Digital Commons Network^™

Living Below The Line: Economic Insecurity And Older Americans Insecurity In Massachusetts 2016, Jan E. Mutchler, Yang Li, Ping Xu

Center for Social and Demographic Research on Aging Publications

New estimates from the 2016 Elder Economic Security Standard Index^TM reveal that in Massachusetts, six out of ten older adults living alone, and three out of ten living in two-person households, cannot afford the basic necessities of life such as food, housing in a safe community and health care. The Gerontology Institute compares 2016 household incomes for adults age 65 and above living in one- and two-person households to the 2016 Elder Economic Security Standard Index^TM for Massachusetts to calculate Elder Economic Insecurity Rates (EEIRs), the percentage of independent adults age 65 or older living in households with …

Living Below The Line: Economic Insecurity And Older Americans Insecurity In The States 2016, Jan E. Mutchler, Yang Li, Ping Xu

Center for Social and Demographic Research on Aging Publications

New estimates from the 2016 Elder Economic Security Standard Index^TM suggest that half of older adults living alone, and one out of four older adults living in two-elder households, lack the financial resources required to pay for basic needs. The Gerontology Institute compares the 2016 household incomes for adults age 65 and above living in one- and two-person households to the 2016 Elder Economic Security Standard Index^TM for each state and Washington, DC to calculate Elder Economic Insecurity Rates (EEIRs), the percentage of independent older adults age 65 or older living in households with annual incomes that do …

An Inductive Ethnographic Study In Elderly Woman Technology Adoption And The Role Of Her Children, Noshad Rahimi, Antonie J, Jetter, Charles M. Weber

Engineering and Technology Management Faculty Publications and Presentations

Elderly woman strives to have a streamlined life surrounded by ease and familiarity. As she is aging, her desire for simplicity grows, her self-efficacy weakens, her prudency intensifies and her overall inclination toward status quo strengthens. As a result, she delays, or refuses, making any decision that might bring complexity and disrupt the continuity in her life, particularly new and unfamiliar technologies (which often bring complexity, before providing ease). Consequently, her technology adoption has a much lower rate than that of other demographics. To open the black box of elderly woman technology adoption process, this study focuses on the role …

The Age-Friendly Cities Project In Bowling Green: A Narrative History, Hannah Ruggles

Mahurin Honors College Capstone Experience/Thesis Projects

An age-friendly city is one that “encourages active ageing by optimizing opportunities for health, participation and security in order to enhance quality of life as people age. In practical terms, an age-friendly city adapts its structures and services to be accessible to and inclusive of older people with varying needs and capacities.” Bowling Green was the seventh city in the US to join the World Health Organization’s Global Network of Age-Friendly Cities and is currently in year three of a five-year project. The developments over the past two years have been guided by the principle that senior residents of Bowling …

Primetimes Newsletter, Fall 2016, Office Of Lifespan Studies

PrimeTimes Newsletter

PrimeTimes is the newsletter of the Office of Lifespan Studies in the College of Science at Coastal Carolina University.

An Evaluation Of The Acceptability And Effects Of A Computer-Delivered Values-Based Behavioral Activation Treatment For Depression Among Older Adults, Kellie Reynolds

Dissertations

Depression is a common psychological disorder among older adults and is associated with serious secondary effects to health and social well-being. Behavioral activation has been found to be an efficacious treatment for depression. However, there is limited research on the treatment effects of behavioral activation with older adults. In general, older adults under-utilize mental health treatments. Computer-delivered treatments have been developed to address access and under-utilization. The purpose of this dissertation was to evaluate the acceptability and effects of a computer-delivered values-based behavioral activation treatment for depression in older adults. This study consisted of two phases. Phase I consisted of …

Early Parental Loss, Socioeconomic Stressors, And Health In Later Life: Evidence For Gender Disparity, Rong Fu

Open Access Dissertations

Drawing from the stress process model and the cumulative disadvantage theory, this dissertation examined how childhood and later life stressors affected cognitive and subjective health in older adults. Using three main articles, this dissertation investigated (1) the effect of early parental loss on cognitive well-being in Chinese oldest old; (2) the effect of intergenerational socioeconomic mobility on cognitive and subjective health in advanced age; and (3) the effect of different dimensions of socioeconomic status and perceived financial strain on subjective health in later life. Data were derived from the 2002 and 2005 waves of the Chinese Longitudinal Healthy Longevity Survey. …

The Influence Of Strength-Training Exercises On The Functional Fitness In Older Adults, Susie Engle

Graduate Theses and Dissertations

The purpose of this study was to examine the influence of strength-training exercises on the functional fitness in older adults. The original convenience sample consisted of 658 participants who attended group strength-training classes offered through the Cooperative Extension Service. The Senior Fitness Test was used to assess baseline fitness levels at the beginning and end of the 12-week strength-training program. Data was collected from 2008 to 2015. Of the 658 participants, 110 were aged 60 to 94 and presented posttest scores occurring approximately 12 weeks after pretest dates. Of the 110 subjects, 99 were female and 11 were male. The …

The Effect Of Emotional Faces On The Attentional Blink In Younger And Older Adults, Allison M. Sklenar

Masters Theses & Specialist Projects

The attentional blink occurs when detection of a second target (T2) is impaired when it occurs between 180 to 450 ms after the first target (T1) in a rapid serial visual presentation (RSVP). The attentional blink can be affected by relevant emotional stimuli, like emotional faces, such that an emotional T1 enhances the attentional blink, and an emotional T2 attenuates it. However, not all studies use the same type of face stimuli, and there is debate over whether schematic and photo-realistic faces are processed in the same way. Furthermore, the effect of emotion on the attentional blink should differ with …

Medicare Claims Indicators Of Healthcare Utilization Differences After Hospitalization For Ischemic Stroke: Race, Gender, And Caregiving Effects, David L. Roth, Orla C. Sheehan, Jin Huang, James D. Rhodes, Suzanne Judd, Meredith Kilgore, Brett Kissela, Janeet P. Bettger, William E. Haley

Aging Studies Faculty Publications

Background—Differences in healthcare utilization after stroke may partly explain race or gender differences in stroke outcomes and identify factors that might reduce post-acute stroke care costs.

Aim—To examine systematic differences in Medicare claims for healthcare utilization after hospitalization for ischemic stroke in a United States (US) population-based sample.

Methods—Claims were examined over a 6-month period after hospitalization for 279 ischemic stroke survivors 65 years or older from the REasons for Geographic and Racial Differences in Stroke (REGARDS) study. Statistical analyses examined differences in post-acute healthcare utilization, adjusted for pre-stroke utilization, as a function of race (African American …

Health Vulnerability Of Immigrants With Limited English Proficiency: A Study Of Older Korean Americans, Yuri Jang, Hyunwoo Yoon, Nan Sook Park, David A. Chiriboga

Social Work Faculty Publications

OBJECTIVES—To examine the extent to which limited English proficiency (LEP) poses a risk to physical and mental health, using older Korean Americans as a target population.

DESIGN—Cross-sectional survey.

PARTICIPANTS—Older Korean Americans (N = 1,301).

MEASUREMENTS—Health outcomes were indexed using binary variables covering activity limitation, self-rated health, and probable depression. Participants who reported that they spoke English less than very well were categorized as manifesting LEP.

RESULTS—Approximately 71% of the sample had LEP. Those with LEP scored lower on all measures of health than their English-proficient counterparts. In multivariate models, the risk of having activity limitations was 2.72 times as great …

The South African Elderly: Neglect, Social Contribution And The Hiv/Aids Epidemic, Alessia Frisoli

Dissertations, Theses, and Capstone Projects

With a slowing fertility rate and an increasing longevity, the world population is aging. Both developed and developing countries have seen their elderly become more numerous with an increasing burden on their financial, medical and social system. Many scholars have suggested immediate change of policies to contain the predicted crisis that will affect the health care and the pension schemes in the next decades. However, few have investigated the positive role that the seniors play contributing to society, beyond the complications caused to the economy and welfare system. This thesis will support the argument that the elderly, if appropriately cared …

Age-Friendly Boston: Assessing Need And Charting A Course Of Action, Jan Mutchler, Caitlin Coyle, Hayley Gleason

Center for Social and Demographic Research on Aging Publications

Boston’s population of residents age 60 and older is rapidly growing in size as well as racial and ethnic diversity. In response to these demographic features and as a means of assuring Boston’s commitment to current and future older residents, Mayor Martin J. Walsh announced in 2014 that the City of Boston would join the World Health Organization’s Age-Friendly Cities Network, in cooperation with the Massachusetts AARP. Boston’s Age-Friendly Initiative promotes eight domains of age-friendliness: outdoor spaces and buildings, transportation, housing, social participation, respect and social inclusion, civic participation and employment, communication and information, and community supports and health services. …

Envisioning An Age-Friendly Belmont, Jan Mutchler, Ceara Somerville

Center for Social and Demographic Research on Aging Publications

The Belmont Council on Aging is a municipal office charged with “advocating on behalf of the seniors of Belmont and ensuring that their social, financial and healthcare needs are met." Services provided to seniors living in the community range from transportation support to nutrition services and social services, along with a range of programs and activities meant to enhance well-being and quality of life. Similar to many Councils on Aging, the Belmont COA also provides leadership in the community, as the community as a whole addresses the growing number and changing needs of senior residents.

As a means of learning …

Smart Living For Elderly: Design And Human-Computer Interaction Considerations, Ranjana Sharma, Fiona Fui-Hoon Nah, Kavya Sharma, Teja S. Katta, Natalie Pang, Alvin Yong

Research Collection School Of Computing and Information Systems

To address aging challenges, we examine the concept of smart living and its applications for the elderly. Smart living refers to improving quality of life by transforming environments to become more intelligent and adaptable to users. In this paper, we discuss how smart living applications can help to address the needs of the elderly, as well as the design and human-computer interaction considerations for such applications.

Concerns And Supports Of Grandfamilies Using Formal Services: Do They Have The Help They Need?, Susan M. Collins, Christine A. Fruhauf, Kimberly Bundy-Fazioli

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

The objective of this exploratory study was to discover the functional and psychosocial concerns of grandfamilies already receiving support services in their community, and to ask if they had the help they needed. Data were gathered from a convenience sample of 16 grandparents who were raising their grandchildren and were involved with a support group or a grandfamily workshop. Results indicated that grandparents affiliated with formal supports still experience psychosocial concerns (i.e., child’s emotional problems) and functional concerns (i.e., financial strain). Suggestions are included for further development on this measure as derived from the literature, service provider observations, and grandfamily …

Living Alone And Subsequent Living Arrangement Transitions Among Older Americans, Yao-Chi Shih

Graduate Doctoral Dissertations

Past research often considers living alone as a risk factor for older persons. In fact, adverse health outcomes are associated with living arrangement transitions, suggesting a need to consider the dynamic process of living arrangements. Using eight waves of the Health and Retirement Study (1998-2012), this study examines three research questions: (1) Do older Americans’ living arrangements exhibit a pattern of sequence? (2) What are implications of living arrangements at particular older ages on life expectancy? (3) What factors predict transitions out of a living alone arrangement?

The first analysis displays and classifies ordered patterns of living arrangements over time. …

Ageism: Abilene Christian University Students’ Perception Of Aging Adults, Taylor A. Nix

Electronic Theses and Dissertations

The world is aging at a rapid pace. This creates a need for society to focus attention toward issues that are affecting the elderly population. This shift in focus regarding the elderly population also calls for the need of additional geriatric education as well as training while working with this vulnerable population. Research targeting college students’ shows that there is a lack of desire among students for working with the aging adult population. This lack of desire to work with the elderly population is associated with ageism; or, biased perceptions about age. The purpose of this study was to determine …

Primetimes Newsletter, Spring 2016, Office Of Lifespan Studies

PrimeTimes Newsletter

PrimeTimes is the newsletter of the Office of Lifespan Studies in the College of Science at Coastal Carolina University.

Predicting Depression In Older Adults: Community Vs. Nursing Home, Hannah Vitello, Skye Leedahl

Senior Honors Projects

With the population of the United States slowly growing older, the issues surrounding long-term services and supports (LTSS) will become more prevalent. Little research has been done comparing older adults living in nursing homes to older adults living in the community, especially regarding mental health and depression. Depression is a mental illness that affects people emotionally and physically, as well as mentally, which can lead easily into other health complications in the older adult population. This study seeks to determine if factors such as demographics, health, social interaction, and family relationships affect mental health in nursing home residents differently than …

Staff Interactions And Affect In Persons With Dementia: An Observational Study Of A Memory Care Unit, Keirstin V. Meyer

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

It is estimated that the number of people in the United States living with dementia in 2015 will nearly triple by the year 2050. With no cure for dementia, we are faced with providing care in a way that maximizes well-being. The majority of prior research focused on the best ways to reduce behavioral problems and mood disorders, such as depression and anxiety. The objective of this study was to increase knowledge about the social influences on well-being in persons with dementia, particularly from staff in residential memory care units. This study found that the most common interaction type from …

Unmarried Midlife Adults And Economic Well-Being, Katie Finch

Honors Projects

Much research has been conducted on how married older adults fare in comparison to unmarried older adults. Since the amount of unmarried older adults is increasing, I found it important to see how these unmarried groups (early divorcees, gray divorcees, never-marrieds, and widoweds) stacked up against each other in terms of economic well-being. Using the 2012 Health and Retirement Study, I looked at how demographic factors and economic well-being indicators were correlated to another. The demographic factors examined included gender, marital status, race, and educational attainment. Income, poverty level, and assets were used to assess economic well-being. Similar to previous …

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 …

Policy Brief No. 24 - Are Female Baby Boomers Ready For Retirement?, Lori Curtis, Kate Rybczynski

Population Change and Lifecourse Strategic Knowledge Cluster Research/Policy Brief

Due to their life-course socio-economic conditions, many female boomers may suffer large decreases in well-being as they head into retirement. Pension reforms which increase retirement age will disproportionately disadvantage those already in low income. While changes to the Canada Pension Plan (CPP) will reduce losses from poor or sporadic labour force participation, these changes are too late to help the early boomer women. Likewise, while research suggests that improving retirement outcomes must begin with improved labour market conditions, inequitable conditions persist. Therefore, any current policy change will miss helping the early boomers. Finally, with increasing rates of chronic disease and …

Policy Brief No. 23 - Health Inequalities Among Older Adults: Reconciling Theories And Policy Approaches, Amélie Quesnel-Vallée, Andrea Willson, Sandra Reiter-Campeau

Population Change and Lifecourse Strategic Knowledge Cluster Research/Policy Brief

Despite universal access to healthcare, there are disparities in older people’s health status in developed countries. These inequalities are rooted in lifelong differences in social and economic status. Government policies to assist older people may end up reinforcing these inequalities if they fail to create a buffer against their effects. However, best case practices and WHO guidance show that policies can also mitigate against the effects of lifelong disadvantage in older age. There is opportunity to design initiatives for older people in Canada that lessen the disparities in health outcomes that we currently see.

Policy Brief No. 21 - An Increasing Age At Retirement May Amplify Socioeconomic Inequalities, Yves Carrière, Jacques Légaré, Mélanie Léger St-Cyr, Chloé Ronteix, Viorela Diaconu

Population Change and Lifecourse Strategic Knowledge Cluster Research/Policy Brief

Population ageing raises questions about the sustainability of the public pillars of the retirement income system and about inter-generational equity. In response to this, a number of countries have raised the normal retirement age in an attempt to reduce projected future expenditures on their state pension system. In this context, private savings and later retirement represent the best ways of avoiding a major fall in living standards when retiring. Increased life expectancy at age 65 appears to justify this policy trend. But there are substantial differences in life expectancy and healthy life expectancy between people of different socioeconomic status, and …

Policy Brief No. 20 - The Oldest Old: A New Reality In Canada's Population, Jacques Légaré, Yann Décarie, Kim Deslandes, Yves Carrière

Population Change and Lifecourse Strategic Knowledge Cluster Research/Policy Brief

Canadians aged 85 and over (the oldest old) form a distinct group which is destined to grow as a proportion of the country’s population. This is a demographic reality which needs to be taken into account in policy making.

Dossier De Politique No. 20 - Les Canadiens Très Âgés Forment Une Nouvelle Réalité Démographie, Jacques Légaré, Yann Décarie, Kim Deslandes, Yves Carrière

Population Change and Lifecourse Strategic Knowledge Cluster Research/Policy Brief

Les Canadiens très âgés (« Oldest Olds ») forment une population distincte, appelée à prendre une place grandissante au pays. Il faut considérer cette réalité démographique dans l’élaboration des politiques publiques.

Dossier De Recherche No. 22 - De Nouvelles Pistes Sur Le Vieillissement Démographique Et Les Coûts Des Soins De Santé Au Québec, Michaël Boissonneault, Jacques Légaré, Yann Décarie

Population Change and Lifecourse Strategic Knowledge Cluster Research/Policy Brief

Cette recherche s'intéresse aux déterminants individuels associés à la variation des coûts publics des soins de santé, chez les Québécois de 65 ans et plus, vivant en ménage privé, avec incapacités. À l'aide de données administratives, la variation des coûts pour la consultation de professionnels de la santé et la consommation de produits pharmaceutiques a été analysée en fonction du nombre d’incapacités ainsi que de la nature de celles-ci. Les résultats montrent que des coûts plus élevés sont associés à un nombre plus élevé d'incapacités ainsi qu'à certains types particuliers d'incapacité, soient celles liées à l’agilité, la mobilité et, plus …

Policy Brief No. 19 - Caregiver Assessment: An Essential Component Of Continuing Care Policy, Janice Keefe, Nancy Guberman, Pamela Fancey, Lucy Barylak

Population Change and Lifecourse Strategic Knowledge Cluster Research/Policy Brief

Family and friend caregivers are the backbone of Canada’s health and social care systems. The support they provide is indispensable in enabling individuals with long-term health issues to remain in their communities. Caregivers take on a challenging role—one that can impact their physical and mental health, social activities, personal finances, employment and relationships (Health Council of Canada, 2012; Keefe, 2011). Caregivers’ health and wellbeing has repercussions for the care recipient, their family, their communities and the health care system. To support this critical role, caregivers need to be understood as partners in care, but also as potential individual clients of …