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The Zoning In And The Zoning Out Of The Elderly: Emerging Community And Communication Patterns, Susan J. Drucker

Proceedings of the New York State Communication Association

Increasingly, senior only residences are zoning seniors out of mainstream residential areas and into segregated living and mature communities. Senior gated communities are variations on a theme of gated communities in which lifestyle is packaged and sold. Active adult retirement communities exclude the young and offer active lifestyle living, with diverse levels of senior living choices. Such an approach contrasts with policies designed to encourage aging in place. It is also distinct from Golden Age Zoning districts designed to allow affordable housing for senior citizens in a public/private partnership. Some towns have zoned public parks to establish areas for children …

Future Care Planning Practices Of Aging Services Professionals In Rural Appalachia, Natalie D. Pope Ph.D., Lcsw, Jacquelyn Lee Ph.D., Lcsw, Diane N. Loeffler Ph.D., Msw

Contemporary Rural Social Work Journal

Planning for future care is an important aspect of professional practice with older adults, and social workers play a key role in helping elders engage in future care planning (FCP). This study examined geriatric social service professionals’ practices and perspectives on helping older rural Appalachians plan for care needs in later life. Semi-structured interviews were conducted with 14 case managers who live and work in southeast Ohio, a part of rural north central Appalachia. Themes related to efforts made to assist elders with FCP include: a) valuing client self-determination; b) developing positive helping relationships; and c) using initial crises to …

Evaluation Of The Demographics, Socioeconomics, And Satisfaction Levels Of Recipients At A Rural Food Bank, Michael J. Lyman Msw, Ph.D., Jeongah Seo Bsw

Contemporary Rural Social Work Journal

The present study assesses the demographics, socioeconomics, behaviors, environment, and satisfaction of food bank clients as a way to inform food bank administrators about where their services could be more efficiently focused. Unfortunately, very little has been published in the research literature about levels of recipient satisfaction at food banks in any settings, but especially in rural settings. This descriptive study used existing demographic and socioeconomic data from intake forms at a rural food bank, in addition to the responses of a convenience sample of 44 foodbank recipients to the Client Satisfaction Questionnaire (CSQ-8). The data were used to assess …

Rural Older Adults And Functional Health Literacy:Testing Self-Efficacy, Knowledge And Skills Resulting From Hands-On Health Promotion, Michele L. Dugan-Day, Susan C. Dollar, Wafaa A. Kaf

Contemporary Rural Social Work Journal

Functional Health Literacy (FHL) involves the knowledge, skills and belief in self-efficacy to use health care information in self-care. FHL is critical for rural older adults since they are at risk of poor health care outcomes. As part of the Senior Health University project, we measured the FHL of rural older adults before and after educational sessions that included hands-on skill building. Ninety-eight participants aged 60 and older were recruited from five rural congregate meal sites over two years. Survey methods allowed for paired sample t-tests of FHL variables. Findings included significant post-training increases in FHL, suggesting the potential benefit …

Race And Sex Differences In Correlates Of Systolic Blood Pressure In Community-Dwelling Older Adults, Cassandra Ford Phd, Patricia Sawyer, Patricia Parmelee, Olivio J. Clay, Martha Crowther, Richard M. Allman

Journal of Health Disparities Research and Practice

Objectives: To describe correlates of measured systolic blood pressure (SBP) among community-dwelling older African American and White Medicare beneficiaries.

Methods: Participants completed an in-home assessment and factors significantly correlated with SBP were tested using multivariable models.

Results: Among the 958 participants (mean age= 75.3 [SD = 6.8]; 49% African American; 49% female; 52% rural) African Americans were more often diagnosed with hypertension, more likely on anti-hypertensives, and on more anti-hypertensive medications. SBP was 2.7 mmHg higher in African Americans than Whites (p=.03). SBP was higher in women than men. Multivariable models revealed differences in the factors associated with SBP by …