Jacqueline L Angel
Biographic Data
| ID | 3819682 |
|---|---|
| NAME | Jacqueline L Angel |
| GIVEN NAMES | Jacqueline L |
| FAMILY NAME | Angel |
| SIGNATURE | ANGEL J L |
| AFFILIATIONS | The University of Texas at Austin |
| ORCID | 0000-0001-7870-6685 |
| VERIFIED | Yes |
| TOTAL WORKS | 71 |
| TOTAL CITATIONS | 266 |
| AUTHOR COUNT | 68 |
| EDITOR COUNT | 4 |
| FIRST PUBLICATION YEAR | 1992 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 9 |
Financial strain among Mexican American adult child caregivers of the oldest old
BACKGROUNDAs more adults assume caregiving responsibilities for their aging parents, a key question emerges: Does coresidence increase financial strain for adult child caregivers? OBJECTIVETo examine whether coresiding with an oldest-old parent (aged 80+) is associated with higher financial strain among adult child caregivers. METHODSThis study uses data from the Hispanic Established Population for the Epidemiologic Study of the Elderly (2010-201…
Religious Involvement and Cognitive Function Among White, Black, and Hispanic Older Adults
We examined whether religious involvement was associated with cognitive function among older adults in the 2006–2020 waves of the Health and Retirement Study. Using growth curve analysis, we found the association between religious involvement and cognition varied by facet of religious involvement and race and Hispanic ethnicity. Attending religious services with friends was associated with higher initial levels of cognitive function (b = 0.22, p
Cohort and Gender Differences in Stability Over Five Years Among Mexican-Origin Caregivers to Older Adults Living With Cognitive Impairment
The current study examines cohort (i.e., Generation X, Baby Boomers, and Silent Generation) and gender differences in the stability of Mexican-origin family caregivers over time. The data comes from Mexican-origin caregivers to community-dwelling older adults living in the west and southwestern United States from the Caregiving Supplement to the Hispanic Established Populations for the Epidemiologic Study of the Elderly (2010/11–2016). Multinomia…
Financial Strain, Mental Health, and Sleep Disruption Among Racially and Ethnically Diverse Family Caregivers During the Covid-19 Pandemic
Introduction to Special Issue
Dementia presents many challenges for nations and certainly for low-income families and particularly for U.S. Latinos. The articles in this special issue highlight important research findings addressing social, economic, and physical disparities in dementia, epidemiology, measurement, and care for older adults and their caregivers. They address relevant questions that complement current work undertaken by the 2023 National Research Summit on Care…
Intergenerational Day Centers
Intergenerational Day Centers (IDCs) are an innovation that addresses two important societal challenges, the continuing need for childcare and the emerging demand for older-adult supportive services that help them remain independent in their homes. These facilities provide care, and specialized resources and activities for both older adults and children in one location. While the importance and benefits of these programs have been proven, there i…
Resilience of Older Latinos and Mexicans Before and During the Pandemic
This article introduces the special issue on Aging and Resilience in the Americas: Mexico and the United States. The article overviews the role that the annual International Conference on Aging in the Americas (ICAA) has played in the development of scholarship on aging of Latinos in the United States and older persons in Latin America and the Caribbean. A brief overview of the aging literature reveals a growing interest on the resiliency of olde…
A comparison of rural–urban differences in out-of-pocket expenses among older Mexicans with diabetes
Objective: To compare total out-of-pocket expenses for physician visits and medications among older adults living with diabetes in Mexico from urban, semi-urban, and rural areas. Methods: The sample included 2,398 Mexicans aged 65 years and older with self-reported diabetes from the 2018 Mexican Health and Aging Study. Out-of-pocket expenses for physician visits and medications were regressed on locality, controlling for several factors. Results:…
Diabetes, disability, and dementia risk
Background: Emerging research has elucidated pathophysiological relationships among diabetes, disability, cognitive impairment, and incident dementia. However, the relationships between diabetes, disability, and dementia have been largely underexamined in Latino populations, which have a disproportionate prevalence of diabetes and its complications. Aims: This study examines diabetes as a risk factor for subsequent disability and dementia risk in…
Duration of Dementia and Social Service Use in the U.S.-Born and Foreign-Born Mexican-American Population
Given the high cost of institutional care and availability of family caregivers, community-based services are a potentially useful alternative for the growing Mexican-American population living with dementia. Expanded Medicaid and CBS programs could be an equitable and cost-effective alternative that should be investigated
Understanding the Context of Cognitive Aging
A Longitudinal Study of Cognitive and Instrumental Activities of Daily Living Disablement Among the Oldest Mexican Americans
ObjectivesMexican Americans live longer on average than other ethnic groups, but often with protracted cognitive and physical disability. Little is known, however, about the role of cognitive decline for transitions in instrumental activities of daily living (IADL) disability and tertiary outcomes of the IADL disablement for the oldest old (after 80 years old). Methods We employ the Hispanic Established Populations for the Epidemiologic Study of …
Healthy Life Expectancy
The phrase “compression of morbidity” refers to a hypothetical morbidity and mortality regime in which the onset of chronic disease is postponed until shortly before death, largely though preventative medical interventions and lifestyle changes, reducing the length of time one lives with illness and disability. Although life spans have increased dramatically in the latter part of the twentieth century, evidence for a significant compression of mo…
Understanding the Context of Cognitive Aging
Living Alone in the United States and Europe
While we know that living alone is often associated with greater risk of financial hardship, we have limited knowledge on the possible link between the availability of public support and independent living. We use data from the 2014 Health and Retirement Study and the 2011–2015 Survey of Health, Ageing and Retirement in Europe to compare income and wealth profiles of the population aged 60 and above who are living alone in the United States and 1…
Gender-Based Pathways to Cognitive Aging in the Mexican-Origin Population in the United States
Late-life cognitive health disparities that disproportionately impact the Mexican American population can be addressed by improving access to educational and occupational opportunities in early and midlife. This study points to key areas of intervention within work and the home for the Mexican-origin population
Contextualizing Health and Aging in the Americas
Characteristics and Consequences of Family Support in Latino Dementia Care
Demography of Living Arrangements Among Oldest-Old Mexican Americans
Motivations for living with others are clearly more complex than simple filial piety considerations might hold. Extended living arrangements provide concrete financial and instrumental benefits for both elderly parents and their adult child caregiver. Future research should address the question of the capacity of the Mexican American family to provide care for elderly parents in the face of major demographic and social changes
Neighborhood Context, Dementia Severity, and Mexican American Caregiver Well-Being
Neighborhood characteristics play an important role in the Latino caregiver well-being processes. Targeting neighborhoods, especially in regard to culturally competent dementia care education and services, should be the focus of intervention strategies for Mexican-origin caregivers
Childhood Misfortune and Handgrip Strength Among Black, White, and Hispanic Americans
The relationship between childhood exposures and adult HGS varied by the type of misfortune, but there was no evidence that the relationship varied by race/ethnicity. The significant and enduring Hispanic disadvantage in HGS warrants greater attention in gerontology
Institutional Context of Family Eldercare in Mexico and the United States
Religious Attendance and the Mobility Trajectories of Older Mexican Americans
Although several studies have examined the association between religious involvement and physical functioning, there is no consistent empirical evidence concerning the true nature of the association. The Hispanic population is also surprisingly understudied in previous work. In this article, we employ seven waves of data from the Hispanic Established Populations for the Epidemiologic Study of the Elderly to examine the association between religio…
Gender Differences in Institutional Long-Term Care Transitions
Acculturation, Gender, and Active Life Expectancy in the Mexican-Origin Population
Although foreign-born elders live slightly longer lives, they do so with more years spent in a disabled state. Given the rapid aging of the Mexican-origin population, the prevention and treatment of disabilities, particularly among the foreign born, should be a major public health priority
Immigrant status and cognitive functioning in late-life
Duration or Disadvantage? Exploring Nativity, Ethnicity, and Health in Midlife
These findings extend our understanding of nativity and duration as risk factors for poor physical and emotional health. Immigrants may overcome the nativity disadvantages found for emotional distress with increased duration of residence, but the pattern becomes more complicated with the inclusion of race and Hispanic ethnicity
Longer Lives, Sicker Lives? Increased Longevity and Extended Disability Among Mexican-Origin Elders
Protracted morbidity that accompanies increases in life expectancy has serious implications for the physical, social, and economic well-being of older individuals and their families, as well as for health and long-term care policy
Financial Strain and Health among Elderly Mexican-Origin Individuals
In this paper we examine the associations among perceived financial strain and various health measures--including self-rated health, self-reported functional capacity, performance-based mobility, and mortality--in a sample of older Mexican-origin individuals. We employ the Hispanic Established Population for Epidemiological Studies of the Elderly, an eight-year longitudinal survey of over 3,000 Mexican-origin individuals in five southwestern stat…
Age at Migration, Social Connections, and Well-Being among Elderly Hispanics
This study employs data from the 1988 National Survey of Hispanic Elderly People to examine the impact of age at migration and social contacts on the self-assessed health, functional disability, and life satisfaction of elderly Cuban Americans, Mexican Americans, and Puerto Ricans in the United States. The results indicate that the difficulties associated with immigration late in life undermine an older person's morale and interfere with the abil…
Shorter Stay, Longer Life
Our findings suggest that standard risk pools may differ significantly on the basis of genetic and unmeasured life-course factors. A better understanding of the late-life immigrant mortality advantage has important implications for more effective and targeted social and medical interventions
Stability and Change in Health Insurance Among Older Mexican Americans
Objectives. This study examined the association between health insurance coverage, medical care use, limitations in activities of daily living, and mortality among older Mexican-origin individuals. Methods. We analyzed longitudinal data from the Hispanic Established Populations for Epidemiologic Study of the Elderly (H-EPESE). Results. The uninsured tend to be younger, female, poor, and foreign born. They report fewer health care visits, are less…
Employment, Marriage, and Inequality in Health Insurance for Mexican-Origin Women
In the United States, a woman's health insurance coverage is largely determined by her employment and marital roles. This research evaluates competing hypotheses regarding how the combination of employment and marital roles shapes insurance coverage among Mexican-origin, non-Hispanic white, and African American women. We use data from the 2004 and 2006 March Supplements to the Current Population Surveys. Results show that these roles largely subs…
How Do Race and Hispanic Ethnicity Affect Nursing Home Admission? Evidence From the Health and Retirement Study
Our findings indicate that substantial racial and ethnic variations in nursing home admission continue to exist and that Hispanic use is particularly low. We argue that these differences may demonstrate a significant underuse of nursing homes for racial and ethnic minorities. Alternatively, they could signify different preferences for nursing home care, perhaps due to unmeasured cultural factors or structural obstacles
Nativity and Self-Assessed Health among Pre-Retirement Age Hispanics and Non-Hispanic Whites
Economic, social and familial resources are known to influence subjective health assessments. We examine the salience of nativity in determining how these resources influence self-assessed health using a large, nationwide sample of Hispanic and non-Hispanic white adults. The results indicate that while education, accumulated assets and marital status benefit the physical and emotional health of the native and foreign-born, family resources and in…
Minority Group Status and Healthful Aging
During the last 4 decades, a rapid increase has occurred in the number of survey-based and epidemiological studies of the health profiles of adults in general and of the causes of disparities between majority and minority Americans in particular. According to these studies, healthful aging consists of the absence of disease, or at least of the most serious preventable diseases and their consequences, and findings consistently reveal serious Afric…
Childhood Misfortune and Handgrip Strength Among Black, White, and Hispanic Americans
The relationship between childhood exposures and adult HGS varied by the type of misfortune, but there was no evidence that the relationship varied by race/ethnicity. The significant and enduring Hispanic disadvantage in HGS warrants greater attention in gerontology
Can the Family Still Cope
Although it is clear that adequate social support can make it possible for an impaired older person to remain in the community serious impairment can eventually overwhelm even a supportive network and result in the institutionalization of an impaired older person
Acculturation, Gender, and Active Life Expectancy in the Mexican-Origin Population
Although foreign-born elders live slightly longer lives, they do so with more years spent in a disabled state. Given the rapid aging of the Mexican-origin population, the prevention and treatment of disabilities, particularly among the foreign born, should be a major public health priority
Relationship Status and Long-Term Care Facility Use in Later Life
By addressing the prohibitive costs of long-term care services which enable aging in place (e.g., home health care), relationship status disparities in long-term care may be reduced. Future studies should consider the link between long-term care facility use and relationship status in future cohorts as well as examine how relationship status structures access to a range of long-term care options
Nativity Status and Sources of Care Assistance Among Elderly Mexican-Origin Adults
The Demography of Minority Aging Populations
Studies of aging and the life course have often documented great diversity in family structure and living arrangements among the elderly. This article examines historical and demographic trends in the ethnic and racial composition of older cohorts in the United States and their impact on family structure; identifies the demographic causes of these changes and projects future trends in the relative size and proportion of different racial and ethni…
Institutional Context of Family Eldercare in Mexico and the United States
Religious Attendance and the Mobility Trajectories of Older Mexican Americans
Although several studies have examined the association between religious involvement and physical functioning, there is no consistent empirical evidence concerning the true nature of the association. The Hispanic population is also surprisingly understudied in previous work. In this article, we employ seven waves of data from the Hispanic Established Populations for the Epidemiologic Study of the Elderly to examine the association between religio…
Pregnancy as a Risk Factor for Ambulatory Limitation in Later Life
Objectives. We investigated the relationship between the number of times a woman has been pregnant and walking difficulty in later life. Methods. With data from the Hispanic Established Populations for Epidemiologic Studies of the Elderly, a representative population-based cohort of Mexican Americans aged 65 years and older residing in 5 Southwestern states, we measured walking difficulty using 2 items from the performance-oriented mobility asses…
Aging trends – Mexican Americans in the Southwestern USA
Gender-Based Pathways to Cognitive Aging in the Mexican-Origin Population in the United States
Late-life cognitive health disparities that disproportionately impact the Mexican American population can be addressed by improving access to educational and occupational opportunities in early and midlife. This study points to key areas of intervention within work and the home for the Mexican-origin population
Neighborhood Context, Dementia Severity, and Mexican American Caregiver Well-Being
Neighborhood characteristics play an important role in the Latino caregiver well-being processes. Targeting neighborhoods, especially in regard to culturally competent dementia care education and services, should be the focus of intervention strategies for Mexican-origin caregivers
A Comparison of the Health of Older Hispanics in the United States and Mexico
The discussion addresses the possibility that access to care influences reports of diagnosed conditions and touches on issues of comparability in cross-cultural research and the difficulty in clearly distinguishing cultural and system-level factors in the production and measurement of health
Characteristics and Consequences of Family Support in Latino Dementia Care
Age at Migration, Social Connections, and Well-Being among Elderly Hispanics
This study employs data from the 1988 National Survey of Hispanic Elderly People to examine the impact of age at migration and social contacts on the self-assessed health, functional disability, and life satisfaction of elderly Cuban Americans, Mexican Americans, and Puerto Ricans in the United States. The results indicate that the difficulties associated with immigration late in life undermine an older person's morale and interfere with the abil…
The Impacts of Farm Work on Health
Peter J. Guarnaccia, Jacqueline Lowe Angel, Ronald Angel, The Impacts of Farm Work on Health: Analyses of the Hispanic Health and Nutrition Examination Survey, The International Migration Review, Vol. 26, No. 1 (Spring, 1992), pp. 111-132
The Impacts of Farm Work on Health
Farmworkers long have been recognized as a disadvantaged group with a wide range of occupationally related health problems. A coherent picture of the major health problems faced by agricultural workers has begun to emerge. This study presents data from the Hispanic Health and Nutrition Examination Survey (HHANES) on the effects of ever having participated in farm work on health status. Thus, it provides the first national level perspective on the…
The Demography of Minority Aging Populations
Studies of aging and the life course have often documented great diversity in family structure and living arrangements among the elderly. This article examines historical and demographic trends in the ethnic and racial composition of older cohorts in the United States and their impact on family structure; identifies the demographic causes of these changes and projects future trends in the relative size and proportion of different racial and ethni…
Losing Generations
Painful Inheritance
Painful is the first comprehensive examination of the impact of single motherhood on the physical and mental health of women and their children. Based on solid scientific information, it documents serious, long-term health consequences associated with the poverty and social disorganization in which such families often live. Ronald J. Angel and Jacqueline L. Angel show that the elevated health risks associated with single motherhood are largely th…
Painful Inheritance
Painful Inheritance
Contextualizing Social Support and Health in Old Age
In this paper we develop a conceptual model of the cultural context within which gender and social support affect health among the elderly. We argue that given the highly contextualized and subjective nature of social support, observed associations between social contacts and health cannot be explained using simple survey probes concerning contacts during some period. The research employs two large surveys of older blacks and Hispanics to illustr…
Who will Care for Us? Aging and Long-Term Care in Multicultural America
Aging trends – Mexican Americans in the Southwestern USA
Caring for Elderly Parents
Who Will Care for Us? Aging and Long Term Care in Multicultural America
Who Will Care for Us
Nativity and Older Women's Health
Gender and nativity are known risk factors for physical and economic dependency. Immigrant women are particularly disadvantaged because of their greater lack of social and economic resources. In this study, we investigate how women immigrants coordinate and utilize various support systems as they approach retirement age, as well as how choices and constraints affect their physical wellbeing. Experiences throughout the life course play a role in t…
Duration or Disadvantage? Exploring Nativity, Ethnicity, and Health in Midlife
These findings extend our understanding of nativity and duration as risk factors for poor physical and emotional health. Immigrants may overcome the nativity disadvantages found for emotional distress with increased duration of residence, but the pattern becomes more complicated with the inclusion of race and Hispanic ethnicity
Nativity and Self-Assessed Health among Pre-Retirement Age Hispanics and Non-Hispanic Whites
Economic, social and familial resources are known to influence subjective health assessments. We examine the salience of nativity in determining how these resources influence self-assessed health using a large, nationwide sample of Hispanic and non-Hispanic white adults. The results indicate that while education, accumulated assets and marital status benefit the physical and emotional health of the native and foreign-born, family resources and in…
Stability and Change in Health Insurance Among Older Mexican Americans
Objectives. This study examined the association between health insurance coverage, medical care use, limitations in activities of daily living, and mortality among older Mexican-origin individuals. Methods. We analyzed longitudinal data from the Hispanic Established Populations for Epidemiologic Study of the Elderly (H-EPESE). Results. The uninsured tend to be younger, female, poor, and foreign born. They report fewer health care visits, are less…
Gender, Widowhood, and Long-Term Care in the Older Mexican American Population
The objective of this study is to examine the influences of gender on long-term care service use among older Mexican American widows and widowers. Our analysis is based on a sample of 773 widows and 183 widowers from the Longitudinal Study of Elderly Mexican American Health (H-EPESE). In this sample widows resemble widowers in terms of demographic and health characteristics. However, widows report more financial strain than widowers and a greater…
Devolution and the Social Welfare of Elderly Immigrants
Growing ethnic diversity translates into rising numbers of individuals facing socioeconomic disadvantage, creating a context in which detailed examinations of public policy are critical for understanding the health care needs of immigrant populations in the United States. Although many scholars document the link between social disadvantage and increased morbidity and mortality, additional analyses are needed to identify specific public policies a…
Financial Strain and Health among Elderly Mexican-Origin Individuals
In this paper we examine the associations among perceived financial strain and various health measures--including self-rated health, self-reported functional capacity, performance-based mobility, and mortality--in a sample of older Mexican-origin individuals. We employ the Hispanic Established Population for Epidemiological Studies of the Elderly, an eight-year longitudinal survey of over 3,000 Mexican-origin individuals in five southwestern stat…
Can the Family Still Cope
Although it is clear that adequate social support can make it possible for an impaired older person to remain in the community serious impairment can eventually overwhelm even a supportive network and result in the institutionalization of an impaired older person
Special Reviewers
Minority Group Status and Healthful Aging
During the last 4 decades, a rapid increase has occurred in the number of survey-based and epidemiological studies of the health profiles of adults in general and of the causes of disparities between majority and minority Americans in particular. According to these studies, healthful aging consists of the absence of disease, or at least of the most serious preventable diseases and their consequences, and findings consistently reveal serious Afric…
A case study of the elder care functions of a Chilean non-governmental organization
Medicine (54 works) · Gerontology (48 works) · Psychology (47 works) · Sociology (38 works) · Health disparities and outcomes (32 works) · Population (26 works) · Demography (24 works) · Intergenerational Family Dynamics and Caregiving (22 works) · Political science (21 works) · Ethnic group (20 works)