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Jackson T, Flinn F, Rafferty L, Ehrlich E, Fletcher M. Exploring the experiences of older adults living with asthma in the United Kingdom: a co-produced qualitative study. AGING AND HEALTH RESEARCH 2022. [DOI: 10.1016/j.ahr.2022.100079] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Maurya P, Sharma P, Muhammad T. Prevalence and correlates of perceived age-related discrimination among older adults in India. BMC Public Health 2022; 22:561. [PMID: 35317769 PMCID: PMC8939106 DOI: 10.1186/s12889-022-13002-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2021] [Accepted: 03/14/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Age is one of the predominant reasons for perceived discrimination in developing world where older people are considered a non-contributing burden. The present study explores the prevalence and correlates of perceived age discrimination among older Indian adults. METHODS A cross-sectional study was conducted using a large representative survey data from the Longitudinal Ageing Study in India conducted during 2017-18. Participants included 31,464 older adults aged 60 years and above. Multivariable logistic regression analysis was used to test the associations between selected background characteristics and perceived age discrimination. RESULTS The analysis revealed that 10.33 percent of older adults perceived their age as the main reason for discrimination, which was 11.86% among the oldest-old. Older adults with more than 10 years of schooling were 32% [adjusted odds ratio (AOR): 0.68; confidence interval (CI): 0.51-0.89] less likely to perceive age discrimination compared to their uneducated counterparts. The odds of perceived age discrimination were higher among older adults who earlier worked [AOR: 1.73; CI: 1.46-2.05] and currently working [AOR: 1.61; CI: 1.31-1.96] as compared to those who never worked. Further, having difficulty in instrumental activities of daily living (IADL) [AOR: 1.43; CI: 1.25 -1.65] and having one chronic condition [AOR: 1.16; CI: 1.02 -1.34] were associated with increased odds of perceived age discrimination among older adults. CONCLUSION Older adults with lower socioeconomic status, currently working, having more chronic conditions, difficulty in IADL and belonging to rural areas were found to perceive higher age discrimination than their counterparts. The findings of the study have important implications for policy makers with respect to strategies such as making the vulnerable populations aware of their legal rights that help in the prevention of age-based discrimination in the country.
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Affiliation(s)
- Priya Maurya
- International Institute for Population Sciences, Mumbai, Maharashtra, 400088, India
| | - Palak Sharma
- International Institute for Population Sciences, Mumbai, Maharashtra, 400088, India
| | - T Muhammad
- International Institute for Population Sciences, Mumbai, Maharashtra, 400088, India.
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Zora S, Cella A, Poli S, Veronese N, Zini E, Giannoni P, Pandolfini V, Torrigiani C, Pilotto A. “Ageism” Is Associated With Self-Reported Multidimensional Frailty in Community-Dwelling Older Subjects: A Population-Based Study. Front Med (Lausanne) 2022; 8:734636. [PMID: 35252221 PMCID: PMC8894609 DOI: 10.3389/fmed.2021.734636] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2021] [Accepted: 12/22/2021] [Indexed: 01/08/2023] Open
Abstract
Ageism is a stereotyping, prejudice and discrimination against people, based on age. Ageism may impact the quality of life and the care of older people, a problem that can be greater when the older person is “frail.” However, few studies explored the role of frailty as a factor related to ageism. The aim of this study was to assess the association between perceived age discrimination (PAD), i.e., ageism, and multidimensional frailty in a cohort of community-dwelling older adults. We enrolled 1,337 community-dwelling subjects over-65 years that filled out a structured questionnaire to collect psycho-socio-economic and behavioral information. Multidimensional frailty was assessed by the SELFY-Multidimensional Prognostic Index Short-Form (SELFY-MPI-SF). PAD, over the past 5 years, was assessed based on explicit criteria. Overall, 83 out of 1,337 participants (6.2%) reported PAD. These subjects were older, more frequently women, with greater economic difficulties, lower level of cultural fruition, social network and psychological well-being, and a greater degree of frailty compared to their counterparts. After adjustment for age and gender, multidimensional frailty (SELFY-MPI-SF score) and negative affectivity were the two only “predictors” significantly associated with PAD (SELFY -MPI-SF, Odds Ratio: 1.19, 95%CI: 1.029–1.370; PANAS negative: Odds Ratio: 1.06, 95%CI: 1.033–1.099). In conclusion, self-reported frailty and negative affectivity are independently associated with PAD in community-dwelling older people. Interventions to prevent and treat frailty could be useful to reduce ageism and improve the well-being of the older people.
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Affiliation(s)
- Sabrina Zora
- Geriatrics Unit, Department of Geriatric Care, Orthogeriatrics and Rehabilitation, E.O. Ospedali Galliera, Genova, Italy
| | - Alberto Cella
- Geriatrics Unit, Department of Geriatric Care, Orthogeriatrics and Rehabilitation, E.O. Ospedali Galliera, Genova, Italy
| | - Stefano Poli
- Department of Education, University of Genoa, Genova, Italy
| | - Nicola Veronese
- Department of Geriatrics, University of Palermo, Palermo, Italy
| | - Elena Zini
- Department of Education, University of Genoa, Genova, Italy
| | - Paola Giannoni
- Department of Education, University of Genoa, Genova, Italy
| | | | | | - Alberto Pilotto
- Geriatrics Unit, Department of Geriatric Care, Orthogeriatrics and Rehabilitation, E.O. Ospedali Galliera, Genova, Italy
- Department of Interdisciplinary Medicine, University of Bari Aldo Moro, Bari, Italy
- *Correspondence: Alberto Pilotto
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Abstract
In India, the "feminization of aging" is one of the areas in which prejudice most frequently occurs. Noticeably, poverty, isolation, changes in residential care, and weak institutional support push women into several vulnerabilities. This study demonstrates that elderly women are often denied basic rights and are compelled to reside in old-age homes; the situation is worse for elderly widowed women. We examine the claims that the lives of elderly women are more precarious due to their lower literacy, limited social exposure, and monetary dependence. Being women, old, and widowed, they are affected by triple vulnerabilities that require concrete policy implications.
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Affiliation(s)
- Yatish Kumar
- National Institute of Educational Planning and Administration (NIEPA), New Delhi, India
| | - Priya Bhakat
- Midnapore College (Autonomous), West Bengal, India
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Lyons A, Alba B, Heywood W, Fileborn B, Minichiello V, Barrett C, Hinchliff S, Malta S, Dow B. Experiences of ageism and the mental health of older adults. Aging Ment Health 2018; 22:1456-1464. [PMID: 28795587 DOI: 10.1080/13607863.2017.1364347] [Citation(s) in RCA: 67] [Impact Index Per Article: 11.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
OBJECTIVES This article examines relationships between experiences of ageism and four specific mental health outcomes among older Australian adults, including whether these relationships vary depending on age, gender, and sexual orientation. METHODS A survey was conducted nationwide involving 2137 participants aged 60 years and older. Mental health variables included depressive symptoms, anxious symptoms, general stress, and positive mental health or flourishing. RESULTS Recent experiences of ageism were found to be strongly related to poorer mental health on all four mental health variables. However, experiences of ageism appeared to have a greater effect on the mental health of those who were younger in age (specifically depression), of men more so than women (specifically depression), and of those who identified as heterosexual as opposed to other sexual orientations (specifically general stress). CONCLUSION These findings suggest that experiences of ageism may be an important factor in the health and well-being of older adults, especially for those who are younger, male, and heterosexual, and may need to be taken into account when devising strategies for supporting healthier and happier ageing.
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Affiliation(s)
- Anthony Lyons
- a Australian Research Centre in Sex, Health and Society, School of Psychology and Public Health , La Trobe University , Melbourne , Australia
| | - Beatrice Alba
- a Australian Research Centre in Sex, Health and Society, School of Psychology and Public Health , La Trobe University , Melbourne , Australia
| | - Wendy Heywood
- a Australian Research Centre in Sex, Health and Society, School of Psychology and Public Health , La Trobe University , Melbourne , Australia
| | | | - Victor Minichiello
- a Australian Research Centre in Sex, Health and Society, School of Psychology and Public Health , La Trobe University , Melbourne , Australia.,c School of Medicine and Public Health , University of Newcastle , Callaghan , Australia.,d Faculty of Law, School of Justice , Queensland University of Technology , Brisbane , Australia
| | | | - Sharron Hinchliff
- f School of Nursing and Midwifery , University of Sheffield , Sheffield , United Kingdom
| | - Sue Malta
- g National Ageing Research Institute , Parkville , Australia.,h School of Global and Population Health , University of Melbourne , Carlton , Australia
| | - Briony Dow
- g National Ageing Research Institute , Parkville , Australia.,h School of Global and Population Health , University of Melbourne , Carlton , Australia
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Siguaw JA, Sheng X, Simpson PM. Biopsychosocial and Retirement Factors Influencing Satisfaction With Life: New Perspectives. Int J Aging Hum Dev 2017; 85:332-353. [PMID: 28042717 DOI: 10.1177/0091415016685833] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
Founded on expectation confirmation theory and a resource perspective, this research examines the impact of retiree resources, retirement planning, conditions of work exit, and confirmation of retirement expectations on satisfaction with life in retirement. The study of 543 retirees found significant effects of retiree resources (i.e., self-efficacy, health, and income), confirmation of retirement expectations, ageism, retirement planning, and conditions of exit on retirees' satisfaction with life. The study also showed that self-efficacy, activity participation, health, income, ageism, and retirement planning significantly impacted confirmation of retirement expectations, although conditions of exit did not significantly affect confirmation of retirement expectations.
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Affiliation(s)
- Judy A Siguaw
- 1 College of Business, East Carolina University, Greenville, NC, USA
| | - Xiaojing Sheng
- 2 College of Business Administration, The University of Texas, Rio Grande Valley, TX, USA
| | - Penny M Simpson
- 2 College of Business Administration, The University of Texas, Rio Grande Valley, TX, USA
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Mattsson K, Pietilä Rosendahl S. Teaching gerontology in globalized academics: a qualitative study of Thai nursing students' views on ageing when studying abroad. Contemp Nurse 2016; 53:36-47. [PMID: 27821017 DOI: 10.1080/10376178.2016.1257921] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
BACKGROUND Negative views towards ageing and older adults may be a reason why nurses do not choose to work in gerontological nursing. Studying in another cultural context can challenge these views. The Objective was to explore nursing students' views on ageing and older adults before and after a gerontology course held abroad. DESIGN AND METHOD A qualitative approach based on content analysis of responses to open-ended questions by 30 Thai nursing students studying a gerontology course in Sweden. RESULTS Three main categories: positive imprints of ageing, ageing takes its toll, and knowledge leading to action, emerged through sub-categories carrying a view of older adults as not only in need of care, but also as resourceful and competent. Professional healthcare, besides family was seen as potential caregivers in old age. CONCLUSIONS Studying gerontology abroad can widen views towards ageing and older adults, inspiring nurses to work in gerontological nursing.
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Affiliation(s)
- Karin Mattsson
- a School of Health, Care and Social Welfare , Mälardalen University , Eskilstuna , Sweden.,b Department of Health Care Sciences , Ersta Sköndal Community College , Stigbergsgatan 30, Box 111 89, SE-100 61 Stockholm , Sweden
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Ribera Casado JM, Bustillos A, Guerra Vaquero AI, Huici Casal C, Fernández-Ballesteros R. [Age discrimination. Point of view of the professionals]. Rev Esp Geriatr Gerontol 2016; 51:270-5. [PMID: 27264615 DOI: 10.1016/j.regg.2016.03.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2015] [Revised: 12/11/2015] [Accepted: 03/08/2016] [Indexed: 11/16/2022]
Abstract
INTRODUCTION It is generally believed that legislation is an essential resource in the prevention of discriminatory behaviour against older people. This study first examines the Spanish legislation for potential age discrimination and then uses the C-EVE-D questionnaire to ask professionals in social work and health care settings the extent to what certain ageist behaviours described in the questionnaire are observed in practice. METHODS The field study was carried out with professionals in geriatrics and gerontology, who are members of Spanish Society for Geriatrics and Gerontology (SEGG). The EVE discrimination questionnaire consists of 28 items which investigate the existence of age discrimination in medical and social care contexts. RESULTS A total of 174 people (63% women; mean age: 45.6 years) took part in the study, with a mean professional experience of 17.2 years. Doctors made up 59% of the sample, psychologists 19%, with the rest coming from other professions. The first 20 discrimination items of the EVE-D questionnaire were significantly positively reported by more than 60% of the sample. CONCLUSIONS Although Spanish legislation, from the constitution down to the rules that govern social and health care settings, clearly prohibits any kind of discrimination with regard to age, our results show that Spanish professionals most closely involved in the care of older people perceive both direct and indirect age discrimination. Furthermore, evidence was found of prejudice in the treatment of older people as a phenomenon in day-to-day health and social services care, both when analysing medical cases and, to a greater extent, cases of a more general nature and/or relating to co-existence.
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Affiliation(s)
- Jose Manuel Ribera Casado
- Departamento de Medicina, Facultad de Medicina, Hospital Clínico San Carlos, Universidad Complutense, Madrid, España.
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Abstract
Objectives: to examine perceived age discrimination in a large representative sample of older adults in England. Methods: this cross-sectional study of over 7,500 individuals used data from the fifth wave of the English Longitudinal Study of Ageing (ELSA), a longitudinal cohort study of men and women aged 52 years and older in England. Wave 5 asked respondents about the frequency of five everyday discriminatory situations. Participants who attributed any experiences of discrimination to their age were treated as cases of perceived age discrimination. Multivariable logistic regression analysis was used to estimate the odds ratios of experiencing perceived age discrimination in relation to selected sociodemographic factors. Results: approximately a third (33.3%) of all respondents experienced age discrimination, rising to 36.8% in those aged 65 and over. Perceived age discrimination was associated with older age, higher education, lower levels of household wealth and being retired or not in employment. The correlates of age discrimination across the five discriminatory situations were similar. Conclusion: understanding age discrimination is vital if we are to develop appropriate policies and to target future interventions effectively. These findings highlight the scale of the challenge of age discrimination for older adults in England and illustrate that those groups are particularly vulnerable to this form of discrimination.
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Affiliation(s)
- Isla Rippon
- Department of Epidemiology & Public Health, University College London, London, UK
- Address correspondence to: Tel: 0207 679 1804; Fax: 0207 916 8542.
| | | | - Cesar de Oliveira
- Department of Epidemiology & Public Health, University College London, London, UK
| | - Panayotes Demakakos
- Department of Epidemiology & Public Health, University College London, London, UK
| | - Andrew Steptoe
- Department of Epidemiology & Public Health, University College London, London, UK
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