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The demography of community based ca...

Lima, Julie Christine.

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The demography of community based care: The late middle-aged versus the elderly.

Record Type:	Electronic resources : Monograph/item
Title/Author:	The demography of community based care: The late middle-aged versus the elderly./
Author:	Lima, Julie Christine.
Description:	174 p.
Notes:	Source: Dissertation Abstracts International, Volume: 67-08, Section: A, page: 3170.
Contained By:	Dissertation Abstracts International67-08A.
Subject:	Gerontology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3227880
ISBN:	9780542820601

The demography of community based care: The late middle-aged versus the elderly.
Lima, Julie Christine.

The demography of community based care: The late middle-aged versus the elderly. - 174 p.

Source: Dissertation Abstracts International, Volume: 67-08, Section: A, page: 3170.

Thesis (Ph.D.)--Brown University, 2006.

Using the 2000 wave of the Health and Retirement Study (HRS), this dissertation demonstrates the importance of considering the life course when studying community-based care. I concentrated on those in late middle-age (ages 50 to 64), the young-old (ages 65-74), and the older-old (75 and older). These groups represent individuals in three distinct life stages with differential access to insurance. In addition, demographic changes that took place over the latter half of the 20 th century had differential impact on these three cohorts which likely affect the availability of certain types of community based care. As predicted, while their family networks are bigger and they are as likely as their older counterparts to have a least a spouse or adult daughter in their networks, the late middle-aged remained significantly less likely to receive informal help with ADL/IADL tasks. They were also less likely to receive any paid assistance. When help was given, they received fewer hours of help from their caregivers compared to the older-old. Life stage differences explained much of the discrepancy in hours of care provided to the late middle-aged and the older age groups. Somewhat unexpected were results for the young-old. They were significantly less likely than both the late middle-aged and the older-old to receive any care. Although the young-old also received fewer hours of care from their primary caregivers compared to the elderly, this discrepancy was the result of a reduced amount of care from non-spouse primary caregivers only. Spouse primary caregivers to the young-old provided as much care as spouse primary caregivers to the older-old once respondent characteristics were controlled. Cohort differences likely explain much of the difference in the receipt of care between the young-old and other age groups. It is likely to become increasingly difficult for family members to successfully combine the responsibilities of caregiving and labor force participation. Despite this, it is inevitable that family members will (and must) continue to be the primary sources of assistance to loved ones in need. Finding better ways to support their efforts is essential.

ISBN: 9780542820601Subjects--Topical Terms:

533633
Gerontology.

The demography of community based care: The late middle-aged versus the elderly.
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500 $a Adviser: Susan Allen.
502 $a Thesis (Ph.D.)--Brown University, 2006.
520 $a Using the 2000 wave of the Health and Retirement Study (HRS), this dissertation demonstrates the importance of considering the life course when studying community-based care. I concentrated on those in late middle-age (ages 50 to 64), the young-old (ages 65-74), and the older-old (75 and older). These groups represent individuals in three distinct life stages with differential access to insurance. In addition, demographic changes that took place over the latter half of the 20 th century had differential impact on these three cohorts which likely affect the availability of certain types of community based care. As predicted, while their family networks are bigger and they are as likely as their older counterparts to have a least a spouse or adult daughter in their networks, the late middle-aged remained significantly less likely to receive informal help with ADL/IADL tasks. They were also less likely to receive any paid assistance. When help was given, they received fewer hours of help from their caregivers compared to the older-old. Life stage differences explained much of the discrepancy in hours of care provided to the late middle-aged and the older age groups. Somewhat unexpected were results for the young-old. They were significantly less likely than both the late middle-aged and the older-old to receive any care. Although the young-old also received fewer hours of care from their primary caregivers compared to the elderly, this discrepancy was the result of a reduced amount of care from non-spouse primary caregivers only. Spouse primary caregivers to the young-old provided as much care as spouse primary caregivers to the older-old once respondent characteristics were controlled. Cohort differences likely explain much of the difference in the receipt of care between the young-old and other age groups. It is likely to become increasingly difficult for family members to successfully combine the responsibilities of caregiving and labor force participation. Despite this, it is inevitable that family members will (and must) continue to be the primary sources of assistance to loved ones in need. Finding better ways to support their efforts is essential.
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