AHA: Comparative Study of Aginf and HEalth in Asia

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Research

Activities and results from the Study are presented here as they are made available.


Publications

Agree, E.M., Biddlecom, A.E., Chang, M.C., and Perez, A.E. 2002. Transfers from Older Parents to Children In Taiwanese And Filipino Families. Journal of Cross-Cultural Gerontology 17:269-294.

Agree, E.M., Biddlecom A.E., and Valente, T.W. "Intergenerational Exchanges with Extended Kin in Taiwan and the Philippines," (under review at Population Studies)

Biddlecom, A., Ofstedal, M.B., and Chayovan, N. 2002. Intergenerational exchanges and support. In A.I. Hermalin (Ed.), The Well-Being of the Elderly in Asia: A Four-Country Comparative Study. Ann Arbor, MI: University of Michigan Press.

Chan, A., Ofstedal, M.B. and Hermalin, A.I. 2002. Changes in objective and subjective measures of economic well-being and their interrelationship among the elderly in Singapore and Taiwan. Social Indicators Research 57:263-300, 2002.

Chang, M.C. and Zimmer, Z.  Forthcoming.  Aging and disability in Taiwan: Prevalence and transitions from a panel study.  Pp. 23-34 in Yi Zeng et al. (eds.), Longer Life and Healthy Aging.  New York, NY: Springer.

Fang, X., Meng, C., Liu, X., Wu, X., Liu, H., Diao, L., and Tang, Z. 2003. Study on the relationship between self-perceived health and health status in the elderly: An 8-year follow-up study from Multidimentional Longitudinal study of Aging in Beijing. Chinese Journal of Epidemiology 24(3): 184-188. (in Chinese)

Frankenberg, E., Chan, A. and Ofstedal, M.B. 2002. Stability and change in living arrangements: Evidence from Indonesia, Singapore and Taiwan. Population Studies 56(2):201-213.

Hermalin, A.I., Ofstedal, M.B. and Tesfai, R.  Forthcoming.  Future characteristics of the elderly in developing countries and their implications for policy.  Asian Population Studies.

Hermalin, A.I. and Yang, L.S. 2004. Levels of support from children in Taiwan: Expectations versus reality, 1965•1990. Population and Development Review 30(3):417•448.

Jatrana, S. & Chan, A. 2005. "Investigating the role of nativity on functional disability among older adults in Singapore", in S. Jatrana, M. Toyota, & B.Yeoh, (Eds), Migration and Health in Asia, Population and Migration Series, Routledge Publishers, London.

Jenkins, K.R., Johnson, N. and Ofstedal, M.B.  Forthcoming.  Social class, body weight and hypertension: A cross-cultural study of three Asian societies.  Journal of Cross-Cultural Gerontology. 

Kaneda, T. Zimmer, Z. and Tang, Z. 2005. Socioeconomic Status Differentials in Life and Active Life Expectancy among Older Adults in Beijing. Disability and Rehabilitation 27(5): 241-251.

Knodel, J. and Ofstedal, M.B. 2004. Gender and aging in the developing world: Where are the men? Population and Development Review 29(4):677-698.

Liu, H., Meng, C. and Tang, Z. 2004. Survey on depression of Beijing residents over 55 years old. Chinese Mental Health Journal 18:794-795. (in Chinese)

Meng, C., Tang, Z., Fang, X. 2004. Cognitive performance and mortality over eight years follow-up in Beijing elderly people. Chinese Journal of Gerontology 23:507-509. (in Chinese)

Ofstedal, M.B. and Natividad, J. 2002. Patterns of health service utilization. In A.I. Hermalin (Ed.), The Well-Being of the Elderly in Asia: A Four-Country Comparative Study. Ann Arbor, MI: University of Michigan Press.

Ofstedal, M.B., Reidy E. and Knodel J. 2004. Gender differences in economic support and well-being among older Asians. Journal of Cross-Cultural Gerontology 19:165-201.

Ofstedal, M.B., Zimmer, Z., Cruz, G., Chan, A., and Chuang, Y.L. 2004. Self-assessed health expectancy among older adults: A comparison of six Asian settings. Hallym International Journal of Aging. 6(2): 95-117. (printed in 2006)

Tang, Z. and Xiang, M. 2003. Physical function and its associated factors in elderly people in Beijing. Chinese Journal of Gerontology 23(2):29-32. (in Chinese)

Tang, Z., Kaneda, T., Xiang, M., Fang, X., and Zimmer, Z. 2004. Socioeconomic status differentials in life and active life expectancy among older adults in Beijing. Chinese Journal of Clinical Rehabilitation 8(3):6569-6571. (in Chinese)

Tang, Z. and Xiang, M. 2003. Outcome from three years follow-up on community lived old people with dementia. Chinese Journal of Gerontology 22(5): 305-307. (in Chinese)

Wu, X., Tang, Z. and Fang, X. 2004. Evaluation of predictive effect of some health-related indices on deaths among ageing residents through a 8-years' follow-up study in Beijing. Chinese Journal of Epidemiology 25:325-328. (in Chinese)

Zhang, Y. and Tang, Z. 2004. Blood pressure and related cognition among elderly in the community in Beijing --a 4-year longitudinal study. Chinese Journal of Epidemiology 25(10):833-836. (in Chinese)

Zimmer, Z., Kwong, J., Fang, X., Kaneda, T., and Tang, Z.  Forthcoming. Child coresidence among older adults in Beijing, China: Trends, determinants and transitions.  In Ian Cook and Jason Powell (eds.), New Perspectives on China and Aging.  New York, NY: Nova Science.

Zimmer, Z.  2006. Disability and Active Life Expectancy among older Cambodians.  Asian Population Studies. 2(2): 133-148.

Zimmer, Z. 2005. Health and living arrangement transitions among China's oldest-old. Research on Aging. 27(5): 526-555.

Zimmer, Z., Martin, L.G. and Lin, H.S. 2005. Determinants of old-age mortality in Taiwan. Social Science and Medicine. 60(3): 457-470.

Zimmer, Z., Chayovan, N., Lin, H.S, and Natividad, J. 2004. How indicators of socioeconomic status relate to physical functioning of older adults in three Asian societies. Research on Aging 26(2): 224-258.

Zimmer, Z. and Kwong, J. 2004. Socioeconomic status and health among older adults in urban and rural China. Journal of Health and Aging 16(1): 44-70.

Zimmer, Z. and House, J.S. 2003. Education, income and functional limitation transitions among American adults: Contrasting onset and progression. International Journal of Epidemiology 32(6): 1089-1097.

Zimmer. Z. 2003. A further discussion on revisiting the classification of household composition among elderly people. Journal of Cross-Cultural Gerontology 18(3): 247-250.

Zimmer, Z. and Kwong, J. 2003. Family size and support of older adults in urban and rural China: Current effects and future implications. Demography 40(1): 23-44.

Zimmer, Z. 2003. The aging of Asia: Demands of demographic change. Orgyn 14(1): 46-51.

Zimmer, Z., Martin, L.G. and Chang, M.C. 2002. Changes in functional limitation and survival among older Taiwanese, 1993, 1996, and 1999. Population Studies 56(3): 265-276.

Zimmer, Z., Natividad, J.N., Ofstedal, M.B. and Lin, H.S. 2002. Physical and mental health of the elderly. In A.I. Hermalin (Ed.), The Well-Being of the Elderly in Asia: A Four-Country Comparative Study. Ann Arbor, MI: University of Michigan Press.


Working Papers

Baker, K.R., Ofstedal, M.B., Zimmer, Z., Tang, Z., and Chuang, Y.L. 2005. Reciprocal effects of health and economic well-being among older adults in Taiwan and Beijing. Policy Research Division Working Papers Series, No. 197. New York: Population Council.

Chang, M.C., Sun, T.H. and Liu, I.W. 2005. Trends and patterns of living arrangements of the elderly in Taiwan. Comparative Studies on Aging in Asia, Research Paper Series No.5, Aging and Intergenerational Relationship in Asia Project, Advanced Research Center for Human Sciences (ARCHS), Waseda University, Tokyo, Japan.

Ghuman, S. and Ofstedal, M.B. Gender and family support for older adults in Bangladesh. PSC Research Report No. 04-563. Population Studies Center, University of Michigan, August 2004.

Hermalin, A.I., Ofstedal, M.B. and Tesfai, R.  Future characteristics of the elderly in developing countries and their implications for policy. PSC Elderly in Asia Research Report No. 06-62.  Population Studies Center, University of Michigan, Ann Arbor, 2006.

Hermalin, A.I., Ofstedal, M.B., Baker, K.R., and Chuang. Y.L. 2005. Moving from household structure to living arrangement transitions: What do we learn? PSC Elderly in Asia Research Report No. 05-61. Population Studies Center, University of Michigan, Ann Arbor.

Kaneda, T., Zimmer, Z., and Tang, Z. 2004. Differentials in life expectancy and active life expectancy by socioeconomic status among older adults in Beijing. adults in Taiwan and Beijing. Policy Research Division Working Papers Series, No. 189. New York: Population Council.

Ofstedal, M.B., Knodel, J. and Reidy, E. 2003. Gender differences in economic support and well-being of older Asians. PSC Research Report No. 03-540. Population Studies Center, University of Michigan, Ann Arbor.

Ofstedal, M.B., Zimmer, Z., Cruz, G., Chan, A., and Lin, Y.H. 2003. Self-assessed health expectancy among older Asians: A comparison of Sullivan and multistate life table methods." PSC Elderly in Asia Report 03-60. Population Studies Center, University of Michigan, Ann Arbor.

Zimmer, Z., Fang, X., Kaneda, T., Tang, Z., and Kwong, J. 2004. Trends and transitions in children's coresidence with older adults in Beijing municipality. Taiwan and Beijing. Policy Research Division Working Papers Series, No. 187. New York: Population Council.

Zimmer, Z., Martin, L.G., Ofstedal, M.B., and Chuang, Y.L. 2005. Education of adult children and mortality of their elderly parents in Taiwan. Policy Research Division Working Papers Series, No. 199. New York: Population Council.

Zimmer, Z., Chayovan, N., Lin, H.S., and Natividad, J. 2003. How Indicators of Socioeconomic Status Relate to Physical Functioning of Older Adults in Three Asian Societies. Policy Research Division Working Papers Series, No. 172. New York: Population Council.

Zimmer, Z. Fang, X., Kaneda, T., Tang, Z. and Kwong, J. 2004. Trends and transitions in child-coresidence among older adults living in the Beijing Municipality. Policy Research Division Working Paper Series, No. 187. New York: Population Council.

Zimmer, Z., Martin, L.G. and Chang, M.C. 2002. Changes in functional limitations and survival among the elderly in Taiwan: 1993, 1996, and 1999. Policy Research Division Working Paper, No. 155. New York: The Population Council.

PDF This paper focuses on changes in the prevalence of functional limitations among nationally representative samples of adults aged 65 and older in Taiwan as measured in 1993, 1996, and 1999. Using data from the Survey of Health and Living Status of the Elderly in Taiwan, we investigate changes in difficulties walking and climbing stairs, two tasks that represent basic lower body movements that are less likely to be influenced by changes in living environments and social roles than are activities of daily living and instrumental activities of daily living. Results are shown for both unadjusted prevalence rates and rates adjusted for changes in population composition. Findings indicate that Taiwan does not appear to be experiencing the improvements in functioning that have been witnessed recently in the United States. The prevalence of functional limitation increased between 1993 and 1996 and between 1996 and 1999. One possible reason for the increase in limitation is the change in old-age survival in Taiwan, which appeared over the study period to have benefited those who have functional limitations, especially in a severe form. The country's Universal Health Insurance program, established in 1995, may have increased access to care and thus survival of those in poorest health.

Zimmer, Z., Martin, L.G. and Lin, H.S. 2003. Determinants of mortality in Taiwan. Policy Research Division Working Papers Series, No. 181. New York: Population Council.


2006 Disability Panel Presentation

PDF On October 27, 2006, the University of Michigan Council for Disability Concerns held a panel session on "Aging with Disability: A Global Perspective."  As part of the panel, Mary Beth Ofstedal gave this presentation on trends and determinants of disability among older Asians.  This is a preliminary draft and should not be cited or quoted without the author's permission.


2004 Meeting held in Signapore

Singapore 2004 Participants

The second project meeting for the AHA study was held at the York Hotel in Singapore on May 27-28, 2004. The Meeting Agenda, along with papers or overheads for the presentations are available as PDF files.

The presentation materials posted here are preliminary drafts and should not be cited or quoted without permission of the primary author.


Research Presentations:

Meng-Fan Li. Active Life Expectancy for the Elderly in Taiwan, 1989-1999: Gender and Educational Differences.

Grace Cruz. Determinants of Health Transitions among Filipino Older People.

Yasuhiko Saito. Indonesia's Social Capacity for Population Health: The Educational Gap in Life Expectancy.

Xianghua Fang. Physical Function and Its Associated Factors in Beijing Elderly People.

Santosh Jantrana. Socioeconomic Status and Health among Older Singaporean Adults.

Harvey Lin. Religiosity and Depression of the Elderly in Taiwan.

Josefina Natividad. Correlates of Depressive Symptoms among Older Filipinos: Evidence from Panel Data.

Zachary Zimmer. Rural/Urban Differences in Function and Mortality in China.

Emily Agree & Mary Beth Ofstedal. Substantive and Methodological Issues for the Analysis of Intergenerational Transfers. [part 1; part 2 ]

Elizabeth Costenbader. Social Networks of the Aged in Taiwan and the Philippines.

Toshiko Kaneda. Transitions in Coresidence with Adult Children among Older Adults in Beijing.

Jack Chang. Successful Aging and Active Aging in Taiwan.

Omar Rahman. The Impact of Family Members on Elderly Self-Reported Health in Rural Bangladesh.

Kathryn Yount. Social Environment, and Gender Differences in Disability and Function in Egypt and Tunisia.

Emily Agree. Fertility Change and Family Support in Latin America and Asia.


Albert Hermalin and Colleagues

2002 Meeting held in Boston, MA

The following researchers participated in the November 2002 AHA Meeting held at the Marriott Copley Place hotel in Boston, MA. The Meeting Schedule and List of Participants, along with papers or overheads for some of the presentations are available as PDF files.

The presentation materials posted here are preliminary drafts and should not be cited or quoted without permission of the primary author.

Zachary Zimmer. The Comparative Study on Aging and Health in Asia: Why are we here? [PDF]

Josefina Natividad and Zachary Zimmer. Reported Changes in Functioning Among Older Filipinos. [PDF]

Ming-Cheng Chang. A Longitudinal Study on Health and Living Status of the Elderly in Taiwan Since 1989. [PDF]

Angelique Chan and Vanessa Yong. Reported Changes in Functioning Among Older Singaporeans. [PDF]

Xianchua Fang and Zhe Tang. The Health of Older Adults in the Beijing District. [PDF]

Toshiko Kaneda. Education, Gender, and Functional Transitions among Indonesian Elderly.

X. Qiao and Kaiti Zhang. Changes in Perceived Health Expectancy of the Elderly in China from 1992-2000.

Mary Beth Ofstedal, Zachary Zimmer, Grace Cruz, Angelique Chan, and Yu-Hsuan Lin. A Comparison of Self-Assessed Health Expectancy among Older Adults in Several Asian Settings. [PDF]

Yu-Hsuan Lin. Increase in Diabetes Prevalence in Taiwan. [PDF]

Hui-Sheng Lin. Factors Associated with Panel Attrition in the Taiwan Elderly Survey.

Linda Martin, Vicki Freedman and Robert Schoeni. Recent Trends in Functioning and Disability Among Older Americans. [PDF]

Albert Hermalin. Utilizing Aggregate Mortality and Cause of Death Data as Adjunct to Survey Analysis. [PDF]

Yasuhiko Saito. Mini-Course on Health Expectancy.

Grace Cruz and Yasuhiko Saito. Health Expectancy among Filipino Older People. [PDF]

Meng-Fan Li, Yasuhiko Saito, Ming-Cheng Chang, and Hui-Sheng Lin. Trends of Active Life Expectancy for the Elderly in Taiwan 1989-1999: An Application of the ImaCh Approach. [PDF]


The Well-Being of the Elderly in Asia: A Four-Country Comparative Study, Albert I. Hermalin, EditorHermalin, Albert I., Editor. "The Well-Being of the Elderly in Asia: A Four-Country Comparative Study." University of Michigan Press, 2003.

As the culmination of the Rapid Demographic Change and the Welfare of the Elderly research project supported by the NIA, this monograph provides a comparative examination of the welfare of the elderly and their sources of support across four Asian societies that differ culturally and in terms of their economic development. The contributors use survey and other data collected over a ten-year period to provide a detailed collaborative investigation of the well-being of the current older population in the Philippines, Singapore, Taiwan, and Thailand on several dimensions. The book examines the context of the four countries and how policies, programs, and cultural accommodations relevant to the elderly have developed in response to recent sociodemographic changes. A common conceptual framework is used to analyze key dimensions of well-being--economic status, physical and mental health, work and leisure--and how they are affected in each society by familial, social, and formal support arrangements, as well as by age, gender, education, and urban-rural residence. Where possible, changes in these dimensions over time are traced. The book concludes with a look at the near-term implications of the growing elderly population in Asia, anticipating how the changing characteristics, needs, and preferences of the elderly will affect and be affected by identified trends in socioeconomic conditions, cultural norms and values, social support systems, and policies. A number of researchers in the AHA project contributed to this volume.

Ph.D. Dissertations

Cruz, Grace. 2004. Health Transitions Among Filipino Older People. Department of Sociology. University of the Philippines.

Li, Meng-Fan. 2003. Health Status and Health Expectancy for the Elderly in Taiwan from 1989 to 1999. Department of Health Administration. University of South Carolina.

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