TY - JOUR T1 - Differential trends in disability among rich and poor adults in the US and England from 2002 to 2016. JF - The Journals of Gerontology, Series B Y1 - 2022 A1 - Choi, Hwa Jung A1 - Robert F. Schoeni A1 - Andrew Steptoe A1 - Cho, Tsai-Chin A1 - Kenneth M. Langa KW - ADL limitation KW - Disability trend KW - ELSA KW - health disparity KW - IADL limitation AB -

OBJECTIVE: Disability in the US has not improved in recent decades. Comparing temporal trends in disability prevalence across different income groups, both within and between the US and England, would inform public policy aimed at reducing disparities in disability.

METHODS: Using the Health and Retirement Study (HRS) and the English Longitudinal Study of Ageing (ELSA), we estimated annual percent change from 2002 to 2016 in disability among community dwelling adults (197,021 person-years of observations). Disability was defined based on self-report of limitations with five instrumental activities of daily living (IADLs) and six activities of daily living (ADLs). We examined the trends by age and income quintile and adjusted for individual-level sociodemographic status and survey design.

RESULTS: The adjusted annual percent change (AAPC) in disability prevalence declined significantly in both countries for ages 75 and older during 2002--2016. For ages 55-64 and 65-74, disability prevalence was unchanged in the US but declined in England. Both countries experienced a widening gap in disability between low- and high-income adults among the younger age groups. For example, for those ages 55-64 in each country, there was no significant improvement in disability for the low-income group but a significant improvement for the high-income group (AAPC=-3.60 95% CI [-6.57,-0.63] for the US; AAPC=-6.06 95% CI [-8.77,-3.35] for England).

DISCUSSION: Improvements in disability were more widespread in England than in the US between 2002 and 2016. In both countries, the disparity in disability between low- and high-income adults widened for middle-aged adults. Policies targeted at preventing disability among low-income adults should be a priority in both countries.

VL - 77 IS - Supplement_2 ER - TY - JOUR T1 - Comparison of Health Outcomes Among High- and Low-Income Adults Aged 55 to 64 Years in the US vs England JF - JAMA Intern Med Y1 - 2020 A1 - Choi, Hwajung A1 - Andrew Steptoe A1 - Michele M Heisler A1 - Philippa J Clarke A1 - Robert F. Schoeni A1 - Jivraj, Stephen A1 - Cho, Tsai-Chin A1 - Kenneth M. Langa KW - Demographics KW - ELSA KW - Income KW - socioeconomic status AB - Socioeconomic differences in life expectancy, health, and disability have been found in European countries as well as in the US. Identifying the extent and pattern of health disparities, both within and across the US and England, may be important for informing public health and public policy aimed at reducing these disparities.To compare the health of US adults aged 55 to 64 years with the health of their peers in England across the high and low ranges of income in each country.Using data from the Health and Retirement Study (HRS) and the English Longitudinal Study of Ageing (ELSA) for 2008-2016, a pooled cross-sectional analysis of comparably measured health outcomes, with adjustment for demographic characteristics and socioeconomic status, was conducted. The analysis sample included community-dwelling adults aged 55 to 64 years from the HRS and ELSA, resulting in 46 887 person-years of observations. Data analysis was conducted from September 17, 2019, to May 12, 2020.Residence in the US or England and yearly income.Sixteen health outcomes were compared, including 5 self-assessed outcomes, 3 directly measured outcomes, and 8 self-reported physician-diagnosed health conditions.This cross-sectional study included 12 879 individuals and 31 928 person-years from HRS (mean [SD] age, 59.2 [2.8] years; 51.9% women) and 5693 individuals and 14 959 person-years from ELSA (mean [SD] age, 59.3 [2.9] years; 51.0% women). After adjusting for individual-level demographic characteristics and socioeconomic status, a substantial health gap between lower-income and higher-income adults was found in both countries, but the health gap between the bottom 20% and the top 20% of the income distribution was significantly greater in the US than England on 13 of 16 measures. The adjusted US-England difference in the prevalence gap between the bottom 20% and the top 20% ranged from 3.6 percentage points (95% CI, 2.0-5.2 percentage points) in stroke to 9.7 percentage points (95% CI, 5.4-13.9 percentage points) for functional limitation. Among individuals in the lowest income group in each country, those in the US group vs the England group had significantly worse outcomes on many health measures (10 of 16 outcomes in the bottom income decile); the significant differences in adjusted prevalence of health problems in the US vs England for the bottom income decile ranged from 7.6% (95% CI, 6.0%-9.3%) vs 3.8% (95% CI, 2.6%-4.9%) for stroke to 75.7% (95% CI, 72.7%-78.8%) vs 59.5% (95% CI, 56.3%-62.7%) for functional limitation. Among individuals in the highest income group, those in the US group vs England group had worse outcomes on fewer health measures (4 of 16 outcomes in the top income decile); the significant differences in adjusted prevalence of health problems in the US vs England for the top income decile ranged from 36.9% (95% CI, 33.4%-40.4%) vs 30.0% (95% CI, 27.2%-32.7%) for hypertension to 35.4% (95% CI, 32.0%-38.7%) vs 22.5% (95% CI, 19.9%-25.1%) for arthritis.For most health outcomes examined in this cross-sectional study, the health gap between adults with low vs high income appeared to be larger in the US than in England, and the health disadvantages in the US compared with England are apparently more pronounced among individuals with low income. Public policy and public health interventions aimed at improving the health of adults with lower income should be a priority in the US. SN - 2168-6106 ER - TY - JOUR T1 - Trends in Disability Among Adults 55-64 in the United States and England From 2002 to 2016 JF - Innovation in Aging Y1 - 2020 A1 - Choi, Hwajung A1 - Robert F. Schoeni A1 - Cho, Tsai-Chin A1 - Kenneth M. Langa KW - Disability KW - ELSA AB - The paper’s goal is to assess whether and, if so, the extent to which prevalence in disability of adults near retirement ages in the US increased over time compared to their peers in England and examine income group differences in the relative trends. This study uses 2002-2016 Health and Retirement Study (HRS) and English Longitudinal Study of Ageing (ELSA) focusing on adults aged 55-64. Annual percent changes over the period of 2002-2016 for limitations in instrumental activities of daily living (IADL) and activities of daily living (ADL) are estimated for each survey (HRS and ELSA) using multivariable logistic regressions to adjust for individual-level characteristics While disability prevalence of adults ages 55-64 in England improved over the years of 2002-2016 (annual % change= -2.01 for IADL; - 2.53 for ADL), disability prevalence of US adults has not improved and in fact even worsened in terms of IADL (annual % change= +1.35). There are substantial variations in the IADL/ADL trends by income groups. In the US, the adverse trends in disability were more pronounced among the lowest income groups (annual % change in IADL=1.76 for bottom 20% vs. -2.08 for top 20%; annual % change in ADL=1.08 for bottom 20% vs. -2.08 for top 20%). In England, the disability status improved over time for all but the lowest income group. We will examine further to identify specific factors contributing to divergent/convergent trends in disability between the US and England. VL - 4 SN - 2399-5300 IS - Suppl 1 ER - TY - JOUR T1 - Trends in the Prevalence and Disparity in Cognitive Limitations of Americans 55-69 Years Old. JF - Journals of Gerontology Series B: Psychological Sciences & Social Sciences Y1 - 2018 A1 - Choi, Hwajung A1 - Robert F. Schoeni A1 - Linda G Martin A1 - Kenneth M. Langa KW - Cognitive Ability KW - Functional limitations AB -

Objectives: To determine whether the prevalence of cognitive limitation (CL) among Americans ages 55 to 69 years changed between 1998 and 2014, and to assess the trends in socioeconomic disparities in CL among groups defined by race/ethnicity, education, income, and wealth.

Method: Logistic regression using 1998-2014 data from the biennial Health and Retirement Study, a nationally representative data set. CL is defined as a score of 0-11 on a 27-point cognitive battery of items focused on memory. Socioeconomic status (SES) measures are classified as quartiles.

Results: In models controlling for age, gender, and previous cognitive testing, we find no significant change over time in the overall prevalence of CL, widening disparities in limitation by income and, in some cases, wealth, and improvements among non-Hispanic whites but not other racial/ethnic groups.

Discussion: Among people 55-69, rates of CL are many times higher for groups with lower SES than those with higher SES, and recent trends show little indication that the gaps are narrowing.

VL - 73 IS - suppl_1 U1 - http://www.ncbi.nlm.nih.gov/pubmed/29669102?dopt=Abstract ER - TY - JOUR T1 - Health Of Americans Who Must Work Longer To Reach Social Security Retirement Age JF - Health Affairs Y1 - 2017 A1 - Choi, Hwajung A1 - Robert F. Schoeni KW - Retirement Planning and Satisfaction KW - Social Security KW - Working Longer AB - To receive full Social Security benefits, Americans born after 1937 must claim those benefits at an older age than earlier birth cohorts. Additionally, proposals to improve the fiscal position of Social Security typically include increasing the age at which workers can receive full benefits. Birth cohorts required to work longer are in worse health at ages 49–60, based on multiple measures of morbidity, than cohorts who could retire earlier. VL - 36 UR - http://content.healthaffairs.org/lookup/doi/10.1377/hlthaff.2017.0217https://syndication.highwire.org/content/doi/10.1377/hlthaff.2017.0217 IS - 10 JO - Health Aff ER - TY - JOUR T1 - Older Adults' Residential Proximity to Their Children: Changes After Cardiovascular Events. JF - Journals of Gerontology Series B: Psychological Sciences and Social Sciencess Y1 - 2015 A1 - Choi, Hwajung A1 - Robert F. Schoeni A1 - Kenneth M. Langa A1 - Michele M Heisler KW - Cardiovascular health KW - Heart disease KW - Older Adults KW - Proximity KW - Social Support AB -

OBJECTIVES: To assess changes in family residential proximity after a first cardiovascular (CV) event among older adults and to identify families most likely to experience such moves.

METHOD: Using a nationally representative longitudinal study of older adults in the United States, we identified respondents with no prior diagnosis of CV disease (CVD). We examined subsequent development of stroke, heart attack, and/or heart failure among these older adults and examined changes in their residential proximity to their closest child before and after the CV event. We then compared the likelihood of changes in proximity between families with and without CV events. Finally, we determined which types of families are most likely to relocate following a CV event.

RESULTS: Having a first CV event increases the 2-year predicted probability of children and adult parents moving in with and closer to each other (relative risk ratio = 1.61 and 1.55, respectively). Families are especially likely to move after a first CV event if the older person experiencing the event is spouseless or has a daughter.

DISCUSSION: CVD is a leading cause of disability, which in turn creates a significant need for personal care among older adults. Assessment of changes in family residential proximity responding to CV events is important to fully understand the consequences of older adults' CV events including the cost of caregiving.

VL - 70 IS - 6 ER - TY - JOUR T1 - Spouse and Child Availability for Newly Disabled Older Adults: Socioeconomic Differences and Potential Role of Residential Proximity. JF - J Gerontol B Psychol Sci Soc Sci Y1 - 2015 A1 - Choi, Hwajung A1 - Robert F. Schoeni A1 - Kenneth M. Langa A1 - Michele M Heisler KW - Activities of Daily Living KW - Adult children KW - Aged KW - Aged, 80 and over KW - Aging KW - Disabled Persons KW - Female KW - Home Nursing KW - Humans KW - Male KW - Middle Aged KW - Nursing homes KW - Residence Characteristics KW - Social Class KW - Spouses AB -

OBJECTIVES: To examine the potential role of child and spousal availability in facilitating community-based care for disabled older adults.

METHOD: We used the Health and Retirement Study, a nationally representative longitudinal study of older adults. The analysis sample included older adults who were nondisabled at baseline, but who then developed at least one activity of daily living (ADL) limitation over the subsequent 2-year period (N = 2,094). Using multivariate, multinomial logistic regression, we examined the association of child and spouse availability prior to disablement of the older adults with ADL care receipt status after the onset of disablement, after adjusting for other sociodemographic and clinical characteristics.

RESULTS: Lower socioeconomic status (SES) was associated with less availability of a spouse but greater availability of children at baseline. Compared with older adults who had no children nearby (i.e., all children lived further than 30 miles), older adults who had at least one child living with or near them prior to the onset of the ADL limitation were less likely to go to a nursing home (adjusted odds ratio [AOR]: 0.26 for coresident; AOR: 0.44 for 1- 30 miles) and less likely to depend on formal care (AOR: 0.39 for coresident; AOR: 0.51 for 1-30 miles) after the onset of new ADL limitation/s.

DISCUSSION: Understanding SES variations in the informal care resources, and potential role of child geographic availability, may inform the development of cost-effective community-based care programs and policies.

PB - 70 VL - 70 UR - http://psychsocgerontology.oxfordjournals.org/content/early/2014/03/06/geronb.gbu015.abstract IS - 3 U1 - http://www.ncbi.nlm.nih.gov/pubmed/24607786?dopt=Abstract U4 - Disability/Disability/Geographic proximity/Informal care/Socioeconomic status/community-based care/activities of daily living ER - TY - JOUR T1 - Response Rates in National Panel Surveys. JF - Ann Am Acad Pol Soc Sci Y1 - 2013 A1 - Stafford, Frank A1 - Patricia Andreski A1 - Katherine A McGonagle A1 - Robert F. Schoeni PB - 645 VL - 645 IS - 1 U1 - http://www.ncbi.nlm.nih.gov/pubmed/23358122?dopt=Abstract U2 - PMC3555140 U4 - attrition/Response rates/Sample Design/longitudinal Studies/Income distribution/panel survey/methodology ER - TY - JOUR T1 - Trends in late-life activity limitations in the United States: an update from five national surveys. JF - Demography Y1 - 2013 A1 - Vicki A Freedman A1 - Brenda C Spillman A1 - Patricia Andreski A1 - Jennifer C. Cornman A1 - Eileen M. Crimmins A1 - Kramarow, Ellen A1 - Lubitz, James A1 - Linda G Martin A1 - Sharon S. Merkin A1 - Robert F. Schoeni A1 - Teresa Seeman A1 - Timothy A Waidmann KW - Activities of Daily Living KW - Aged KW - Aged, 80 and over KW - Disabled Persons KW - Female KW - Health Surveys KW - Humans KW - Male KW - Mobility Limitation KW - Models, Statistical KW - United States AB -

This article updates trends from five national U.S. surveys to determine whether the prevalence of activity limitations among the older population continued to decline in the first decade of the twenty-first century. Findings across studies suggest that personal care and domestic activity limitations may have continued to decline for those ages 85 and older from 2000 to 2008, but generally were flat since 2000 for those ages 65-84. Modest increases were observed for the 55- to 64-year-old group approaching late life, although prevalence remained low for this age group. Inclusion of the institutional population is important for assessing trends among those ages 85 and older in particular.

PB - 50 VL - 50 IS - 2 U1 - http://www.ncbi.nlm.nih.gov/pubmed/23104207?dopt=Abstract U2 - PMC3586750 U4 - methodology/Meta-analysis/ADL and IADL Impairments/Public Policy/health Care Costs/PREVALENCE ER - TY - JOUR T1 - Key themes in research on the demography of aging. JF - Demography Y1 - 2010 A1 - Robert F. Schoeni A1 - Mary Beth Ofstedal KW - Aging KW - Demographics KW - Meta-analyses KW - Older Adults AB - For years, researchers and policymakers have attempted to focus attention on population aging by discussing the likely implications to individuals, governments, and society of the baby boom generation reaching old age. No longer can researchers and policymakers say that these are issues that will arise far into the future; the leading edge of the baby boom cohort—born in 1946—will turn age 65 next year. The future is upon us. The implications of this change in age structure are tremendous, although we may not fully understand the impact for years to come. However, an incredibly rich research infrastructure is now in place that did not exist just 20 years ago. Drawing on this infrastructure, scientists of today and tomorrow will generate new knowledge that will allow us to more intelligently address the most pressing social and economic issues facing society, issues such as the ones examined in this special issue. VL - 47 Suppl IS - Suppl 1 ER - TY - JOUR T1 - Declines in late-life disability: the role of early- and mid-life factors. JF - Soc Sci Med Y1 - 2008 A1 - Vicki A Freedman A1 - Linda G Martin A1 - Robert F. Schoeni A1 - Jennifer C. Cornman KW - Activities of Daily Living KW - Aged KW - Aged, 80 and over KW - Aging KW - Chronic disease KW - Cross-Sectional Studies KW - Disabled Persons KW - Female KW - Frail Elderly KW - Health Behavior KW - Health Status KW - Health Surveys KW - Humans KW - Life Style KW - Logistic Models KW - Male KW - Morbidity KW - Population Surveillance KW - Socioeconomic factors KW - United States AB -

Investigations into the reasons for declines in late-life disability have largely focused on the role of contemporaneous factors. Adopting a life-course perspective as a backdrop, in this paper we ask whether there also has been a role for selected early- and mid-life factors in the decline, and if so whether these factors have been operating through changes in the risks of disability onset or recovery. Drawing on five waves from 1995 to 2004 of the U.S. Health and Retirement Study, we found for the 75 years and older population in the United States that the prevalence of difficulty with activities of daily living (ADL) declined from 30.2% in 1995 to 26.0% in 2004, whereas the trend in difficulty with instrumental activities of daily living (IADL) was flat. Onset of ADL limitations also was reduced during this period while recovery increased. Changes in the educational composition of the older population were linked to declines in the prevalence of ADL limitations, but there were also modest contributions of changes in mother's education, self-rated childhood health, and lifetime occupation. Declines in late-life vision impairments and increases in wealth also contributed substantially to the downward trend, and had chronic conditions not increased, it would have been even larger. Reductions in the onset of ADL limitations were partly driven by changes in educational attainment of respondents and their mothers and, in late-life, better vision and wealth. In contrast, the recovery trend was not accounted for by changes in early- or mid-life factors. We conclude that early- and mid-life factors have contributed along with late-life factors to U.S. late-life disability trends mainly through their influence on the onset of, rather than recovery from, limitations.

PB - 66 VL - 66 IS - 7 U1 - http://www.ncbi.nlm.nih.gov/pubmed/18222580?dopt=Abstract U2 - PMC2408829 U4 - aging/DISABILITY/DISABILITY/Health Risk ER - TY - JOUR T1 - Neighborhoods and disability in later life. JF - Soc Sci Med Y1 - 2008 A1 - Vicki A Freedman A1 - Irina B Grafova A1 - Robert F. Schoeni A1 - Jeannette Rogowski KW - Aging KW - Disabled Persons KW - Factor Analysis, Statistical KW - Female KW - Health Status Disparities KW - Humans KW - Male KW - Middle Aged KW - Residence Characteristics KW - Social Conditions KW - Socioeconomic factors KW - United States AB -

This paper uses the US Health and Retirement Study to explore linkages between neighborhood conditions and stages of the disablement process among adults aged 55 years and older in the United States. We consider multiple dimensions of the neighborhood including the built environment as well as social and economic conditions. In doing so, we use factor analysis to reduce indicators into eight neighborhood scales, which we incorporate into two-level logistic regression models along with controls for individual-level factors. We find evidence that economic conditions and the built environment, but not social conditions, matter. Neighborhood economic advantage is associated with a reduced risk of lower body limitations for both men and women. We also find for men that neighborhood economic disadvantage is linked to increased chances of reporting personal care limitations, particularly for those aged 55-64 years, and that high connectivity of the built environment is associated with reduced risk of limitations in instrumental activities. Our findings highlight the distinctive benefits of neighborhood economic advantage early in the disablement process. In addition, findings underscore the need for attention in the design and evaluation of disability-prevention efforts to the benefits that accrue from more physically connected communities and to the potential harm that may arise in later life from living in economically disadvantaged areas.

PB - 66 VL - 66 IS - 11 U1 - http://www.ncbi.nlm.nih.gov/pubmed/18329148?dopt=Abstract U2 - PMC2478756 U4 - Neighborhood Change/DISABILITY/DISABILITY/Social conditions ER - TY - JOUR T1 - Widow(er) Poverty and Out-of-Pocket Medical Expenditures Near the End of Life JF - Journals of Gerontology, Series B: Psychological and Social Sciences Y1 - 2005 A1 - Kathleen McGarry A1 - Robert F. Schoeni KW - Income KW - Net Worth and Assets AB - Objectives. Elderly widows are three times as likely to live in poverty as older married people. This study investigates the gap in poverty, income, and wealth between these groups. Focus is placed on the role played by out-of-pocket medical expenditures spent on dying spouses. Methods. A national panel survey of people age 70 and older in 1993 was used. Income, poverty, wealth, and out-of-pocket expenditures were examined before and after widowhood, with comparisons made with couples not experiencing a death. Results. Forty-four percent of the difference in economic status between widow(er)s and married elderly persons was due to disparities in economic status that existed prior to widowhood. The remaining 56 was due to factors more directly related to the death of a spouse, including the loss of income and expenses associated with dying. On average, out-of-pocket medical expenditures in the final 2 years of life were equal to 30 of the couple's annual income. For couples in the bottom quarter of the income distribution, these expenditures were 70 of their income. Discussion. As policy makers continue to debate expansions and reforms of Medicare, the potential effects of these reforms on economic well-being, particularly among widows, should be considered. Despite the overwhelming success and popularity of programs such as Social Security and Medicare, some subgroups of the elderly population continue to face substantial risks of living in poverty. Whereas the poverty rate for elderly individuals is now hovering at 10 , the poverty rate for elderly widows is nearly twice as high. When examining poverty rates for women in particular, one finds that approximately 5 of married elderly persons are poor compared with 17 of widows (Figure 1). Although policy makers have repeatedly expressed concern about these high rates and enacted legislation attempting to improve the well-being of surviving spouses, the figure demonstrates that this gap has stubbornly remained (see endnote 1). Obviously, the more that is known about the causes and characteristics of poverty among widows, the better targeted public policy can be. PB - 60B VL - 60B UR - http://psychsoc.gerontologyjournals.org/contents-by-date.0.shtml IS - 3 U4 - Widowhood/Poverty/income/Wealth ER - TY - JOUR T1 - Resolving inconsistencies in trends in old-age disability: report from a technical working group. JF - Demography Y1 - 2004 A1 - Vicki A Freedman A1 - Eileen M. Crimmins A1 - Robert F. Schoeni A1 - Brenda C Spillman A1 - Aykan, Hakan A1 - Kramarow, Ellen A1 - Land, Kenneth A1 - Lubitz, James A1 - Kenneth G. Manton A1 - Linda G Martin A1 - Shinberg, Diane A1 - Timothy A Waidmann KW - Activities of Daily Living KW - Age Factors KW - Aged KW - Aged, 80 and over KW - Chronic disease KW - Disabled Persons KW - Female KW - Health Surveys KW - Homemaker Services KW - Humans KW - Male KW - Models, Statistical KW - Self-Help Devices KW - United States AB -

In September 2002, a technical working group met to resolve previously published inconsistencies across national surveys in trends in activity limitations among the older population. The 12-person panel prepared estimates from five national data sets and investigated methodological sources of the inconsistencies among the population aged 70 and older from the early 1980s to 2001. Although the evidence was mixed for the 1980s and it is difficult to pinpoint when in the 1990s the decline began, during the mid- and late 1990s, the panel found consistent declines on the order of 1%-2.5% per year for two commonly used measures in the disability literature: difficulty with daily activities and help with daily activities. Mixed evidence was found for a third measure: the use of help or equipment with daily activities. The panel also found agreement across surveys that the proportion of older persons who receive help with bathing has declined at the same time as the proportion who use only equipment (but not personal care) to bathe has increased. In comparing findings across surveys, the panel found that the period, definition of disability, treatment of the institutionalized population, and age standardizing of results were important to consider. The implications of the findings for policy, national survey efforts, and further research are discussed.

PB - 41 VL - 41 IS - 3 U1 - http://www.ncbi.nlm.nih.gov/pubmed/15461008?dopt=Abstract U4 - Disability/Disability/ADL and IADL Impairments/Elderly/Caregiving ER - TY - JOUR T1 - Food Stamps and the Elderly: Why is Participation So Low? JF - Journal of Human Resources Y1 - 2003 A1 - Steven Haider A1 - Robert F. Schoeni A1 - Jacknowitz, Alison KW - Households KW - pension eligibility KW - Public Assistance AB - Estimates imply that only one-third of elderly persons who are eligible for food stamps actually participate in the program, which is half the rate that exists among younger people. This study investigates potential reasons for the relatively low take-up rate among the elderly. Analyzing new data, we conclude that the low take-up rate is not explained by measurement error and little is explained by various behavioral factors. Despite this much lower take-up rate, elderly who are eligible for assistance but not enrolled in the program do not appear to be especially needy. PB - 38 VL - 38 IS - Suppl N1 - National Institute on Aging U4 - food stamps ER - TY - RPRT T1 - Food Stamps and the Elderly: Why is Participation So Low? Y1 - 2003 A1 - Steven Haider A1 - Robert F. Schoeni A1 - Jacknowitz, Alison KW - Households KW - pension eligibility KW - Public Assistance AB - Estimates imply that only one-third of elderly persons who are eligible for food stamps actually participate in the program, which is half the rate that exists among younger people. This study investigates potential reasons for the relatively low take-up rate among the elderly. Analyzing new data, we conclude that the low take-up rate is not explained by measurement error and little is explained by various behavioral factors. Despite this much lower take-up rate, elderly who are eligible for assistance but not enrolled in the program do not appear to be especially needy. JF - National Poverty Center Working Paper Series PB - National Poverty Center, University of Michigan CY - Ann Arbor, MI UR - http://www.npc.umich.edu/publications/working_papers/paper2/03-02.pdf ER - TY - JOUR T1 - The Fraction of Disability Caused at Work JF - Social Security Bulletin Y1 - 2003 A1 - Reville, Robert T. A1 - Robert F. Schoeni KW - Disabilities KW - Employment and Labor Force AB - Disability has high societal and personal costs. Various disparate federal and state programs attempt to address the economic and social needs of people with disabilities. Presumably workplace injuries and accidents are an important source of disability. Yet separate public policies and research literatures have evolved for these two social problems disability and workplace injuries despite their relatedness. This article seeks to document the overlap between these two phenomena in estimating the proportion of the disabled population whose disability was caused by workplace injury, accident, or illness using the Health and Retirement Study of 1992. The results point toward the need for initiatives to reduce disability that focus on workrelated causes, which are a common pathway to disability, and that may result in substantial savings in federal programs. PB - 65 VL - 65 UR - https://www.ssa.gov/policy/docs/ssb/v65n4/v65n4p31.html IS - 4 U4 - Disability/Disability/Workplace ER - TY - JOUR T1 - Transfer Behavior Within the Family: Results from the Asset and Health Dynamics Survey JF - The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences Y1 - 1997 A1 - Kathleen McGarry A1 - Robert F. Schoeni KW - Adult children KW - Public Policy AB - This paper provides new empirical evidence on the relationship between the income of the recipients and the likelihood and magnitude of cash transfers. Results offer strong evidence that respondents are more likely to make transfers and more likely to transfer larger amounts to their children who are less well off. These findings are consistent with recent studies that support the altruistic model of behavior. This study also presents descriptive statistics which cast some doubt on the exchange model of behavior, which views financial transfers as a payment for services. PB - 52B VL - 52B IS - Spec U4 - Family/Transfers/Wills/Welfare/Altruism ER - TY - RPRT T1 - Measurement and the Redistribution of Resources Within the Family Y1 - 1996 A1 - Kathleen McGarry A1 - Robert F. Schoeni KW - Adult children KW - Income AB - Recent work by a number of economists has opened a debate about the role played by intergenerational transfers. Using the new Health and Retirement Study (HRS), we are better able to address the issues involved. Contrary to the current literature on bequests, we do not find that parents give transfers, respondents give greater financial assistance to their less well off children than to their children with higher incomes. PB - RAND, Reprint Series 96-11 UR - http://ideas.repec.org/p/fth/randrs/96-11.html U4 - Income Distribution/Intergenerational Transfers ER - TY - JOUR T1 - Transfer Behavior in the Health and Retirement Study: Measurement and the Redistribution of Resources within the Family JF - Journal of Human Resources Y1 - 1995 A1 - Kathleen McGarry A1 - Robert F. Schoeni KW - Adult children KW - Demographics PB - 30 VL - 30 IS - Suppl. N1 - ProCite field 3 : UCLA; RAND Corp U4 - Household Behavior--General/Demographic Trends and Forecasts/Family/Transfers ER - TY - RPRT T1 - Transfer Behavior Within the Family: Results From the Asset and Health Dynamics Survey Y1 - 1995 A1 - Kathleen McGarry A1 - Robert F. Schoeni KW - Adult children KW - Public Policy AB - If an individual falls on hard times, can he rely on his family for financial support? In view of proposed reductions in public assistance programs, it is important to understand the mechanisms through which families provide support for their members. In this paper we provide evidence that intra-family transfers are compensatory, directed disproportionally to less well-off members. These results hold both for the incidence of transfers and for the amounts. Within a given year, adult children in the lowest income category are 6 percentage points more likely to receive a financial transfer from their parents, and on average they receive over 300 more than siblings in the highest income category. The data used in this study, the new Asset and Health Dynamics Survey (AHEAD), contain information on all children in the family. Thus we are able to estimate models which control for unobserved differences across families. Our results are robust to these specifications. Additionally, we do not find evidence that parents provide financial assistance to their children in exchange for caregiving. PB - National Bureau of Economic Research UR - https://www.nber.org/papers/w5099 N1 - ProCite field 8 : UCLA and NBER; RAND Corporation U4 - Family/Transfers/Wills/Welfare/Altruism ER - TY - RPRT T1 - Transfer Behavior: Measurement and the Redistribution of Resources within the Family Y1 - 1994 A1 - Kathleen McGarry A1 - Robert F. Schoeni KW - Adult children KW - Methodology PB - NBER UR - https://www.nber.org/papers/w4607 U4 - Family transfers, structure/Methodology ER -