Suchergebnisse

In light of the existing knowledge gap in this research area (particularly based on representative samples and research conducted during the pandemic), the objective of this study was to explore the association between perceived ageism and psychosocial outcomes (i.e., in terms of life satisfaction, loneliness, social isolation, aging satisfaction and depressive symptoms) among middle-aged and older adults during the COVID-19 pandemic based on nationally representative data.

Bisher gibt es nur wenige Erkenntnisse über den Zusammenhang zwischen Migrationshintergrund und Einsamkeit im mittleren und hohen Alter in Deutschland. Ziel war daher, eine Assoziation zwischen Migrationshintergrund und Einsamkeit in dieser Gruppe darzustellen.
Die Daten stammen aus dem Deutschen Alterssurvey (Welle 7, November 2020 bis März 2021), einer repräsentativen Stichprobe von zuhause lebenden Personen mittleren und höheren Alters. Die Stichprobe umfasste 4145 Individuen. Das mittlere Alter betrug 63,8 Jahre, 93,2 % der Befragten hatten keinen Migrationshintergrund, wohingegen ungefähr 5,9 % der Befragten einen Migrationshintergrund mit eigener Migrationserfahrung und 0,9 % einen Migrationshintergrund, aber ohne eigene Migrationserfahrung hatten. Zur Quantifizierung der Einsamkeit wurde das etablierte Instrument von De Jong Gierveld verwendet.
Ergebnisse: Multiple lineare Regressionen zeigten, dass Personen mit Migrationshintergrund und eigener Migrationserfahrung im Vergleich zu Personen ohne Migrationshintergrund eine signifikant höhere Einsamkeit aufweisen (β = 0,15, 95 % Konfidenzintervall (KI): 0,004–0,30, p < 0,05), wohingegen Personen mit Migrationshintergrund, aber ohne eigene Migrationserfahrung eine signifikant niedrigere Einsamkeit aufweisen (β = −0,27, 95 % KI: −0,52 bis −0,02, p < 0,05).
Diskussion: Personen mit Migrationshintergrund und eigener Migrationserfahrung scheinen eine Risikogruppe für hohe Einsamkeit im mittleren und hohen Alter in Deutschland darzustellen. Insofern sollte diese Gruppe bei entsprechenden Maßnahmen besonders berücksichtigt werden. Vor dem Hintergrund der aktuellen (und potenzieller künftiger) Migrationsbewegungen sind diese Ergebnisse von großer Relevanz, da insbesondere diese Gruppen von Einsamkeit betroffen sein könnten.

(1) The aim of this study was to identify the association between post-materialism and health care use (in terms of the frequency of doctor visits and the reason for doctor visits). (2) Data were taken from the German General Social Survey (a representative sample of individuals aged 18 years and over, n = 3338). The Inglehart's post-materialist index was used to quantify post-materialism. The doctor visits (self-reported) in the past three months served as an outcome measure. The reasons for seeing a doctor served as an additional outcome measure (acute illness; chronic illness; feeling unwell; requesting advice; visit to the doctor's office without consulting the doctor (e.g., need to get a prescription); preventive medical check-up/vaccination). (3) After adjusting for several covariates, negative binomial regressions revealed that compared with materialism, post-materialism was associated with decreased doctor visits (total sample; women). Moreover, the likelihood of visiting the doctor for reasons of chronic illnesses was lower in post-materialistic women, whereas the likelihood of visiting the doctor for reasons of preventive medical check-up/vaccination was higher in post-materialistic women. (4) Study findings identify an unexplored link between post-materialism and doctor visits in women. One may conclude that in the long-term, the increased likelihood of preventive medical check-ups in post-materialistic women will be beneficial in decreasing the need for doctor visits for reasons of chronic illnesses. However, future research is required to elucidate the underlying mechanisms.

Background: The reason for doctor visits associated with bad working conditions (and workplace bullying) remains unknown. Therefore, the aim of this study was to examine the association between perceived working conditions as well as workplace bullying and the number of doctor visits as well as the reason for seeing a doctor.

Methods: Data were derived from the German General Social Survey, a representative cross-section of the population in the year 2014. Self-reported doctor visits in the last 3 months were used as outcome measure. Self-rated working conditions (noise, bad air; time/performance pressure; bad working atmosphere; overtime; hifts/night work; hard physical labour) and workplace bullying were assessed. The reason for seeing a doctor was also recorded (acute illness; chronic illness; feeling unwell; requesting advice; visit to the doctor's office without consulting the doctor (e.g., need to get a prescription); preventive medical check-up/vaccination). Regression analysis stratified by sex was conducted.

Results: Adjusting for various potential confounders, Poisson regressions showed that workplace bullying was associated with increased doctor visits in men, but not in women. Contrarily, time/performance pressure at work was only associated with increased doctor visits in women, but not in men. Furthermore, the probability of visiting the doctor for reasons of acute illness or feeling unwell increased with workplace bullying in men. The probability of visiting the doctor because of feeling unwell increased with time/performance pressure in women.

Conclusions: Our findings stress the association between adverse working conditions (workplace bullying as well as time/performance pressure at work) and doctor visits, with remarkable gender differences. Longitudinal studies are required to confirm the present findings and to obtain further insights into this relationship.

Existing literature explores the relationship between voluntary work, loneliness, and social isolation, but there is a lack of research on how the onset and cessation of voluntary work relate to loneliness and social isolation among older adults. Many in this population may discontinue volunteering due to various life circumstances, making it important to investigate the longitudinal significance of these transitions. This study aims to assess whether engaging in volunteer work during retirement age is associated with changes in loneliness and social isolation. Methods: Longitudinal data were obtained from Waves 5 (Year 2014) and 6 (Year 2017) of the German Ageing Survey, focusing on middle-aged and older adults. The sample size (n = 6628) was limited to those aged 65 and above. Two groups were analyzed: the onset group, individuals who did not volunteer in 2014 but did by 2017 (188 individuals), and the cessation group, those who volunteered in 2014 but not by 2017 (307 individuals). Loneliness was assessed using the De Jong Gierveld tool, and perceived social isolation was measured using the Bude and Lantermann instrument. Asymmetric linear fixed effects (FE) regression analysis examined the associations. Results: In an asymmetric FE regression analysis that adjusted for a multitude of time-varying covariates, an association was shown between the onset of volunteer work and decreases in loneliness (β = −0.07; p = 0.04) in older adults. In contrast, there was no significant association between the onset of voluntary work and changes in perceived social isolation. Also, there was no significant association between the cessation of volunteer work and changes in perceived social isolation or loneliness. Conclusion: Our findings suggest that older adults who choose to volunteer may experience a decrease in self-reported loneliness. Further longitudinal studies are needed to confirm our present findings.

AbstractFamily-centered values are important for caregiving. However, findings on their association with burden are inconsistent. We aim to analyze whether positive aspects of caregiving are mediating the effect of familism on burden among informal caregivers of older adults in Germany. Participants (n = 277) were drawn from the Attitudes Toward Informal Caregivers (ATTIC) project and include informal long-term caregivers of older relatives (aged ≥ 60) quota-sampled from Germany (December 2023). Mediation analyses (linear OLS regression) with robust standard errors were conducted with the classic and the counterfactual causal mediation framework. The classic approach indicated a significant positive direct effect of familism on burden, a significant negative direct effect of PAC on burden and a significant negative indirect effect of familism via PAC on burden; the total effect was not significant. The causal mediation approach supports this; the interaction between familism and PAC was not significant. Thus, sociocultural family-centered values seemed to worsen burden but also to reduce it through positive experiences of caregiving, which did not depend on the strength of familism values. The findings advance our understanding of the mechanisms underlying the stress appraisal of the informal care situation and emphasize the role of positive experiences of care.

We analysed whether care time, burden and range of caregiving tasks were associated with informal caregivers' subjective views of ageing (measured as attitudes towards own age (ATOA), subjective age (SA), and onset of old age (OOA)), and whether these associations differed as a function of the caregivers' age and gender. Adjusted cluster-robust fixed effects regression analyses were conducted with gender and age as moderators using data of informal caregivers (≥ 40 years) of the population-based German Ageing Survey (2014, 2017). All three aspect of care intensity were associated with changes in subjective views of ageing and this pattern was a function of the caregiver's age and gender. Care time was significantly associated with higher SA. Care tasks were significantly associated with more positive ATOA and earlier OOA. Age moderated the association between burden and ATOA, with older adults reporting more positive ATOA. Gender moderated the association between care time and ATOA; women reported less positive ATOA than men with increasing care time, but also felt subjectively younger than men with a broader range of care tasks. Age- and gender-stratified analysis indicated further differences. Our findings suggest to reduce care time, especially among older and female caregivers, to prevent a worsening of views of ageing, while being involved in a broad range of care tasks seems to (only) benefit female caregivers.

This study aimed to investigate the relationship between migration background and the utilization of preventive healthcare services.
Methods: Cross-sectional data from wave 5 in the year 2014, with a sample size of 7,684 individuals, were extracted from the nationally representative German Ageing Survey. The survey included community-dwelling individuals aged 40 years and above, with migration background serving as the primary independent variable. The outcomes measured included participation in cancer screenings, flu vaccinations, and routine health check-ups. Multiple logistic regressions were used to examine the association between migration background and preventive healthcare services.
Results: Regressions showed that the presence of a migration background with personal migration experience (compared with not having a migration background) was associated with a lower likelihood of using preventive healthcare services. More precisely, compared to individuals not having a migration background, individuals with a migration background and personal migration experience had a lower likelihood of routine health check-ups (OR = 0.76, 95% CI: 0.61 to 0.95), flu vaccinations (OR = 0.75, 95% CI: 0.59 to 0.95) and cancer screenings (OR = 0.71, 95% CI: 0.57 to 0.89). In contrast, there was no significant association between the presence of a migration background without personal migration experience (compared with not having a migration background) and the use of preventive healthcare services.
Conclusion: In conclusion, results showed differences between individuals without migration background and individuals with migration background (and with personal migration experience) in terms of using preventive healthcare services. It may be helpful to specifically address individuals with migration background (and with migration experience) in terms of using preventive healthcare services.

Previous research showed negative associations between physical activity and loneliness in older adults. However, information on associations among middle-aged adults is scarce. In this prognostic factor study, we investigated if starting or stopping to follow the WHO physical activity recommendations was associated with changes in perceived social exclusion and loneliness in this age bracket.

ZusammenfassungFrankreich gehört gemäß dem Index für
Integrationspolitik in Europa (MIPEX) zu den Ländern, die die
vorteilhaftesten Gesundheitsrechte für Migrant*innen
einräumen. Grund dafür ist vor allem die historisch gewachsene
Sozialhilfeleistung Aide médicale de l'État
(AME), dessen Konzept und Umsetzung anhand einer Literaturrecherche
beschrieben wird. Die AME steht beispielhaft für die Auseinandersetzung
mit der Frage, was ein angemessener Einsatz nationaler Sozialleistungen
für die Einbeziehung von Menschen ohne regulären
Aufenthaltsstatus in die Gesundheitsversorgung sein kann. Auch wenn die Hilfe in
der Tendenz zunehmend eingeschränkt wird, stellt sie im Vergleich zur
Situation in Deutschland eine national etablierte Möglichkeit der
medizinischen Versorgung von Menschen ohne regulären Aufenthaltsstatus
dar.

Thus far, few cross-sectional studies have investigated the association between pet ownership and psychosocial factors. As longitudinal studies on this topic are mostly lacking, this study aimed to analyze the association between pet ownership and psychosocial factors (in terms of depressive symptoms, loneliness, social isolation, and life satisfaction) using a longitudinal approach. The data used were taken from the German Ageing Survey (DEAS), a nationally representative sample of community-dwelling middle-aged and older adults (n = 12,438 observations). Two waves were used (year 2014 and year 2017). Validated multi-item scales were used to measure psychosocial factors. Linear fixed effects (FE) regressions were performed. In summary, only a few significant longitudinal associations were detected in regression analyses. No associations between general pet ownership and psychosocial factors were found. However, cat ownership was significantly longitudinally associated with increases in loneliness levels among the total sample and men. Cat ownership was also significantly longitudinally associated with increases in social isolation levels among men. Among women, dog ownership was significantly longitudinally associated with decreases in life satisfaction. This study reveals some associations between pet ownership and unfavorable psychosocial factors longitudinally. These associations were only significant for subgroups (cat vs. dog ownership and females vs. males).

To examine the factors associated with institutionalization among individuals aged 80 years and over in Germany (total sample and stratified by sex). Methods/Design: We used data from the nationally representative "Old Age in Germany (D80+)" (analytic sample: n = 9572 individuals), including individuals aged 80 years and over in Germany. Institutionalization (private living vs. institutionalization) served as an outcome measure. For the written interview, data collection took place from November 2020 to April 2021. Multiple logistic regressions of the overall sample (also stratified by sex) were applied. Results In the analytic sample, 10.2% (95% CI: 9.2%?11.3%) of the participants were institutionalized. The odds of being institutionalized were positively associated with being female (OR: 2.02, 95% CI: 1.08 to 3.80), being 90 years and over (compared to 80-84 years, OR: 1.67, 95% CI: 1.17 to 2.40), not being married (e.g., being single compared to being married: OR: 14.06, 95% CI: 6.73 to 29.37), higher education (e.g., high education compared to low education: OR: 1.88, 95% CI: 1.25 to 2.84), more favorable self-rated health (OR: 1.32, 95% CI: 1.07 to 1.62) and greater functional impairment (OR: 15.34, 95% CI: 11.91 to 19.74). Sex-stratified regressions were also conducted, mostly yielding similar results. Conclusion: Our study highlighted the role of several sociodemographic factors (particularly marital status, e.g., being single) and functional impairment for the risk of institutionalization among the oldest old in Germany. This study confirms findings in studies in younger samples that functional decline is the main factor associated with institutionalization. As functional decline may be modifiable, efforts to maintain functional abilities may be important. This knowledge is important for relevant groups (such as clinicians and policy-makers) because it may guide early intervention and prevention efforts, can help allocate healthcare resources effectively and shape policies to support independent living. Further insights using longitudinal data is recommended.

To clarify the factors associated with loneliness in individuals aged 80 years and older in Germany (also stratified by sex). Methods Data from the nationally representative "Old Age in Germany (D80+)" were employed. The analytic sample equaled 10,031 individuals. The D80+ study included community-dwelling and institutionalized individuals ≥ 80 years in Germany. Multiple linear regressions were used (with sociodemographic and health-related explanatory factors). The collection of data occurred between November 2020 and April 2021 (written questionnaire). Results Higher loneliness was significantly associated with not being married (e.g., widowed compared to being married, β=.37, p<.001), being institutionalized (β=.33, p<.001), low education (high education compared to low education, β=-.07, p<.01), a higher number of chronic conditions (β=.02, p<.001), poor self-rated health (β=-.19, p<.001) and greater functional impairment (β=.15, p<.001). Sex-stratified regressions produced comparable results. However, low education was only associated with higher loneliness among men, but not women (with significant interaction: education x sex). Conclusion Several sociodemographic and health-related factors can contribute to loneliness among the oldest old in Germany, with sex-specific associations between education and loneliness. Overall, such knowledge can aid to address individuals with higher loneliness levels.