The health and well-being of LGBT older adults: Disparities, risks, and resilience across the life course.

2015 ◽  
pp. 25-53 ◽  
Author(s):  
Karen I. Fredriksen-Goldsen ◽  
Charles P. Hoy-Ellis ◽  
Anna Muraco ◽  
Jayn Goldsen ◽  
Hyun-Jun Kim
Keyword(s):  
Older Adults ◽  
Life Course ◽  
Well Being ◽  
The Life Course ◽  
Health And Well Being

scholarly journals Family Member Death and Subjective Life Expectancy Among Black and White Older Adults

2018 ◽  
Vol 32 (3-4) ◽  
pp. 143-153
Author(s):  
Rachel Donnelly ◽  
Debra Umberson ◽  
Tetyana Pudrovska
Keyword(s):  
Older Adults ◽  
Life Expectancy ◽  
Life Course ◽  
Family Member ◽  
Well Being ◽  
White Americans ◽  
Black And White ◽  
Survival Expectations ◽  
The Life Course

Objective: To examine whether exposure to family member deaths throughout the life course is associated with subjective life expectancy—a person’s assessment of their own mortality risk—at age 65, with attention to differences by race. Method: We analyzed 11 waves of data from a study of men and women above age 50 (Health and Retirement Study; n = 13,973). Results: Experiencing the deaths of multiple family members before the respondent is 50 years old is negatively associated with subjective life expectancy at age 65. Discussion: Understanding the life-course predictors of older adults’ subjective life expectancy is particularly important because survival expectations influence long-term planning, health, and longevity. Moreover, Black Americans are exposed to more family member deaths earlier in their life compared with White Americans, with implications for long-term health and well-being.

Religion, Aging, and Public Health

2021 ◽  
Author(s):  
Jeff Levin ◽  
Ellen Idler
Keyword(s):  
Public Health ◽  
Life Course ◽  
Perinatal Care ◽  
Geriatric Medicine ◽  
Healthcare Delivery ◽  
Well Being ◽  
Age Cohorts ◽  
Wide Range ◽  
The Life Course ◽  
Health And Well Being

Religion, in both its personal and institutional forms, is a significant force influencing the health of populations across the life course. Decades of research have documented that expressions of faith and the practice of spiritual pursuits exhibit significantly protective effects for physical and mental health, psychological well-being, and population rates of morbidity, mortality, and disability. This finding has been observed across sociodemographic categories, across nations and cultures, across specific disease outcomes, and regardless of one’s religious affiliation. A salutary religious effect on health and well-being is especially apparent among older adults, but is also observed across generations and age cohorts. Moreover, this association has been persistently found for various religious indicators, including attendance at worship services, prayer and other private practices, subjective feelings of religiosity, and numerous measures of religious behaviors, attitudes, beliefs, and experiences. Finally, a protective or primary preventive effect of religion has been observed in clinical, epidemiologic, social, and behavioral studies, regardless of research design or methodology. Faith-based organizations also have contributed to the health of populations, in partnerships or alliances with medical institutions and public health agencies, many of these dating back many decades. Examples include congregational health promotion and disease prevention programs and community-wide interventions, especially targeting the health and well-being of older congregants and those in less well-resourced communities, as well as faith–health partnerships in healthcare delivery, public health policymaking, and legislative advocacy for healthcare reform. Religious denominations and institutions also play a substantial role in global health development throughout the world, individually and in partnership with national health ministries, transnational medical mission organizations, and established nongovernmental agencies. These efforts focus on a wide range of goals and objectives, including building public health infrastructure, addressing ongoing environmental health needs, and responding to acute public health challenges and crises, such as infectious disease outbreaks. Constituencies include at-risk populations and cohorts throughout the life course, and programming ranges from perinatal care to maternal and child healthcare to geriatric medicine.

scholarly journals Iridescent Life Course: LGBTQ Aging Research and Blueprint for the Future – A Systematic Review

Gerontology ◽  
2019 ◽  
Vol 65 (3) ◽  
pp. 253-274 ◽  
Author(s):  
Karen I. Fredriksen Goldsen ◽  
Sarah Jen ◽  
Anna Muraco
Keyword(s):  
Older Adults ◽  
Identity Development ◽  
Life Course ◽  
Well Being ◽  
Future Research ◽  
Social Dimensions ◽  
Negative Stereotypes ◽  
Life Course Framework ◽  
The Life Course ◽  
Over Time

Background: LGBTQ* (lesbian, gay, bisexual, trans, and queer) older adults are demographically diverse and growing populations. In an earlier 25-year review of the literature on sexual orientation and aging, we identified four waves of research that addressed dispelling negative stereotypes, psychosocial adjustment to aging, identity development, and social and community-based support in the lives of LGBTQ older adults. Objectives: The current review was designed to develop an evidence base for the field of LGBTQ aging as well as to assess the strengths and limitations of the existing research and to articulate a blueprint for future research. Methods: Using a life course framework, we applied a systematic narrative analysis of research on LGBTQ aging. The review included 66 empirical peer-reviewed journal articles (2009–2016) focusing on LGBTQ adults aged 50 years and older, as well as age-based comparisons (50 years and older with those younger). Results: A recent wave of research on the health and well-being of LGBTQ older adults was identified. Since the prior review, the field has grown rapidly. Several findings were salient, including the increas­ed application of theory (with critical theories most often used) and more varied research designs and methods. While ­existing life course theory provided a structure for the investigation of the social dimensions of LGBTQ aging, it was limited in its attention to intersectionality and the psychological, behavioral, and biological work emerging in the field. There were few studies addressing the oldest in these ­communities, bisexuals, gender non-binary older adults, intersex, ­older adults of color, and those living in poverty. ­Conclusions: The Iridescent Life Course framework highlights the interplay of light and environment, creating dynamic and fluid colors as perceived from different angles and perspectives over time. Such an approach incorporates both queering and trans-forming the life course, capturing intersectionality, fluidity over time, and the psychological, behavioral, and biological as well as social dimensions of LGBTQ aging. Work is needed that investigates trauma, differing configurations of risks and resources over the life course, inequities and opportunities in representation and capital as LGBTQ adults age, and greater attention to subgroups that remain largely invisible in existing research. More depth than breadth is imperative for the field, and multilevel, longitudinal, and global initiatives are needed.

scholarly journals Conversational Agents for Health and Well-being Across the Life Course: Protocol for an Evidence Map

10.2196/26680 ◽  
2021 ◽  
Vol 10 (9) ◽  
pp. e26680
Author(s):  
Mara Pereira Guerreiro ◽  
Leonardo Angelini ◽  
Helga Rafael Henriques ◽  
Mira El Kamali ◽  
Cristina Baixinho ◽  
...  
Keyword(s):  
Life Course ◽  
Systematic Reviews ◽  
Data Extraction ◽  
Well Being ◽  
Screening Procedure ◽  
Conversational Agents ◽  
Evidence Map ◽  
Searchable Database ◽  
The Life Course ◽  
Health And Well Being

Background Conversational agents, which we defined as computer programs that are designed to simulate two-way human conversation by using language and are potentially supplemented with nonlanguage modalities, offer promising avenues for health interventions for different populations across the life course. There is a lack of open-access and user-friendly resources for identifying research trends and gaps and pinpointing expertise across international centers. Objective Our aim is to provide an overview of all relevant evidence on conversational agents for health and well-being across the life course. Specifically, our objectives are to identify, categorize, and synthesize—through visual formats and a searchable database—primary studies and reviews in this research field. Methods An evidence map was selected as the type of literature review to be conducted, as it optimally corresponded to our aim. We systematically searched 8 databases (MEDLINE; CINAHL; Web of Science; Scopus; the Cochrane, ACM, IEEE, and Joanna Briggs Institute databases; and Google Scholar). We will perform backward citation searching on all included studies. The first stage of a double-stage screening procedure, which was based on abstracts and titles only, was conducted by using predetermined eligibility criteria for primary studies and reviews. An operational screening procedure was developed for streamlined and consistent screening across the team. Double data extraction will be performed with previously piloted data collection forms. We will appraise systematic reviews by using A Measurement Tool to Assess Systematic Reviews (AMSTAR) 2. Primary studies and reviews will be assessed separately in the analysis. Data will be synthesized through descriptive statistics, bivariate statistics, and subgroup analysis (if appropriate) and through high-level maps such as scatter and bubble charts. The development of the searchable database will be informed by the research questions and data extraction forms. Results As of April 2021, the literature search in the eight databases was concluded, yielding a total of 16,351 records. The first stage of screening, which was based on abstracts and titles only, resulted in the selection of 1282 records of primary studies and 151 records of reviews. These will be subjected to second-stage screening. A glossary with operational definitions for supporting the study selection and data extraction stages was drafted. The anticipated completion date is October 2021. Conclusions Our wider definition of a conversational agent and the broad scope of our evidence map will explicate trends and gaps in this field of research. Additionally, our evidence map and searchable database of studies will help researchers to avoid fragmented research efforts and wasteful redundancies. Finally, as part of the Harnessing the Power of Conversational e-Coaches for Health and Well-being Through Swiss-Portuguese Collaboration project, our work will also inform the development of an international taxonomy on conversational agents for health and well-being, thereby contributing to terminology standardization and categorization. International Registered Report Identifier (IRRID) DERR1-10.2196/26680

scholarly journals Midlife as a pivotal period in the life course

2014 ◽  
Vol 39 (1) ◽  
pp. 20-31 ◽  
Author(s):  
Margie E. Lachman ◽  
Salom Teshale ◽  
Stefan Agrigoroaei
Keyword(s):  
United States ◽  
Life Course ◽  
Middle Age ◽  
Well Being ◽  
The United States ◽  
Cross Sectional ◽  
Cross Sectional Studies ◽  
The Life Course ◽  
Health And Well Being

We provide evidence for multidirectionality, variability, and plasticity in the nature and direction of change in physical health, cognitive functioning, and well-being during the middle years of the life course. The picture of well-being in midlife based on longitudinal data from the Midlife in the United States (MIDUS) study is a more positive one than portrayed in previous cross-sectional studies. We present middle age as a pivotal period in the life course in terms of balancing growth and decline, linking earlier and later periods of life, and bridging younger and older generations. We highlight the role of protective factors and multisystem resilience in mitigating declines. Those in middle age play a central role in the lives of those who are younger and older at home, in the workplace, and in society at large. Thus, a focus on promoting health and well-being in middle age can have a far-reaching impact.

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