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Levy N, Ayalon L. "We are the future": Advant-aged women speak-out through spoken word poetry. J Women Aging 2024; 36:299-313. [PMID: 38459701 DOI: 10.1080/08952841.2024.2325213] [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: 08/20/2023] [Accepted: 02/26/2024] [Indexed: 03/10/2024]
Abstract
This study aims to investigate women between the ages of 50 and 70 who write and perform spoken word poetry, through which they wish to lead positive social change, by turning the culture of silence into open discourse. This period represents a new phase of life. These women are at an "in-between" phase of being no longer young but not yet old and are between life roles. This is a new age group that has not yet been studied. We argue that this stage of life requires a new term. The term chosen for this study is advant-age because it implies the advantages and opportunities that this period of life affords. Although this group of women is growing in relation to the general population, the ageism and sexism they experience are increasing, creating a gradual process of social exclusion and reduction in their agency. Spoken Word Poetry (SWP) is written on a page but performed live in front of an audience. It is a poetic piece that includes rhythm, rhyme, and sometimes humor, which help convey complex messages with finesse. The importance of the current research lies in revealing a new and unresearched social phenomenon that has been developing in Israel in recent years: Advant-aged women are discussing issues that society usually silences, using methods that traditionally have been associated with younger groups. Through SWP, advant-aged women are enabling the possibility of raising these issues for public discussion and creating an opportunity for social change.
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Affiliation(s)
- Noa Levy
- Gender Studies Department, Bar Ilan University, Ramat Gan, Israel
| | - Liat Ayalon
- Louis and Gabi Weisfeld School of Social Work, Bar Ilan University, Ramat Gan, Israel
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Ayalon L. Age differences in the context of climate change: Does exposure to a fake consensus statement make a difference? PLoS One 2024; 19:e0298219. [PMID: 38478572 PMCID: PMC10936767 DOI: 10.1371/journal.pone.0298219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2023] [Accepted: 01/20/2024] [Indexed: 03/26/2024] Open
Abstract
The present study examined whether people of different age groups respond differently to a true versus fake consensus statement concerning climate change. In total, 309 participants were randomly exposed to a true consensus statement about climate change and 311 were exposed to a false statement. Subsequently, respondents were asked to respond to items about attitudes, feelings, and behavioral intentions concerning climate change. Compared with younger people, older persons are significantly more concerned about climate change, more likely to report that climate change is real and more willing to take climate change action. Nevertheless, older persons also are more likely to be willing to post both fake and truthful information about climate change, thus, possibly serving as spreaders of both fake and truthful information. The findings suggest that it is younger people who will benefit from further education about climate change and older people who may benefit from education about the spread of information in social media. Our findings also suggest that simply providing individuals with consensus information has only limited impact on their climate change attitudes, feelings and behavioral intentions.
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Affiliation(s)
- Liat Ayalon
- Louis and Gabi Weisfeld School of Social Work, Bar Ilan University, Ramat Gan, Israel
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Yu X, Wang Q. A study on the factors influencing old age identity among the Chinese elderly. Front Public Health 2023; 10:1027678. [PMID: 36684889 PMCID: PMC9853900 DOI: 10.3389/fpubh.2022.1027678] [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: 08/25/2022] [Accepted: 12/14/2022] [Indexed: 01/07/2023] Open
Abstract
Background Old age identity is the self-perception of when old age begins, reflects public age values and acceptance of aging. Not all elderly people aged 60 and above identify with their old age status. The aging society in the traditional sense may not be "aging". Therefore, redefining old age is crucial. Different from Western countries, China is a country with a long-standing culture of respect for the elderly and filial piety norms, and the influence of the cultural background on the old age identity is worthy of attention. Data and method Data were drawn from the 2014 China Longitudinal Aging Social Survey (CLASS). A total of 7400 participants answered questions about old age identity. Based on old age identity, we obtained two other types of indicators of perceived old age: elderly group identity and aging degree. For the continuous variable old age identity and aging degree, an OLS linear regression model was established. A binary logistic regression model was established for the binary variable elderly group identity. Result The average old age identity of Chinese people aged 60 and above is 70 years. Health status, psychological status, behavior, socioeconomic status, and some demographic characteristics significantly affect the old age identity of the Chinese elderly. Conclusion The traditional Chinese cultural background of respect for the elderly and the norms of filial piety have an impact on the old age identity of the Chinese elderly through family intergenerational support. The various forms of support provided by children to the elderly can help them achieve a positive age identity-enter old age later, raise the likelihood of identification with non-elderly groups, and reduce aging degree. The number of children of the elderly, the children's economic conditions and care support for grandchildren have negative effects. A positive old age identity can help the elderly improve their self-esteem.
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Affiliation(s)
- Xiao Yu
- Northeast Asian Research Center, Jilin University, Changchun, China
- Northeast Asian Studies College, Jilin University, Changchun, China
| | - Qihui Wang
- Northeast Asian Research Center, Jilin University, Changchun, China
- Northeast Asian Studies College, Jilin University, Changchun, China
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Midlife suicide: A systematic review and meta-analysis of socioeconomic, psychiatric and physical health risk factors. J Psychiatr Res 2022; 154:233-241. [PMID: 35961179 DOI: 10.1016/j.jpsychires.2022.07.037] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2021] [Revised: 07/09/2022] [Accepted: 07/20/2022] [Indexed: 10/16/2022]
Abstract
Suicide is an increasing contributing cause of mortality in middle-aged adults; however, knowledge to guide prevention is limited. This first systematic review and meta-analysis of studies on midlife suicide has provided an overview of published research on this issue and synthesized the evidence on socioeconomic and physical and mental health factors associated with this mortality. Using PRISMA guidelines MEDLINE, Embase, PsycINFO, Scopus and Web of Science were searched for English-language publications that involved persons aged 35 to 65, used individual-level data, and reported prevalence of exposure(s) or relative risks. The search identified 62 studies on midlife suicides and associated factors (28 for SES, 22 for psychiatric disorder and 23 for physical illness). All studies were from high income countries, and most (80.6%) used data from population registries. Meta-analyses showed that the pooled prevalence of exposure in suicide decedents was 57.8% for psychiatric disorder, 56.3% for low income, 43.2% for unemployment, and 27.3% for physical illness. The associated pooled risk ratio was 11.68 (95% confidence intervals: 5.82-23.47) for psychiatric illness of any type, 12.59 (8.29-19.12) for mood disorders, 3.91 (2.72-5.59) for unemployment, 3.18 (2.72-3.72) for being separated or divorced, 2.64 (2.26-3.10) for cancer, 2.50 (0.96-6.38) for central nervous system illness, and 2.26 (1.16-4.41) for low income. In conclusion, midlife suicide is strongly associated with socioeconomic difficulties and physical and psychiatric illnesses that are common in this age population. Future investigations should consider the interactions between risk factors, the intersectionality of sex and ethnicity, and include data from low- and middle-income countries.
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Ayalon L, Roy S. The Role of Ageism in Climate Change Worries and Willingness to Act. J Appl Gerontol 2022; 42:1305-1312. [PMID: 36189610 DOI: 10.1177/07334648221130323] [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: 11/15/2022] Open
Abstract
This study examined the association of negative ageist prescriptive expectations regarding older people with worries about climate change and willingness to act. An online survey was completed by 250 Australians over the age 18. Higher levels of ageism (e.g., negative prescriptive views towards older people) were associated with fears about the impact of climate change on one's life, worries about the impact of climate change on older members of the family, and willingness to pay higher taxes to fight climate change. Holding more negative prescriptive views towards older people can serve as an incentive to act and at the same time carries an emotional negative valence associated with concerns and worries about the impact of climate change. Although willingness to act and concerns about climate change may inspire adaptation and mitigation efforts, it is important to ensure that they are not tied to ageism.
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Affiliation(s)
- Liat Ayalon
- Louis and Gabi Weisfeld School of Social Work, 26731Bar Ilan University, Ramat Gan, Israel
| | - Senjooti Roy
- Louis and Gabi Weisfeld School of Social Work, 26731Bar Ilan University, Ramat Gan, Israel
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Jurek Ł. Chronological Age and Subjective Perception of the Old-Age Threshold: An Empirical Verification of the Age-Group Dissociation Effect Using European Social Survey Data. ADVANCES IN GERONTOLOGY 2022. [DOI: 10.1134/s2079057022010052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Aharoni Lir S, Ayalon L. The Wounded Lion - Ageism and Masculinity in the Israeli Film Industry. Front Psychol 2022; 13:756472. [PMID: 35386888 PMCID: PMC8978672 DOI: 10.3389/fpsyg.2022.756472] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Accepted: 02/11/2022] [Indexed: 11/24/2022] Open
Abstract
One of the intriguing issues connected to power relations in the world of cinema that has yet to be adequately explored is what has happened over the years concerning the dominance and privilege of masculinity as signifying preferred social status. This qualitative study explores this subject based on transcribed semi-structured interviews with 13 award-winning Israeli directors over the age of 55. The research examines two questions: How has the film industry changed its relation to leading, award-winning film directors as they grow older? And, what challenges confront the directors, in terms of their own self-perceptions? These questions capture the collisional intersection between hegemonic masculinity and ageism, because they examine the loss of power attributed to men in the film industry as they reach the second half of their lives. The findings led to the formation of a theoretical model of ageism within the cinematic industry, allowing for the dismantling of the different factors that create obstacles for directors as they get older. The four layers of the model are: arbitrary ageism, manifested in the demands of a rapidly changing industry in a changing world; passive ageism, expressed through encounters with negative attitudes; active ageism, reflected in preventing older directors from receiving funding and from screening their films; and self-ageism, manifested in the directors' attitudes toward themselves.
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Affiliation(s)
- Shlomit Aharoni Lir
- The Louis and Gabi Weisfeld School of Social Work, Bar-Ilan University, Ramat Gan, Israel
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The interactive effect of aging anxiety and age awareness on meaning in life and psychological distress: a moderated mediation model. CURRENT PSYCHOLOGY 2021. [DOI: 10.1007/s12144-021-02156-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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9
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Generational Portrait of Spanish Society in the Face of Climate Change. A Question to Consider for the Green Economy under the Well-Being Approach. ENERGIES 2021. [DOI: 10.3390/en14040807] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Climate change is emerging as an issue of progressive attention, and therefore awareness, in societies. In this work, the problem is addressed from a generational perspective in Spanish society and is carried out from the approaches of awareness, human action, and self-responsibility. All this from the search of the subjective well-being and the citizens’ happiness, as one of the bases of sustainable development initiatives. With data from the European Social Survey R8, from EUROSTAT, we work in two phases: (1) descriptive and inferential on possible associations of the items with the variable Age, and (2) calculation of probabilities between groups through logistic regression. The results confirm a general awareness, but with apparent statistical differences between age groups. In general, the youngest are the most aware, blame human activity most intensely, are the most concerned, and are the most willing to act. And it is the older people who are less aware of all these issues. Based on this finding, and from the approach mentioned above, it is recommended that leaders, both in the macroeconomic and microeconomic sectors, develop initiatives that sensitize and encourage older age groups.
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Ayalon L. Are Older Adults Perceived as A Threat to Society? Exploring Perceived Age-Based Threats in 29 Nations. J Gerontol B Psychol Sci Soc Sci 2020; 74:1256-1265. [PMID: 28961739 DOI: 10.1093/geronb/gbx107] [Citation(s) in RCA: 52] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2017] [Accepted: 07/10/2017] [Indexed: 11/12/2022] Open
Abstract
OBJECTIVES The present study adds to the current body of literature by simultaneously examining the public perception of young and old people as posing realistic threats (e.g., to the group's power, resources, and welfare) and symbolic threats (e.g., to one's world view, belief system and values). METHODS The fourth wave of the European Social Survey was administered to individuals from 29 countries. Analysis is based on 56,170 individuals, who had data on the four relevant indicators. The study relied on a latent profile analysis to develop a typology of perceived realistic and symbolic threats to society by younger and older adults. RESULTS A three-profile solution indicated that the perception of older and younger adults as threats to society often co-occurs. Sociodemographic characteristics at the individual-level and the Gini coefficient (e.g., an inequality indicator) at the country-level had differential associations with the profiles identified. CONCLUSIONS The study calls for a more balanced approach which evaluates attitudes toward both younger and older adults as potential sources of threat. Attention should be paid to individual- and national-level characteristics associated with age-based threats (e.g., the perception of a group, defined by its chronological age, as threatening).
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Affiliation(s)
- Liat Ayalon
- Louis and Gabi Weisfeld School of Social Work, Bar Ilan University, Ramat Gan, Israel
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Ayalon L, Gewirtz-Meydan A, Levkovich I, Karkabi K. Older men and women reflect on changes in sexual functioning in later life. SEXUAL AND RELATIONSHIP THERAPY 2019. [DOI: 10.1080/14681994.2019.1633576] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Liat Ayalon
- The Louis and Gaby Weisfeld School of Social Work, Bar-Ilan University, Ramat Gan, Israel
| | - Ateret Gewirtz-Meydan
- Crimes against Children Research Center and Family Research Laboratory, Department of Sociology, University of New Hampshire, Durham, NH, USA
- Sex and Couples Therapy Unit, Meir Medical Center, Kfar-Saba, Israel
| | - Inbar Levkovich
- The Division of Family Medicine, The Ruth & Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel
| | - Khaled Karkabi
- Department of Family Medicine, The Ruth & Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Clalit Health Services, Haifa & Western Galilee District, Israel
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Abstract
AbstractDrawing on the revived literature on the subjective dimension of ageing, this paper investigates whether people aged 65+, usually defined as old, do actually feel old and which events they associate with feeling old. Logistic models are used on unique data from the 2013 survey called ‘I Do Not Want to Be Inactive’, conducted on individuals aged 65–74 in Italy (N = 828). It is found that a large proportion of respondents do not feel old at all. The analyses show that women are more likely than men to feel old and to think that society considers them old. While men feel old mainly when they retire, women associate this feeling with loneliness, loss of independence and death of loved ones. Higher-educated people are less likely to associate feeling old with loneliness and boredom than their lower-educated counterparts. The findings have important implications for the conceptualisation of ageing. Most people who are old according to the standard threshold of 65 do not consider reaching this age as a distinctive marker of old age in their lifecourse. This suggests that absolute thresholds for setting the start of old age are questionable. Feeling old seems to be mainly influenced by events, such as retirement and death of loved ones, hinting to the importance of the social construction of ageing in addition to its biological dimension. Researchers and policy makers are encouraged to give more attention to layperson views on ageing.
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Abstract
We introduce new indicators measuring relative age disadvantage of older compared with younger people at a national level. Drawing on data from 29 European countries, the study demonstrates that there is no consistent relative old age disadvantage with regard to the four indicators selected: satisfaction in life, perceived prejudice, perceived access to health services, and subjective income. Relative age disadvantages (i.e. the status of those aged 30-45 divided by the status of older adults aged 60-75) correlated negatively with overall levels of happiness at the country level. Multi-level analyses revealed cross-level interactions, indicating that countries with higher levels of relative age disadvantage were characterized by a more negative relation between age and happiness at the individual level. Our findings highlight a need to further investigate relative age disadvantages for understanding, describing, and potentially changing the situation of older people in modern societies.
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Bergman YS, Bodner E, Shrira A. Subjective nearness to death and end-of-life anxieties: the moderating role of ageism. Aging Ment Health 2018; 22:678-685. [PMID: 28166425 DOI: 10.1080/13607863.2017.1286459] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVES Subjective nearness to death (SNtD), or individuals' subjective evaluation of how close they are to death, has been demonstrated to be an important predictor for different aspects of the individual's aging process across the life cycle. However, the relationship between SNtD and anxieties linked with the aging process has not been examined among individuals who may be in the initial stages of experiencing the first physical and cognitive signs of aging. Thus, this study examined the association between SNtD and aging, dying, and death anxieties. Moreover, the role of ageism, or negative attitudes toward older adults, as a moderator for these perceptions regarding the end of life has not been addressed. Moreover, we examined whether ageism serves as a moderator for the aforementioned association. METHOD A convenience sample of 1146 Israeli participants, ranging in age from 45 to 65, filled out scales assessing SNtD, aging anxiety, dying anxiety, death anxiety, and ageism. RESULTS High levels of SNtD were positively associated with aging, dying, and death anxieties. Moreover, there was a positive association between ageism and the three end-of-life anxieties. Significant interactions demonstrated the moderating effect of ageism for the relationship between SNtD and both aging and dying anxieties, but not for death anxiety. CONCLUSION SNtD is an important construct, which is connected to various perceptions and anxieties concerning the aging and dying processes. Moreover, while high ageism mitigates the positive association between SNtD and certain anxieties, the role of ageism is more complicated, and its negative aspects are discussed.
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Affiliation(s)
- Yoav S Bergman
- a School of Social Work , Ariel University , Ariel , Israel
| | - Ehud Bodner
- b Interdisciplinary Department of Social Sciences , Bar-Ilan University , Ramat-Gan , Israel.,c Department of Music , Bar-Ilan University , Ramat-Gan , Israel
| | - Amit Shrira
- b Interdisciplinary Department of Social Sciences , Bar-Ilan University , Ramat-Gan , Israel
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Schwadel P. Cross-national variation in the social origins and religious consequences of religious non-affiliation. SOCIAL SCIENCE RESEARCH 2018; 70:254-270. [PMID: 29455748 DOI: 10.1016/j.ssresearch.2017.12.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/26/2017] [Revised: 11/10/2017] [Accepted: 12/09/2017] [Indexed: 06/08/2023]
Abstract
I argue that the social implications of religious non-affiliation vary across cultural contexts, leading to differences across nations in both who is likely to be unaffiliated and the religious consequences of such non-affiliation. I test these propositions by examining cross-national variation in associations with non-affiliation using multilevel models and cross-sectional survey data from almost 70,000 respondents in 52 nations. The results indicate that: 1) both individual characteristics (gender, age, and marital status) and nation-level attributes (GDP, communism, and regulation of religion) strongly predict religious non-affiliation; 2) differences in non-affiliation by individual-level attributes-women vs. men, old vs. young, and married vs. single-are greatest in nations with low levels of religious regulation and high levels of economic development; and 3) the effect of religious non-affiliation on religiosity varies considerably by the political and religious context, and to a lesser extent by the level of economic development in each nation. These results highlight cultural variation in what it means to be religiously unaffiliated.
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Affiliation(s)
- Philip Schwadel
- University of Nebraska-Lincoln, Department of Sociology, 740 Oldfather Hall, P.O. Box 880324, Lincoln, NE 68588-0324, United States.
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Swift HJ, Abrams D, Marques S, Vauclair CM, Bratt C, Lima ML. Agisem in the European Region: Finding from the European Social Survey. INTERNATIONAL PERSPECTIVES ON AGING 2018. [DOI: 10.1007/978-3-319-73820-8_27] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
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Barber SJ. An Examination of Age-Based Stereotype Threat About Cognitive Decline. PERSPECTIVES ON PSYCHOLOGICAL SCIENCE 2017; 12:62-90. [PMID: 28073332 DOI: 10.1177/1745691616656345] [Citation(s) in RCA: 67] [Impact Index Per Article: 9.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
"Stereotype threat" is often thought of as a singular construct, with moderators and mechanisms that are stable across groups and domains. However, this is not always true. To illustrate this, the current review focuses on the stereotype threat that older adults face about their cognitive abilities. Drawing upon the multithreat framework, I first provide evidence that this is a self-concept threat and not a group-reputation threat. Because this differs from the forms of stereotype threat experienced by other groups (e.g., the threat that minority students face about their intellectual abilities), the moderators of stereotype threat observed in other groups (i.e., group identification) do not always generalize to age-based stereotype threat about cognitive decline. Looking beyond the forms of stereotype threat elicited, this review also provides evidence that the mechanisms underlying stereotype-threat effects may vary across the adult life span. Because of age-related improvements in emotion-regulation abilities, stereotype threat does not seem to reduce older adults' executive-control resources. Overall, this review highlights the need to approach the concept of stereotype threat with more granularity, allowing researchers to design more effective stereotype-threat interventions. It will also shed light on why certain stereotype threat effects "fail to replicate" across domains or groups.
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Affiliation(s)
- Sarah J Barber
- Department of Psychology, San Francisco State University
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18
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Abstract
The "middle-age" life period has not been researched extensively and lacks a theoretical conceptualization. The present study explores subjective experiences of members of this age-group. This is a qualitative research, based on in-depth interviews and thematic analysis, which looks into the life stories of 25 Israeli residents aged 48-64 years. The results indicate that the definition of middle age is not clear-cut, and some participants regard their age negatively. Yet, participants report that this period is characterized by a relief of tasks, broader choice opportunity, a sense of liberation, peace of mind, experience, self-awareness, and self-acceptance. Description of middle age as a peak in life, with concerns about future old age, came up repeatedly. Middle-aged individuals' difficulties to identify with their age-group and the social concept that dichotomizes age into young versus old are discussed. The article calls for further research of and engagement with middle age.
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Affiliation(s)
- Pnina Dolberg
- 1 Louis and Gabi Weisfeld School of Social Work, Bar Ilan University, Ramat Gan, Israel.,2 Spitzer Department of Social Work, Ben Gurion University of the Negev, Beersheba, Israel
| | - Liat Ayalon
- 1 Louis and Gabi Weisfeld School of Social Work, Bar Ilan University, Ramat Gan, Israel
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Liao GY, Chien YT, Chen YJ, Hsiung HF, Chen HJ, Hsieh MH, Wu WJ. What to Build for Middle-Agers to Come? Attractive and Necessary Functions of Exercise-Promotion Mobile Phone Apps: A Cross-Sectional Study. JMIR Mhealth Uhealth 2017; 5:e65. [PMID: 28546140 PMCID: PMC5465381 DOI: 10.2196/mhealth.6233] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2016] [Revised: 11/11/2016] [Accepted: 11/24/2016] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Physical activity is important for middle-agers to maintain health both in middle age and in old age. Although thousands of exercise-promotion mobile phone apps are available for download, current literature offers little understanding regarding which design features can enhance middle-aged adults' quality perception toward exercise-promotion apps and which factor may influence such perception. OBJECTIVES The aims of this study were to understand (1) which design features of exercise-promotion apps can enhance quality perception of middle-agers, (2) whether their needs are matched by current functions offered in app stores, and (3) whether physical activity (PA) and mobile phone self-efficacy (MPSE) influence quality perception. METHODS A total of 105 middle-agers participated and filled out three scales: the International Physical Activity Questionnaire (IPAQ), the MPSE scale, and the need for design features questionnaire. The design features were developed based on the Coventry, Aberdeen, and London-Refined (CALO-RE) taxonomy. Following the Kano quality model, the need for design features questionnaire asked participants to classify design features into five categories: attractive, one-dimensional, must-be, indifferent, and reverse. The quality categorization was conducted based on a voting approach and the categorization results were compared with the findings of a prevalence study to realize whether needs match current availability. In total, 52 multinomial logistic regression models were analyzed to evaluate the effects of PA level and MPSE on quality perception of design features. RESULTS The Kano analysis on the total sample revealed that visual demonstration of exercise instructions is the only attractive design feature, whereas the other 51 design features were perceived with indifference. Although examining quality perception by PA level, 21 features are recommended to low level, 6 features to medium level, but none to high-level PA. In contrast, high-level MPSE is recommended with 14 design features, medium level with 6 features, whereas low-level participants are recommended with 1 feature. The analysis suggests that the implementation of demanded features could be low, as the average prevalence of demanded design features is 20% (4.3/21). Surprisingly, social comparison and social support, most implemented features in current apps, were categorized into the indifferent category. The magnitude of effect is larger for MPSE because it effects quality perception of more design features than PA. Delving into the 52 regression models revealed that high MPSE more likely induces attractive or one- dimensional categorization, suggesting the importance of technological self-efficacy on eHealth care promotion. CONCLUSIONS This study is the first to propose middle-agers' needs in relation to mobile phone exercise-promotion. In addition to the tailor-made recommendations, suggestions are offered to app designers to enhance the performance of persuasive features. An interesting finding on change of quality perception attributed to MPSE is proposed as future research.
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Affiliation(s)
- Gen-Yih Liao
- Department of Information Management, Chang Gung University, Taoyuan City, Taiwan.,Dept of Nursing, Chang Gung Memorial Hospital, Taoyuan Branch, Taoyuan City, Taiwan
| | - Yu-Tai Chien
- Department of Information Management, National Taiwan University, Taipei, Taiwan
| | - Yu-Jen Chen
- Department of Information Management, Chang Gung University, Taoyuan City, Taiwan
| | - Hsiao-Fang Hsiung
- Department of Nursing, Chang Gung University of Science of Technology, Guishan District, Taoyuan City, Taiwan
| | - Hsiao-Jung Chen
- Department of Nursing, Chang Gung University of Science of Technology, Guishan District, Taoyuan City, Taiwan
| | - Meng-Hua Hsieh
- Department of Information Management, Chang Gung University, Taoyuan City, Taiwan
| | - Wen-Jie Wu
- Department of Information Management, Chang Gung University, Taoyuan City, Taiwan.,Division of Chinese Gynecology, Center for Traditional Chinese Medicine, Chang Gung Memorial Hospital, Taoyuan, Taiwan, Kwei-Shan Tao-Yuan, Taiwan
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Abstract
BACKGROUND The continuing care retirement community (CCRC) is a long term care alternative available to older adults who are independent upon entrance. The present study evaluated perceptions of old age and aging among new CCRC residents and their adult children. METHODS A qualitative study with 34 dyads of older adults and their adult children (34 adult children and 36 older adults) was conducted. Interviews were analyzed using constant comparisons within and across interviews. Dyadic analysis of older adults-adult children interviews was followed. RESULTS Three major themes concerning the perception of old age and aging emerged: (a) expectations for multiple losses that occur in old age; (b) different views and definitions of old age as being composed of various dimensions including chronological age, mental age, physical age and appearance and (c) diverse perceptions of the CCRC as a luxurious hotel vs. the "last stop." CONCLUSIONS A more balanced portrayal of old age and the CCRC might result in an easier acceptance of these concepts among older adults and their adult children.
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The European Journal of Ageing and the debate on consequences of population ageing. Eur J Ageing 2014; 11:1-3. [PMID: 28804309 DOI: 10.1007/s10433-014-0309-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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