Friday, June 13, 2025

 

Older home care clients’ agency manifests as resistance and adaptation




University of Eastern Finland





Older home care clients perceive themselves as capable individuals who can cope despite having daily needs for help and assistance, but this is something social and healthcare professionals do not always recognise, a recent study from the University of Eastern Finland shows. The study examined experiences of agency among older home care clients. Maintaining agency in daily life supports older individuals’ well-being and meaningful life at home.

The study was conducted as part of the Old-age Social Exclusion in Home Care – Prevalence, Meanings & Intervention project, SOLDEX. For the study, researchers interviewed 20 home care clients aged 73–99, identifying three forms of agency, i.e., resistant, adaptive and supported agency.

“There was some overlap between these different forms of agency. However, older individuals’ efforts to be in control of their life were evident in all of them,” Senior Researcher Marjo Ring of the University of Eastern Finland says.

In resistant agency, the older individual resists the changes arising from their need for assistance and home care, and strives to maintain their lifestyle, even if it conflicts with the practices and methods considered important by home care workers.

“A practical example of this would be a situation where the older individual reduced the number of visits by home care workers despite obviously needing assistance,” Ring explains.

In adaptive agency, the older individual accepts that they need assistance due to declining functional capacity and adjusts their personal expectations to the prevailing situation, thus striving to maintain active control over their daily life.

“For example, with increasing needs for assistance, the older individual may change and lower their previous goals so that they can continue living at home, supported by home care. They may also decide to not leave their home to meet friends or run errands because it would require asking other people for help and instead, they keep in touch with friends by phone.”

In supported agency, the older individual relies on the assistance of friends and relatives to achieve important goals in their daily life. Such support for agency was not expected from home care workers but was seen as being specifically dependent on informal assistance.

The study shows that older individuals’ agency does not disappear with increasing needs for assistance but changes and adapts to new requirements and life situations. Interviews with home care clients show that they wish to be seen as individuals with their unique life histories, values and desires to live a life of their own despite increasing needs for assistance.

According to the researchers, it is important for home care workers to recognise and support their clients’ agency, as this contributes to better consideration of older individuals’ opinions of how their services should be provided and strengthens perceived life control and self-determination among those in need of care.

 

High hospital costs due to physical comorbidities of mental disorders in Europe




Integrated prevention and care approaches also important from an economic perspective



Medical University of Vienna




A recent study led by Judit Simon from the Department of Health Economics, Center for Public Health, at the Medical University of Vienna shows for the first time comprehensively the extent to which people with mental disorders suffer from physical illnesses – and the resulting hospital costs. The analysis of data from 32 European countries, published in the journal The Lancet Psychiatry, shows that the inpatient and emergency treatment of physical comorbidities in alcohol use disorders, depression, bipolar disorders and schizophrenia accounted for a total of around 30.5 billion euros in additional annual hospital costs in Europe in 2019.

These costs are not caused by psychiatric care itself, but by physical illnesses that occur at above-average rates in people with mental illness and often require inpatient or emergency treatment. Particularly common are injuries, for example as a result of falls, substance use or suicide attempts, as well as diseases of the digestive tract such as liver disease or chronic inflammation, which play a major role in alcohol use disorders in particular. Diseases of the nervous system, respiratory system, musculoskeletal system and the cardiovascular system are also significantly more common in people with mental illness. This often results in longer and more intensive hospital treatment, which entails considerable additional costs for the healthcare system. As the study shows, although the largest share of these costs is attributable to alcohol use disorders and depression due to their high rate of occurrence, the proportion of above-average costs is the highest for alcohol use disorders and bipolar disorders.

First estimates of potential savings
In addition to these new insights into costs, the study for the first time also provides estimates of the potential economic savings: a reduction of just one per cent in the physical burden of illness among people with mental illness would lead to annual savings of over 190 million euros in the hospital sector across Europe. "The figures we have calculated underscore the importance of integrated prevention and care approaches that do not treat physical and mental health separately," emphasises study leader Judit Simon, Professor of Health Economics at the Center for Public Health at MedUni Vienna. "Better integration of psychiatric and somatic care can not only improve the quality of life of people with mental illness, but also contribute to the sustainability of healthcare systems."

Mental illness is associated with a significantly increased risk of physical illness. These so-called comorbidities are often the result of a combination of biological, social and care-related factors. “For example, limited access to preventive care, unhealthy living conditions or side effects of medication all play a role,” adds Dennis Wienand, who worked on the study as part of his public health doctoral studies at the Department of Health Economics. For 2019, the latest study in the 27 EU Member States plus Iceland, Liechtenstein, Norway, Switzerland and the United Kingdom found 21.2 million cases of alcohol use disorders associated with 84 million physical co-morbidities. Furthermore, 7.4 million cases of bipolar disorder with 66.8 million comorbidities, 32 million cases of depression with 66.2 million additional physical problems, and three million cases of schizophrenia with 4.9 million physical illnesses were identified. The modelling study is based on data from the European Statistical Agency, the Global Burden of Disease study, country-specific health statistics and a comprehensive synthesis of existing research findings, and takes into account the working-age population (20 to 64 years).

 

Couples with opposing political views face higher risk of separation



New study reveals the impact of political preferences on relationships



Max Planck Institute for Demographic Research

Predicted probabilities (%) of union dissolution by party heterogamy 

image: 

Predicted probabilities (%) of union dissolution by party heterogamy 

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Credit: MPIDR





A recent study by researchers at the University of Padua and the Max Planck Institute for Demographic Research (MPIDR) has revealed that political differences between partners can significantly increase the risk of separation. Using long-term data from UK couples, the researchers found that those with different party preferences were substantially more likely to separate than those with the same political beliefs. The risk is particularly high when there are differences of opinion on Brexit.

Political polarization is a growing concern in many Western countries. It raises from the stark divide between the Democrats and Republicans in the US, to the rivalries between the Tories and Labour in the UK. While these divisions play out at the macro level, in their latest study, researchers Bruno Arpino (Professor at the University of Padua, Italy) and Alessandro Di Nallo (Max Planck Institute for Demographic Research (MPIDR)) examined how these divisions manifest at the personal level. They investigated whether the likelihood of separation increases among couples when they hold opposing political views.

"There’s been extensive research about what causes couples to break up – factors like age differences, ethnicity or personality differences are often cited” explains Alessandro Di Nallo. “But political views should also be considered and this has never been studied before. Our research fills this gap, showing that political preferences can play a critical role in relationship stability.”

For the study, the researchers examined the separation rates of couples in the United Kingdom, using over thirty years of data from the British Household Panel Study and the UK Household Longitudinal Study. 'The United Kingdom is the perfect test case for this because of the wealth of data. As part of the household survey, couples are asked every year which party they would vote for and how they would vote in a Brexit referendum. Using these two questions, as well as questions about political preferences, we analyzed the risk of separation,' explains Di Nallo.

How Political Preferences Shape Relationship Stability

Analysis of the long-term data shows that couples with the same party preferences are significantly less likely to separate than those with different political beliefs. For example, the annual separation rate for partners with the same party affiliation is 0.77%, compared to 1.06% for couples with different party. The risk of separation is 38% higher for couples with unequal political views, such as a Tory-Labour pairing.

Brexit opinions also play a significant role. Couples who agreed on Brexit — whether 'Remain' or 'Leave' — have an average annual probability of separation of about 1.1%. However, the probability jumped to 1.8% for couples with different attitudes. Remarkably, the effect of political differences on relationships is as strong as, if not stronger than, the effects of religious or educational differences.

Interestingly, the study found no significant differences in the risk of separation between the individual parties as long as the partners shared the same views. However, couples in which one or both partners do not belong to a political party or lack a clear opinion on Brexit are more likely to separate. The researchers conclude that shared core values can stabilize partnerships, whereas significant political differences can increase the risk of separation.

Political Polarization: A Challenge for Relationships and Society

Arpino and Di Nallo’s study bridges the gap between political and demographic research, revealing how political preferences influences family dynamics. Their findings illustrate how political polarization at the macro level impacts the stability of partnerships at the micro level. “When individuals with similar political views form relationships, it can reinforce societal divisions” notes Di Nallo. The Brexit period exemplified this, as couples with different political views experienced more challenges.

Major political events significantly impact family cohesion, demonstrating that political and social attitudes are intertwined. “For instance, public perception of same-sex couples became more positive when same-sex marriage was legalized in the USA. Politics influence families. Regardless of how politics are conducted, it influences values, families, and society as a whole," explains Di Nallo.

Predicted probabilities (%) of union dissolution by Brexit homogamy

Credit

MPIDR

 

Smart growth: How China's 30-year urban planning led to predominantly high-suitability city expansion



Science China Press
Spatial distribution of urban expansion speed in China from 1990-2020. 

image: 

Spatial distribution of urban expansion speed in China from 1990-2020. Red areas indicate high-speed expansion zones, orange shows medium-speed expansion, and pink represents low-speed expansion areas. The map clearly shows that the eastern region is dominated by high-speed expansion, forming three major expansion megaregions: Beijing-Tianjin-Hebei (b1), Yangtze River Delta (b2), and Guangdong-Hong Kong-Macao Greater Bay Area (b3); the central region exhibits medium-speed expansion; while western and northeastern regions are characterized by low-speed expansion.

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Credit: ©Science China Press





Scientists have created the first high-precision assessment of how China's massive urban growth over three decades has matched its geographical conditions and disaster risks, providing crucial insights for future urban planning and urban sustainability.

The study, published in Science China Earth Sciences, analyzed urban development across China from 1990 to 2020 – a period that saw the nation's urban construction land expand by 214% and urbanization rates surge from 26.4% to 66.2%.

"China has experienced the world's fastest and largest urbanization process, representing a remarkable achievement in national development," explains Dr. Kai Wang of the China Academy of Urban Planning and Design, the study's lead author. "Since the enactment of China's first urban planning law in 1990, a series of well-implemented urban planning policies have played a crucial role in guiding rational and orderly development across the country. This strategic approach has not only driven tremendous economic growth but also progressively shifted many cities from 'spatial mismatch' to 'spatial adaptation,' resulting in steady improvements in urban livability despite challenges posed by natural factors like floods, heatwaves, and seismic activity."

Using satellite remote sensing data, big data techniques, and comprehensive disaster risk assessments, researchers quantified how well urban expansion matched suitable land and measured cities' exposure to nine types of natural disasters.

The findings reveal distinct regional patterns. Urban development was concentrated in medium to high suitability areas (83.23% of expansion), but 14.46% of urban growth occurred in the lowest suitability areas, predominantly in eastern coastal and western regions.

From a safety perspective, approximately half of urban development took place in areas with medium to highest safety levels, yet 13% of urban expansion areas exhibit relatively high safety risks.

The study identified clear regional risk variations:

  • Eastern coastal regions primarily face water-related threats (heavy rain, floods, typhoons, storm surges), with urban expansion in these risk areas accounting for 62% of regional growth
  • Western regions are mainly threatened by geological earthquake risks, with urban expansion in these risk zones exceeding four times that of other regions
  • Central regions primarily face high-temperature disaster risks, with heatwaves affecting over 83% of urban expansion areas
  • Northeastern regions contend with extreme cold and snow-related disasters, affecting nearly 61% of urban expansion

The researchers identified distinct regional development patterns, described as: "high-suitability and high-expansion in eastern regions, medium-suitability and medium-speed expansion in central regions, low-suitability and low-expansion in western regions, and high-suitability and slow-expansion in northeastern regions."

The study provides valuable insights for China's "Beautiful China" initiative and offers scientific guidance for creating safer, more resilient cities. As climate change intensifies extreme weather events, understanding these spatial patterns becomes increasingly crucial for sustainable urban development.

Dr. Wenhui Kuang, corresponding author from the Institute of Geographic Sciences and Natural Resources Research at the Chinese Academy of Sciences, emphasized the practical implications: "Our findings provide scientific guidance for high-quality regional development and resilient urban safety, supporting the coordinated development of differentiated regional socioeconomic and ecological systems."

The research team developed a new theoretical framework for precise spatial adaptation, which quantitatively analyzes spatial resource carrying capacity in urbanized areas. This approach allows for more accurate monitoring and evaluation of urban spatial adaptation and safety resilience, enabling timely adjustments in urban planning.

As China looks toward future urban growth with an additional 255 million urban residents expected by 2050, this study offers crucial insights for creating safer, more livable cities adapted to their specific regional conditions and disaster risks.

See the article:

Wang K, Kuang W, Fang W, Dou Y, Chen M. 2025. Spatially explicit adaptation characteristics of urban development and construction across China over the past three decades. Science China Earth Sciences, 68(5): 1624–1640, https://doi.org/10.1007/s11430-024-1545-0

 

Window-sized device taps the air for safe drinking water



MIT engineers have developed an atmospheric water harvester that produces fresh water anywhere — even Death Valley, California.



Massachusetts Institute of Technology





Today, 2.2 billion people in the world lack access to safe drinking water. In the United States, more than 46 million people experience water insecurity, living with either no running water or water that is unsafe to drink. The increasing need for drinking water is stretching traditional resources such as rivers, lakes, and reservoirs. 

To improve access to safe and affordable drinking water, MIT engineers are tapping into an unconventional source: the air. The Earth’s atmosphere contains millions of billions of gallons of water in the form of vapor. If this vapor can be efficiently captured and condensed, it could supply clean drinking water in places where traditional water resources are inaccessible. 

With that goal in mind, the MIT team has developed and tested a new atmospheric water harvester and shown that it efficiently captures water vapor and produces safe drinking water across a range of relative humidities, including dry desert air. 

The new device is a black, window-sized vertical panel, made from a water-absorbent hydrogel material, enclosed in a glass chamber coated with a cooling layer. The hydrogel resembles black bubble wrap, with small dome-shaped structures that swell when the hydrogel soaks up water vapor. When the captured vapor evaporates, the domes shrink back down in an origami-like transformation. The evaporated vapor then condenses on the the glass, where it can flow down and out through a tube, as clean and drinkable water.

The system runs entirely on its own, without a power source, unlike other designs that require batteries, solar panels, or electricity from the grid. The team ran the device for over a week in Death Valley, California — the driest region in North America. Even in very low-humidity conditions, the device squeezed drinking water from the air at rates of up to 160 milliliters (about two-thirds of a cup) per day. 

The team estimates that multiple vertical panels, set up in a small array, could passively supply a household with drinking water, even in arid desert environments. What’s more, the system’s water production should increase with humidity, supplying drinking water in temperate and tropical climates.

“We have built a meter-scale device that we hope to deploy in resource-limited regions, where even a solar cell is not very accessible,” says Xuanhe Zhao, the Uncas and Helen Whitaker Professor of Mechanical Engineering and Civil and Environmental Engineering at MIT. “It’s a test of feasibility in scaling up this water harvesting technology. Now people can build it even larger, or make it into parallel panels, to supply drinking water to people and achieve real impact.”

Zhao and his colleagues present the details of the new water harvesting design in a paper appearing in the journal Nature Water. The study’s lead author is former MIT postdoc “Will” Chang Liu, who is currently an assistant professor at the National University of Singapore (NUS). MIT co-authors include Xiao-Yun Yan, Shucong Li, and Bolei Deng, along with collaborators from multiple other institutions.

Carrying capacity

Hydrogels are soft, porous materials that are made mainly from water and a microscopic network of interconnecting polymer fibers. Zhao’s group at MIT has primarily explored the use of hydrogels in biomedical applications, including adhesive coatings for medical implantssoft and flexible electrodes, and noninvasive imaging stickers

“Through our work with soft materials, one property we know very well is the way hydrogel is very good at absorbing water from air,” Zhao says. 

Researchers are exploring a number of ways to harvest water vapor for drinking water. Among the most efficient so far are devices made from metal-organic frameworks, or MOFs — ultra-porous materials that have also been shown to capture water from dry desert air. But the MOFs do not swell or stretch when absorbing water, and are limited in vapor-carrying capacity. 

Water from air

The group’s new hydrogel-based water harvester addresses another key problem in similar designs. Other groups have designed water harvesters out of micro- or nano-porous hydrogels. But the water produced from these designs can be salty, requiring additional filtering. Salt is a naturally absorbent material, and researchers embed salts — typically, lithium chloride — in hydrogel to increase the material’s water absorption. The drawback, however, is that this salt can leak out with the water when it is eventually collected. 

The team’s new design significantly limits salt leakage. Within the hydrogel itself, they included an extra ingredient: glycerol, a liquid compound that naturally stabilizes salt, keeping it within the gel rather than letting it crystallize and leak out with the water. The hydrogel itself has a microstructure that lacks nanoscale pores, which further prevents salt from escaping the material. The salt levels in the water they collected were below the standard threshold for safe drinking water, and significantly below the levels produced by many other hydrogel-based designs. 

In addition to tuning the hydrogel’s composition, the researchers made improvements to its form. Rather than keeping the gel as a flat sheet, they molded it into a pattern of small domes resembling bubble wrap, that act to increase the gel’s surface area, along with the amount of water vapor it can absorb. 

The researchers fabricated a half-square-meter of hydrogel and encased the material in a window-like glass chamber. They coated the exterior of the chamber with a special polymer film, which helps to cool the glass and stimulates any water vapor in the hydrogel to evaporate and condense onto the glass. They installed a simple tubing system to collect the water as it flows down the glass. 

In November 2023, the team traveled to Death Valley, California, and set up the device as a vertical panel. Over seven days, they took measurements as the hydrogel absorbed water vapor during the night (the time of day when water vapor in the desert is highest). In the daytime, with help from the sun, the harvested water evaporated out from the hydrogel and condensed onto the glass. 

Over this period, the device worked across a range of humidities, from 21 to 88 percent, and produced between 57 and 161.5 milliliters of drinking water per day. Even in the driest conditions, the device harvested more water than other passive and some actively powered designs. 

“This is just a proof-of-concept design, and there are a lot of things we can optimize,” Liu says. “For instance, we could have a multipanel design. And we’re working on a next generation of the material to further improve its intrinsic properties.”

“We imagine that you could one day deploy an array of these panels, and the footprint is very small because they are all vertical,” says Zhao, who has plans to further test the panels in many resource-limited regions. “Then you could have many panels together, collecting water all the time, at household scale.”

This work was supported, in part, by the MIT J-WAFS Water and Food Seed Grant, the MIT-Chinese University of Hong Kong collaborative research program, and the UM6P-MIT collaborative research program.

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Written by Jennifer Chu, MIT News