Gerontology Commons^™

A Causal Discovery Exploration Of Determinants Of Social Isolation, Barry Nuqoba, Kenneth Choo, Yi Wen Tan, William Tov

ROSA Research Briefs

In this report, we explore the potential causes of social isolation among older adults in Singapore using causal discovery. We found an inferred causal relationship between perceived helpfulness and social isolation, where older adults who perceived themselves as helpful were less likely to perceive themselves as socially isolated. Our study also found that perceived isolation and loneliness may be distinct concepts among older adults in Singapore, with loneliness being more likely to precede social isolation. Policy recommendations include promoting a sense of helpfulness through programs such as volunteering to reduce social isolation.

Older Adult Preparedness For Living With An Endemic Covid-19, Micah Tan, Paulin T. Straughan, Grace Cheong, Wensi Lim, Mindy Eiko Tadai, Nadya Haifan, Dyan Jun Wei See Toh

ROSA Research Briefs

As Singapore holds steady against the current Omicron wave and begins to pave the next steps towards living with COVID-19, we hope that this report will provide our fellow colleagues and stakeholders with valuable insights into the perceptions and experiences of older adults in preparing to live with an endemic COVID-19. To this end, the current report examines several aspects of living with an endemic including whether older adults perceive themselves to be prepared, whether they are willing to adopt certain preventive behaviours, and the level of support they have for living with an endemic COVID-19. Specifically, we look at …

Providing Childcare, Christine Ho, Sunha Myong

Research Collection School Of Economics

Women’s economic empowerment has been hailed as one of the most remarkable revolutions in the past 50 years. Yet, women still face the lion’s share of the burden of childcare despite major progress in their education and earnings capacity. This is particularly salient in many Asian countries. This chapter proposes a synthesis of the state of knowledge on childcare and discusses policy-relevant issues applicable to the Singapore context. Selected policies are documented and lessons from the international landscape are discussed. Raising children incurs both direct costs in the form of childcare and opportunity costs in the form of career costs. …

Among America’S Oldest, Opioid Overdoses Are On The Rise, Emma Davis

Capstones

Often overlooked in coverage of the opioid crisis, American seniors have experienced a dramatic increase in addiction in the last two decades. Drug overdoses in adults ages 55-64 have risen six-fold since 1999, according to the Center for Disease Control, and emergency visits due to opioid misuse tripled among those over 65 from 2006-2014, a study from Towson University found. This print and video piece investigates how heroin and prescription opioid use among older adults in New York City has contributed to the overdose rate; the consequences of opioid restrictions for geriatric pain patients; and the treatment options for seniors …

Aging Intimately, Niamh Mcdonnell, Giulia Hjort

Capstones

We’re both familiar with grief after the loss of family members over 75. This project is our way of giving back in a small way by listening, but also as a way of remembering the people we unexpectedly lost. Each person we’ve met on this journey has inspired us in their own way, with their stories of resilience through grief and aging. All of our collaborators on this project are constantly learning, taking risks, and moving forward through loss and pain. They aren’t defined by their age. Rather, they embrace it with a willingness to reinvent their approach to romance …

Paws For Thought: The Importance Of Dogs In A Seniors Social Intervention, Elisa Maria Concetta Papotto, Jessica Lee Oliva Dr

People and Animals: The International Journal of Research and Practice

As Australia faces an aging population with an unprecedented life expectancy, it is the community’s obligation to ensure seniors are offered resources to support their well-being. Studies investigating loneliness in aged-care facilities attest to the therapeutic properties of dogs for residents’ sense of well-being. Consequently, this study aimed to ascertain the effectiveness of a community-based dog lover’s initiative for the self-management of well-being among senior citizens. Our qualitative research investigated whether community gatherings including dogs would produce greater feelings of subjective well-being among senior citizens compared to community gatherings without dogs. A conventional content analysis provided support for the supposition …

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 …

Reading As A Lifeline Among Aging Readers: Findings From A Qualitative Interview Study With Older Adults, Paulette Rothbauer, Nicole Dalmer

Data and Test Instruments

Our paper is published in Library and Information Science Research, volume 40, no. 3/4: 165-172), 2018.The version posted here is the "accepted version". The final version is available at: https://doi.org/10.1016/j.lisr.2018.08.001

Technology-Enabled Medication Adherence For Seniors Living In The Community: Experiences, Lessons, And The Road Ahead, Hwee Xian Tan, Hwee-Pink Tan, Huiguang Liang

Research Collection School Of Computing and Information Systems

Medication non-adherence in seniors can lead to severe health complications, including morbidity, mortality and decreased quality of life. In view of ageing populations worldwide, there is significant interest among the healthcare sector and researchers to improve medication adherence rates for seniors. However, existing studies in the literature focus primarily on identifying the predictors of medication non-adherence. In this paper, we present our work on technology-enabled medication adherence for 24 community-dwelling seniors over a period of more than 2 years. We leverage Internet of Things (IoT) devices to track inferred medication consumption in the seniors’ homes, and provide quasi real-time alerts …

Age & Dementia Friendly Cape Ann: A Regional Needs Assessment, 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 within the Gerontology Institute at the University of Massachusetts Boston, on behalf of SeniorCare, Inc. (hereafter referred to as SeniorCare), to learn about the age- and dementia-friendliness of the region of Cape Ann, including the Massachusetts municipalities of Essex, Gloucester, Manchester-by-the-Sea, and Rockport. The contents of this report are intended to inform SeniorCare for the purposes of planning and implementing the Age & Dementia Friendly Cape Ann (ADFCA) Initiative. The ADFCA Initiative builds on ten Areas of Focus, which are essential components of a livable …

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. 14 - Trajectoires Familiales Et Réseau De Soutien Des Canadiens Âgés De Demain, France-Pascale Ménard, Céline Le Bourdais

Population Change and Lifecourse Strategic Knowledge Cluster Research/Policy Brief

Depuis quelques décennies, les comportements touchant la vie en couple et la parenta-lité ont considérablement changé, bouleversant par la même occasion les réseaux fami-liaux des Canadiens. Ces changements auront indéniablement des répercussions sur l’apport d’aide aux personnes âgées dans l’avenir. Dans cette optique, on observe comment les étapes marquant la vie conjugale et la parentalité ont évolué chez les personnes étant nées entre 1923 et 1972. On compare ainsi les personnes âgées d’aujourd-’hui à celles de demain, ces dernières correspondant aux baby-boomers. Les résultats montrent que les comportements de ces derniers se sont diversifiés et complexifiés face à ceux de …

Senior Transportation Abstracts: A Focus On Options, Helen Kerschner, Nina M. Silverstein

Gerontology Institute Publications

This collection of abstracts represents a publication of importance for understanding the needs, challenges, solutions, and/or every day issues related to senior transportation services. While several of the abstracts include information about senior driver safety, the collection’s primary purpose is to present a holistic approach to transportation options for older adults. Such a collection is timely because, although the practice of providing transportation to older adults is not new, research and preparation of practical informational and technical materials related to older adult transportation service needs and service delivery are quite recent.

Risk Factors For Driving Cessation Vary By Race And Ethnicity, Elizabeth Dugan, Frank Porell, Chae Man Lee

Gerontology Institute Publications

Driving is related to our identity and independence as well as allowing us to get needed goods, services, and social opportunities that enrich daily life. Yet with increasing age, the risk for developing threats to medical fitness to drive increases. Driving cessation is related to a long list of negative outcomes, such as: depression, social isolation, diminished access to health care, and diminished quality of life. We investigated risks for driving cessation, paying close attention to racial differences. This study used data from the Health and Retirement Study (HRS), 1998-2008. The study included N=46, 528 older people (age 65 and …

Program Evaluation Of A Community-Based Door-Through-Door Medical Escort Service, Lauren A. Martin

Gerontology Institute Publications

This report summarizes the program evaluation findings of a Boston-based organization’s Medical Escort program. This “door-through-door” service strives to provide medical transportation, physical assistance, and emotional support to elders on their way to the doctor’s office, during medical appointments and on the way back home again. By offering added assistance the program attempts to remove environmental barriers associated with access to health care. This evaluation combines previously collected program statistics with surveys (32) from program volunteers and phone interviews (78) with recipients.

Research Brief No. 1 - Social Inclusion Of The Oldest-Old: Toward Supportive Housing Policies, Judy Lynn Richards, Susan Sverdrup-Phillips, Jiangqin Du, Heather Maddocks, Heather Spiegel, Jennifer Brooks

Population Change and Lifecourse Strategic Knowledge Cluster Research/Policy Brief

Although most seniors aged 85+ live relatively independently in the community, research on this age group tends to focus on the negative aspects of aging. This study looks instead at seniors aged 85 and older who are living well and semi-independently in their communities with the help of an informal care provider. The study aims to identify the mechanisms that allow them to live with dignity and autonomy in their own homes and remain socially included in their communities. We conducted in-depth, semi-structured interviews with 16 individuals aged 85 to 94 years and their primary informal support-persons in Southwestern Ontario, …

Assessing Stakeholder Opinions Of Medical Review Of Impaired Drivers And Fitness To Drive: Recommendations For Massachusetts, Nina M. Silverstein, Kelli Barton

Gerontology Institute Publications

Driving is the main mode of travel for Americans age 65 and older, and although older adults are generally found to be safe drivers, aging often brings about functional limitations and an increase in medications that can impede safe driving and fitness to drive (Rosenbloom, 2003; Kissinger, 2008; Adler & Silverstein, 2008). Effective licensing policies and Medical Advisory Board practices are critical components in identifying medically at-risk drivers and may even have a role in the transition to alternative transportation options; yet, states vary greatly in their approach to licensing and renewal practices and in the utilization, composition, and function …

Using Internet‐Based Vignette Methods To Understand Elder Residential Choices, Francis G. Caro, Teck Ho, Daniel Mcfadden, Alison Gottlieb, Christine Yee, Taizan Chan, Joachim Winter

Gerontology Institute Publications

This paper illustrates an innovative method of administering fractional factorial surveys (vignettes) using the internet. The approach makes it possible to use video clips to deliver information. The method also provides subjects with interactive options before making judgments. A study to determine the views of older people regarding residential options is used to illustrate the method. The study found that the following characteristics of vignette persons affected subject recommendations: personal introduction, functional status, social network, and current housing characteristics. However, characteristics of retirement community features and personal financial status did not affect recommendations.

A Content Analysis Of Advertising In Magazines Directed At United States And United Kingdom Seniors, Ray Markham Smith

Theses and Dissertations in Business Administration

The seniors (55+) market is a growing, attractive market. While this market represents almost one-fourth of the total population in the United States and is slightly higher in the United Kingdom today, this segment is projected to grow to approximately one-third of the population over the next quarter century.

Relative to their proportion of the total population, seniors, and especially women, have historically been underrepresented as general advertising models. When seniors are portrayed, they are often used in supporting roles or in a negatively stereotyped manner. While the aging process is associated with declines in mental and physical capabilities, and …

Medicare Supplemental Insurance: Today's Crisis, Health Care For All, Gerontology Institute, University Of Massachusetts Boston

Gerontology Institute Publications

The purpose of health insurance is to spread risk. The system works under the assumption that, at any given point in time, only a percentage of the people in a given group will be sick. Regardless of health status, all members of the group will be paying premiums in order to cover the cost of care for those who need it.

As a group, however, seniors represent a high-risk population. They are more likely than younger people to need health care services and tend to require longer hospital stays. Yet, while their expenses are greater, their financial resources are generally …