Literacy activity and health among older adults in the USA

ABSTRACT

Health literacy skills are known to be a key mediator of the relationship between education and health in the general population. However, one aspect of health literacy skills—individuals’ actual literacy activities—remains understudied, especially among older adults. Health disparities that are driven by inequalities in education and level of health literacy skills are particularly problematic for older adults since they are exacerbated in old age by disadvantages that accumulate over the life course. This study examined a nationally representative sample of US adults age 50 years and older (n = 2,573) using data from the 2014 Program for International Assessment of Adult Competencies (PIAAC). Parallel mediation analysis was conducted to examine the partial mediation effects of health literacy skills and literacy activity (i.e., reading at home) on the relationship between education and health. Results showed that both health literacy skills and literacy activity mediated the education–health relationship. On average, literacy skills mediated 31.89% and literacy activities mediated 9.59% of the effect of education of self-rated health. Literacy activity, such as reading, is an easily accessible, autonomous, and sustainable option for promoting health in later life. Policies that support the intersection of public health and education may promote lifelong learning and well-being among US adults.     

Separating PIAAC competencies from general cognitive skills: A dimensionality and explanatory analysis

This study aims to investigate how test scores from PIAAC (Programme for the International Assessment of Adult Competencies) can be interpreted, by comparing the PIAAC competencies literacy and numeracy to reasoning and perceptual speed. Dimensionality analyses supported, that the PIAAC competencies can be separated into a common factor overlapping with reasoning and perceptual speed, and domain-specific factors. For the common and specific factors, relations to other variables were analyzed. The nested factor for PIAAC literacy was as expected unrelated to age, positively related to learning opportunities during one’s lifetime, and positively related to literacy skill use. The nested factor for PIAAC numeracy was also as expected unrelated to age, against expectation unrelated to learning opportunities during one’s lifetime, and as expected positively related to numeracy skill use. Results support the validity of the intended test score interpretation for PIAAC literacy, while results for PIAAC numeracy were less clear.     

Education,age and skills: An analysis using PIAAC data

The main aim of this article is to analyse the change of adult skills, as captured by cognitive skills assessed in PIAAC, across age cohorts, taking into account that the quality of schooling may change from one cohort to another. We estimate a model that relates numeracy and literacy skills to age, schooling, gender and variables related to both family background and labour market performance. The specification allows us to control for changes in the efficiency of the transformation of schooling into skills when drawing age‐skill profiles. Our results show that the effect of ageing on skills, once isolated from cohort effects related to schooling, decreases monotonically across consecutive cohorts. The change of the efficiency of the transformation of schooling into both numeracy and literacy skills shows a remarkably similar pattern. Nonetheless, this change differs substantially between education levels, with the efficiency of the transformation of schooling into skills showing a steadier profile for intermediate than for higher education. Finally, empirical evidence is provided for the decomposition of the differences in the skill levels of the older vs. the prime age generations. The results suggest that the progressive expansion of schooling across younger generations partially offsets the negative effect of the irrepressible ageing of society on skills.     

Assessing the basic skills of the highly educated in 21 OECD countries: an international benchmark study of graduates’ proficiency in literacy and numeracy using the PIAAC 2012 data

This study compares the literacy and numeracy proficiencies of higher education (HE) degree holders in 21 OECD countries based on primary analysis of the national data sets collected via the OECD’s Programme for the International Assessment of Adult Competencies (PIAAC) 2012 study. The differences in the graduates’ average literacy and numeracy proficiencies amongst the OECD countries are substantial. Depending on the country, a smaller or greater proportion of a young highly educated age group does not have sufficient skills in literacy or numeracy to cope with many of the everyday tasks requiring the use of that skill. The PIAAC study challenges existing evaluation practices of the effectiveness of HE in fostering individual skills and puts into perspective the attempts to lift national average skill levels by increasing the HE sector’s intake.     

Literacy,Age and Recentness of Education Among Nordic Adults

The purpose of the present study was to examine the relationship between reading literacy and age in an adult population aged 25 to 65 in Nordic countries using PIAAC 2012 data. More specifically, the study examined to what extent variations in the literacy proficiency of adults are explained by age and the recentness of qualifications when variables related to education, occupation, and skill use are controlled. The statistical method was regression analysis. The recentness of education explained only a part of the performance gap between the oldest adults and others. The significance of the length and scope of initial education in developing literacy proficiency overall, is difficult to compensate. There were insignificant differences between the Nordic countries.     

A distinctive theory of teaching and learning for older learners: why and why not?

In the wake of the world’s fast-growing ageing populations and the increasing recognition of the benefits of later life learning towards successful ageing, opportunities for elders and senior persons to engage in learning have proliferated, resulting in an array of programmes and activities being planned and organized by governments, universities, schools, non-government organizations and even hospices in many parts of the world, particularly in developed regions and economies where the opportunities and challenges brought forth by an ageing populace are more pronounced. Amidst the rising importance of elder learning and the increasing provision of learning opportunities for older adults, attention is drawn to the differences in the teaching and learning of this particular group of learners, who are experiencing significant social and psychological transitions in addition to personal changes in senior adulthood. Yet, does the mere fact that they are different from other learners, such as children and younger adults, merit a distinctive theory of teaching and learning for this unique group of older learners? The aim of this paper is to present arguments for and against such a proposition on the grounds of pedagogical principles, needs and motivations as well as difficulties and barriers, pertinent to the learning and teaching of older learners as they advance into a later stage of the lifecycle. Also, suggestions are offered regarding the approach, methods and strategies to be used for the facilitation of learning and the planning and organization of learning opportunities, be they formal, non-formal, or informal, which are appropriate for older learners.     

Ageing and learning: What do they mean to elders themselves?

This paper is about a quantitative study which has examined and elucidated the conceptualizations of ageing and learning by a group of elders in Hong Kong. In more specific terms, the study has investigated how this group of older people understood the meaning of successful ageing and elder learning in the context of their later lives. Based on the ‘Learning and Ageing Survey 2013’ with a sample of 519 older adults in Hong Kong, the study aimed, first, to describe and conceptualize the meaning of ageing and learning as elders experienced it in later life; second, to investigate why and how elders engaged or did not engage, in organized learning, by comparing the differences between the ‘learning’ and ‘non-learning’ groups in terms of their personal characteristics, conceptualizations of learning, and the barriers to participation; third, to identify important learning issues for older learners, including their interests, needs, motivations, and learning preferences; and finally, to investigate the relationship between learning and successful ageing, and between learning and the overall well-being and satisfaction of elders in their later lives. The research findings and outcomes of the study provide insights into the experience and views of elders concerning ageing and learning, which contribute to the global understanding and knowledge base for elder learning and successful ageing; and which serve to inform the development of policy and practice geared to the planning and provision of programmes for learning in older age.     

National higher education policy and the development of generic skills

This article explores the contribution of higher education to the development of numeracy and literacy competencies. To control for other post-schooling determinants of generic skills, the analysis is confined to adults aged 20–24 years who have completed or who are enrolled in tertiary studies. The quality of incoming students is controlled for by estimating the average PISA score attributable to this cohort using a truncated distribution approach. Average tertiary competencies are obtained for 31 countries from the OECD’s Programme for the Assessment of Adult Competencies (PIAAC). The empirical findings are that the PISA scores account for most (70 per cent) of the international variation in PIAAC scores. Government expenditure on higher education is found to exert a small positive effect on PIAAC scores, at least for numeracy. The level of national research activity, as measured by research publications, has a small negative effect on PIAAC scores     

Using PIAAC data to learn more about the literacy practices of adults

ABSTRACT

The present article connects a secondary analysis of quantitative data from the Programme for the International Assessment of Adult Competencies (PIAAC) with the theoretical approach of ‘literacy practices’ and related research results from the so-called New Literacy Studies (NLS) tradition, which follows a cultural practices paradigm.

According to the literacy as social practice approach, the analysis of adults’ literacy and numeracy practices could provide relevant policy information about how to address target groups in adult literacy and basic education. Thus, a Latent Class Analysis was carried out with the German PIAAC dataset in order to differentiate the adult population by their uses of literacy, numeracy and ICT.

As a result of this procedure, three subgroups of adults can be distinguished by the frequency in which they use selected skill-related activities. Surprisingly, an adult’s individual literacy level does not clearly predict group membership. A further interesting result is that participants in one of the groups seem to compensate for the few chances they have to use their skills at work by using them more often in their everyday life. Both results contribute to the need to draw a more differentiated picture of adults with lower literacy skills.     

Participation in Learning and Depressive Symptoms

This paper reports the findings of research on relationships between depression and participation in learning using data from a large sample of older adults. The objective was to establish whether learning can reduce the risk of depression. Data were obtained from the English Longitudinal Study of Ageing, a nationally-representative sample of adults aged 50 and above. The eight-item Center for Epidemiologic Studies Depression Scale (CES-D) was used to measure depressive symptoms. Participation in learning covered the acquisition of qualifications; taking formal training courses, learning at arts, music or evening classes; and participation in gym/exercise classes. Multiple regression analyses were conducted with the change in the measure of depressive symptoms between two waves of the longitudinal survey as the response variable. There was limited evidence that participation in learning reduced the risk of depression in later life. Only learning leading to qualifications was significantly associated with the outcome after controlling other factors. But learning leading to qualifications was undertaken only by a small minority of the sample, mainly the youngest and most highly educated. Other types of learning were not significantly associated with depression. It appears that learning has, at best, a small role to play in addressing the risk of depression in later life.     

A gaggle of raging grannies: the empowerment of older Canadian women through social activism

This article explores a particular expression of social activism by older Canadian women to consider its implications for later life learning. ‘Older women’, despite their heterogeneity, have tended to be pathologized as a part of the ‘problem’ of ageing and languishing welfare societies—i.e. stereotyped as passive recipients of welfare and healthcare services. Yet, they can also be seen as part of the ‘answer’ to the challenges societies like Canada face. Given the combination of a greying population and the growing tide of citizens' participatory democracy, it is timely and important to shed light on older women's social activism. Based on document analysis and fieldwork with the Raging Grannies in Canada, this qualitative case study examines the influence of activism on women's later life learning and development from an interdisciplinary perspective including adult development, critical gerontology, women's studies and psychodrama. Analysis focuses on the Grannies' motivations, the strategies they employ in their activities and the process of learning and changes they say they undergo. Themes emerging from document analysis, interviews and participant observation of 15 Grannies in Ontario are divided into three categories: (1) ‘Raging Grannies’ as a self‐defined social role; (2) the Grannies' dual‐layered mask strategies; and (3) their collective identity and sense of empowerment. These do much to explain the successes of Raging Grannies' activism as a social movement, which fosters older women's creative energy, critical awareness and self‐assurance despite their physical and psychological problems in later life. Implications of the Raging Grannies' movement help us reconsider current trends in later life learning, which tend overlook the needs and abilities of women in the third age.     

Returns on vocational education over the life cycle: Between immediate labour market preparation and lifelong employability

An important issue in the design of secondary-level education is the balance between conveying general and occupation-specific (vocational) skills. On the one hand, vocationally oriented programmes, providing occupation-specific skills with immediate labour market relevance, have repeatedly been shown to secure safe pathways into employment. On the other hand, these programmes tend to put less emphasis on developing general knowledge, skills and competencies, including numeracy and literacy, which are foundational to lifelong learning. Hence, when the needs of the labour market change, employees who opted for a vocational track when they were at secondary school risk being less flexible in adapting to such changes later in their career. The authors of this article examine whether this results in a trade-off between short-term gains and long-term losses by considering differences in the labour market careers of vocationally and generally educated respondents in the 2012 Programme for the International Assessment of Adult Competencies (PIAAC). Their results suggest that early labour market benefits of vocational specialisation decrease over time; the authors relate this to its lower ability to equip secondary school students – future employees – with skills for lifelong learning.     

Negotiating identity between career and family roles: A study of international graduate students’ wives in the US

This paper is based on a long-term ethnography of an adult creative writing class situated in a major urban art gallery in the United Kingdom. It takes the claims of one group of older adults—that creative writing made them ‘feel younger’—as the starting point for exploring this connection further. It places these claims broadly within theories of learning in later life that advocate creative expression and reminiscence as important practices for educators of older adults. However, the main analysis employs anthropological theories of creativity and ageing in order to question the cultural assumptions about creativity and the period of older age informing theory and practice. The paper argues that the value of creative writing for the individuals studied lies both in the fact that it is a relational (rather than individual) process and a means of being in the present. These findings contradict traditional conceptions about creativity as future-oriented and older people as retrospective; they also raise questions about narratives of empowerment, individual agency and the importance of ‘reminiscence’ in some of the literature on older adult learning.     

Ageing,learning and health: making connections

Abstract

The health of ageing populations is a real concern across the world so that the concept of active ageing has been advocated as a framework for appropriate educational policies and programmes to support people as they grow older. The other elements discussed here are health and healthy life expectancy (HLE) acknowledging that as people age, they may suffer from a range of chronic illnesses. How strong is the evidence that improving access to, and involvement in later life learning is an effective strategy for improving health and can it help with health problems? Reviewing some of the available evidence, we found that studies are frequently not comparable, that they frequently confuse concepts of health and well-being and do not always demonstrate causal effects. We also question whether later life learning can be successful in reducing lifelong socio-economic inequalities although some targeted interventions are beginning to appear in different countries. We conclude that it is important to rethink attitudes to active ageing if current gains in healthy LE are to continue.     

Education reforms and adult skills: Evidence from Estonia

This paper studies the impact of education reforms in Estonia in the 1990s on adult skills using the OECD PIAAC surveys. Estonia implemented extensive education reforms in the early 1990s throughout Estonian-speaking schools while Russian-speaking schools were exposed to less comprehensive reforms, which were implemented later. A large minority of Estonia’s population at the time was enrolled in Russian-speaking schools providing a unique opportunity to measure the impact of education reforms on literacy, numeracy and problem-solving skills among adults by comparing improvements in PIAAC performance among Estonian and Russian speakers. Difference-in-difference estimation suggests that the reforms led to an adult skill dividend of around 15 to 30 percent of a standard deviation. This translates to a wage (productivity) premium of around 5 to 12 percent.     

Later life learning experiences: listening to the voices of Chinese elders in Hong Kong

Abstract

Governments’ anxieties about ageing populations are mostly concerned with the costs of welfare, care and health provision which all have to be paid for by an ever dwindling working population. However, research in later life learning indicates the significant role that lifelong learning can play in promoting mental well-being and resilience, and in assisting with maintaining personal self-confidence and self-coping strategies that prevent cognitive decline in an ageing population. This paper draws on the research with a group of Chinese elders in Hong Kong, who provide information about their experiences and views on learning in later life, including the meaning of learning, barriers to participation, learning interests, needs, motivations, and instructional preferences. Both quantitative and qualitative findings are reported to shed light on later life learning experiences, which contribute to the global understanding of later life learning and serve to inform the development of policy and practice geared to the planning and provision of opportunities to keep learning at the later stages of life.     

Adults’ Use of Mathematics and Its Influence on Mathematical Competence

The Programme for the International Assessment of Adult Competencies (PIAAC) has recently drawn additional attention to “mathematical literacy” as an important influential factor for individuals’ life chances. High levels of mathematical literacy have thereby been linked to using mathematics in daily and working life frequently. In this paper, based on the data from Germany, we focus on the construct “use of mathematics” in two ways: First, we analyze in depth how it can be utilized to describe different groups of adults. Second, we investigate its role as predictor of mathematical competence and mediator of other relevant background variables. Results show that three groups of adults can be distinguished that use mathematics differently in daily and working life. However, the construct can sensibly be described as unidimensional. In a path model, “use of mathematics” turns out to be the strongest predictor of mathematical competence. In addition, it mediates effects of the mathematical requirements of the job, duration of education, and gender.     

Participation in job-related lifelong learning among well-educated employees in the Nordic countries

The purpose of this study was to explore participation in job-related lifelong learning (LLL) among well-educated mature workers and compare it across four Nordic countries. Although this group generally is very active in LLL, the centrality of knowledge work in society, rapid pace of skills-renewal and rising learning demands for all qualifications levels, necessitates a better understanding of the patterns and factors affecting their skill development. The paper builds on theories of learning motivation, human capital and workplace learning. Data from the Survey of Adult Skills (PIAAC) by the OECD were used. In addition to high participation rates, systematic level differences in participation were found across the countries. Results of logit regression analyses revealed clear differences between countries in the models that explained participation, which gave limited support to a single ‘Nordic model’ of LLL. Furthermore, the predictors of participation commonly found among adult populations, low-educated individuals and/or younger adults, appeared less valid for well-educated individuals.     

The meaning of learning piano keyboard in the lives of older Chinese people

Across the globe populations are ageing and living longer. Older people seek meaningful ways of occupying and enjoying their later years. Frequently, this takes the form of learning a new skill, in this case playing the piano keyboard. From the initial act of commitment to learning comes a raft of related aspects that influence the learner, their family and their community. This qualitative study investigates the keyboard learning experiences of 16 Chinese older amateur keyboard learners who actively participate in group keyboard lessons at Tangshan Older People University, China. This article uses a phenomenological qualitative research approach to explore the meaning of playing keyboard in their later life. This research utilized a case study design. The data were analysed using Interpretative Phenomenological Analysis. The data show how keyboard learning contributes to older adult by providing ways for maintaining emotional well-being, physical well-being, experiencing lifelong learning and realizing their achievement through performance.