Trajectories of material living standards, physical health and mental health under a universal pension

Publishe

Effects of anger management and social contact on alcohol and tobacco consumption: a thesis submitted in partial fulfilment of the requirements for the degree of Master of Arts in Psychology at Massey University

Relationships between anger management, social contact, and alcohol and tobacco consumption were investigated to examine a number of issues: (1) That anger management and social contact would be correlated to each other and therefore possibly confounded, (2) that anger management and social contact would be independently related to alcohol and tobacco consumption, (3) that anger management and social contact would jointly influence alcohol and tobacco consumption, (4) that anger management, social contact and alcohol and tobacco consumption would vary across age, sex and socioeconomic status, (5) that age, sex and socioeconomic status would moderate the effects of anger management and social contact on alcohol and tobacco consumption, and (6) that alcohol and tobacco consumption would, in conjunction with psychosocial and sociodemographic variables, operate interactively on each other. A secondary analysis was undertaken on a sub-sample of 831 control subjects taken from the general population as a part of the Auckland Heart Study. Analyses revealed that anger discussion was positively correlated with social availability. No other significant correlations were found between anger management and social contact variables. Multiple regression analyses showed no independent effects of anger management and social contact variables on alcohol and tobacco,consumption, but revealed a number of significant interaction effects involving sociodemographic variables. Only one significant interaction effect was found involving both anger management and social contact on either alcohol or tobacco consumption. Analyses revealed that anger management, social contact and alcohol and tobacco consumption varied by age, sex and socioeconomic status. It was concluded that anger management and social contact were not confounded, and were not independently or jointly related to alcohol and tobacco consumption. Results were thus inconsistent with a mediating relationship for smoking and alcohol consumption between psychosocial variables and health outcomes. The number of significant interaction effects was supportive of the value of an interactive approach to health variables. Conceptual and methodological issues are discussed in view of the general lack of support for the research questions and hypotheses

Perceptions towards aqua-based exercise among older adults with osteoarthritis who have discontinued participation in this exercise mode

Aim: This study aimed to investigate reasons for ceasing participation in aqua-based exercise among older adults with osteoarthritis (OA). Methods: Eleven adults over 60 years of age with OA participated in one of two focus groups, during which they discussed barriers to aqua-based exercise and the potential benefits of this exercise mode. Each focus group was audiotaped, transcribed and then analysed using the general inductive thematic approach. The investigators reached a consensus on all coding categories and then identified themes. Results: Key barriers identified were: a lack of suitable classes; insufficient instructor knowledge, which often led to increased pain; cold water and the changing facilities. Key perceived benefits included increased physical ability in water and social interaction. Conclusions: A greater understanding of reasons for ceasing participation in aqua-based exercise among older adults with OA may help facilitate development of suitable exercise programs that minimise barriers for this group

Interventions for reducing sedentary behaviour in community-dwelling older adults

This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: To identify the effects and assess the effectiveness of interventions to reduce sedentary behaviour (total sedentary time and the pattern of accumulation of sedentary time) in older adults. To summarise the effects of interventions to reduce sedentary behaviour on quality of life, depression, and health status in older adults. To summarise any evidence on the cost-effectiveness of interventions that reduce sedentary behaviour in older adults

Actual versus preferred work status in older workers: Findings from the New Zealand health, work and retirement study

The past two decades have seen a significant increase in labour force participation by older workers, particularly by women and those aged over 65 years. Decisions around work continuation are influenced by financial preparedness for retirement and health status. Also thought to play a part in the work-retirement transition process are work histories, and historically these differ between men and women. For many older workers, employment preferences are not realised and this may impact on psychological and financial well-being in later life

Reconciling Paid Work and Informal Caregiving Among Older Adults: Implications for Work Interference With Family.

BACKGROUND AND OBJECTIVES: Many older adults who combine paid work and informal caregiving responsibilities are often in work arrangements that differ from their preference. There is reason to believe that such work status incongruence may lead to work interference with family (WIF). In response, many governments have policies that support flexible work arrangements (FWA) to help individuals manage work and family commitments. This paper examines whether work status preferences contribute to WIF for older adults who combine work and care and whether the use of flexible work arrangements moderates this relationship. RESEARCH DESIGN AND METHODS: The study included 610 informal caregivers (aged 55-70 years) in paid employment who participated in either the 2018 or 2020 waves of the New Zealand Health, Work and Retirement study. Using a simple moderation analysis with demographic controls, the effects of work status preferences and FWAs on WIF were estimated. RESULTS: After controlling for confounds, significant main effects were found for both work status preferences and flexible work arrangements on WIF. The moderation analysis revealed that involuntary part-timers using flexible time-off arrangements reported lower levels of WIF. However, other types of flexible work arrangements did not moderate the relationship between work status preferences and WIF. DISCUSSION AND IMPLICATIONS: These findings suggest that work status preferences can contribute to WIF, but not all types of flexible work arrangements alleviate it. Policy initiatives designed to reduce WIF for those combining work and care should consider accounting for differences in the work status preferences of older workers.fals

The Religious Life of Nabataea

‘The Religious Life of Nabataea’ examines the evidence for the religious practices and beliefs of the inhabitants of the Nabataean kingdom. It analyses material produced in the large area of the north-western Arabian Peninsula that was under the rule of the Nabataean king until the annexation of his kingdom by Rome in AD 106. Because of the scarcity of literary sources describing Nabataea, this study is largely dependent on inscriptions, with architectural and archaeological remains helping to put these better into their context. It is argued that a number of methodological problems with earlier studies have produced an inaccurate picture of a ‘Nabataean religion’ that cannot be easily reconciled with this material. The focus has been on recovering the identities and characteristics of individual gods and the relationships between them. Inconsistencies and diversities in the evidence have often been minimised in order to produce a coherent model or system of beliefs that ‘the Nabataeans’ followed. Underpinning this has been the scholarly perception of Nabataea as a culturally monolithic bloc that was inhabited by a people following the same way of life. This study takes a different approach, analysing the material first and foremost in its local context. Each chapter therefore focuses on a different centre or region of Nabataea, before the conclusion compares these to consider the kingdom as a whole. It is concluded that there is very little sign of a coherent pattern of religious practice covering Nabataea. On the contrary, it is the variety of practices that emerges most strongly. Although this area was all under the control of the Nabataean king, its religious life was dominated by a diversity of much more local traditions

Understanding the use of Flexible Work Arrangements Among Older New Zealand Caregivers

Flexibility in the workplace has been suggested to promote prolonged employment among older workers. This study focuses on the question of whether the use of flexible work arrangements (FWAs) differs between caregivers and non-caregivers and how potential differences can be explained. Participants were 296 carers and 1611 non-carers (aged 55–70 years) who completed the 2018 Health, Work and Retirement survey and were in paid employment. Hierarchical regression was used to investigate caregiving as an independent predictor of use of FWAs after controlling for demographic and work-related variables. Results show that caregivers on average used more FWAs than non-caregivers, including flexible work hours, flexible schedules and time off. Differences in FWAs use between caregivers and non-caregivers cannot be explained by differences in socio demographic and work characteristics. The use of FWAs warrants attention in discussions about prolonged employment and reconciliation of care and work among older adults

Becoming an informal care-giver: The role of work status incongruence

The ageing of the workforce suggests that many older adults will be combining work and care. While there is extensive evidence for the impact of informal care-giving on paid employment, there is less research on how work status may influence the provision of informal care. It has also yet to be established whether work preferences may influence the uptake of care-giving responsibilities, particularly for older workers. We investigated the impact of work status congruence on taking up informal care at two-year follow-up. A sample of 1,211 employed participants aged 55–70 years was surveyed over two consecutive waves. Involuntary part-time workers were more likely to provide care at Time 1 than involuntary full-timers, voluntary part-timers and voluntary full-timers. Participants were more likely to take up care if the opportunity costs of doing so were low, however, only for those whose preferences for more work were not met. There were no moderating effects of gender and economic living standards on the relationship between work status incongruence and provision of care-giving. Understanding the decision-making processes older workers undertake when taking up informal care are complex and must consider the influence of personal work preferences. These findings have implications for care and work-based policy given the importance of informal care in sustaining ageing-in-place policies

Area-based socioeconomic deprivation is associated with cognitive decline in midlife to early late-life New Zealanders without cognitive impairment

Background Research identified individual-level socioeconomic factors as key determinants of cognitive health. This study investigated the effect of area-based socioeconomic deprivation on cognitive outcomes in midlife to early late-life New Zealanders without cognitive impairment. Understanding geographical dimensions of socioeconomic determinants of cognitive health is important from an equity perspective. Method Data stemmed from a subsample of the New Zealand Health, Work and Retirement Study, a cohort study on ageing. In 2010, 1,001 participants aged 49-84 years completed face-to-face interviews and were reassessed two years later. Cognitive functioning was measured using Addenbrooke’s Cognitive Examination–Revised, adapted for culturally acceptable use in New Zealand. Area-based socioeconomic deprivation was assessed using the New Zealand Deprivation Index (NZDep2006). Linear mixed-effects models analysed the association between area-based socioeconomic deprivation and cognitive outcomes, controlling for individual-level socioeconomic (age, age², gender, education, ethnicity [Māori, Indigenous people of New Zealand, and Non-Māori, mostly of European descent], marital status, employment, net personal income), lifestyle and health variables (Lifestyle for Brain Health/LIBRA index, social loneliness). Result The analysis included 783 participants (54.7% female, mean age 62.7 years, 25.0% Māori). Individuals with cognitive impairment at baseline (n = 69) and older than 75 years were excluded (n = 79). Further attrition was due to missing data. At baseline, 39.7% resided in low deprivation areas, 39.0% in moderate, and 21.3% in high deprivation areas. The unadjusted model indicated a significant association between higher area-based socioeconomic deprivation and lower cognitive functioning (B = -0.16, 95%CI: -0.22,-0.10; p < .001) and cognitive decline (B = -0.12, 95%CI: -0.21;-0.03; p = .015). The adjusted model yielded similar results for cognitive functioning (B = -0.08, 95%CI: -0.15;-0.01; p = .050) and cognitive decline (B = -0.12, 95%CI: -0.20;-0.04, p = .013) (Fig. 1). Influential covariates included gender, education, and lifestyle (LIBRA). Conclusion This study demonstrated a relationship between higher area-based socioeconomic deprivation and lower cognitive functioning, along with cognitive decline, in cognitively unimpaired New Zealanders aged 48 to 75 years. These findings emphasize the importance of considering neighbourhood characteristics and broader socioeconomic factors in strategies aimed at mitigating cognitive health disparities and reducing the impact of dementia in disadvantaged communities.fals