Beth J. Soldo

Household Composition Choices of Older Unmarried Women

This article extends previous research on the household composition of older unmarried women, using a statistical model that treats each of a woman’s surviving children as a distinct potential provider of a shared household. Additional possibilities— living alone, living with other nuclear-family relatives, and living with others— are also recognized, providing a varied range of household-structure opportunities for older women. The approach allows us to identify individual child attributes associated with the propensity to coreside with the older unmarried mother. The results confirm earlier findings regarding the importance of income, age, and disability status as determinants of the household composition of older women. We find, however, that unmarried children, especially sons, are more likely to share a household with an elderly mother than are married children. Working reduces the likelihood that a married daughter will live with her older mother. Overall, the findings suggest that the attributes, more so than the sheer numbers, of living children influence the household structure of their mothers.

Racial and Ethnic Differences in the Health of Older Americans

Older Americans, even the oldest, can now expect to live years longer than those who reached the same ages even a few decades ago. Although survival has improved for all racial and ethnic groups, strong differences persist, both in life expectancy and in the causes of disability and death at older ages. This book examines trends in mortality rates and selected causes of disability (cardiovascular disease, dementia) for older people of different racial and ethnic groups. The determinants of these trends and differences are also investigated, including differences in access to health care and experiences in early life, diet, health behaviors, genetic background, social class, wealth and income. Groups often neglected in analyses of national data, such as the elderly Hispanic and Asian Americans of different origin and immigrant generations, are compared. The volume provides understanding of research bearing on the health status and survival of the fastest-growing segment of the American population.

Family Structure and Transfer Measures in the Health and Retirement Study: Background and Overview

This paper describes the rationale for and the measures offamily structure and inter-vivos giving in the Health and Retirement Study (HRS). Of particular interest to the HRS is the extent to which transfers affect the labor supply of donors, especially women. Because all children and parents are individually profiled, HRS data can be used to examine the joint allocation of space, time, and money among competing kin. Data on siblings of respondents with living parents provide further opportunities to consider how adult children distribute the burden of parent care among themselves. Using the baseline HRS, we describe the quality of data on kin attributes and the correlations among family structures, transfers, and work.

Using anthropometric indicators for Mexicans in the United States and Mexico to understand the selection of migrants and the "Hispanic paradox".

Abstract Anthropometric measures including height provide an indication of childhood health that allows exploration of relationships between early life circumstances and adult health. Height can also be used to provide some indication of how early life health is related to selection of migrants and the Hispanic paradox in the United States. This article joins information on persons of Mexican nativity ages 50 and older in the United States collected in the National Health and Nutrition Examination Survey IV (NHANES IV 1999–2002) with a national sample of persons of the same age living in Mexico from the Mexican Health and Aging Survey (MHAS 2001) to examine relationships between height, education, migration, and late‐life health. Mexican immigrants to the United States are selected for greater height and a high school, rather than higher or lower, education. Return migrants from the United States to Mexico are shorter than those who stay. Height is related to a number of indicators of adult health. Results support a role for selection in the Hispanic paradox and demonstrate the importance of education and childhood health as determinants of late‐life health in both Mexico and the United States.

Housing strain, mortgage foreclosure, and health.

BACKGROUND Foreclosure rates have risen rapidly since 2005, reaching historically high levels. The purpose of this study was to examine the health implications of the current housing crisis. METHODS We conducted a cross-sectional online consumer panel survey including residents of California, Arizona, Nevada, and Florida (n = 798) to determine the feasibility of contacting distressed homeowners via the Internet and to assess mental and physical health among respondents across the spectrum from those having no housing strain to those in loan default or home foreclosure. RESULTS Homeowners in default or foreclosure exhibited poorer mental health and more physical symptoms than renters, homeowners with moderate strain, and homeowners with no strainöfollowing a gradient that was consistent across multiple health indicators. CONCLUSIONS Internet panel sampling was an efficient method of contacting distressed homeowners. Record-high foreclosure rates may have broad implications for nursing and public health. Homeowners in default or foreclosure represent an identifiable high-risk group that may benefit from coordinated, affordable health and social services.

Cross-Cohort Differences in Health on the Verge of Retirement

Baby Boomers have left a unique imprint on US culture and society in the last 60 years, and it might be anticipated that they will also put their own stamp on retirement, the last phase of the life cycle. Yet because Boomers have not all fully retired, we cannot yet judge how they will fare as retirees. Instead, we focus on how this group compares with prior groups on the verge of retirement, that is, at ages 51-56. Accordingly, this chapter evaluates the stock of health which Early Boomers bring to retirement and compare these to the circumstances of two prior cohorts at the same point in their life cycles. Using three sets of responses from the Health and Retirement Study, we find some interesting patterns. Overall, the raw evidence indicates that Boomers on the verge of retirement are in poorer health their counterparts 12 years ago. Using a summary health index designed for this study, we find that those born 1948 to 1953 share health risks with the War Baby cohort. This suggests that most of the health decline instead began before the late 1940s. A more complex set of health conclusions emerges from the specific self-reported health measures. Boomers indicate they have relatively more difficulty with a range of everyday physical tasks, but they also report having more pain, more chronic conditions, more drinking and psychiatric problems, than their HRS earlier counterparts. This trend portends poorly for the future health of Boomers as they age and incur increasing costs associated with health care and medications. Using our health index, only those at the 75th percentile or higher are likely to be characterized as having good or better health.

Wealth in middle and old age in Mexico: The role of international migration

This article examines the impact that past migration to the U.S. has on the current economic well-being of individuals in middle or old age who have returned to Mexico. A priori, the net effect of U.S. migration on wealth among return migrants is difficult to predict; there are counteracting factors that can affect wealth positively or negatively. Using data from the Mexican Health and Aging Study 2001 and correcting for selection factors, the long-term effect of U.S. migration for return migrants was found consistently positive in terms of their accumulated personal wealth at middle and old age. This article speculates about the possible mechanisms that can explain this apparent advantage.

Central catecholamines, cognitive impairment, and affective state in elderly schizophrenics and controls

Central catecholamine concentrations were determined in autopsy samples from older schizophrenic and control subjects for both the hypothalamus and the nucleus accumbens. The results of these analyses and demographic variables were regressed on antemortem measures of cognitive function and mood state. In the hypothalamus, there are significant direct relationships of homovanillic acid (HVA) and 3-methoxy-4-hydroxyphenylglycol (MHPG) with depressed mood, as measured by an adaptation of the Hamilton Rating Scale for depression. In the nucleus accumbens, dopamine (DA) and MHPG had significant inverse relationships with antemortem cognitive function, as measured by an adaptation of the Mini Mental State Exam. Results in this sample indicate that after controlling for age, the catecholamine concentrations accounted for approximately 50% of the variance in the antemortem measures of mood or cognition, depending on the loci measured.

Ethnic Differences in Time Transfers from Adult Children to Elderly Parents Unobserved Heterogeneity Across Families

This article examines differences across racial-ethnic groups in patterns of time transfers from middle-aged adult children to their elderly parents and the degree to which heterogeneity in unobserved family-level factors may explain observed differences. Using data from the 1992 Health and Retirement Study (HRS) on respondents and their siblings, the analysis supports the hypothesis that the determinants of time assistance vary across racial-ethnic groups: Controlling for socioeconomic attributes of potential donors and the recipient, there is evidence of unobserved family-level heterogeneity for Whites and Blacks but not for Hispanics.

Do early-life conditions predict functional health status in adulthood? The case of Mexico

Relatively few researchers have investigated early antecedents of adult functional limitations in developing countries. In this study, we assessed associations between childhood conditions and adult lower-body functional limitations (LBFL) as well as the potential mediating role of adult socioeconomic status, smoking, body mass index, and chronic diseases or symptoms. Based on data from the Mexican Health and Aging Study (MHAS) of individuals born prior to 1951 and contacted in 2001 and 2003, we found that childhood nutritional deprivation, serious health problems, and family background predict adult LBFL in Mexico. Adjustment for the potential mediators in adulthood attenuates these associations only to a modest degree.