Gerontology Commons^™

Association Between Caregiver Status And Physical And Mental Health Among National Senior Games Athletes, Chibuzo Uchechukwu Victor Obasi

Graduate Research Theses & Dissertations

As the population ages, more people rely on informal caregivers, which puts many older adults at risk for health problems. Caregiving can be meaningful and strengthen family bonds, but it often leads to more psychological stress, especially for older adults who also have their own health concerns. Research shows that regular physical activity can help older adults build resilience and improve their mental well-being. Still, we know little about the health of older caregivers who stay very active. This study examines the health effects of caregiving among members of the National Senior Games Association (NSGA), a group of highly active …

Changes In Young Adults’ Perspective On Ageism After Participating In A Virtual Nutrition Education Program With Older Adults, Julianne Hensley

Electronic Theses and Dissertations

The growing older adult population has led to increased ageist tendencies among younger generations. Previous research suggests that ageism is associated with cognitive and physical decline among older adults. This mixed-methods research project examined changes in ageist perceptions among graduate student facilitators and undergraduate nutrition ambassadors after participating in a training that included information about healthy aging, addressing ageism, and communicating with older adults. Results from a secondary data analysis of pre-test/post-test data and thematic analysis of semi-structured interviews with facilitators of Socially Nutritious, a virtual nutrition education program for older adults, indicate that ageist perceptions decreased after the …

How Does Educational Attainment Influence The Perceived Need For Future Assistance With Activities Of Daily Living?, Julia M. Finan

Population Health Research Brief Series

Adults often underestimate whether they will need assistance with activities of daily living (ADLs) as they age. This brief summarizes the results of a recent study that used data from the 2011-2014 National Health Interview Survey (NHIS) to examine educational differences in perceived need for future ADL assistance among 54,946 adults aged 40 to 65 years in the United States. Even though adults with less education are more likely to require long-term ADL care services and supports, results show that they are less likely than their more highly educated peers to perceive the need for future ADL assistance.

Older Adults Are At Greater Risk Of Opioid Use Disorder In Communities With High Social Vulnerability, Tse-Chuan Yang, Seulki Kim, Stephen A. Matthews, Carla Shoff

Population Health Research Brief Series

The prevalence of opioid use disorder (OUD) among older adults has increased and imposes a heavy burden on the health care system in the United States. This brief summarizes findings from a study that used data from the Centers for Medicare and Medicaid Services to examine how county characteristics contributed to the prevalence of OUD among Medicare beneficiaries age 65+ in U.S. counties in 2021. They found that the prevalence of OUD among these adults is higher in counties with more place-level social vulnerability (e.g., socioeconomic disadvantage, high housing cost burden).

Cognitive Functioning Is Higher Among Older Adults In Walkable Neighborhoods That Have Low Economic Disadvantage, Tse-Chuan Yang, Seulki Kim, Seung-Won Emily Choi, Shannon Halloway, Uchechi A. Mitchell, Benjamin A. Shaw

Population Health Research Brief Series

Living in neighborhoods with poor built and social environments, such as low walkability and high concentrations of low-income populations, is associated with low levels of cognitive functioning among older adults. This brief summarizes findings from a study that aims to understand how U.S. older adults’ (age 65+) exposures to residential neighborhood environments – specifically walkability and concentrated socioeconomic disadvantage – are associated with their cognitive functioning between 2010 and 2018. The authors also examined how these associations vary by older adults’ education level and household income level.

Cognitive Functioning Among U.S. Older Adults Differs By Gender And Urbanicity, Elizabeth Lawrence, Samantha John, Tirth Bhatta

Population Health Research Brief Series

There are no widely accessible and effective medical therapies to prevent or treat Alzheimer’s disease and related dementias for the U.S. older adult population, making prevention of cognitive decline particularly important. Many social factors shape cognitive functioning, leading to disparities in cognitive functioning across groups and geographic areas. This data slice uses data from the Health Retirement Study to describe how cognitive functioning among adults ages 50+ differed by gender and across urban, suburban, and ex-urban areas in the U.S. from 1999-2016. The results show that cognitive functioning was higher among women than men, but these gender differences varied by …

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.

Utilization Of The Social Determinants Of Mental Health Framework With Older Adults For Assessment, Case Conceptualization, And Treatment Planning, Janelle L. Jones, Julia Lancaster, Lauren Robins, Wendy K. Killam, Matthew L. Nice, Bisola Duyile

Adultspan Journal

This conceptual paper will aid counselors and mental health professionals in obtaining insight to utilizing a Social Determinants of Mental Health Framework with older adult clients. Further, the article incorporates the Multicultural and Social Justice Counseling Competencies to further contextualize the therapeutic alliance. The authors utilize the Social Determinants of Mental Health Framework to frame counseling assessment, case conceptualization, and treatment planning to improve the mental health outcomes of older adults. The article utilizes a specific case example to assess, conceptualize, and plan treatment for an older adult client contextualized in their environment.

Empowering Older Adults With Their Information Privacy Management, Reza Ghaiumy Anaraky

All Dissertations

Literature depicts a deficit-based narrative around older adults and their technology use, suggesting that older adults are not able to keep up with their younger counterparts in adopting new technologies. In this dissertation, I argue that this view is not necessarily accurate or productive. Instead, I argue that the deficit is in the technology design, which is not inclusive and often caters to the needs of younger adults.

I study older and younger adults' privacy decision-making as a showcase. To study the privacy decision-making process with more granularity, I used a dual-route approach (decision heuristics and privacy calculus) to disentangle …

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How Has Grandparenthood Changed In Rural China?, Merril D. Silverstein

Population Health Research Brief Series

China’s rapid modernization and development have led to changes across Chinese society, including within the family. China is experiencing declining birth rates, meaning that fewer older adults are becoming grandparents. At the same time, there has been growing demand for grandparents to serve as caregivers for their grandchildren. This data slice examines the changes in grandparenting in rural China and calls for policies that decrease caregiver burnout, stress, and associated poor health outcomes.

Older Adults On Snap Experience Gaps In Benefits, Colleen Heflin, Leslie Hodges, Irma A. Arteaga, Chinedum O. Ojinnaka, Gabriella Alphonso

Population Health Research Brief Series

The Supplemental Nutrition Assistance Program (SNAP) is the largest food and nutrition assistance program in the United States. Burdens associated with SNAP recertification often lead to administrative churn, when a household experiences a gap in SNAP benefit receipt. Older adults are at risk of experiencing benefit gaps, which may negatively impact their health and nutrition. This brief summarizes results of a recent study that examined administrative churn among Missouri SNAP participants aged 60 years and older. The authors call for program changes that reduce the frequency and duration of churn among older adults.

Aging In Lynn: A Community Needs Assessment, Caitlin Coyle, Mary Krebs, Setarreh Massihzadegan

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 City of Lynn and the Lynn Department of Elder Services. The goals of this project were to investigate the needs, interests, preferences, and opinions of residents of the City of Lynn age 60 or older. The contents of this report are meant to inform the planning and operation of the Lynn Senior Center, and organizations that work with and on behalf of older residents of the City of Lynn. The report …

Aging In Hull: 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 Hull Council on Aging. The goals of this project were to investigate the needs, interests, preferences, and opinions of Hull’s residents age 55 or older. The contents of this report are meant to inform the Town of Hull, the Hull Council on Aging and Senior Center, and organizations that work with and on behalf of older residents of Hull for the purposes of planning and coordination of services. The report will …

Aging In Hull: 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 Hull Council on Aging. The goals of this project were to investigate the needs, interests, preferences, and opinions of Hull’s residents age 55 or older. The contents of this report are meant to inform the Town of Hull, the Hull Council on Aging and Senior Center, and organizations that work with and on behalf of older residents of Hull for the purposes of planning and coordination of services. The report will …

Most Home-Delivered Meal Recipients With Dementia Receive Support From Friends And Family, But More Social Activity Is Needed, Claire Pendergrast

Population Health Research Brief Series

Home-delivered meal programs reduce hunger and food insecurity, promote socialization, and improve health and wellbeing for older adults. Regular social support from home-delivered meal drivers, alongside social support from friends and family, may be key to preventing isolation and improving health for older adults with dementia. This research brief shows that home-delivered meal recipients with dementia receive significant support from friends and family, but 83% would like more social activity. To better support older adults with dementia and family caregivers, aging services providers should expand virtual and dementia-friendly social engagement programming.

Covid-19 Has Had Devastating Economic Impacts On Older Black And Latinx Adults, Claire Pendergrast, Amy Thierry, Marc A. Garcia

Population Health Research Brief Series

Black and Latinx communities have been disproportionately affected by economic hardships during the pandemic, magnifying long-standing economic inequalities. This research brief shows that in the first year of the pandemic, older Black and Latinx adults experienced greater negative economic impacts than older White adults. Foreign-born and U.S.-born Latinx adults experienced especially significant economic hardships relative to other groups. To reduce the disproportionate economic impacts of crises like COVID-19 on older Black and Latinx adults, policymakers should prioritize economic relief measures and support broader social policy to reduce economic inequality.

The U.S. Should Expand Access To Dental Care For Older Adults, Madonna Harrington Meyer, Sarah Reilly, Julia Finan

Population Health Research Brief Series

Older adult Medicare recipients face high out-of-pocket dental expenses due to a lack of appropriate dental care coverage. Older adults with lower socioeconomic status tend to have worse oral health, less dental insurance coverage, greater difficulties finding a dentist, and low-quality care. This brief details the experiences socioeconomically disadvantaged older adults face in obtaining appropriate and affordable dental care and calls on Congress to include preventative and restorative dental care as part of the federal funding agenda.

Older Adults Are More Likely To Avoid Covid-19 Information, Julia Nolte, Corinna Löckenhoff

Population Health Research Brief Series

Older adults are at higher risk of dying from COVID-19 but less interested in information that might lower the risk of getting or spreading the disease. This brief shows that in the first months of the pandemic, older adults were less likely to consume COVID-19 information or media than younger adults. These behaviors are associated with age differences in emotional experiences and preferences, with older adults feeling calmer and more interested in protecting their feelings than younger adults. To keep older adults informed on COVID-19, government and health officials should directly target communication efforts to older adults.

Elder Mistreatment Is Pervasive In New York State, Karl Pillemer, David Burnes

Population Health Research Brief Series

Elder mistreatment is a pervasive problem that has major health and psychosocial consequences for older adults. This data slice shows that about 10% of older adults (age 60+) in New York State experienced elder mistreatment between 2009 and 2019. Age and poor self-rated health increase the risk of experiencing mistreatment. Black older adults are also at greater risk of financial abuse than Whites. Health care practitioners can play a key role in screening, providing education and awareness, and making appropriate referrals for older adults at risk of mistreatment.

Age Friendly North Reading: A Community Needs Assessment, Caitlin Coyle

Center for Social and Demographic Research on Aging Publications

By the year 2030, 35% of North Reading residents will be age 60 and older1. In response to this demographic shift as well as in response to the desire of most residents to remain living in their community, the resident leaders of North Reading, with support of the Town, have embarked on the journey to become a more age friendly community. The Age-Friendly North Reading initiative means to ensure that North Reading is, and remains, a place where older adults can comfortably and safely age in place. This report describes research undertaken by the Center for Social & Demographic Research …

Why Won’T Grandma Cross The Road? Neighborhood Perceptions And Walking Behavior Among Older Adults In Lexington, Kentucky, Sadie Middleton

Theses and Dissertations--Urban and Environmental Design

Many urban places contain subtle details that can unintentionally deter pedestrian activity. These details can be assessed through six themes: safety, comfort, pedestrian infrastructure, aesthetics, proximity, and ease of navigation. Adults over age 65 may have more concerns about walking in urban settings than people in other age groups. This study identifies urban design elements that encourage and discourage walking among older adults and makes recommendations for design improvements. Study participants (n= 67) completed an online survey about walking behaviors, perceptions of health and community, and perceptions of seven unidentified scenes of pedestrian environments in Lexington, Kentucky. Findings suggest that …

Negotiating Informal And Formal Supportive Services Among Older Adults: An Analysis Of A Caring Culture At Hope Meadows, Derek Ruszkowski

Student Research – Stevenson Center

This case study examines discourses of living and volunteering at an intentional and intergenerational neighborhood in Rantoul, IL managed by a non-profit called Hope Meadows. This is accomplished through participant and non-participant observations and nine resident interviews. The research contributes to literature on community-level efforts serving to strengthen supportive relationships among neighbors by examining a population that is engaged in providing services to their fellow community residents and the non-profit organization in exchange for below-market rent. Additionally, the outcome contributes to literature on aging-in-place, sustaining volunteer programs dependent on committed residents, and challenges of an increasingly disproportionate aging population. Due …

Older Adults’ Expectations, And Knowledge Of Oral Health Issues: A Study Of Arkansas Seniors, Virginia Marie Hardgraves

Graduate Theses and Dissertations

The life expectancy of the U. S. population is increasing. The advantages of fluoridated water, dental insurance, greater awareness of preventive oral healthcare measures, and more restorative dental services, have helped this generation of adults maintain their teeth into their advanced years. The demand for oral health care services will be greater and more complex that of previous generations. Challenges for the older adult, and the healthcare system providing for them, are complex. Increasing evidence of a link between oral health and overall health underscores the need to promote public health awareness of the need for dental care to be …

Gerontological Social Work Roles In Disaster Preparedness And Response, Nancy Kusmaul, Allison Gibson, Skye N. Leedahl

Social Work Faculty Publications

No abstract provided.

A Systems Approach To The Problem Of Falls In Old Age, Patrick A. Dillon

Theses and Dissertations--Gerontology

The problem of falls in old age is enormously costly and disruptive for the older individual, others, and society, and its severity is likely to intensify as our population ages. This dissertation takes a systems-oriented approach toward the falls problem and is presented in two parts. The first part critically develops a new approach to the problem of falls. The second part describes an empirical study that applies this new approach in a pragmatic manner.

Conventional fall prevention strategies employ a reductionist approach to the problem of falls. This approach is questioned because it corresponds poorly to the holistic nature …

Posttraumatic Growth Among Older Adults With Late-Life Cancer Diagnoses, Aasha I. Hoogland

Theses and Dissertations--Gerontology

Gerontological scholarship has often focused on the ways older adults deteriorate or decline with time, but it is plausible that positive change continues into and throughout old age. Late-life psychosocial growth may even be facilitated by a life-altering event such as a cancer diagnosis, a phenomenon broadly termed posttraumatic growth (PTG). PTG has been examined in a variety of general population samples, but there is a noticeable lack of research on PTG that focuses on older adults—a population for whom cancer diagnoses are particularly prevalent. Using a mixed methods design, this dissertation was designed to advance our understanding of PTG …

The Happy Boomer: Baby Boomer Life Satisfaction Through Affect And Feeling Of Belonging, Brooke Christina-Marie Massey

Antioch University Dissertations & Theses

The age cohort of 65 years and older is a growing population. It is part of the group referred to as Baby Boomers, the generation born between the years 1946-1964. It will be the largest population to reach late adulthood to date. In the United States alone, the Baby Boomer cohort is expected to reach 70 million by 2030. In response to this growing elderly population much research has been conducted on Baby Boomer quality of life issues. Such research uncovered the phenomenon known as the well-being paradox. The well-being paradox refers to the findings that older adults' life satisfaction …

Fall Prevention Among Older Adults Living In The Community, Clarissa Silva Lopez

Theses & Dissertations

Older adults are within the fastest population growth rate in the United States, and as the population ages, the potential for falls increases (DHHS, 2011). This was a mixed-method explanatory study that investigated the perceptions of older adults regarding the usefulness, adequacy, and positive experience of fall information among older adults living in the community when received from healthcare professionals during physician’s office visits. The research questions were: 1. What is the relationship among perceptions of usefulness, adequacy, and positive experience of fall information among older adults? 2. Is there a difference in the perceptions of usefulness and adequacy among …

Balance And Power In Older Adults With And Without A History Of Falls, Stephanie Michelle Gray

Graduate Theses and Dissertations

The purpose of this study was to observe the differences between power and balance in older adults over the age of 65 with and without falls. A total of 62 community dwelling older adults between the ages of 65 and 92 participated in the study. Two groups consisted of 25 fallers and 37 non-fallers. No statistical differences were found between groups on age, height, weight, or BMI. Testing included the Berg Balance Scale (BBS) to test balance, the Tendo Weightlifting Analyzer (TWA) during a sit-to-stand to test lower body power, and the Physical Activity Scale for the Elderly (PASE) to …

Participation In Recreation And Leisure Activities In Long-Term Care Facilities And Health Related Quality Of Life, James Michael Duncan

Graduate Theses and Dissertations

The purpose of this paper was to examine predicted variations in Health Related Quality of Life (HRQoL) among individuals over the age of 65 residing in Long Term Care (LTC) facilities. Variables related to self-care, depression, gender, social support, and leisure activities were examined. Univariate analysis was conducted from data collected from 110 LTC residents from 15 assisted living facilities (ALF) and nursing homes (NH) throughout Arkansas and a standard multiple regression was employed. Linear combinations of independent variables were significantly correlated to variations of HRQoL. More specifically, higher ratings in depression were positively correlated to lower ratings of HRQoL. …