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Predicting Accelerated And Delayed Aging In Global Settings: Biobehavioral Age Gaps And The Role Of Global Exposomes, Hernan Hernandez, Hernando Santamaria-Garcia, Sebastian Moguilne, Agustina Legaz, Pavel Prado, Jhosmary Cuadros, Liset Gonzalez, Cyprian Mostert, Chinedu Momoh, Zul Merali

Brain and Mind Institute

Background: Global health challenges like aging and dementia are shaped bysocioeconomic disparities, environmental factors, and social determinants of health.We developed a behavioral age gap (BAG), measuring the difference between expectedbehavioral age and chronological age

Method: We utilized a cross-sectional sample (n = 161,981) comprising countriesfrom Latin America, Europe, Asia, and Africa. Behavioral age was estimated usinga Gradient Boosting Regressor with 10-fold cross-validation, incorporating multiplerisk factors (hypertension, diabetes, heart disease, female sex, visual impairment andhearing impairment) and protective factors (cognition, functional ability, education)associated with healthy aging. BAG was calculated as the difference between predictedand chronological age, and adjusted gaps were derived …

Climate Change And Population Aging, Anastasia Rhule, Michele Dinman, Natalie Galucia

Harvey A. Friedman Center for Aging

Glaciers are shrinking, river and lake ice is melting earlier, plant and animal habitat ranges are changing, and trees and flowers are blooming earlier. Additionally, longer and more severe heat waves are occurring. Droughts, wildfires, and extreme rainfall are happening at a faster rate than previously predicted by scientists.

Public Views Towards Lifespan, Healthspan, And Healthy Longevity Medicine In Singapore: A Qualitative Study From The Healthy Longevity (Helo) Initiatives, Belinda Wang, Anna Szucs, Elena Sandalova, Zhi Meng Lim, E. J. Horberg, Paul A. O’Keefe, Louis Island, Sonny Rosenthal, Andrea B. Maier

Research Collection College of Integrative Studies

Introduction: Healthy Longevity Medicine (HLM) offers a strategy to reduce the healthspan-lifespan gap, yet public perspectives remain unclear. This study refines the Healthy Longevity (HELO) framework through a qualitative exploration of public views towards lifespan, healthspan, and HLM.Methods: Individuals living in Singapore participated in semi-structured group or individual discussions to explore (a) their understanding of lifespan and healthspan, (b) motivational factors for health behaviours, and (c) their awareness of HLM. Sampling maximised variation across age, sex, and ethnicity. Data obtained through 13 discussions were analysed with a mixed, inductive-deductive approach employing the HELO framework.Results: Thirty-six participants (mean age = 49.4 …

Wellesley Council On Aging: Planning For The Future, Caitlin E. Coyle, Beth Rouleau

Center for Social and Demographic Research on Aging Publications

Taking a community-engaged approach, this assessment sought to capture the voices, experiences, and aspirations of older adults living in our community. It is designed to support the COA in fulfilling its mission: acting as the community resource for older adults, their families, and caregivers; advocating for their interests; and offering social, educational, physical activity, transportation, and nutrition programs that promote health, independence, and meaningful engagement.

Specifically, this needs assessment aimed to: 1. Describe the demographic and social trends shaping Wellesley’s older adult population. 2. Identify older residents’ priorities, challenges, and unmet needs—spanning health and wellness, housing and mobility, social connection, …

Driving And Beyond, Michele Dinman, Nancy Morrow-Howell

Harvey A. Friedman Center for Aging

Transportation is a daily necessity in our lives, and many of us rely on driving our own automobile to get where we need to go. According to the Federal Highway Administration, in 2023 there were approximately 35 million licensed drivers aged 70 and older—fewer drivers than younger age groups and a group that drives fewer miles.

Living With Purpose, Michelle Dinman, Cal J. Halvorsen, Nancy Morrow-Howell

Harvey A. Friedman Center for Aging

Having purpose is good for all of us at any age. Patrick Hill, Professor of Psychological and Brain Sciences at WashU, defines purpose as the “notion that you have daily activities you find meaningful or engaging and that give you direction for your life [and] reasons to continue going.” In a major sense, purpose can be described as the why of living, instead of the how.

The Covid-19 Pandemic’S Effects On Older People, Michele Dinman, Morgan Van Vleck

Harvey A. Friedman Center for Aging

The COVID-19 pandemic has had wide ranging effects on people of all ages. In many respects, older people had the same experiences as younger people, but there were some aspects of the pandemic unique to the older population. While COVID-19 cases have been equal among different age groups, older people experienced a greater number of hospitalizations and deaths compared to younger people.

Living Longer, Working Longer, Michele Dinman, Cal J. Halvorsen

Harvey A. Friedman Center for Aging

According to the Pew Research Center, nearly one-in-five Americans ages 65 and older (19%) were employed in 2023, a rate nearly twice that from 35 years ago. They’re also working more hours, on average, than in the recent past. In fact, more than three-in-five older workers (62%) work full time, an increase from the 47% working full time in 1987. Older workers today are also more educated and are more likely to be receiving employer-sponsored benefits, such as retirement savings plans and health insurance, than in earlier decades. While only 4% of the entire labor force was made up of …

Community-Based Food Program Limits In Reducing Older Adult Food Insecurity, Madonna Harrington Meyer, Colleen M. Heflin

Population Health Research Brief Series

Older adults who are grappling with food insecurity may enhance their food supply through community-based programs that provide free and subsidized food. This complicated system, categorized by group meal programs, home-delivered meals, and food provided to be eaten off-site, is complex, expensive, and may be difficult for older adults to use. Based on the book, Food for Thought: Understanding Older Adults Food Insecurity, this brief describes three key limits of community-based food programs for older adults. First, the quantity and quality of community-based food programs vary markedly by where one lives. Second, the food may be of poor nutritional …

Communities Of Practice: Aging, Emergency Management, And Churches In Rural Clackamas County, Oregon, Lukas Robert Aberle

Dissertations and Theses

As the population of the United States ages, questions arise of how to best care for older adults in daily life and emergency situations. This research looks at the daily activities of churches to see how they affect everyday and emergency care practices. As a collaboration with Clackamas County government, I researched the relationship between churches and care through participant observation and interviews during the summer of 2024 to understand congregations’ support for older members, the role of church congregations in emergency management, and the implications of the decline in religious participation alongside aging in the United States. I found …

Stay Independent: Enhancing Healthy Aging In Iowa And Louisiana, Sarah L. Francis, Elizabeth Gollub, Savannah Schultz

Journal of Human Sciences and Extension

This evaluation study assessed the impact of Stay Independent participation on topic familiarity and the likelihood of making a recommended behavior change among community-residing older adults. Stay Independent focuses on the nutritional needs of older adults, emphasizing Whole Person Wellness and the Health Belief Model. It was initially created in Iowa for community-residing adults aged 60 and older and has been adapted for cultural appropriateness in Louisiana. Stay Independent is a healthy aging program consisting of six standalone food and health modules. It is offered both virtually and face-to-face (F2F) in Iowa and Louisiana. Participants who attended Stay Independent between …

Identifying Key Influencing Factors Of Elderly Health Information Search Based On Meta-Ethnography, Zhumei Sun, Zhibing Wang

Journal of Scientific Information Research

[Purpose/significance] Health information search is an important way for elderly people to actively cope with aging. Identifying the key factors affecting of their health information searching and exploring the correlation among these factors are of positive significance for promoting the elderly proactive health ability.

[Method/process] This paper firstly integrated the original research through a meta-ethnographic approach to form a set of factors influencing the elderly health information search. The DEMATEL method was then used to analyze the interrelationships among the influencing factors and identify the key influencing factors.

[Result/conclusion] The study finds that, the influencing factors of elderly health information …

Individuals Aging With Developmental Disabilities: Programmatic Foundations For System Improvement, Morgan D. Foster, Andrew Bronson Crocker, Beth Stalvey

Journal of Human Sciences and Extension

As the population in the United States ages and grows, so does the number of older adults with intellectual and developmental disabilities (IDD). Individuals who have lifelong disabilities experience age-related conditions, such as dementia, cancer, or arthritis, differently from those who acquire similar age-related disabilities in late life. The aging population with IDD represents a demographic shift and introduces both challenges and opportunities in various contexts, including, but not limited to, healthcare, caregiving, housing, and economic stability. Concurrently, aging caregivers, including parents of individuals with IDD, must balance their own age-related needs with the current and future plans of care …

Belmont Council On Aging: Planning For The Future, Caitlin E. Coyle, Nancy Mazonson, Ceara Somerville

Center for Social and Demographic Research on Aging Publications

This report presents the results of a comprehensive needs assessment of Belmont’s older adult population. The study was conducted to support planning by the Belmont Council on Aging and Beech Street Senior Center, and it also provides valuable information for other town departments, community organizations, and residents. Specifically, this report aims to: *Describe Belmont’s current older adult population and their needs. *Assess the services and resources currently available. *Identify gaps and opportunities for improvement. *Provide recommendations to ensure Belmont remains a supportive, age-friendly community for years to come.

As the number of older residents grows, so too will the need …

Housing Options As We Age, Michele Dinman, Jeff Brandt, Logan Fox

Harvey A. Friedman Center for Aging

Almost 75% of adults ages 50 and older want to stay in their homes and communities as they age. This is referred to as “aging in place.” Our homes and communities can help us feel safe and give us a sense of belonging and connection. Furthermore, our living situations effect our health and quality of life as well as our ability to live independently. Changes in our physical, psychological, social, and financial well-being later in life can affect our abilities to age in place. Finding the best housing based on our resources, interests, and needs is important for living well …

Job-Training Programs For Older Americans, Byeongju Ryu, Cal J. Halvorsen

Harvey A. Friedman Center for Aging

The traditional notion of retirement—stopping work completely to focus on personal pursuits in one’s golden years—is not guaranteed. In the United States, three in four adults plan to work past age 65. Many older adults continue working due to financial necessity, including rising healthcare costs, insufficient retirement savings, and gaps in pension coverage. Low-wage workers, in particular, may struggle to retire at all, forced to keep working to afford basic necessities such as housing and food. Older adults also seek employment for their personal health and well-being, such as staying physically and mentally active, finding a sense of purpose, and …

The Limits Of Snap In Addressing Older Adult Food Insecurity, Colleen M. Heflin, Madonna Harrington Meyer

Population Health Research Brief Series

The Supplemental Nutrition Assistance Program (SNAP) is designed to address the economic roots of food insecurity. However, SNAP participation rates among older adults substantially lag behind those of other age groups. Based on the book, Food for Thought: Understanding Older Adults Food Insecurity, this brief describes how SNAP is not well designed for older adults in three respects: (1) the high levels of administrative burden associated with eligibility, certification, and benefit-determination processes, (2) the low value of SNAP benefits compared with the high costs associated with redeeming them, and (3) the high levels of state variation in SNAP policies …

Nonfinancial Factors Shape Food Insecurity Among U.S. Older Adults, Madonna Harrington Meyer, Colleen M. Heflin

Population Health Research Brief Series

Nonfinancial factors such as poor physical and mental health, lack of access to healthy food, and transportation challenges make it more difficult for older adults to obtain, prepare, and consume healthy food. Based on the book, Food for Thought: Understanding Older Adults Food Insecurity, this brief summarizes how nonfinancial factors function as both causes and consequences of food insecurity in old age.

Budget Tradeoffs Shape Food Insecurity Among U.S. Older Adults, Madonna Harrington Meyer, Colleen M. Heflin

Population Health Research Brief Series

For low-income older adults, it may be difficult to meet basic needs on a fixed monthly income. Stretching resources can be difficult, especially if unexpected expenses arise, leading many older adults to face difficult budget tradeoffs. Based on the book, Food for Thought: Understanding Older Adults Food Insecurity, this brief summarizes how budget tradeoffs between food and other essential expenses—housing, utilities, medical care, transportation, and personal and cleaning supplies—shape food insecurity among older adults.

Policy Recommendations To Reduce Old Age Food Insecurity In The United States, Colleen M. Heflin, Madonna Harrington Meyer

Center for Policy Research

In 2023, 7.4 million adults ages 60 and over in the United States were food insecure. As the number of older people at risk of food insecurity in the U.S. continues to rise, effective policy responses are critical. The current policy responses to old age food insecurity are complex, costly, and not nearly effective enough.

Based on the book, Food for Thought: Understanding Older Adults Food Insecurity, this brief summarizes five policy recommendations to improve food insecurity among U.S. older adults. The authors recommend measuring food security in multidimensional ways, treating food insecurity as a health issue, adopting SNAP …

How Is Food Insecurity Measured In The United States And What Share Of Older Adults Are Food Insecure?, Colleen M. Heflin, Madonna Harrington Meyer

Population Health Research Brief Series

The U.S. Department of Agriculture measures food insecurity based on whether households had problems affording food during the last twelve months. Based on the current definition, in 2023 9.2% of households with adults ages 60 and older were food insecure. But there are many problems with the existing definition for accurately capturing food insecurity among older adults.

Based on the book, Food for Thought: Understanding Older Adults Food Insecurity, this brief summarizes those limitations, noting that existing measures do not account for barriers that are common among older adults, such as mobility, physical distance, and transportation barriers.

Ageism In Employment, Aaron Li, Natalie Galucia, Cal J. Halvorsen

Harvey A. Friedman Center for Aging

The World Health Organization defines ageism as stereotypes, prejudice, and discrimination directed at individuals based on their age. As people remain in the labor force longer, they are increasingly exposed to ageist attitudes and discrimination. Ageism often manifests through negative assumptions about older workers’ abilities, adaptability, and value in the workplace. Older workers are frequently perceived as less competent, resistant to new technology, inflexible, or physically and mentally less capable.

How Do Self-Employment Rates Change Across The Lifespan?, Cal J. Halvorsen, Bruna C. Lopez

Harvey A. Friedman Center for Aging

People pursue self-employment for a variety of reasons, including autonomy, the ability to pursue their own goals, and income. Yet for many older people who are not yet eligible for Social Security retirement benefits, which can begin at age 62, or Medicare, the U.S. health insurance program that generally begins at age 65, self-employment is also associated with less health insurance and retirement savings program coverage. 1,2 3,4

This research brief asks, What is the proportion of Americans who are self-employed, and how do these rates change throughout the life course?

Older Adults And Financial Exploitation, Aaron Li, Natalie Galucia, Cal J. Halvorsen

Harvey A. Friedman Center for Aging

The National Adult Protective Services Association defines elder financial exploitation as misuse, mishandling, or exploitation of an older adult’s property, possession, or assets. These actions often occur without consent and are typically carried out through false pretense, undue influence, coercion, or manipulation.

Supporting Employed Informal Caregivers, Michele Dinman, Natalie Galucia, Cal J. Halvorsen

Harvey A. Friedman Center for Aging

More than 53 million Americans are informal caregivers. These family members, friends, and acquaintances provide social, medical, transportation, and other support to individuals because of illness or disability without getting paid. Additionally, at least 2 million grandparents, not counting other kinship caregivers, provide care for children who cannot remain with their parents.1

Mental Health Challenges In Later Life, Sophie Mauk, Michele Dinman, Natalie Galucia, Cal J. Halvorsen

Harvey A. Friedman Center for Aging

Although older adults are less likely to be diagnosed with mental health challenges than younger adults, Americans over the age of 65 have experienced the greatest growth in new diagnoses — an increase of 57% between 2019 and 2023. By 2023, about 1 in 7 adults age 51 and older had received mental health diagnoses, including major depressive, generalized anxiety, adjustment, bipolar, and mood disorders. However, older adults are less likely to receive treatment than younger people. At the same time, older adults may also misuse substances such as alcohol, tobacco, cannabis, and prescription and nonprescription medications. Americans age 75 …

Age & Dementia Friendly Bellingham: Assessment Of Community Needs And Ideas For Action, Caitlin E. Coyle, Katherine Burnes, Ceara Somerville

Center for Social and Demographic Research on Aging Publications

In 2022 a steering committee of three Bellingham residents involved in the COA/Senior Center served as a catalyst in helping Bellingham attain the designation of Age and Dementia Friendly. A Task Force including an impressive mix of individuals from town government, schools, local organizations and older residents was formed to help Bellingham set and implement annual goals of activities designed to make Bellingham a good place to grow older for all residents.

This report describes research undertaken by the Center for Social and Demographic Research on Aging within the Gerontology Institute at the University of Massachusetts Boston on behalf of …

Prevalence Of Depression, Anxiety, Burden, Burnout, And Stress In Informal Caregivers: An Umbrella Review Of Meta-Analyses, Xun Ci Soh, Andree Hartanto, Naoki Ling, Mayr Reyes, Lester Sim, Nadyanna M. Majeed

Research Collection School of Social Sciences

Informal caregiving is a physically and emotionally taxing role that has a profound impact on caregivers’ emotional and mental well-being. Previous research has examined the mental health of caregivers and found elevated levels of depression, anxiety, burden, burnout, or stress. However, the global rates of the five mental health factors and/or outcomes (i.e., depression, anxiety, burden, burnout, and stress) among caregivers remain largely unclear. Therefore, this umbrella review examines the prevalence of these factors and/or outcomes, including various subgroup factors, such as gender, medical and/or psychological condition of the care recipient, region, and assessment tools. A systematic search was conducted …

The Gendered Role Of Friendships For Advanced Care Planning And Health In Later Life, Zee Kee Emily Lim

Graduate Doctoral Dissertations

Friendship is becoming more pertinent to older adults because they are increasingly living with fewer family ties in later life due to changing social and demographic trends (Fiori et al., 2020; Verdery et al., 2019). However, friendships are not as extensively studied as compared to family relationships (Blieszner et al., 2019). Thus, additional research is needed to better understand the influence of friendships on health and health behaviors in later life.

This dissertation includes three studies that focus on the association between friendship and loneliness, advanced care planning, and cognitive function, examining the role of gender in these three studies, …

Perceived Obligations Of Older Partners In Living-Apart Together Relationships, Allison M. Martin

Human Development and Family Sciences Undergraduate Honors Theses

Older and middle-aged adults are increasingly in Living-Apart-Together (LAT) relationships characterized by committed romantic relationships without marriage and cohabitation. Because of assumptions that older adults will receive family caregiving as they grow older and need caregiving, it is not clear how people are likely to perceive obligations to provide caregiving assistance. As adults move into old age and incidence rates of Alzheimer’s Disease or Related Dementia (ADRD) increase, questions about the availability of family members to provide needed assistance are complicated by LAT relationships. The purpose of this study was to examine perceived obligations to provide assistance to older adults …