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  1. Article ; Online: The age-based digital divide in an increasingly digital world: A focus group investigation during the COVID-19 pandemic.

    Cheung, Ken / Chau, Anson Kai Chun / Woo, Jean / Lai, Eric Tc

    Archives of gerontology and geriatrics

    2023  Volume 115, Page(s) 105225

    Abstract: Background and objectives: Previous research has identified numerous benefits of information and communication technology (ICT) on the well-being of older adults. However, it has been increasingly recognized that older adults do not necessarily catch up ...

    Abstract Background and objectives: Previous research has identified numerous benefits of information and communication technology (ICT) on the well-being of older adults. However, it has been increasingly recognized that older adults do not necessarily catch up with the rapidly digitalized society, known as the 'age-based digital divide'. The progress of digitalization has been accelerated during the COVID-19 pandemic, which may have widened the digital divide. This study aimed to gain a better understanding of their living experience and concerns about digital exclusion during the pandemic. The perceptions of older adults in Hong Kong, a highly digitalized, metropolitan city, towards the digital age and its impact on their daily living during the COVID-19 pandemic were explored.
    Research design and methods: We conducted 12 focus group interviews with 77 community-dwelling older adults during the COVID-19 pandemic. Data were analyzed using thematic analysis, applying both organization, reduction, and refinement.
    Results: Four themes were identified: 1) Diversified means to access community information; 2) Facilitated daily living through the usage of ICTs; 3) Concerns about age-related decline in function; and 4) Fear of digital exclusion and accelerated digitalization during the pandemic. The results indicate that ICT provided numerous benefits to the daily life of older adults, but our participants also expressed concerns about age-related losses and the fear of digital exclusion due to the ongoing digitalization of society.
    Discussion and implications: Our findings indicated that older adults do not necessarily benefit from technological innovations, which are becoming more pervasive during the pandemic. To create age-friendly environments that cater to the needs of all members of society in the digital age, policymakers and service providers should provide diverse choices for older adults, rather than relying solely on one-size-fits-all technological solutions.
    MeSH term(s) Humans ; Aged ; COVID-19/epidemiology ; Pandemics ; Digital Divide ; Focus Groups ; Communication
    Language English
    Publishing date 2023-10-07
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 603162-6
    ISSN 1872-6976 ; 0167-4943
    ISSN (online) 1872-6976
    ISSN 0167-4943
    DOI 10.1016/j.archger.2023.105225
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The role of older adult-focused social vulnerability on the relationship between temperature and emergency department attendance in a subtropical Asian city.

    Ho, Janice Ying-En / Lai, Eric Tc / Chau, Pui Hing / Chong, Ka Chun / Woo, Jean

    Archives of gerontology and geriatrics

    2023  Volume 117, Page(s) 105195

    Abstract: Purpose: Older adults exhibit a wide range of capabilities and vulnerabilities that affect their capacity to respond to heat. This study analysed the associations between hot temperatures and Accident & Emergency (A&E) attendance taking into account ... ...

    Abstract Purpose: Older adults exhibit a wide range of capabilities and vulnerabilities that affect their capacity to respond to heat. This study analysed the associations between hot temperatures and Accident & Emergency (A&E) attendance taking into account older adult-focused social vulnerability.
    Methods: Daily A&E attendance data of Young-old (65-74) and Old-old (75+) was obtained for Hong Kong 2010-2019 hot seasons and stratified into three Social Vulnerability Index (SVI) groups (Low, Moderate, High). Mean temperature (lag 0-2) was analysed on A&E attendance at each SVI using Generalized Additive Models and Distributed Lag Non-linear Models.
    Results: High temperatures were associated with increased same-day (lag 0) relative risk (RR) of A&E attendance for Young-old and Old-old in High SVI districts, with RR being 1.024 (95 % CI: 1.011, 1.037) and 1.036 (95 % CI: 1.018, 1.053), respectively. The Old-old living in Moderate and Low SVI districts also demonstrated increased RR of 1.037 (95 % CI: 1.028, 1.047) and 1.022 (95 % CI: 1.009, 1.036), respectively. Fewer emergency visits were found on the subsequent day (lag 1) of hot temperatures.
    Conclusions: Older adults, both young-old and old-old, living in districts with higher social vulnerability tended to have increased risk of A&E attendance associated with same-day high temperature. With climate change and rapidly aging population, cities should prepare to meet needs of more vulnerable older adults in extreme heat.
    MeSH term(s) Humans ; Aged ; Temperature ; Cities ; Social Vulnerability ; Hot Temperature ; Emergency Service, Hospital
    Language English
    Publishing date 2023-09-11
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 603162-6
    ISSN 1872-6976 ; 0167-4943
    ISSN (online) 1872-6976
    ISSN 0167-4943
    DOI 10.1016/j.archger.2023.105195
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The Associations of Income, Education and Income Inequality and Subjective Well-Being among Elderly in Hong Kong-A Multilevel Analysis.

    Lai, Eric Tc / Yu, Ruby / Woo, Jean

    International journal of environmental research and public health

    2020  Volume 17, Issue 4

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) Aged ; Aged, 80 and over ; Educational Status ; Female ; Health Status ; Hong Kong ; Humans ; Income ; Male ; Multilevel Analysis ; Residence Characteristics ; Self Report ; Socioeconomic Factors
    Language English
    Publishing date 2020-02-17
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1660-4601
    ISSN (online) 1660-4601
    DOI 10.3390/ijerph17041271
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Trends in inequalities in Children Looked After in England between 2004 and 2019: a local area ecological analysis.

    Bennett, Davara Lee / Mason, Kate E / Schlüter, Daniela K / Wickham, S / Lai, Eric Tc / Alexiou, Alexandros / Barr, Ben / Taylor-Robinson, David

    BMJ open

    2020  Volume 10, Issue 11, Page(s) e041774

    Abstract: Objective: To assess trends in inequalities in Children Looked After (CLA) in England between 2004 and 2019, after controlling for unemployment, a marker of recession and risk factor for child maltreatment.: Design: Longitudinal local area ecological ...

    Abstract Objective: To assess trends in inequalities in Children Looked After (CLA) in England between 2004 and 2019, after controlling for unemployment, a marker of recession and risk factor for child maltreatment.
    Design: Longitudinal local area ecological analysis.
    Setting: 150 English upper-tier local authorities.
    Participants: Children under the age of 18 years.
    Primary outcome measure: The annual age-standardised rate of children starting to be looked after (CLA rate) across English local authorities, grouped into quintiles based on their level of income deprivation. Slope indices of inequality were estimated using longitudinal segmented mixed-effects models, controlling for unemployment.
    Results: Since 2008, there has been a precipitous rise in CLA rates and a marked widening of inequalities. Unemployment was associated with rising CLA rates: for each percentage point increase in unemployment rate, an estimated additional 9 children per 100 000 per year (95% CI 6 to 11) became looked after the following year. However, inequalities increased independently of the effect of unemployment. Between 2007 and 2019, after controlling for unemployment, the gap between the most and least deprived areas increased by 15 children per 100 000 per year (95% CI 4 to 26) relative to the 2004-2006 trend.
    Conclusions: The dramatic increase in the rate of children starting to be looked after has been greater in poorer areas and in areas more deeply affected by recession. But trends in unemployment do not explain the decade-long rise in inequalities, suggesting that other socioeconomic factors, including rising child poverty and reduced spending on children's services, may be fuelling inequalities. Policies to safely reduce the CLA rate should urgently address the social determinants of child health and well-being.
    MeSH term(s) Adolescent ; Child ; Child Welfare ; England ; Health Status Disparities ; Humans ; Poverty Areas ; Socioeconomic Factors ; Unemployment
    Language English
    Publishing date 2020-11-23
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2020-041774
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Understanding pathways to inequalities in child mental health: a counterfactual mediation analysis in two national birth cohorts in the UK and Denmark.

    Lai, Eric Tc / Schlüter, Daniela K / Lange, Theis / Straatmann, Viviane / Andersen, Anne-Marie Nybo / Strandberg-Larsen, Katrine / Taylor-Robinson, David

    BMJ open

    2020  Volume 10, Issue 10, Page(s) e040056

    Abstract: Objectives: We assessed social inequalities in child mental health problems (MHPs) and how they are mediated by perinatal factors, childhood illness and maternal mental health in two national birth cohorts.: Design: Longitudinal cohort study SETTING: ...

    Abstract Objectives: We assessed social inequalities in child mental health problems (MHPs) and how they are mediated by perinatal factors, childhood illness and maternal mental health in two national birth cohorts.
    Design: Longitudinal cohort study SETTING: We used data from the UK Millennium Cohort Study and the Danish National Birth Cohort.
    Primary and secondary outcome measures: We applied causal mediation analysis to longitudinal cohort data. Socioeconomic conditions (SECs) at birth were measured by maternal education. Our outcome was child MHPs measured by the Strength and Difficulty Questionnaire at age 11. We estimated natural direct, indirect and total effects (TEs) of SECs on MHPs. We calculated the proportion mediated (PM) via three blocks of mediators-perinatal factors (smoking/alcohol use during pregnancy, birth weight and gestational age), childhood illness and maternal mental health.
    Results: At age 11 years, 9% of children in the UK and 3.8% in Denmark had MHPs. Compared with high SECs, children in low SECs had a higher risk of MHPs (relative risk (RR)=4.3, 95% CI 3.3 to 5.5 in the UK, n=13 112; and RR=6.2, 95% CI 4.9 to 7.8 in Denmark, n=35 764). In the UK, perinatal factors mediated 10.2% (95% CI 4.5 to 15.9) of the TE, and adding maternal mental health tripled the PM to 32.2% (95% CI 25.4 to 39.1). In Denmark, perinatal factors mediated 16.5% (95% CI 11.9 to 21.1) of the TE, and including maternal mental health increased the PM to 16.9% (95% CI 11.2 to 22.6). Adding childhood illness made little difference in either country.
    Conclusion: Social inequalities in child mental health are partially explained by perinatal factors in the UK and Denmark. Maternal mental health partially explained inequalities in the UK but not in Denmark.
    MeSH term(s) Adult ; Child ; Cohort Studies ; Denmark/epidemiology ; Female ; Health Status Disparities ; Humans ; Male ; Mediation Analysis ; Mental Health ; Pregnancy ; Social Determinants of Health ; United Kingdom/epidemiology
    Language English
    Publishing date 2020-10-12
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2020-040056
    Database MEDical Literature Analysis and Retrieval System OnLINE

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