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Intimate partner violence against older women in Germany: prevalence and associated factors
- Authors:
- STÖCKL Heidi, WATTS Charlotte, PENHALE Bridget
- Journal article citation:
- Journal of Interpersonal Violence, 27(13), September 2012, pp.2545-2564.
- Publisher:
- Sage
Intimate partner violence (IPV) has significant adverse physical and psychological health outcomes, especially among older women. To develop appropriate and effective IPV interventions targeting older women, more needs to be known about its prevalence and the factors associated with increased risk. The aim of this study was to explore the prevalence and factors associated with physical and sexual violence against older women. Data were drawn from a national survey ‘Health, Well-Being and Personal Safety of Women in Germany’ conducted in 2003. This survey consisted of 10,264 female respondents between the age of 16 and 86 years; this analysis looks separately at women aged 50 to 65 and 66 to 86 years at the time of the survey. The findings showed that the prevalence of violence in women’s current relationships was 12% and 5%, respectively. In both age groups, women who had experienced violence during childhood and nonpartner physical or sexual violence after the age of 16 had higher odds of experiencing current partner violence. Current partner violence was associated only with women and their partner’s level of education and women’s vocational training among women aged 66 to 86 years. Relationships where one or both partners drank heavily in recent months were associated with higher odds of violence among women aged 50 to 65.
Care regimes on the move: comparing home care for dependent older people in Belgium, England, Germany and Italy
- Authors:
- DEGAVRE Florence, et al
- Publisher:
- Universite Catholique de Louvan. Centre Interdisciplinaire de Recherche Travail, Etat et Societe
- Publication year:
- 2012
- Pagination:
- 290p.
- Place of publication:
- Charleroi
Taking the reforms of the 1990s as its starting point, this report examines the dynamics of change experienced by Belgium, England, Germany and Italy in their home care sectors. Central to our analysis is the process of “marketisation”. This constitutes one of the major trends in all these four countries, yet its nature and impact show important national variations. The data referred to in this report relate to developments in and around various home care sectors, and cover both societal and organisational dynamics. Country-based research teams gathered the information, each team following identical methodological guidelines. This report uses official documents and grey literature from the care sector to analyse the discourses underpinning reforms in the field. The conclusions of this research will be of relevance for any country or region struggling to design a home care system for an ageing population. The coordinators of this research project have submitted a proposal for a special issue of Ageing and Society based on the main chapters of this report.
Quality of life in dementia care - differences in quality of life measurements performed by residents with dementia and by nursing staff
- Authors:
- GRÄSKE Johannes, et al
- Journal article citation:
- Aging and Mental Health, 16(7), September 2012, pp.819-827.
- Publisher:
- Taylor and Francis
Self-ratings are considered the best way to evaluate quality of life (QoL), but staff-ratings also provide valid results. This study aimed to identify characteristics of people with dementia that improve the probability of completing a self-rating QoL instrument on the ‘Quality of Life – Alzheimers’ Disease' (QoL-AD). Additionally, a level of agreement was set between self-rated and staff-rated QoL-AD and possible influencing factors. Participants included 104 residents from a care home in Berlin, Germany. Forty seven per cent of residents were able to complete the QoL-AD questionnaire. A predictor to complete the QoL-AD was the MMSE-part ‘language’. Residents rated their QoL as significantly higher than the nursing staff did. If the primary nurse rated the QoL, a significantly better agreement was identified. The study generated new findings concerning a better understanding of QoL measurements. The results suggest the usefulness of performing self-ratings whenever possible.
Adherence to physical and mental activity interventions: coping plans as a mediator and prior adherence as a moderator
- Authors:
- EVERS Andrea, et al
- Journal article citation:
- British Journal of Health Psychology, 17(3), September 2012, pp.477-491.
- Publisher:
- Wiley
Adherence to behavioural intervention programmes is necessary for beneficial outcomes. This study tested whether social cognitive variables and coping plans predicted such adherence. Participants included healthy older women from Berlin, Germany, who were randomised to a physical (N= 86) or a mental (N= 85) activity intervention. Intentions, self-efficacies, coping plans, and objectively measured adherence levels were assessed. Findings indicated that adherence to the physical activity programme (65%) was significantly lower than adherence to the mental activity programme (84). Intentions weakly predicted adherence in the initiation period of the physical activity programme. In both groups, coping plans predicted long-term adherence, moderated by prior adherence. In conclusion, instructing older individuals to generate coping plans facilitated their adherence to physical and mental activity programmes, which may help prevent them from dropping out of the programme.
Quality assurance indicators of long-term care in European countries
- Authors:
- DANDI Roberto, CASANOVA Georgia
- Publisher:
- European Network of Economic Policy Research Institutes
- Publication year:
- 2012
- Pagination:
- 128p.
- Place of publication:
- Brussels
This report present the findings and conclusions of research undertaken in the context of research projects carried out by a consortium of ENEPRI member institutes. This report is a contribution to Work Package 5 of the ANCIEN project, which focuses on the future of long-term care for the elderly in Europe. The report presents the quality indicators that were collected by the ANCIEN project partners in each country. The main contribution of this report is a classification of the quality assurance indicators in different European countries according to three dimensions: organisation type; quality dimensions; and system dimensions. The countries that provided quality indicators, which are used at a national level or are recommended to be used at a local level by a national authority, are: Estonia, Finland, France, Germany, Hungary, Italy, Latvia, the Netherlands, Spain, Sweden and the United Kingdom. In total, 390 quality indicators were collected. Each quality indicator has been assigned to one or more options in each dimension.
Long-term care quality assurance policies in European countries
- Authors:
- DANDI Roberto, et al
- Publisher:
- European Network of Economic Policy Research Institutes
- Publication year:
- 2012
- Pagination:
- 89p.
- Place of publication:
- Brussels
This report present the findings and conclusions of research undertaken in the context of research projects carried out by a consortium of ENEPRI member institutes. This report is a contribution to Work Package 5 of the ANCIEN project, which focuses on the future of long-term care for the elderly in Europe. This report analyses the quality assurance policies for long-term care (LTC) in the following countries: Austria, Estonia, Finland, France, Germany, Hungary, Italy, Latvia, Poland, Slovakia, Slovenia, Spain, Sweden, the Netherlands, and the United Kingdom. First, it discusses quality assurance in LTC by analysing: the dimensions of quality, the policy frameworks for quality in LTC, the different levels of development of LTC quality policies at the international, national, organisational, and individual levels. Second, it describes the methodology for collecting and analysing data on quality policies in the selected countries. Finally, it discusses the results, identifying four clusters of countries based on quality policies and indicators for LTC. These clusters are compared to the clusters identified in Work Package 1 of the ANCIEN project. Policy recommendations are proposed.
Prevalence and risk factors of depressive symptoms in latest life-results of the Leipzig Longitudinal Study of the Aged (LEILA 75+)
- Authors:
- LUPPA Melanie, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 27(3), March 2012, pp.286-295.
- Publisher:
- Wiley
As depressive symptoms are common in oldest age and associated with broad categories of risk factors, latest-life depression represents an important public health issue. The aim of this study was to determine the age-specific and gender-specific prevalence rates and risk factors of depressive symptoms of the oldest old people. The data was derived from the Leipzig Longitudinal Study of the Aged (LEILA 75+), a population-based study on the epidemiology of dementia and mild cognitive impairment (MCI). A sample of 1006 individuals aged 75 years and older were interviewed on socio-demographic, clinical and psychometric variables. Of the overall sample, 38.2% were classified as depressed. Analysis revealed that the following variables were significantly associated with depressive symptoms: divorced or widowed marital status; low educational level; poor self-rated health status; functional impairment; multi-domain MCI, stressful life events; and poor social networks.
Life-review therapy with computer supplements for depression in the elderly: a randomized controlled trial
- Authors:
- PRESCHL Barbara, et al
- Journal article citation:
- Aging and Mental Health, 16(8), November 2012, pp.964-974.
- Publisher:
- Taylor and Francis
This study investigated a life-review therapy in a face-to-face setting supplemented with additional computer use. It examined whether a six-week life-review therapy with computers constituted an effective approach to treat depression in older adults aged 65 and over. A total of 36 participants with elevated levels of depressive symptoms were randomised to a treatment group or a waiting-list control group and completed the post-assessment. Findings revealed significant changes from pre- to post-treatment for depression, well-being, self-esteem, and obsessive reminiscence, but not for integrative reminiscence and life satisfaction. Depressive symptoms decreased significantly over time until the three-month follow-up in the intervention group compared to the control group. The authors concluded that the life-review therapy in this combined setting could be recommended for depressive older adults.
The experience of worry among young and older adults in the United States and Germany: a cross-national comparison
- Authors:
- BABCOCK Renée L., et al
- Journal article citation:
- Aging and Mental Health, 16(3), April 2012, pp.413-422.
- Publisher:
- Taylor and Francis
The goal of this study was to compare adult age-related differences in the experience of worry within 2 countries in order to explore how cultural and age differences impact worry. Data were collected from 173 Germans (77 older adults aged 54-91 years, and 96 younger adults aged 18-28 years) and 263 Americans (79 older adults aged 54-89 years, and 184 younger adults aged 18-26 years). The participants completed measures including a general worry scale and two hypothesised correlates of worry (life events and locus of control). The results indicated that, although there were some similarities between the groups, there were differences between the cultures and the age groups in their experiences of worry. Younger adults reporting more worries than did older adults in both countries. The hypothesised correlates of worry differentially contributed to the prediction of worry across the 2 cultures and across the 2 age groups. With one minor exception, the hypothesised correlates did not predict worry within the German sample, but did predict worry within the American sample. Among the younger adult American sample, endorsement of external locus of control and life events predicted worry, but among the older American sample, positive endorsement of internal locus of control predicted worry.