Sub-Saharan African is experiencing major sociodemographic trends that include population aging, the proliferation of both Christianity and Islam, and the contribution of migration to the dynamics that exist between urban and rural areas. The need to better understand the health of older adults in a setting largely lacking the formal means to support them is essential. The purpose of this research is to examine various factors related to the health of older women and men in rural Malawi, using quantitative data from the Malawi Longitudinal Study of Families and Health (MLSFH). Analysis begins in the residential setting but extends to include social and religious spaces beyond the family, and how some of these factors influence the likelihood of migration for older respondents. The primary measures of health are the mental and physical health scores from the Short-Form 12 (SF-12). Overall, the findings of the three studies in this paper show that: (1) co-residence with offspring has a positive relationship with health for older women, while older men who live in a larger household or with a greater number of females have better health; (2) older adults affiliated with most Christian denominations are less healthy compared to Muslims; (3) participation in religious activities may be particularly important for the health of older women, especially at lower levels of wealth; and (4) the likelihood of migration for older women increases with age and with HIV-positive status, while for older men the likelihood of migration decreases with age but increases with physical health. Overall, these findings indicate that certain factors within and beyond the residential setting have an important relationship with health, and that these factors can serve as determinants of migration in older age in rural Malawi. / 1 / Jacob Evans Kendall

Text in English / The purpose of this study was to gain a richer understanding of midlife experiences. Midlife is stereotypically viewed as a crisis and is one of the least studied, most illdefined stages in life, yet it’s one of the most significant stages. The epistemological framework for this study is post modernism, which allows for this study to document the transitions from crisis at midlife, as seen through the lens of Positive Psychology. This study was exploratory in nature and applied a qualitative ethnographic methodology. Six participants were interviewed from an ethnographic perspective, in an endeavour to allow each participant accordant ontological breadth and flexibility within their respective social and ideological contexts. The researcher’s own social context also adding nuance to the interpretation of data. This interpretation allows for the inclusion of hope, wisdom, creativity, future mindedness, courage, spirituality, responsibility and perseverance. Thematic analysis of these participants’ narratives supports the psychological research which suggests that challenges are associated with midlife. Thematic analysis revealed challenges associated with midlife such as feelings of disillusionment, regret and dissatisfaction; feelings of loneliness, rejection and isolation as well as confusion about the way forward; seeking a meaningful existence and connection as well as achievement. Some participants, however, are in denial of the existence or their experience of midlife and associated challenges, whereas others describe midlife as a transition phase — a crossroads, a wake-up call and time for reassessment Although midlife can be a difficult transitional period, Positive Psychology can help individuals identify and build the necessary resources and coping strategies to prevent a transition turning into a crisis. It was shown that most participants in this research displayed a mindset and attitude open to a Positive Psychology paradigm to accumulate the necessary resources and coping strategies to prevent a midlife transition from becoming a midlife crisis. / Psychology / M.A. (Psychology)

Studies of Ghanaians who have immigrated to the United States indicate that both economic and emotional support continue to be provided to non-migrant families in Ghana. However support to “family relatives” has been studied generally, without specifying age. Thus, relationships between immigrants and their elderly relatives, particularly those who may be frail and vulnerable, have not been the focus of previous research. In addition, it is necessary to examine the dynamics that shape attitudes towards elderly people, and which in turn influence eldercare patterns among Ghanaian immigrants. Based on the literature, the researcher identified four factors relevant to international long-distance eldercare: (1) support caregivers receive (or previously received) from elderly relatives, (2) filial obligation towards elderly relatives, (3) perceived vulnerability of the elderly people in Ghana, and (4) vulnerabilities that make immigrants unable to provide eldercare. The main objective of this study was to examine the extent to which these four factors shape the provision of eldercare by Ghanaian immigrants in the United States to their elderly relatives in Ghana. To achieve this objective, a convenience sample of 124 Ghanaian immigrants who resided in a large metropolitan area in the southern United States was surveyed. Study results reveal that the dominant type of eldercare provided was emotional care, but special circumstances in elderly people’s lives, such as serious financial problems may significantly increase their chances of receiving financial support. For caregivers, their levels of income significantly determined the level of financial support provided to their elderly relatives and how often they visited them. It was also found that there are always some siblings left in Ghana to take care of the physical needs of elderly parents in the absence of those who have migrated. Elderly people having multiple migrant adult children or relatives were more likely to receive financial support from multiple sources. Factors contributing to immigrants supporting elders in Ghana included feelings of high obligation toward elderly relatives, readiness to show love and appreciation for elderly relatives, and acceptance of eldercare as a moral obligation for all adult children. Overall, there was evidence to conclude that most immigrants provided care to their elderly relatives and that most were influenced by the social and cultural tenets that underlie elder caregiving in Ghanaian society. Implications of the study for social work research include the importance of further exploration of factors that might result in reduction in the care immigrants provide to their non-migrant elderly relatives, and replication of the current study with the view of explaining the inability of both elderly relatives’ and immigrants’ vulnerabilities to predict level of care. Given the possible psychological distress associated with caregiving and its effect on immigrants’ time and financial resources, social work practitioners need to be sensitive to the financial and emotional aspects of long distance caregiving by providing services to caregivers who may need them. Policy implications include maximizing remittances by reducing transaction cost and using remittance as leverage for financial grants for family investments.

MPH / Department of Public Health / See the attached abstract below

This explorative study originated from the researcher’s personal encounters with “disappointment, regret and purposelessness” in retirement. The aim of this research study is thus exploring what the opposite of these negative sentiments, namely “successful” aging or "successful" adaptation to retirement could constitute and, most importantly, the role of FLOW therein. Initial indications are that FLOW could play a key role in “successful” retirement. Another focus has been to explore whether and how retirees with post-matric qualifications or training could redeploy their accumulated expertise in the post-retirement years. Various models of social entrepreneurship, ranging from voluntary work to paid work, were found to enhance successful adaptation to retirement, addressing society’s needs at the same time. In this qualitative research study, I have followed a case study approach, interviewing nine participants, whose results were analysed individually and then integrated in a comparative fashion to answer the research questions. / Psychology / M.A. (Psychology)

This explorative study originated from the researcher’s personal encounters with “disappointment, regret and purposelessness” in retirement. The aim of this research study is thus exploring what the opposite of these negative sentiments, namely “successful” aging or "successful" adaptation to retirement could constitute and, most importantly, the role of FLOW therein. Initial indications are that FLOW could play a key role in “successful” retirement. Another focus has been to explore whether and how retirees with post-matric qualifications or training could redeploy their accumulated expertise in the post-retirement years. Various models of social entrepreneurship, ranging from voluntary work to paid work, were found to enhance successful adaptation to retirement, addressing society’s needs at the same time. In this qualitative research study, I have followed a case study approach, interviewing nine participants, whose results were analysed individually and then integrated in a comparative fashion to answer the research questions. / Psychology / M.A. (Psychology)