Older adults often face financial difficulties due to declining physical and cognitive abilities, and rising healthcare costs exacerbate these issues. Despite a general decrease in poverty, the rate among those aged 65 and older has increased. Material hardship is particularly relevant for older adults due to their complex healthcare needs. However, research on long-term material hardship patterns among older adults is limited and often focuses on only a few dimensions of hardship. This study aims to explore the long-term patterns of material hardship and their impact on well-being using data from the Health and Retirement Study. Employing multi-channel sequence analysis, we model various material hardship trajectories and examine their association with mental and physical health. Five distinct patterns of material hardship were identified, with the Multiply burdened group experiencing the most severe hardships, often linked to females, low education, and poverty. The findings highlight the significant negative effects of persistent material hardship on health, emphasizing the need for targeted policies and support programs to address the unique challenges faced by older adults, especially those related to housing and financial stress.
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PLoS One
March 2025
Brown School of Social Work at Washington University in St. Louis, Saint Louis, Missouri, United States of America.
Older adults often face financial difficulties due to declining physical and cognitive abilities, and rising healthcare costs exacerbate these issues. Despite a general decrease in poverty, the rate among those aged 65 and older has increased. Material hardship is particularly relevant for older adults due to their complex healthcare needs.
View Article and Find Full Text PDFIndian J Palliat Care
January 2025
Department of Gender Medicine, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth, Puducherry, India.
Objectives: This study explores the lived experiences of elderly transgender individuals residing in trans communities in Pondicherry, with a focus on their challenges in accessing end-of-life care and the broader societal, economic, and intergenerational issues affecting their well-being.
Materials And Methods: A phenomenological approach with descriptive analysis was employed over eight months. Six transgender individuals aged 50 and above were selected through purposive sampling.
Drug Alcohol Depend
April 2025
Keck School of Medicine, Department of Population and Public Health Sciences, University of Southern California, Los Angeles, CA, USA.
Background: Injection drug use-related infective endocarditis (IDU-IE) and bacterial infections have grown in the United States, but little is known about risk factors for these infections in community samples of people who inject drugs (PWID).
Methods: During 2021-22, PWID were recruited from community settings and surveyed for history of IDU-IE, serious injection related symptoms (SIRI) and untreated infection symptoms in the last 3 months. We used bivariate analysis and multiple logistic regression to examine factors associated with these outcomes.
BMC Public Health
February 2025
Department of Population and Public Health Sciences, Keck Medicine of University of Southern California, Los Angeles, USA.
Background: Homelessness is a growing concern in the United States, especially among people who use drugs (PWUD). The degree of material hardship among this population may be linked to worse health outcomes. PWUD experiencing homelessness in urban areas are increasingly subjected to policies and social treatment, such as forced displacement, which may worsen material hardship.
View Article and Find Full Text PDFJ Autism Dev Disord
February 2025
The Lurie Institute for Disability Policy, Brandeis University, Waltham, MA, USA.
There are few longitudinal studies on the mental health of parents with intellectual disabilities (ID). This study examined longitudinal trajectories of maternal stress for mothers with ID and borderline intellectual functioning (IF) compared to their peers without ID, over their children's ages. Additionally, it aimed to identify the impact of various individual, socioeconomic, and contextual factors on maternal stress.
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