of micro-level drivers of loneliness, such as widowhood, exclusion from the wider society, ill health and migrant status, but a number of questions are still unanswered. For example, the prevalence of loneliness varies substantially across countries, but we do not know precisely what causes these differences. It may be due to differences in the composition of the populations, it may also be caused by macro-level drivers, or by variations in the impact of risk factors between countries. For example, losing a spouse may be loneliness provoking in countries where living with a partner is the norm, but less so in countries where living alone is more valued. Also how early childhood and events over the life course affect the level of loneliness in later life is still under-researched. The aim of our symposium is to address this gap by presenting different perspectives on loneliness and social isolation. The first presenter interprets five-year follow-up information from qualitative interviews with a life course perspective. The second investigates the role of trust as factor producing social integration, which leads to variations in loneliness. The third compares and discusses loneliness in three different continents, based on an ecological model of contexts. The forth presenter critically discusses ways to measure loneliness in societies that are culturally distinct from western cultures. The last presenter discusses the dynamics between loneliness and material deprivation in Europe. The findings provide a new lens through which we can understand loneliness and inform about effective prevention.

scholarly journals CUMULATIVE ADVANTAGE IN CHANGING ECONOMIC TIMES: STRESS, DISTRESS, AND FUTURE PROSPECTS FOR AGING COHORTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S418-S418
Author(s):  
Dale Dannefer ◽  
Stephen Crystal ◽  
Angela O’Rand
Keyword(s):  
Life Course ◽  
Great Recession ◽  
Late Life ◽  
Later Life ◽  
Well Being ◽  
Historical Change ◽  
Cumulative Advantage ◽  
Long Term Effects ◽  
The Great Recession ◽  
The Impact

Abstract Processes of cumulative dis/advantage operate within cohorts and across historical time. In the ongoing dance of age, cohort and period, each cohort encounters distinctive social and economic environments at particular ages that may ameliorate or exacerbate the cumulative and systemic processes of inequality production that operate over its collective life course. We explore issues of current and future late-life inequality and its consequences. As overall income inequality has grown, what are the likely consequences for late-life outcomes? How have cohorts currently in midlife been affected by the Great Recession of 2008 and subsequent recovery? What are the mental and physical consequences of these developments, and to what extent can they be ameliorated by interventions in middle and later adulthood? This symposium addresses how variation in economic circumstances and social and psychological stresses may affect outcomes over the life course, and how these complex, interacting processes can be best conceptualized and examined. One paper examines the impact of the Great Recession and subsequent events on the intracohort distribution of income, suggesting inordinate setbacks during the Recession with likely long-term effects for economically vulnerable subpopulations. Another explores the role of psychosocial stressors in the process of cumulative dis/advantage, focusing on linkages between functional limitations and psychological well-being in later life, and how these linkages are amplified by diverse dimensions of disadvantage (e.g., education, employment; coping strategies; caregiving). A third paper examines the intergenerational dimensions of cumulative advantage processes. Finally, contrasting theoretical frameworks for apprehending life-course processes and historical change will be explored.

scholarly journals Economic Inequality Over the Life Course: Causes and Effects of Cumulative Dis/Advantage Processes

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 585-586
Author(s):  
Jessica Kelley ◽  
Stephen Crystal ◽  
Jessica Kelley
Keyword(s):  
Older Adults ◽  
Life Course ◽  
Student Loans ◽  
Economic Inequality ◽  
Age Groups ◽  
Later Life ◽  
Economic Policies ◽  
Structural Racism ◽  
The Life Course ◽  
The Impact

Abstract Economic inequality has grown rapidly in all age groups in the past several decades. In each successive cohort, the wealth gap grows for young people and seems to accelerate faster over the life course. While rising inequality has taken its toll on Baby Boomers, we have become acutely aware of the increasing economic pressures across the entire life course (work precarity; student loans) that will manifest in the greatest degree of inequality in older adulthood seen to date. This session explores the forces that have shaped the degree of inequality among current older adults and are setting the stage for future cohorts of older adults. Presenters will explore several aspects of this issue: the growing state of the “risk retirement,” the impact of income inequality on later-life wealth and health, the structural racism written into economic policies intended to help Americans accumulate wealth and maintain health, and the market disadvantage for GED recipients compared to high school diploma recipients.

scholarly journals The impact of economic sanctions on health and health systems in low- and middle-income countries

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Suhrcke ◽  
M Pinna Pintor ◽  
C Hamelmann
Keyword(s):  
Health Outcomes ◽  
Health System ◽  
Health Systems ◽  
Grey Literature ◽  
Economic Sanctions ◽  
Political Crisis ◽  
Middle Income ◽  
Financial Flows ◽  
Adverse Health ◽  
The Impact

Abstract Background Economic sanctions, understood as measures taken by one state or a group of states to coerce another into a desired conduct (eg by restricting trade and financial flows) do not primarily seek to adversely affect the health or health system of the target country's population. Yet, there may be indirect or unintended health and health system consequences that ought to be borne in mind when assessing the full set of effects of sanctions. We take stock of the evidence to date in terms of whether - and if so, how - economic sanctions impact health and health systems in LMICs. Methods We undertook a structured literature review (using MEDLINE and Google Scholar), covering the peer-reviewed and grey literature published from 1970-2019, with a specific focus on quantitative assessments. Results Most studies (23/27) that met our inclusion criteria focus on the relationship between sanctions and health outcomes, ranging from infant or child mortality as the most frequent case over viral hepatitis to diabetes and HIV, among others. Fewer studies (9/27) examined health system related indicators, either as a sole focus or jointly with health outcomes. A minority of studies explicitly addressed some of the methodological challenges, incl. control for relevant confounders and the endogeneity of sanctions. Taking the results at face value, the evidence is almost unanimous in highlighting the adverse health and health system effects of economic sanctions. Conclusions Quantitatively assessing the impact of economic sanctions on health or health systems is a challenging task, not least as it is persistently difficult to disentangle the effect of sanctions from many other, potentially major factors at work that matter for health (as, for instance, war). In addition, in times of severe economic and political crisis (which often coincide with sanctions), the collection of accurate and comprehensive data that could allow appropriate measurement is typically not a priority. Key messages The existing evidence is almost unanimous in highlighting the adverse health and health system effects of economic sanctions. There is preciously little good quality evidence on the health (system) impact of economic sanctions.

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