Marta Pasqualini

Italian Long-Term Care is considered largely inadequate, and the recent COVID-19 pandemic has dramatically exposed its limitations. Public Home Care Services in particular were revealed as under-financed and unable to cover the potential demand for care from the older population. But does the type of municipality and its geographic location play a role in creating or mitigating unmet demand? This is the first study addressing this research question in Italy. Our hypothesis is that older people’s care preferences and care possibilities may vary between small, medium and metropolitan areas, as will the organisation, funding and availability of services, and the combination will influence (unmet) demand for public home care services. In this paper, using nationally representative survey data collected by the Italian National Statistical Institute in 2003 and 2016, we investigate changes and differences in the use of public and private home care services among people aged 75 or older in Italy by size of the municipality. Our results reveal inequalities in service use between Northern and Southern areas of the country and in particular between metropolitan areas, medium and small municipalities. Such differences reinforce post-pandemic calls for new investment and changes in the design of the Italian Long-Term Care system.

Experiencing a change in partnership status at older ages might have detrimental effects on an individual's habits, including eating behaviours. Prior studies presented evidence that widowhood is related to altered diets with a decrease in the amount of protein consumed, which is considered to be an important risk factor of frailty among older people. Using data from Waves 4–8 of the Survey of Health, Ageing and Retirement in Europe (N = 134,313), we investigate the association between stability and changes in partnership status and changes in the frequency of protein consumption at older ages. We also explore the potential moderating role played by changes in economic resources. Having never been married, being divorced and being widowed were significantly associated with a lower frequency of protein consumption among both men and women. The transition to widowhood was significantly associated with a reduction in the frequency of protein consumption, while this same association was not found in the transition to divorce. Subjective evaluation of economic resources did not moderate the relationship between changes in partnership status and frequency of protein consumption. In short, changes in eating behaviours after having experienced the loss of a partner due to widowhood might contribute to accounting for health differentials between those ageing alone and those with a partner.

Homeless people are one of the most vulnerable and marginalized groups in developed countries, and their homelessness situation often persists over the long term. However, so far, no studies have explained the specific role played by residence registration as it relates to deprivation amongst the homeless population and its contribution to improving the lives of homeless people. This paper investigates the paths homeless people in Milan use to access residence registration, via a case study in the city of Milan. Home to Italy’s largest homeless population, the city of Milan has implemented the innovative ResidenzaMi project to improve access to residence registration for homeless people. The study considers official statistics and individual interviews with service providers involved in the registration process. It further investigates the main factors impeding the registration process and outlines the consequences of the COVID-19 pandemic. Results from our study indicate that a residence certificate plays a critical role in helping homeless people exercise their rights and access the services they need to escape homelessness. Our findings suggest the importance of a holistic, multidimensional approach to ensure access to residence registration for homeless persons.

Levels of coresidence, residential proximity, face-to-face contacts and intergenerational support exchanges remain overall high and stable across European countries. However, to date, few studies have focused on trends in grandparent–grandchild relations. Therefore, this study aims to investigate whether and to what extent grandparent–grandchild exchanges have changed over time. We used data from the ItalianFamily and Social Subjects(FSS) Surveys, covering the years 1998–2016, and considered three different currencies of exchanges between grandparents and their grandchildren (coresidence, face-to-face contacts, and grandchild care provision). Our results showed stability over time in coresidence, a small reduction in daily contacts (from 47% in 1998 to 39% in 2016) and an increase in grandchildren care (from 78% in 1998 to 82% in 2016). In addition, we found little changes in the associations between such indicators of intergenerational exchanges and the demographic and socio-economic determinants usually used to explain them. Despite changes among Italian grandparents such as increases in their age profile, in education, and in marital disruption, the relations between grandparents and their grandchildren have so far remained stable over time, with generally high levels of intergenerational exchanges.

Intergenerational contacts have been broadly defined to include not only face-to-face relations as an important element of associational solidarity but also contacts at a distance, e.g., via telephone. With the spread of the Internet and of digital devices, digital contacts become another increasingly important option. We examined digital contacts between grandparents and grandchildren in comparison with traditional forms of contacts (i.e., by face-to-face and telephone) using Italian data from the 2016 Families, Social Subjects and life cycle (FSS) survey. We found that about 10% of grandparents use digital tools to contact their grandchildren. As the determinants of frequent digital contacts, we found that grandparents belonging to younger cohorts, those better educated, those who lived in more urbanised areas and those in better health were more likely to entertain digital contacts with their grandchildren. Results also show that digital contacts tend to substitute face-to-face contacts, and to cumulate with telephone contacts. Our results have important implications for the current and future development of intergenerational relationships suggesting an increasing role in situation of geographic distance. Against the background of persisting inequalities in the access and the use of the Internet, our findings emphasise the need to improve digital network connectivity and skills especially among specific sub-groups of the population.

Birth order may foster specific roles for individuals within the family and set in train a dynamic that influences the development of specific behaviors. In this paper, we explored the relationship between birth order, sex, timing of sexual initiation, and its consequences for risky sexual behavior and sexual health. We conducted a path analysis to simultaneously estimate direct and indirect effects using data from the National Survey of Sexual Attitudes and Lifestyles (NATSAL-3). Whereas women born as only-children were more likely to sexually debut at later ages, middle-child boys were significantly more prone to initiate sexual intercourse earlier compared with first-borns. As expected, early sexual initiation was associated with riskier behaviors and sexual health outcomes. These associations were partially moderated by siblings role as confidants about sexuality. Our findings have implications for preventive programs aimed at promoting healthy sexual debuts and behaviors over the life span.

Levels of coresidence, residential proximity, face-to-face contacts and intergenerational support exchanges remain overall high and stable across European countries. However, to date, few studies have focused on trends in grandparent-grandchild relations. Therefore, this study aims to investigate whether and to what extent grandparent-grandchild exchanges have changed over time. We used data from the Italian Family and Social Subjects (FSS) Surveys, covering the years 1998-2016, and considered three different currencies of exchanges between grandparents and their grandchildren (coresidence, face-to-face contacts, and grandchild care provision). Our results showed stability over time in coresidence, a small reduction in daily contacts (from 47% in 1998 to 39% in 2016) and an increase in grandchildren care (from 78% in 1998 to 82% in 2016). Also, we found little changes in the associations between such indicators of intergenerational exchanges and the demographic and socio-economic determinants usually used to explain them. Despite changes among Italian grandparents such as increases in their age profile, in education, and in marital disruption, the relations between grandparents and their grandchildren have so far remained stable over time, with generally high levels of intergenerational exchanges.

Physical distancing is intended to mitigate the spread of the SARS-CoV-2 virus. However, the impact of a decrease in face-to-face contacts on non-physical social contacts of older people remains unclear. In particular, we focus on intergenerational contacts that are especially relevant for older people’s mental health. Our analyses rely on an online quota sampling survey conducted in France, Italy and Spain during April 14–24, 2020. We considered the subsample of individuals aged 50 + (N = 4207). We calculated post-stratification weights based on official statistics and used logistic regressions to analyze how changes in intergenerational contacts differed by socioeconomic factors and to what extent non-physical contacts (via phone, social media, etc.) have compensated the reduction in face-to-face contacts. Finally, the change in digital devices’ use has been explored as a consequence of both decreased physical intergenerational contacts (PIC) and increased non-physical intergenerational contacts (NPIC). We found that about 50% of older people have increased their NPIC during the first lockdown. Younger individuals, those with medium level of education, and those economically better off displayed higher probabilities of increased NPIC as compared to their counterparts. NPIC increased especially for individuals whose face-to-face contacts decreased, particularly so if this happened with respect to contacts with children. A large share of older people has increased their use of video calls and instant messages, while only some increased the use of social media. These findings are relevant to understand how intergenerational contacts changed during the pandemic and may be central to better plan future outbreak responses.

The Covid-19 pandemic is widely interpreted as a double-edged crisis between the preservation of health and economic functioning. Considering individuals’ perceptions of the pandemic risks, we devised a ten-point tradeoff scale asking people to situate their concern between health and the economy. We administered this question seven times to a representative panel of French residents from April until November 2020, establishing a barometer that tracked changes and heterogeneity between these two concerns. We find overall concern moved in favor of the economy over time. There is substantial heterogeneity across respondents: those reporting risk from Covid-19, lower subjective social status and politically leftwing preferences were more concerned with health than the rest of the population. This partially applies to the less educated, the less wealthy and the young, suggesting the pandemic reinforces preexisting social cleavages. Beyond the pandemic situation, longitudinal tradeoff scales are a promising way to investigate risk perceptions.