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1 – 10 of 278Wenlong Liu, Wangjie Li and Jian Mou
This study explores whether and how Internet usage improves the subjective health of middle-aged and older adults by analyzing the mediating role of social engagement and…
Abstract
Purpose
This study explores whether and how Internet usage improves the subjective health of middle-aged and older adults by analyzing the mediating role of social engagement and heterogeneity of different living arrangements.
Design/methodology/approach
Based on data from the China Health and Retirement Longitudinal Study, the ordinary least squares (OLS) method is adopted to explore the relationship between Internet usage and the subjective health of middle-aged and older adults. Propensity score matching method (PSM) is used to alleviate self-selection bias in the samples. The bootstrap method is adopted to test the mediating role of social engagement, and generalized structural equation modeling (GSEM) is employed to resolve endogeneity. A permutation test is adopted to examine the heterogeneous effects of Internet usage on different living arrangements.
Findings
Internet access can help relieve depression among middle-aged and older adults and enhance their self-rated health, leading to perceived changes in health status. However, Internet usage is not directly associated with health satisfaction among middle-aged and older adults. Nevertheless, Internet usage can enhance middle-aged and older adults' subjective health by facilitating social engagement and significantly influences middle-aged and older adults living with their children.
Originality/value
This study reveals the underlying role of Internet usage among older adults and provides insights for governments and families to help middle-aged and older adults actively adapt to a digital society and improve their health.
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Wilma van der Vlegel-Brouwer, Marjolein van der Vlegel, Jean Ellen Duckworth, Hazel Partington and Anneke de Jong
This quantitative phase of a mixed-methods study aims to describe the effect of the Transitional Care Bridge (TCB) programme on functional decline, mortality, health-care…
Abstract
Purpose
This quantitative phase of a mixed-methods study aims to describe the effect of the Transitional Care Bridge (TCB) programme on functional decline, mortality, health-care utilisation and health outcomes compared to usual care in a regional hospital in the Netherlands.
Design/methodology/approach
In a pre- and post-cohort study, patients aged ≥70 years, admitted to the hospital for ≥48 h and discharged home with an Identification of Seniors at Risk score of ≥2, were included. The TCB programme, started before discharge, encompassed six visits by the community nurse (CN). Data were obtained from the hospital registry and by three questionnaires over a three months period, addressing activities of daily living (ADL), self-rated health, self-rated quality of life and health-care utilisation.
Findings
In total, 100 patients were enrolled in this study, 50 patients in the TCB group and 50 patients in the usual care group. After three months, 36.7% was dependent on ADL in the TCB group compared to 47.1% in the usual care group. Mean number of visits by the CN in the TCB group was 3.8. Although the TCB group had a lower mortality, this study did not find any statistically significant differences in health outcomes and health-care utilisation.
Research limitations/implications
Challenges in the delivery of the programme may have influenced patient outcomes. More research is needed on implementation of evidence-based programmes in smaller research settings. A qualitative phase of the study needs to address these outcomes and explore the perspectives of health professionals and patients on the delivery of the programme.
Originality/value
This study provides valuable information on the transitional care programme in a smaller setting.
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Sharon Sassler, Fenaba Rena Addo, Brienna Perelli-Harris, Trude Lappegård and Stefanie Hoherz
The protective aspects of relationships for health have been extensively studied. Here, we assess whether different dimensions of partnership status at the time of a child’s birth…
Abstract
The protective aspects of relationships for health have been extensively studied. Here, we assess whether different dimensions of partnership status at the time of a child’s birth are associated with better self-assessed health later in mid-life. Data are from three countries with different social welfare policies relating to union status and parenting: the US, the UK, and Norway. Results indicate that women who were partnered at first birth had better health at midlife in all three countries than women who were unpartnered. The analysis indicates no differences in the mid-life health of Norwegian women who were married or cohabiting at birth, whereas for US and UK women, being married at the birth of a first child is more beneficial for mid-life health than bearing the child in a cohabiting union. In the US, women who are least likely to marry do not demonstrate better mid-life health if they had wed relative to cohabiting. In the UK, in contrast, the women least likely to be married at the birth experience better returns if they marry. These findings highlight the importance of paying closer attention to heterogeneous treatment effects as they relate to childbearing, relationship status, and mid-life health.
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Jyoti Jyoti, S.P. Singh and Manzoor Ahmad Malik
The social capital theory is increasingly being looked at as a valuable paradigm to understand if community socioeconomic factors influence health behaviours and outcomes. This…
Abstract
Purpose
The social capital theory is increasingly being looked at as a valuable paradigm to understand if community socioeconomic factors influence health behaviours and outcomes. This requires an understanding of the forms in which social capital manifests and the levels at which it operates.
Design/methodology/approach
Thus, the purpose of this paper is to study if social capital is associated with health outcomes among older adults in India and providing an estimate of the extent to which the neighbourhood differences in health outcomes among the older adults can be attributed to social capital.
Findings
The authors find several forms of social capital to be associated with health outcomes among older adults. The results show that community-level social capital variables collectively explain 12.81% unexplained neighbourhood variation in self-rated health, 2.5% variation in psychological well-being and 11.32% variation in the ability to perform activities of daily living, respectively.
Originality/value
The findings highlight the role social capital plays in serving as a coping mechanism for older adults to survive deteriorating health and social exclusion and call for conscious investment in building social capital.
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Shunbin Zhong, Xiaohua Shen, Weiteng Shen and Chongchong Xin
Utilizing data from the 2017 Chinese General Social Survey (CGSS2017), the paper aims to investigate the impact of information and communication technology (ICT) adoption on…
Abstract
Purpose
Utilizing data from the 2017 Chinese General Social Survey (CGSS2017), the paper aims to investigate the impact of information and communication technology (ICT) adoption on residents' self-rated health and reveals the mechanisms behind ICT.
Design/methodology/approach
In the study, ICT adoption is defined as a dummy variable, which takes the value of one if respondents adopt the computers or mobile phone. Meanwhile, respondents' perceptions on five categories of self-rated health are used to construct the dependent variable. Then, based on a fixed-effects regression model, the ordinary least squares (OLS) and ordered probit approaches are applied to estimate their association. Moreover, the two-stage least squares (2SLS) and instrumental variable (IV)-oprobit methods are used to tackle the potential endogeneity of ICT adoption. Finally, the heterogeneity across individuals and regions as well as the underlying mechanisms are discussed.
Findings
The results indicate that ICT adoption significantly improves residents' self-rated health, which confirms the health utility model with ICT adoption. The conclusion is robust after overcoming the endogeneity issues with IV. In addition, heterogeneity analysis shows that ICT adoption is more beneficial to the health of residents who are male, young, better educated and those who live in the rural areas and in central and western China. Furthermore, the study demonstrates that ICT adoption for searching health-related information and improving social capital are two crucial mechanisms underlying its health effects.
Practical implications
The findings of this research can help Chinese Government improve population health by issuing corresponding digital and health policies at the regional and individual level.
Originality/value
First, the study provides fresh microscopic evidence on health outcomes of ICT adoption based on data from the latest wave of CGSS2017. Second, individual and regional heterogeneity is extensively discussed in contrast to most related macro studies that consider average effects. Third, the study addresses underlying mechanisms that have not been thoroughly tested or studied primarily on a theoretical level.
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Ramkrishna Samanta, Jadab Munda, Sourav Mandal and Mihir Adhikary
Migration appears to be a determinant in health-care utilisation, particularly among the elderly in India. Ageing and migration are essential socio-demographic phenomena in the…
Abstract
Purpose
Migration appears to be a determinant in health-care utilisation, particularly among the elderly in India. Ageing and migration are essential socio-demographic phenomena in the 21st century for developing and developed countries to establish better public health-care policies. This study aims to focus on the status and determinants of health-care utilisation among elderly migrants who have migrated after attaining the age of 45 and above.
Design/methodology/approach
This study used the data from the first wave of the longitudinal ageing study in India (LASI) in 2017–2018. Two outcome variables were used to examine the health-care utilisation, including in-patient and out-patient care. Binary logistic regression was used to explore the predictors of healthcare utilisation in terms of in-patient and out-patient care among the elderly migrant population.
Findings
A total of 82.9% of elderly migrants had visited out-patient care when they were sick, whereas 15.3% have used in-patient care. Enabling factors, such as wealth quintile and health insurance, and need factor, such as chronic disease and self-rated health, were more significant factors influencing the health-care utilisation.
Originality/value
This study contributes to our understanding of older migrants’ health-care utilisation. Focussing on this study’s outcome, policymakers and decision makers may consider improving older migrants’ access to health-care by raising their income level, offering local health insurance and health awareness programs.
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Susanne Tafvelin and Britt-Inger Keisu
The purpose of this study was to develop a scale that can be used to assess inequality at work based on gender, age and ethnicity that is grounded in Acker’s (2006) inequality…
Abstract
Purpose
The purpose of this study was to develop a scale that can be used to assess inequality at work based on gender, age and ethnicity that is grounded in Acker’s (2006) inequality regimes.
Design/methodology/approach
The authors used three representative samples (total N = 1,806) of Swedish teachers, nurses and social workers to develop and validate the scale. The validation process included the assessment of content validity, confirmatory factor analysis for factorial validity, internal consistency and associations with theoretically warranted outcomes and related constructs to assess criterion-related validity and convergent validity.
Findings
The authors found evidence supporting the content, factorial, criterion-related and convergent validity of the InEquality in organisations Scale (InE-S). Furthermore, the scale demonstrated high internal consistency.
Originality/value
The newly developed scale InE-S may be used to further the understanding of how inequality at work influences employees. This study makes a contribution to the current literature by providing a scale that, for the first time, can test Acker’s hypotheses using quantitative methods to demonstrate the consequences of inequality at work.
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Decentralization has profound implications for many health systems. This study investigates the effect of health system decentralization in Organization for Economic Co-operation…
Abstract
Purpose
Decentralization has profound implications for many health systems. This study investigates the effect of health system decentralization in Organization for Economic Co-operation and Development (OECD) countries on public health security capacity and health service satisfaction.
Design/methodology/approach
Multiple linear regression analyses were employed for variables related to the level of health security capacity and satisfaction with the healthcare system while controlling for all socio-demographic variables from the European Social Survey, including over 44,000 respondents from 25 OECD countries. The Health Systems in Transition series of countries were used for assessing the decentralization level.
Findings
The result of multiple linear regression analyses showed that the level of decentralization in health systems was significantly associated with higher health security capacity (ß-coefficient 3.722, 95% confidence interval (CI) [3.536 3.908]; p=<0.001) and health service satisfaction (ß-coefficient 1.463, 95% CI [1.389 1.536]; p=<0.001) in the study. Countries with a higher level of decentralization in health policy tasks and areas were significantly likely to have higher health services satisfaction, whereas this satisfaction had a significant negative relation with the lower level of decentralization status of secondary/tertiary care services in OECD countries (ß-coefficient −5.250, 95% CI [−5.757–4.743]; p = 0.001).
Originality/value
This study contributes to a better understanding of the extent to which decentralization of health services affects public health safety capacity and satisfaction with health services, whereas the level of decentralization in OECD countries varies considerably. Overall, the findings highlight the importance of public health security and satisfaction with health care delivery in assessing the effects of decentralization in health services.
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Ning Sun, Yuhan Peng, Yingchen Lu, Wanting Liu and Zhenhua Zheng
This study aims to investigate the relationships between the perceived neighborhood walkable environment (PNWE), neighborhood interaction (NI) and residents’ mental health, with…
Abstract
Purpose
This study aims to investigate the relationships between the perceived neighborhood walkable environment (PNWE), neighborhood interaction (NI) and residents’ mental health, with a focus on examining differences among residents of different age groups.
Design/methodology/approach
Using an electronic survey questionnaire, data on PNWE, NI and mental health were collected from 1,159 residents across 205 communities in Shanghai, China. Our study utilized a structural equation modeling (SEM), employing the maximum likelihood estimation method. The structural equation model was fitted using the MPLUS software.
Findings
The mental health of young and middle-aged adults is generally poor, and they are at higher risk of depression than children and older adults. The effects of PNWE and NI on the mental health of residents varied among different age groups. As residents get older, their mental health is more affected by the PNWE. In addition, the influence of the PNWE on children and older adults’ mental health is direct and not mediated by NI. For young and middle-aged adults, the influence of the PNWE on their mental health needs to be mediated by NI.
Originality/value
This study marks the first examination of the relationship between PNWE, NI and mental health among different age groups of residents in China. The findings of this research can assist policymakers in gaining a deeper understanding of the underlying mechanisms by which PNWE affects mental health. Furthermore, it can contribute to the development of more targeted walkable environment designs aimed at enhancing mental health among various age groups.
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