| Literature DB >> 34220404 |
Frieder R Lang1, Fiona S Rupprecht1.
Abstract
Throughout adulthood, individuals follow personal timetables of deadlines that shape the course of aging. We examine 6-year-longitudinal data of perceived personal deadlines for starting with late-life preparation across adulthood. Findings are based on a sample of 518 adults between 18 and 88 years of age. Multilevel regression analyses were conducted to explore changes in personal deadlines for preparation in five domains (i.e., finances, end of life, housing, social connectedness, caregiving) in relation to calendar age, self-rated health, subjective position in life, and sociodemographic variables. Findings suggest that personal deadlines for starting preparatory activities differ depending on calendar age and domain of late-life preparation. Older adults as compared to younger adults are likely to report narrower deadlines for beginning with late-life preparation. Perceived deadlines for late-life preparation were furthermore found to be preponed and slightly dilated over time. Findings suggest that depending on age-graded opportunity structures, individuals flexibly adjust their personal deadlines for late-life preparation.Entities:
Keywords: Domain specificity; End of life; Perceived deadlines; Preparation for old age; Subjective position in life
Year: 2020 PMID: 34220404 PMCID: PMC8217477 DOI: 10.1007/s10433-020-00581-8
Source DB: PubMed Journal: Eur J Ageing ISSN: 1613-9372
Fig. 1Graphic life course scale and item wordings. When is, in your opinion, the earliest (good) and the latest (still good) point in time that one should start preparing: (1) …for financial security in old age/(2) …for living arrangements in old age/(3) …for the possibility of needing caregiving/(4) …against loneliness in old age/(5) …for dying and death
Predicting starting points of aging preparation across domains, over time, and nested in individuals
| Model 1 | Model 2 | Model 3 | Model 4 | Model 5 | |
|---|---|---|---|---|---|
| Intercept | 29.76* (0.68) | 29.43* (0.68) | 29.54* (0.68) | 25.51* (0.90) | 25.73* (0.92) |
| Time | − 2.71* (0.21) | − 2.55* (0.22) | − 2.55* (0.22) | − 0.15 (0.42) | − 0.22 (0.42) |
| Housing | 21.36* (0.62) | 21.37* (0.62) | 21.39* (0.62) | 32.33* (1.11) | 32.72* (1.14) |
| Care | 19.04* (0.62) | 19.06* (0.62) | 18.92* (0.62) | 22.85* (1.11) | 22.74* (1.14) |
| Connectednessa | 8.46* (0.62) | 8.45* (0.62) | 8.24* (0.62) | 11.82* (1.11) | 11.71* (1.14) |
| End of lifeb | 18.66* (0.62) | 18.62* (0.62) | 18.40* (0.62) | 19.19* (1.11) | 17.95* (1.14) |
| Age | 0.10* (0.05) | 0.02 (0.05) | 0.08 (0.06) | 0.03 (0.07) | |
| FTP | − 1.27* (0.45) | − 1.27* (0.45) | − 1.27* (0.45) | − 1.27* (0.45) | |
| Age * housing | − 0.01 (0.03) | − 0.09* (0.03) | − 0.17* (0.06) | ||
| Age * care | 0.10* (0.03) | 0.07* (0.03) | 0.09 (0.06) | ||
| Age * connecteda | 0.15* (0.03) | 0.12* (0.03) | 0.15* (0.06) | ||
| Age * end of lifeb | 0.15* (0.03) | 0.15* (0.03) | 0.40* (0.06) | ||
| Time * age | − 0.02 (0.01) | 0.01 (0.02) | |||
| Time * housing | − 6.67* (0.57) | − 6.80* (0.57) | |||
| Time * care | − 2.39* (0.57) | − 2.36* (0.57) | |||
| Time * connecteda | − 2.19* (0.57) | − 2.15* (0.57) | |||
| Time * end of lifeb | − 0.48 (0.57) | − 0.07 (0.57) | |||
| Time * age * H | 0.05 (0.03) | ||||
| Time * age * C | − 0.01 (0.03) | ||||
| Time * age * SCa | − 0.01 (0.03) | ||||
| Time * age * EoLb | − 0.15* (0.03) | ||||
| 70.11 | 63.76 | 63.79 | 63.43 | 63.42 | |
| 12.34 | 12.55 | 12.91 | 14.57 | 14.93 | |
| 282.85 | 282.85 | 280.98 | 273.08 | 271.33 | |
| Marginal | 16.92% | 18.84% | 19.20% | 20.68% | 21.03% |
| AIC | 62,910.81 | 62,800.68 | 62,787.03 | 62,630.31 | 62,618.47 |
| BIC | 62,972.85 | 62,931.57 | 62,945.45 | 62,823.12 | 62,838.80 |
Standard errors are in parentheses. FTP future time perspective, H housing, C care, SC social connectedness, EoL end of life, AIC Akaike information criterion, BIC Bayesian information criterion. Finances serve as the reference category. In Model 2, Model 3, Model 4, and Model 5, sex, marital status, parental status, retirement status, household net income, self-rated health, perceived life expectancy, and subjective age are added as covariates but do not reach significance. The inclusion and exclusion of those covariates did not change the effects of the main predictors and interactions
*p < .05
aThe domain of social connectedness was assessed as preparation against loneliness in old age
bThe end-of-life domain refers to preparation for dying and death
Fig. 2Domain-specific starting points and their relations to time and age. Notes Starting points are depicted for the five domains finances, housing, care, connectedness, and end of life and can range from 0 (birth) to 100 (death). a The domain-specific effects of time on the starting points (Table 1, Model 3), b the domain-specific effects relations between calendar age and the starting points (Table 1, Model 4)
Fig. 3Age-specific time trends in starting points in preparation for end of life. Notes Starting points can range from 0 (birth) to 100 (death). The figure shows how time trends in the starting points for dying and death preparation are influenced by calendar age (Table 1, Model 5)
Predicting ending points of aging preparation across domains, over time, and nested in individuals
| Model 1 | Model 2 | Model 3 | Model 4 | Model 5 | |
|---|---|---|---|---|---|
| Intercept | 59.09* (0.63) | 59.55* (0.62) | 59.34* (0.62) | 56.82* (0.76) | 56.91* (0.77) |
| Time | − 0.60* (0.23) | − 0.83* (0.23) | − 0.83* (0.23) | 0.72* (0.35) | 0.68 (0.35) |
| Housing | 17.05* (0.45) | 17.04* (0.45) | 17.18* (0.45) | 23.08* (0.81) | 23.13* (0.83) |
| Care | 17.06* (0.45) | 17.07* (0.45) | 17.19* (0.45) | 19.55* (0.81) | 19.58* (0.83) |
| Connectednessa | 21.34* (0.45) | 21.34* (0.45) | 21.79* (0.45) | 22.93* (0.81) | 22.83* (0.83) |
| End of lifeb | 26.98* (0.45) | 26.96* (0.45) | 27.35* (0.45) | 30.61* (0.81) | 30.22* (0.83) |
| Age | − 0.15* (0.05) | 0.00 (0.05) | 0.02 (0.05) | − 0.00 (0.06) | |
| Age * housing | − 0.10* (0.02) | − 0.14* (0.02) | − 0.15* (0.05) | ||
| Age * care | − 0.09* (0.02) | − 0.10* (0.02) | − 0.11* (0.05) | ||
| Age * connecteda | − 0.31* (0.02) | − 0.32* (0.02) | − 0.30* (0.05) | ||
| Age * end of lifeb | − 0.27* (0.02) | − 0.29* (0.02) | − 0.21* (0.05) | ||
| Time * age | 0.00 (0.01) | 0.01 (0.02) | |||
| Time * housing | − 3.60* (0.41) | − 3.61* (0.41) | |||
| Time * care | − 1.44* (0.41) | − 1.45* (0.41) | |||
| Time * connecteda | − 0.69 (0.41) | − 0.66 (0.41) | |||
| Time * end of lifeb | − 1.99* (0.41) | − 1.86* (0.41) | |||
| Time * age * H | 0.01 (0.02) | ||||
| Time * age * C | 0.00 (0.02) | ||||
| Time * age * SCa | − 0.01 (0.02) | ||||
| Time * age * EoLb | − 0.05* (0.02) | ||||
| 60.48 | 49.60 | 49.56 | 49.54 | 49.54 | |
| 49.78 | 49.48 | 50.66 | 51.14 | 51.15 | |
| 150.60 | 150.54 | 144.78 | 142.68 | 142.60 | |
| Marginal | 23.87% | 27.34% | 28.71% | 29.21% | 29.24% |
| AIC | 59,342.62 | 59,197.46 | 58,997.63 | 58,926.20 | 58,951.10 |
| BIC | 59,404.65 | 59,328.35 | 59,156.05 | 59,119.02 | 59,171.42 |
Standard errors are in parentheses. H housing, C care, SC social connectedness, EoL end of life, AIC Akaike information criterion, BIC Bayesian information criterion. Finances serve as the reference category. In Model 2, Model 3, Model 4, and Model 5, sex, marital status, parental status, retirement status, household net income, self-rated health, perceived life expectancy, subjective age, and future time perspective are added as covariates but do not reach significance. The inclusion and exclusion of those covariates did not change the effects of the main predictors and interactions
*p < .05
aThe domain of social connectedness was assessed as preparation against loneliness in old age
bThe end-of-life domain refers to preparation for dying & death
Fig. 4Domain-specific ending points and their relations to time and age. Notes Ending points are depicted for the five domains finances, housing, care, loneliness, and dying and death, and can range from 0 (birth) to 100 (death). a The domain-specific effects of time on the ending points (Table 2, Model 3), b the domain-specific relations between calendar age and the ending points (Table 2, Model 4)
Fig. 5Age-specific time trends in ending points in preparation for dying and death. Notes Ending points can range from 0 (birth) to 100 (death). The figure shows how time trends in the ending points for dying and death preparation are influenced by calendar age (Table 2, Model 5)