Gerontology Commons^™

The Covid-19 Crisis And Intergenerational Relations : The Case Of Hong Kong Families With Older Parents Ageing In The Greater Bay Area In Mainland China, Bowen Zhou

Lingnan Theses and Dissertations

The Guangdong-Hong Kong-Macao Greater Bay Area has been developed by the Chinese central government since 2016. Driven by the development of the Greater Bay Area, the well-developed transportation has further provided chances for Hong Kong older people to reside in the mainland GBA cities. The relevant Hong Kong government departments have made a comparison showing that the number of Hong Kong older people (aged 65 and above) who are ageing in the Greater Bay Area of mainland China has increased to around 90,200 in 2019, a 33% increase from 2013. Given the most updated situation, these Hong Kong families with …

Late-Life Gender Disparities In Economic Security: Evidence From The 2022 Elder Index, Jan E. Mutchler, Nidya Velasco Roldán, Yan-Jhu Su

Center for Social and Demographic Research on Aging Publications

Estimates from the 2022 Elder Index illustrate the elevated risk of economic insecurity experienced by older women, especially those living alone. We use the Elder Index to calculate the percentage of older adults living in one- and two-person households with annual incomes that do not support economic security. National averages suggest that half of older women living alone, along with 42% of older men living alone, have annual incomes below the Elder Index. In addition, 21% of older couples have annual incomes below the Elder Index. Women in same-sex couples experience greater levels of disadvantage than men in same-sex couples …

Supporting Care Partners Of People Living With Dementia, Sherril Gelmon, Walter Dawson, Jenn Hollandsworth Reed

OHSU-PSU School of Public Health Faculty Publications and Presentations

This report addresses the need to better support care partners of people living with dementia, including a proposal for a new Dementia Care Partner Hub (the “Hub”) that will facilitate care partner access to information, supports, services and activities. This work is the culmination of the “Supporting Care Partners of People Living with Alzheimer’s Disease and Related Dementias (ADRD)” project funded by the Portland State University Institute on Aging’s “Gerontology Education & Research Initiative” (GERI) faculty grant, conducted from June 2022 to October 2023. The project focused on addressing concerns and needs of care partners and people living with dementia …

An Overview Across Three Generational Packages: Pioneer Generation, Merdeka Generation, And Young Seniors, Paulin T. Straughan, Yi Wen Tan, Rachel Ngu, Zidane Tiew, Wensi Lim

ROSA Research Briefs

In Singapore, there has been a concerted effort to implement diverse programs and initiatives to cater to the needs of the ageing demographic. In Singapore, it is expected that those aged 65 and above will make up 27% of the population by 2030 (Soh et al., 2020). It is also crucial to acknowledge that within this ageing population, each cohort follows a distinct life trajectory (Hooyman & Kiyak, 2010). For instance, older generations in Singapore may have navigated through uniqueevents like World War II, profoundly impacting their life trajectories. Meanwhile, newer generations are likely to experience remarkable economic growth alongside …

Designing A Human-Centered Intelligent System To Monitor & Explain Abnormal Patterns Of Older Adults, Min Hun Lee, Daniel P. Siewiorek, Alexandre Bernardino

Research Collection School Of Computing and Information Systems

Older adult care technologies are increasingly explored to support the independent living of older adults by monitoring their abnormal activities and informing caregivers to provide intervention if necessary. However, the adoption of these technologies remains challenging due to several factors (e.g. lack of usability). In this work, we present a human-centered, intelligent system for older adult care. Our proposed designs of the system were created based on the findings from a focus group session with caregivers. This system monitors the abnormal activities of an older adult using wireless motion sensors and machine learning models. In addition, unlike previous work that …

照顧者實用資訊手冊, 嶺南大學亞太老年學研究中心 Asia-Pacific Institute Of Ageing Studies, Lingnan University, Meng Soi, Florence Fong, Chak Kwan, Dickson Chan, Kin Chung Cheung, Lai Ieng Jay Lau, Sin Yui Sharon Chan, Kin Ho William Li, Ka Ho, Alan Li

Manual & Guide 手冊及指引

手冊源起

香港面對人口高齡化，醫療和福利系統無可避免面臨持續的挑戰。照顧者因壓力問題而引發的家庭悲劇時有發生，反映照顧者自身亦極需要社會的重視和支援。

現時照顧者人數眾多，當中不乏配偶、父母、子女、女婿、媳婦，對長者照顧及社會無酬的付出，確實值得社會的認同和肯定。然而，儘管本港為長者及照顧者提供不少支援服務，由於不同的原因，照顧者似乎未有善用現有的服務，常常需要一力承擔所有照顧的責任，這無疑增加了他們的壓力。

照顧者需求多樣性

照顧者有不同種類，所需要的服務或支援亦有所不同。例如：「新手照顧者」剛開始接觸照顧工作，需要盡快提升日常護理和相關的疾病知識，以及獲得合適的離院/復康服務支援。「隱蔽照顧者」一直承擔照顧工作但沒有接受任何支援，因此，他們需要的是服務提供者/鄰里的主動接觸，並被轉介合適的照顧服務，以分擔他們部分照顧工作。「高危照顧者」幾乎長時間被照顧的工作佔據了其生活，他們需要的是喘息空間和暫託服務，甚至可能是情緒支援。即使「資深的照顧者」也可能需要喘息或暫託的支援服務去減輕壓力；而結束了照顧工作的「畢業照顧者」，無論是情緒的支援，還是重新規劃財務與就業的安排，都有非常實際的需求。基於照顧者的不同需要，照顧者的支援和服務也是多樣化，如何讓不同種類的照顧者能夠輕易了解現有的社區支援服務、可考慮甚麼因素選取相關服務、如何獲取所需的支援包括申領經濟支援或預早準備長期護理開支、如何自強增值等，都是這本手冊希望解答的問題。

手冊的目的

編製這本手冊的目的就是要減少照顧者四處尋找資訊的麻煩，提供一個整全且易於瀏覽的資訊來源。本手冊主要有兩大目標：其一，幫助照顧者認識不同的服務和資源，積極尋求援助；其二是一站式提供豐富的資訊服務，提升照顧者的能力和平衡身心健康。

手冊的意義

此手冊的社會意義是期望提高大眾對照顧者需要的關注，並引導更多的行動以支援照顧者。如果您的親友是照顧者，又或您認識的朋友甚至鄰居正面對照顧家人的困難，您可以主動伸出援手，又或利用這本手冊作為啟示，向他們介紹相關的服務。

另外，這本手冊可以視作為支援照顧者的工具，讓照顧者明白在承擔照顧家人的重任時並不需要孤軍奮戰，也可以善用社區提供的各種資源和服務。

手冊架構

本手冊由四個主要部分組成，每部分都專注於特定的主題，旨在提供照顧者的全方位支援和資訊，幫助他們在面對挑戰時能夠有所依賴，並從中獲得力量：

第一部分主要提供基礎知識，其中包括不同種類的照顧者的介紹、四種長者常見疾病（包括認知障礙、中風、老年抑鬱和癌症）的病徵說明、以及照顧者可能面臨的壓力與「喘息服務」的重要性。第二部分專注介紹長者常用的社區及健康服務。我們按照地區將服務機構進行了分類，羅列「認知障礙、中風、老年抑鬱、癌症」常用的服務機構，此外，我們還提供家居安全、樂齡科技租賃服務，以及財務支援等相關建議。第三部分將焦點重新放回照顧者身上，提供了支援照顧者的社福機構介紹、照顧者同路人的心得分享，以及照顧者的培訓資訊，旨在幫助照顧者在面對困難時能自強不息。最後，在本手冊的結尾部分，我們特別邀請了四位專家學者就照顧者政策提出見解和建議，為加強照顧者支援服務提供新思路。

如果按持份者來分類，手冊的四個部分的重點如下：

第一部分：照顧者的基礎知識

◎ 針對預備照顧者、新手以及隱蔽照顧者，讓他們了解照顧者的角色和需要；照顧體弱長者的基礎知識，並提供應對壓力的建議，包括自我照顧和喘息服務等。

第二部分：照顧者支援

◎ 針對所有護老者，提供長者常用的社區服務、健康服務和支援計劃，包括暫託、住宿、護送及陪診、善別支援、情緒支援、復康用品津貼及租賃的支援計劃，以及財務策劃師提供的理財貼士。

第三部分：照顧者自強

◎ 針對照顧者，資訊包括不同的照顧者支援組織、同路人和畢業照顧者的經驗心得、培訓課程，以及實用的電子資訊平台推介。

第四部分：對照顧者支援政策的看法和展望

◎ 針對服務提供者、政策倡議者及制定者，提供專家學者對照顧者服務及政策的未來發展方向的看法和建議，以期引發更多關於「如何為照顧者提供更好支持」的討論。

給讀者的使用指引

本手冊內容十分豐富，讀者可以先瀏覽目錄，選擇與您相關的部分進行細讀。對於新手照顧者或剛接觸/關注護老服務的人士(例如：學生、社區人士)，我們建議您可以參考手冊第24-33頁「給照顧者的智慧錦囊」的個案，了解不同照顧者可能面對的情境，這可能會給您一點概念，讓您可以考慮尋求哪些支援服務，又或您身邊照顧者朋友有哪些需要，以及如何協助他們獲取所需要的支援。我們深知閱讀本手冊時，您可能會遇到一些不明白的地方，請不必感到困惑。您可以嘗試找身邊的朋友、鄰居或社會服務機構的工作人員一起閱讀，或者向本中心的職員進行查詢。

此外，為方便讀者可以隨時隨地閱讀而不需要攜帶整本手冊，我們為本手冊設立了一個專屬網頁，免費下載整本手冊或某些章節內容。

希望您在閱讀的過程中能找到有用的資訊，並能從中獲得實際的幫助。

Singapore Resilience Study, Paulin T. Straughan, Grace Cheong, Wensi Lim, Rachel Ngu, Yan Er Tan, Yen Cong Wong

ROSA Research Briefs

This study was conducted in partnership with Income Insurance and ROSA to establish the baseline measurement of resilience in the Singapore population so as to provide the benchmark for future longitudinal studies and render visible the significance of resilience to well-being. In view of the COVID19 pandemic, notable emphasis has been placed on resilience as a vital quality to better prepare our population against future uncertainties and maintain well-being in spite of adversity. Through this study, a set of validated measures were developed to assess resilience levels across the four domains – mental, social, physical and financial resilience. The present …

香港居家安老面對的挑戰 : 服務提供者及使用者之經驗, Chak Kwan, Dickon Chan, Meng Soi, Florence Fong, Mun Yu, Vera Tang, Lai Ieng Jay Lau, Kui Wai Gordon Chick, Sheung Wan, Wanda Wong, Kong Lung Yeung

APIAS Research Report 研究報告

隨著人口老化，居家安老成為香港社會重大的挑戰。政府多年來提倡「居家安老為本，院舍照顧為後援」的政策方針，透過加強社區照顧服務，以減少院舍入住率。然而，政策需要由家居環境、以至社區支援互相配合，創造可供市民居家安老的先天條件方能成事。本研究旨在探討香港推行居家安老時所面對的困難與挑戰。研究團隊訪問了30名60歲或以上、曾經或正在使用長者服務的使用者和19名從事長者社區照顧及支援服務行業的服務提供者，從不同的角度探討長者居家安老的狀況和社區照顧及支援服務的成效。

研究團隊綜合了長者居家安老的狀況，提出了幾方面的改進建議。在家居環境和社區設施方面，建議 (1) 政府應主動協助長者改善「居住環境」和安裝「緊急呼叫系統」，並(2) 建設合適長者的公共交通工具和道路設施和交通配套。在醫療層面方面，建議 (3) 資助有緊急需要的長者使用私營醫療服務、(4) 擴展醫療券計劃至購買坊間藥物和 (5) 改善普通科門診醫療預約系統和公開長者預約專籌的數量及其使用狀況。在長者社區照顧及支援服務方面，建議 (6) 檢視社區照顧服務券的宣傳和使用狀況、(7) 對長者家庭進行家訪，及早識別有需要個案和 (8) 檢視未來各區長者比例，規劃長者設施服務。

研究團隊分析了社福機構人員在提供長者服務過程中所遇到的困難後，提出了四方面的建議，分別爲 (1) 改進安老服務人員資歷架構和服務外包、(2) 簡化並加強服務資訊的宣傳、(3) 優化一站式服務平台及個案管理和 (4) 制訂長遠的安老政策方向。

Regulating The Care Boom: Labor Standards Enforcement And Paid In-Home Care Work, Isaac Jabola-Carolus

Dissertations, Theses, and Capstone Projects

In the United States, population aging has driven explosive growth in care-sector occupations, especially among low-wage home care aides who provide long-term assistance to older adults. These aides, predominantly women and disproportionately people of color, now represent one of the country’s largest and fastest-growing occupational groups. In recent decades, economic inequality and meager social policies have also spurred demand for nannies, housecleaners, and other domestic workers—occupations heavily reliant on immigrant women, many undocumented. While scholarly and public discourse has addressed labor shortages and job quality in such occupations, a related problem is the widespread violation of labor standards, including minimum …

Public Sentiments And The Influence Of Information-Seeking Preferences On Knowledge, Attitudes, Death Conversation And Receptiveness Towards Palliative Care: Results From A Nationwide Survey In Singapore, Su Lin Yeo, Raymond Han Lip Ng, Tan Ying Peh, May O. Lwin, Poh Heng Chong, Patricia Soek Hui Neo, Jamie Xuelian Zhou, Angel Lee

Research Collection Lee Kong Chian School Of Business

Background: Low awareness about palliative care among the global public and healthcare communities has been frequently cited as a persistent barrier to palliative care acceptance. Given that knowledge shapes attitudes and encourages receptiveness, it is critical to examine factors that influence the motivation to increase knowledge. Health information-seeking from individuals and media has been identified as a key factor, as the process of accessing and interpreting information to enhance knowledge has been shown to positively impact health behaviours. Objective: Our study aimed to uncover public sentiments toward palliative care in Singapore. A conceptual framework was additionally developed to investigate the …

Beyond Economics And Politics : A Sociological Review Of Local Long-Term Care Service Provision In China, Zhen Tian

Lingnan Theses and Dissertations

The socio-demographic transition presents a significant challenge that impacts the renewal of welfare arrangements and the reallocation of welfare responsibilities across sectors. Long-term care (LTC) services have emerged as a widely accepted strategy to promote the active daily living and human dignity of senior citizens. This study aims to assess the effective policy strategies employed in various Chinese contexts to address significant LTC policy concerns and synthesise lessons that can guide future policy decisions. The study addresses three questions to explore local variations in China's LTC service provision: (1) What differences exist in the long-term care services provision? (2) How …

The Role Of Occupational Therapy Practitioners In The Care Of Pets And Animals: A Guide To Aging In Place With Pets And Animals, Blake Randell, Mary Jan Greer, Sherry Pidgeon

Summer 2023 Virtual OTD Capstone Symposium

This capstone project explored the role of occupational therapy practitioners in the care of pets and animals among older adults which has been referred to as the forgotten instrumental activity of daily living (or IADL) for this population. A needs assessment was conducted to determine how to provide facilitators and remove barriers or hindrances to occupational performance in the care of pets and animals among a group of older adults (with a variety of disability- and non-disability-related needs) in independent living communities. This needs assessment identified compounding health disparities of physical and/or cognitive impairments and lack of financial and necessary …

Implementing An Alzheimer’S And Dementia Library Outreach Program: A Partnership Between The Nebraska Chapter Of The Alzheimer’S Association And Nebraska Libraries, Casey Wilkinson

Theses/Capstones/Creative Projects

This paper focuses on the establishment of an Alzheimer’s and dementia library outreach program in Nebraska, initiated by the Nebraska Chapter of the Alzheimer’s Association. The program aims to address the lack of community resources and support for individuals affected by dementia-related diseases in Nebraska. Extensive research, including interviews with successful library outreach programs globally, informed the program's foundation. A survey distributed to Nebraska libraries had a stellar response rate, with 57 libraries expressing interest in collaborating. An in-depth guide was created and distributed to the interested libraries, outlining program components such as educational programming, support groups, and a designated …

「社交媒體、視訊會議平台和樂齡產品在長者院舍的應用情況」研究簡報, Chak Kwan, Dickon Chan, Sheung Wan, Wanda Wong, Meng Soi, Florence Fong, Le Gao

APIAS Research Report 研究報告

香港的老年人口增長迅速，從1988年至2018年間，老年人口由46萬增加到127萬（政府經濟顧問辦公室, 2019）。隨著人口老化，長期護理服務需求也相對增加。資助安老院舍的平均等待時間長達20個月（香港政府, 2021）。在2017至2018年間，有40,000人在輪候資助安老院舍，其中6,600人在等候期間去世（香港政府, 2018）。安老服務業一直面臨人力短缺的問題，2017年的相關職位空缺率為15-20%（香港政府, 2017）。2013年的研究統計發現超過一半的安老服務前線員工超過50歲（勞工及福利局, 2019）。隨著退休潮的來臨，人力短缺的問題會進一步加劇。因此，科技與安老服務的結合被視爲減輕人手壓力的方向。結合科技和院舍服務不僅可以減輕工作量，還能提高服務質量和效率。社交媒體和視訊會議平台可以減少在訊息傳遞上的時間和人力成本。樂齡科技產品，諸如可穿戴設備和遠程監控傳感器，可以讓護理人員更快捷和系統化地掌握服務對象的狀態，從而減少親自監測的次數（Chen, 2020）。因此，自2017年起，香港政府與各部門積極推廣樂齡科技，並於2018年設立樂齡及康復創科應用基金，幫助合資格的安老及康復服務單位購置、租借和試用科技產品。香港政府於2022年更將此計劃擴展至其他非資助的私營或自負盈虧的安老院舍及殘疾人士院舍。在過去三年的新冠疫情影響下，大部分安老院舍因為防疫工作量的增加而面臨更嚴重的人手短缺，不少院舍開始將科技融入服務，以應對疫情衍生的需求和改善現有服務質素。然而，香港院舍對於如何應用社交媒體、會議平台和樂齡科技產品的研究甚少。在此背景下，本研究旨在瞭解院舍應用相關科技的情況，並提供應對有關障礙的政策建議。

The Impact Of Social Determinants Of Health And Acculturation On Quality Of Life In Older Chinese American Adults With Chronic Pain: A Quantitative Study, Chi Lam

Dissertations

Despite a rapid increase in the older Chinese American adult population, there are very few research studies examining the impact of social determinants of health and acculturation on the quality of life in older Chinese American adults. The purpose of the study was to determine the impact of social determinants of health and acculturation on quality of life in older Chinese American adults with chronic pain. This quantitative, descriptive correlational study utilized Madeleine Leininger’s Transcultural Theory as its theoretical framework. Two research questions guided this study: (1) Was there a difference in the quality of life in older Chinese American …

Key Determinants Of Life Satisfaction In Older Adults, Barry Nuqoba, Yi Wen Tan, Yen Cong Wong, Wensi Lim

ROSA Research Briefs

Life satisfaction constitutes a fundamental facet of wellbeing, exerting an influence on an individual's mental and emotional state (Zissi & Barry, 2006). Among older adults, elevated levels of life satisfaction are frequently linked to a more optimistic outlook, contributing to improved health and resilience (Khodabakhsh, 2022; Zheng, Huang, & Fu, 2020). This in turn enhances societal involvement, both in the professional and social domains (Khodabakhsh, 2022). It is also vital to acknowledge that life satisfaction is a multifaceted construct, intricately influenced by an array of external and internal determinants. Life satisfaction is essentially a subjective judgement and assessment of one’s …

Neighbourhood Satisfaction And Networks Among Older Adults In Singapore, Rachel Ngu, Micah Tan, William Tov

ROSA Research Briefs

The built and social environment surrounding one’s place of residence is an important factor that shapes well-being and quality of life. This is especially so for older adults as their sphere of mobility decreases and their functional capacity may decline as they age, making their immediate environment more vital in shaping their lives. Studies have established the importance and impact of the physical environment on health and well-being of older adults across various communities (Addae-Dapaah 2008; Alidoust and Bosman 2015; Gale et al. 2011; Oswald et al. 2007). A study on older adults in Singapore found that living environment and …

Perspectives Of Hispanic/Latina Women Ages 60 And Over On The Impact Of Single Motherhood And Their Long-Term Financial Well-Being, Tess Juno Anselm

Graduate Doctoral Dissertations

Unmarried women over the age of 60 continue to experience disproportionate rates of adult poverty in the United States, while families headed by single mothers experience the highest poverty rates. This study explores the long-term impact of single motherhood on financial wellness through the perspective of Hispanic/Latina women ages 60 and over who have experienced single motherhood in Massachusetts. A transdisciplinary study, it utilizes intersectionality as a theoretical framework, employs feminist standpoint informed inquiry methods to document lived experiences through in-depth interviews, and engages diffraction as a mode of praxis as it intra-acts with narratives and explores the systems and …

Household Environments And Functional Decline Among Middle-Aged And Older Adults In China, Dandan Zhao

All Theses

This thesis investigates the associations between household social, economic, and physical environment conditions and the trajectory of self-reported functional limitations over time among middle-aged and older adults in China. Despite the increasing interest in the impact of household environments on functional decline, most existing studies are cross-sectional or concern changes in functioning observed in two waves of surveys, and they primarily focus on the influence of one condition. This thesis explores how the trajectory of functional decline is influenced jointly by multiple household factors, including living arrangement, annual living expenditure per capita, indoor air pollution resulting from solid fuels, and …

Older Adults With A History Of Psychiatric Conditions Experience More Cognitive Decline Than Older Adults Without This History, Maria T. Brown, Miriam Mutambudzi

Population Health Research Brief Series

Having psychiatric conditions (such as bipolar disorder, schizophrenia, and major depressive disorder) throughout one’s life can lead to faster rates of cognitive decline as one ages. This data slice explores the associations between psychiatric history and cognitive function among U.S. White, Black, and Hispanic adults ages 65 and older from 1995-2014. Findings demonstrate that having a history of psychiatric problems is related to lower cognitive functioning and a faster rate of cognitive decline for all three groups, but Black and Hispanic adults experience steeper declines compared with White adults.