Stephanie Woodham Burge

Residential Context, Social Relationships, and Subjective Well-Being in Assisted Living

Adaptive reframing and cumulative inequality theory provide the conceptual framework for investigating associations between four measures of subjective well-being (general, temporal, comparative, and experiential), residential context, and social relationships. Data from 344 cognitively intact assisted living (AL) residents aged 60 years and older interviewed for the Florida Study of Assisted Living were analyzed using logistic regression. Having control over the AL transition, often associated with socioeconomic status, was positively associated with all four dimensions of subjective well-being, consistent with a cumulative inequality framework. Other residential context characteristics (living arrangements prior to AL, private pay, size, licensure status) were less consistently associated with well-being. High-quality staff relationships were associated with temporal well-being, while positive coresident relationships were associated with all four well-being indicators. Compared with preexisting external relationships with family and friends, and consistent with adaptive reframing, social relationships unique to AL were independently and more consistently associated with residents’ perceptions of subjective well-being.

Mastery and the Fulfillment of Occupational Expectations by Midlife.

This paper tests the central tenet of social psychology and the life-course perspective that broader contexts of opportunity and constraint moderate the ability of individuals to act on their plans and ambitions. We use the 1972 National Longitudinal Study to assess the impact of mastery on achieving ones occupational expectations and to determine if the benefits of mastery are contingent on structural contexts. Three types of structural constraints are examined: local employment conditions, marriage and family, and the credentialing of upper-status occupations. In general, mastery is associated with more ambitious and stable expectations over time. Results from discrete-time event history models show that personal mastery is positively associated with achieving ones occupational expectations, and the association is contingent on some, but not all, structural constraints. Marriage increases the effect of mastery on the odds of achieving ones occupational expectations, but having children decreases masterys effect. Mastery is more beneficial to those pursuing training-intensive occupations, partly due to the acquisition of post-secondary credentials. Lastly, women receive less of a benefit from mastery than men do, likely due to the structural barriers women face in the workplace. Contrary to expectations, poor local employment conditions do not weaken masterys influence on goal attainment.

The Effect of Licensure Type on the Policies, Practices, and Resident Composition of Florida Assisted Living Facilities

PURPOSE Most assisted living facility (ALF) residents are White widows in their mid- to late 80s who need assistance with activities of daily living (ADLs) because of frailty or cognitive decline. Yet, ALFs also serve younger individuals with physical disabilities, traumatic brain injury, or serious mental illness. We compare Florida ALFs with different licensure profiles by admission-discharge policies and resident population characteristics. DESIGN AND METHODS We use state administrative data and facility survey data from the Florida Study of Assisted Living (FSAL) to classify ALFs by licensure type and to determine how licensure influences ALF policies, practices, and resident population profiles. RESULTS Standard-licensed traditional ALFs primarily serve elderly White women with physical care needs and typically retain residents when their physical health deteriorates. Some ALFs that hold specialty licenses (extended congregate care and limited nursing services) offer extra physical care services and serve an older, more physically frail population with greater physical and cognitive challenges. ALFs with limited mental health (LMH) licenses serve clientele who are more racially and ethnically diverse, younger, and more likely to be men and single. LMH facilities also have a significant proportion of frail elder residents who live alongside these younger residents, including some who exhibit behavioral problems. LMH facilities also employ discharge policies that make it more difficult for frail elderly residents to age in place. IMPLICATIONS These differences by facility type raise important quality of life issues for both the frail elderly individuals and assisted living residents who do not fit the conventional demographic profile.

Family-friendly benefits and full-time working mothers’ labor force persistence

ABSTRACT Family-friendly benefits are intended to help mothers balance rather than juggle work and family. Prior research assumes that family-friendly benefits have a similar effect on mothers’ persistence in full-time work across parity. However, there is evidence that the transitions to first-time and second-time motherhood are qualitatively, as well as quantitatively, different experiences. Using the National Longitudinal Survey of Youth (NLSY79), we investigate women’s labor force status (full-time, part-time, and not working) after both parity transitions among women who were working in the labor force full-time prior to the birth of their first child. We find that mothers often persist in the same labor force status after the birth of their second child that they held after the birth of their first child, but there is wide variability in labor force and parity pathways. In addition, a wider array of family-friendly benefits is associated with second-time mothers’ full-time work than first-time mothers.