Being Single in Late-Life: Single Strain, Moderating Resources, and Distress

Using a sample of 532 nonmarried adults over age 65 residing in the District of Columbia and two adjoining Maryland counties, this study examines "single strain"--the strain of not being married or not living with a partner in late-life. First, I consider how social and economic statuses affect exposure of nonmarried elders to single strain. Second, I study how sociodemographic characteristics and psychosocial resources moderate the effect of single strain on mental health. Results of multiple OLS regression analyses indicate that while social statuses influence elders' exposure to single strain, the differential emotional responsiveness of nonmarried older adults to single strain is largely unaffected by their sociodemographic characteristics. In contrast, mastery and self-esteem are powerful moderating resources: Nonmarried elders with high mastery and self-esteem are less adversely affected by single strain than those with lower levels of intrapsychic resources

Gender and Health Control Beliefs Among Middle-Aged and Older Adults

Abstract Objective: Internal health locus of control (HLOC) reflects individuals' beliefs that their own behavior influences their health. This study explores the gender difference in internal HLOC among middle-aged and older adults. Method: Using data from two waves of the National Survey of Midlife Development in the United States (MIDUS; N = 1,748), I estimate twolevel random-intercept models predicting internal HLOC. Results: Women report higher levels of health control beliefs than men, especially in older cohorts born in the 1920s and 1930s. Adjustment for health, socioeconomic status, generalized control, and masculinity increases this gender gap, whereas adjustment for femininity and religiosity significantly reduces this difference. Women's higher religiosity and more feminine traits, such as warmth, nurturance, and care, partly explain their higher internal HLOC relative to men. Discussion: Because femininity and religiosity are positively associated with other-orientation, interventions to increase communal orientation may enhance beliefs in proactive responsibility for one's health among older adults

Life review in advanced age:qualitative research on the 'start in life' of 90-year-olds in the Lothian Birth Cohort 1921

BACKGROUND: This research report presents findings on ‘start in life’ from a qualitative study of 90-year-olds from the Lothian Birth Cohort 1921. The study aimed to contextualise the LBC1921 cohort in time and place, describe cohort members’ experiences of family and schooling and stimulate further inquiry into the relationships between ‘start in life’ and risk and resilience factors relating to longevity and healthy ageing. Scottish education and family life in the early 1930s are briefly described. METHODS: Life review questionnaire: A qualitative Life Review Questionnaire was developed, requiring free-text handwritten responses. Its ‘Start in Life’ section focused on schooling and family support. Sample: Wave 4 of the Lothian Birth Cohort 1921 involved testing 129 members near to their 90(th) birthday. They reside largely in Edinburgh and its environs. The Life Review Questionnaire was administered to 126 participants, 54 % women. Qualitative analysis: Thematic analysis was the qualitative technique used to categorise, code and extract meaning from questionnaire text. Narratives were extracted from the data to present illustrative stories. RESULTS: Narratives of start in life gave contextual description. Thematic analysis showed LBC1921 members enjoying their schooling, highlighting teachers, academic achievement, school activities and school friendships. Personal qualities, family circumstances and aspects of schooling sometimes hindered educational performance. Family life was recalled mostly with warmth and parents were often portrayed as valuing education and supporting learning and development. Family adversity from poverty, parental illness and parental death was often mitigated by support from parents (or the remaining parent). Overall, most cohort members believed that they had got off to a good ‘start in life’. CONCLUSIONS: This qualitative investigation of ‘start in life’ adds context and richness to quantitative investigations of the sizeable LBC1921 cohort, stimulating fresh insights and hypotheses into the relationship between child risk and resilience factors that may influence ageing. It demonstrates the utility and wider application of the Life Review Questionnaire. Although the surviving cohort is not representative of their childhood peers, their words provide insight into the processes of weaving experience and memory into a rich texture of meanings that may help create wellbeing across a lifetime

Socioeconomic position in childhood and cancer in adulthood: a rapid-review

Background The relationship of childhood socioeconomic position (SEP) to adult cancer has been inconsistent in the literature and there has been no review summarising the current evidence focused solely on cancer outcomes.  Methods and results We performed a rapid review of the literature, which identified 22 publications from 13 studies, primarily in the UK and northern European countries that specifically analysed individual measures of SEP in childhood and cancer outcomes in adulthood. Most of these studies adjusted for adult SEP as a critical mediator of the relationship of interest.  Conclusions Results confirm that childhood socioeconomic circumstances have a strong influence on stomach cancer and are likely to contribute, along with adult circumstances, to lung cancer through cumulative exposure to smoking. There was also some evidence of increased risk of colorectal, liver, cervical and pancreatic cancers with lower childhood SEP in large studies, but small numbers of cancer deaths made these estimates imprecise. Gaps in knowledge and potential policy implications are presented

Childhood socioeconomic position and adult leisure-time physical activity: A systematic review

Regular leisure-time physical activity (LTPA) benefits health and is thought to be less prevalent in lower socioeconomic groups. Evidence suggests that childhood socioeconomic circumstances can impact on adult health and behaviour however, it is unclear if this includes an influence on adult LTPA. This review tested the hypothesis that a lower childhood socioeconomic position (SEP) is associated with less frequent LTPA during adulthood. Studies were located through a systematic search of MEDLINE, Embase, PsycINFO, CINAHL and SPORTDiscus and by searching reference lists. Eligible studies were English-language publications testing the association between any indicator of childhood SEP and an LTPA outcome measured during adulthood. Forty-five papers from 36 studies, most of which were European, were included. In most samples, childhood SEP and LTPA were self-reported in midlife. Twenty-two studies found evidence to support the review’s hypothesis and thirteen studies found no association. Accounting for own adult SEP partly attenuated associations. There was more evidence of an association in British compared with Scandinavian cohorts and in women compared with men. Results did not vary by childhood SEP indicator or age at assessment of LTPA. This review found evidence of an association between less advantaged childhood SEP and less frequent LTPA during adulthood. Understanding how associations vary by gender and place could provide insights into underlying pathways