Browsing by Author "O'Rand, Angela M"
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Item Open Access Black/white differences in the relationship between debt and risk of heart attack across cohorts.(SSM - population health, 2023-06) Hamil-Luker, Jenifer; O'Rand, Angela MBackground
Numerous studies show that increasing levels of education, income, assets, and occupational status are linked to greater improvements in White adults' health than Black adults'. Research has yet to determine, however, whether there are racial differences in the relationship between health and debt and whether this relationship varies across cohorts.Methods
Using data from the 1992-2018 Health and Retirement Study, we use survival analyses to examine the link between debt and heart attack risk among the Prewar Cohort, born 1931-1941, and Baby Boomers, born 1948-1959.Results
Higher unsecured debt is associated with increased heart attack risk for Black adults, especially among Baby Boomers and during economic recessions. Higher mortgage debt is associated with lower risk of heart attack for White but not Black Baby Boomers. The relationship between debt and heart attack risk remains after controlling for health behaviors, depressive symptoms, and other economic resources that are concentrated among respondents with high levels of debt.Conclusion
Debt is predictive of heart attack risk, but the direction and strength of the relationship varies by type of debt, debtors' racial identity, and economic context.Item Open Access Correlates of changes in walking during the retirement transition: The Multi-Ethnic Study of Atherosclerosis.(Preventive medicine reports, 2018-09) Jones, Sydney A; Li, Quefeng; Aiello, Allison E; O'Rand, Angela M; Evenson, Kelly RRetirement from employment involves disruption in daily routines and has been associated with positive and negative changes in physical activity. Walking is the most common physical activity among older Americans. The factors that influence changes in walking after retirement are unknown. The study objective was to identify correlates of within-person change in recreational walking (for leisure) and transport walking (to get places) during the retirement transition among a multi-ethnic cohort of adults (N = 928) from six US communities. Correlates were measured at the individual (e.g., gender), interpersonal (e.g., social support), and community (e.g., density of walking destinations) levels at study exams between 2000 and 2012. Comparing pre- and post-retirement measures (average 4.5 years apart), 50% of participants increased recreational walking by 60 min or more per week, 31% decreased by 60 min or more per week, and 19% maintained their recreational walking. Forty-one percent of participants increased transport walking by 60 min or more per week, 40% decreased by 60 min or more per week, and 19% maintained their transport walking after retirement. Correlates differed for recreational and transport walking and for increases compared to decreases in walking. Self-rated health, chronic conditions, and perceptions of the neighborhood walking environment were associated with changes in both types of walking after retirement. Further, some correlates differed by gender and retirement age. Findings can inform the targeting of interventions to promote walking during the retirement transition.Item Open Access Family Ties, Economic Resources, and the Well-Being of Older Adults Across Communities in China(2013) Sereny, Melanie DawnMany older adults in the developing world rely on their adult children for financial, instrumental, and emotional support. The People's Republic of China (PRC), which will experience rapid population aging in the current century, is no exception. Many scholars and policy-makers are concerned that rapid economic, social, and demographic change in China is leading to a decline in traditional support for aging parents. This study examines the impact of family ties and economic resources on the receipt of support and the health of older adults across communities in China at different levels of economic development.
I analyze data from the 2002 and 2008 waves of the Chinese Longitudinal Healthy Longevity Survey (CLHLS) as well as the 2000 and 2005 1% Chinese Census. Initiated in 1998, the CLHLS interviewed older adults residing in a random sample of counties and cities in 22 provinces and municipalities of China. Additionally, in 2002 a subset of adult children of CLHLS respondents were also interviewed in a separate survey. Furthermore, the 2008-2009 wave collected additional data from middle-aged and older adults residing in specially designated "longevity areas" in China. In addition to the standard questionnaire and health exam, samples of blood and urine were also collected by medical personnel.
The first empirical chapter of this dissertation examines the association between filial piety/altruism and financial transfers to aging parents from adult children using factor analysis, binary logistic regression, and linear regression. The second paper looks at the socioeconomic-status health gradient using biomarker data among older adults residing in longevity areas using binary logistic regression analysis. The third paper examines both individual-level and community-level determinants of non-normative intergenerational coresidence - living with an adult daughter instead of an adult son-- through multilevel binary logistic models analyzing both survey and census data.
I find that (1) adult children's attitudes towards filial piety and family values are associated with both presence and amount of financial transfers to older parents, net of controls for adult child's socioeconomic status, parental need, parents' earlier life transfers to children, and whether elderly parents' provide instrumental support to adult children. (2) Similar to previous research in middle-income countries, many biomarkers were not associated with socioeconomic status but those that were demonstrated a reversed gradient - higher socioeconomic status was associated with worse health. (3) Greater numbers of daughters, higher levels of individual socioeconomic status, and residing in a more developed community was associated with greater likelihood of coresidence with adult daughters versus adult sons.
Item Open Access Household Debt Across the Life Course: An Analysis of the Late Baby Boomers(2010) Tippett, Rebecca MarieAs an aggregate, American households have shown rising debt levels over the past few decades, yet we do not understand how debt varies within households over time and what factors influence this variation in a meaningful way. To date, household debt appears predominantly as a component of measures of net worth, obscuring heterogeneity in the meaning of debt within a household. Moreover, most studies focusing specifically on indebtedness rely on cross-sectional data. In addition, no cohesive theoretical model exists to account for changing patterns of debt. This dissertation seeks to fill these gaps. Utilizing a variety of methodological approaches and drawing on longitudinal data from the National Longitudinal Survey of Youth 1979, it adds sociological explanation to a social process that has been previously ignored and under-theorized.
First, drawing from literature in economics and sociology, I propose a dynamic, life course model of indebtedness that specifies three mechanisms driving differentiation in household indebtedness: institutional context (period), social heterogeneity, and patterned disadvantage, or structural risk. Second, I use multilevel logistic regressions to explore the association between the hypothesized mechanisms and the likelihood of holding non-collateralized debt. While experiencing negative life course risks increases the likelihood of holding debt, I find that occupying positions of structural disadvantage--being black, being in poverty--decreases the likelihood of holding debt, while having advantages--higher education, being married, holding assets--increases the likelihood of holding debt, pointing to distinct differences in who can access debt to buffer life course shocks and who cannot. Examining the interrelationships between debts and assets further underscores the tenuous economic well-being of the disadvantaged. I find that those most likely to experience negative life events are both less likely to have financial assets with which to buffer these events and more likely to experience constrained access to non-collateralized debt.
Third, I employ multilevel linear regressions to examine the association between the proposed mechanisms and three unique indicators of debt burden. I find that many of the standard coefficients included in models of net worth are not significant predictors of the level of non-collateralized, non-revolving debt, suggesting that we know much more about the correlates of income and wealth than we do household debt. Variation in debt burden may be better understood by heterogeneity in non-economic variables frequently not captured in survey research. To better explore this unobserved heterogeneity, I utilize latent class regression models to estimate the early life course trajectories of debt burden for the NLSY79 cohort. I find four distinct trajectories of indebtedness with varying consequences for later life financial outcomes. Overall, I conclude that household debt is nuanced and contextually contingent. More importantly, debt adds to our understanding of long-term stratification processes when studied as a unique indicator of inequality.
Item Open Access Kinship Status and Life Course Transitions as Determinants of Financial Assistance to Adult Children(2008-04-21) Remle, Robert CoreyThis dissertation contributes to the literature on intergenerational transfers by examining the dynamics of financial assistance provided by midlife parents to their adult children across the life course. This dissertation also examines whether the cumulative advantage hypothesis stretches across generational lines during co-occurring life course experiences so that financial transfers convey additional advantages to adult children. I use panel data from four waves of the Health and Retirement Study (1992, 1994, 1996 and 1998) to provide a broad picture of the process of financial assistance to younger adults within extended families. I constructed within-family trajectories of assistance to demonstrate that financial transfers are more common than previously estimated. Over 60% of all midlife-parent households gave $500 or more at least once and many parents gave multiple transfers and/or gave transfers to several adult children during a seven-year period. In an examination of kinship structures that differentiates between paternal children and maternal children within blended families, I use nonlinear logistic regression models to show that the decreased likelihood that fathers provided financial assistance to children from a previous marriage accounted solely for the reduction in transfers that all stepchildren received compared to biological children. Multilevel regression models demonstrate that transfer amounts are also influenced by kinship structures and parental resources. Additional analyses show adult child life course transitions related to schooling and coresidence were influential for parents' transfer behaviors while other life course transitions related to work, marriage, home ownership and the addition of a grandchild to the family were not influential. The number of life course transitions experienced by adult children during later waves significantly increased the likelihood of transfer receipt. However, the diversification of experiences over time made it difficult to pinpoint specific life course transitions relevant to financial assistance from parents. The strong impact of previous transfers upon the likelihood that adult children would receive transfers at later waves shows that patterns of repeated transfers were common for many intergenerational families. I argue that future research should analyze the impact of parental wealth on transfers and should explicitly examine parents' motives for giving money to adult children.Item Open Access Physical Activity, Sedentary Behavior, and Retirement: The Multi-Ethnic Study of Atherosclerosis.(American journal of preventive medicine, 2018-06) Jones, Sydney A; Li, Quefeng; Aiello, Allison E; O'Rand, Angela M; Evenson, Kelly RPhysical activity and sedentary behavior are major risk factors for chronic disease. These behaviors may change at retirement, with implications for health in later life. The study objective was to describe longitudinal patterns of moderate to vigorous and domain-specific physical activity and TV watching by retirement status.Participants in the Multi-Ethnic Study of Atherosclerosis (n=6,814) were recruited from six U.S. communities and were aged 45-84 years at baseline. Retirement status and frequency and duration of domain-specific physical activity (recreational walking, transport walking, non-walking leisure activity, caregiving, household, occupational/volunteer) and TV watching were self-reported at four study exams (2000 to 2012). Fixed effect linear regression models were used to describe longitudinal patterns in physical activity and TV watching by retirement status overall and stratified by socioeconomic position. Analyses were conducted in 2017.Of 4,091 Multi-Ethnic Study of Atherosclerosis participants not retired at baseline, 1,012 (25%) retired during a median of 9 years follow-up. Retirement was associated with a 10% decrease (95% CI= -15%, -5%) in moderate to vigorous physical activity and increases of 13% to 29% in recreational walking, household activity, and TV watching. Among people of low socioeconomic position, the magnitude of association was larger for moderate to vigorous physical activity. Among people of high socioeconomic position, the magnitude of association was larger for non-walking leisure and household activity.The retirement transition was associated with changes in physical activity and TV watching. To inform intervention development, future research is needed on the determinants of behavior change after retirement, particularly among individuals of low socioeconomic position.Item Open Access Standing Firmly Upon Ground: Transition to Adulthood in Reform-Era China(2014) Tian, FengThis dissertation aims to examine empirically how the transition to adulthood--the complex process to attain adult independence by completing education, starting the first job, getting married and entering the parenthood--has changed during the Chinese economic reform. The first chapter provides an overall picture of changes in the transition to adulthood in China, and the second and third chapters focus on family and non-family transitions, respectively. The first chapter examines if the transition to adulthood was postponed and de-standardized between 1982 and 2005. Data come from 1982, 1990, 2000 1% census sample and 2005 intercensal survey. The results show a significant postponement of education and employment, but little change in family formation. The transition to adulthood is also de-standardized, especially over the late 20s. The changes are more pronounced among urban residents than rural residents and migrants, and among female migrants than male migrants. The second and third chapters focus on urban China. The second chapter examines how family change is influenced by macro-level institutional contexts. It uses provincial variations in the levels of economic development and interactions with the global markets to differentiate two broad theoretical perspectives on family change: development and diffusion. Data come from respondents born between 1960 and 1979 from the 2008 Chinese General Social Survey and provincial-level economic indicators in 1990 and 2000. Results from latent class analysis and multi-level logistic regressions provide more support for the diffusion perspective. The postponement of family formation varies substantially across provinces. This provincial variation is positively associated with the levels of interactions with world markets (as measured by Foreign Direct Investment performance), but not with socioeconomic development or unemployment rate. The third chapter examines the trend of network-based job search in reform-era China. Data come from a pooled sample of first-time job-seekers from 1998 Labor Market and Social Mobility Survey, 2005 Social Capital Survey of China, and 2008 Chinese General Social Survey. The results suggest a stable increase of network use in finding the first job. The use of strong ties also increases initially, and persists afterwards. These findings are, by and large, consistent with other recent studies of the transition to adulthood reported for other countries. However, the culture of origin and local institutions also make the transition to adulthood of Chinese young adults unique in various respects.
Item Open Access Women's Retirement Insecurity Across U.S. Birth Cohorts(2010) Isaacs, KatelinOlder women in the U.S. face greater risks of economic insecurity in comparison with other age groups and with men their own age. Although these risks have been documented in prior research, few studies investigate the life course mechanisms underlying women's retirement insecurity. This dissertation seeks to fill this gap by using a life course perspective and the theory of cumulative disadvantage to examine how women's earlier work and family experiences shape subsequent economic resources in retirement. The three major types of retirement resources in the U.S. - Social Security benefits, occupational pensions, and private retirement wealth - are considered. Analyses use a variety of modeling techniques and panel data from the Health and Retirement Study linked to restricted access Social Security Administration files. In addition, this dissertation specifically investigates retirement insecurity across birth cohorts of older women.
The first substantive chapter examines how Social Security benefit eligibility type is influenced by four major life course predictors: marital continuity, family timing, employment commitment, and cohort change. Social Security benefit type is an important indicator of retirement security for women because, despite nearly universal program coverage, benefit type is associated with differential economic security in retirement for women. Multinomial logit models demonstrate the importance of women's own paid employment histories for later benefit type. Receiving own worker Social Security benefits or being dually eligible for Social Security are more likely outcomes with increased employment experience. The second empirical chapter uses discrete-time even history models to examine the timing of women's access to occupation pension income. The timing of pension income receipt is relevant for women's retirement security because delayed access indicates a missing source of economic resources. Results reveal significant cohort differences in the timing of first pension receipt as well as the important roles of marital continuity and family timing for older women's access to occupational pension income. The final empirical chapter employs age-based growth models to examine differential trajectories of private retirement savings in early retirement (ages 51-65) across U.S. birth cohorts of women. This analysis examines both initial retirement wealth and wealth accumulation over time to understand how life course processes advantage some older women, but contribute to ongoing disadvantage for others as part of this third, major source of retirement security. Results from growth models reveal variation across birth cohorts as well as the negative effects of divorce for initial wealth holdings and growth in retirement wealth. Overall, this dissertation illustrates the importance of women's work and family experiences across the life course for the cumulative disadvantages they face in retirement. Moreover, each type of major retirement resource interacts with different aspects of women's prior work and family roles to produce economic outcomes in retirement.