This paper examines the economic well-being of women who become divorced or separated in mid- or later life, using 1994 data from Statistics Canada's Survey of Labour and Income Dynamics. Economic well-being is measured by adjusted economic family total money income, before-tax low-income cut-offs, and ownership of dwelling. Women and men aged 65 and over still in their first marriages are compared with women and men, aged 65 and over, who were divorced or separated at age 45 or older. Results show that women who become divorced or separated in mid- or later life are more likely to have low income than married persons and men who become divorced or separated in mid- or later life. Persons who divorce or separate in mid- or later life are less likely than married persons to live in a dwelling that is owned by a member of the household. Regression analyses show that receiving pension income and receiving earnings are positively associated with income for women who become divorced or separated in mid- or later life. Implications for the Canadian legal and retirement income systems are discussed.

Drawing on the literature on the extensive investment older adults make in volunteering, and on the findings of a study of 19 not-for-profit agencies that rely heavily on older adults to provide a variety of community services, this paper identifies several significant changes in the character of the clients who are served by these volunteers and in government health policies affecting the delivery of community services. The paper concludes with suggestions for research and policy development aimed to optimize the contribution which older volunteers make to society and reciprocally, the contribution that volunteering makes to the health and well-being of older adults.

Hospitals may transfer seniors with a hip fracture to various rehabilitation settings. Knowing the relationship between hospital teaching status and post-acute rehabilitation setting may help evaluations of the transfer from acute care. The purpose of this study was to determine the relationship between hospital teaching status and rehabilitation destination following acute care in seniors with a hip fracture. Hospital separations were linked with home care records to identify hip fractures and hospital-based or home care rehabilitation (n = 806). Two logistic regression models determined the likelihood of transfer to any rehabilitation destination and to hospital-based versus home care rehabilitation. Teaching hospitals were no more likely than non-teaching hospitals to discharge patients to any rehabilitation (OR 1.20, 95% CI 0.88,1.65). However, among those referred to rehabilitation, the odds of discharge to hospital-based versus home care rehabilitation were almost four times greater for patients in teaching hospitals (OR 3.76, 95% CI 2.23, 6.37). The results are consistent with the availability of post-acute rehabilitation in the planning area. Future study of post-acute rehabilitation outcomes should consider hospital teaching status as an indicator of how hospital-based factors may affect the utilization of post-acute rehabilitation.

A sample of frail older adults (65 years and over) living at home or institutionalized (n = 664) with a significant functional limitation was used to document predisposing and facilitating factors of severe psychological distress among frail elderly adults. Our results indicated that 48.2 per cent of the older adults living at home presented severe psychological distress symptoms, compared to 34.3 per cent of elderly adults living in institutions. The probability of reporting a severe level of psychological distress was associated with the respondents' social support, cognitive and functional status. When the respondents' cognitive and functional status were controlled, no evidence of a significant association was found between the respondents' age, gender, marital status, education or income and the level of their psychological distress symptoms. Our results showed that 77.9 per cent of the respondents with severe psychological distress symptoms were still severely distressed 12 months after their first interview. Findings suggest that severe psychological distress represents an important challenge for practitioners in gerontology and geriatrics. It is suggested that other studies focusing on the consequences of psychological distress on older adults' quality of life, functional decline, institutionalization and mortality may help document the gravity of this symptomatology in the elderly population.

This paper examines the extent to which an individual's income-status position relative to that of others in the same cohort is maintained over the later life course. Changes in the income status of individuals born between 1924 and 1928 are estimated by means of synthetic cohort methods. Using a series of cross-sectional data files from every fifth Survey of Consumer Finances, starting in 1978, the findings show that, from ages 50 to 64, persons of this birth cohort with early-life socio-economic status advantages (namely high education) improve their absolute and relative income status position vis-à-vis others with status disadvantages. For ages 65 to 74, the economic well-being of individuals with status advantages and disadvantages converge. Since Canada's public pension programs are relatively well developed in terms of comprehensiveness and generosity, they do a good job at countering the effects of status background characteristics on the distribution of income in old age. In the absence of these programs (i.e., up to age 64), the relative position of those with high education and other advantaged groups is strengthened.

Health care cuts and restructuring are shifting the site of acute care from hospitals to homes and prompting provincial governments to introduce varying forms of mixed economies in home care. Typically, such arrangements seek to drive down public costs and to reposition service users as “consumers” of market-modelled care. Drawing on an ongoing study of frail elderly women and women with disabilities receiving home care in Ontario, this paper explores the significance for service users of these economic and political objectives. Rather than feeling like consumers free to exercise choice and demand quality in the mixed economy of home care, they experienced their positioning within it as insecure and subordinate and its supply as unpredictable and meagre. The implications of these findings for fashioning secure and equitable public responses to elderly and disabled citizens who need assistance at home over the long term are discussed.

Although the experiences of formal and informal caregiving have been discussed and debated in the literature, more is assumed than is actually known (McDaniel & Gee, 1993). This qualitative study explored both informal and formal caregivers' perceptions of their own caregiving and the views of each other's caregiving. Information was collected through the use of in-depth interviews with 23 family caregivers and 15 nurses providing home care to older persons. Analysis of interview transcripts and field notes reveals that both informal and formal caregivers engage in all facets of caring work – physical, intellectual and emotional care – but that they carry out this work in varying degrees, and for different reasons. The reasons given for these differences, namely the nurses' professional knowledge and higher status designation, are key elements that define the boundaries between professional and family caregiving. However, it is apparent that, over time, this demarcation diminishes as family caregivers' knowledge and skill match those of health professionals. Study findings point to implications for future theory development and research.

Sixty-five has long been used to define the beginning of “old age”. Yet it is clear that the definition is arbitrary, and with continuing reductions in mortality and morbidity rates it will become increasingly inappropriate as time passes. We consider how the definition might be modified to reflect changes in life table probabilities, and how the future numbers and proportions in “old age” would be affected. In a similar manner, we consider also the redefinition of the “oldest old” from a current definition of 85 and over.

The present study focused on variables influencing psychological well-being during the period of adjustment to retirement (6 to 36 months). The sample included 141 respondents – 69 retired men and 72 retired women – who completed questionnaires evaluating life satisfaction, retirement satisfaction, and psychological well-being. Variables traditionally examined (socio-demographic, health, attitude, and social) explained 45 to 57 per cent of the variance related to life and retirement satisfaction, but explained a smaller percentage (9 to 37%) of the variance related to the six dimensions of psychological well-being. This study, therefore, confirmed the impact of traditional variables on life and retirement satisfaction but brought out the importance of investigating other variables that could explain psychological well-being during retirement.

The formal sector's increasing recourse to families poses questions concerning the type and degree of participation that is expected of family caregivers and the conceptions that exist regarding them. This article examines different conceptions and their implications for practice, based on reflexions emanating from the authors' 15 years of empirical research on caregiving. A typology of practice approaches based on the various conceptions is presented including: the dependent adult approach, the caregiver as joint-client, the caregiver as resource and the caregiver as partner approach. Each of these approaches is based on a framework of beliefs, values and principles which shape policy and practice and have implications for how caregivers are perceived and served. The authors propose an alternative community-oriented approach which addresses the limitations of those which currently dominate homecare policy and practice.