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  • Abellan, Antonio, et al. (författare)
  • Partner care, gender equality, and ageing in Spain and Sweden
  • 2017
  • Ingår i: International Journal of Ageing and Later Life. - Linkoping University Electronic Press. - 1652-8670. ; 11:1, s. 69-89
  • Tidskriftsartikel (refereegranskat)abstract
    • We used national surveys to study how older persons’ changing household patterns influence the gender balance of caregiving in two countries with distinct household structures and cultures, Spain and Sweden. In both countries, men and women provide care equally often for their partner in couple-only households. This has become the most common household type among older persons in Spain and prevails altogether in Sweden. This challenges the traditional dominance of young or middle-aged women as primary caregivers in Spain. In Sweden, many caregivers are old themselves. We focus attention to partners as caregivers and the consequences of changing household structures for caregiving, which may be on the way to gender equality in both countries, with implications for families and for the public services.
  • Abellán, Antonio, et al. (författare)
  • The new carers
  • 2018
  • Ingår i: Ageing and care : How will we live and care for ourselves when we get old?. - Palma : Observatorio Sociale de "la caxia". ; s. 25-31
  • Bokkapitel (övrigt vetenskapligt)abstract
    • Usually it is women who take care of family members in the home, but with age, gender differences become less pronounced and, from 80 years onwards, there are more men caring for a family member – generally their partner – than women. Social and demographic changes are presenting new challenges for public services. In particular, in two-person households with elderly inhabitants, one of whom is dependent, it is necessary to tackle not only the needs of the dependent partner but also those of the carer partner. For this reason, carer support programmes are needed.
  • Abramsson, Marianne, 1963- (författare)
  • The housing situation of older people – Issues of investigations
  • 2017
  • Ingår i: Book of abstracts. - 9789928083142 ; s. 51-51
  • Konferensbidrag (övrigt vetenskapligt)abstract
    • The housing situation of older people has been on the Swedish political agenda for some time. An increasing ageing population implies a demand for housing in correspodence to their needs. Assisted living facilities decreased with 30 000 places between 2002 and 2016, as a result, the majority of older people age in a dwelling in the ordinary housing market. In 2008 and 2015 respectively two government investigations on older people’s housing were presented. The investigations focused on the need for housing to bridge the gap between ordinary housing and assisted living facilities and issues of affordability and social community but also the lack of accessible housing in particular geographic areas. This paper aims to investigate the origins of the two investigations and relate them to changes in the housing market affecting older people, arguing that the strong emphasis on ageing in place has shifted the responsibility of having a good place to live from general welfare to older individuals themselves.
  • Acosta, Stefan, et al. (författare)
  • Epidemiology and Prognostic Factors in Acute Superior Mesenteric Artery Occlusion.
  • 2010
  • Ingår i: Journal of Gastrointestinal Surgery. - Springer. - 1873-4626. ; 14, s. 628-635
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: Reports on trends in incidence and mortality of acute superior mesenteric artery (SMA) occlusion and evaluation of prognostic factors in recent years are lacking. METHODS: Patients with acute SMA occlusion were identified through the in-patient and autopsy registry between 1970 and 1982 (n = 270), 1987 to 1996 (n = 135), and 2000 and 2006 (n = 100) in Malmö, Sweden. RESULTS: The overall incidence rate decreased from 8.6 to 5.4/100,000 person years and the autopsy rate from 87% to 25% over time. A higher serum creatinine level was associated with a lower probability of undergoing multi-detector row computed tomography with intravenous contrast (MDCTiv) (p = 0.006). Not performing a MDCTiv (odds ratio 4.0; 95% confidence interval [1.0-16.0]) remained as independent prognostic factor for in-hospital mortality. General and vascular surgeons collaborated in 25 out of 61 patients that underwent an intervention, of which 21 (84%) (p < 0.001) survived. CONCLUSIONS: A close collaboration between radiologists and general and vascular surgeons seems to be most important to lower the mortality in patients with acute SMA occlusion.
  • Agahi, Neda, et al. (författare)
  • Alcohol consumption in very old age and its association with survival A matter of health and physical function
  • 2016
  • Ingår i: Drug And Alcohol Dependence. - 0376-8716. ; 159, s. 240-245
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Alcohol consumption in very old age is increasing; yet, little is known about the personal and health-related characteristics associated with different levels of alcohol consumption and the association between alcohol consumption and survival among the oldest old. Methods: Nationally representative data from the Swedish Panel Study of Living Conditions of the Oldest Old (SWEOLD, ages 76-101; n=863) collected in 2010/2011 were used. Mortality was analyzed unti12014. Alcohol consumption was measured with questions about frequency and amount. Drinks per month were calculated and categorized as abstainer, light-to-moderate drinker (0.5-30 drinks/month) and heavy drinker (&gt;30 drinks/month). Multinomial logistic regressions and Laplace regressions were performed. Results: Compared to light-to-moderate drinkers, abstainers had lower levels of education and more functional health problems, while heavy drinkers were more often men, had higher levels of education, and no serious health or functional problems. In models adjusted only for age and sex, abstainers died earlier than drinkers. Among light-to-moderate drinkers, each additional drink/month was associated with longer survival, while among heavy drinkers, each additional drink/month was associated with shorter survival. However, after adjusting for personal and health-related factors, estimates were lower and no longer statistically significant. Conclusions: The association between alcohol consumption and survival in very old age seems to have an inverse J-shape; abstention and heavy use is associated with shorter survival compared to light-to moderate drinking. To a large extent, differences in survival are due to differences in baseline health and physical function.
  • Agahi, N, et al. (författare)
  • Are today's older people more active than their predecessors? Participation in leisure-time activities in Sweden in 1992 and 2002
  • 2005
  • Ingår i: Ageing & Society. - Cambridge University Press. - 0144-686X. ; 25, s. 925-941
  • Tidskriftsartikel (refereegranskat)abstract
    • For the older individual, leisure activities are a resource that helps to maintain health and engagement with lire. This article investigates change over 10 years ill the level of participation of older people in leisure activities in Sweden, and the factors associated with these changes. The data are from nationally representative samples of the Swedish population aged 77 or more years in 1992 and 2002. The level of participation was higher at the later date, and among four major groups of activities, social and Cultural activities increased the most, while physical and intellectual activities increased only among women. Ordered logistic regressions enable variations in the level of participation by age, gender, level of education, disability and fatigue to be described. Participation in most kinds of activities, including the overall level, was more common at the younger ages (the late seventies and early eighties) and among those with full mobility and more education. Since average health was worse in 2002 than in 1992, it cannot explain the higher level of participation. Other possible explanations, Such as cohort differences, improved accessibility, and changing gender roles, and the implications for health promotion programmes are discussed.
  • Agahi, Neda, et al. (författare)
  • Late-Life and Earlier Participation in Leisure Activities: Their Importance for Survival Among Older Persons
  • 2011
  • Ingår i: Activities, Adaptation & Aging. - 0192-4788. ; 35:3, s. 210-222
  • Tidskriftsartikel (refereegranskat)abstract
    • Is activity participation in old age important for survival independent of one's earlier history of participation? A nationally representative sample of 457 older persons was followed for 25 years with data from the Level-of-Living Survey and the SWEOLD study. Cox regressions showed that regardless of earlier activities and health, late-life leisure engagement was associated with enhanced survival, especially among men. Among women, earlier activities (study groups) also seem important, perhaps by providing social networks. Results suggest that it is worthwhile to encourage elderly people to participate in leisure activities and to facilitate their participation in the community even at high ages.
  • Agahi, Neda, et al. (författare)
  • Smoking and Physical Inactivity as Predictors of Mobility Impairment During Late Life : Exploring Differential Vulnerability Across Education Level in Sweden
  • 2018
  • Ingår i: The journals of gerontology. Series B, Psychological sciences and social sciences. - 1079-5014. ; 73:4, s. 675-683
  • Tidskriftsartikel (refereegranskat)abstract
    • Objectives: To test whether older adults from high and low educational groups are differentially vulnerable to the impact of smoking and physical inactivity on the progression of mobility impairment during old age.Methods: A nationally representative sample of older Swedish adults (n = 1,311), aged 57-76 years at baseline (1991), were followed for up to 23 years (2014). Multilevel regression was used to estimate individual trajectories of mobility impairment over the study period and to test for differences in the progression of mobility impairment on the basis of smoking status, physical activity status, and level of education.Results: Compared to nonsmokers, heavy smokers had higher levels and steeper increases in mobility impairment with advancing age. However, there were only small and statistically nonsignificant differences in the impact of heavy smoking on mobility impairment in high versus low education groups. A similar pattern of results was found for physical inactivity.Discussion: Differential vulnerability to unhealthy behaviors may vary across populations, age, time-periods, and health outcomes. In this study of older adults in Sweden, low and high education groups did not differ significantly in their associations between heavy smoking or physical inactivity, and the progression of mobility impairment.
  • Agahi, Neda, et al. (författare)
  • Social integration and alcohol consumption among older people : A four-year follow-up of a Swedish national sample
  • 2019
  • Ingår i: Drug And Alcohol Dependence. - 0376-8716. ; 196, s. 40-45
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Today's older people drink more alcohol than earlier cohorts of older people. Social integration has been identified as an important factor for older people's drinking, but the association is complex. This study investigates both high and low levels of social integration and their associations with longitudinal patterns of alcohol consumption among older women and men.Methods: Longitudinal nationally representative data of older Swedish women and men aged over 65 - the Swedish Level of Living Survey (LNU) and Swedish Panel Study of Living Conditions of the Oldest Old (SWEOLD) - from 2010/2011 and 2014 (n = 1048). Associations between social contacts and social activities at baseline and longitudinal patterns of drinking frequency were examined with multinomial logistic regression analyses.Results: Men reported drinking alcohol more often than women, but the most common drinking frequency among both women and men was to drink monthly or less. Drinking habits were generally stable over time. People with high levels of social activity at baseline were more likely to have a stable daily or weekly drinking frequency or increased drinking frequency over the four-year follow-up period, particularly women. People with low levels of social contacts and/or social activities were less likely to have a stable daily or weekly drinking frequency, compared to people in the low and stable drinking frequency group.Conclusions: Alcohol consumption is embedded in a social context, older people drink in social situations and social integration predicts continued drinking patterns.
  • Agahi, Neda, et al. (författare)
  • Trajectories of social activities from middle age to old age and late-life disability: : a 36-year follow-up
  • 2013
  • Ingår i: Age and Ageing. - 0002-0729. ; 42:6, s. 790-793
  • Tidskriftsartikel (refereegranskat)abstract
    • OBJECTIVES: to examine the association between 34-year trajectories of social activity, from middle age to old age and late-life disability.METHODS: data from the Swedish Level of Living Survey (LNU) and the Swedish Panel Study of the Oldest Old (SWEOLD) were used. LNU data from 1968, 1981, 1991 and 2000 were merged with SWEOLD data from 1992, 2002 and 2004 to create a longitudinal data set with five observation periods. Trajectories of social activities covered 1968-2002, and late-life disability was measured in 2004. The sample consisted of 729 individuals aged 33-61 at baseline (1968), who participated in at least four observation periods and who were free from mobility limitations at baseline. Four trajectories of social activity were identified and used as predictors of late-life disability.RESULTS: reporting low/medium levels of social activity from mid-life to old age was the most common trajectory group. Persons reporting continuously low/medium or decreasing levels of social activity had higher odds ratios for late-life disability (OR = 2.33 and OR = 2.15, respectively) compared with those having continuously high levels of activity, even when adjusting for age, sex and mobility limitations, and excluding persons with baseline mobility limitations.CONCLUSIONS: results suggest that the disability risk associated with social activities is related to recent levels of activity, but also that risk may accumulate over time, as indicated by the higher disability risk associated with the continuously low/medium level social activity trajectory.
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