Human development and ageing are lifelong processes, where earlier life conditions and events are interlinked with later life outcomes. Patterns of inequality within and among cohorts emerge over ...time as products of the interplay between institutional arrangements and individual life, often dependent on childhood or earlier life circumstances. The life conditions and experiences of older adults in Eastern and Western Europe differ significantly, but whether their cumulative effects on later life outcomes vary across these two regions has not been compared. We explore the effects of socioeconomic position, the experience of a period of hunger, the dispossession of assets, and discrimination suffered by parents in respondents’ life courses on later life health inequalities in Europe. Self-reported health, everyday activity limitations, and cognitive functioning are the main outcomes that provide an adequate overview of different health domains. We mainly use data from the seventh wave of the Survey of Health, Ageing, and Retirement in Europe (SHARE 2017) and restrict our sample to respondents aged 65 and older from 26 European countries (N=41,566). We find that older people in Eastern Europe fare worse in self-rated health and everyday activity limitations than Western Europeans, while Eastern Europeans indicate somewhat better outcomes in cognitive functioning. A disadvantaged socioeconomic position in childhood and adulthood has the strongest association with all health outcomes, followed by the experience of hunger over the life course for the whole of Europe. However, we do not find diverging associations between life-course factors and health outcomes in Eastern and Western Europe. We argue that self-reported health, everyday activity limitations and cognitive functioning have to be analysed within their own frameworks and cannot yield conclusions that are uniform for all health outcomes. Moreover, major generalisations either about Eastern or Western Europe must be treated with caution as the regions have very different historical as well as demographic developments and thus cannot be treated as uniform.
* This article belongs to a special issue on “Demographic Developments in Eastern and Western Europe Before and After the Transformation of Socialist Countries”.
In migration and health research, the healthy migrant effect has been a common finding, but it usually pertains to specific contexts only. Existing findings are inconsistent and inconclusive ...regarding the cognitive functioning of the (aging) foreign-origin population relative to the populations of their host and sending countries. Moreover, this comparison is an understudied design setting.
We analyze the outcomes and associations of cognitive functioning outcomes of the non-institutionalized middle-aged and older population, comparing the Russian-origin population in Estonia with Estonians in Estonia and Russians in Russia in a cross-sectional design. We aim to estimate the (long-term) effects of migration on cognitive functioning in later life, contextualizing the findings in previous research on the healthy migrant effect.
We use data from face-to-face interviews conducted within the SHARE Estonia (2010-2011) and SAGE Russia (2007-2010) surveys. Respondents aged 50+ living in urban areas were grouped by self-identified ethnicity, including 2,365 Estonians, 1,373 Russians in Estonia, and 2,339 Russians in Russia (total
= 6,077). Cognitive functioning was measured using a 25-percentile cut-off threshold for the results of two cognition outcomes - immediate recall and verbal fluency - and the odds of impairment were estimated using binary logistic regression.
Russian men and women living in Estonia have significantly higher odds of impairment in immediate recall than Estonian men and women, though they do not differ from Russians in Russia in the final adjusted models. The differences between all groups are non-significant if age at migration is considered. There are no significant differences between the groups in verbal fluency.
Contrary to the commonly found healthy migrant effect, the middle-aged and older foreign-origin population in Estonia fares initially worse than the native population in the immediate recall outcome, but does not differ from their sending country population, possibly due to Russia's higher mortality rate and therefore the selective survival of healthier people. Different results depending on the cognitive functioning outcome suggest that migration may affect temporary memory more than crystallized knowledge. However, there are no differences between the groups if defined based on age at migration, which suggests that the age profile differences explain most of the groups' differences in cognitive functioning.
Objective:
Relatively scant research among older Estonian population describes factors associated with the incidence of depressive symptoms. This study identifies factors associated with the ...incidence of depressiveness among middle-aged and older Estonians over 2- and 4-year periods.
Method:
In this cross-sectional analysis, logistic regression models are used to identify the factors associated with the incidence of depressiveness over 2- and 4-year periods. The data were drawn from the Survey of Health, Ageing and Retirement in Europe (SHARE) 2011–2015 which included Estonian population aged 53 years and older in 2013. After excluding those younger than 53 years, not interviewed 2 years later, those with depressive symptoms at baseline in 2013, and missing values for depressiveness or other variables, our analytical sample comprised 2513 people.
Results:
Among those who were not depressive in 2013, 21.9% became depressive within 2 years; 16.1% of non-depressive individuals since 2011 became depressive by 2015. No age differences in incidence remained in adjusted models. Women have almost 50% higher odds of becoming depressive. A previous history of depressiveness and the presence of everyday activity limitations were important factors increasing the incidence of depression.
Discussion:
Changes related to the individual’s unique ageing experience are important explanatory factors related to the likelihood of developing depressive symptoms, rather than age itself. To diminish the incidence of depressive symptoms among older Estonian population, public health interventions should attempt to address factors which complicate existing health problems and facilitate continued independence and community involvement, both of which contribute to overall satisfaction with life.
Background: An expanding literature documents the childbearing patterns of migrants and their descendants in contemporary Europe. The existing evidence pertains mainly to the northern, western, and ...southern regions of the continent, while less is known about the fertility of migrants who have moved between the countries of Eastern Europe. Objective: The aim of this study is to examine the fertility patterns of first- and second-generation Russians in Estonia, relative to the sending and host populations. Methods: The study draws on the Estonian and Russian Generations and Gender Surveys. Proportional hazards models are estimated for the transitions to first, second, and third births. Results: Russian migrants in Estonia exhibit greater similarity to the sending population, with a lower propensity for having a second and third birth than the host population. This pattern extends to the descendants of migrants. However, mixed Estonian-Russian parentage, enrolment in Estonian-language schools, and residence among the host population are associated with the convergence of Russians' childbearing behaviour with the host-country patterns. The findings support the cultural maintenance and adaptation perspectives; selectivity was found to be less important. Contribution: The study focuses on a previously under-researched context and underscores the importance of contextual factors in shaping migrants' fertility patterns. It raises the possibility that, depending on the childbearing trends and levels among the sending and receiving populations, large-scale migration may reduce rather than increase aggregate fertility in the host country. With the advancement of the fertility transition in sending countries, this situation may become more common in Europe in the future.
Ethnically mixed partnerships are often regarded as the ultimate evidence of the integration of migrants and their descendants into their host society. A common finding in the literature is an ...increase in the occurrence of mixed partnerships across migrant generations. This study investigates the formation of minority--majority partnerships in Estonia, with special attention to the variation associated with the migrants' generation and their exposure to the majority population. The study uses pooled data from the Estonian Family and Fertility Survey (FFS) and the Estonian Generations and Gender Survey (GGS), and estimates proportional hazards models. The experience of second-generation migrants indicates a stalling trend in the incidence of mixed partnerships between the majority population and migrant groups, which is rooted in contextual features. Apart from residential proximity, the study shows the salience of early acquisition of the host society language. Our results for the majority population highlight the role of international migration, which exposes host populations to mixed partnership formation. The results lend support to the view that the integration of migrant populations through mixed partnering is a lengthy process that stretches across several generations. A linguistically divided school system and residential segregation contribute to the pillarization of society.
In this article we investigate fertility intentions of Russian women in Estonia from an origin-destination perspective. Russian migrants to Estonia and their descendants are compared with women in ...the sending and host countries in order to identify similarities and differences in intended transitions to first, second and third births. The study is based on the Estonian and Russian Generations and Gender Surveys, which were conducted in 2004/2005, and employs logistic regression models. The dependent variables are intentions to become a mother, to have a second child, or to have a third child. The hypotheses for the study are mainly derived from the adaptation, cultural maintenance, and selection (characteristics) perspectives. We also incorporate attitudes towards gender roles into the models, which have proven to be a salient factor in shaping childbearing intentions, but have seldom been considered in studies of migrant fertility.Our results lend support to both the adaptation and cultural maintenance perspectives. In accord with the latter, the similarity between the childbearing intentions of Russian migrants and their descendants in Estonia and those of their counterparts in Russia suggests that socialisation to the ethnic subculture has prevailed over the influence of the host society. We attribute this outcome to contextual features that have retarded integration processes. By contrast, we observe that proficiency in the host country language, residence in areas where the host population constitutes a large majority and having a native partner significantly contribute to the adaptation of migrants’ intentions to have another child to those of the host population. These results provide support to the adaptation argument. Finally, our study reveals a positive association between egalitarian views on gender roles and women’s intentions to have another child. However, variation in gender role attitudes accounts for a relatively minor part of the difference in intended fertility between the groups addressed in this study.* This article belongs to a special issue on migrant fertility.
Volunteering is an important dimension of successful aging. Although prior studies have found that personal resources such as health and financial situations are associated with volunteering, there ...is a lack of research exploring the relationship between resource changes and volunteering. Here, we investigated whether changes in individuals' resources were associated with volunteer engagement among older Europeans.
Using data from the Survey of Health, Aging, and Retirement in Europe, collected in five waves between 2011 and 2020 across 19 countries (57,410 observations from 17,498 individuals aged 50 and above), we employed asymmetric fixed-effect ordinal regression models to investigate whether positive or negative resource changes were associated with the frequency of volunteering over time. We used three resource indicators: health, financial condition, and time availability (measured by engagement in paid work, grandparenting, and family care).
Health deterioration and worsening financial condition were associated with a decreased frequency of volunteering. A transition out of weekly paid work and beginning to provide weekly grandchild care were both associated with an increased frequency of volunteering. We did not detect any further significant effects of resource changes on volunteering.
Our study revealed asymmetrical associations between changes in resources and volunteering, providing new insights into their interplay. The results deepen our understanding of successful aging by emphasizing the need to consider the dynamics of all resources that either facilitate or hinder active engagements among older adults.
ObjectivesThe population of Estonia has one of the lowest life expectancies and health statuses in Europe. This is reflected in a lower perception of health among older adults. This study focuses on ...the role of health behaviour (smoking, alcohol consumption, physical activity and nutrition) in self-rated health, accounting for sociodemographic characteristics, activity limitations and long-term illnesses as well as satisfaction with life of older Estonian men and women.DesignWe use representative cross-sectional data from Wave 4 of the Estonian Survey of Health, Ageing and Retirement in Europe, conducted mainly in 2011.ParticipantsFrequencies, χ2 tests and logistic regression models include respondents aged 50 years and older, with no upper age limit (n=6660).ResultsMen have 20% higher odds (CI 1.02 to 1.43) of poor self-rated health. Being of foreign origin (OR 1.48; CI 1.24 to 1.77), having a basic (2.50; CI 2.06 to 3.00) or secondary (1.71; CI 1.43 to 2.04) education, being retired (2.00; CI 1.65 to 2.44) or staying at home (1.49; CI 1.16 to 1.93) and having activity limitations (3.25; CI 2.77 to 3.80) or long-term illnesses (4.78; CI 4.08 to 5.60) are related to poor self-rated health. Never being involved in vigorous (2.30; CI 1.90 to 2.79) or moderate physical activity (1.41; CI 1.02 to 1.94), and consuming legumes and eggs less frequently (1.25; CI 1.08 to 1.45) is associated with poorer self-rated health. Lower satisfaction with life accounts for some of the variation (2.28; CI 1.92 to 2.71).ConclusionsThere is a strong cumulative effect of one’s previous life course on the self-rated health of older adults in Estonia, suggesting that public health policies have long-term consequences rather than immediate consequences. Health services supporting health behaviours and targeting vulnerable population groups with specific sociodemographic characteristics and health problems may influence self-rated health for some. Public health services emphasising social activities or psychological aspects may be most successful in improving self-rated health of older Estonians through satisfaction with life.
In Estonia, the Generations and Gender Survey 2020 (GGS-II) is the third large-scale demographic survey that collects data on family and fertility dynamics. As the country participates in the Survey ...of Health, Ageing and Retirement in Europe, the GGS-II opted for a shorter age range of the sample (18–59). The questionnaire in the GGS-II in Estonia follows the GGS-II wave 1 baseline questionnaire. The questionnaire also includes the Global Uncertainties’ module developed by the Nordic countries, a battery of questions on the perceived impact of COVID-19, and several country-specific items. The GGS-II in Estonia was implemented using only computer-assisted web interviewing (CAWI). In this article, we present a concise overview of the sampling and data collection process, analyse representativeness and response rates, and briefly assess the data quality. We conclude that despite low response rates, the GGS-II provides a good basis for the analysis of fertility and family dynamics.
In Estonia, the Generations and Gender Survey 2020 (GGS-II) is the third large-scale demographic survey that collects data on family and fertility dynamics. As the country participates in the Survey ...of Health, Ageing and Retirement in Europe, the GGS-II opted for a shorter age range of the sample (18–59). The questionnaire in the GGS-II in Estonia follows the GGS-II wave 1 baseline questionnaire. The questionnaire also includes the Global Uncertainties’ module developed by the Nordic countries, a battery of questions on the perceived impact of COVID-19, and several country-specific items. The GGS-II in Estonia was implemented using only computer-assisted web interviewing (CAWI). In this article, we present a concise overview of the sampling and data collection process, analyse representativeness and response rates, and briefly assess the data quality. We conclude that despite low response rates, the GGS-II provides a good basis for the analysis of fertility and family dynamics.
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