Digital Commons Network^™

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 …

「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 Effect Of Therapeutic Alliance Quality On Relationship Quality, With Latino Ethnicity As A Moderator: An Exploratory Study, Ivana Elisa Borba Gomez

Theses and Dissertations

A strong therapeutic alliance is consistently related to successful outcomes in couple therapy. However, most of the research done on therapeutic alliance has been done among non-Latino White individuals and couples, failing to account for other ethnic minorities like Latinos. Latinos tend to share certain commonalities as opposed to non-Latino clients that may alter the relationship between alliance quality and relationship quality. This exploratory study was designed to understand whether Latino clients have higher initial levels of alliance and a stronger alliance-outcome relationship in couple therapy when compared to non-Latino White couples. The sample consisted of 567 couples seeking therapy …

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.

Evaluating Approaches For Constructing Polygenic Risk Scores For Prostate Cancer In Men Of African And European Ancestry, Burcu F Darst, Jiayi Shen, Ravi K Madduri, Alexis A Rodriguez, Yukai Xiao, Xin Sheng, Edward J Saunders, Tokhir Dadaev, Mark N Brook, Thomas J Hoffmann, Kenneth Muir, Peggy Wan, Loic Le Marchand, Lynne Wilkens, Ying Wang, Johanna Schleutker, Robert J Macinnis, Cezary Cybulski, David E Neal, Børge G Nordestgaard, Sune F Nielsen, Jyotsna Batra, Judith A Clements, Australian Prostate Cancer Bioresource, Henrik Grönberg, Nora Pashayan, Ruth C Travis, Jong Y Park, Demetrius Albanes, Stephanie Weinstein, Lorelei A Mucci, David J Hunter, Kathryn L Penney, Catherine M Tangen, Robert J Hamilton, Marie-Élise Parent, Janet L Stanford, Stella Koutros, Alicja Wolk, Karina D Sørensen, William J Blot, Edward D Yeboah, James E Mensah, Yong-Jie Lu, Daniel J Schaid, Stephen N Thibodeau, Catharine M West, Christiane Maier, Adam S Kibel, Géraldine Cancel-Tassin, Florence Menegaux, Esther M John, Eli Marie Grindedal, Kay-Tee Khaw, Sue A Ingles, Ana Vega, Barry S Rosenstein, Manuel R Teixeira, Nc-La Pcap Investigators, Manolis Kogevinas, Lisa Cannon-Albright, Chad Huff, Luc Multigner, Radka Kaneva, Robin J Leach, Hermann Brenner, Ann W Hsing, Rick A Kittles, Adam B Murphy, Christopher J Logothetis, Susan L Neuhausen, William B Isaacs, Barbara Nemesure, Anselm J Hennis, John Carpten, Hardev Pandha, Kim De Ruyck, Jianfeng Xu, Azad Razack, Soo-Hwang Teo, Canary Pass Investigators, Lisa F Newcomb, Jay H Fowke, Christine Neslund-Dudas, Benjamin A Rybicki, Marija Gamulin, Nawaid Usmani, Frank Claessens, Manuela Gago-Dominguez, Jose Esteban Castelao, Paul A Townsend, Dana C Crawford, Gyorgy Petrovics, Graham Casey, Monique J Roobol, Jennifer F Hu, Sonja I Berndt, Stephen K Van Den Eeden, Douglas F Easton, Stephen J Chanock, Michael B Cook, Fredrik Wiklund, John S Witte, Rosalind A Eeles, Zsofia Kote-Jarai, Stephen Watya, John M Gaziano, Amy C Justice, David V Conti, Christopher A Haiman

Faculty, Staff and Student Publications

Genome-wide polygenic risk scores (GW-PRSs) have been reported to have better predictive ability than PRSs based on genome-wide significance thresholds across numerous traits. We compared the predictive ability of several GW-PRS approaches to a recently developed PRS of 269 established prostate cancer-risk variants from multi-ancestry GWASs and fine-mapping studies (PRS269). GW-PRS models were trained with a large and diverse prostate cancer GWAS of 107,247 cases and 127,006 controls that we previously used to develop the multi-ancestry PRS269. Resulting models were independently tested in 1,586 cases and 1,047 controls of African ancestry from the California Uganda Study and 8,046 cases and …

Making Home: The Role Of Social Networks On Identity, Health, And Quality Of Life Among Rural Lesbian And Gay Older Adults, Marc A. Guest, Elizabeth G. Hunter, Nancy E. Schoenberg

UK CARES Faculty Publications

Background and Objectives: Gay and lesbian older persons face a host of health inequalities related to their identity as they age. Challenges to health access and appropriate social support may be even more exacerbated for those living in rural environments; this may be due to the lack of supportive and affirming social connections. This project aimed to explore and describe the social networks and the relationship of these social networks to identity, health, and quality of life of gay and lesbian individuals in rural communities.

Research Design and Methods: Social network data on network type, size, and social capital were …

Living Below The Line: Racial And Ethnic Disparities In Economic Security Among Older Americans, 2022, Jan Mutchler, Yan-Jhu Su, Nidya Velasco Roldán

Center for Social and Demographic Research on Aging Publications

New estimates based on the 2022 Elder IndexTM show that the risk of economic insecurity in later life is especially high for people of color. Comparing household incomes to the Elder Index, we calculate the percentage of independent older adults with incomes that fall short of what is required to support economic security. National averages suggest that among older people living alone, 43% who are White, 59% of those who are Asian, 61% of those who are Black, and 67% of those who are Latino have annual incomes below the Elder Index. The risk of economic insecurity is lower among …

Aging In Berlin: A Community Needs Assessment, Mary Krebs, Caitlin Coyle

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging (CSDRA) within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the Town of Berlin. The goals of this project were to investigate the needs, interests, preferences, and opinions of Berlin residents age 18 or older by engaging the community regarding their experiences and needs relevant to the Social Services alongside the Council on Aging’s objectives to serve the needs of all Berlin citizens 60 and older. The contents of this report are meant to inform the Town of Berlin, the Berlin …

Singapore's Hospital To Home Program: Raising Patient Engagement Through Ai, John Abisheganaden, Kheng Hock Lee, Lian Leng Low, Eugene Shum, Han Leong Goh, Christine Gian Lee Ang, Andy Wee An Ta, Steven M. Miller

Research Collection School Of Computing and Information Systems

Because of their complex care needs, many elderly patients are discharged from hospitals only to be readmitted for multiple stays within the following twelve months. John Abisheganaden and his fellow authors describe Singapore’s Hospital to Home program, a community care initiative fueled by artificial intelligence.

Dying In Prison: End-Of-Life Care Services In A State Correctional Facility, Brook Cooley Webb, Mollee K. Steely Smith, Tusty Ten Bensel

Qualitative Criminology (QC)

The aging inmate population in American prisons has noticeably increased, contributing to a more significant number of offenders who will die in prison, thus forcing correctional facilities to aid in caring for prisoners at the end of life. Two common responses have emerged to deliver adequate healthcare to inmates, including hospice programs and End-of-Life (EOL) care services. This study aimed to explore the nature of EOL care in a state prison by interviewing correctional administrators, correctional officers, and relevant medical personnel (N=17). The current study provided insight into the inclusion criteria for inmates who utilized EOL care in the prison …

Striving For Being In The Line Of Life: Personal Active Ageing Strategies In Iranian Seniors, Fatemeh Raeesi Dehkordi, Ahmad Ali Eslami, Fereshteh Zamani Alavijeh, Hossein Matlabi, Mehdi Nakhodaeezadeh

The Qualitative Report

Active ageing is a multidimensional, relative, and context-dependent concept with different paths and outcomes. This qualitative study aimed to explore personal active aging strategies in a specific context. Following a directed thematic analysis procedure, we conducted semi-structured individual interviews with 39 seniors (men and women) between the ages of 60-97 years selected with purposeful sampling, data collection and analysis were concurrent. We used directed content analysis to analyze the data from interviews, written narratives, and field notes. The reliability of data was fulfilled following Lincoln and Guba criteria. We stopped data collection when no new concepts were added, and data …

Paperwork, Paradox, And Prn: Psychotropic Medication Deficiencies In Assisted Living, Sarah Dys, Paula Carder

Institute on Aging Publications

Individual state approaches to assisted living/residential care (AL/RC) licensing and oversight in the United States result in different practice standards and requirements, including psychotropic medication use. We examined 170 psychotropic medication deficiency citations issued to 152 Oregon AL/RC settings from 2015 to 2019. Applied thematic analysis resulted in the following themes: (1) documentation issues are primarily responsible for noncompliance, (2) unclear parameters place direct care workers in a role paradox, and (3) there is a persistent disconnect about when to seek qualified expertise before requesting psychotropic medications. AL/RC-specific mechanisms for medication prescription and administration are necessary to improve the structure …

Aging In Brockton: A Community Needs Assessment, Caitlin E. Coyle, Setarreh Massihzadegan, Josef Kijewski, Ceara Somerville

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging (CSDRA) within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the City of Brockton. The goals of this project were to investigate the needs, interests, preferences, and opinions of Brockton’s residents age 60 or older by engaging the community regarding their experiences and needs relevant to the COA’s objective to identify and serve the needs of all Brockton citizens 60 and older. The contents of this report are meant to inform the City of Brockton, the Brockton COA, Senior Center, and …

Older Adults In The Great Recession: Labor Force Transitions, Perceived Workplace Ageism And Life Satisfaction, Duygu Başaran Şahin

Dissertations, Theses, and Capstone Projects

Until the global economic crisis caused by the Covid19 pandemic, the Great Recession (GR) of 2007-2009 was the most severe economic downturn since the Great Depression in the U.S. History. Previous research argues that older adults were relatively protected from the GR’s harshest impact because their unemployment rates were relatively lower compared to younger adults. However, the focus on unemployment rate as the ultimate indicator of a recession’s impact might have downplayed older adults’ experiences. Indeed, some studies showed that despite relatively lower unemployment rates, once unemployed, older adults took significantly longer to be reemployed compared to adults in younger …

Enhancing Older Adults’ Mobility In Active Living And Tiered Living Communities, Yongping Zhang, Carol Kachadoorian, Wen Cheng, Edward Clay

Mineta Transportation Institute

The U.S. population is aging rapidly. As people get older, they increasingly face issues such as increased susceptibility to injuries and the need to be assisted with many day-to-day activities. Older adults have the opportunity to opt-in to live in an older adult community (OAC) based on their needs and capabilities. This study comprehensively reviews existing governing development regulations and design criteria related to the older adults’ communities, conducts surveys among people involved with some of these communities in California, and recommends improvements to community design for active living and tiered living communities. This study proposes a new scoring system …

Socio-Emotional Resilience Among Older Adults During The Covid-19 Pandemic, Cindy J. Lahar, Angela L. Nadeau, Jayne Violette, Summer Roberts, Diana Reindl

Journal of the South Carolina Academy of Science

The detrimental impact of social isolation on health and well-being has been reported in older adults (Prohaska, et al., 2020). Yet findings also demonstrate that older adults have a motivational shift to prioritize emotionally meaningful goals and experiences (Carstensen, 1993; Sakaki, et al., 2019), prioritize emotional meaning in situations, focus on positive emotions and stimuli over negative feelings and live in the present rather than focus on future preparedness. Socioemotional selectivity theory (SST) (Carstensen, 1993; Carstensen, Fung & Charles, 2003) suggests that older adults have a limited sense of time left in life and shift their focus to meaningful and …

Aging In Westborough: A Community Needs Assessment, Ceara Somerville, Caitlin Coyle, Mary Krebs, Holly Stockdale

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging (CSDRA) within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the Town of Westborough. The goals of this project were to investigate the needs, interests, preferences, and opinions of Westborough’s residents age 55 or older by engaging the community regarding their experiences and needs relevant to the Council on Aging’s (COA’s) objective to identify and serve the needs of all Westborough citizens 55 and older. The contents of this report are meant to inform the Town of Westborough, the Westborough COA, …

Digital Literacy Among Older Adults In Singapore, Mindy Eiko Tadai, Micah Tan

ROSA Research Briefs

Singapore stands as the fourth most digitally competitive country, after Denmark, USA, and Sweden, in the latest edition of the IMD World Digital Competitiveness Ranking (IMD World Competitiveness Center, 2022). This global ranking measures the capacities of 63 nations to adopt and explore digitally transformative practices across government, industry, and wider society. Among households in Singapore, an astounding 99% have Internet access and 92% have computer access (Infocomm Media Development Authority, 2023). Even within the eldest surveyed cohort, proportions of smartphone usage have risen from 28% in 2017 to 48% in 2021 among resident Singaporeans aged 75 and above, and …

Aging In Norwell: A Community Needs Assessment, Caitlin Coyle, Beth Rouleau

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the Norwell Council on Aging. The goals of this project were to investigate the needs, interests, preferences, and opinions of Norwell’s residents age 50 or older. The contents of this report are meant to inform the Town of Norwell, the Norwell Council on Aging and Senior Center, and organizations that work with and on behalf of older residents of Norwell for the purposes of planning and coordination of services. The report will …

Building An Age & Dementia Friendly Barnstable: An Action Plan, Caitlin Coyle, Beth Rouleau, Shayna Gleason

Center for Social and Demographic Research on Aging Publications

The Town of Barnstable has long-been aware of its aging population and, as a result, has initiated a number of planning processes to advance the livability of the community for all ages---this report documents the Age & Dementia Friendly planning process and associated ideas for action.

Acculturation And Health Services Utilization Among Older Asian Americans: The Roles Of Social Support And Psychological Distress, Mei Chen

Graduate Doctoral Dissertations

There are relatively few studies about health services utilization among older Asian Americans. Historically, Asian Americans have been treated as one homogenous race group, and the underlying heterogeneity among specific ethnic groups was underappreciated and neglected. This dissertation investigates the relationship between acculturation and health services utilization among older Asian Americans and several specific Asian ethnic subgroups, including Chinese, Japanese, Korean, Filipino, and Vietnamese Americans. In addition, South Asian Americans and members of other Asian groups were also examined.

This study employed two samples of older Asian Americans based on the specific healthcare resources evaluated. The first sample employed five …

The Role Of Multiracial Identity On Chronic Health Conditions In The U. S.: Evidence From The Behavioral Risk Factor Surveillance Survey, Anna Ruth Jinlong Wahls

Graduate Theses and Dissertations

Abstract Racial identity as it informs health disparities has largely been examined using monoracial groups and a binary framework. This study, informed by critical race theory and stress process theory, investigates the relationship between multiracial identity and health. Data from the 2021 Behavioral Risk Factor Surveillance Survey, a national telephone survey that collects health data on adult aged respondents, will be analyzed using a set of regression techniques. Specifically, the number of chronic health conditions reported by those identifying with more than one race will be compared to the number of conditions reported by monoracial individuals.

Asset-Rich And Cash-Poor: Which Older Adults Value Reverse Mortgages?, Joelle H. Fong, Olivia S. Mitchell, Benedict S. K. Koh

Research Collection Lee Kong Chian School Of Business

Home equity represents a substantial share of retirement wealth for many older persons, particularly in Asia where national housing policies have encouraged home-ownership. This paper explored the potential for reverse mortgages to help 'asset-rich and cash-poor' older Singaporeans unlock their home equity while ageing in place. The empirical analysis was based on a nationally representative survey of home-owners age 50+ in the 2018 Singapore Life Panel (N = 6,258). Our analyses showed that the average older home-owner holds some 60 per cent of total net wealth in housing equity, suggestive of high demand potential for reverse mortgage products. Nevertheless, actual …

Are You Ready For Retirement? Retirement And Quality Of Life As Resources, Hyunsook Kang, Gina Causin, Mary Olle

Journal of Human Services: Training, Research, and Practice

Abstract

Retirement in later life has been considered as an important aspect of life course, because it contributes in many ways to one’s life change, social relations updates, and health declines. Although aging brings with changes and declining all aspects of life, many older adults still remain in active after their retirement. This study will address about relationships between older adults’ retirement and its’ quality-of-life resource. Retirement, itself, may be associated with a loss of professional colleagues and work-related friends (Gloria et al, 2015). By contrast, growing numbers of older adults may maintain their active participation in social networks through …

Sense Of Relatedness From Racial Groups Within Maltreated Youth, Jessica Castillo, Jaelin Isquith

Undergraduate Research Symposium Posters

Sense of relatedness is a crucial factor in the development of meaningful interpersonal relationships (Datu, 2017). Interpersonal relationships have demonstrated a significant impact on how individuals cope with their environment (Yulina et al., 2021). Youth in low socioeconomic environments are at higher risk of being exposed to unstable relationships which further increases this vulnerable population to learning ineffective interpersonal skills throughout their lifespan (Colman & Wisdom, 2004). Youth from marginalized groups have higher risk at experiencing negative life experiences, for example economic inequalities, heightened distress, systemic oppression, and economic inequalities (Hatch & Dohrenwend, 2007). Previous research has suggested African-American individuals …

Focusing Our Attention On Socially Responsive Professional Education To Serve Ethnogeriatric Populations With Neurogenic Communication Disorders In The United States, José G. Centeno, Loraine K. Obler, Linda Collins, Gloriajean Wallace, Valarie B. Fleming, Jacqueline Guendouzi

Communication Sciences and Disorders Faculty Articles and Research

Purpose:

This viewpoint discusses a plausible framework to educate future speech-language pathologists (SLPs) as socially responsive practitioners who serve and advocate for the burgeoning vulnerable ethnogeriatric populations with neurogenic communication disorders.

Method:

We provide an overview of the demographic, epidemiological, and biopsychosocial context that supports the implementation of equity-based, population-grounded educational approaches for speech-language pathology services in ethnogeriatric neurorehabilitation caseloads and discuss a plausible perspective based on the educational social determinants of health (SDOH) framework by the National Academies of Sciences, Engineering, and Medicine.

Results:

The NASEM's three-domain SDOH educational perspective integrates education, community, and organization to create a self-reinforcing …

Implementasi Kebijakan Bantuan Pangan Non Tunai Dalam Rangka Pengatasan Kemiskinan Di Era Covid - 19, Haura Ariesta, Fentiny Nugroho

Jurnal Ilmu Kesejahteraan Sosial

This study focuses on the implementation of the Non-Cash Food Assistance (BPNT) policy in poverty alleviation efforts in Kembangan District, West Jakarta, during the COVID-19 pandemic. While the BPNT program managed by the Ministry of Social Affairs of the Republic of Indonesia adheres to the distribution procedures, several challenges have emerged, including delays in disbursing aid funds, invalid beneficiary data, issues with E-waroeng (food stalls), account registration, delayed distribution, and occasional inadequacy of food supplies. However, supportive factors such as effective coordination, improved data management, education, active participation from local authorities, and the commitment of E-waroeng owners have contributed to …

Desa Wisata Atau Wisata Desa:Menelaah Fase Kesepian Masyarakat Pasca Pandemi Covid -19, Maureen Wanda Sabrina, Kania Saraswati Harisoesyanti

Jurnal Ilmu Kesejahteraan Sosial

The Tourism Village Policy launched by the government has developed into an ambitious initiative that can boost the community's economy. However, behind this dream, there is a complex discussion about how ready the village community is to undertake this transformation. This article discusses the stages of the community undergoing the tourism village program against the background of Taraju Village having limited access, the existence of newly formed supporting community self-help groups, and even the community's initial rejection of the development of a tourism village. Meanwhile, this tourist village has achieved achievements on a provincial and national scale. The research used …

Living Below The Line: Economic Insecurity And Older Americans, Insecurity In Massachusetts, 2022, Jan Mutchler, Nidya Velasco Roldán, Yan-Jhu Su

Center for Social and Demographic Research on Aging Publications

New estimates from the 2022 Elder Index^TM reveal 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 …

Peran Program Pengembangan Petani Sebagai Implementasi Csr Pt. Smgp Terhadap Resistensi Masyarakat, Ahmad Taufik, Indra Lestari

Jurnal Ilmu Kesejahteraan Sosial

The presence of mining projects or power plants that utilize or exploit natural resources has the potential for environmental, social, and economic problems for the community. There are many cases of rejection from communities around the project area, which can even lead to conflict and anarchic actions that cause losses for several parties. Meanwhile, there are demands for energy sustainability amidst the current crisis in the availability of fossil energy. Therefore, the government provides support through several policies, one of which is encouraging the implementation of Corporate Social Responsibility so that core project activities can take place with attention to …