Age-Friendly Communities and Aging in Place: Findings From Latent Profile Analysis

Older adults prefer to live in their current home or community and ‘Aging in place’ has been shown to reduce the cost of caring for older adults and help their successful aging. Although age-friendly communities (AFC) initiatives have been helpful to aging in place, little has been known about the relationship between the types of AFC and aging in place. Using the 2017 AARP Age-Friendly Community Survey, we included 1,079 adults aged 65 or older. We measured aging in place as ‘move to a different community’, ‘move into a different residence within your current community’, and ‘stay in your current residence’, and included eight AFC constructs. We identified the type of AFC using Latent Profile Analysis: low-friendly, mid-friendly, and high-friendly. We also ran multinomial logistic regression to examine whether the types of AFC were associated with aging in place. Of the total participants, 26.0% lived in the low-friendly community, 23.7% in the mid-friendly community, and 50.3% in the high-friendly community. Older adults living in the high-friendly community were more likely to stay in the current residence (64.7%) than those in the low-friendly (47.1%) (χ2=28.680, p<.001). Also, older adults living in the low-friendly community (OR=3.05, p<.001) and the mid-friendly community (OR=1.42, p<.10) were more likely to move to a different community compared to those living in the high-friendly community. This result suggests that it is important to build an AFC to promote aging in place. For the growing number of older adults' lives, policymakers should consider expanding the AFC initiatives.

Effect of social integration on childbirth return among internal migrant pregnant women: a nationally representative study in China

Background Social integration has been demonstrated to be associated with the health care use among migrants, but few studies have focused on migrant pregnant women. This study aims to explore the association between social integration and childbirth at woman’s hometown (childbirth return) of internal migrant pregnant women in China. Method Using the data of “Monitoring Data of Chinese Migrants” in 2014, a total of 3412 internal migrant pregnant women were included in this study. Social integration was measured by economic integration, acculturation, and identification. The childbirth locations of internal migrant pregnant women were divided into current residency and the woman’s hometown. Univariate logistic regression and two multivariable logistic regression models were employed to assess the association between social integration and childbirth return among internal migrant pregnant women. Result Our study finds that 24.56% of migrant pregnant women choose to have a childbirth return. As for social integration, those who have their own house (OR = 0.351 95% CI 0.207–0.595) in current residence, who have been staying in current residence for at least 5 years (OR = 0.449; 95% CI 0.322–0.626), and who are willing to stay in the current residence for a long time (OR = 0.731; 95% CI 0.537–0.995) are less likely to have a childbirth return. Apart from social integration, our results also show that those migrant pregnant women who are older, who have higher education level, who have at least two family members in current residence, with a migration reason of work and business, who have established health record in the current residency, and who were not covered by medical insurances, are less likely to have a childbirth return. Conclusion Social integration is negatively associated with childbirth return among internal migrant pregnant women in China. To improve the utilization of maternal care services for migrant pregnant women in current residence, targeted policies should be made to improve social integration status for migrant pregnant women.

Customers’ Perception and the Role of Demographic Characteristics in Online Bank Marketing Strategies

Purpose - the essential purpose of this study is to research the customers’ perception and therefore the role of demographic characteristics in on-line bank promoting methods. It helps the bankers as a parameter to boost the character and closeness of relationship between bank promoting methods and therefore the demographic factors particularly, bank customers’ standing within the family, gender, age, academic qualification, occupation and monthly financial gain. And to predict the character and closeness of relationship between current perception concerning bank promoting methods and their current position concerning paying of housing loan, important stage of documentation, most frequented bank, variety of account with the bank, variety of coping with the bank, the other checking account, bank with most no. of ATM dealingss and frequent usage of on-line banking transaction. Design/methodology/approach - Descriptive study was conducted to search out out the extent of relationship that prevails between demographic characteristics and bank promoting methods. 493 questionnaires were collected supported convenient sampling. This study includes each the first and secondary knowledge. Primary knowledge was through the planned form with direct, open-ended and closed-ended multiple alternative queries containing demographic variables and bank promoting methods. The man of science has framed the form supported varied reviews, personal interview with bank managers. Secondary knowledge of the study were gathered from magazines, journal books, through on-line, banking sources, past researches and reviews Findings - Through multiple correlation analysis, the study reveals that there exist a big relationship between the demographic variables, namely, bank customers standing within the family, gender, age, academic qualification, occupation, monthly financial gain, legal status, religion, current residence, standing of current residence, stick with the family associate degreed bank customers possessing an own house and their perception towards bank promoting methods. and therefore the results showed that there's a big relationship between client perception towards the bank promoting methods and most often used bank, variety of account within the bank, variety of coping with the bank, most most popular ATM, and frequency of visit to the location. This study is additionally valuable to different investigators for coming study.

El proceso migratorio de los representantes africanos en Cataluña: expectativas e imágenes

Este estudio, en cuya realización se ha empleado metodología cualitativa (entrevistas en profundidad) con una perspectiva territorial que abarca el ámbito de Cataluña, centra el objeto de estudio en los diferentes motivos que han llevado a los representantes de las asociaciones africanas a emigrar hasta Cataluña, el itinerario realizado y en qué condiciones han hecho el viaje. Seguidamente, cómo son los primeros momentos de su estancia en España y/o Cataluña hasta llegar a la residencia actual (asentamientos, ocupaciones laborales, situación familiar, inserción en la sociedad de acogida, etc.). Asimismo, nos interesa conocer la imagen que tienen del país de destino, antes del proceso migratorio y después, una vez ya residen entre nosotros. This study, in which qualitative methodology has been used (in-depth interviews) with a territorial perspective that covers the scope of Catalonia, focuses on the different reasons that have led the representatives of African associations to migrate to Catalonia, the itinerary made and in what conditions the trip has been made. Beyond presenting the first moments of their stay in Spain and / or Catalonia until reaching the current residence, we are interested in knowing the image they have of the destination country and the perspective on the situation of the African community itself.

Should There Be an Upper Age Limit to Transplantation? A Pilot Questionnaire Survey.

Being self-renewable, the hematopoietic stem cells are seemingly unlimited. Scarcity of donor tissues, unlike the solid organ transplantation, is not a limiting criterion for stem cell transplantation (SCT). We are interested in the public opinion of the upper age limit for transplantation and a pilot questionnaire survey was designed. The survey was approved by IRB and conducted among ASCO participants who visited one of our posters in 6/2004. Forty-seven questionnaires were returned on site. Among those who completed the respective questions, 63% were males, median age was 39 (range 30–60) years, 81% were medical doctors, 51% currently worked in the US, 50% graduated their highest academic degrees in the US, and median time interval from graduation was 8.5 (range 1–37) years. When asked to comment on "There should be an upper age limit to transplantation", 11% strongly and 39% somewhat disagreed, 11% were neutral to the statement, and 35% somewhat and 4% strongly agreed. Among those who completed the respective questions, 52% and 62% felt that 70 years should be the upper age limit for kidney and autologous SCT respectively; whereas 61%, 71% and 68% felt that 60 years should be the upper age limit for liver, heart/lung and allogeneic SCT respectively. "Should transplantation be offered to people older than 65?" For kidney and autologous SCT, the majority (64% and 94% respectively) answered yes. For liver, heart/lung and allogeneic SCT, the majority (60%, 56% and 59% respectively) answered no. "Should transplantation be offered to people older than 70?" For autologous SCT, 52% still answered yes. For kidney, liver, heart/lung and allogeneic SCT, the majority (60%, 76%, 77% and 83% respectively) answered no. To investigate specifically SCT, we asked, "Should autologous SCT be offered in the following scenario - 5-year overall survival with transplantation is 50% compared to <20% without transplantation and early transplant mortality is 5%?" Over 86% felt that autologous SCT should be offered in people 70 years of age or younger. When we asked, "Should allogeneic SCT be offered in the following scenario - 5-year overall survival with transplantation is 50% compared to <20% without transplantation and early transplant mortality is 20%?" Over 86% felt that allogeneic SCT should only be offered to people 60 years of age or younger. We analyzed the possible correlation of various factors, age, gender, occupation, current residence, country of graduation, and time interval of graduation, to their comments to the statement, "There should be an upper age limit to transplantation", by chi-square test. Interestingly, the country of graduation, but not the current residence, correlated with their answers. Participants who graduated from outside US are more likely to agree (52%) to the statement than those who graduated in the US (25%) (chi sq p= 0.02). CONCLUSION: In this pilot study, about half of the participants strongly and somewhat disagreed that there should be upper age limit to transplantation. Among those who completed the questions, 70 years should be the upper age limit for kidney and autologous SCT, and 60 years for liver, heart/lung and allogeneic SCT. In addition, there is a significant difference in the opinion of U.S. versus non-U.S. graduates whether there should be an upper age limit for transplantation. Further study is required to confirm these findings.

Home owners, home renovation and residential mobility

Contemporary studies into residential mobility focus on mover households, but pay little attention to households that do not move. Conceptually, it is assumed that households make a voluntary decision to move when their current residence no longer meets their needs. This argument does not however account for households who, in the face of residential dissatisfaction, renovate or undertake alterations to better satisfy their needs. This paper presents data for Adelaide, South Australia to look at the extent to which owners renovate their homes. The analysis identifies two groups of renovators-non-mover renovators and mover renovators. Using data from the Housing and Location Preference Survey, an analysis is presented which discusses the factors which may influence renovation activity of these two groups.