Title American Older Adults in COVID-19 Times: Vulnerability Types, Aging Attitudes, and Emotional Responses
Authors Fu, Mingqi
Guo, Jing
Chen, Xi
Han, Boxun
Ahmed, Farooq
Shahid, Muhammad
Zhang, Qilin
Affiliation Wuhan Univ, Ctr Social Secur Studies, Wuhan, Peoples R China
Peking Univ, Sch Publ Hlth, Dept Hlth Policy & Management, Beijing, Peoples R China
Yale Sch Publ Hlth, Dept Hlth Policy & Management, New Haven, CT USA
Quaid i Azam Univ, Dept Anthropol, Islamabad, Pakistan
Univ Washington, Dept Anthropol, Seattle, WA USA
Univ Int Business & Econ UIBE, Sch Insurance & Econ, Beijing, Peoples R China
Keywords AFFECTIVE PERSONALITY
AGE-DIFFERENCES
SHORT-FORM
HEALTH
POSITIVITY
YOUNGER
STRESS
MODEL
Issue Date 8-Feb-2022
Publisher FRONTIERS IN PUBLIC HEALTH
Abstract The Coronavirus Disease (COVID) pandemic has aroused challenges to emotional well-being of the individuals. With 1,582 respondents from the Health and Retirement Survey (HRS), this study investigates the heterogeneity in older adults' vulnerability and examines the relationship between vulnerability types, aging attitudes, and emotional responses. International Positive and Negative Affect Schedule Short-form (I-PANAS-SF) and Attitudes toward own aging (ATOT) were used to assess the emotional experiences and aging attitudes, and 14 kinds of pandemic-related deprivations evaluated vulnerability of individuals. Latent class analysis (LCA) was used to explore the vulnerability types, and weighted linear regressions examined the relationship between vulnerability, aging attitudes, and emotional responses. The results showed that the proportion for individuals with mild vulnerability (MV), healthcare use vulnerability (HV), and dual vulnerability in healthcare use and financial sustainment (DVs) was 67, 22, and 11%, respectively. Older adults aged below 65, Hispanics and non-Hispanic Blacks, and those not eligible for Medicaid were more likely to have HV or DVs. The relationship between vulnerability and positive emotions (PAs) was non-significant, yet individuals with HV (beta = 0.10, standard error [SE] = 0.16) or DVs (beta = 0.09, SE = 0.28) were likely to have more negative emotions (NAs) than their mildly vulnerable counterparts. Furthermore, aging attitudes moderated the relationship between vulnerability and emotions. The salutary effect of positive aging attitudes on emotional well-being was more significant among people with DVs than those with MV (beta = 0.20, SE = 0.04 for positive responses; beta = -0.15, SE = 0.04 for negative responses). Thus, we urge more attention for vulnerable older adults in a pandemic context. Meanwhile, encouraging positive aging attitudes might be helpful for older adults to have better emotional well-being, especially for those with DVs.
URI http://hdl.handle.net/20.500.11897/638515
DOI 10.3389/fpubh.2021.778084
Indexed SCI(E)
SSCI
Appears in Collections: 公共卫生学院

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