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1 – 10 of over 4000Liying Xia, Jianbo Zhang and Xuelin Ma
Based on the data from “Thousand village surveys” project of Shanghai University of Finance and Economics, we employ the ordered logistic method to do the empirical analysis on…
Abstract
Based on the data from “Thousand village surveys” project of Shanghai University of Finance and Economics, we employ the ordered logistic method to do the empirical analysis on consumption, life and satisfaction (subjective well-being) of Chinese rural elderly. First, the result shows that the consumption (exclude medical expenses) has positive effect on the satisfaction of Chinese rural elderly, while the rural elderly are not preferred to compare with others. Good participation in social life and medical care condition could enhance the satisfaction of rural elderly. Second, the authors divided the sample into two groups as high-consumption group and low-consumption group. The result shows that the low-consumption group more tend to rely on their family members than high-consumption group. The authors suggest that in order to improve the rural elderly life satisfaction, the government needs to improve medical care system.
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Qiran Zhao, Stephan Brosig, Renfu Luo, Linxiu Zhang, Ai Yue and Scott Rozelle
The need for a universal rural pension system has been heightened by demographic changes in rural China, including the rapid aging of the nation’s rural population and a dramatic…
Abstract
Purpose
The need for a universal rural pension system has been heightened by demographic changes in rural China, including the rapid aging of the nation’s rural population and a dramatic decline in fertility. In response to these changes, China’s Government introduced the New Rural Social Pension Program (NRSPP) in 2009, a voluntary and highly subsidized pension scheme. The purpose of this paper is to assess the participation of rural farmers in the NRSPP. Furthermore, the authors examine whether the NRSPP affects the labor supply of the elderly population in China.
Design/methodology/approach
This paper uses household-level data from a sample of 2,020 households originating from a survey conducted by the authors in five provinces, 25 counties, and 101 villages in rural China. Using a probit model and conducting correlation analysis, the authors demonstrate the factors affecting the participation and the impact of NRSPP on labor supply of the rural elderly.
Findings
The results show there are several factors that are correlated with participation, such as specific policy variant in force in the respective household's province, the size of the pension payout from government, the age of sample individuals, and the value of household durable assets. Specifically, different characteristics of NRSPP policy implementation increase participation in China’s social pension program. The results suggest that the introduction of the NRSPP has not affected the labor supply of the rural elderly, in general, although it has reduced participation for the elderly who were in poor health.
Originality/value
Several previous studies have covered the NRSPP. However, all previous studies were based on case studies or just focused on a small region, and for this reason the results cannot reflect the populations and heterogeneity of rural areas. Therefore, a data set with a large sample size is used in this paper to provide a new perspective to fully understand the participation of NRSPP and its impacts on rural households. This paper will make an update contribution to the literature in the area of pension programs in China.
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Paul Alhassan Issahaku and Sheila Neysmith
The purpose of this paper is to discuss trends in demographic ageing in West Africa and asks the question of what policy challenges are posed by the increasing presence of older…
Abstract
Purpose
The purpose of this paper is to discuss trends in demographic ageing in West Africa and asks the question of what policy challenges are posed by the increasing presence of older persons in the subregion. We explore the unique dimensions of population ageing in the subregion, including its rural‐urban and gendered distributions, the occupational history of older persons, among others with the view to identifying the health, housing, and income security implications of ageing. The paper discovers and reviews what policy initiatives are being pursued in respect of older persons and suggests ways for their improvement.
Design/methodology/approach
The paper draws on the existing literature on ageing and policy in both published and grey sources, including national and international policy documents. The discussion looks at policy responses in Ghana as a case example for the West African context. Policy information pertaining to Ghana is interpreted in light of the first author's personal familiarity with the context as a national of that country. The age of adults in this context is hard to determine due to low birth registration. In this paper older persons are defined as those 60 plus in chronological years, the age of retirement in Ghana.
Findings
It is established that older persons are concentrated in the rural areas of West Africa and a higher proportion of this demographic group is female. Further, the majority of older persons in West Africa has low formal literacy, is in the informal economy, and has no income security in old age. Yet, older persons continue to play the significant role of grandparenting. This examination of Ghana's policy on ageing revealed inadequacies which need to be addressed. A key recommendation is a policy of universal non‐means‐tested old age security to provide basic income for persons aged 60 years and above.
Originality/value
A recommended policy of universal non‐means‐tested old age security to provide basic income for persons aged 60 years and above in Ghana is the original contribution of this paper.
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Fang Chang, Yaojiang Shi, Hongmei Yi and Natalie Johnson
The purpose of this paper is to evaluate the effect of adult children migration on the health status of elderly parents. Increased labor migration in developing countries that…
Abstract
Purpose
The purpose of this paper is to evaluate the effect of adult children migration on the health status of elderly parents. Increased labor migration in developing countries that lack adequate social security systems and institutionalized care for the elderly is a phenomenon that is important to understand. When their adult children go away to work, it is not clear what effect there will be on “left-behind” elderly parents.
Design/methodology/approach
This study employs nearly nationally representative data from five provinces, 25 counties, 101 villages and 2,000 households, collected from two waves of data in 2007 and 2011. This sample comprises a subset of households which include both elderly individuals (above 60 years old) and their grown (working-aged) children in order to estimate the impact of adult child migration on the health of elderly parents in rural China.
Findings
This study finds that adult child migration has a significant positive impact on the health of elderly family members.
Practical implications
These findings are consistent with the explanation that migration raises family resources, which in turn may contribute to better health outcomes for elderly household members.
Originality/value
This is the first paper to attempt to identify the relationship between household migration and the health of elderly parents within the Chinese context.
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The purpose of this paper is to analyse the labour force participation of older persons (aged 60 and above) in India from 1983 to 2011-2012. The paper also briefly reviews the…
Abstract
Purpose
The purpose of this paper is to analyse the labour force participation of older persons (aged 60 and above) in India from 1983 to 2011-2012. The paper also briefly reviews the conditions of work for the elderly and examines different socio-economic and demographic factors that are associated with labour force participation of elderly in India.
Design/methodology/approach
The author uses data from repeated cross-sectional rounds of Employment and Unemployment Surveys of National Sample Survey Office from 1983 to 2011-2012. The author uses probit regression model to identify the socio-economic and demographic variables that are associated with the labour participation of the elderly in India.
Findings
The results show that labour force participation rate of older persons in rural India remained almost stable between 1983 and 2011-2012, despite the rapid economic growth that India experienced during the same period. Further, the results show that among the elderly, those who belong to relatively poor socio-economic status are more likely to participate in the labour force. It is observed that large percentage of the elderly workforce are engaged in poorly paid jobs in the informal sector, either as casual workers or as self-employed in low-skilled or unskilled occupations.
Research limitations/implications
This paper is mostly descriptive in its analysis and it only points to the possible socio-economic and demographic determinants of elderly labour force participation in India.
Originality/value
Given that the studies on employment of elderly in India are scanty, this paper provides new evidence on changes in labour force participation of elderly over last three decades. Further, this study makes an attempts to understand who among the elderly most likely to participation in labour force in India.
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Eunice Yarce-Pinzón, Yenny Vicky Paredes-Arturo, Andrea Florez-Madroñero, Daniel Camilo Aguirre-Acevedo and Diego Mauricio Diaz-Velásquez
The purpose of this study was to determine the factors associated with functionality, a clinical criterion that could predict frailty in the elderly people in a rural context.
Abstract
Purpose
The purpose of this study was to determine the factors associated with functionality, a clinical criterion that could predict frailty in the elderly people in a rural context.
Design/methodology/approach
This project is a cross-sectional descriptive analysis of 342 adults of age >60 years who are residents of Putumayo province in Colombia. Information regarding demographic characteristics, medical history, health perception and current illness was collected. The Mini-Mental State Examination (MMSE) protocol was used to perform cognitive evaluation; the Yesavage Geriatric Depression Scale was used to establish depressive symptoms; and the Hamilton Rating Scale was used to assess anxiety level. Questionnaire was used to evaluate performance on instrumental activities of daily living that lead to functional independence [daily life questionnaire (DLQ)]. The medical outcomes study scale was used to assess social parameters.
Findings
A moderate and negative correlation was found between the DLQ score and age (r = −0.49; 95% CI: −0.57 to −0.47), whereas a positive correlation was found with education (r = 0.17; 95% CI: 0.07–0.27). Older adults with economic independence achieved a higher score in functional performance than those with economic dependence (standardized mean difference = 0.55; 95% CI: 0.33–0.77). This study observed a moderate correlation a moderate correlation between the MMSE cognitive performance (r = 0.56; 95% CI: 0.48−0.63) and the depressive symptomatology of Yesavage Scale (r = −0.36, 95% CI: −0.44 to −0.26). Finally, the structural model determined that age (r = −0.37), economic dependence (r = −0.383) and cognitive state (r = 0.309) determine the functional component.
Research limitations/implications
This study provides empirical support about older adults living in rural contexts, around the functionality variable from a multidimensional approach, highlighting the sociodemographic and cognitive variables. Consequently, the policy of social support in older adults must be oriented toward the development of a range of divergent intervention strategies.
Originality/value
The study deals with the assessment of functionality in the elderly people from an interdisciplinary approach in the rural setting which presents a greater risk of physical and socioeconomic vulnerability. Therefore, the community, the health professionals and the government entities should help implement active aging programs for this population.
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Tianyuan Luo and Cesar Escalante
The purpose of this paper is to examine the impact of adult children’s migration on the smoking behavior of rural parents who are left behind and raise the concern that the rural…
Abstract
Purpose
The purpose of this paper is to examine the impact of adult children’s migration on the smoking behavior of rural parents who are left behind and raise the concern that the rural residents’ increasing tendency to migrate to urban areas in China nowadays could encourage such a behavior.
Design/methodology/approach
Using data from the China Health and Nutrition Survey and applying propensity score matching method and individual-level fixed effects model, this paper addresses the potential endogeneity issues that may arise between the children’s migration decisions and parental smoking behavior.
Findings
This study’s results indicate that rural parents left behind by their emigrant children indeed are more likely to sustain their smoking habit. The validated smoking effect of emigration calls for effective government programs that entail intervention to curb such potentially aggravating health risk, especially among middle-aged and older fathers.
Originality/value
This paper is the first to examine the impact of children’s migration on the smoking behavior of left-behind parents in rural households in China. Our findings call for immediate attention to the smoking behavior of older age cohort in China as the scale of rural−urban migration trend is expected to increase. Moreover, given that many countries in Asia, such as India, Vietnam and Indonesia, are confronting similar issues, our findings could provide useful implications for smoking cessation and control policies in those countries.
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Katekaew Seangpraw, Nop T. Ratanasiripong and Paul Ratanasiripong
The purpose of this paper to explore socio-demographic factors related to the quality of life (QoL) among older adults in the rural area of Thailand.
Abstract
Purpose
The purpose of this paper to explore socio-demographic factors related to the quality of life (QoL) among older adults in the rural area of Thailand.
Design/methodology/approach
This cross-sectional study examined socio-demographic factor that may predict the QoL among 470 older adults who lived in a rural area of Northern Thailand. The study questionnaire consisted of four parts, including socio-demographic data, perceptions of the health status, family relationship and QoL (WHOQOL-OLD). Spearman’s ρ or Pearson’s product moment correlation coefficients were determine the factors associated with the QoL. Stepwise multiple regressions were carried out to describe predictors of the QoL.
Findings
Majority of the participants (71 percent) were between 60 and 79 years old. Three-quarters of participants had primary school educational level. Most (74 percent) were married and no longer work (72 percent). Most (87 percent) had a moderate level of the QoL in all six domains. Six predictors of QoL include age, gender, education, current employment, health status perception and family relationship. These factors could significantly predict the QoL of the older adults by 30 percent.
Originality/value
Public health officers should collaborate with community partners and relevant stakeholders to increase the QoL of older adults in the rural area through activities which promote health status perception and family relationship.
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Saurav Chandra Acharya Samadarshi, Pimsurang Taechaboonsermsak, Mathuros Tipayamongkholgul and Korravarn Yodmai
The purpose of the study is to assess the quality of life (QOL) of older adults and explore factors associated with it.
Abstract
Purpose
The purpose of the study is to assess the quality of life (QOL) of older adults and explore factors associated with it.
Design/methodology/approach
A cross-sectional study was conducted in a remote community in Nepal. A total of 671 older adults aged 60 years were enrolled in the study. QOL was measured by WHOQOL-OLD questionnaire. Data were analyzed using multiple logistic regression.
Findings
Most participants were female (53.0%), illiterate (70.6%), married (64.2%) and living with family (59.3%). Among participants, 82.4% had fair QOL, and the autonomy domain received the lowest score (average = 10.98). After adjusting the model, the elderly aged <70 years had 11.07 times better QOL (aOR = 11.070; 95% CI = 2.546–48.123), elderly with high sufficient income had 2.73 times better QOL (aOR = 2.738; 95% CI = 1.183–6.337) and elderly free from depression had 9.45 times better QOL (aOR = 9.452; 95% CI = 3.466–25.773) compared to their counterparts. The elderly receiving social support had 9.97 times better QOL than those who did not (aOR = 9.976; 95% CI = 3.152–31.574), and those able to afford healthcare services had 4.69 times better QOL than those who could not afford it (aOR = 4.694; 95% CI = 1.046–21.063).
Originality/value
The five predictors – age, income sufficiency, depression, social support and healthcare service affordability – were found to significantly affect QOL. This study suggests special care strategies for vulnerable older adults addressing the issues that affect geriatric depression. This article provides relevant information to the government to consider increment of income, encourage family and community for social support and make health services affordable for older adults.
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Joyce Weil, Gwyneth Milbrath, Teresa Sharp, Jeanette McNeill, Elizabeth Gilbert, Kathleen Dunemn, Marcia Patterson and Audrey Snyder
Integrated transitions of care for rural older persons are key issues in policy and practice. Interdisciplinary partnerships are suggested as ways to improve rural-care…
Abstract
Purpose
Integrated transitions of care for rural older persons are key issues in policy and practice. Interdisciplinary partnerships are suggested as ways to improve rural-care transitions by blending complementary skills of disciplines to increase care’s holistic nature. Yet, only multidisciplinary efforts are frequently used in practice and often lack synergy and collaboration. The purpose of this paper is to present a case of a partnership model using nursing, gerontology and public health integration to support rural-residing elders as a part of building an Adult-Gerontology Acute Care Nurse Practitioner program.
Design/methodology/approach
This paper uses the Centre for Ageing Research and Development in Ireland/O’Sullivan framework to examine the creation of an interdisciplinary team. Two examples of interdisciplinary work are discussed. They are the creation of an interdisciplinary public health course and its team-based on-campus live simulations with a panel and site visit.
Findings
With team-building successes and challenges, outcomes show the need for knowledge exchange among practitioners to enhance population-centered and person-centered care to improve health care services to older persons in rural areas.
Practical implications
There is a need to educate providers about the importance of developing interdisciplinary partnerships. Educational programming illustrates ways to move team building through the interdisciplinary continuum. Dependent upon the needs of the community, other similarly integrated partnership models can be developed.
Originality/value
Transitions of care work for older people tends to be multi- or cross-disciplinary. A model for interdisciplinary training of gerontological practitioners in rural and frontier settings broadens the scope of care and improves the health of the rural older persons served.
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