Digital Commons Network^™

Economic Security & Older Adults In Massachusetts: Infographic, Center For Social And Demographic Research On Aging, University Of Massachusetts Boston

Center for Social and Demographic Research on Aging Publications

The Elder Index measures the income older adults need to meet their daily living costs while staying in their own homes. This fact sheet presents overview data of economic security of Older Adults in Massachusetts based on the 2025 Elder Index data.

Retail Behaviours And Preferences Of Older Adults In Suburban Malls, Le Ha Linh Phan, Kenneth Choo, Emi Loh, Wensi Lim

ROSA Research Briefs

Singapore’s population is ageing rapidly, with projections indicating that one in four Singaporeans will be aged 65 and above by 2030 (Iparraguirre, 2019). This demographic shift presents significant opportunities for the Silver economy, which refers to economic activities, products, and services designed to meet the needs of older adults. As the market for products that enhance seniors’ quality of life expands (Wong, 2007), the Silver retail sector, comprising businesses that provide age-friendly goods and services, has become an increasingly important component of this landscape (Colurcio et al., 2022).

Economic Security & Older Adults In The United States: Infographic, Center For Social And Demographic Research On Aging, University Of Massachusetts Boston

Center for Social and Demographic Research on Aging Publications

The Elder Index measures the income older adults need to meet their daily living costs while staying in their own homes. This fact sheet presents overview data of economic security of Older Adults in the United States based on the 2025 Elder Index data.

Smu Launches Longevity Societies And Economies Institute To Advance Knowledge And Innovation For Singapore’S Longevity Transition, Singapore Management University

SMU Press Releases and News

Singapore Management University (SMU) launched the SMU Longevity Societies and Economies Institute (LSEI) which will focus on the economic and societal transitions needed for economies and societies to continue thriving despite an ageing population. The new institute will consolidate SMU’s ageing-related research and drive an interdisciplinary agenda to build resilient and opportunity-rich longevity societies and economies.

A Market Of Care Skills: Profiting From Professional Education And Practice, Yasmin Y. Ortiga

Research Collection School of Social Sciences

Who profits from the commodification of care and how does such accumulation occur? Focusing on the case of the nursing care market, this paper shows how professional schools and local hospitals within source nations like the Philippines profit from nurses seeking the credentials to qualify for jobs overseas. While existing studies show how nursing skills are exploited and undervalued, this paper argues that it is the process of skilling itself that allows for the accumulation of profit, regardless of whether nurses leave their origin countries to work abroad. This study reveals how global care economies are tightly linked to local …

Book Review Of Hidden Suicides And Fatal Overdoses: A Forward Path Author: Ian Rockett. Johns Hopkins University Press: Baltimore. 2026. 271 Pages., Roger Clark

Sociology Between the Gaps: Forgotten and Neglected Topics

No abstract provided.

Being There For Mom: The Strengths Of Daughtering, Allison M. Alford, Kaitlin E. Phillips, Luke V. Stipanovic, Cayd A. Rocha-Barnette, Michelle Miller-Day

Communication Faculty Articles and Research

Objective

Daughters undertake daughtering, or the everyday role portrayal of contributing to a meaningful family relationship with their mothers, but the labor of it is often invisible.

Background

Using a strengths-based approach, we investigated what daughters do well in their relationships with mothers.

Method

We analyzed the responses of 1,444 women to the open-ended question, “What do you do well as a daughter?” to learn more about how women describe their daughtering. Utilizing the artificial intelligence of a large language model for data analysis, we supplied definitions and descriptions of 12 virtues and strengths from existing literature and created a …

"This Is Not A Scam!": Assessment Of An Awareness Raising Program Tackling Older Adults' Scam Victimization In A Multi-Method Study, Katalin Parti, Pamela Teaster, Susanna Rinehart, Charles Dye

Qualitative Criminology (QC)

"Interactive theatre has long been used to educate and empower communities and prevent crime across all age groups. Although older populations are disproportionately victimized through fraudulent online schemes, effective educational interventions, like interactive theatre, have not been utilized to increase crime awareness. This paper describes an explorational research project, analyzing the results of a theatre-based fraud awareness program aimed towards educating victims and their communities about scams targeting older people. The study employs a mixed-method research design to examine program impact. In applying multifaceted tools of data collection, such as survey, participant observation, and follow-up interviews, the research team identified …

Aging On Parole: A Thematic Analysis Of The Parole Officer’S Perspective, Angela Murolo

Qualitative Criminology (QC)

"A growing proportion of people leaving prison are over 50 years old and will live at least temporarily under the supervision of a parole officer. While recidivism rates are lower for older people, there are physical, mental, and societal challenges that accompany advancing age that make successful reentry and reintegration a challenging experience compared to their younger counterparts. This presents novel challenges for parole officers who are tasked with supervising and counseling elderly people on parole. Surveys containing closed and open-ended questions were administered to N=25 parole officers to understand the differences in working with, counseling, and supervising older and …

照顧者指南2026, Chak Kwan, Dickson Chan, Ka Chung, Tom Kwong, Chi Kuen Wong, Meng Soi, Florence Fong

Manual & Guide 手冊及指引

香港的社會服務種類繁多，服務之內容及申請資格頗複雜，令到部分長者及照顧者無從入手，得不到及時服務。因此，這本指南希望以簡易的方式，為照顧者及家人介紹幫助他們解決日常照顧以及院舍的服務。特別是協助照顧者了解及申請政府的安老服務 (如「安老服務統一評估機制」)，釐清「社區照顧」與「院舍照顧」的服務內容、輪候時間及收費，幫助他們揀選最合適的照顧安排。此指南亦提供其它照顧資訊，如金錢援助、情緒支援、交通、器材租借、家居改裝及培訓，以支援長者由醫院過渡至社區。

The Elder Economic Security Standard™ Index: Methodology Overview, Center For Social And Demographic Research On Aging, University Of Massachusetts Boston, Jan Mutchler, Nidya Velasco Roldan, Michelle Ward, Ceara Somerville, Caitlin E. Coyle

Center for Social and Demographic Research on Aging Publications

The Elder Index illustrates how living costs vary geographically (specifically, by county, metropolitan area, and state), and based on the characteristics of households. Costs are calculated based on household size (one person age 65 or older, two persons age 65 or older), housing tenure (owner with no mortgage, renter, owner with a mortgage), and health status (excellent, good, poor). The expenses included in the Elder Index cover basic needs of older households, including shelter, medical care, food, and transportation; the costs reflect average market costs and do not take into account any needs-based subsidies. The Elder Index helps answer important …

2025 Elder Indextm For Boston: Fact Sheet, Center For Social And Demographic Research On Aging, University Of Massachusetts Boston

Center for Social and Demographic Research on Aging Publications

The Elder Index^_TM measures of the cost of living independently for older adults aged 65 or older. The Elder Index allows us to identify older people with incomes “in the gap” between the Federal Poverty Guideline (FPL) and what it takes to live with security. Older adults living “in the gap” have incomes too high to qualify for many means-tested public benefits programs, yet too low to achieve intermediate- or long-term economic stability. This fact sheet presents 2025 Elder Index for older adults living in Boston, Massachusetts.

Living Between The Lines: Economic Insecurity And Older Americans: Insecurity In The Massachusetts, 2025, Caitlin E. Coyle, Michelle Ward, Nidya Velasco Roldan, Ceara Somerville, Jan Mutchler

Center for Social and Demographic Research on Aging Publications

New estimates from the 2025 Elder Index^TM demonstrate that the cost of living in Massachusetts has increased substantially in recent years for older adults, especially for renters. The Elder Index measures the necessary costs faced by households made up of one or two older adults, calculated county by county for the entire United States. Estimated costs are higher in Massachusetts than in any other state in the nation. Within the Commonwealth, the Elder Index is lowest in Western Massachusetts, and highest in Metro Boston, Martha’s Vineyard and Nantucket, with differences in the Elder Index across locations accounted for largely …

Development And Evaluation Of The Interdisciplinary Graduate-Level Experiential Global Aging Education Program In The United States: A Case Of The Gerontology In Japan Course, Takashi Yamashita, Flavius R W Lilly, Diane B. Martin, Mio Kamijo

Journal of Global Education and Research

The cultural competence of the workforce is increasingly important due to global population aging and the growing diversity of the older population. Experiential learning, particularly through study abroad programs, is a known strategy to enhance these competencies; yet such training remains uncommon in higher education, especially at the graduate level. While the United States is currently a relatively young country with 17% of its population aged 65 years and older, the percentage is projected to increase to more than 21% by the end of this decade. Recognizing the value of learning from a super-aged society, a two-week study abroad course …

《香港多重照顧者面對的挑戰》研究報告, Chak Kwan, Dickson Chan, Meng Soi, Florence Fong, Hiu Wai, Avery Li, Ka Chung, Tom Kwong

APIAS Research Report 研究報告

本研究以質性訪談方式，探討香港「多重照顧者」在日常生活中面對的主要困難及採用的應對策略，並就未來政策及服務提出建議。在本研究中，多重照顧者是指同時需要照顧兩名或以上家庭成員（例如長者、配偶、子女或其他親屬），而其中一名為殘疾或長期病患者。本研究共訪問了45位多重照顧者，結果顯示他們長期承受多方面的壓力，包括時間貧乏、情緒困擾、財政壓力及使用服務困難，影響他們的身心健康、人際關係及職業發展。

就照顧歷程而言，多數受訪者已持續提供照顧，需在工作、家庭與多位照顧對象之間不斷拉鋸，出現「永遠做不完」的感受。在主觀感受上，多重照顧者普遍視照顧為理所當然的責任，但同時感到沉重壓力。他們主要依靠家人分工、嚴密的時間管理、降低對家務與個人生活質素的期望，以及有限度使用社會服務來勉強維持照顧安排。然而，服務分散、申請程序繁複、輪候時間長及資訊不足，使他們難以獲得及時和合適的支援服務。

研究建議有多個方面，包括(1)推行個案經理制度、(2)建立常規化和科學化的照顧者意見收集機制、(3)調整照顧者津貼申請門檻與金額、(4)建立照顧者友善工作環境、(5)優先發展具策略性的「一站式支援」及喘息資源，以及(6)將「多重照顧者」納入長期規劃與制度設計。

High-Frequency Functional Trajectories Predict Depressive Worsening In Singapore's Community-Dwelling Older Adults, Kaung Htet Tun Salai, Yi Wen Tan, Grace Cheong, Paulin T. Straughan

ROSA Journal Articles and Publications

Background/Objectives: Functional difficulty and depression often coexist in older adults, yet local Singapore-based research often lacks detailed temporal resolution due to heterogeneity in ageing. This study employs non-parametric, data-driven longitudinal clustering to analyse functional trajectories and their association with depression, using high-frequency data to pinpoint key intervention periods. Methods: Data were drawn from 4273 community-dwelling older adults from Singapore Life Panel^® (2020–2024). Participants completed quarterly self-reported assessments of ADL, IADL and depressive symptoms (8-item CES-D). We employed k-means longitudinal clustering (kml) to identify functional trajectory groups and Cox regression to evaluate the hazard of increased depression (≥5-point increase in …

Financial Valuation Of Retirement Village Via Stochastic Modelling Of Disability Prevalence Rates, Jackie Li, Mingke Wang, Jia Liu, Jessica Wai Yin Leung

Research Collection School Of Economics

Global mortality rates continue to decline, and life expectancy continues its upward trend. Besides mortality levels, policymakers and providers of financial and health services would also be interested in disability prevalence and its potential future trajectories. The length of time in good health versus the duration with major disabilities or long-term illnesses has significant financial implications for both individuals and society. In this paper, we develop Bayesian common factor models to analyse Australian age- and sex-specific disability prevalence rates. In particular, there are one or more common factors shared by both sexes, as well as specific factors for each sex. …

Knowledge Of Lifespan And Healthspan And Interest In Healthy Longevity Medicine Among The General Population In Singapore: The Singapore Healthy Longevity (Helo) Survey, Jonas John Posko Amalaraj, Belinda Wang, Anna Szucs, Louis Island, Laureen Yi-Ting Wang, Liz J. Horberg, Paul A. O'Keefe, Sonny Rosenthal, Yap-Seng Chong, Johannes J. Meij, Andrea B. Maier

Research Collection College of Integrative Studies

Given the growing global interest in Healthy Longevity Medicine (HLM), the field lacks understanding about public knowledge and interest, which are crucial for any public health intervention relying on HLM. This study presents findings from the Healthy Longevity (HELO) survey conducted in Singapore, assessing public knowledge regarding lifespan (number of years a person is alive), healthspan (number of years a person spends in good health), and interest in HLM. This nationwide cross-sectional survey, conducted between June and August 2024, involved 3034 participants. Main domains including questions on demographics, living arrangements, medical information, health behaviours, income and financial status were tested …

Staff Education To Improving Patient Safety Outcomes Through Structured Staff Education, Imuetinyan Phillipa Ehondor

Walden Dissertations and Doctoral Studies

This staff education doctoral project was implemented to address inconsistent staff knowledge of patient safety principles, disproportionate adherence to safety practices, and underutilization of standardized educational resources in an acute care clinic setting. It was important to address this issue in the context of nursing practice because patient safety is foundational to high-quality health care, directly influencing patient outcomes, regulatory compliance, organizational performance, and workforce morale. The practice-focused question was the following: In an acute care clinic, how does the implementation of a standardized safety protocol education program, compared to existing practices, impact staff knowledge regarding a culture of safety? …

Older Adults And Suicide: Protective Pathways To Apply Shores In Counseling, Anna A. Ellenson, Jenny L. Cureton

Adultspan Journal

Older adult suicide (OAS) is a growing concern as the U.S. population continues to age and access to counseling expands. Despite legal and ethical requirements, counselors are often underprepared to address suicide in later life, especially through the lens of suicide protective factors (SPFs). This conceptual article introduces SHORES, a research-informed mnemonic (Skills and strategies for coping, Hope, Objections to suicide, Reasons for living/Restriction of means, Engaged care, and Support), to help counselors assess, intervene, and plan treatment with older adults. We review literature on OAS, highlight gaps in counselor training, and provide an application guide for using SHORES with …

Living Well: The Built, Lived, And Social Determinants Of Well-Being, Yi Wen Tan, Zidane Tiew, Emi Loh, Shania Go, Wensi Lim

ROSA Research Briefs

As Singapore transitions into a super-aged society, it becomes imperative for us to develop sustainable, inclusive, and effective models of care. In recent years, there has been growing emphasis on embedding healthcare, social services, and everyday amenities within the community. During this year’s National Day Rally, the Government introduced Age Well Neighbourhoods, a new scheme that builds on existing efforts from the Age Well SG initiative. Age Well Neighbourhoods seeks to expand active ageing centre networks, bring healthcare closer to homes with the establishment of community health posts, and provide greater home personal care services, further cementing its focus on …

Living Between The Lines: Economic Insecurity And Older Americans, Caitlin E. Coyle, Michelle Ward, Nidya Velasco Roldán, Ceara Somerville, Jan Mutchler

Center for Social and Demographic Research on Aging Publications

New estimates from the 2025 Elder Index(TM) suggest that over half of older adults living alone, and about one out of four older couples, lack the financial resources required to pay for basic needs. We compared household incomes for adults age 65 and above living in one- and two-person households to the 2025 Elder Index for each state to calculate Economic Insecurity Rates (EIRs), the percentage of independent adults age 65 or older with annual incomes that do not support economic security. National averages suggest that 53% of older adults living alone and 25% of older couples have annual incomes …

How Do Social Isolation And Loneliness Vary By Age?, Jihye Baek, Cal J. Halvorsen

Harvey A. Friedman Center for Aging

Social isolation and loneliness, which are experienced by many older adults, can negatively impact health and well-being. Although often used interchangeably, social isolation is defined as an objective lack of social ties (e.g., number of close family members or friends) and loneliness as an internal sense of disconnection (e.g., feeling alone even when surrounded by others). Because social relationships, health, and life circumstances change as we age, patterns of social isolation and loneliness may differ by age group. Therefore, this research brief asks, How do patterns of social isolation and loneliness differ across age groups among community-dwelling older adults? 

Structural Empowerment And The Work Environment Of Nursing Home Care Workers In China, Yawen Ou

Lingnan Theses (MPhil & PhD)

China is experiencing a profound demographic transformation as its population ages rapidly, driven by declining fertility, increased longevity, and long-term effects of the One- Child policy. Traditional family-based elderly care has become increasingly unsustainable due to the pressures of the “4-2-1” family structure and the rising prevalence of empty-nest households. In this context, there is an increasing trend in institutionalized elderly care, accompanied by a growing demand for Nursing Home Care Workers (NHCWs). In spite of their vital importance, NHCWs often face heavy workloads, poor compensation, low recognition, and limited professional autonomy. This study explores the work environment and structural …

Assessing Abuse And Neglect In U.S. Nursing Homes: A Comparative Analysis Across Pre-, During, And Post-Pandemic Periods, Katherine Gane

Theses and Dissertations

Nursing homes are among the most closely regulated providers in the U.S. healthcare system, with both federal and state agencies working together to monitor care and help protect residents. The COVID-19 pandemic, however, introduced unprecedented challenges for facilities and survey agencies alike, disrupting normal operations, limiting in-person visits, and temporarily shifting regulatory priorities. The purpose of this study was to examine how these pandemic-related disruptions were reflected in the severity and reporting patterns of substantiated abuse and neglect deficiencies in U.S. nursing homes. Using publicly available data from the Centers for Medicare & Medicaid Services (CMS), this study analyzed 39,607 …

Nature-Based Approaches To Dementia, Cognitive Impairment, And Caregiver Well-Being: A Scoping Review Of Gardening And Therapeutic Strategies, Mary Dioise Ramos, Marcy Purnell, Jolie Harris, Gloria Giarratano

School of Nursing Faculty Publications

Background: Dementia is a growing global health concern, with behavioral and psychological symptoms (BPSD) contributing significantly to diminished quality of life and caregiver burden. Non-pharmacological interventions, such as gardening and nature-based therapies, are increasingly recognized for their therapeutic potential. Objectives: This scoping review aimed to: (1) map existing evidence on gardening and garden-based interventions for individuals with dementia; (2) assess impacts on caregivers; (3) identify mechanisms of benefit; and (4) summarize effective design and implementation strategies. Methods: Following Joanna Briggs Institute methodology and PRISMA-ScR guidelines, a comprehensive search was conducted across five databases. Studies were screened using Covidence. Inclusion criteria …

Guidelines For Community Engaged Health Research, Carrie Leach, Hayley Thompson, Alex Sass, Patricia Wren, Rodlescia Sneed, Rhonda Dailey, Elizabeth Towner, Maha Albdour, Carla Caringi, Alyssa W. Beavers, Theresa A. Hastert, Vanessa Rorai, Peter A. Lichtenberg, Angulique Outlaw, Ijeoma Nnodim Opara

Institute of Gerontology

Executive Summary:

Wayne State University’s Guidelines for Community Engaged Health Research provide a practical framework for designing, conducting, and evaluating ethical, equitable, and impactful health research that engages community experts in projects that advance health equity in Detroit.

Purpose 

Developed for WSU faculty, staff, and research teams, the guidelines support the meaningful involvement of community experts across all phases of research. They respond to common challenges in community-engaged work, including limited experience with engagement approaches, the need for reflexive and equitable practices, and the time and coordination required for authentic collaboration.

The document defines Community-Engaged Research (CEnR) as collaborative work …

Community Resources For Older Adults With Age-Related Disabilities And Chronic Conditions: A Scoping Review, Oejin Shin, Sojung Park, Soobin Park, Sarah Sunghye Kang, Sunghei Han, Eunsun Kwon, Seoyeon Ahn, Borin Kim

Faculty Publications - Social Work

Community resources are essential for supporting older adults with disabilities and chronic conditions, yet how these resources are conceptualized and evaluated across the empirical literature remains unclear. This scoping review synthesizes U.S.-based research on community resources for older adults with age-related disabilities and chronic conditions, guided by the PAGER framework. Following PRISMA-ScR guidelines, we searched MEDLINE, PsycINFO, CINAHL, and Web of Science, ultimately including 21 peer-reviewed studies. Findings reveal four primary resource domains: healthcare-based services, home- and community-based services (HCBS), behavioral health supports, and environmental or structural resources. Accessibility and utilization emerged as the most consistently examined dimensions, while quality …

Does The Impact Of Volunteering On Health Differ By Wealth? [Research In Brief: Volunteering], Seoyoun Kim, Cal J. Halvorsen

Harvey A. Friedman Center for Aging

Volunteering among older adults has many potential health benefits; however, older adults with more wealth are also more likely to volunteer in the first place, raising the question of whether they are the ones reaping the most benefits. This study asked two questions: (1) Does formal volunteering improve self-reported health and reduce depressive symptoms in older adults? (2) Does the impact of volunteering on these outcomes differ between older adults in the lowest and highest wealth quintiles?

An Academic Civilization?, Inbar Gotlib-Rivkin, Uri Cohen

Comparative Civilizations Review

Can institutions of higher education be defined as constituting a civilization that has emerged from modern civilization? This theoretical study defines a new concept of academic civilization and demonstrates how prominent characteristics that define the collective identity of modern civilization are manifested in institutions of higher education. The study focuses on six specific characteristics: expansion, flexibility and diversification, center-periphery relations, academic culture, autonomy and academic freedom, and the monopolization of professional training and the professional middle class. The conceptual analysis presented here provides a significant addition to sociological discourse, offering a refined conceptualization of civilizations. The goal is to expand …