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      Living arrangement dynamics of older adults in Mexico: Latent class analysis in an accelerated longitudinal design

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          Abstract

          BACKGROUND

          Because living arrangements have many implications for the well-being of older adults, knowledge regarding typical age-related developmental changes in living arrangements is of a major concern for public health policymakers, particularly in low- and middle-income countries dealing with growing aging populations. However, the much-needed empirical analysis of living arrangement dynamics is hindered by a lack of proper data.

          OBJECTIVE

          To exploit often-available short-term longitudinal data in the study of long-term phenomena, in this paper we accelerate the Mexican Health and Aging Study (MHAS) panel as a means to explore, over a broad age span, the household dynamics of Mexican older adults.

          METHODS

          Instead of working with a priori definitions of different household structures when analyzing transitions between them, we introduce a novel approach that estimates latent classes of developmental trends in the household composition of older people as they age.

          RESULTS

          We show how accelerated longitudinal designs, coupled with latent class analysis, can offer new insights into living arrangement dynamics. Our findings suggest that in Mexico the typical living arrangements at 50 years old serve as an important predictor of future living arrangements, and that typical living-arrangement trajectories are strongly gendered in Mexico. This new approach may prove to be indispensible when determining the social support needed by high-risk population groups and as a means to better anticipate the necessary financial resources to do so.

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          Most cited references40

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          Cohort Profile: The Mexican Health and Aging Study (MHAS).

          The Mexican Health and Aging Study (MHAS) was designed to prospectively evaluate the impact of disease on the health, function and mortality of adults over the age of 50 in both urban and rural areas of Mexico. The overall goal of the study is to examine the ageing process and its disease and disability burden in a large representative panel of older Mexicans, using a wide socioeconomic perspective. The study protocols and survey instruments are highly comparable to the U.S. Health and Retirement Study (HRS).The MHAS 2001 baseline is a nationally and urban-rural representative survey of individuals born in 1951 or earlier. Three waves of data have been collected so far: baseline in 2001 and follow-ups in 2003 and 2012. In 2012, the study added a representative sample of the population from the 1952-62 birth cohorts. A fourth wave will be collected in 2015.The data files and documentation are available free of charge at the study website [www.MHASweb.org] in English and [www.ENASEM.org] in Spanish.
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            Tests for linkage of multiple cohorts in an accelerated longitudinal design.

            In accelerated longitudinal design, one samples multiple age cohorts and then collects longitudinal data on members of each cohort. The aim is to study age-outcome trajectories over a broad age span during a study of short duration. A threat to valid inference is the Age x Cohort interaction effect. S. W. Raudenbush and W. S. Chan (1993) developed a test for such interactions in the context of 2 cohorts by using a hierarchical model. The current article extends this approach to include any number of cohorts. Using the National Youth Survey, the authors combine data collected on 7 cohorts over 5 years to approximate change in antisocial attitudes between 11 and 21 years of age. They show how to test for cohort differences in trajectories, how to calculate the power of the test, and how to use graphical procedures to aid understanding. The approach allows unbalanced designs and the clustering of participants within families, neighborhoods, or other social units.
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              How do living arrangements and intergenerational support matter for psychological health of elderly parents? Evidence from Myanmar, Vietnam, and Thailand.

              Living arrangements and family support for older persons have become an increasingly important policy concern in developing and rapidly aging Asia. Formulating a sound elderly care policy for the region will benefit from empirically examining how living arrangements, particularly coresidence, and intergenerational exchanges of financial, instrumental, and emotional support are associated with old-age psychological health. This study analyzes data from nationally representative aging surveys in Myanmar, Vietnam, and Thailand for 2011-2012 to offer a comparative perspective from Southeast Asia where various kinship systems coexist. Results suggest that coresidence with a child of culturally preferred gender significantly improves the emotional health of Vietnamese and Thai elders but with different implications. In Vietnam, living with a married son is more beneficial to parents' psychological wellbeing than living with other children. In Thailand, coresidence regardless of the child's gender improves old-age psychological wellbeing but living with a daughter brings greater benefits than living only with son. Evidence points to the importance of understanding the dominant kinship system that may shape normative filial expectations and gender role expectations within the family. In Vietnam and Thailand, the positive association holds even after intergenerational support is controlled, suggesting that the value of culturally preferred coresidence goes beyond practical functions. In Myanmar, there are almost no significant differences in psychological wellbeing among elderly across various living arrangements, except between coresidence and network living arrangements. For all settings, we do not find evidence in support of network family arrangements as a complete substitute for coresidence in terms of promoting old-age psychological wellbeing after filial support is controlled. Our study highlights important cultural nuances for theorizing the nature of the relationship between living arrangements and old-age psychological health, and presents the important need for more rigorous investigation of the causal links between these two phenomena in future research.
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                Author and article information

                Contributors
                Role: Junior Researcher
                Role: Senior Program Researcher
                Role: Senior Researcher
                Journal
                100964435
                29912
                Demogr Res
                Demogr Res
                Demographic research
                1435-9871
                29 June 2020
                Jul-Dec 2019
                15 July 2020
                : 41
                : 50
                : 1401-1436
                Affiliations
                [1 ]Development Studies Program, National Autonomous University of Mexico (UNAMPUED).
                [2 ](Population Council).
                [3 ]Development Studies Program, National Autonomous University of Mexico (UNAMPUED).
                Author notes
                Article
                NIHMS1606792
                10.4054/DemRes.2019.41.50
                7362683
                32669948
                11e29dfd-4096-4f7d-818e-5b2e1d2ff331

                This open-access work is published under the terms of the Creative Commons Attribution 3.0 Germany (CC BY 3.0 DE), which permits use, reproduction, and distribution in any medium, provided the original author(s) and source are given credit.

                See https://creativecommons.org/licenses/by/3.0/de/legalcode.

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