Massey Research Online - Browsing by Author "Stephens C"

Browsing by Author "Stephens C"

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Daytime fatigue as a predictor for subsequent retirement among older New Zealand workers
(Elsevier Inc on behalf of National Sleep Foundation, 2021-12) Myllyntausta S; Gibson R; Salo P; Allen J; Gander P; Alpass F; Stephens C
Objectives There is limited information on the role of fatigue on retirement, either independently or in association with poor sleep. The aim of this study was to examine the prospective association between daytime fatigue, measured as feeling tired or feeling worn out, independently and in relation to dissatisfaction with sleep, and subsequent retirement among 960 older workers in New Zealand. Methods Data from 2 consecutive surveys (2008 and 2010) of the New Zealand Health, Work, and Retirement Longitudinal Study were used. Poisson regression was used to investigate whether feeling tired and feeling worn out in 2008, along with dissatisfaction with sleep, were associated with self-reported retirement either due to health reasons or other reasons by 2010. Results The risk for retirement due to health reasons during a 2-year follow-up was 1.80-fold (95% confidence interval [CI] 1.16-2.45) among those who felt tired and 1.99-fold (95% CI 1.34-2.64) among those who felt worn out when compared to those not tired or not feeling worn out after adjusting for several sociodemographic, work characteristics and self-rated health. The risk for retirement due to health reasons was even higher when participant experienced both tiredness and feeling worn out. Dissatisfaction with sleep did not predict retirement due to health or other reasons. Conclusions Our results highlight that workers at risk of subsequent retirement due to health reasons may be identified with rather simple questions on tiredness and feeling worn out even among generally healthy older workers.
Experiences of COVID-19 lockdown among older people in Aotearoa: Idyllic or dystopian?
(Cambridge University Press, 2023-10-02) Breheny M; Stephens C
The COVID-19 pandemic prompted concern about the wellbeing of older people, however, there have also been accounts of increased sense of community in response to the disruption of established routines. To explore how older people experienced lockdown in Aotearoa/New Zealand, we analysed 635 written comments on the 2020 wave of the Health, Work and Retirement longitudinal survey of people aged 55-85 years. Using narrative genre analysis, we discuss two narratives of lockdown: a narrative of lockdown as 'idyllic' and a 'dystopian' narrative of distrust. Using the idyllic narrative, people described pleasant activities and linked these stories to earlier times when community life was less time-pressured and people were more connected to one another. The dystopian narrative was used to describe politicians and the media as untrustworthy and to depict new vulnerabilities created by the rules of lockdown. These narrative genres provide different positions for older people. In the idyllic narrative, older people are treasured and supported by younger community members, whereas in the dystopian narrative older people feel abandoned and manipulated. These genres draw on possible late-life futures that are familiar to older people: either treasured or discarded. Identifying these narrative genres reveals the different vulnerabilities older people experience. This information can be used to support older people to experience security and to flourish in uncertain times.
Home drinking practices among middle-class adults in midlife during the COVID-19 pandemic: Material ubiquity, automatic routines and embodied states.
(John Wiley and Sons, Inc., 2023-07-01) Lyons AC; Young J; Blake D; Evans P; Stephens C
INTRODUCTION: Harmful drinking is increasing among mid-life adults. Using social practice theory, this research investigated the knowledge, actions, materials, places and temporalities that comprise home drinking practices among middle-class adults (40-65 years) in Aotearoa New Zealand during 2021-2022 and post the COVID-19 pandemic lockdowns. METHODS: Nine friendship groups (N = 45; 26 females, 19 males from various life stages and ethnicities) discussed their drinking practices. A subset of 10 participants (8 female, 2 male) shared digital content (photos, screenshots) about alcohol and drinking over 2 weeks, which they subsequently discussed in an individual interview. Group and interview transcripts were thematically analysed using the digital content to inform the analysis. RESULTS: Three themes were identified around home drinking practices, namely: (i) alcohol objects as everywhere, embedded throughout spaces and places in the home; (ii) drinking practices as habitual, automatic and conditioned to mundane everyday domestic chores, routines and times; and (iii) drinking practices intentionally used by participants to achieve desired embodied states to manage feelings linked to domestic and everyday routines. DISCUSSION AND CONCLUSIONS: Alcohol was normalised and everywhere within the homes of these midlife adults. Alcohol-related objects and products had their own agency, being entangled with domestic routines and activities, affecting drinking in both automatic and intentional ways. Developing alcohol policy that would change its ubiquitous and ordinary status, and the 'automatic' nature of many drinking practices, is needed. This includes restricting marketing and availability to disrupt the acceptability and normalisation of alcohol in the everyday domestic lives of adults at midlife.
Lifestyle for brain health and cognitive functioning in midlife to early late-life New Zealanders: Utility of the LIBRA index.
(John Wiley and Sons, Inc., 2024-05-01) Röhr S; Stephens C; Alpass F
OBJECTIVES: There is enormous potential to improve brain health and reduce the risk of cognitive decline and dementia based on modifiable risk factors. The Lifestyle for Brain Health (LIBRA) index was developed to quantify modifiable dementia risk or room for brain health improvement. The objective of the study was to investigate the utility of the LIBRA index in relation to cognitive functioning in a midlife to early late-life sample of New Zealanders. METHODS: A subsample (n = 1001) of the longitudinal New Zealand Health, Work and Retirement (NZHWR) study completed face-to-face cognitive assessments using the 'Kiwi' Addenbrooke's Cognitive Examination-Revised (ACE-R) in 2010 and again in 2012, in addition to completing biennial NZHWR surveys on socioeconomic, health and wellbeing aspects. The LIBRA index was calculated incorporating information on 8 out of 12 modifiable health and lifestyle factors for dementia. Unadjusted and adjusted regression models and mixed effects models were used to inspect associations of LIBRA with cognitive functioning, cognitive impairment, and cognitive decline. RESULTS: The analytical sample (n = 881 [88.0%], after considering exclusion criteria and missing data) had a mean age of 63.1 (SD = 6.5) years, 53.3% were female, 26.2% were Māori, and 61.7% were highly educated. Higher LIBRA scores (indicating higher modifiable dementia risk) were associated with lower cognitive functioning (B = -0.33, 95% CI = -0.52;-0.15, p < 0.001) and a higher likelihood of cognitive impairment (OR = 1.22, 95% CI = 1.04; 1.42, p = 0.013), but did not predict cognitive decline over 2 years (B = -0.03, 95% CI = -0.22; 0.16, p = 0.766), adjusted for age, age2, gender, education, and ethnicity. CONCLUSIONS: The LIBRA index indicated promising utility for quantifying modifiable dementia risk in midlife and early late-life New Zealanders. For local use, refinement of the LIBRA index should consider cultural differences in health and lifestyle risk factors, and further investigate its utility with a wider range of modifiable factors over a longer observation period.
Older adult's experiences during the second year of the COVID-19 pandemic in Aotearoa New Zealand: Diversity and change in long term disaster situations
(Elsevier B.V., 2024-01-01) Stephens C; Uekusa S; Breheny M
The COVID-19 global pandemic has highlighted the morbidity and mortality risks of older adults as well as their heterogeneity and resilience. The immediate need to address psychosocial and health issues among this age group is driven by global concerns about the growing number of disaster occurrences, the growing ageing population, and widening inequalities. Using an inductive analysis of written comments about their experiences by 1,400 older people in the second year of the pandemic in Aotearoa New Zealand, we found that responses to the pandemic and government actions had fractured as different groups of older adults felt neglected or wronged by the centralised response. Negative themes of anxiety and fear describe aspects of vulnerability in older adult's lives and point to issues for repair and protection in pandemic situations. Positive themes describe the resources that people drew on to maintain their wellbeing in a lengthy disaster. Drawing on theorising around conservation of resources and disaster communitas, our analysis shows that across a long-term disaster situation, resilience may be best sustained by drawing on local support systems and enabling community volunteers. Institutional responses and planning must include and empower grass roots groups who are better placed to recognise and respond to the resource needs of their own communities.
Older People’s Neighborhood Perceptions Are Related to Social and Emotional Loneliness and Mediated by Social Network Type
(Oxford University Press, 2022-10-19) Stephens C; Phillips H
Background and Objectives Loneliness among older people is a public health issue; however, there is very weak support for the efficacy of individually focused interventions. A public health model, which includes the environmental influence on the formation of social networks and protection from loneliness, and theoretical approaches differentiating between social and emotional loneliness, suggest the importance of neighborhoods in preventing loneliness. This approach was used to test the influence of neighborhood factors on loneliness and the mediating role of social networks. Research Design and Methods A questionnaire survey of 917 people aged 60–100 years was conducted in one region of Aotearoa/New Zealand to assess loneliness, social network types, social participation, marital status, gender, health, and four aspects of neighborhood perceptions. Results Social and emotional loneliness scores were regressed on predicted demographic and social variables, followed by perceptions of Housing Satisfaction, Neighborhood Accessibility, Neighborhood Security, and Neighborhood Social Cohesion. Neighborhood variables added significant explanation of variance in both social and emotional loneliness. Mediation tests using PROCESS showed that the effects of all neighborhood variables were mediated by Private-Restricted or Locally Integrated Network types on Social Loneliness only. Discussion and Implications These findings highlight the importance of neighborhood factors in relation to feelings of loneliness and the recognition of social network types as mediators of these relationships for social loneliness. The aspects of neighborhoods that prevent loneliness provide directions for planners and prevention programs. Interventions to prevent social loneliness can usefully and practicably focus on the housing and neighborhood environment.
Social adjustment in New Zealand and Philippine emergency responders: A test of main and moderating effects of received social support
(Massey University Press, 2020-09) Guilaran J; de Terte I; Kaniasty K; Stephens C
This study examined the influence of received social support on the social adjustment of emergency responders. Emergency responders (N = 223) from New Zealand and the Philippines answered an online questionnaire measuring demographic variables, duty-related traumatic exposure, social support received from different sources, and social adjustment (i.e., social and occupational impairment, posttraumatic growth in interpersonal relationships). Results of hierarchical regression analyses showed that a greater amount of received social support from supervisors and a greater amount of received emotional support were both associated with lower levels of social and occupational impairment. Additionally, higher amounts of support received from family and supervisors, as well as from all sources combined, predicted higher posttraumatic growth scores in the domain of interpersonal relationships. Received social support was not observed to moderate the effects of traumatic exposure on social adjustment. Findings were generally consistent with the main effect model of social support and underscored the differential effects of the various components of received social support on social adjustment dimensions.
Social Connections and Future Horizons: Socioemotional Selectivity Among Midlife and Older Adults in Aotearoa/New Zealand During COVID-19
(Springer Nature, 2024-01-20) Newton NJ; Breheny M; Stephens C
The current study uses socioemotional selectivity theory (SST; Carstensen in Psychology and Aging. 7(3):331–338,1992,10.1037/0882-7974.7.3.331) as a framework to examine the experiences of older adults during COVID-19 in Aotearoa/New Zealand. SST posits that when time horizons are perceived as limited—such as with increasing age, or during times of medical uncertainty—people selectively focus on spending time with emotionally close others and in personally fulfilling activities. This may be the case particularly when uncertainty is experienced by older people. Aotearoa/New Zealand instigated an elimination strategy early in the pandemic (prior to widespread vaccine availability), employing a series of lockdowns that further challenged older adults’ perceptions of future horizons, their ability to maintain social connections with loved ones, and engagement in pleasurable activities. This study used thematic analysis to analyze existing qualitative COVID-19-related data drawn from the experiences of 510 older adults who participated in the 2021 Health, Work, and Retirement study (HWR). Participants ranged in age from 56 to 87 (Mage = 69.73); 15.9% identified as Māori, and 76.2% identified as female. Two broad themes were revealed: Social Connection and Anticipating the Future. Although most participants expressed comparatively more positive than negative experiences, some also expressed frustration and anxiety about health directive-related divisions in relationships, and the inability to share in important life events (such as weddings, births, and funerals). Findings highlight the complex impact of COVID-19 on older adults’ perceptions of time horizons, and the opportunities presented by the pandemic for reassessment of social relationships and activities.
Social network type contributes to purpose in life among older people, mediated by social support.
(Springer Nature, 2024-01-17) Bakhshandeh Bavarsad M; Stephens C; Glaser K
A sense of Purpose in Life is an important aspect of ageing well which is related to older adult's social relationships. Social network types and the different sources of support they provide are theorized here as a pathway to maintaining a sense of purpose as we age. The study utilized a population sample from the 2016 and 2020 NZ Health, Work, and Retirement (NZHWR) longitudinal survey waves; N = 2869 (mean age of 65.82 years (SD = 6.40). A structural equation model investigated the relationship between Social Network Type and Purpose in Life and the mediating role of Social Support. The final model had a good fit to the data and explained 33.7% of the variance in Purpose in Life. Private, Self-Contained and Family Dependent network types (2016) were negatively related to Purpose in Life 4 years later (2020). Support from sense of Attachment, Reassurance of Worth, Reliable Alliance and Social Integration played a mediating role between Social Network type and Purpose in Life. These findings highlight the importance of social networks in maintaining a sense of purpose among older adults and highlight pathways for the types of networks, and kinds of social support they offer, which contribute to a sense of purpose in life. They underscore the importance of social support for the well-being of older adults and highlight the need to consider the quality and type of social networks and support they provide, when designing interventions to enhance well-being.
The life course effects of socioeconomic status on later life loneliness: The role of gender and ethnicity
(Elsevier Inc., 2024-09-07) Szabó Á; Stephens C; Breheny M
Precursors of loneliness include individual risk factors and experiences of social exclusion. Using the New Zealand Health Work and Retirement Life Course History Study, we investigated the impact of unequal access to material resources across the life course (from age 10 to present) on late life emotional and social loneliness and the moderating effects of gender and Māori ethnicity (indigenous population of Aotearoa/New Zealand) in 613 adults aged 65 to 81 years. Childhood and adult life socioeconomic status (SES) negatively predicted late life emotional and social loneliness, but their effects disappeared after controlling for late life SES, suggesting a mediation effect. Education was also a significant predictor; however, it exerted different effects on social (positive) and emotional (negative) loneliness. Education's effect was moderated by gender, indicating a protective effect for emotional and an exacerbating effect for social loneliness in men. These findings suggest that lifelong exclusion from material resources is a risk factor for late life loneliness.
“What Would You Do?”: How Cat Owners Make End-of-Life Decisions and Implications for Veterinary-Client Interactions
(MDPI (Basel, Switzerland), 2021-04-13) Littlewood K; Beausoleil N; Stafford K; Stephens C
Cats are the most common companion animals in New Zealand. Advances in veterinary care means that cats are living longer and there are many older cats. End-of-life decisions about cats are complicated by owner–cat relationships and other psychosocial factors. Our study explored the ways in which end-of-life decisions were being made by owners of older and chronically ill cats in New Zealand and the role of their veterinarian in the process. Qualitative data were gathered via retrospective semi-structured interviews with 14 cat owners using open-ended questions. Transcripts of these interviews were explored for themes using template analysis and nine themes were identified. Four were animal-centered themes: cat behavior change, pain was a bad sign, signs of ageing are not good, and the benefits of having other people see what owners often could not. Five were human-centered themes: veterinarians understanding owners’ relationships with their cat, normalizing death, the need for a good veterinarian to manage end of life, veterinary validation that owners were doing the right thing, and a strong desire to predict the time course and outcome for their cat. End-of-life decision making is complex, and the veterinarian’s role is often poorly defined. Our owners appreciated the expertise and validation that their veterinarian provided but continuity of care was important. Future research aimed at exploring the veterinarian’s perspective during end-of-life decision making for cats would be a valuable addition to the topic.

Browsing by Author "Stephens C"

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