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"I'm Too Old for That": The Role of Ageism and Sexual Dysfunctional Beliefs in Sexual Health in a Sample of Heterosexual and LGB Older Adults: A Pilot Study. Healthcare (Basel) 2023; 11:healthcare11040459. [PMID: 36832993 PMCID: PMC9957165 DOI: 10.3390/healthcare11040459] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2022] [Revised: 01/31/2023] [Accepted: 02/02/2023] [Indexed: 02/09/2023] Open
Abstract
The role of ageism (i.e., discrimination against individuals or groups on the basis of their age), in particular toward the sexuality of the elderly, remains, to date, an overlooked issue. A few studies have suggested that ageistic stereotypes can negatively affect older adults' sexual health. No data are available, in particular, about differences among heterosexual and LGB (lesbian, gay, and bisexual) populations. The present study aimed to investigate differences in perceived ageism and related dysfunctional beliefs in a sample of heterosexual (n = 104) and LGB (n = 103) older adults (aged 55 or older; mean age 66.5) and their impact on sexual health and satisfaction. LGB individuals reported higher rates of masturbation and sexual intercourse and an increased quality of sexual activity as compared to heterosexuals. In addition, no differences between the groups emerged as regards perceived ageism and dysfunctional beliefs toward ageing. In conclusion, LGB individuals perceived more ageism toward sexuality than their counterparts; however, heterosexuals were more likely to have dysfunctional beliefs toward sexuality in ageing. The study findings highlight the significance of examining sexual orientation to understand experiences of sexuality in ageing of the growing older population. Renewed socio-educational efforts based on these data are clearly needed.
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152
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[Age images of older patients with psychiatric diseases -The importance of attachment and mentalization]. ZEITSCHRIFT FUR PSYCHOSOMATISCHE MEDIZIN UND PSYCHOTHERAPIE 2023; 69:6-20. [PMID: 36927320 DOI: 10.13109/zptm.2023.69.1.6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/17/2023]
Abstract
Objectives: The emergence and effects of self-perception of ageing (SPA) are central gerontological research topics. SPA has an influence on numerous psychological, cognitive and physical parameters.The question of its significance for mental illness in old age, which was investigated in the present study, has so far remained in the background. Of particular interest was the connection to attachment and mentalization. Method: A clinical sample (N = 150) was compared with a non-clinical sample (N = 153). Both were divided into three age groups (40-54, 55-69 and over 70 years).The survey instruments used were the Attitude to Own Ageing subscale of the Philadelphia Geriatric Center Moral Scale (PGCMS) and a mentalizing and an attachment questionnaire (MZQ and ECR). Results:The clinical sample showed significantly lower scores in all age groups (more negative SWA), but only the non-clinical sample showed a decrease in age across the three age groups, thus the SPA became more negative. In the regression analytic evaluation, a more negative SPA was associated with an avoidant attachment orientation as well as reduced mentalizing skills. Conclusions: The results highlight the importance of SWA as a clinically and therapeutically significant variable. Finally, therapeutic implications are discussed.
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153
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Shimizu Y, Suzuki M, Hata Y, Sakaki T. Negative attitudes of healthy older adults toward unhealthy older adults: Focus on the subjective health. Arch Gerontol Geriatr 2023; 105:104850. [PMID: 36343442 DOI: 10.1016/j.archger.2022.104850] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2022] [Revised: 10/27/2022] [Accepted: 10/29/2022] [Indexed: 11/06/2022]
Abstract
Negative attitudes toward older adults, especially those with declining physical function and/or advanced dementia (i.e., unhealthy older adults), are serious. It is important to identify psychological factors associated with such negative attitudes toward unhealthy older adults. In this study, we focused on subjective health (subjective perception of one's own health status). We tested the hypothesis that healthy older adults with lower subjective health have more negative attitudes toward unhealthy older adults. We also examined whether this association is still pronounced after controlling for the participants' physical health status and demographics. In this study, an online survey was conducted among Japanese older adults who were not certified as needing long-term care (N = 1,082, aged 65-88). To control for the participants' physical health status, we focus on frailty. We conducted a factor analysis and multiple regression analysis on negative attitudes toward unhealthy older adults. As a result, healthy older participants with lower subjective health perceived unhealthy older adults negatively, and this association was still pronounced even after controlling for the participants' frailty score and demographics. Based on our findings, it is suggested that increasing the subjective health of older adults may help them view each other more positively. Therefore, it is important to devise gerontological and psychological interventions to improve older adults' subjective health. This study has limitations, such as the fact that we conducted only an online survey. Previous studies on how older adults perceive the social group of older adults are scarce, and further studies are expected.
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Affiliation(s)
- Yuho Shimizu
- Graduate School of Humanities and Sociology, The University of Tokyo, Hongo, Bunkyo-ku, Tokyo 113-0033, Japan; Japan Society for the Promotion of Science, Japan.
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Wadsworth DP, Tulloch K, Wright H, Linton C, Baker J, Fien S, Szabo H, Askew CD, Schaumberg MA. Learning from the lived experience of functionally healthy older adults: What does it mean to be “healthy”? Collegian 2023. [DOI: 10.1016/j.colegn.2022.11.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/06/2023]
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155
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Chang ES, Monin JK, Isenberg N, Zelterman D, Levy BR. Implicit and Explicit Dehumanization of Older Family Members: Novel Determinants of Elder Abuse Proclivity. STIGMA AND HEALTH 2023; 8:40-48. [PMID: 37092028 PMCID: PMC10120856 DOI: 10.1037/sah0000370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Elder abuse affects one in six older persons globally. Three limitations impede progress in prevention: most research is victim- rather than perpetrator-based; the reliance on explicit, self-reported factors; and failure to account for psychological factors, such as dehumanization, that motivate abuse. The current study addressed these gaps by examining whether implicit and explicit dehumanization of t could explain elder abuse proclivity. In a web-based survey of 585 family caregivers of older persons, dehumanization was found to be prevalent with 51% of the caregivers implicitly and 31% explicitly dehumanizing older persons. As predicted, implicit and explicit dehumanization contributed to elder abuse proclivity (OR = 1.23, 95% CI = 1.02-1.50, p = .03) and (OR = 1.26, 95% CI = 1.05-1.51, p = .01), respectively, after adjusting for relevant covariates including caregiver burden, and caregivers' and care-recipients' health. Developing caregiver-based interventions to humanize older persons may complement ongoing efforts in reducing elder abuse.
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Affiliation(s)
- E-Shien Chang
- Division of Geriatrics and Palliative Medicine, Weill Cornell Medicine, New York, New York, United States of America
| | - Joan K. Monin
- Social and Behavioral Sciences Department, Yale School of Public Health, New Haven, Connecticut, United States of America
| | - Naomi Isenberg
- Department of Psychology, University of Wisconsin- Madison, Wisconsin, United States of America
| | - Daniel Zelterman
- Department of Biostatistics, Yale School of Public Health, New Haven, Connecticut, United States of America
| | - Becca R. Levy
- Social and Behavioral Sciences Department, Yale School of Public Health, New Haven, Connecticut, United States of America
- Department of Psychology, Yale University, New Haven, Connecticut, United States of America
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156
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Agronin ME, Jewish M. Presidential Address: 2022 AAGP Annual Meeting the End of Old Age: Rethinking How We Define and Approach Aging. Am J Geriatr Psychiatry 2023; 31:81-86. [PMID: 36549996 DOI: 10.1016/j.jagp.2022.11.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Accepted: 11/17/2022] [Indexed: 11/21/2022]
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157
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Bodner E, Shrira A, Palgi Y. Attitudes to aging mediate the reciprocal effects of health anxiety and physical functioning. Psychol Health 2023; 38:190-208. [PMID: 34293984 DOI: 10.1080/08870446.2021.1956496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVE To understand if attitudes to aging mediate the reciprocal effects of health anxiety and physical functioning among older adults with medical conditions. We examined: (1) if these effects are reciprocal; (2) if attitudes to aging (psychological loss, psychological growth, physical change) play a mediating role in these effects. DESIGN A sample of 226 community-dwelling older adults (T1 age range = 65-94, mean age = 73.59, SD = 6.29) reporting at least one chronic medical condition completed two phone interviews across six months. MAIN OUTCOME MEASURES Background measures, health anxiety, physical functioning, and attitudes to aging at T1 and T2. RESULTS T2 attitudes to aging served as a mediator controlling for T1 attitudes. There was a direct effect of worse physical functioning at T1 on increased health anxieties at T2. Negative (but not positive) attitudes to aging mediated that effect. The reversed temporal sequencing (T1 health anxiety leading to T2 physical functioning) was significant only when mediated by negative attitudes to aging. CONCLUSIONS Findings suggest that viewing aging as mostly a time of losses (but not as a time of gains) serves as an important mechanism through which health anxieties and physical functioning affect each other among older adults having chronic medical conditions.
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Affiliation(s)
- Ehud Bodner
- Interdisciplinary Department of Social Sciences and the Department of Music, Bar-Ilan University, Ramat-Gan, Israel
| | - Amit Shrira
- Interdisciplinary Department of Social Sciences, Bar-Ilan University, Ramat-Gan, Israel
| | - Yuval Palgi
- Department of Gerontology and the Center for Research and Study of Aging, University of Haifa, Haifa, Israel
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158
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Huang T, Rothermund K. Endorsement and embodiment of cautiousness-related age stereotypes. Front Psychol 2023; 14:1091763. [PMID: 36777216 PMCID: PMC9909412 DOI: 10.3389/fpsyg.2023.1091763] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2022] [Accepted: 01/04/2023] [Indexed: 01/27/2023] Open
Abstract
Endorsement of implicit age stereotypes was assessed with the propositional evaluation paradigm (PEP) in a high-powered, preregistered study, comprising samples of young (n = 89) and older (n = 125) adults. To investigate whether implicit age stereotypes shape the behavior via self-stereotyping ("embodiment"), we examined whether implicit endorsement of the belief of older (young) people being cautious (reckless) predicts older (young) individuals' spontaneous behavior in a speeded response time task. In both age groups, we found significant implicit endorsement effects of age stereotypical beliefs. However, implicit endorsement effects of the cautiousness-related age stereotypes were unrelated to our indicators of spontaneous cautious/reckless behavior in the speeded RT task (as assessed with the parameter a of a diffusion model analysis) for both age groups. The same pattern of results (endorsement of age stereotypic beliefs but no relation with behavioral indicators) was found for explicit measures of age stereotypes. Replicating previous findings, implicit and explicit measures of cautiousness-related age stereotypes were uncorrelated. In sum, our findings provide evidence for the implicit and explicit endorsement of cautiousness-related stereotypical beliefs about old and young people; individual differences in belief endorsement, however, did not predict differences in spontaneous cautiousness-related behavior in a speeded RT task.
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159
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Kukafka R, Evans K, Murnane E, Santoro E, Baiocchi M, Landay J, Delp S, Crum A. Effects of Wearable Fitness Trackers and Activity Adequacy Mindsets on Affect, Behavior, and Health: Longitudinal Randomized Controlled Trial. J Med Internet Res 2023; 25:e40529. [PMID: 36696172 PMCID: PMC9909519 DOI: 10.2196/40529] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2022] [Revised: 10/14/2022] [Accepted: 11/13/2022] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND There is some initial evidence suggesting that mindsets about the adequacy and health consequences of one's physical activity (activity adequacy mindsets [AAMs]) can shape physical activity behavior, health, and well-being. However, it is unknown how to leverage these mindsets using wearable technology and other interventions. OBJECTIVE This research examined how wearable fitness trackers and meta-mindset interventions influence AAMs, affect, behavior, and health. METHODS A total of 162 community-dwelling adults were recruited via flyers and web-based platforms (ie, Craigslist and Nextdoor; final sample size after attrition or exclusion of 45 participants). Participants received an Apple Watch (Apple Inc) to wear for 5 weeks, which was equipped with an app that recorded step count and could display a (potentially manipulated) step count on the watch face. After a baseline week of receiving no feedback about step count, participants were randomly assigned to 1 of 4 experimental groups: they received either accurate step count (reference group; 41/162, 25.3%), 40% deflated step count (40/162, 24.7%), 40% inflated step count (40/162, 24.7%), or accurate step count+a web-based meta-mindset intervention teaching participants the value of adopting more positive AAMs (41/162, 25.3%). Participants were blinded to the condition. Outcome measures were taken in the laboratory by an experimenter at the beginning and end of participation and via web-based surveys in between. Longitudinal analysis examined changes within the accurate step count condition from baseline to treatment and compared them with changes in the deflated step count, inflated step count, and meta-mindset conditions. RESULTS Participants receiving accurate step counts perceived their activity as more adequate and healthier, adopted a healthier diet, and experienced improved mental health (Patient-Reported Outcomes Measurement Information System [PROMIS]-29) and aerobic capacity but also reduced functional health (PROMIS-29; compared with their no-step-count baseline). Participants exposed to deflated step counts perceived their activity as more inadequate; ate more unhealthily; and experienced more negative affect, reduced self-esteem and mental health, and increased blood pressure and heart rate (compared with participants receiving accurate step counts). Inflated step counts did not change AAM or most other outcomes (compared with accurate step counts). Participants receiving the meta-mindset intervention experienced improved AAM, affect, functional health, and self-reported physical activity (compared with participants receiving accurate step counts only). Actual step count did not change in either condition. CONCLUSIONS AAMs--induced by trackers or adopted deliberately--can influence affect, behavior, and health independently of actual physical activity. TRIAL REGISTRATION ClinicalTrials.gov NCT03939572; https://www.clinicaltrials.gov/ct2/show/NCT03939572.
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Affiliation(s)
| | - Kristopher Evans
- Department of Psychology, Stanford University, Stanford, CA, United States
| | - Elizabeth Murnane
- Department of Computer Science, Stanford University, Stanford, CA, United States
| | - Erik Santoro
- Department of Psychology, Stanford University, Stanford, CA, United States
| | - Michael Baiocchi
- Department of Epidemiology and Population Health, Stanford University, Stanford, CA, United States
| | - James Landay
- Department of Computer Science, Stanford University, Stanford, CA, United States
| | - Scott Delp
- Department of Mechanical Engineering, Department of Bioengineering, Stanford University, Stanford, CA, United States
| | - Alia Crum
- Department of Psychology, Stanford University, Stanford, CA, United States
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160
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Ikeuchi T, Itoh S, Miwa H, Watanabe K, Wakui T. Does Smartphone Use Make Older Adults Feel Younger? A Cross-Sectional Online Survey during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1710. [PMID: 36767089 PMCID: PMC9914656 DOI: 10.3390/ijerph20031710] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Revised: 01/10/2023] [Accepted: 01/12/2023] [Indexed: 06/18/2023]
Abstract
Subjective age (i.e., how old one feels) has been found to be a biopsychosocial marker of aging. This study examined the associations between subjective age and the frequency of information and communication technology (ICT) usage by older adults. Data were collected via an online survey conducted in 2020 during the COVID-19 pandemic. The study analyzed responses from participants aged 65 to 89 (M = 71.9, SD = 3.9) who resided in Japan (N = 1631, 52.8% female). Subjective age was indexed by asking participants to specify in years how old they felt. Proportional discrepancy scores (PDS) were calculated to indicate younger or older subjective age and were used as an independent variable. Participants were asked about the frequency of computer, smartphone, flip phone, tablet, and social networking service (SNS) use. Two-thirds of the participants (63.6%) reported feeling younger than their actual age. Nearly 90% reported using computers for more than 2-3 days a week, while 64.3% reported smartphone use, 22.9% reported flip phone use, and 36.6% reported SNS use. Logistic regression analyses revealed that a lower PDS (i.e., feeling younger) was associated with a significantly higher frequency of smartphone use (OR: 0.77; 95% CI: 0.60, 0.98) after adjusting for potential confounders. No such association was found for computer, flip phone, tablet, or SNS use. Our study found that feeling younger was associated with a higher frequency of smartphone use. The daily use of smartphones may have helped older adults stay in touch with family and friends and obtain the information that they needed, which may have contributed to better psychological well-being outcomes, especially during the COVID-19 pandemic.
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Affiliation(s)
- Tomoko Ikeuchi
- Human Care Research Team, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan
| | - Sakiko Itoh
- Department of Genome Informatics, Graduate School of Medicine, Osaka University, Osaka 565-0871, Japan
| | - Hiroyasu Miwa
- Service Value Augmentation Research Team, Human Augmentation Research Center, National Institute of Advanced Industrial Science and Technology, Chiba 277-0882, Japan
| | - Kentaro Watanabe
- Service Value Augmentation Research Team, Human Augmentation Research Center, National Institute of Advanced Industrial Science and Technology, Chiba 277-0882, Japan
| | - Tomoko Wakui
- Human Care Research Team, Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan
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161
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Donizzetti AR, Capone V. Ageism and the Pandemic: Risk and Protective Factors of Well-Being in Older People. Geriatrics (Basel) 2023; 8:geriatrics8010014. [PMID: 36648919 PMCID: PMC9844376 DOI: 10.3390/geriatrics8010014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2022] [Revised: 01/10/2023] [Accepted: 01/13/2023] [Indexed: 01/18/2023] Open
Abstract
The COVID-19 pandemic has particularly affected the older population both in terms of the high number of victims and the psychological impact. Moreover, the pandemic has made older people more vulnerable to isolation and loneliness, and victims of ageism. The aim of the present study was to investigate the risk and protective factors for the well-being of older people during the pandemic. The role of positive affect, confidence in the future, current physical health, social isolation, loneliness, and ageism were analysed. A self-report questionnaire was administered to 1301 participants (mean age: 77.3 years, DS: 5.46), almost equally distributed by gender (56.1% female). Descriptive and correlational analyses were performed, together with SEM. The results showed that perceived age discrimination positively predicts loneliness and negatively and indirectly predicts well-being. Furthermore, positive affect, confidence in the future, and current physical health are protective factors, while loneliness, social isolation, and ageism are risk factors. Future emergency policies must take into account the impact of such actions on the well-being of this segment of the population.
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162
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Ekwonye AU, Malek A, Farah I, Nguyen S, Chonyi T, Ponce-Diaz V, Hearst M. "Aging is beautiful and graceful:" Exploring college students' perceptions of aging, older adults, and future older selves. EDUCATIONAL GERONTOLOGY 2023; 49:803-816. [PMID: 37942281 PMCID: PMC10629836 DOI: 10.1080/03601277.2022.2164642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/10/2023]
Abstract
Perception of one's own age and the aging process can influence healthy aging and encourage younger adults to be more proactive in taking care of themselves. There is a shortage of literature on college students' self-perceptions of aging and old age. This descriptive qualitative study explored how short-term aging research training and activities influenced college students' perceptions of aging, older adults, and their future older selves. Students were exposed to discussions about aging, the aging process, myths, a brief TED talk, and a video on positive age stereotypes in preparation for their encounter with older adults in a more extensive photovoice aging research project. Data for the study were collected using weekly guided reflections and drawing. Findings show that college students improved perceptions of aging and older adults after the short-term research training. We found cultural differences in self-perception of the onset of old age. Students perceived healthy aging in terms of biological, psychological, spiritual, and social dimensions of health. Students presented a hopeful, positive picture of their future older self as opposed to the negative stereotypic views they initially had of older adults. Reflections on one's own aging may be crucial in encouraging younger adults to be more proactive in taking care of themselves for a healthier life in later adulthood.
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163
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A scoping review of ageism towards older adults in cancer care. J Geriatr Oncol 2023; 14:101385. [PMID: 36244925 DOI: 10.1016/j.jgo.2022.09.014] [Citation(s) in RCA: 9] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Revised: 08/11/2022] [Accepted: 09/28/2022] [Indexed: 11/07/2022]
Abstract
INTRODUCTION Ageism towards older adults with cancer may impact treatment decisions, healthcare interactions, and shape health/psychosocial outcomes. The purpose of this review is twofold: (1) To synthesize the literature on ageism towards older adults with cancer in oncology and (2) To identify interventions that address ageism in the healthcare context applicable to oncology. MATERIALS AND METHODS We conducted a scoping review following Arksey and O'Malley and Levac methods and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We conducted an exhaustive multi-database search, screening 30,926 titles/abstracts. Following data abstraction, we conducted tabular, narrative, and textual synthesis. RESULTS We extracted data on 133 papers. Most (n = 44) were expert opinions, reviews, and letters to editors highlighting the negative impacts of ageism, expressing the need for approaches addressing heterogeneity of older adults, and calling for increased clinical trial inclusion for older adults. Qualitative studies (n = 3) described healthcare professionals' perceived influence of age on treatment recommendations, whereas quantitative studies (n = 32) were inconclusive as to whether age-related bias impacted treatment recommendations/outcomes or survival. Intervention studies (n = 54) targeted ageism in pre/post-licensure healthcare professionals and reported participants' improvement in knowledge and/or attitudes towards older adults. No interventions were found that had been implemented in oncology. DISCUSSION Concerns relating to ageism in cancer care are consistently described in the literature. Interventions exist to address ageism; however, none have been developed or tested in oncology settings. Addressing ageism in oncology will require integration of geriatric knowledge/interventions to address conscious and unconscious ageist attitudes impacting care and outcomes. Interventions hold promise if tailored for cancer care settings. 249/250.
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164
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Kellogg AJ, Hancock DW, Cho GY, Reid AE. Community-level age bias and older adult mortality. Soc Sci Med 2023; 317:115449. [PMID: 36494219 PMCID: PMC11293901 DOI: 10.1016/j.socscimed.2022.115449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Revised: 08/30/2022] [Accepted: 10/08/2022] [Indexed: 11/22/2022]
Abstract
RATIONALE As the older adult population increases, understanding the health effects of bias against older adults is increasingly important. Whether structural forms of age bias predict worse health has received limited attention. OBJECTIVE We hypothesized that communities with greater age bias would have higher mortality among residents aged 65 and older. We expected the association to be unique to age bias, rather than general bias (i.e., sexual minority and racial bias), and that the age bias-mortality association would be strongest in predominantly White and younger communities. METHODS Explicit and implicit attitudes toward older adults (N = 1,001,735), sexual minorities (N = 791,966), and Black Americans (N = 2,255,808) were drawn from Project Implicit. Post-stratification relative to U.S. Census demographics was executed to improve the representativeness of county-level explicit and implicit bias estimates. County older adult mortality, estimated cross-sectionally with and longitudinally relative to bias scores, served as outcomes. Models controlled for relevant county-level covariates (e.g., median age) and included all U.S. counties (N = 3142). RESULTS Contrary to hypotheses but consistent with prior work, explicit age bias was cross-sectionally and longitudinally associated with lower mortality, over and above covariates and generalized community bias. The explicit age bias-lower mortality association only emerged in younger counties but did not depend on county ethnic composition. Implicit age bias was unassociated with outcomes. Post-hoc analyses supported that ageist communities may be associated with better health across the lifespan. Explicit age bias predicted lower mortality in young and middle adulthood; better mental health in middle adulthood, but not exercise or self-rated health, mediated the explicit age bias-older adult mortality association. CONCLUSIONS Results highlight the uniqueness of older age relative to other stigmatized identities. Further examination of the association of community-level age bias with better health may improve longevity for all communities.
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Affiliation(s)
- Alexander J Kellogg
- University of Massachusetts, Amherst; Department of Psychological and Brain Sciences; 135 Hicks Way, Tobin Hall, Amherst, MA, 01003, USA
| | - David W Hancock
- University of Massachusetts, Amherst; Department of Psychological and Brain Sciences; 135 Hicks Way, Tobin Hall, Amherst, MA, 01003, USA
| | - Grace Y Cho
- University of Massachusetts, Amherst; Department of Psychological and Brain Sciences; 135 Hicks Way, Tobin Hall, Amherst, MA, 01003, USA
| | - Allecia E Reid
- University of Massachusetts, Amherst; Department of Psychological and Brain Sciences; 135 Hicks Way, Tobin Hall, Amherst, MA, 01003, USA.
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165
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Norouzi N, Angel JL. Intergenerational Day Centers: A New Wave in Adult and Child Day Care. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:809. [PMID: 36613131 PMCID: PMC9819571 DOI: 10.3390/ijerph20010809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Revised: 12/29/2022] [Accepted: 12/30/2022] [Indexed: 06/17/2023]
Abstract
Intergenerational Day Centers (IDCs) are an innovation that addresses two important societal challenges, the continuing need for childcare and the emerging demand for older-adult supportive services that help them remain independent in their homes. These facilities provide care, and specialized resources and activities for both older adults and children in one location. While the importance and benefits of these programs have been proven, there is scant information in the literature and best-practice guidelines on the planning and development of these programs. This qualitative study focuses on the research, planning, and building development for new IDCs in metropolitan areas. It is based on a case example of the process of establishing an IDC in the City of Austin, which was an element of the Age-Friendly Austin Plan. It examines the applicable literature and the extensive involvement of experts in architecture, community planning, and public health policy as well as data collected from community engagement workshops to facilitate the IDC's creation and operation. This study offers a developmental strategy method that can be adopted and utilized by other cities, developers, and designers who are interested in building IDCs.
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Affiliation(s)
- Neda Norouzi
- School of Architecture + Planning, The University of Texas at San Antonio, San Antonio, TX 78703, USA
| | - Jacqueline L. Angel
- LBJ School of Public Affairs, The University of Texas at Austin, Austin, TX 78249, USA
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166
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Hess TM, Park J, Fung HH, Rothermund K. Biases in Retrospective Perceptions of Changes in Well-Being Associated With Aging Attitudes. J Gerontol B Psychol Sci Soc Sci 2022; 77:2212-2222. [PMID: 35894821 DOI: 10.1093/geronb/gbac100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2022] [Indexed: 01/12/2023] Open
Abstract
OBJECTIVES Aging attitudes have important consequences on functioning in later life. A critical question concerns whether such attitudes may bias perceptions of one's own aging, with potentially negative effects on important outcomes. METHODS Using data from adults aged 30-85 years in Germany (n = 623), Hong Kong (n = 317), and the United States (n = 313), we examined the impact of age and aging attitudes on accuracy of perceptions of change in well-being over 5 years in different domains of functioning. RESULTS Across contexts, comparisons revealed good correspondence between retrospective reports and actual change. However, older adults and those with negative attitudes retrospectively reported less positive change over this period. Inconsistent with expectations, attitudes did not consistently bias accuracy of retrospective reports over cultures and domains of functioning, nor did age have a consistent moderating effect on the impact of attitudes on accuracy. DISCUSSION The results highlight the complex relationship between various personal characteristics and perceptions of change in well-being, as well as the potentially insidious effects of attitudes on the accuracy of these perceptions.
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Affiliation(s)
- Thomas M Hess
- Department of Psychology, North Carolina State University, Raleigh, North Carolina, USA
| | - Jeongsoo Park
- Department of Psychology, Ajou University, Suwon, South Korea
| | - Helene H Fung
- Department of Psychology, Chinese University of Hong Kong, Hong Kong, China
| | - Klaus Rothermund
- Institute of Psychology, Friedrich Schiller University Jena, Jena, Germany
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167
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Lee MA, Song R. I Am Not Supposed to Be Treated Like This: Associations Between Age Discrimination, Perceived Social Respect for Older Adults, and Depressive Symptoms in Korean Older Adults. J Gerontol B Psychol Sci Soc Sci 2022; 77:2276-2285. [PMID: 35973047 DOI: 10.1093/geronb/gbac112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Indexed: 01/13/2023] Open
Abstract
OBJECTIVES This study examines the relationships between age discrimination, perceived social respect for older adults as a proxy of perceived social climate, and depressive symptoms in older adults in Korea. In doing so, it clarifies whether and how age discrimination has a differential effect on mental health, depending on the level of perceived social respect. METHODS This study uses multiple regression analyses to examine the data obtained from the 2020 National Survey of Older Koreans, a nationally representative survey. RESULTS Findings show that age discrimination was positively associated with depressive symptoms, whereas perceived social respect for older adults was negatively associated with depressive symptoms. Older respondents exhibited fewer depressive symptoms if they felt that older adults were respected in Korea. The results also revealed a significant interaction between age discrimination and perceived social respect; age discrimination had a more harmful impact on depressive symptoms in older adults with a higher level of perceived social respect. DISCUSSION The findings suggest that a positive social climate for older adults is beneficial to their mental health, but ironically, it may form a more stressful context for older adults who experience age discrimination that is characteristically opposite from their subjective evaluation of that social climate. The gap between the expected social climate and individual discriminatory experiences may have a deleterious effect on the mental health of older adults.
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Affiliation(s)
- Min-Ah Lee
- Department of Sociology, Chung-Ang University, Dongjak-gu, Seoul, South Korea
| | - Rira Song
- Department of Sociology, Chung-Ang University, Dongjak-gu, Seoul, South Korea
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168
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Leung T, Sawchuk K. Double-Bind of Recruitment of Older Adults Into Studies of Successful Aging via Assistive Information and Communication Technologies: Mapping Review. JMIR Aging 2022; 5:e43564. [PMID: 36563033 PMCID: PMC9823588 DOI: 10.2196/43564] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2022] [Revised: 11/22/2022] [Accepted: 11/25/2022] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND Two fields of research and development targeting the needs of the aging population of the world are flourishing, successful aging and assistive information and communication technologies (A-ICTs). The risks of ageist stereotypes emerging from how we communicate in both discourses are long known. This raises questions about whether using specific age criteria in the context of "aging deficits" can bias participation in, or compliance with, the research process by older adults who try to avoid age-related stigma. OBJECTIVE This study aimed to examine subject recruitment, study designs (based on age >65 years criteria), as well as discourses in research objectives and conclusions in health research on affordances of A-ICTs for older adults. METHODS A systematic mapping approach was used to characterize rationales, methods, stated objectives, and expected outcomes of studies indexed in PubMed and retrieved through the search logic (["Older Adults" OR Seniors OR Elderly] AND [ICT OR gerontechnology OR "Assistive Technology")] AND ("Healthy Aging" OR "Successful Aging" OR "healthy ageing" OR "successful ageing"). Inclusion criteria were as follows: the study should have recruited older participants (aged >65 years), been qualitative or quantitative research, and involved the introduction of at least one A-ICT for health-related improvements. Exclusion criteria were as follows: reviews, viewpoints, surveys, or studies that used information and communication technology for data collection instead of lifestyle interventions. Content, thematic, and discourse analyses were used to map the study characteristics and synthesize results with respect to the research question. RESULTS Of 180 studies that passed the search logic, 31 (17.2%) satisfied the inclusion criteria (6 randomized controlled trials, 4 purely quantitative studies, 9 focus groups, 2 observational studies, and 10 mixed methods studies). In all but one case, recruitment was pragmatic and nonrandom. Thematic analysis of rationales revealed a high likelihood of emphasis on the burdens of aging, such as rising costs of care (12/31, 39%) and age-related deficits (14/31, 45%). The objectives of the research fell under 4 categories: promotion of physical activity, acceptance and feasibility of robots and remote health monitoring systems, risk detection, and the future of A-ICTs in health care for older adults. Qualitative studies were more attentive to the nonageist research guidelines. Heterogeneity in the study results (both qualitative and quantitative) was not related to age but to individual agency, acceptance, and adherence. A combination of research strategies (participatory, longitudinal, playful, flexible, and need-based designs) proved successful in characterizing variations in study outcomes. Studies that documented recruitment dynamics revealed that fear of stigma was a factor that biased participants' engagement. CONCLUSIONS This review indicates that age is not an informative criterion for recruitment and retention of participants. Charting the dynamics of adoption of, and interaction with, A-ICTs is critical for advancing research and technology development.
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Affiliation(s)
| | - Kim Sawchuk
- Ageing, Communication and Technology Lab, Department of Communication Studies, Concordia University, Montreal, QC, Canada
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169
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Zhang H, Jia H, Zhang X. Dance to Prosper: Benefits of Chinese Square Dance in QOL and the Moderating Roles of Aging Stereotypes. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16477. [PMID: 36554355 PMCID: PMC9778596 DOI: 10.3390/ijerph192416477] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/25/2022] [Revised: 11/26/2022] [Accepted: 12/05/2022] [Indexed: 06/17/2023]
Abstract
BACKGROUND By examining the effect of Chinese square dance duration through a positive activity model and discussing the impact of aging stereotype internalization, this study examined the relationships between dance duration, attitudes toward own aging (ATOA), aging stereotypes, and quality of life. METHODS 403 Chinese square dance participants were recruited to complete a 7-day diary survey in a cross-sectional design. Participants reported on their ATOA, aging stereotypes, perceived quality of life, and everyday dance participation during the week. Data were analyzed using latent variable structural equation modeling. RESULTS Increased dance participation improved quality of life, and the mediation by ATOA was determined. Positive and negative aging stereotypes separately moderated the mediating process. In general, people who had relatively stronger negative stereotypes benefited more from dancing duration, while people with stronger positive stereotypes felt no such dose effect. CONCLUSIONS The results suggest that an attitudinal pathway explains the positive activity dose effect, and people with more negative aging stereotypes are encouraged to practice Chinese square dance to benefit from certain effects.
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Affiliation(s)
- Honghao Zhang
- School of Psychological and Cognitive Sciences, Peking University, Beijing 100871, China
| | - Huiyuan Jia
- College of Business Administration, Capital University of Economics and Business, Beijing 100070, China
| | - Xin Zhang
- School of Psychological and Cognitive Sciences, Peking University, Beijing 100871, China
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170
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Sun J, Jiang W, Li H. Social isolation and loneliness among Chinese older adults: Examining aging attitudes as mediators and moderators. Front Psychol 2022; 13:1043921. [PMID: 36562076 PMCID: PMC9763440 DOI: 10.3389/fpsyg.2022.1043921] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Accepted: 11/16/2022] [Indexed: 12/12/2022] Open
Abstract
Due to labor migration and social changes, the Chinese elderly are facing significant social isolation, along with changes in aging attitudes. However, whether social isolation affects loneliness among the Chinese elderly and whether this relationship is moderated and mediated by aging attitudes is unclear. This empirical study aimed to respond to the above questions in the Chinese context, Based on the data from the 2014 China Longitudinal Aging Social Survey (N = 6,645), the results showed that social isolation is a positive predictor of loneliness; aging attitudes mediate the relationship between social isolation and loneliness. Social isolation affects the loneliness of the elderly partially by weakening positive aging attitudes and strengthening negative aging attitudes; aging attitudes moderate the effect of social isolation on loneliness. For those older adults with higher positive aging attitudes, social isolation has a much smaller effect on loneliness. While for those older adults with higher negative aging attitudes, social isolation has a more substantial effect on their feelings of loneliness. Our results indicate that less social isolation is an effective way to relieve loneliness, and maintaining higher positive aging attitudes and lower negative aging attitudes, is important for the Chinese elderly to prevent loneliness when facing social isolation.
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Affiliation(s)
- Juanjuan Sun
- School of Sociology and Population Studies, Renmin University of China, Beijing, China,Center for Population and Development Studies, Renmin University of China, Beijing, China
| | - Weikang Jiang
- School of Public Administration, Xiangtan University, Xiangtan, China
| | - Haohao Li
- School of Sociology and Population Studies, Renmin University of China, Beijing, China,*Correspondence: Haohao Li,
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171
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What’s Keeping Residents “Out of the Mainstream”: Challenges to Participation in the News Media for Older People Living in Residential Care. J Appl Gerontol 2022; 42:1313-1323. [DOI: 10.1177/07334648221143619] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
The voices of older people living in residential care are often excluded from news articles about residential care, and this exclusion was especially apparent during the COVID-19 pandemic. The aim of this study is to identify and understand the barriers which may be obstructing the news media participation of older residents. Semi-structured interviews were conducted with 7 journalists, 7 administrators, and 12 residents. Interview transcripts were analyzed using a thematic analysis, which resulted in the following themes: (1) residents are physically separated from their communities; (2) journalists do not consider residents to be official sources for news stories; (3) administrators feel they must manage their care home’s reputation and control access to residents; and (4) journalists and administrators are not equipped to handle issues of consent and privacy. The role of ableism and ageism in the news reporting process is discussed.
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172
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Representation of Aging in Elementary School Textbooks in Iran. J Cross Cult Gerontol 2022; 37:393-406. [PMID: 36434472 DOI: 10.1007/s10823-022-09464-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/14/2022] [Indexed: 11/26/2022]
Abstract
The attitude toward older adults is developed from childhood. School textbooks are one of the most important sources of shaping attitude in children. So, the present study aimed to analyze the visual and textual content of the aging concept in elementary school textbooks after the Irans's Islamic Revolution (1979). The method of the present study was content analysis, and 112 textbooks were reviewed. The analysis unit included 118 images and 91 subset of texts pertaining to aging concept. The results showed that aging concepts are classified into two positive and negative stereotypes categories. The positive stereotype included social interaction, authority and respect, wisdom, spirituality, positive traits, and independence. Social interaction was the most frequent of them. Negative stereotypes included abuse, negative personality traits, illness, and disability, of which the negative personality traits were the most frequent. In addition, the results suggested that 87.7% of the concepts of aging in the textbooks were positive. Although the positive stereotypes were more frequent in textbooks, the active older adults were presented in low-status jobs, and the ethnic minorities and older women were less considered. Accordingly, policymaking through the textbooks and from childhood is necessary for developing successful aging and decreasing ageism in society.
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173
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Park C, Xin Y, Jeong M. Self-Perceptions of Aging Among Young Adults Who Had Close Contact with a Grandparent. JOURNAL OF INTERGENERATIONAL RELATIONSHIPS 2022. [DOI: 10.1080/15350770.2022.2150739] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/05/2022]
Affiliation(s)
- Cherrie Park
- College of Social Work, The Ohio State University, Columbus, OH, United States
| | - Yitong Xin
- College of Social Work, The Ohio State University, Columbus, OH, United States
| | - Mijin Jeong
- School of Social Welfare, The University of Kansas, Lawrence, KS, United States
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174
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Lea A, Collett J, Cribb L, Zheng Z, Podugu PSDV. A Cross-Sectional Study of Factors associated with Psychosocial Wellbeing Among Older Tai Chi Practitioners. Eur J Integr Med 2022. [DOI: 10.1016/j.eujim.2022.102214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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175
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Jeong M, Jen S, Kang H, Riquino M, Goldberg J. Representations of older adults in COVID-related newspaper articles: A comparison between the perspectives of older and younger adults. J Aging Stud 2022; 63:101081. [PMID: 36462935 PMCID: PMC9617660 DOI: 10.1016/j.jaging.2022.101081] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2021] [Revised: 10/19/2022] [Accepted: 10/21/2022] [Indexed: 12/03/2022]
Abstract
During the COVID-19 pandemic, media sources discussed diverse perspectives on aging and older adults, providing opportunities to examine representations of older adults during times of crisis. This study aims to explore representations of older adults during the first month of the pandemic in the U.S. by comparing the perspectives of older and younger adults in national newspapers. A systematic search identified 115 articles published in four major newspapers in the U.S. between March 11 and April 10, 2020, in which older and younger adults were quoted on topics related to the intersection of COVID-19 and aging. Quotes were inductively reviewed using content and thematic analytic strategies. A total of 265 quotes were identified from older adults (n = 104, 39%) and younger adults (n = 161, 61%). We identified three primary themes: impacts on "vulnerable" older adults, debates over the value of older adults' lives, and a counternarrative of resiliency. Older adults were represented as a vulnerable group during the pandemic, in need of protection and support, while debates over the value of their lives similarly evoke images of frailty and dependency. Such depictions frame older adults as a burden on society and reduce their agency and subjectivity. Ageist biases were not only present in quotes from public figures and professionals, but also evident in quotes from older adults themselves. However, older adults also spoke to their own resiliency, survival, and strengths, thereby positioning themselves as elders worthy of respect and able to share wisdom with younger generations. These findings highlight the importance of listening to older adults' voices in order to understand their experiences from their own perspectives through their own agentive positioning and promoting intentionally age-positive and nuanced representations of older adults in public discourse.
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Affiliation(s)
- Mijin Jeong
- University of Kansas, School of Social Welfare, 1545 Lilac Ln, Lawrence, KS 66045, United States of America,Corresponding author at: Clemson University Institute for Engaged Aging, 298 Memorial Dr, Seneca, SC 29672, United States of America
| | - Sarah Jen
- University of Kansas, School of Social Welfare, 1545 Lilac Ln, Lawrence, KS 66045, United States of America
| | - Hyun Kang
- George Mason University, Department of Social Work, United States of America
| | - Michael Riquino
- University of Kansas, School of Social Welfare, 1545 Lilac Ln, Lawrence, KS 66045, United States of America
| | - Jamie Goldberg
- University of Wisconsin - Madison, Sandra Rosenbaum School of Social Work, United States of America
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176
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Age integration in later life social networks and self-perceptions of aging: examining their reciprocal associations. Eur J Ageing 2022; 19:1145-1153. [PMID: 36692745 PMCID: PMC9729448 DOI: 10.1007/s10433-022-00688-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/16/2022] [Indexed: 01/26/2023] Open
Abstract
Relying on the age segregation theory (limited contact between age groups), this study examined the temporal reciprocal associations between age integration-the inclusion of older and younger people in one's personal network-and one's self-perceptions of aging (SPA). Data came from the 2014 and 2017 waves of the German Ageing Survey and focused on adults aged 60 and above (N = 5239). Age composition of the network was assessed as the number of kin and non-kin in the social network who are either more than 10 years older or more than 10 years younger than the respondent. A latent change score model assessed the bidirectional associations. The results showed that adults who had younger social network members, both kin and non-kin, had better SPA 3 years later. A positive SPA at baseline also predicted a higher number of younger non-kin and older non-kin relationships over time. These results stress the role of SPA in adults' social network as well as the role of age integration in shaping adults' SPA. Practitioners and policy makers should encourage connections between people of different ages and should strive to decrease the age segregation in society.
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177
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Attitude towards Older People According to Sociodemographic and Educational Variables in Students of a Chilean University. Geriatrics (Basel) 2022; 7:geriatrics7060130. [PMID: 36547266 PMCID: PMC9778483 DOI: 10.3390/geriatrics7060130] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2022] [Revised: 11/15/2022] [Accepted: 11/21/2022] [Indexed: 11/24/2022] Open
Abstract
Current evidence suggests that attitude towards older people may be associated with sociodemographic and educational variables; hence, a positive attitude towards older people is key when training new university professionals. However, there is little evidence of this association in Chilean university students. The objective was to analyze students from a Chilean university's attitudes towards older people, according to sociodemographic and educational variables. Analytical and cross-sectional study; 515 students from a Chilean university were consulted online about their attitude towards older people using Kogan's Attitudes towards Old People scale. Additionally, sociodemographic and educational variables were recorded. The average score for positive attitude was 70.8 (±9.7), while the negative attitude score was 68.3 (±11.6). The total score was 139.1 (±16.6). Mostly, university students perceive themselves with a low-level positive attitude (61.2%). Additionally, older university students (26-42 years old); women; Chileans; students of law, speech therapy, and occupational therapy; students in their final years of the programs; and those who had training in older people outside the university have a more positive attitude towards older people. In Conclusion, a profile of sociodemographic and educational characteristics of students with a lower and higher attitude towards older age was investigated. These results are relevant since the way of seeing the aging process could regulate the training of future professionals and consequently generate changes in dealing with older people. Young people's perception of ageing would affect the treatment and incorporation of the older people in society and the adaptation of policies in this age group.
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178
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Norouzi N, Chen JC, Jarrott S, Satari A. Designing Intergenerational Spaces: What to Learn From Children. HERD-HEALTH ENVIRONMENTS RESEARCH & DESIGN JOURNAL 2022; 16:174-188. [PMID: 36384299 DOI: 10.1177/19375867221138929] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Objectives: Adopting recommendations of the United Nations Committee on the Rights of the Child, this study addresses the value of children’s input on the architectural design of the built environment of intergenerational shared sites and the intergenerational interactions that took place there. Background: Intergenerational programs bring children and older adults together, inviting them to interact, exchange ideas and support each other. Most intergenerational programs are planned by staff and often take place in a multipurpose room without direct input from child or older adult participants. Methods: Data for this study were collected through interviews and drawings from 16 children at three intergenerational centers in Hawaii, Kansas, and Virginia. The interviews were transcribed, analyzed, coded, and categorized. Child development experts analyzed the drawings to better understand how children experience their surrounding environment. Results: Four themes emerged from the triangulated data: (1) outdoor spaces offer rich opportunities for shared programming, (2) children enjoy sharing meals and snacks with intergenerational partners, (3) children recognize environmental features that facilitate or limit intergenerational interaction, and (4) varied spaces support to informal, brief intergenerational interaction. Our findings provide evidence in the value of involving children in designing intergenerational centers and programming. Conclusion: The children who participated in this study provided meaningful insight reflecting the experience of intergenerational activities and the impacts of the built environment on the quality and variety of these interactions.
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Affiliation(s)
- Neda Norouzi
- School of Architecture, University of Texas at San Antonio, TX, USA
| | - Jou-Chen Chen
- Department of Family and Consumer Sciences, Western Michigan University, Kalamazoo, MI, USA
| | - Shannon Jarrott
- College of Social Work, The Ohio State University, Columbus, OH, USA
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179
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Yoon JE, Oh D, Hwang I, Park JA, Im HJ, Thomas RJ, Kim D, Yang KI, Chu MK, Yun CH. Association between older subjective age and poor sleep quality: a population-based study. Behav Sleep Med 2022:1-16. [PMID: 36377789 DOI: 10.1080/15402002.2022.2144860] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVE To examine the association of subjective age (SA) with sleep quality in an adult population. METHODS In the Korean Sleep and Headache Study, 2,349 participants (49.2% men; 48.1 ± 16.4 years old) were interviewed face-to-face using structured questionnaires between September and December 2018. SA was assessed by asking participants their perceived age in years and then compared with their chronological age (CA). Participants were assigned to three groups: feeling younger, feeling their age, and feeling older. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Association between SA and sleep quality was analyzed with multiple linear regression controlling for demographics, psychosocial, and sleep characteristics. RESULTS The group feeling older (n = 404, 17.2%; men, 58.2%; age, 46.5 ± 16.2 years) had worse sleep quality than the groups feeling younger and feeling their age (PSQI score, 4.3 ± 2.7, 3.8 ± 2.4, 3.4 ± 2.1, respectively, p <.001; prevalence of poor sleep quality, 29.0%, 18.4%, 13.5% respectively, p <.001). The association between SA and the PSQI score remained significant after adjusting for confounders (β = 1.05, 95% confidence interval 0.26, 1.83; p <.001). Stratified analyses by sex and CA showed that the association between SA and the PSQI score was significant only in women and in middle-aged and older group (aged 50-79), suggesting that sex and CA modified the association. CONCLUSION Age perception was associated with self-reported sleep quality, independent of CA. SA may be a useful marker that complements the conventional assessment of subjective sleep quality.
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Affiliation(s)
- Jee-Eun Yoon
- Department of Neurology, Uijeongbu Eulji Medical Center, Eulji University School of Medicine, Uijeongbu, Republic of Korea
| | - Dana Oh
- Department of Neurology, Seoul Medical Center, Seoul, Republic of Korea
| | - Inha Hwang
- Department of Neurology, Seoul Metropolitan Seobuk Hospital, Seoul, Republic of Korea
| | - Jung Ah Park
- Department of Neurology, Daegu Catholic University School of Medicine, Daegu, Republic of Korea
| | - Hee-Jin Im
- Department of Neurology, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Republic of Korea
| | - Robert J Thomas
- Department of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
| | - Daeyoung Kim
- Department of Neurology, Chungnam National University Hospital, Chungnam National University School of Medicine, Chungnam, Republic of Korea
| | - Kwang Ik Yang
- Sleep Disorders Center, Department of Neurology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Republic of Korea
| | - Min Kyung Chu
- Department of Neurology, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea
| | - Chang-Ho Yun
- Department of Neurology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of Korea
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180
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Stressful life events and subjectively rated sleep quality among older adults in China: the roles of positive and negative attitudes towards ageing. AGEING & SOCIETY 2022. [DOI: 10.1017/s0144686x22001222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Abstract
Sleep is an integral part of individuals' health and wellbeing. Despite evidence showing that social stressors are important contributors to older adults' sleep problems, how the accumulative stressful life events (SLEs) and ageing attitudes independently and jointly affect sleep quality among older adults in developing countries remains unclear. This study examined the effects of SLEs on subjectively rated sleep quality among older adults in China, and explored the potential mediating and moderating roles of positive and negative ageing attitudes on the above association. Using data from the 2014 China Longitudinal Ageing Social Survey, we had complete data for 7,780 older adults aged 60 and older. We employed logistic regression models and the Karlson–Holm–Breen decomposition method. Our findings indicated that SLEs significantly increased the risk of poor sleep quality, especially for those who had experienced two or more SLEs during the past year. Positive ageing attitudes were associated with lower odds of poor sleep quality, whereas negative ageing attitudes were related to higher odds of poor sleep quality. Moreover, the mediation analyses suggested that SLEs were associated with poor sleep quality via negative ageing attitudes. The moderating effects further documented that higher levels of positive ageing attitudes can significantly attenuate the deleterious impact of SLEs on sleep quality. The findings highlight the significance of SLEs for older adults' sleep quality and shed light on the importance of ageing attitudes to improve older adults' sleep in China as well as other low- and middle-income countries, where the social safety nets are still underdeveloped.
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181
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Pedroso-Chaparro MDS, Cabrera I, Márquez-González M, Vara-García C, Fernandes-Pires JA, Gallego-Alberto L, Losada-Baltar A. [Guilt for perceiving oneself as a burden: A relevant variable associated with the psychological distress of older adults]. Rev Esp Geriatr Gerontol 2022; 57:303-311. [PMID: 36243650 DOI: 10.1016/j.regg.2022.09.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2021] [Revised: 08/09/2022] [Accepted: 09/13/2022] [Indexed: 12/05/2022]
Abstract
AIMS To analyze the relationship between guilt for perceiving oneself as a burden and negative self-perceptions of aging, perceived control and anxious and depressive symptomatology in older people without cognitive or functional limitations. METHODS Participants were 351 community-dwelling people over 60 years without explicit cognitive or functional limitation. Indirect effet analysis were conducted that examined the indirect effect of negative self-perceptions of aging through 1) perceived control and anxious symptomatology and 2) perceived control and depressive symptomatology in guilt for perceiving oneself as a burden. RESULTS Both models showed an indirect relationship between negative self-perceptions of aging and guilt for perceiving oneself as a burden through 1) perceived control and anxious symptomatology and 2) perceived control and depressive symptomatology, explaining 26.37% of anxious symptomatology, 48.51% of depressive symptomatology and 13.73% and 14.44% of guilt for perceiving oneself as a burden, respectively. DISCUSSION The results obtained suggest that higher negative self-perceptions of aging is associated with a lower perception of control and greater psychological distress (anxiety and depression), and this process increases the feeling of guilt for perceiving oneself as burden to family members in older people without functional or cognitive limitations.
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Affiliation(s)
| | - Isabel Cabrera
- Departamento de Psicología Biológica y de la Salud, Universidad Autónoma de Madrid, Madrid, España
| | - María Márquez-González
- Departamento de Psicología Biológica y de la Salud, Universidad Autónoma de Madrid, Madrid, España
| | | | | | - Laura Gallego-Alberto
- Departamento de Psicología Biológica y de la Salud, Universidad Autónoma de Madrid, Madrid, España
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de Paula Couto MCP, Ekerdt DJ, Fung HH, Hess TM, Rothermund K. What will you do with all that time? Changes in leisure activities after retirement are determined by age-related self-views and preparation. Acta Psychol (Amst) 2022; 231:103795. [PMID: 36395741 DOI: 10.1016/j.actpsy.2022.103795] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2022] [Revised: 10/05/2022] [Accepted: 11/10/2022] [Indexed: 11/17/2022] Open
Abstract
Retirement is a normative life transition that liberates the individual from the external obligations of employment, being a catalyzer of leisure activity engagement. However, the individual's motivations to engage in leisure activities in the time that is gained after retirement may depend on their future self-views (i.e., views of their own ageing) as well as on their levels of preparation for age-related changes. In this study, therefore, we aim to examine longitudinal changes in levels of engagement in leisure activities that occur around the age of retirement as being influenced by views on ageing and preparation for old age. The sample consisted of 451 persons aged 50-65 years at baseline who participated in the Ageing as Future study at two time points 5 years apart. Participants were split in three age-matched groups: recently retired (in between baseline and follow-up), already retired (at baseline), and individuals who were still working (at follow-up). Findings indicated that changes in levels of leisure differed between groups. Compared to both already retired and still working participants, recently retired participants increased their levels of engagement in leisure activities. Positive views on ageing in the leisure domain (at baseline) predicted subsequent increases in activity levels but group and levels of preparation qualified this effect. A combination of positive views on ageing and preparation for age-related changes is needed for one to make use of the time that is gained with retirement, highlighting their role as determinants of behavior in response to normative life events in later life.
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Affiliation(s)
| | - David J Ekerdt
- Gerontology Center, University of Kansas, United States of America
| | - Helene H Fung
- Department of Psychology, Chinese University of Hong Kong, Hong Kong
| | - Thomas M Hess
- Department of Psychology, North Carolina State University, Raleigh, United States of America
| | - Klaus Rothermund
- Institute of Psychology, Friedrich Schiller-University Jena, Germany
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183
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Intergenerational Contact in Young Adults in Relation to Aging Anxiety, Attitudes, and Future Time Perspective. JOURNAL OF INTERGENERATIONAL RELATIONSHIPS 2022. [DOI: 10.1080/15350770.2022.2139039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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184
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Annear M, Shimizu Y, Kidokoro T. Health-Related Expectations Regarding Aging among Middle-Aged and Older Japanese: Psychometric Performance and Novel Findings from the ERA-12-J. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:13509. [PMID: 36294091 PMCID: PMC9603585 DOI: 10.3390/ijerph192013509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Revised: 10/10/2022] [Accepted: 10/17/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND AND OBJECTIVES Health-related expectations regarding aging is a gerontological construct that is potentially predictive of morbidity and mortality in later life. The Expectations Regarding Ageing scale (ERA-12) is a widely used measure of health-related expectations, although it has not previously been administered in Japanese. The present research aimed to elucidate the psychometric properties of the first Japanese translation of the ERA-12 and evaluate health-related expectations among middle-aged and older Japanese. RESEARCH DESIGN AND METHODS Repeated online surveys were conducted with representative quota samples of middle-aged and older adults in Tokyo during 2021 (N = 1600). Primary outcome measures included total and subscale scores on a Japanese translation of the ERA-12 (ERA-12-J) addressing perceptions of physical, mental, and cognitive health. Standard measures were also used to gather information regarding respondent demographic details, general health, and health-related behavior. RESULTS The ERA-12-J and associated subscales showed acceptable test-retest reliability (t(1598) = 0.60, p = 0.63), internal consistency (α > 0.80), inter-item correlation (r = 0.21-0.78) and item-total correlation (r = 0.53-0.73). Confirmatory Factor Analysis verified the hypothesized three-factor structure and construct validity on four common indices of fit (GFI = 0.968; CFI = 0.978; AGFI = 0.950; RMSEA = 0.059). ERA-12-J scores among Japanese respondents revealed prevailing negative sentiments concerning physical and cognitive health, with less negative sentiment regarding mental health. Significant and independent differences emerged concerning gender and age cohort, with middle-aged adults and females holding more negative expectations about their future health. DISCUSSION AND IMPLICATIONS The ERA-12-J provides a sound basis for the elucidation of health-related expectations about aging in Japan and a useful tool for international comparative studies. Education and workplace intervention may be required in Japan to address age and gender disparities in health-related expectations.
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Affiliation(s)
- Michael Annear
- Faculty of Sport Sciences, Waseda University, Nishitokyo 202-0021, Japan
| | - Yasuo Shimizu
- Division of Arts and Sciences, International Christian University, Mitaka 181-8585, Japan
| | - Tetsuhiro Kidokoro
- Research Institute of Physical Education, Nippon Sport Science University, Setagaya-ku 158-8508, Japan
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185
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Weissberger G, Bergman YS, Shrira A. The Association between Ageist Attitudes, Subjective Age, and Financial Exploitation Vulnerability Among Older Adults. J Appl Gerontol 2022; 42:1267-1273. [DOI: 10.1177/07334648221132130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Ageism, or age-based negative stereotypes, prejudice, and/or discriminatory behaviors toward older adults, has been linked with various detrimental physical and psychological consequences. The current study examined the relevance of ageist attitudes to financial exploitation vulnerability (FEV) among older adults and investigated whether feeling older than one’s chronological age (i.e., older subjective age) moderated the ageist attitudes-FEV association. 230 participants ( M age = 72.08, SD = 5.74) filled out scales assessing ageist attitudes, subjective age, and provided relevant sociodemographic information. High levels of ageist attitudes and an older subjective age were associated with increased FEV. Moreover, the ageist attitudes-FEV association was significantly stronger among participants reporting an older subjective age. The results highlight the importance of taking into account ageism and subjective age in order to gain a deeper understanding of the underlying mechanisms which render older adults vulnerable to financial exploitation. Practical and empirical implications are discussed.
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Affiliation(s)
- Gali Weissberger
- Interdisciplinary Department of Social Sciences, Bar-Ilan University, Ramat-Gan, CA, USA
| | - Yoav S. Bergman
- Faculty of Social Work, Ashkelon Academic College, Ashkelon, Israel
| | - Amit Shrira
- Interdisciplinary Department of Social Sciences, Bar-Ilan University, Ramat-Gan, CA, USA
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186
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Webb C, Smith A, Orrell M, Jones KA. Positive psychology and attitudes to ageing in people aged 50 and over in the United Kingdom. Aging Ment Health 2022:1-7. [PMID: 36200565 DOI: 10.1080/13607863.2022.2129587] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
Objectives: The aim of this study was to investigate whether attitudes to ageing were associated with attitudes to positive psychology constructs.Methods: A cross-sectional online survey of 572 UK adults aged 50+ (mean age 64.6 years, SD = 8.4, 73.8% female) assessed attitudes to ageing using the Attitudes to Ageing Questionnaire (AAQ) in relation to measures of positive psychology including (1) belief in a just world-Just World Scale (JWS-Self and JWS-Other), (2) sense of coherence-Sense of Coherence Scale (SOC) and (3) positive well-being-Control, Autonomy, Self-Realization, and Pleasure Scale (CASP-19). Other factors included difficulties with hearing and eyesight, relative and carer status and demographics.Results: People with hearing and eyesight difficulties had lower CASP-19 and SOC scores, and more negative attitudes to ageing compared to people without sensory problems. Hierarchical regression analyses showed all three positive psychology scales predicted more positive attitudes to ageing. Being a carer for a person with dementia was associated with more negative attitudes to ageing.Conclusion: Whereas health and sensory problems relate to more negative attitudes to ageing, this study highlights the importance of positive psychological factors which could inform approaches seeking to promote well-being and health in older people.
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Affiliation(s)
- Catriona Webb
- School of Medicine, University of Nottingham, Nottingham, UK
| | - Abigail Smith
- School of Medicine, University of Nottingham, Nottingham, UK
| | - Martin Orrell
- Academic Unit of Mental Health and Clinical Neuroscience, School of Medicine, Institute of Mental Health, University of Nottingham, Nottingham, UK
| | - Katy A Jones
- Academic Unit of Mental Health and Clinical Neuroscience, School of Medicine, Institute of Mental Health, University of Nottingham, Nottingham, UK
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187
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Mayo DM, Meuser TM, Robnett RH, Webster ME, Woolard CE. Cross-Generational Understandings of Ageism and Its Perceived Impacts on Personal-Public Health. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2022; 65:711-727. [PMID: 34968170 DOI: 10.1080/01634372.2021.2019865] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/06/2021] [Revised: 12/14/2021] [Accepted: 12/14/2021] [Indexed: 06/14/2023]
Abstract
In 2016, the World Health Organization (WHO) launched a global campaign to combat ageism, emphasizing its potential harm to personal and public health. This qualitative focus group study explored generational differences in understanding the WHO's definition and impact of ageism among baby boomers (ages 60-72; n = 17) and silent generation members (ages 78-85; n = 10). Verbatim transcripts were analyzed via a grounded theory approach, and representative themes and quotations were extracted by consensus. Members of both age groups initially downplayed personal impacts of ageism in favor of a broader discussion of age-related discrimination on a societal level. As each discussion progressed, however, participants acknowledged economic, social, and health impacts linked with ageism, but primarily for others. Both groups noted ageist actors in places of employment, healthcare settings, restaurants, retirement communities, and within family networks. Interestingly, each group rated risk of harm by ageism as greater for the other group. Our findings highlight challenges associated with the translation of a broad public health campaign to engage specific stakeholder subgroups. We discuss future research, education, and training initiatives across all ages to address the detrimental impacts of ageism.
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Affiliation(s)
- Diana M Mayo
- Student Access Center, Division of Student Support, University of New England, Portland, Maine, USA
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188
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Mwangala PN, Nasambu C, Wagner RG, Newton CR, Abubakar A. Prevalence and factors associated with mild depressive and anxiety symptoms in older adults living with HIV from the Kenyan coast. J Int AIDS Soc 2022; 25 Suppl 4:e25977. [PMID: 36176027 PMCID: PMC9522642 DOI: 10.1002/jia2.25977] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Accepted: 07/31/2022] [Indexed: 11/21/2022] Open
Abstract
INTRODUCTION Empirical research on the burden and determinants of common mental disorders (CMDs), especially depression and anxiety, among older adults living with HIV (OALWH) in sub-Saharan Africa is inadequate. To bridge the gap in Kenya we: (1) determined the prevalence of CMDs among OALWH on routine HIV care compared to HIV-negative peers; (2) investigated HIV status as an independent predictor of CMDs in older adults; and (3) investigated CMD determinants. METHODS In a cross-sectional study conducted between 2020 and 2021, the prevalence of CMDs and associated determinants were investigated at the Kenyan coast among 440 adults aged ≥50 years (257 OALWH). The Patient Health Questionnaire and Generalized Anxiety Disorder scale were administered alongside measures capturing biopsychosocial information. Logistic regression was used to examine the correlates of CMDs. RESULTS No significant differences were found in the prevalence of mild depressive symptoms, 23.8% versus 18.2% (p = 0.16) and mild anxiety symptoms, 11.7% versus 7.2% (p = 0.12) among OALWH compared to HIV-negative peers, respectively. HIV status was not independently predictive of CMDs. Among OALWH, higher perceived HIV-related stigma, ageism, increasing household HIV burden, loneliness, increasing functional disability, sleeping difficulties, chronic fatigue and advanced age (>70 years) were associated with elevated CMDs. Among HIV-negative older adults, loneliness, increased medication burden and sleeping difficulties were associated with elevated depressive symptoms. Easier access to HIV care was the only factor associated with lower CMDs among OALWH. CONCLUSIONS On the Kenyan coast, the burden of moderate and severe CMDs among older adults is low; however, both OALWH and their HIV-negative peers have a similar relatively high burden of mild depressive and anxiety symptoms. Our results also suggest that determinants of CMDs among OALWH in this setting are predominantly psychosocial factors. These results highlight the need for psychosocial interventions (at the family, community and clinical levels) to mitigate the risks of mild CMDs as they are known to be potentially debilitating.
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Affiliation(s)
- Patrick N. Mwangala
- Centre for Geographic Medicine Research CoastKenya Medical Research Institute (KEMRI)KilifiKenya,School of Public HealthUniversity of the WitwatersrandParktownSouth Africa,Institute for Human DevelopmentAga Khan UniversityNairobiKenya
| | - Carophine Nasambu
- Centre for Geographic Medicine Research CoastKenya Medical Research Institute (KEMRI)KilifiKenya
| | - Ryan G. Wagner
- MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt)Faculty of Health Sciences, University of the WitwatersrandJohannesburgSouth Africa
| | - Charles R. Newton
- Centre for Geographic Medicine Research CoastKenya Medical Research Institute (KEMRI)KilifiKenya,Institute for Human DevelopmentAga Khan UniversityNairobiKenya,Department of PsychiatryUniversity of OxfordWarneford HospitalOxfordUK,Department of Public HealthPwani UniversityKilifiKenya
| | - Amina Abubakar
- Centre for Geographic Medicine Research CoastKenya Medical Research Institute (KEMRI)KilifiKenya,Institute for Human DevelopmentAga Khan UniversityNairobiKenya,Department of PsychiatryUniversity of OxfordWarneford HospitalOxfordUK,Department of Public HealthPwani UniversityKilifiKenya
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189
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Doncel-García B, Lizaso I, Fraile-Bermúdez AB, Mosquera-Lajas Á, Santamaría-Trincado B, Sanz B, Irazusta J. Reducing Negative Aging Stereotypes via Educational Intervention in Older People: A Randomized Controlled Study. Res Aging 2022; 45:475-485. [PMID: 36113442 DOI: 10.1177/01640275221126100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Anti-ageism interventions traditionally target younger individuals. We analyzed the effect of an educational intervention that combined an infusion of aging content with videos to reduce negative stereotypes toward aging in a randomized controlled study of 56 community-dwelling older adults. The experimental group received a single one-hour information session and video viewing on ageism; the control group viewed 1 hour of videos unrelated to ageism. Repeated-measures ANOVA indicated that the experimental group reported a significantly reduced Negative Stereotypes Toward Aging Questionnaire (CENVE) total score along with an independent measure of the character–personality factor in this questionnaire 1 week and 1 month after the intervention compared to baseline. The control group showed no changes. This work reports for the first time that a one-hour information session about aging combined with video viewing on ageism can efficiently reduce negative stereotypes of aging in older people in the short and medium term.
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Affiliation(s)
- Borja Doncel-García
- OSI Bilbao-Basurto, Osakidetza Basque Health Service, Bilbao, Spain
- Department of Nursing I, University of the Basque Country, Leioa, Spain
- Biocruces Bizkaia Health Research Institute, Barakaldo, Spain
| | - Izarne Lizaso
- Department of Basic Psychological Processes and their Development, University of the Basque Country, Donostia-San Sebastián, Spain
| | | | - Álvaro Mosquera-Lajas
- Aspaldiko’s Psychosocial Service and Municipal Community Centers, Portugalete, Spain
| | | | - Begoña Sanz
- Biocruces Bizkaia Health Research Institute, Barakaldo, Spain
- Department of Physiology, University of the Basque Country, Leioa, Spain
| | - Jon Irazusta
- Biocruces Bizkaia Health Research Institute, Barakaldo, Spain
- Department of Physiology, University of the Basque Country, Leioa, Spain
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190
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McDarby M, Ju CH, Picchiello MC, Carpenter BD. Older adults' perceptions and experiences of ageism during the COVID-19 pandemic. THE JOURNAL OF SOCIAL ISSUES 2022; 78:JOSI12557. [PMID: 36249554 PMCID: PMC9539012 DOI: 10.1111/josi.12557] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Revised: 08/17/2022] [Accepted: 08/17/2022] [Indexed: 05/04/2023]
Abstract
The current study investigates older adults' perceptions of ageism in the United States during the COVID-19 pandemic. Using tenets of Stereotype Embodiment Theory and the Behaviors from Intergroup Affect and Stereotypes Map framework, we sought to (a) examine whether older adults experienced ageism as self-relevant during the pandemic and (b) understand whether older adults experienced certain media messages and interpersonal behaviors during the pandemic and interpreted them as being motivated by potentialpaternalistic age stereotypes. Older adults aged 65 and older recruited from the community (n = 73) participated in a semi-structured interview about their perspectives on ageism toward older adults during the pandemic. Participants also completed an online survey about their experiences with a range of messages and interpersonal behaviors throughout the pandemic. We thematically analyzed interview data and identified three primary themes: self-relevance of age stereotypes; awareness of negative, overgeneralized portrayals of older adults; and defenses against self-relevance of age stereotypes. Survey responses were analyzed using descriptive statistics and frequency counts and suggest that participants attributed messages and behaviors potentially imbued with paternalistic ageism as motivated primarily by care and concern for older adults. The findings add to the field's understanding of older adults' experiences and perceptions of ageism in the media and in interpersonal behaviors in the context of COVID-19.
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Affiliation(s)
- Meghan McDarby
- Department of Psychological & Brain SciencesWashington University in St. LouisSt. LouisMissouriUSA
| | - Catherine H. Ju
- Department of Psychological & Brain SciencesWashington University in St. LouisSt. LouisMissouriUSA
| | - Matthew C. Picchiello
- Department of Psychological & Brain SciencesWashington University in St. LouisSt. LouisMissouriUSA
| | - Brian D. Carpenter
- Department of Psychological & Brain SciencesWashington University in St. LouisSt. LouisMissouriUSA
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191
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Schlomann A, Memmer N, Wahl HW. Awareness of age-related change is associated with attitudes toward technology and technology skills among older adults. Front Psychol 2022; 13:905043. [PMID: 36160527 PMCID: PMC9505520 DOI: 10.3389/fpsyg.2022.905043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2022] [Accepted: 08/17/2022] [Indexed: 11/13/2022] Open
Abstract
Despite much research in the context of aging and technology, the role of Views on aging (VoA) for differences in technology use and attitudes among older adults has rarely been studied so far. This study focuses on the associations between a multidimensional measure of VoA and technology use, technology skills, and attitudes toward technology in a sample of older adults (n = 369, age range: 65–93 years, 48.2% male). We apply the concept of Awareness of age-related change (AARC) to examine the role of positive (AARC-Gains) and negative (AARC-Losses) self-perceptions of aging. Bivariate and multivariate regression analyses were conducted. The results showed positive associations of AARC-Gains with technology skills and technology attitudes. For AARC-Losses, we identified negative associations with technology skills, technology attitudes as well as general technology use. In contrast, associations between subjective age (SA) and all technology-related measures were non-significant. The results stress the importance to consider multidimensional measures of VoA to gain a better understanding of the associations between an individuals’ experiencing of own aging processes and technology adoption. More research is needed to determine the stability of these findings in other samples and for other kinds of technology use and attitudes.
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Affiliation(s)
- Anna Schlomann
- Network Aging Research, Heidelberg University, Heidelberg, Germany
- Institute for Educational Sciences, Heidelberg University of Education, Heidelberg, Germany
- *Correspondence: Anna Schlomann,
| | - Nicole Memmer
- Network Aging Research, Heidelberg University, Heidelberg, Germany
| | - Hans-Werner Wahl
- Network Aging Research, Heidelberg University, Heidelberg, Germany
- Institute of Psychology, Heidelberg University, Heidelberg, Germany
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192
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Abstract
BACKGROUND AND OBJECTIVES Although reputed for being the virtual playground of teenagers, TikTok has since made its way to older adults, some of whom have become content creators with millions of followers. Despite their immense sway over audiences, as well as their potential to reconfigure socially constructed notions of aging, these older TikTok personalities have been given scant attention in gerontological literature. We fill this gap by exploring how older adults use TikTok to engage in discourses on old age. RESEARCH DESIGN AND METHODS We compiled the most viewed videos of users aged 60 and older with at least 100,000 followers, generating 1,382 videos with over 3.5 billion views. Videos that did not feature older adults engaging in discourses on aging were excluded, resulting in 348 videos for content analysis. Both inductive and deductive approaches guided the qualitative analysis. RESULTS Three themes emerged: Nearly 3 in 4 videos featured older adults "Defying Age Stereotypes" (71%; Theme 1), 18% featured them "Making Light of Age-Related Vulnerabilities" (Theme 2), and 11% involved older adults "Calling out Ageism" (Theme 3). DISCUSSION AND IMPLICATIONS This is the first known study exploring how older adults consciously engage in discourses of aging through their participation on TikTok. Our findings highlight the potential for older adults to be put at the vanguard of a movement aimed at challenging socially constructed notions of old age.
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Affiliation(s)
- Reuben Ng
- Lee Kuan Yew School of Public Policy, National University of Singapore, Singapore, Singapore
- Lloyd’s Register Foundation Institute for the Public Understanding of Risk, National University of Singapore, Singapore, Singapore
| | - Nicole Indran
- Lee Kuan Yew School of Public Policy, National University of Singapore, Singapore, Singapore
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193
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Abstract
BACKGROUND AND OBJECTIVES The recent entry of the hashtag #OkBoomer into social media vernacular underscores the collective frustration of younger people with a group whose views they find increasingly incompatible with theirs. Most social media analyses in gerontology focus on the content on Twitter and Facebook, with content on TikTok virtually unexplored. Given the burgeoning popularity of TikTok among younger people, we assess the content of TikTok videos with the hashtags #OkBoomer or #Boomer to distill the undercurrents of hostility expressed by younger people toward Baby Boomers. RESEARCH DESIGN AND METHODS We collated TikTok videos (N = 332) with the hashtags #OkBoomer or #Boomer, which received over 5.4 billion views. Both inductive and deductive approaches guided the qualitative content analysis of the videos. RESULTS Five themes emerged. Most videos (79%) described "Negative Encounters with Baby Boomers" (Theme 1); 58% were about "Conflicting Values/Beliefs between Baby Boomers and Younger People" (Theme 2); 39% were about "Baby Boomers Antagonizing Younger Generations" (Theme 3); 22% of the videos made references to the "Karen Meme" (Theme 4); and 7% bemoaned the existence of a "Wealth Gap" between Baby Boomers and younger people (Theme 5). DISCUSSION AND IMPLICATIONS Findings reveal that the usage of the hashtags #OkBoomer and #Boomer is highly nuanced, at times explicitly ageist, and at others, emblematic of a phenomenon far more complex than ageism. There is a need to leverage social media as a space to foster interaction between older and younger people. Society is ultimately well served by intergenerational interaction.
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Affiliation(s)
- Reuben Ng
- Lee Kuan Yew School of Public Policy, National University of Singapore, Singapore, Singapore
- Lloyd’s Register Foundation Institute for the Public Understanding of Risk, National University of Singapore, Singapore, Singapore
| | - Nicole Indran
- Lee Kuan Yew School of Public Policy, National University of Singapore, Singapore, Singapore
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194
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Visintin EP, Tasso A. Are You Willing to Protect the Health of Older People? Intergenerational Contact and Ageism as Predictors of Attitudes toward the COVID-19 Vaccination Passport. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11061. [PMID: 36078777 PMCID: PMC9518032 DOI: 10.3390/ijerph191711061] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Revised: 08/24/2022] [Accepted: 08/31/2022] [Indexed: 06/12/2023]
Abstract
Since the beginning of the COVID-19 pandemic, the vulnerability of older people to COVID-19 has been stressed in political discourse and the mass media, with the call to protect older adults. Therefore, policies aimed at reducing the spread of coronavirus, such as the COVID-19 vaccination passport policy, might be perceived as policies aimed at preserving the health of older people, and negative attitudes toward older people (i.e., ageism) might underlie negative attitudes toward such policies. While intergenerational contact is one of the main antecedents of reduced ageism, the pandemic has forced people to separate, and direct intergenerational contact in particular might have been reduced, possibly being replaced by telephone and virtual contact. In a correlational study (N = 153 Italian university students) we found that quantity and quality of direct intergenerational contact diminished during the pandemic. Virtual intergenerational contact was unexpectedly less frequent than direct contact. Quality of direct contact before the pandemic was associated, over and above the effects of other contact forms under investigation, with reduced ageism, which was in turn associated with negative attitude toward the vaccination passport. Findings will be discussed focusing on the roles of intergenerational contact and ageism for public health.
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Affiliation(s)
- Emilio Paolo Visintin
- Department of Humanities, University of Ferrara, Via Paradiso 12, 44121 Ferrara, Italy
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195
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Schepens Niemiec SL, Wagas R, Vigen CL, Blanchard J, Barber SJ, Schoenhals A. Preliminary User Evaluation of a Physical Activity Smartphone App for Older Adults. HEALTH POLICY AND TECHNOLOGY 2022; 11:100639. [PMID: 36213682 PMCID: PMC9534291 DOI: 10.1016/j.hlpt.2022.100639] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Objectives Mobile health (mHealth) delivered through smartphone apps is a viable means of improving health behaviors. Technologies can be strengthened and made more age-inclusive by involving older adults as co-designers, resulting in more accessible and effective products. This study's purpose is to describe preliminary acceptability and feasibility of a physical activity (PA) app tailored to underactive older people. Methods Moving Up is a multi-feature app designed to increase PA and reduce sedentary behaviors in underactive older adults. The suite houses a core activity tracker and three add-on features that target correlates of inactivity: sedentary behavior, stereotypes about aging, and PA knowledge and routines. Three groups of 4-5 older adult smartphone owners were provided with and oriented to the Moving Up app activity tracker and one add-on feature. Participants beta-tested the app for two weeks, after which each cohort reconvened to discuss experiences, make recommendations for app improvements, and complete a usability questionnaire on their assigned feature. Results Thirteen participants (median age, 71 years; iOS users, n=8; females, n=12) completed the beta-testing period and returned for follow-up. Reported usability was moderate across the features. Sentiments about app content and general impressions were mainly positive, although users made several recommendations for app improvements such as more individualized messaging and timely notifications. Conclusions A PA app for older adults demonstrated generally good usability and acceptability. Integrating the impressions and recommendations from older adults into the design of mHealth tools will enhance overall usability and likelihood to positively influence PA behaviors long-term.
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Affiliation(s)
- Stacey L. Schepens Niemiec
- Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles CA, United States of America
| | - Rafael Wagas
- Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles CA, United States of America
| | - Cheryl L.P. Vigen
- Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles CA, United States of America
| | - Jeanine Blanchard
- Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles CA, United States of America
| | - Sarah J. Barber
- Department of Psychology, Georgia State University, Atlanta GA, United States of America
| | - Alana Schoenhals
- Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles CA, United States of America
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Ageism from a cross-cultural perspective: results from a national survey of Israelis over the age of 50. Int Psychogeriatr 2022; 34:779-787. [PMID: 34725001 DOI: 10.1017/s1041610221001241] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
OBJECTIVES We examined differences across three groups in Israel to test the double jeopardy versus the intersection escape hypotheses-which evaluate whether being older and belonging to an underrepresented group serves as a double burden, exposing older minorities to higher levels of perceived ageism or on the contrary, older age serves as a protective factor, especially for underrepresented groups. DESIGN A cross-sectional, nationally representative sample, consisting of three groups: Veteran Israelis, Israeli Arabs and immigrants from the Former Soviet Union. The latter two groups represent underrepresented (minority) populations in Israel. SETTING Community-dwelling Israelis over the age of 50. PARTICIPANTS The sample was composed of 1570 participants. MEASUREMENT To examine the double jeopardy versus the intersectional escape hypothesis, self-perceptions of aging (SPA) and perceived age-based discrimination in the healthcare system were examined as outcome variables. RESULTS Among Israeli Arabs, being older was related to better SPA, whereas among the immigrants being older was related to worse SPA. As immigrants became older, they were more likely to report ageist experiences. Israeli Arabs reported higher levels of ageist experiences, regardless of their age. CONCLUSIONS The findings point to certain groups that require education about ageism and the aging processes and might require further protection from the experiences of ageism. The findings also point to the relevance of different theoretical paradigms that advocate for the consideration of culture and group membership in the understanding of the experiences of ageism.
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197
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Aging is inevitable, nihilism is optional. Int Psychogeriatr 2022; 34:761-763. [PMID: 36008365 DOI: 10.1017/s1041610222000345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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198
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Segel-Karpas D, Shrira A, Cohn-Schwartz E, Bodner E. Daily fluctuations in subjective age and depressive symptoms: the roles of attitudes to ageing and chronological age. Eur J Ageing 2022; 19:741-751. [PMID: 36052204 PMCID: PMC9424480 DOI: 10.1007/s10433-021-00681-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/30/2021] [Indexed: 11/28/2022] Open
Abstract
Studies indicate that both subjective age-individuals' perception of their own age as older or younger than their chronological age, and attitudes to ageing are related to physical and mental health. Less is known about the possible dual effect of these two constructs of subjective views of ageing. In the current study, 334 participants (aged 30-90, M = 58.15) reported their daily subjective age and mental health along 14 consecutive days. Attitudes to ageing were measured at baseline. Results indicated that daily variation in subjective age was related to daily variation in depressive symptoms, such that people experienced more depressive symptoms at days they felt older. Furthermore, we found that attitudes to ageing (perceptions of losses, physical change, and psychological growth) moderated this relationship. The covariation between daily subjective age and daily depressive symptoms was stronger when attitudes to ageing were less favorable (e.g., high perceptions of losses and low psychological growth). The moderating effect of losses was especially prominent among older participants. This indicates that attitudes to ageing moderate the toll that feeling old takes on mental health, especially in older age. The results also emphasize the need to understand how different subjective views on ageing, measured in different time frames, operate interactively to shape individual's daily experiences.
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199
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Skoblow HF, Proulx CM. C-Reactive Protein, Subjective Aging, and Incident Cardiovascular Disease: A Mediation Model. J Gerontol B Psychol Sci Soc Sci 2022; 77:1654-1658. [PMID: 35279030 PMCID: PMC9434473 DOI: 10.1093/geronb/gbac051] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2021] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVES Negative self-perceptions of aging (SPA) and an older subjective age are associated with a greater likelihood of cardiovascular disease. We predicted that C-reactive protein (CRP), a marker of stress-related inflammation, would mediate this relation. METHOD Data from up to 6 602 participants ages 50-101 in the Health and Retirement Study (2008-2018) were analyzed using logistic regressions with mediation. Subjective aging was assessed in 2008 or 2010, CRP was assessed 2 years later, and diagnosis of heart disease or stroke was assessed in the years from CRP measurement to 2018. RESULTS Significant indirect effects occurred in all models, indicating that negative SPA and older subjective age are associated with a greater likelihood of heart disease and stroke through elevated levels of the inflammatory marker CRP. DISCUSSION These findings suggest that psychological factors such as subjective aging impact cardiovascular health through physiological mechanisms, specifically markers of inflammation.
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Affiliation(s)
- Hanamori F Skoblow
- Department of Human Development and Family Science, University of Missouri, Columbia, Missouri, USA
| | - Christine M Proulx
- Department of Human Development and Family Science, University of Missouri, Columbia, Missouri, USA
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Wilton-Harding B, Weber N, Windsor TD. Awareness of age-related gains and losses as moderators of daily stress reactivity in middle- and older-adulthood. Front Psychiatry 2022; 13:929657. [PMID: 36090357 PMCID: PMC9458888 DOI: 10.3389/fpsyt.2022.929657] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Accepted: 08/08/2022] [Indexed: 11/13/2022] Open
Abstract
Objectives Associations between awareness of one's own aging and wellbeing have received increasing attention in the field of gerontology over the last decade. The current study examines how between-person differences and within-person fluctuations of awareness of age-related change (AARC) relate to daily negative affect and vitality. Of key interest was the extent to which fluctuations in AARC moderated reactivity to stressor exposure. We predicted that higher positive perceptions of aging (AARC-gains) would buffer the relationship between daily stressors and negative affect/vitality. Conversely, we expected that higher negative perceptions (AARC-losses) may exacerbate the relationship between daily stressors and the outcome variables. Methods Data were collected from a community-based sample of 152 Australian adults aged 53-86 (M = 69.18, SD = 5.73). For 10 consecutive days, participants completed surveys on their smartphones measuring daily stressors, AARC, and affect (positive and negative). Bayesian hierarchical linear models were used to examine whether AARC-gains and AARC-losses moderated within-person associations of daily stressors and affect (i.e., stress reactivity). Results At the between-person level, higher AARC-gains was associated with lower negative affect and higher vitality, whereas those reporting higher AARC-losses scored higher on negative affect and lower on vitality. Within-person variables revealed that on days when AARC-gains was higher and AARC-losses was lower, this corresponded with lower negative affect and higher vitality. There was no evidence in support of individual moderating effects of within-person AARC-losses or within-person AARC-gains on stress reactivity. A trend was evident in support of a three-way WP Stress severity × WP AARC-gains × WP AARC-losses interaction in the prediction of negative affect, indicating that on days when AARC-losses was higher, the association of stress severity with negative affect was weaker if AARC-gains was higher. Follow-up analyses modeling quadratic stress severity revealed a trend suggesting an interaction of within-person stress severity and within-person AARC-losses. Discussion Results indicate that both individual differences and short-term fluctuations in AARC are associated with daily negative affect and vitality. The results provided qualified support for a possible protective role of AARC-gains in the context of stress reactivity.
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Affiliation(s)
| | - Nathan Weber
- College of Education, Psychology and Social Work, Flinders University, Adelaide, SA, Australia
| | - Tim D. Windsor
- College of Education, Psychology and Social Work, Flinders University, Adelaide, SA, Australia
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