Social Exclusion and Switching Barriers in Medicare Part D Choices

Ko, Dong Woo; Bae, Young Han; Han, Jayoung

doi:10.3390/su10072419

Cited by 3 publications

(3 citation statements)

References 34 publications

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“…How to improve the QOL of disadvantaged groups is essential for regional development, which needs further studies. Furthermore, it is necessary to examine effects of various policies, e.g., care centers for elders [99], smart technologies for supporting the elderly's life [100], social inclusion policies [101,102], integrated transport and health policy [103], housing policy [104] and land use policy [105] on the improvement of the elderly's QOL.…”

Section: Discussionmentioning

confidence: 99%

Impacts of Leisure and Tourism on the Elderly’s Quality of Life in Intimacy: A Comparative Study in Japan

Zhang

2018

Sustainability

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Highly social activities like leisure and tourism are considered to have positive effects on the elderly’s mental health. Taking Japan as a case study, this research aims to clarify how leisure and tourism contribute to the elderly’s quality of life (QOL) in the domains of leisure and intimacy by comparing populated and depopulated areas. Such research has strong implications for achieving Sustainable Development Goals (SDGs) through healthy aging, but relevant efforts are quite limited. In this study, leisure and tourism behaviors are captured by visit frequency, travel party and expenditure. Quality of life is measured by happiness and life satisfaction in different life domains, in line with the life-oriented approach. Data were collected in 2014 via a nationwide online survey in Japan. Applying a structural equation model (SEM) approach, it is found that leisure behavior contributes to maintaining the elderly’s QOL in leisure life and intimacy domains. Tourism behavior only contributes to QOL in populated areas. Leisure activities strongly enhance QOL in terms of intimacy and improve the neighborhood relationship of the elderly in depopulated areas and family life in populated areas. Enriching daily leisure activities for the elderly would improve their intimate relationships in depopulated areas.

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Section: Discussionmentioning

confidence: 99%

Impacts of Leisure and Tourism on the Elderly’s Quality of Life in Intimacy: A Comparative Study in Japan

Zhang

2018

Sustainability

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“…Social exclusion was operated into active social exclusion and passive social exclusion, according to the measurements in the previous studies ( 24 , 25 ). Active social exclusion was defined as the social break caused by their behavior and attitude against social participation, which was the result of self-active choice.…”

Section: Methodsmentioning

confidence: 99%

Caring load and family caregivers’ burden in China: the mediating effects of social support and social exclusion

Hu,

2023

Front. Public Health

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ObjectiveCaring for older adults with disabilities is a source of stress for family caregivers, and the lack of social support and the pressure of social exclusion might aggravate family caregiver burden. This study aimed to examine the association between caring load and family caregivers’ burden, as well as the mediating effects of social support and social exclusion.MethodsData used in this study was derived from the nationally representative database of the aged population in China, and 3,125 households with disabled old adults and their home-bound caregivers were eventually selected for this analysis. Regression methods and mediation analysis methods were employed in this study.ResultsThe results indicated that there was a significant positive association between caring load and the caregiver burden, and specifically, social support intensity (rather than social support breadth) and passive social exclusion (rather than active social exclusion) played partial mediating effects. Furthermore, the contributions of mediating effects of social support intensity and passive social exclusion were 13–15 and 27–29%, respectively, and the total contribution of mediating effects was about 35–38%.ConclusionFamily caregivers’ burden should be paid more attention to in the large population with rapidly aging speed like China, and more guidance services as well as support should be provided to family caregivers. In addition, it is crucial to focus on the community’s social support and social exclusion in public policy innovation.

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“…Social exclusion was operated into active social exclusion and passive social exclusion, according to the measurements in the previous studies (Jin, 2004;Ko, et al, 2018). Active social exclusion was de ned as the social break caused by their own behavior and attitude against social participation, which was the result of self-active choice.…”

Section: Mediating Variablesmentioning

confidence: 99%

Caring Load and Family Caregivers’ Burden in China:The Mediating Effects of Social Support and Social Exclusion

Liu

2022

Preprint

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Objective: Caring for the disabled elderly is a source of stress for family caregivers, and the lack of social support and the pressure of social exclusion might aggravate family caregiver burden. The purpose of this study was to examine the association between caring load and family caregivers’ burden, as well as the mediating effects of social support and social exclusion.Methods: Data used in this study derived from the nationally representative database of aged population in China, and 3125 households with family caregivers for the home-bound disabled elderly were eventually selected into this analysis. Regression methods and mediation analysis methods were employed in this study.Results: The results indicated that there was a significant positive association between caring load and the caregiver burden, and specifically, social support intensity (rather than social support breadth) and passive social exclusion (rather than active social exclusion) played partial mediating effects. Furthermore, the contributions of mediating effects of social support intensity and passive social exclusion were 13-15% and 27%-29%, respectively, and the total contribution of mediating effects was about 35%-38%.Conclusion: Family caregivers’ burden should be paid more attention in the large population with rapidly aging speed like China, and more guidance services as well as support should be provided to family caregivers. In addition, it is crucial to focus on the social support and social exclusion in community in the public policy innovation.

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Social Exclusion and Switching Barriers in Medicare Part D Choices

Cited by 3 publications

References 34 publications

Impacts of Leisure and Tourism on the Elderly’s Quality of Life in Intimacy: A Comparative Study in Japan

Impacts of Leisure and Tourism on the Elderly’s Quality of Life in Intimacy: A Comparative Study in Japan

Caring load and family caregivers’ burden in China: the mediating effects of social support and social exclusion

Caring Load and Family Caregivers’ Burden in China:The Mediating Effects of Social Support and Social Exclusion

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