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Beswick, AD, R. Gooberman-Hill, A. Smith, V. Wylde, and S. Ebrahim. "Maintaining independence in older people." Reviews in Clinical Gerontology 20, no. 2 (April 7, 2010): 128–53. http://dx.doi.org/10.1017/s0959259810000079.
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SummaryAppropriate social and medical interventions may help maintain independence in older people. Determinants of functional decline, disability and reduced independence are recognized and specific interventions target the treatment of clinical conditions, multiple health problems and geriatric conditions, prevention of falls and fractures, and maintenance of physical and cognitive function and social engagement.Preventive strategies to identify and treat diverse unmet needs of older people have been researched extensively. We reviewed systematically recent randomized controlled trials evaluating these ‘complex’ interventions and incorporated the findings of 21 studies into an established meta-analysis that included 108,838 people in 110 trials. There was an overall benefit of complex interventions in helping older people to live at home, explained by reduced nursing home admissions rather than death rates. Hospital admissions and falls were also reduced in intervention groups. Benefits were largely restricted to earlier studies, perhaps reflecting general improvements in health and social care for older people. The wealth of high-quality trial evidence endorses the value of preventive strategies to help maintain independence in older people.
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Kemalova, Lilya, and Marina Nikonorova. "Elderly people as object of social work." E3S Web of Conferences 164 (2020): 11023. http://dx.doi.org/10.1051/e3sconf/202016411023.
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The article accentuates the relevance of social work with elderly as one of the unprotected categories of people. It was noted that after termination of active work older people need assistance in the period of adaptation to new conditions as their lifestyle changes, their social connections are lost, they have feeling of loneliness and lack of being relevant. The basic directions, forms and methods of social work with older people are considered in this article.
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Miranti, Riyana, and Peng Yu. "Why Social Exclusion Persists among Older People in Australia." Social Inclusion 3, no. 4 (July 24, 2015): 112–26. http://dx.doi.org/10.17645/si.v3i4.214.
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The existing literature on social exclusion among older people, though relatively limited, suggests that disadvantage among older people is cumulative in nature. Some aspects of disadvantage starting at early life stages have long-term consequences. As such, older people with disadvantages may be subject to higher risks of persistent social exclusion. This article aims to improve understanding of social exclusion and its persistence among senior Australians in three ways. Firstly, the incidence of social exclusion among older people is analysed using selected indicators. Secondly, the study examines whether an older person experiencing social exclusion at one time is more likely to experience it again (persistence). Thirdly, it investigates what factors may be protecting older people from social exclusion. The analysis is conducted using the first eight waves of the Household, Income and Labour Dynamics in Australia (HILDA) Survey. The sample of older people is disaggregated into a younger group (55–64 years at wave 1) and an older group (65+ years). The article suggests that higher education and income, as well as better health conditions and previous employment experiences, are important protective factors from social exclusion for older Australians.
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Akimova, O., and E. Andriyanova. "Health and social care for the elderly in the conditions of transformation of social reality." Glavvrač (Chief Medical Officer), no. 1 (January 1, 2020): 75–79. http://dx.doi.org/10.33920/med-03-2001-09.
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The article highlights the problems of providing medical and social assistance to elderly people in the Russian Federation at the present stage. Factors that affect the specifics of receiving medical and social assistance are: the crisis of confidence in the modern system of values, problems of medical examination of the population, low quality of life for people older than working age.
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Kiselev, Joern, Anika Steinert, Wencke Schindler, Marten Haesner, and Ursula Mueller-Werdan. "Intensive multidisciplinary home rehabilitation for older people with severe conditions." International Journal of Integrated Care 17, no. 5 (October 17, 2017): 176. http://dx.doi.org/10.5334/ijic.3484.
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Beech, Roger, Bie Nio Ong, Sue Jones, and Vicky Edwards. "Delivering person-centred holistic care for older people." Quality in Ageing and Older Adults 18, no. 2 (June 12, 2017): 157–67. http://dx.doi.org/10.1108/qaoa-05-2016-0019.
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Purpose This paper is an evaluated case study of the Wellbeing Coordinator (WBC) service in Cheshire, UK. WBCs are non-clinical members of the GP surgery or hospital team who offer advice and support to help people with long-term conditions and unmet social needs remain independent at home. The paper aims to discuss this issue. Design/methodology/approach A mixed method design assessed the outcomes of care for recipients and carers using interviews, diaries and validated wellbeing measures. Service utilization data, interviews and observations of WBC consultations enabled investigation of changes in processes of care. Data were analysed using simple descriptive statistics, established instrument scoring systems and accepted social science conventions. Findings The WBC complements medical approaches to supporting people with complex health and social care problems, with support for carers often a key service component. Users reported improvements in their wellbeing, access to social networks, and maintenance of social identity and valued activities. Health and social care professionals recognized the value of the service. Practical implications The WBC concept relieves the burden on health and social care professionals as the social elements of ill-health are addressed. A shift in thinking from ill-health to wellbeing means older people feel more able to regain control over their own lives, being less dependent on consulting professionals. Originality/value The WBC is a new service focussing on the individual in their health, social and economic context. Process and outcomes evaluations are rare in this field.
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Harris, Ruth, Roz Ullman, and Peter Griffiths. "Self-assessment of health and social care needs by older people." Reviews in Clinical Gerontology 16, no. 4 (November 2006): 301–12. http://dx.doi.org/10.1017/s0959259807002262.
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The involvement of service users as active participants is a stated aim of many current developments within health and social care, and self-assessment has been identified as a key mechanism. For over 15 years, the UK Department of Health has referred to the importance of the service user's views in assessment, and this has been re-emphasized recently in guidance issued to both local authorities social services and the NHS. The concept of the expert patient and the promotion of self-care amongst people with long-term conditions are also highlighted as central to current NHS development. Although not specified as such, self-assessment is an important component of these person-centred initiatives which encourage self-diagnosis, self-monitoring and self-management.
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Meara, Jolyon, and Peter Hobson. "The nosology of involuntary movements in older people." Reviews in Clinical Gerontology 12, no. 3 (August 2002): 187–89. http://dx.doi.org/10.1017/s0959259802012315.
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Involuntary movements become increasingly common with age and often lead to considerable disability, handicap and social embarrassment. Many causes of involuntary movements can be readily treated once the correct diagnosis is established. Getting the diagnosis right in older people is often challenging even for specialists. Even the identification of conditions thought easy to classify in younger people, such as Parkinson's disease, can be very difficult in older adults. This burden of movement disorder in older people reflects the increasing prevalence of neurodegenerative and vascular disease with age as well as the growing exposure to medication and the natural history of conditions such as essential tremor, which tend to worsen with age and precipitate medical presentation later in life. A complex and poorly understood relationship exists between motor control, disorders of mood and cognitive function. In older subjects involuntary movements are often associated with gait abnormalities and poor mobility and falls may be the presenting feature.
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OH, KYEUNG MI, and ANTHONY M. WARNES. "Care services for frail older people in South Korea." Ageing and Society 21, no. 6 (November 2001): 701–20. http://dx.doi.org/10.1017/s0144686x01008479.
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This paper examines the changed social circumstances of older people in South Korea and specifically the increased need for formal health and social services for those who are frail and have no informal carers. The article begins with a summary account of the country's exceptionally rapid demographic, economic and social transformations, which demonstrates a widening gap between the population's expectations and needs, and health and social service provision. It then examines the recently initiated and now burgeoning welfare programmes, with particular attention to health and social services for sick and frail older people. Most extant care services are accessed mainly by two minorities: the very poor and the rich. The dominant policy influence of physicians and a history of conflict between traditional and western medicine probably underlies the low current priority for ‘care’ as opposed to ‘cure’, as also for the management of chronic conditions and rehabilitation. Neither long-term care services nor personal social services are well developed. There is a marked disparity between the acute services, which are predominantly provided by private sector organisations in a highly competitive market and broadly achieve high standards, and public primary care and rudimentary residential services. The latter are weakly regulated and there are many instances of low standards of care.
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Raymond, Émilie, and Mélanie Lantagne Lopez. "Participation of People With Impairments in Seniors’ Organizations: Conditions and Limitations on Inclusion." Gerontologist 60, no. 6 (April 25, 2020): 1126–36. http://dx.doi.org/10.1093/geront/gnaa011.
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Abstract Background and Objectives While older adults’ social participation has attracted sustained attention, the realities faced by seniors with impairments in this area are still understudied. Social representations are formed from socially constructed opinions regarding a given object and have four functions (knowledge, identity, orientation, justification). The purpose of this article is to document the social representations that exist within seniors’ organizations regarding participation by older people with impairments. Research Design and Methods In this mixed-methods study, an exploratory sequential design was applied. First, a qualitative phase involved meetings with five focus groups to explore how participants would manage difficult situations in which the inclusion of an older person with impairments must be addressed. Second, a quantitative phase consisted of a questionnaire administered to 86 respondents to examine the components of social representations about the participation of older people with impairments. Results Results show that, although research participants acknowledge that all seniors have the right to participate, this right confronts a collective identity infused with aging model that demands a youthful, “un-disabled” appearance and activities. In terms of the orientation function, making participation a reality is seen as relying on the efforts of people with impairments, but when there is a failure of inclusiveness, the reasons offered to justify it concern the resources available, rather than possible prejudices. Discussion and Implications Interpretation of the results leads to recommendations for both implementing an inclusion philosophy and practices in seniors’ organizations and revisiting the view of impairment in old age as otherness.
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BARLOW, JULIE, and JENNY HAINSWORTH. "Volunteerism among older people with arthritis." Ageing and Society 21, no. 2 (March 2001): 203–17. http://dx.doi.org/10.1017/s0144686x01008145.
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Research attention has turned towards investigating the motivations and experiences of those who volunteer under conditions that benefit both giver and recipient. The purpose of this paper is to examine the motivation of 22 older volunteers as they embarked on training to become lay leaders of an arthritis self-management programme. Data were collected through semi-structured telephone interviews at two points in time, before training and six weeks after training. Volunteerism was motivated by three key needs: to fill the vocational void left by retirement, to feel a useful member of society by helping others and to find a peer group. These key motivations remained important throughout the six weeks of the study. The costs of volunteering were perceived as time, responsibility, invasion of social life, failure, anxiety, and the duration and intensity of training. Nonetheless, older volunteers valued finding a purpose, reported less pain and an increased desire to ‘get on with life'. Results suggest that volunteering in later life can help to offset losses associated with retirement and decline in health. Further research, incorporating standard measures of health status, is needed if the impact of volunteering on the health of this study population is to be more fully understood.
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Chatzopoulos, Georgios S. "Oral Health Conditions of Older People: Focus on the Balkan Countries." Balkan Journal of Dental Medicine 19, no. 2 (July 1, 2015): 59–64. http://dx.doi.org/10.1515/bjdm-2015-0036.
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SUMMARYOral health plays a pivotal role in general health, especially in older people. Oral diseases may affect the development of systemic conditions, such as diabetes mellitus, cardiovascular disease, stroke and hypertension. The most important oral health conditions that have been recorded in dental literature for older population include tooth loss, dental caries, periodontal diseases, xerostomia (dry mouth) and oral cancer. Edentulism influences social life, either causing aesthetic problems or affecting functional abilities, such as speaking, chewing and eating. Dental caries in older people is similar to that in people in their thirties. Socio-economic status and living area play a key role in the development of dental caries. In addition, the accumulation of several risk factors, such as plaque or systemic diseases, acts synergistically in the onset of periodontal disease in seniors. Furthermore, older people, mainly due to their medications, exhibit a reduced amount of saliva. Xerostomia causes difficulties in chewing, speaking and swallowing, and it has a substantial impact on older people’s lives. The prevalence of oral cancer is 1-10 per 100,000 patients, and several factors (smoking, alcohol, education, economic status) play crucial role. Limited data exists today that evaluates oral health conditions of seniors in the Balkan countries. Aging and socio-economic status of seniors in the Balkans are significantly associated with oral health problems.
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Gómez-Olivé, Xavier, Margaret Thorogood, Philippe Bocquier, Paul Mee, Kathleen Kahn, Lisa Berkman, and Stephen Tollman. "Social Conditions and Disability Related to the Mortality of Older People in Rural South Africa." World Health & Population 15, no. 4 (December 15, 2014): 34–43. http://dx.doi.org/10.12927/whp.2015.24266.
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Gómez-Olivé, F. Xavier, Margaret Thorogood, Philippe Bocquier, Paul Mee, Kathleen Kahn, Lisa Berkman, and Stephen Tollman. "Social conditions and disability related to the mortality of older people in rural South Africa." International Journal of Epidemiology 43, no. 5 (May 15, 2014): 1531–41. http://dx.doi.org/10.1093/ije/dyu093.
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Ylli, Alban. "Health and Social Conditions of Older People in Albania: Baseline Data from a National Survey." Public Health Reviews 32, no. 2 (December 2010): 549–60. http://dx.doi.org/10.1007/bf03391616.
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LeBlanc, Raeann G., Lisa Chiodo, and Cynthia Jacelon. "SOCIAL NETWORK STRENGTHS: AN EXPLORATORY ANALYSIS OF A MEASURE OF TIES AMONG OLDER PEOPLE." Innovation in Aging 3, Supplement_1 (November 2019): S180. http://dx.doi.org/10.1093/geroni/igz038.640.
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Abstract Purpose: To explore a self-report measure of social network features among a sample of older people living with multiple chronic conditions based on the conceptual model of Social Network Influences on Health. Design: A cross-sectional descriptive study design using a telephone survey methodology was used. Methods: An exploratory principle component analysis with a varimax rotation was performed on items that measured the identified components (reciprocity, size, proximity, density, general activation, activation when sick, duration, closeness, involvement in health, interaction frequency) of social networks. All items were standardized prior to analyses. Results: Self-report social network data were collected from eighty-four older people living in the community and managing multiple chronic conditions. The principal components model, operationalized as tie strength, contained six items based on factorability: reciprocity, social network size, proximity, density and perception of the activation in general and when sick of close social network members. Results yielded acceptable factorability (KMO = 0.781, Bartlett p 0.70). Two components that had eigenvalues greater than 1.0, explained 61.7% of the total variance. The first factor was interpreted as total social network resources, while the second factor was identified as social network availability. Conclusion: Exploratory principal component analysis supports a measure of social network features, tie strength, that can be tested in future studies. Assessing these variables is useful in identifying specific relationship features critical to managing chronic conditions in older age and advances current measurement of social networks important to living well in older age.
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Porter, Tom, Bie Nio Ong, and Tom Sanders. "Living with multimorbidity? The lived experience of multiple chronic conditions in later life." Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine 24, no. 6 (March 21, 2019): 701–18. http://dx.doi.org/10.1177/1363459319834997.
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Multimorbidity is defined biomedically as the co-existence of two or more long-term conditions in an individual. Globally, the number of people living with multiple conditions is increasing, posing stark challenges both to the clinical management of patients and the organisation of health systems. Qualitative literature has begun to address how concurrency affects the self-management of chronic conditions, and the concept of illness prioritisation predominates. In this article, we adopt a phenomenological lens to show how older people with multiple conditions experience illness. This UK study was qualitative and longitudinal in design. Sampling was purposive and drew upon an existing cohort study. In total, 15 older people living with multiple conditions took part in 27 in-depth interviews. The practical stages of analysis were guided by Constructivist Grounded Theory. We argue that the concept of multimorbidity as biomedically imagined has limited relevance to lived experience, while concurrency may also be erroneous. In response, we outline a lived experience of multiple chronic conditions in later life, which highlights differences between clinical and lay assumptions and makes the latter visible.
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VAN DER GREFT, SABINE, SAKO MUSTERD, and FRANS THISSEN. "Residential dynamics and neighbourhood conditions of older migrants and native Dutch older adults in Amsterdam, The Netherlands." Ageing and Society 36, no. 1 (October 22, 2014): 189–218. http://dx.doi.org/10.1017/s0144686x14001159.
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ABSTRACTThe share of older migrants in Dutch cities is increasing. However, only limited knowledge has been gained about the urban conditions that older migrants live in and how these compare to those of their native Dutch counterparts. This paper contributes to filling this knowledge gap using detailed information on residential patterns, housing conditions and levels of neighbourhood deprivation in the city of Amsterdam in the Netherlands, and links this information to data about housing and neighbourhood satisfaction and perceived safety. Empirical evidence demonstrates that there is strong path dependence with regard to the places in which one finds different groups of older non-Western migrants. Older non-Western migrants in Amsterdam are highly concentrated in disadvantaged neighbourhoods. The number of concentrations has increased significantly over the past decade, as well as the concentration levels. Nevertheless, we did not find indications of social isolation. With regard to housing conditions, we found better conditions for socio-economically similar groups of native Dutch and Surinamese 55+ residents, compared to Turkish and Moroccan 55+ residents. These conditions correspond with levels of housing satisfaction. Surinamese older people are more positive about their neighbourhoods. We hypothesise that this is related to the restructuring of neighbourhoods where Surinamese 55+ residents are concentrated. Although the immediate environment of older non-Western people is characterised by high levels of social deprivation, this does not translate into dissatisfaction with social relations or feelings of lack of safety. This suggests that their residential concentration in particular urban neighbourhoods may also bring significant opportunities.
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Ma, Ruimin, Eugenia Romano, Davy Vancampfort, Joseph Firth, Brendon Stubbs, and Ai Koyanagi. "Physical Multimorbidity and Social Participation in Adult Aged 65 Years and Older From Six Low- and Middle-Income Countries." Journals of Gerontology: Series B 76, no. 7 (March 30, 2021): 1452–62. http://dx.doi.org/10.1093/geronb/gbab056.
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Abstract Objectives Multimorbidity is common among older adults from low- and middle-income countries (LMICs). Social participation has a role in protecting against negative health consequences, yet its association with multimorbidity is unclear, particularly in LMICs. Thus, this study investigated the relationship between physical multimorbidity and social participation among older adults across 6 LMICs. Method Cross-sectional, community-based data including adults aged 65 years and older from 6 LMICs were analyzed from the WHO Study on Global AGEing and adult health survey. The association between 11 individual chronic conditions or the number of chronic conditions (independent variable) and social participation (range 0–10 with higher scores indicating greater social participation; dependent variable) was assessed by multivariable linear regression analysis. Results 14,585 individuals (mean age 72.6 [SD 11.5] years; 54.9% females) were included. Among individual conditions, hearing problems, visual impairment, and stroke were significantly associated with lower levels of social participation. Overall, an increasing number of chronic conditions was dose-dependently associated with lower levels of social participation (e.g., ≥4 vs 0 conditions: β = −0.26 [95% CI = −0.39, −0.13]). The association was more pronounced among males than females. Discussion Older people with multimorbidity had lower levels of social participation in LMICs. Future longitudinal studies are warranted to further investigate temporal associations, and whether addressing social participation can lead to better health outcomes among older people with multimorbidity in LMICs.
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Hunt, Katherine, Bronagh Walsh, David Voegeli, and Helen Roberts. "Reducing avoidable hospital admission in older people: Health status, frailty and predicting risk of ill-defined conditions diagnoses in older people admitted with collapse." Archives of Gerontology and Geriatrics 57, no. 2 (September 2013): 172–76. http://dx.doi.org/10.1016/j.archger.2013.03.004.
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Pinto, Juliana Martins. "Barriers to Social Participation in Caregivers of Older People: A Systematic Review." Research in Health Science 1, no. 2 (July 20, 2016): 78. http://dx.doi.org/10.22158/rhs.v1n2p78.
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<p><em>Some aspects of care contribute for decreased quality of life, health status and well-being among caregivers of older people. Care conditions may affect caregivers’ social participation increasing the odds of those negative outcomes. Then, to maintain a high level of social engagement configures a strategy to protect caregivers against burden and allow them to provide a better care. This study aimed at investigates what are the barriers to social participation in caregivers of older people. A systematic review of the literature was performed in PubMed, Web of Science, PsycINFO and Abstracts in Social Gerontology databases, using social participation, social involvement, social engagement, social activities, social relations, elderly, aged, aging, older people, seniors and caregivers as terms. Twenty-three articles fit the inclusion and exclusion criteria. The barriers to social participation were: characteristics and tasks related to care, caregiver’s mental health, low social support, sex, care receiver’s health, concurrent paid work, age, caregiver’s physical health, financial situation, education and quality of life. Those barriers need to be approached by professionals and politicians in order to prevent social isolation and promote better quality of life among caregivers.</em></p>
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BINDELS, JILL, VIVIANNE BAUR, KAREN COX, SERVÉ HEIJING, and TINEKE ABMA. "Older people as co-researchers: a collaborative journey." Ageing and Society 34, no. 6 (February 1, 2013): 951–73. http://dx.doi.org/10.1017/s0144686x12001298.
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ABSTRACTIn recent years there has been a distinguishable trend towards user involvement in ageing research. Researchers and policy makers both are increasingly convinced that user involvement is necessary to adapt research questions and methods to meet the needs of older people. Little is known, however, about the quality of collaborations between older people and researchers. This study systematically evaluates a collaboration undertaken between two academic researchers and three older people acting as co-researchers in an effort to identify the conditions required for equal collaboration. To evaluate the collaboration the co-researchers and academic researchers took part in individual in-depth interviews (after six months) and two reflection meetings (after six and 12 months). Throughout the collaboration, field notes were taken by both academic researchers and co-researchers. A detailed description of the collaboration is provided here, using the metaphor of a journey to illustrate the dynamics and the learning process of the participants. Interim reflection meetings – at which mutual expectations were expressed along with a frank discussion of prejudices, tasks and role divisions, and the sharing of personal and project-related needs and information – were found to be fruitful in achieving a positive working relationship and fostering an effective collaboration. We conclude that a learning perspective on participation can be a resource for learning and adaptive change.
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Shepelenko, I. P. "Mechanisms for overcoming the social exclusion of the elderly people." Ukrainian Society 77, no. 2 (July 15, 2021): 107–23. http://dx.doi.org/10.15407/socium2021.02.107.
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Based on a theoretical analysis of the older generation’s problems and a longitudinal sociological study conducted by the author, the article proposes effective mechanisms of social practice to overcome the social exclusion of the elderly. It is emphasized that scientific research of the social problems of the elderly in Ukraine is caused by the rapid growth of this part of the population over the past fifty years, the need to overcome their social exclusion in current historical conditions and the view of older people as independent subjects of social and historical action. Based on the modern areas of scientific reflection on the changing social roles of older people (the theory of active ageing, the theory of separation and the theory of successful ageing), an attempt is made to build a model of overcoming social exclusion of the elderly in the theory of successful ageing. The author describes the contradictory situation in the Ukrainian society under the influence of public opinion and mass media. On the one hand, there is the uncertainty of social and personal identification of older people, because of which a significant proportion of this social group considers itself quite active to perform various economic and social functions. On the other hand, members of the 60+ generation increasingly feel limited in rights, unclaimed and devalued, state the presence of low self-esteem due to latent or overt ageism on the part of society. The conducted sociological research revealed the vectors of effective inclusive social practice for the elderly people in the public organization “Gardeners’ Club” in Kharkiv, which unites people following their vital interests, values, and behaviour patterns. The study results confirmed the hypothesis of the possibility of building a model for overcoming the social exclusion of the elderly on the positions of the theory of success, included in society ageing.
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VAN DIJK, HANNA M., JANE M. CRAMM, JOB VAN EXEL, and ANNA P. NIEBOER. "The ideal neighbourhood for ageing in place as perceived by frail and non-frail community-dwelling older people." Ageing and Society 35, no. 8 (July 3, 2014): 1771–95. http://dx.doi.org/10.1017/s0144686x14000622.
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ABSTRACTDue to demographic changes and a widely supported policy of ageing in place, the number of community-dwelling older people will increase immensely. Thus, supportive neighbourhoods enabling older people to age in place successfully are required. Using Q-methodology, we examined older people's perceptions of the comparative importance of neighbourhood characteristics for ageing in place. Based on the World Health Organization's Global Age-friendly Cities guide, we developed 26 statements about physical and social neighbourhood characteristics. Thirty-two older people in Rotterdam, half of whom were frail, rank-ordered these statements. Q-factor analysis revealed three distinct viewpoints each among frail and non-frail older people. Comparisons within and between groups are discussed. Although both frail and non-frail older people strongly desired a neighbourhood enabling them to age in place, they have divergent views on such a neighbourhood. Older people's dependence on the neighbourhood seems to be dynamic, affected by changing social and physical conditions and levels of frailty.
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Lane, Anna P., Chek Hooi Wong, Špela Močnik, Siqi Song, and Belinda Yuen. "Association of Neighborhood Social Capital With Quality of Life Among Older People in Singapore." Journal of Aging and Health 32, no. 7-8 (June 19, 2019): 841–50. http://dx.doi.org/10.1177/0898264319857990.
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Objective: To examine how neighborhood-based cognitive and structural social capital are associated with individual quality of life among a sample of community-dwelling older adults in Singapore. Method: Using survey data from 981 older adults (aged 55 years and above) in nine residential neighborhoods, multilevel models simultaneously estimated the effects of independent variables at the individual and neighborhood levels on quality of life (CASP-12). Results: Social cohesion (β = 1.39, p < .01) and associational membership (β = 19.16, p < .01) were associated with higher quality of life in models adjusted for neighborhood facilities and individual sociodemographics, social networks, functional limitations, global cognitive status, and medical conditions. Discussion: The results suggest that place-based or neighborhood social capital may be important for older person’s well-being. It identifies the contribution of structural (associational membership) and cognitive (social cohesion) social capital to the well-being of community-dwelling older adults in Singapore.
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Simmons, Daniela. "Implementing Sociometry in a Long-Term Care Institutional Setting for the Elderly: Exploring Social Relationships and Choices." Journal of Psychodrama, Sociometry, and Group Psychotherapy 65, no. 1 (March 1, 2017): 85–98. http://dx.doi.org/10.12926/16-00004.1.
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In this article, I explore the convergence of sociometry and gerontology in order to demonstrate successful practices and to suggest alternative approaches in interacting with elderly people, which would result in stabilizing and improving their mental health and emotional status. As elderly people may experience various psychological conditions, applying sociometry requires innovative approaches and a certain flexibility in the application of some of the techniques. The article specifically deals with older adults residing in long-term care communities and my personal experience in creating and implementing therapeutic modalities for the older population. In this article, “older adults” are those older than 65 years. The “elderly” are those aged 85+ years. The approaches and techniques described in this article are adapted and effective for elderly people at any age.
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Szewczyk, Monika. "The Silver Economy in the context of Corporate Social Responsibility." Annales. Etyka w Życiu Gospodarczym 21, no. 5 (March 22, 2018): 33–32. http://dx.doi.org/10.18778/1899-2226.21.5.03.
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Corporate social responsibility is a concept responding to climate change, environmental problems and the needs of stakeholders. Business makes an effort to act in the changing conditions, thus adapting to the expectations of the stakeholders and following the principles of sustainable economic development and social responsibility. One of the changes taking place in the current economic and social world is the change in the demographic structure of the population. The subject of the ageing population is often discussed, usually as a negative aspect in the context of changes in the pension system, health care costs or the employment conditions of older people. The principles of corporate social responsibility, such as social inclusion, anti-discrimination, and facilitating access to products and services create the basis for the development of the economy, focused on the use of the purchasing potential of older people. Thus, the perception of the demographic changes in this context becomes the ground for the formation of perspective solutions and the development of the silver economy. This model of the economy can be understood as a system which is based on adapting the production and distribution of products and services to older people. The main aim of this article is to present the challenges for companies in terms of the problems connected with an ageing population, as well as to present the main features of the concept of the silver economy in the context of corporate social responsibility. Moreover, considering the development of the silver economy, characteristics of older people as consumers should be taken into account. In this context, there are many stereotypes associated with the activities of the elderly. The article also notes the profile of potential customers of the silver economy, with a particular emphasis on the approach of the elderly to innovation, tradition and a broadly understood sense of security.
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Myck, Michał, Mateusz Najsztub, and Monika Oczkowska. "Implications of Social and Material Deprivation for Changes in Health of Older People." Journal of Aging and Health 32, no. 5-6 (January 29, 2019): 371–83. http://dx.doi.org/10.1177/0898264319826417.
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Objective: We use the panel structure of the Survey of Health, Ageing and Retirement in Europe (SHARE) data for 14 countries to examine the implications of material and social deprivation for health deterioration in old age and mortality. Method: To minimize the potential endogeneity bias, we examine the relationship between deprivation and changes in health rather than levels of health. We include a substantial set of fixed “initial conditions,” and extend the controls with health measures, as observed at the initial period. Results: The results of the probit regression suggest a strong and statistically significant relationship between measures of material and social deprivation and changes in physical and mental health. Mortality is only affected by the social dimension of deprivation. Discussion: Treating material and social deprivation separately rather than as a single social exclusion indicator allows for more specific identification of the role of the two dimensions, which might be important for policy decisions.
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Robinson, Mark, Esmée Hanna, Gary Raine, and Steve Robertson. "Extending the Comfort Zone: Building Resilience in Older People With Long-Term Conditions." Journal of Applied Gerontology 38, no. 6 (August 4, 2017): 825–48. http://dx.doi.org/10.1177/0733464817724042.
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This article examines how a 6-week mental health resilience course for people with long-term conditions (LTCs; diabetes, heart disease, and arthritis) increased perceived resilience of older participants. This article examines how peer support assisted participants to develop resilience, considers gender issues, examines the importance of course activities, and explores how resilience enhances quality of life. A mixed methods approach was used. A before-and-after questionnaire was administered 3 times, including 3-month follow-up. Interviews were held with 24 program participants, aged 45 to 80 years. Diaries were kept by participants over 3 months. Survey findings showed significant gains in perceived resilience, at the end of the course, with no significant drop-off after 3 months. Interview and diary narratives highlighted positive experiences around well-being, condition management, and social engagement. Peer support was key to effective processes. Challenges concern ongoing support in communities, and considering age and gender variables when researching what improved resilience means to older people with LTCs.
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Patel, Avanish Bhai. "Challenges faced by older people in a district of Uttar Pradesh: a qualitative study." Journal of Adult Protection 23, no. 4 (July 9, 2021): 263–76. http://dx.doi.org/10.1108/jap-02-2021-0007.
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Purpose The steady rise in aged population has brought many challenges such as social, economic and health care that confront of the older people in their later life. The purpose of this study is to understand the nature of challenges among the older people and to assess the role of social security programmes for the welfare of the older people. The qualitative descriptive research has been applied in this paper. Design/methodology/approach The qualitative descriptive research has been applied in this paper. The study was conducted in a sample of 220 elderly living in Lucknow, Uttar Pradesh, using purposive sampling. The study was based on interviews. The order of questions and samples depended on the information flow during the interviews. The purposes of using the qualitative descriptive research in the present study are to satisfy the researcher’s curiosity and desire for better understanding to discuss the challenges faced by older people (these challenges are social vulnerability, poor economic conditions, poor health and no familiarity with government programmes), to understand the practicability of the study in extensive way and to explain why any phenomenon occurs or why older people face problems in later life. Findings The first finding demonstrates that the different challenges among older people such as social, economic and health challenges are affecting their way of life and sense of well-being and are fracturing their social bonds from the family and society. The second finding indicates that only 46.3% older people are benefitted from government pension programmes schemes. While the numbers of older people are unknown from other government welfare programmes such as health programmes, concession for older people and maintenance and welfare of parent and senior citizen act are not able to work properly due to lack of awareness and lack of proper communication between older people and government bodies. Originality/value This is an original work of the author. The research work is based on primary data that examine the nature of challenges such as health, economic and social challenges faced by older people in later life and impact of these problems on the well-being of older people.
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Shcheglova, Alexandra S. "Research on the features of innovative social services aimed at improving the quality of life of modern elderly people as the basis for sustainable social development of the country." E3S Web of Conferences 208 (2020): 04018. http://dx.doi.org/10.1051/e3sconf/202020804018.
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Population aging is an objective global process that is characterized by an increase in the absolute and relative number of older people and a decreasing birth rate. The relevance of this study is that at the beginning of 2019, 146.781 million people lived in Russia, including 68.097 million men and 78.684 million women. Children aged 0 to 9 years - more than 18 million, teenagers from 10 to 19 years - more than 14.7 million people, young people from 20 to 29 years - more than 17.3 million people, 40-year-olds (40-49 years) - almost 20.3 million people, Rosstat calculated. There are 19.8 million pre-retirees aged 50-59 in Russia. In Russia, 60-year - olds and older-22%[15]. The increase in the number of elderly citizens leads to the fact that the state should look for new approaches to social services for the elderly in order to create the most comfortable living conditions for them and extend their period of active and independent longevity. The problem of social services for the elderly in the Russian Federation is particularly relevant at the present time, since the liberal reforms in Russia in the 1990s, associated with fundamental changes in the sphere of distribution relations and the transition to the market, radically changed the social conditions of Russian citizens. The current socio-economic situation in the country does not give confidence to the older generation. The increase in the retirement age and the low level of material pension provision add to modern Russian pensioners and people approaching this age category, worries about their social well-being[1].
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Wojtczak, Sylwia. "Polityka społeczna wobec ludzi starych w Polsce — uwarunkowania, rozwój i kierunki zmian." Ekonomia 25, no. 4 (January 2, 2020): 73–84. http://dx.doi.org/10.19195/2658-1310.25.4.5.
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Social policy toward old people in Poland — conditions, development and directions of changesSocial policy shapes people’s living conditions. In the era of dynamic demographic changes, especially the aging of the population observed in Poland and across the world, the activity of the state focused on improving the quality of life of the elderly is particularly important. Population aging is a demographic process of increasing the proportion of older people while reducing the proportion of children in the society of a given country. Elderly people will continue to be a part of society, mainly due to the progress of civilization, advances in modern medicine and the popularization of so-called healthy living.Social policy toward the elderly should not be limited to managing the social security system and social welfare. Eff ective use of human and social capital of the elderly will be a growing challenge for this policy, and for senior citizens — spending satisfactorily the last years of one’s life. However, for some senior citizens, old age means or will mean poverty and living on the margins of civil society. The Ministry of Family, Labor and Social Polic y is responsible for the social policy of people in Poland, off ering for example in the years 2014–2020 to senior citizens such programs as “Senior +”, the Government Program for Social Activity of the Elderly ASOS or “Care 75+.” Each of the above programs have appropriate criteria that must be met to be able to use them. Are older people eager to use them, or are the eff ects of these programs already visible? This study will attempt to answer the above questions. The main purpose of the article is to diagnose and analyze selected government programs targeted at older people. In addition, perspectives for changes in social policy toward older people in Poland will be determined.
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ten Bruggencate, Tina, Katrien G. Luijkx, and Janienke Sturm. "To Meet, to Matter, and to Have Fun: The Development, Implementation, and Evaluation of an Intervention to Fulfil the Social Needs of Older People." International Journal of Environmental Research and Public Health 16, no. 13 (June 28, 2019): 2307. http://dx.doi.org/10.3390/ijerph16132307.
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Interventions for older people are often not evaluated and, if evaluated, are not proven successful. Based on a systematic literature review and two qualitative studies about the social needs of older people, an intervention has been developed, implemented, and evaluated. Important social needs that emerged from these studies are connectedness, meaningfulness, and independence. Samsam, the developed intervention, aims to fulfil these needs. Samsam is a place where older (native Dutch speaking) people teach the Dutch language to expats, refugees, and immigrants. Two group interviews and one interview with a total of seven older participants were held to find out what the experiences are with this intervention to fulfil the social needs of older people. After analysis, three themes emerged: (1) The general experience of Samsam, (2) connectedness, and (3) meaningfulness and status. Results indicate that the volunteers are content with the conditions of the intervention, although it is sometimes hard work. The older participants indicated that helping other people and contributing to society is important for them. The intervention also has a strong social and fun element which contributes to their feeling of connectedness. The intervention fulfils various social needs, such as connectedness, meaningfulness, and status. When participating in Samsam, participants feel connected to each other, to the students, and to society. The older participants want to have meaningful lives and use their skills and talents. Samsam offers possibilities for them to do so. We further found that participants have some common characteristics such as an openness to others and to other cultures. An openness towards others and to society helps older people to connect. Most interventions focus on stimulating contact between older people, primarily on their need for affection. We conclude that meaningfulness and status are important social needs. Successful interventions for older people should focus more on fulfilling these needs—for example, by engaging in purposeful activities. It becomes easier to connect when a person feels useful.
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Zhang, Wenjuan, Marcus W. Feldman, and Peng Du. "Process of Decline in Activities of Daily Living of Older Chinese People Prior to Death: Evidence From Three Cohorts." Research on Aging 41, no. 8 (April 3, 2019): 727–50. http://dx.doi.org/10.1177/0164027519841016.
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Objective: The study analyzes the decline in activities of daily living (ADL) prior to death among three cohorts of older Chinese. Method: With data from the Chinese Longitudinal Healthy Longevity Survey, the process of decline in ADL in older people born during the periods 1899–1908, 1909–1918, and 1919–1928 is analyzed using the hierarchical linear model with mixed effects. Results: The remaining survival time has a stronger effect on changes in ADL than chronological age, and there is significant heterogeneity among the older adults in ADL. Conclusion: Decline in ADL is delayed by extending life span. Older people with healthy behaviors, good living conditions in childhood, and age-friendly living environment have long-lasting good ADL during their remaining life span; socioeconomic resources help the older adults with ADL disabilities to survive. Selective effects of mortality and protective effects of socioeconomic resources explain the heterogeneity in ADL and its changes over time.
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Tauenov, K. Е. "SOCIAL SERVICES AS A FACTOR OF SUCCESSFUL ADAPTATION OF ELDERLY PEOPLE IN NURSING HOMES." BULLETIN Series of Sociological and Political sciences 74, no. 2 (June 30, 2021): 142–48. http://dx.doi.org/10.51889/2021-2.1728-8940.21.
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The article is devoted to studying the issue of social services in nursing homes as a factor of successful adaptation of elderly people in new conditions. The main legal acts in the field of protection of the rights of the elderly and disabled people are considered today. The subject of the research is the living conditions of elderly people living in nursing homes, and the impact of social services provided to them on their socio-economic and psychological adaptation. In order to improve the quality of social services in the future, to facilitate the social adaptation of the elderly, to develop proposals to Supplement the legislation on social protection of the elderly in General. Thereby increasing the ability of older people to adapt to social homes.
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Carroll, Bridin, and Kieran Walsh. "Material Disadvantage and Positive Subjective Health of Older Homeless and Older Irish Travelers." Innovation in Aging 4, Supplement_1 (December 1, 2020): 713. http://dx.doi.org/10.1093/geroni/igaa057.2510.
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Abstract Focusing on older Irish Travellers and older homeless people (OTOH) as two marginalised sub-sections of the older population, this paper investigates life-course and structural forms of material disadvantage, and its implications for positive health and accessing community care in older age. With growing interest in strengthening home care structures for older people, it is critical to interrogate the relevance of these structures for those who experience environmental uncertainty in later life, and possess significant trajectories of disadvantage. The analysis draws on 50 life-course interviews with OTOH aged between 50-72 years. The findings illustrate significant life-course experiences of material and multi-faceted forms of disadvantage, including stigma and discrimination, with implications across health and social lives. Housing deprivation was a multi-factorial player, causing certain physical illnesses, hindering some health treatments, and contributing to precarious conditions and sense of self worth. Findings are discussed in relation to flexible models of home care delivery.
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Sorkin, Dara H., Karen S. Rook, Jutta Heckhausen, and John Billimek. "Predicting Changes in Older Adults' Interpersonal Control Strivings." International Journal of Aging and Human Development 69, no. 3 (October 2009): 159–80. http://dx.doi.org/10.2190/ag.69.3.a.
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People vary in the importance they ascribe to, and efforts they invest in, maintaining positive relationships with others. Research has linked such variation in interpersonal control strivings to the quality of social exchanges experienced, but little work has examined the predictors of interpersonal control strivings. Given the importance of close relationships in later life, this study examined conditions that might precipitate increases or declines in interpersonal control strivings over a 2-year period. Specifically, change in interpersonal control strivings was hypothesized to be particularly influenced by the interplay of two co-occurring conditions: 1) experiences in the social environment that bolster or undermine older adults' motivation to foster satisfying social ties and 2) the availability of personal resources to respond to these experiences. The findings suggest that a change in older adults' interpersonal control strivings over a 2-year period was affected jointly by the frequency with which they experienced positive social exchanges and their health status. Features of the social environment, therefore, may interact with personal resources to influence interpersonal control strivings in later life.
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Warszewska-Makuch, Magdalena. "Willingness to work beyond retirement age: conditions." Occupational Safety – Science and Practice 556, no. 1 (January 22, 2018): 22–25. http://dx.doi.org/10.5604/01.3001.0010.8009.
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Age-related demographic changes in the EU, including Poland, require making best use of the potential of older people in the labor market and extending their occupational activity. This article presents selected factors which determine willingness to work beyond retirement age. It discusses demographic, social and psychological determinants at the level of the individual, i.e., values and attitudes towards work. By presenting organizational determinants of willingness to work beyond retirement age, the article focuses on the psychosocial qualities of the working environment, i.e., job development opportunities, job demands, job decision latitude, social support and job insecurity.
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Harutyunyan, Zaruhi, Annika Öhman, and Mandana Fallahpour. "Lived Experience Of Participation In Daily Occupations Among Older People Living In Social House In Armenia." Armenian Journal of Special Education 1, no. 1 (February 22, 2020): 127–49. http://dx.doi.org/10.24234/se.2020.1.1.162.
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The aim of this qualitative study is to explore the lived experience of participation in daily occupations of older people living on Social House in Armenia
A total of eight participants (1 male, 7 female) who lived in social house in Yerevan, Armenia were in-depth interviewed in this study. The Empirical Phenomenological Perspective method (Karlsson,1993) was applied for analysing the interviews to explore the meaning structure of participation in daily occupations in social house as expressed by participants' lived experiences.
Findings has identified three main characteristics of participation in daily occupations of eight older people living in Social House: Change in place – change in life; being dependent as doer – not free in making choices; Lack of environmental possibilities in daily living.
The findings of the study highlighted older people's personal perceptions of current living place and importance of supportive environmental conditions which facilitate or challenge their participation in daily occupations. Subjective perception of the current place of living and experienced changes in daily occupation were identified among older people living in social house, which limited their possibilities to choose and maintain autonomy in daily occupations and in their social participation.
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Seamer, Paul, Simon Brake, Patrick Moore, Mohammed A. Mohammed, and Steven Wyatt. "Did government spending cuts to social care for older people lead to an increase in emergency hospital admissions? An ecological study, England 2005–2016." BMJ Open 9, no. 4 (April 2019): e024577. http://dx.doi.org/10.1136/bmjopen-2018-024577.
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ObjectivesGovernment spending on social care in England reduced substantially in real terms following the economic crisis in 2008, meanwhile emergency admissions to hospitals have increased. We aimed to assess the extent to which reductions in social care spend on older people have led to increases in emergency hospital admissions.DesignWe used negative binomial regression for panel data to assess the relationship between emergency hospital admissions and government spend on social care for older people. We adjusted for population size and for levels of deprivation and health.SettingHospitals and adult social care services in England between April 2005 and March 2016.ParticipantsPeople aged 65 years and over resident in 132 local councils.Outcome measuresPrimary outcome variable—emergency hospital admissions of adults aged 65 years and over. Secondary outcome measure—emergency hospital admissions for ambulatory care sensitive conditions (ACSCs) of adults aged 65 years and over.ResultsWe found no significant relationship between the changes in the rate of government spend (£’000 s) on social care for older people within councils and our primary outcome variable, emergency hospital admissions (Incidence rate ratio (IRR) 1.009, 95% CI 0.965 to 1.056) or our secondary outcome measure, admissions for ACSCs (IRR 0.975, 95% CI 0.917 to 1.038).ConclusionsWe found no evidence to support the view that reductions in government spend on social care since 2008 have led to increases in emergency hospital admissions in older people. Policy makers may wish to review schemes, such as the Better Care Fund, which are predicated on a relationship between social care provision and emergency hospital admissions of older people.
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Łuszczyńska, Maria. "The rights of elderly people and the social exclusion." Praca Socjalna 34, no. 5 (October 31, 2020): 127–53. http://dx.doi.org/10.5604/01.3001.0013.7261.
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The issue of the elderly people’s rights has been discussed more and more often in the broader context of human rights. There is much evidence from social life that these rights are not being respected to the extent they should be. Securing and respecting the rights of older the elderly is becoming a challenge for state authorities that uphold human rights and create the directions of social policy for the rights protection. It is especially important as the elderly people due to their age, health status, weakened social position, rarely become advocates of their own interests. They are victims of an unobvious and often invisible process of marginalization and self-exclusion from an active social life. The aim of this article is to sketch the phenomenon of the marginalization of the elderly in the context of mechanisms related to their functioning on the one hand, and age, and on the other to social attitudes towards seniors. There are presented the elderly people’s rights and basic conditions for the rights to be respected..
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Delmastro, Franca, Cristina Dolciotti, Davide La Rosa, Flavio Di Martino, Massimo Magrini, Simone Coscetti, and Filippo Palumbo. "Experimenting Mobile and e-Health Services with Frail MCI Older People." Information 10, no. 8 (August 5, 2019): 253. http://dx.doi.org/10.3390/info10080253.
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The ageing population has become an increasing phenomenon world-wide, leading to a growing need for specialised help. Improving the quality of life of older people can lower the risk of depression and social isolation, but it requires a multi-dimensional approach through continuous monitoring and training of the main health domains (e.g., cognitive, motor, nutritional and behavioural). To this end, the use of mobile and e-health services tailored to the user’s needs can help stabilise their health conditions, in terms of physical, mental, and social capabilities. In this context, the INTESA project proposes a set of personalised monitoring and rehabilitation services for older people, based on mobile and wearable technologies ready to be used either at home or in residential long-term care facilities. We evaluated the proposed solution by deploying a suite of services in a nursing home and defining customised protocols to involve both guests (primary users) and nursing care personnel (secondary users). In this paper, we present the extended results obtained after the one-year period of experimentation in terms of technical reliability of the system, Quality of Experience, and user acceptance for both the user categories.
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Treston, Carole. "Older Adults Aging With HIV: A Growing Population Experiencing Comorbidities and Social Isolation." Innovation in Aging 4, Supplement_1 (December 1, 2020): 221–22. http://dx.doi.org/10.1093/geroni/igaa057.715.
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Abstract Significantly more than half of people living with HIV in the United States are over age 50 and at least half of that number are over 70 years old. Advances in antiretroviral treatments continue to extend the lifespan of people with HIV. However, people aging with HIV, particularly those diagnosed earlier in the epidemic, known as “long term survivors” are likely to face a myriad of challenges: clinical, psychosocial, financial, and logistical. Aging with HIV is a complex mix of long-term treatment effects, early onset of general aging, comorbidities and other confounding factors including mental health and psycho-social factors that affect quality of life. Older persons living with HIV have experienced tremendous loss, stigma and discrimination, including within the healthcare system. Now, renewed losses amplified by the emergence of multiple comorbidities including cardiovascular and metabolic disease, HIV associated neurocognitive disease, other neurological disability, diminished bone health and frailty and other conditions can impair quality of life significantly. A review of the common comorbidities experienced by people aging with HIV and the intersection with social isolation, stigma and loss will be presented. Strength based, holistic care that focuses on resilience, and includes advocacy, social networks and care coordination delivered by nurses and nurse practitioners as part of a collaborative inter-professional education program at the Association of Nurses in AIDS Care to address the unique challenges experienced by PLWH will be described.
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Venediktovna Smirnova, Zhanna, Olga Igorevna Vaganova, Svetlana Mikhailovna Maltseva, Olga Vladislavovna Golubeva, Olga Vladimirovna Katkova, and Anna Valerievna Chanchina. "Social Project Planning in the Continuing Education System of the University." Journal of Social Sciences Research, no. 54 (April 6, 2019): 869–75. http://dx.doi.org/10.32861/jssr.54.869.875.
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The implementation of social projects is an increasingly popular and effective practice. The subjects of all age groups can be their target audience: from preschoolers who want to promote their creative potential, young people focused on professional self-determination to middle age persons taking interest in the expansion of their information horizons and opportunities of older people who want to address gaps in knowledge in order to adapt to social and technical changes. The paper deals with the problem of andragogic education as a factor of adaptation and socialization of older people who feel fear and uncertainty in the world that is shifting to the common usage of information technology. The purpose of the paper is analysis and description of the process of educational support with the use of social project planning of a vulnerable group of older people. The novelty is practical results obtained on the base of a pedagogical university when implementing socially oriented projects on the generation of computer literacy in older people. The “Available environment: computer literacy improvement” course allows this social group not only to adapt to ever-changing conditions of life but also contributes to their spiritual and physical longevity, social activity and improvement of the quality of life in general. The results and effectiveness of the social project are evaluated using questioning, interview, and observation before and after delivered lessons. The assessment criteria were formed and subjected to adjustment in the course of project implementation and are based on quantity and quality factors. The main criterion was the students’ formed steady motivation to further independent use of the computer, development of computer skills and practical use. Further demand of the course and findings allowed stating the achievement of set goals.
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Venediktovna Smirnova, Zhanna, Olga Igorevna Vaganova, Svetlana Mikhailovna Maltseva, Olga Vladislavovna Golubeva, Olga Vladimirovna Katkova, and Anna Valerievna Chanchina. "Social Project Planning in the Continuing Education System of the University." Journal of Social Sciences Research, Special Issue 5 (December 15, 2018): 587–93. http://dx.doi.org/10.32861/jssr.spi5.587.593.
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The implementation of social projects is an increasingly popular and effective practice. The subjects of all age groups can be their target audience: from preschoolers who want to promote their creative potential, young people focused on professional self-determination to middle age persons taking interest in the expansion of their information horizons and opportunities of older people who want to address gaps in knowledge in order to adapt to social and technical changes. The paper deals with the problem of andragogic education as a factor of adaptation and socialization of older people who feel fear and uncertainty in the world that is shifting to the common usage of information technology. The purpose of the paper is analysis and description of the process of educational support with the use of social project planning of a vulnerable group of older people. The novelty is practical results obtained on the base of a pedagogical university when implementing socially oriented projects on the generation of computer literacy in older people. The “Available environment: computer literacy improvement” course allows this social group not only to adapt to ever-changing conditions of life but also contributes to their spiritual and physical longevity, social activity and improvement of the quality of life in general. The results and effectiveness of the social project are evaluated using questioning, interview, and observation before and after delivered lessons. The assessment criteria were formed and subjected to adjustment in the course of project implementation and are based on quantity and quality factors. The main criterion was the students’ formed steady motivation to further independent use of the computer, development of computer skills and practical use. Further demand of the course and findings allowed stating the achievement of set goals.
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Leroux, Janette, Kathryn Morrison, and Mark Rosenberg. "Prevalence and Predictors of Food Insecurity among Older People in Canada." International Journal of Environmental Research and Public Health 15, no. 11 (November 9, 2018): 2511. http://dx.doi.org/10.3390/ijerph15112511.
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Background: Food insecurity research has been mainly examined among young people. The root causes of food insecurity are closely linked to poverty, and social policies and income supplements, including public and private pensions, have been shown to sharply curb food insecurity into later life. However, social, economic, and political trends that are closely connected to social and health inequalities threaten to undermine the conditions that have limited food insecurity among older people until now. Exploring the prevalence and predictors of food insecurity among older people across Canada has important implications for domestic policies concerning health, healthcare, and social welfare. Methods: Data come from the Canadian Community Health Survey 2012 Annual Component (n = 14,890). Descriptive statistics and a generalized linear model approach were used to determine prevalence and estimate the associations between food insecurity—as measured by the Household Food Security Survey Module—and social, demographic, geographic, and economic factors. Results: Approximately 2.4% of older Canadians are estimated to be moderately or severely food insecure. Income was by far the strongest predictor of food insecurity (total household income <$20,000 compared to >$60,000, OR: 46.146, 95% CI: 12.523–170.041, p < 0.001). Younger older people, and those with a non-white racial background also had significantly greater odds of food insecurity (ages 75+ compared to 65–74, OR: 0.322, 95% CI: 0.212–0.419, p < 0.001; and OR: 2.429, 95% CI: 1.438–4.102, p < 0.001, respectively). Sex, home ownership, marital status, and living arrangement were all found to confound the relationship between household income and food insecurity. Prevalence of food insecurity varied between provinces and territories, and odds of food insecurity were approximately five times greater for older people living in northern Canada as compared to central Canada (OR: 5.189, 95% CI: 2.329–11.562, p < 0.001). Conclusion: Disaggregating overall prevalence of food insecurity among older people demonstrates how disparities exist among sub-groups of older people. The seemingly negligible existence of food insecurity among older people has obscured the importance, practicality, and timeliness of including this age group in research on food insecurity. The current research underscores the critical importance of an income floor in preventing food insecurity among older people, and contributes a Canadian profile of the prevalence and predictors of food insecurity among older people to the broader international literature.
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Todd, Oliver M., Jennifer K. Burton, Richard M. Dodds, Joe Hollinghurst, Ronan A. Lyons, Terence J. Quinn, Anna Schneider, et al. "New Horizons in the use of routine data for ageing research." Age and Ageing 49, no. 5 (February 10, 2020): 716–22. http://dx.doi.org/10.1093/ageing/afaa018.
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Abstract The past three decades have seen a steady increase in the availability of routinely collected health and social care data and the processing power to analyse it. These developments represent a major opportunity for ageing research, especially with the integration of different datasets across traditional boundaries of health and social care, for prognostic research and novel evaluations of interventions with representative populations of older people. However, there are considerable challenges in using routine data at the level of coding, data analysis and in the application of findings to everyday care. New Horizons in applying routine data to investigate novel questions in ageing research require a collaborative approach between clinicians, data scientists, biostatisticians, epidemiologists and trial methodologists. This requires building capacity for the next generation of research leaders in this important area. There is a need to develop consensus code lists and standardised, validated algorithms for common conditions and outcomes that are relevant for older people to maximise the potential of routine data research in this group. Lastly, we must help drive the application of routine data to improve the care of older people, through the development of novel methods for evaluation of interventions using routine data infrastructure. We believe that harnessing routine data can help address knowledge gaps for older people living with multiple conditions and frailty, and design interventions and pathways of care to address the complex health issues we face in caring for older people.
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MANSVELT, JULIANA, MARY BREHENY, and CHRISTINE STEPHENS. "Pursuing security: economic resources and the ontological security of older New Zealanders." Ageing and Society 34, no. 10 (July 3, 2013): 1666–87. http://dx.doi.org/10.1017/s0144686x13000342.
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ABSTRACTAccess to economic resources influences the material conditions of life for older people, as well as the freedoms and capacities of older people to achieve the kind of lives they value. Security is one aspect of later life valued by older people. Ontological security provides a sense of order and continuity and needs to be understood in terms of the situated life experiences and circumstances of older people. The study reported in this paper analysed 145 qualitative interviews with New Zealanders aged 63–93 in order to explore how participants understand ontological security. Varying levels of access to economic resources were associated with differing abilities of participants to manage the unpredictability of everyday life. Among the wealthy, security was strongly connected to the freedoms provided by ample financial resources. Contrary to what might be expected, those with the lowest levels of economic resources did not express higher levels of insecurity, but instead drew upon life experiences of managing and making do to construct a trajectory of security. Those with mid-range levels of economic resources expressed most insecurity, including anxiety over changing economic conditions and concerns over their ability to manage reductions in economic resources. In discussing the implications of this, the paper highlights the need to recognise ways in which access to economic resources intersect with life circumstances, past experiences and future social expectations to provide opportunities for all older people to pursue security as they strive to age well.
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TAYLOR, PHILIP. "Age, labour market conditions and male suicide rates in selected countries." Ageing and Society 23, no. 1 (January 2003): 25–40. http://dx.doi.org/10.1017/s0144686x02001022.
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This study examined the relationship between suicide rates among men since 1975 and rates of unemployment and labour force participation in 20 countries. Previous research has found statistically significant correlations between suicide and unemployment rates over time among young people in a number of countries. This study has extended this research to include different age groups of men. The findings for younger workers largely confirm the findings of previous studies. Among older workers, however, unemployment and suicide rates are largely unrelated, notable exceptions including Japan and the USA. The implications of this finding for policy making towards older workers are discussed.
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Capalb, Darren J., Paul O'Halloran, and Pranee Liamputtong. "Why older people engage in physical activity: an exploratory study of participants in a community-based walking program." Australian Journal of Primary Health 20, no. 1 (2014): 74. http://dx.doi.org/10.1071/py12090.
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While older people experience substantial physical and mental health benefits from regular physical activity, participation rates among older people are low. There is a need to gather more information about why older people do and do not engage in physical activity. This paper aims to examine the reasons why older men and women chose to engage in a community-based physical activity program. Specific issues that were examined included reasons why older people who had been involved in a community-based program on a regular basis: commenced the program; continued with the program; and recommenced the program after they had dropped out. Ten participants (eight females and two males) aged between 62 and 75 years, who had been participating in a community-based physical activity program for a minimum of 6 months, were individually interviewed. Thematic analysis was used to analyse the data. Three major themes emerged, including ‘time to bond: social interaction’ with sub-themes ‘bona fide friendships’ and ‘freedom from being isolated’; ‘I want to be healthy: chronic disease management’; and ‘new lease on life’. Two of the primary reasons why older people both commenced and recommenced the program were the promise of social interaction and to be able to better manage their chronic conditions.