Social exclusion of older persons: a scoping review and conceptual framework

As a concept, social exclusion has considerable potential to explain and respond to disadvantage in later life. However, in the context of ageing populations, the construct remains ambiguous. A disjointed evidence-base, spread across disparate disciplines, compounds the challenge of developing a coherent understanding of exclusion in older age. This article addresses this research deficit by presenting the findings of a two-stage scoping review encompassing seven separate reviews of the international literature pertaining to old-age social exclusion. Stage one involved a review of conceptual frameworks on old-age exclusion, identifying conceptual understandings and key domains of later-life exclusion. Stage two involved scoping reviews on each domain (six in all). Stage one identified six conceptual frameworks on old-age exclusion and six common domains across these frameworks: neighbourhood and community; services, amenities and mobility; social relations; material and financial resources; socio-cultural aspects; and civic participation. International literature concentrated on the first four domains, but indicated a general lack of research knowledge and of theoretical development. Drawing on all seven scoping reviews and a knowledge synthesis, the article presents a new definition and conceptual framework relating to old-age exclusion

Poverty among cohabiting gay and lesbian, and married and cohabiting heterosexual families

Using a subsample ( N = 1,365,145) of the 2000 Census 5% Public Use Microdata Sample, the authors investigate explanations for differing poverty chances of cohabiting gay and lesbian, and married and cohabiting heterosexual families. Gay and lesbian couples fare worse than married couples, but better economically than cohabiting heterosexuals. Lesbian and gay families are older and more educated than cohabiting heterosexual families, and these differences explain the largest portion of differences in poverty rates. Greater educational attainment and labor force participation are better explanations than age for differences between married families and their gay and lesbian counterparts. These results add to recent research pointing to variations in the economic circumstances of different family forms

Comparing offers and take-ups of employee health insurance across, race, gender, and decade

How often do U.S. employees receive health insurance offers from employers? When offered, how often do they take up their employer-based health insurance? This article uses the 1992 and 2002 waves of the National Study of the Changing Workforce (NSCW) to investigate changes in access to (offers) and employees electing to accept, take, or purchase their employers’ health insurance plans (take-ups) among wage and salaried workers. Although much research has studied employee health benefits, little has examined the intersection of gender and race regarding both offers and take-ups of such benefits. Logistic regression results indicate that offers and take-ups of personal health benefits declined from 1992 to 2002, net of salient controls. Further analyses demonstrate that these declines did not affect all workers identically. Offers declined somewhat for both women and men among whites and African Americans, but declined more among Hispanic women and men. Among other ethnoracial groups, offers declined the most among men, but increased among comparable women. Take-ups declined among white men and Hispanic workers. However, white and African American women\u27s take-ups did not change and among African American men take-ups increased. We discuss the need to examine gender and race simultaneously and urge researchers to more closely examine changes in health benefit offers and take-up