Gerontology Commons^™

Impact Of The Built Environment On The End-Of-Life Journey, Kelechi Akwazie

Masters in Architecture Program: Theses

Several research studies and personal anecdotes show that home-based hospice care patients report better quality of life than their inpatient care counterparts – suggesting that the location of care/built environment is a critical component of hospice care. As a result, other research studies have attempted to provide evidence-based design recommendations for inpatient hospice facilities; however, several of these recommendations either conflict with each other or are vaguely prescribed – which may dull any attempts to implement them.

This literature review takes a unique approach to the provision of evidence-based design recommendations for inpatient hospice facilities by holistically assessing hospice care, …

Most Home-Delivered Meal Recipients With Dementia Receive Support From Friends And Family, But More Social Activity Is Needed, Claire Pendergrast

Population Health Research Brief Series

Home-delivered meal programs reduce hunger and food insecurity, promote socialization, and improve health and wellbeing for older adults. Regular social support from home-delivered meal drivers, alongside social support from friends and family, may be key to preventing isolation and improving health for older adults with dementia. This research brief shows that home-delivered meal recipients with dementia receive significant support from friends and family, but 83% would like more social activity. To better support older adults with dementia and family caregivers, aging services providers should expand virtual and dementia-friendly social engagement programming.

The Role Of Enampt-Mediated Systemic Nad+ Biosynthesis In Aging And Lifespan, Mitsukuni Yoshida

Arts & Sciences Electronic Theses and Dissertations

Aging is a systemic decline in tissue functions that occurs during the course of our life leading to the development of age-associated health deteriorations and ultimately to the expiration of life. Over the past few decades, population aging has become increasingly evident in many parts of the world, leading to increased prevalence of age-related disabilities and diseases. Because age is a major risk factor for many chronic diseases, extensive research effort has been spent to identify common age-associated molecular changes contributing to the pathogenesis and progression of these health issues. One such molecule identified to play a central role in …

New York State’S Counties Have Different Trends In Population Aging, Nader Mehri

Population Health Research Brief Series

The percentage of the population age 60+ is growing faster in NY than in the U.S. overall.

Testing The Common-Mechanisms Theory Of False Hearing And False Memory: The Roles Of Executive Functioning And Inhibitory Control, Eric Failes

Arts & Sciences Electronic Theses and Dissertations

Recent studies have shown that older adults are more susceptible to context-based misperceptions in hearing than are younger adults, a phenomenon that has been referred to as false hearing (Rogers et al., 2012; Sommers et al., 2015). The authors of these studies have noted similarities between false hearing and false memories (Jacoby et al., 2005), suggesting that the two phenomena may arise from similar cognitive mechanisms. The present dissertation project investigated similarities between false hearing and false memories. In Experiment 1, I directly compared susceptibility to false hearing and false memories in younger and older adults. I then investigated two …

Microrna Gene Expression States Underlying Individual Variation In Aging And Lifespan In Isogenic C. Elegans, Holly Kinser

McKelvey School of Engineering Theses & Dissertations

Average lifespan differs greatly between species, but lifespan among same-species individuals is also highly variable. While much effort has been devoted to uncovering longevity-associated traits and lifespan-extending perturbations in humans and model organisms, how differences in lifespan arise between individuals is unknown. Studies of human identical twins demonstrate that surprisingly little of the variation in lifespan between individuals can be explained by genetics and shared environment. Furthermore, even genetically identical C. elegans reared in highly homogeneous environments display a degree of variability in lifespan similar to that of outbred human populations. Thus, longevity must be determined at least in part …

Iot-Enabled Eldercare Technology, Watchanan Chantapakul

English Language Institute

The world’s population is changing as people are growing older. Leveraging technology for eldercare is important in this century. It can enable many eldercare applications effectively.

Negotiating Informal And Formal Supportive Services Among Older Adults: An Analysis Of A Caring Culture At Hope Meadows, Derek Ruszkowski

Stevenson Center for Community and Economic Development—Student Research

This case study examines discourses of living and volunteering at an intentional and intergenerational neighborhood in Rantoul, IL managed by a non-profit called Hope Meadows. This is accomplished through participant and non-participant observations and nine resident interviews. The research contributes to literature on community-level efforts serving to strengthen supportive relationships among neighbors by examining a population that is engaged in providing services to their fellow community residents and the non-profit organization in exchange for below-market rent. Additionally, the outcome contributes to literature on aging-in-place, sustaining volunteer programs dependent on committed residents, and challenges of an increasingly disproportionate aging population. Due …

Mechanics Of Phenotypic Aging Trajectories In C. Elegans And Humans, William Zhang

Arts & Sciences Electronic Theses and Dissertations

Overall, my dissertation integrates longitudinal measurements of physiology to investigate the aging process. In the first half, I examine the surprising and largely unexplained degree of variation in lifespan within even homogeneous populations. I sought to understand how physiological aging differs between long- and short-lived individuals within a population of genetically identical C. elegans reared in a homogeneous environment. Using a novel culture apparatus, I longitudinally monitored aspects of aging physiology across a large population of isolated individuals. Aggregating several measures into an overall estimate of senescence, I find that long- and short-lived individuals start adulthood on an equal physiological …

"We're All Aging": A Discourse Analysis Of Older Adults Aging Experiences In Humboldt County, Kaitlyn Dawn Boyes

Cal Poly Humboldt theses and projects

Age is a ubiquitous concept. One minute we are counting down the days until our birthday and the next minute we are ignoring the fact our birthdays exist. Society’s aging population is rapidly growing and is expected to double nearly double by 2050, this increase in population has led to a shift in treatment and attitudes towards both those who are aging and aging itself. There is currently a gap in the literature on aging experiences coming from those experiencing it; rather those in medical professions often dictate these experiences. To help fill those gaps this thesis explores how older …

Differences In The Perceptions Of Gerotranscendence Between Certified Nursing Assistants And Older Adults, Amanda Perera

All Graduate Theses, Dissertations, and Other Capstone Projects

Many theories of aging have been proposed within the field of gerontology to explain both psychological and social changes that occur during the aging process. One of the theories is the theory of gerotranscendence, which explains that as individuals age they develop a new perspective on life that allows the aging individual to shift their conceptualization of the world, from a materialistic and rational view to a more transcendent and universal view. Previous research suggests that some behaviors associated with gerotranscendence have been misinterpreted as pathological. The purpose of this current study was to examine whether there are significant differences …

Enriching Or Discouraging? Competing Pictures Of Aging And Paid Work In Later Life, Rebecca Casey, Ellie Berger

Population Change and Lifecourse Strategic Knowledge Cluster Discussion Paper Series/ Un Réseau stratégique de connaissances Changements de population et parcours de vie Document de travail

The picture and experience of work and retirement are continuously changing in Canada and will likely continue to change into the future with the aging of the population. There are two pictures of work in older age presented in the literature: a positive and enriching picture and a picture that highlights the challenges facing some older workers. The positive and enriching picture focuses on the experiences of older individuals who are able to continue working if they want to work and are able to work; those who continue working because they are motivated by work rather than pay or new …

Research Brief No. 3 - Disability And Support Networks Of Older Canadians, Janice Keefe, Samuel Vézina, Jacques Légaré, Yann Décarie, Guillaume Lefrançois

Population Change and Lifecourse Strategic Knowledge Cluster Research/Policy Brief

The percentage of older Canadians requiring assistance with health-related tasks due to a long-term health condition increases sharply with age (Chen & Wilkins, 1998). As the first of the Boomers reach age 65 in 2011, it is of great interest to identify trends in disability and support network usage, to better predict future needs and resources within community care. This project used data from five national datasets to investigate the global disability rate and examine socio-demographic characteristics associated with disability and the use of informal and formal support networks to assist older adults with a health problem in performing everyday …

Canada's Oldest Old: A Population Group Which Is Fast Growing, Poorly Apprehended And At Risk From Lack Of Appropriate Services, Jacques Légaré, Yann Décarie, Kim Deslandes, Yves Carrière

Population Change and Lifecourse Strategic Knowledge Cluster Discussion Paper Series/ Un Réseau stratégique de connaissances Changements de population et parcours de vie Document de travail

The future of population aging in industrialised countries, including Canada, will be driven not by lower fertility but by extensions in life expectancy. Declining mortality will have the most effect on the oldest age groups.

In this context, Peter Laslett’s (1989) ideas on rethinking traditional approaches to the life cycle are fundamental. He argues that we need to move from three stages of life to four: childhood; adulthood; then the new third age lasting from retirement until old age, which becomes the fourth age (or the oldest-old).

This report examines the present and future characteristics of the oldest old, and …

Research Brief No. 1 - Social Inclusion Of The Oldest-Old: Toward Supportive Housing Policies, Judy Lynn Richards, Susan Sverdrup-Phillips, Jiangqin Du, Heather Maddocks, Heather Spiegel, Jennifer Brooks

Population Change and Lifecourse Strategic Knowledge Cluster Research/Policy Brief

Although most seniors aged 85+ live relatively independently in the community, research on this age group tends to focus on the negative aspects of aging. This study looks instead at seniors aged 85 and older who are living well and semi-independently in their communities with the help of an informal care provider. The study aims to identify the mechanisms that allow them to live with dignity and autonomy in their own homes and remain socially included in their communities. We conducted in-depth, semi-structured interviews with 16 individuals aged 85 to 94 years and their primary informal support-persons in Southwestern Ontario, …

Pilot Community-Based Intervention To Address The Needs Of Elderly Caregivers In The Eastern Cape Province, South Africa, Priscilla Reddy, Shegs James, H. Mutumba Bilay-Boon, Eka Esu-Williams, Hena Khan

HIV and AIDS

The HIV epidemic in South Africa has placed a substantial burden on elderly caregivers, mainly women, who are often tasked with caring for their grandchildren who are orphaned and rendered vulnerable by the death or illness of their parents. The Medical Research Council (MRC), Age-in-Action, and the Horizons Program conducted formative research, as described in this research summary, to assess the needs of elderly caregivers in the Eastern Cape Province of South Africa in 2005. The investigations revealed that elderly caregivers faced a number of challenges including difficulty communicating with youth, fears and a sense of hopelessness around matters regarding …

Silverwire Newsletter, Lenard W. Kaye

Maine Center on Aging Education and Training

The Silverwire Newsletter is a triannual publication that highlights the work of the UMaine Center on Aging. The topics covered in this edition of the Silverwire Newsletter include the 'Senior $ense' program and a rural perspective on grandparents raising grandchildren.

Urban Versus Rural Mortality Among Older Adults In China, Zachary Zimmer, Toshiko Kaneda, Laura Spess

Poverty, Gender, and Youth

For some time, Chinese government policies have treated rural and urban areas very differently, and a by-product of China’s rapid development seems to be an even greater differentiation between urban and rural social and economic life. Over the next several decades, in part because of rapid fertility declines and in part as a result of mortality declines at older ages, China and other developing countries will experience enormous increases in the proportion of older adults and the proportion of the “oldest-old.” It is reasonable to expect that these age structure changes will alter the provision of health care, making an …

Poverty, Wealth Inequality, And Health Among Older Adults In Rural Cambodia, Zachary Zimmer

Poverty, Gender, and Youth

This working paper examines the distribution of household wealth and tests whether associations exist between wealth inequality and health outcomes among older adults living in one of the world’s poorest regions, rural Cambodia. Results confirm difficult economic conditions among most elderly in rural Cambodia. This study suggests there is some validity to generalizing the relationship between wealth inequality and health to extremely poor populations and that a very small difference in wealth makes a relatively large difference in regard to the association with health among those living in impoverished surroundings.

Active Aging: Motives And Barriers, Francis G. Caro, Eilon Caspi, Jeffery Burr, Jan Mutchler

Gerontology Institute Publications

Both the successful aging and productive aging literatures attach great importance to activity. In the successful aging paradigm, activity contributes positively to both physical health and psychological well being. In the productive aging paradigm, older people make contributions to society through certain types of activities, notably gainful employment, community service volunteering, informal assistance usually within their families, and political participation.

Less attention has been given to the relationships among various forms of productive activity. Various forms of activity may be complementary or competitive. In other words, participation in one form of productive activity may open doors to other forms of …

Motivation For Active Aging: Results Of A Pilot Study, Francis G. Caro, Laney Bruner-Canhoto, Jeffery Burr, Jan Mutchler

Gerontology Institute Publications

The current research explores the question whether activity on the part of older people can be explained, in part, by a general motivation to be active that cuts across various forms of activity. One premise is that motivation defined as “personal interest or desire” is one of a number of forces that contributes to participation in an activity. A further premise is that a distinction may be made between motivation that is specific to a particular activity and general motivation to be active. A general motive to be active may help to explain specific forms of activity. Further, a general …

The Peculiarities Of Men Aging: A Collection Of Anecdotes, Robert Blundo, Tamara Estes

The Journal of Sociology & Social Welfare

Men are reticent to share with others the slow realization that with age they begin to confront a world that they had not expected. They had not expected to grow old. Now that this is happening, men have few relationships that permit them to share their thoughts and moments of recognition. The anecdotes that men share are revealing in that they demonstrate basic human uncertainties about the later part of life's cycle.

Education Of Adult Children And Mortality Of Their Elderly Parents In Taiwan, Zachary Zimmer, Linda G. Martin, Mary Beth Ofstedal, Yi-Li Chuang

Poverty, Gender, and Youth

Research shows an older adult’s education is strongly associated with mortality. But in societies such as Taiwan, where families are highly integrated, the education of family members may be linked to survival. Such may be the case in settings where there are large gaps in levels of education across generations and high levels of resource transfers between family members. This Population Council study employs 14 years of longitudinal data from Taiwan to examine the combined effects of education of older adults and their adult children on mortality outcomes of older adults. Results indicate that educational levels of both parent and …

Supportive Communities, An Optimum Arrangement For The Older Population?, Miriam Billig

The Journal of Sociology & Social Welfare

The preference of older people to stay in their own natural environment requires a reassessment of the approach in dealing with this population group. This exploratory study examines a program conducted in Israel called the "Supportive Community", that provides an emergency call service and other essential services at the homes of older people. A case study was performed in two such supportive communities. Interviews conducted with those who operate the programs and with its members seem to indicate that supportive communities provide a satisfactory solution to the needs of older people who continue to live in their natural environment. Many …

Population Aging And The Rising Cost Of Public Pensions [Arabic], John Bongaarts

Poverty, Gender, and Youth

Rapid population aging is raising concerns about the sustainability of public pension systems in high-income countries. The first part of this study identifies the four factors that determine trends in public pension expenditures: population aging, pension benefit levels, the mean age at retirement, and the labor force participation rate. The second part presents projections to 2050 of the impact of demographic trends on public pension expenditures in the absence of changes in pension benefits, labor force participation, and age at retirement. These projections demonstrate that current trends are unsustainable, because without reforms population aging will produce an unprecedented and harmful …

Trends And Transitions In Children's Coresidence With Older Adults In Beijing Municipality, Zachary Zimmer, Xianghua Fang, Toshiko Kaneda, Zhe Tang, Julia Kwong

Poverty, Gender, and Youth

The reduction in family size in China and concurrent social and economic change are raising concerns that traditional sources of support may be eroding. This Population Council working paper paper examines a) whether rates of coresidence between older adults and their adult children in the Beijing municipality of China have been declining, and b) the determinants of coresidence and coresidence transitions. Results suggest that family support structures for the elderly, when they are facilitated through coresidence, remain basically intact, particularly for those who require the greatest amount of support. Further assessment is required to elucidate the effects of availability, need, …

Silverwire Newsletter, Lenard W. Kaye

Maine Center on Aging Education and Training

The Silverwire Newsletter is a triannual publication that highlights the work of the UMaine Center on Aging. The topics covered in this edition of the Silverwire Newsletter include the Center on Aging's work with the Relatives as Parents Program, the Center on Agings work in the Bangor Community, and the Center on Aging's recent research publications.

How Indicators Of Socioeconomic Status Relate To Physical Functioning Of Older Adults In Three Asian Societies, Zachary Zimmer, Napaporn Chayovan, Hui-Sheng Lin, Josefina N. Natividad

Poverty, Gender, and Youth

In developed countries, socioeconomic status has been identified as one of the most important demographic and social determinants of older adult health. The relationship has not been well studied or contrasted across much of the developing world. Yet, with population aging occurring rapidly in much of Asia, understanding the factors that distinguish between those in better and worse health becomes important. To this end, the current study has two main aims. It first examines the degree to which two measures commonly used to indicate socioeconomic status, education and income, relate to the physical functioning of older adults in three Asian …

Determinants Of Old-Age Mortality In Taiwan, Zachary Zimmer, Linda G. Martin, Hui-Sheng Lin

Poverty, Gender, and Youth

Relationships among socio-demographic characteristics, general assessments of health, and old-age mortality are well established in developed countries. There is also an increasing focus on the connection between early-life experiences and latelife health. This paper tests these and other associations using representative survey data from Taiwan on the population aged 60 and older in 1989, 1993, and 1996 that have been linked to data on deaths between 1989 and 1999 from a national death registry. The study also explores the possible influence of Taiwan’s Universal Health Insurance Program, instituted in 1995, and whether or not the survival of some groups of …

Changes In Functional Limitations And Survival Among The Elderly In Taiwan: 1993, 1996, And 1999, Zachary Zimmer, Linda G. Martin, Ming-Cheng Chang

Poverty, Gender, and Youth

This paper focuses on changes in the prevalence of functional limitations among nationally representative samples of adults aged 65 and older in Taiwan as measured in 1993, 1996, and 1999. Using data from the Survey of Health and Living Status of the Elderly in Taiwan, we investigate changes in difficulties walking and climbing stairs, two tasks that represent basic lower body movements that are less likely to be influenced by changes in living environments and social roles than are activities of daily living and instrumental activities of daily living. Results are shown for both unadjusted prevalence rates and rates adjusted …