Boomers & Vacation Plans: An AARP Bulletin Survey
- About six-in-ten (57%) American Boomers say they are planning to take an overnight vacation within the next 12 months.
- Among those Boomers who have planned to take an overnight vacation in the next 12 months, about seven-in-ten (68%) report they are planning to take more than one overnight vacation, while three-in-ten (29%) report they are planning to make only one overnight vacation.
- About half (47%) of Boomers who have an overnight vacation planned in the next 12 months, say they are planning for one to two weeks away on vacation, while one-third (34%) say they are planning for more than two weeks away on vacation.
- Half (49%) of Boomers who have an overnight vacation planned in the next 12 months say they are planning to spend $1,000 to less than $5,000 for their overnight vacations. However, one-third (34%) say they are planning to spend less than $1,000 while eight-in-ten (13%) say they are planning to spend $5,000 or more for their overnight vacations.
- The high majority (56%) of Boomers who have an overnight vacation planned in the next 12 months say their spouse or partner will be going with them, and one-in-seven (15%) say their child/children will be going with them, while one-in-six (17%) Boomers say they are planning on going self/alone for their vacation.
- Two-thirds (64%) of Boomers say they will be going to another state within the U.S. and one-in-five (20%) report they will be vacationing within their own state. But, one-in-five (19%) Boomers report going out of the country for their vacation in the next 12 months.
- The highest proportion of Boomers, who are planning for an out of country vacation, are planning on going to Europe (38%), followed by Latin or South America (21%), Caribbean (13%), and Canada (10%).
While asking about the motive for their overnight vacation within the next 12 months, most of Boomers say the main reason is either “To see, connect, or spend time with family and/or friends” (45%), or “For a pure fun, or relaxation” (38%).
As the Nation Ages, Seven States Become Younger, Census Bureau Reports
Source: U.S. Census Bureau
The median age declined in seven states between 2012 and 2013, including five in the Great Plains, according to U.S. Census Bureau estimates released today. In contrast, the median age for the U.S. as a whole ticked up from 37.5 years to 37.6 years. These estimates examine population changes among groups by age, sex, race and Hispanic origin nationally, as well as all states and counties, between April 1, 2010, and July 1, 2013.
“We’re seeing the demographic impact of two booms,” Census Bureau Director John Thompson said. “The population in the Great Plains energy boom states is becoming younger and more male as workers move in seeking employment in the oil and gas industry, while the U.S. as a whole continues to age as the youngest of the baby boom generation enters their 50s.”
The largest decline in the nation was in North Dakota, with a decline of 0.6 years between 2012 and 2013. The median age in four other Great Plains states — Montana, Wyoming, South Dakota and Oklahoma — also dropped. Alaska and Hawaii also saw a decline in median age. (See Table 1.) In addition, the median age fell in 403 of the nation’s 3,143 counties, many of which were in the Great Plains. Williams, N.D., the center of the Bakken shale energy boom, led the nation with a decline of 1.6 years. Next to Alaska, North Dakota had a heavier concentration of males (51.1 percent of the total population) than any other state.
The nation as a whole grew older as the oldest baby boomers became seniors. The nation’s 65-and-older population surged to 44.7 million in 2013, up 3.6 percent from 2012. By comparison, the population younger than 65 grew by only 0.3 percent.
These statistics released today also include population estimates for Puerto Rico and its municipios by age and sex.
Our nation is a study in contrasts when it comes to local age structure. There was a more than 42-year difference in the median ages of the county with the highest median age — Sumter, Fla., at 65.5 — and the county with the youngest median age — Madison, Idaho, at 23.1.
New Older Driver Data Trends in Upward Direction
Source: AAA Foundation for Traffic Safety
According to a new report from the AAA Foundation for Traffic Safety, older Americans are extending their time behind the wheel compared to previous generations. For example, 84 percent of Americans 65 and older held a driver’s license in 2010 compared to barely half in the early 1970s. Today, one in six drivers on U.S. roads are ages 65 and older and this new research shows an increased automobility of older drivers with travel patterns indicating about a 20 percent increase in trips and a 33 percent increase in miles travelled between 1990 and 2009.
While upward trends indicate greater mobility for the silver tsunami, the Understanding Older Drivers: An Examination of Medical Conditions, Medication Use and Travel Behaviors report reveals that 90 percent of older drivers also use prescription medications with two-thirds taking multiple medications. Previous Foundation research has shown that combinations of medications, both prescription and over- the-counter, can result in an impairment in safe driving ability.
The report also reveals gender differences when it comes to medication-use behind the wheel. Older women that use medications are more likely to regulate their driving compared to men and, even without a medical condition, female drivers drive less than their male counterparts with a medical condition.
School mental health services: signpost for out-of-school service utilization in adolescents with mental disorders? A nationally representative United States cohort
School mental health services are important contact points for children and adolescents with mental disorders, but their ability to provide comprehensive treatment is limited. The main objective was to estimate in mentally disordered adolescents of a nationally representative United States cohort the role of school mental health services as guide to mental health care in different out-of-school service sectors.
Analyses are based on weighted data (N = 6483) from the United States National Comorbidity Survey Replication Adolescent Supplement (participants’ age: 13–18 years). Lifetime DSM-IV mental disorders were assessed using the fully structured WHO CIDI interview, complemented by parent report. Adolescents and parents provided information on mental health service use across multiple sectors, based on the Service Assessment for Children and Adolescents.
School mental health service use predicted subsequent out-of-school service utilization for mental disorders i) in the medical specialty sector, in adolescents with affective (hazard ratio (HR) = 3.01, confidence interval (CI) = 1.77–5.12), anxiety (HR = 3.87, CI = 1.97–7.64), behavior (HR = 2.49, CI = 1.62–3.82), substance use (HR = 4.12, CI = 1.87–9.04), and eating (HR = 10.72, CI = 2.31–49.70) disorders, and any mental disorder (HR = 2.97, CI = 1.94–4.54), and ii) in other service sectors, in adolescents with anxiety (HR = 3.15, CI = 2.17–4.56), behavior (HR = 1.99, CI = 1.29–3.06), and substance use (HR = 2.48, CI = 1.57–3.94) disorders, and any mental disorder (HR = 2.33, CI = 1.54–3.53), but iii) not in the mental health specialty sector.
Our findings indicate that in the United States, school mental health services may serve as guide to out-of-school service utilization for mental disorders especially in the medical specialty sector across various mental disorders, thereby highlighting the relevance of school mental health services in the trajectory of mental care. In light of the missing link between school mental health services and mental health specialty services, the promotion of a stronger collaboration between these sectors should be considered regarding the potential to improve and guarantee adequate mental care at early life stages.
Cashier or Consultant? Entry Lab or Market Conditions, Field of Study, and Career Success (PDF)
Source: Yale University
We analyze lab or market outcomes of U.S. college graduates from the classes of 1976 to 2011, as a function of the economic conditions they graduated into. We categorize college majors by average economic outcomes and skill level of the major, predominantly the average earnings premium, and measure a range of lab or market outcomes over the first 13 years after college graduation. We have three main findings. First, poor labor market conditions disrupt early careers. For the average major, a large recession at time of graduation reduces earnings and wages by roughly 11% and 3% (respectively) in the first year, and reduces the probability of full-time employment by 0.095. Effects on earnings and full-time employment fade out over the first 7 years of a career, while the wage effects persist. There is a small positive effect on the probability of obtaining an advanced degree. Second, for the period as a whole, these effects are differential across college majors. High-earning majors are somewhat sheltered when graduating into a recession relative to the average major, experiencing significantly smaller disadvantages in most lab or market outcomes measured. As a result, the initial earnings and wage gaps across college majors widen by 33% and 8%, respectively, for those graduating into a large recession. Most of these effects fade out over the first 7 years, but impacts on wages and a measure of occupational match quality persist. Higher paying majors are also slightly less likely to obtain an advanced degree when graduating into a recession. Our third set of results focuses on a recent period that includes the Great Recession. Early impacts on earnings are double what we would have expected given past patterns and the size of the recession, in part because of a large increase in the cyclical sensitivity of demand for college graduates. The effects are also dispersed much more evenly across college majors than those of prior recessions.
Raising Expectations 2014: A State Scorecard on Long-Term Services and Supports for Older Adults, People with Physical Disabilities, and Family Caregivers
This report by AARP’s Public Policy Institute, The Commonwealth Fund and The SCAN Foundation shows some states significantly out-perform others in the delivery of long-term services and supports (LTSS) to older adults and people with disabilities.
While states are making measureable progress in improving long term services and supports (LTSS) – which includes home care services, family caregiver supports, and residential services such as nursing homes – widespread disparities still exist across the country, with even top performing states requiring improvement. Further, the pace of change remains slow, threatening states’ ability to meet the needs of the aging population.
The LTSS Scorecard evaluates performance in five key dimensions: (1) affordability and access, (2) choice of setting and provider, (3) quality of life and quality of care, (4) support for family caregivers, and (5) effective transitions. New indicators this year include length of stay in nursing homes and use of anti-psychotic drugs by nursing homes, raising serious concerns about the quality of institutionalized care.
Changes in antidepressant use by young people and suicidal behavior after FDA warnings and media coverage: quasi-experimental study
To investigate if the widely publicized warnings in 2003 from the US Food and Drug Administration about a possible increased risk of suicidality with antidepressant use in young people were associated with changes in antidepressant use, suicide attempts, and completed suicides among young people.
Quasi-experimental study assessing changes in outcomes after the warnings, controlling for pre-existing trends.
Automated healthcare claims data (2000-10) derived from the virtual data warehouse of 11 health plans in the US Mental Health Research Network.
Study cohorts included adolescents (around 1.1 million), young adults (around 1.4 million), and adults (around 5 million).
Main outcome measures
Rates of antidepressant dispensings, psychotropic drug poisonings (a validated proxy for suicide attempts), and completed suicides.
Trends in antidepressant use and poisonings changed abruptly after the warnings. In the second year after the warnings, relative changes in antidepressant use were −31.0% (95% confidence interval −33.0% to −29.0%) among adolescents, −24.3% (−25.4% to −23.2%) among young adults, and −14.5% (−16.0% to −12.9%) among adults. These reflected absolute reductions of 696, 1216, and 1621 dispensings per 100 000 people among adolescents, young adults, and adults, respectively. Simultaneously, there were significant, relative increases in psychotropic drug poisonings in adolescents (21.7%, 95% confidence interval 4.9% to 38.5%) and young adults (33.7%, 26.9% to 40.4%) but not among adults (5.2%, −6.5% to 16.9%). These reflected absolute increases of 2 and 4 poisonings per 100 000 people among adolescents and young adults, respectively (approximately 77 additional poisonings in our cohort of 2.5 million young people). Completed suicides did not change for any age group.
Safety warnings about antidepressants and widespread media coverage decreased antidepressant use, and there were simultaneous increases in suicide attempts among young people. It is essential to monitor and reduce possible unintended consequences of FDA warnings and media reporting.
The Economic Plight of Millenials (PDF)
Source: Federal Reserve Bank of Atlanta
A demographic cohort is never monolithic, but the group that recently entered the labor force had one trait in common: they watched as the Great Recession dramatically reshaped the landscape of employment, housing, and, in general, their expectations. How profoundly will the economic downturn and its associated effects mark this generation?
Use of services and associated costs for young adults with childhood hyperactivity/conduct problems: 20-year follow-up
Use of services and associated costs for young adults with childhood hyperactivity/conduct problems: 20-year follow-up
Source: British Journal of Psychiatry
Although childhood hyperactivity and conduct problems are associated with difficulties in adulthood, little is known about later service use or public expenditure costs in the UK.
To describe the use of services and calculate recent (past 6 months) and early adulthood (since the age of 18 years) public expenditure costs incurred by young adults who had hyperactivity and/or conduct problems during childhood.
A 20-year follow-up of a community sample of 6- to 7-year-old boys (n = 83) with hyperactivity only, conduct problems only, mixed hyperactivity and conduct problems, and no behaviour problems (control). Information was obtained about service use; recent (past 6 months), and early adulthood (since age 18 years) public expenditure costs were calculated.
High levels of childhood conduct problems were associated with a two- to threefold increase in early adulthood costs, mainly driven by criminal justice contacts. Although the mixed problems group had the highest recent costs in terms of receipt of benefits and health and social care, they had the lowest criminal justice costs.
High levels of early childhood conduct problems are particularly associated with increased health, social care and criminal justice costs in adulthood.
Youth Risk Behavior Surveillance—United States, 2013 (PDF)
Source: Morbidity and Mortality Weekly Report (CDC)
From press release:
Cigarette smoking rates among high school students have dropped to the lowest levels since the National Youth Risk Behavior Survey (YRBS) began in 1991, according to the 2013 results released today by the Centers for Disease Control and Prevention.
By achieving a teen smoking rate of 15.7 percent, the United States has met its national Healthy People 2020External Web Site Icon objective of reducing adolescent cigarette use to 16 percent or less.
Despite this progress, reducing overall tobacco use remains a significant challenge. For example, other national surveys show increases in hookah and e-cigarette use. In the YRBS, no change in smokeless tobacco use was observed among adolescents since 1999, and the decline in cigar use has slowed in recent years, with cigar use now at 23 percent among male high school seniors.