Who Gets Help? A National Longitudinal Study of Personal Networks and Pandemic Support among Older Adults.

OBJECTIVES: Personal networks provide social support for older adults, perhaps especially during the COVID-19 pandemic when traditional avenues may be disrupted. We provide one of the first population-based studies on how pre-pandemic personal networks predict support during the pandemic among older adults, with attention to gender and race variation. METHOD: We analyzed longitudinal data from the National Social Life, Health, and Aging Project Round 3 (2015/16) and COVID-19 Round (2020) (N=2622, 55.68% female, 78.75% white, aged 50-99), a nationally representative survey of community-dwelling older Americans. We considered structure (i.e., size, density) and composition (i.e., proportion female and kin) of pre-pandemic personal networks, estimating multinomial logistic models to predict self-reported need and receipt of instrumental help and emotional support during the pandemic. RESULTS: Larger pre-pandemic confidant networks predicted higher risk of receiving needed pandemic help and support, higher risk of receiving help and support more often than pre-pandemic, and lower risk of being unable to get help. Denser pre-pandemic networks also predicted higher risk of receiving pandemic help and support. Furthermore, how network size and density related to support differed with respondent race, and a greater proportion of kin in pre-pandemic networks predicted higher risk of receiving help for non-white older adults only. DISCUSSION: Older adults' pre-pandemic confidant network structure and composition can provide underlying conditions for receiving pandemic social support. Findings speak to policies and programs that aim to foster social support or identify vulnerable groups that suffer the greatest unmet need for support during a global crisis.

Social participation and self-reported depression during the COVID-19 pandemic among older adults.

OBJECTIVES: The COVID-19 pandemic has increased depressive symptoms and disrupted activities that might typically mitigate depressive symptoms. Pandemic restrictions to social participation that supports well-being in older adults may contribute to worse mental health outcomes, but how participation relates to pandemic depressive symptoms is unclear. METHODS: Using longitudinal data from the nationally representative National Health and Aging Trends Study (N = 3181), we assessed whether older adults' pandemic depressive symptoms were associated with participation in paid work, volunteering, religious services, and other organized activities during the pandemic, as well as changes in participation in these activities compared to pre-pandemic engagement. RESULTS: Of participation during the pandemic, only attending religious services predicted pandemic depression, with religious attendance associated with higher risk of mild pandemic depressive symptoms. However, for changes in participation, stopping paid work during the pandemic predicted higher risk of moderate/severe pandemic depressive levels, while stopping attending religious services predicted lower risk of mild pandemic depression. CONCLUSION: This work demonstrates the importance of social participation for mental health and indicates what types of disruptions may reduce integration to increase older adults' vulnerability to depressive symptoms during a global pandemic.