Impact of structural ageism on greater violence against older persons: a cross-national study of 56 countries

Development of the item pool for the 'WHO-ageism scale': conceptualisation, item generation and content validity assessment

OBJECTIVES

ageism harms individuals' health and wellbeing and can be costly to societies. Reliable and valid measures that can quantify ageism are critical for achieving accurate data on its global prevalence, determinants and impacts, and to evaluate the effectiveness of interventions to reduce it. Ageism scales exist; however, none have been demonstrated to validly measure ageism in a manner consistent with consensus definitions of the concept (i.e. as manifested in all of stereotypes, prejudices and discrimination), whilst also quantifying ageism against all groups, from a target and perpetrator perspective, and across diverse country settings. Our objective was to develop an item pool to meet this need.

METHODS

we completed the conceptualisation, item generation and content validity assessment phases of a new World Health Organisation (WHO) WHO-ageism item pool that aims to measure the multi-dimensional nature of ageism. These phases drew on a review of available evidence, an experts' workshop and structured content validity reviews conducted by experts in scale development and ageism drawn from every world region defined by WHO.

RESULTS

our resulting item pool is designed to provide a multi-dimensional measure of ageism against all ages measured from both a perpetration and experienced perspective and that can produce valid and reliable scores within diverse country contexts and comparable scores across these contexts.

CONCLUSIONS

our item pool is the first major step in providing a global and comprehensive measure of ageism. Future phases of research will refine the item pool and establish the statistical psychometric properties of the final tool.

Implicit and Explicit Dehumanization of Older Family Members: Novel Determinants of Elder Abuse Proclivity

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.

Influence of Contact Experience and Germ Aversion on Negative Attitudes Toward Older Adults: Role of Youth Identity

The world’s population is currently aging, and the issue of ageism has become serious worldwide, including in Japan. Negative attitudes toward older adults can have undesirable effects on the mental and physical health of this group. We focused on the effects of contact experience with older adults and germ aversion, or the degree of aversion to infection, on negative attitudes toward older adults. Additionally, we included a moderating variable; youth identity, or the sense of belonging with younger rather than older age groups. An online survey was conducted with Japanese participants (N = 603). We conducted multiple regression analyses and the results showed that the interaction effect between youth identity and contact experience on negative attitudes toward older adults was significant. The findings suggest that contact experience may help in reducing negative attitudes toward older adults among people with low youth identity. The interaction effect between youth identity and germ aversion, however, was not significant. Academic research on the effects of some psychological interventions (e.g., intergenerational social exchange) should pay particular attention to the role of youth identity. Future directions for empirical studies are also discussed.