scholarly journals Marriage, Cohabitation, and Divorce in Later Life

2017 ◽  
Vol 1 (2) ◽  
Author(s):  
Susan L Brown ◽  
Matthew R Wright
Keyword(s):  
Older Adults ◽  
Primary Source ◽  
Divorce Rate ◽  
Later Life ◽  
Well Being ◽  
Future Research ◽  
Family Change ◽  
Recent Scholarship ◽  
Source Of Care ◽  
Health And Well Being

Abstract Older adults are at the forefront of family change as a declining share experiences lifelong marriage and rates of cohabitation and divorce in later life continue to rise. The goal of this article is to review recent scholarship on marriage, cohabitation, and divorce among older adults and identify directions for future research. The varied family experiences characterizing the later life course demonstrate the importance of moving beyond marital status to capture additional dimensions of the marital biography, including transitions, timing, duration, and sequencing. Cohabitation operates as an alternative to marriage for older adults and is increasingly replacing remarriage following divorce or widowhood. The gray divorce rate has doubled in recent decades as older adults abandon marriage in favor of unmarried partnerships or singlehood. The retreat from marriage among older adults raises important questions about the ramifications of family change for health and well-being as well as access to caregivers given that spouses historically have been the primary source of care.

scholarly journals Perceived Control and Aging: A Mini-Review and Directions for Future Research

Gerontology ◽  
2017 ◽  
Vol 63 (5) ◽  
pp. 435-442 ◽  
Author(s):  
Stephanie A. Robinson ◽  
Margie E. Lachman
Keyword(s):  
Sex Education ◽  
Perceived Control ◽  
Later Life ◽  
Well Being ◽  
Reciprocal Relationship ◽  
Control Beliefs ◽  
Future Research ◽  
Cross Sectional ◽  
As Stress ◽  
Health And Well Being

This brief review on perceived control and aging is organized according to 3 perspectives of research involving description, explanation, and modification. An extensive body of literature has utilized cross-sectional and correlational methods to describe the sociodemographic variations and outcomes associated with perceived control. This work has focused on differences in perceived control as a function of age, sex, education, socioeconomic status, and culture and has identified positive associations with many aging-related outcomes involving health and well-being. With growing evidence regarding the health benefits of perceived control in the context of a declining sense of control with aging, there has been an increased effort to uncover the mechanisms involved, with the hopes of developing methods to maintain and/or promote adaptive control beliefs throughout adulthood. Through longitudinal and experimental work, researchers are beginning to clarify the directionality and elucidate the mechanisms to explain the associations. Recent evidence from longitudinal studies shows that control beliefs have an impact on subsequent changes in health. Yet, the findings suggest that it is not a unidirectional relationship. A conceptual model suggesting an ongoing reciprocal relationship between perceived control and health and well-being is discussed. Research examining the mechanisms that link perceived control to aging-related outcomes can help to inform and to develop effective interventions that are tailored to the individual's specific barriers and goals. We consider new directions for research, including more attention to intraindividual variability and reactivity to daily challenges, such as stress, with the goal of advancing our understanding of how perceived control contributes to aging-related outcomes. More work is needed to develop strategies to enhance control beliefs in later life. Although it will not always be possible to modify control beliefs, researchers can take these beliefs into account when developing interventions. A personalized approach is recommended as a way to tailor interventions that are compatible with individuals' beliefs about control to facilitate adaptive behavior change. Conclusions focus on selected issues and considerations for future research.

scholarly journals Evaluation of the Usability and Acceptability of the InnoWell Platform as Rated by Older Adults: Survey Study

JMIR Aging ◽  
10.2196/25928 ◽  
2021 ◽  
Vol 4 (2) ◽  
pp. e25928
Author(s):  
Haley M LaMonica ◽  
Anna E Roberts ◽  
Tracey A Davenport ◽  
Ian B Hickie
Keyword(s):  
Older Adults ◽  
Social Engagement ◽  
Later Life ◽  
Well Being ◽  
Assessment Tools ◽  
Self Report ◽  
Digital Tool ◽  
System Usability Scale ◽  
Mental Well Being ◽  
Health And Well Being

Background As the global population ages, there is increased interest in developing strategies to promote health and well-being in later life, thus enabling continued productivity, social engagement, and independence. As older adults use technologies with greater frequency, proficiency, and confidence, health information technologies (HITs) now hold considerable potential as a means to enable broader access to tools and services for the purposes of screening, treatment, monitoring, and ongoing maintenance of health for this group. The InnoWell Platform is a digital tool co-designed with lived experience to facilitate better outcomes by enabling access to a comprehensive multidimensional assessment, the results of which are provided in real time to enable consumers to make informed decisions about clinical and nonclinical care options independently or in collaboration with a health professional. Objective This study aims to evaluate the usability and acceptability of a prototype of the InnoWell Platform, co-designed and configured with and for older adults, using self-report surveys. Methods Participants were adults 50 years and older who were invited to engage with the InnoWell Platform naturalistically (ie, at their own discretion) for a period of 90 days. In addition, they completed short web-based surveys at baseline regarding their background, health, and mental well-being. After 90 days, participants were asked to complete the System Usability Scale to evaluate the usability and acceptability of the prototyped InnoWell Platform, with the aim of informing the iterative redesign and development of this digital tool before implementation within a health service setting. Results A total of 19 participants consented to participate in the study; however, only the data from the 16 participants (mean age 62.8 years, SD 7.5; range 50-72) who completed at least part of the survey at 90 days were included in the analyses. Participants generally reported low levels of psychological distress and good mental well-being. In relation to the InnoWell Platform, the usability scores were suboptimal. Although the InnoWell Platform was noted to be easy to use, participants had difficulty identifying the relevance of the tool for their personal circumstances. Ease of use, the comprehensive nature of the assessment tools, and the ability to track progress over time were favored features of the InnoWell Platform, whereas the need for greater personalization and improved mobile functionality were cited as areas for improvement. Conclusions HITs such as the InnoWell Platform have tremendous potential to improve access to cost-effective and low-intensity interventions at scale to improve and maintain mental health and well-being in later life. However, to promote adoption of and continued engagement with such tools, it is essential that these HITs are personalized and relevant for older adult end users, accounting for differences in background, clinical profiles, and levels of need.

The development of a brief measure of health personality

2020 ◽  
pp. 135910532093117
Author(s):  
Peter Martin ◽  
Joseph Kim ◽  
Angelica Jasper ◽  
Yousun Baek ◽  
Daniel Russell
Keyword(s):  
Older Adults ◽  
Personality Assessment ◽  
Reliability And Validity ◽  
Well Being ◽  
Future Research ◽  
Healthcare Settings ◽  
Brief Assessment ◽  
Five Factors ◽  
Good Internal Consistency ◽  
Health And Well Being

The purpose of this research was to develop a brief assessment of health personality, defined as a set of individual dispositions that are directly related to health. In Study 1, an initial pool of items was developed with 615 older adults, 65 years of age and older. The scale was reduced to a 15-item version for use in applied health care settings. Results indicated that the ‘Health Personality Assessment scale’ has good internal consistency, and the five-factors correlated significantly with self-reported measures of physical health and well-being. In Study 2, the scale was cross-validated with 254 older adults from the Health Literacy and Cognitive Function among Older Adults Study. The scale was refined and a third study consisted of 3,907 older adults. Reliability and validity of the scale were confirmed. Future research should evaluate the usefulness of this scale in applied healthcare settings.

5. Positive and successful ageing

2016 ◽  
pp. 87-101
Author(s):  
Nancy A. Pachana
Keyword(s):  
Older Adults ◽  
Social Policy ◽  
Later Life ◽  
Well Being ◽  
Lifestyle Factors ◽  
Successful Ageing ◽  
Policy Frameworks ◽  
The Subject ◽  
Health And Well Being

‘Positive and successful ageing’ examines how, as a society, we can promote positive and successful ageing in terms of physical, mental, and social well-being in later life. It addresses current findings and directions in research, interventions, and social policy, which have focused more strongly on health and well-being, rather than disease and disability, in the last few decades. Attention is paid to the contributions of the environment, lifestyle factors, meaning and engagement in life, resilience, and wisdom that support a successful move through the latter stages of life. Successful ageing is now the subject of policy frameworks, lifespan theories of development, and actions—large and small—affecting older adults globally.

scholarly journals Child’s Developmental Disabilities and Parental Well-being in Midlife and Old Age: Does Race Matter?

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 916-916
Author(s):  
Juha Lee ◽  
Manjing Gao ◽  
Chioun Lee
Keyword(s):  
Developmental Disabilities ◽  
Life Course ◽  
Personal Growth ◽  
Later Life ◽  
Well Being ◽  
The United States ◽  
Future Research ◽  
Differential Vulnerability ◽  
Differential Exposure ◽  
Health And Well Being

Abstract Having a child with developmental disabilities (DD) compromises parents’ health and well-being. We have little knowledge on whether the association is robust to the presence of exposure-outcome confounders and how it varies by race. Guided by life-course perspectives, we evaluate (1) the association between having a child with DD and parental well-being and (2) racial disparities in the likelihood of having a child with DD (differential exposure), and/or the effect of having a child with DD on parental well-being (differential vulnerabilities). We advance prior studies by including a wide array of parent’s early-life adversities (ELAs, e.g., poverty and abuse), which may link the predictor to the outcome. Using the core, Refresher, and Milwaukee samples from Midlife in the United States (N=9,640, 25% non-Whites), we conducted regression analysis with race as a moderator. Compared to having a healthy child, parents having a child with DD reported lower well-being even after controlling for ELAs. While the likelihood of having a child with DD (around 10%) is similar for both non-Hispanic Whites and African Americans, African American parents are more adversely affected by having a child with DD across most of the eudaimonic well-being indicators (i.e., autonomy, self-acceptance, positive relationships with others, personal growth, environmental mastery). The later-life well-being of racial minorities is disproportionally affected by having a child with DD. Future research avenues include identifying life-course pathways that contribute to this differential vulnerability.

scholarly journals Successful Aging in Individuals From Less Advantaged, Marginalized, and Stigmatized Backgrounds

2019 ◽  
Vol 1 (3) ◽  
Author(s):  
Myriam Verena Thoma ◽  
Shauna Ledean Mc Gee
Keyword(s):  
Health Outcomes ◽  
Successful Aging ◽  
Organizational Factors ◽  
Later Life ◽  
Well Being ◽  
Future Research ◽  
Social Resilience ◽  
Multi Level ◽  
The Impact ◽  
Health And Well Being

Health and well-being in later life are heavily influenced by behaviors across the life course, which in turn are influenced by a variety of wider contextual, social, economic, and organizational factors. There is considerable potential for inequalities in health-promoting behaviors and health outcomes, arising from poverty, social, and environmental factors. This suggests that individuals from disadvantaged backgrounds and circumstances may have more exposure to (chronic) stressors, coupled with reduced access to resources, and increased susceptibility to risk factors for ill-health and mental disorders in later life. This drastically decreases the likelihood for successful aging in individuals from less advantaged backgrounds. Nevertheless, despite these adverse circumstances, some high-risk, disadvantaged individuals have been shown to achieve and maintain good health and well-being into later life. This scientific update provides an overview of recently published research with samples that, against expectations, demonstrate successful aging. Favorable personality traits, cognitive strategies, and a high-level of intrinsic motivation, paired with a supportive social environment, have been found to build a prosperous basis for successful aging and positive health outcomes in later life for individuals living in aversive environmental circumstances. For clinical psychologists, the movement towards the investigation of underlying mechanisms of successful aging from a psychological perspective, particularly in disadvantaged individuals, may be a critical step towards understanding the vast heterogeneity in aging. Successful aging is possible in disadvantaged individuals. Psychological and social resilience resources may compensate for the impact of disadvantage. The application of multi-level resilience models can aid future research on successful aging. Successful aging is possible in disadvantaged individuals. Psychological and social resilience resources may compensate for the impact of disadvantage. The application of multi-level resilience models can aid future research on successful aging.

scholarly journals Dynamic Relationships Between Perceived Housing and Life Transitions: A Better Understanding of Good Aging in Place

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 444-444
Author(s):  
Frank Oswald ◽  
Steven Schmidt ◽  
Malcolm Cutchin
Keyword(s):  
Older Adults ◽  
Low Income ◽  
Later Life ◽  
Well Being ◽  
Life Transitions ◽  
Community Dwelling ◽  
Life Transition ◽  
Dynamic Relationship ◽  
Dynamic Relationships ◽  
Health And Well Being

Abstract Housing has gained increased relevance as a central factor for health and well-being. Many countries have implemented ageing in place policies, which provide services focused on improving the physical environment. Housing needs change as people grow older and experience different transitions across their life courses. Studies have demonstrated relationships between housing and health and well-being in later life on the one hand and life transitions and health and well-being in later life on the other hand. However, research on life transitions in combination with perceived housing in relation to indicators of good ageing is virtually nonexistent. This symposiums aims to address the dynamic relationship between perceived housing and life transitions and how they impact health, well-being, functioning, and social/neighborhood participation as people age by data from a mixed-method approach in Sweden and Germany. The first contribution by Slaug and colleagues introduces changes in how older adults perceive their housing following the life transition of a fall at home. Second, Eriksson and colleagues present qualitative results on the experience of relationships between perceived housing, several life transitions and well-being among community-dwelling Swedish older adults. Third, Wanka and colleagues present partially different results from a comparable study in German on the same topic but emphasizing the experience of interrelationships between different life course transitions. Fourth, Granbom and colleagues explore how low-income older adults in Sweden reason about their current housing situation and a future life transition of relocation. Finally, Malcolm P. Cutchin will serve as the session’s discussant.

scholarly journals Singing lessons as a path to well-being in later life

2021 ◽  
pp. 030573562110309
Author(s):  
Alexandra M Smith ◽  
Kay Kleinerman ◽  
Annabel J Cohen
Keyword(s):  
Older Adults ◽  
Social Relations ◽  
Personal Growth ◽  
Health Care Professionals ◽  
Online Survey ◽  
Later Life ◽  
Well Being ◽  
Musical Instrument ◽  
Future Research ◽  
Depressive Episodes

Seventy-two persons, who had begun voice lessons after 40 years of age, were invited to complete an online survey that focused on the singers’ experience, motivation, goals, health and well-being, repertoire, practice, and demographic information; 48 respondents (33 females, mean age 60.81 years, range 48.83–82.08, SD = 6.99) completed the questionnaire. Most participants indicated that enjoyment and personal growth motivated their taking lessons. Over 90% commented on benefits of singing to their physical health (e.g., breathing) and mental health (e.g., mood, less depressive episodes). Despite the solitary aspect of singing lessons, 67% reported positive changes in social relations since taking lessons. Benefits to professional relations were also reported (e.g., confidence, listening to others). Repertoire level was generally high, consistent with a high average university educational level. Cost of lessons and time demands may account for the generally high socioeconomic status of respondents. Given that the singing voice is a musical instrument available to almost everyone, results might motivate older adults to consider taking voice lessons, encourage health care professionals to consider voice lessons as interventions to benefit clients, and persuade governments to subsidize voice lessons for older adults in their jurisdictions. The study provides a foundation for future research on the relative impacts on well-being of vocal lessons versus choral singing in the context of relative investments in the two activities.

scholarly journals “Especially for People Our Age”: Exploring the Correlates of Ageism During the COVID-19 Pandemic

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 601-601
Author(s):  
Jennifer Sublett ◽  
Michael Vale ◽  
Toni Bisconti
Keyword(s):  
Older Adults ◽  
Physical Health ◽  
Well Being ◽  
Preliminary Evidence ◽  
Future Research ◽  
Health Related ◽  
Health And Well Being

Abstract The COVID-19 pandemic has presented an unprecedented context for older adults where they may feel patronized, isolated, and fearful because of their greater risk of getting COVID-19 and being targets of ageism. Previous researchers have linked ageism negatively with health and well-being; although, the majority of this research has highlighted the negative, or hostile, aspects of ageism, and excluded the overaccommodative and patronizing qualities of benevolent ageism. Since the start of the pandemic, both forms of ageism have been noted to be more salient with claims of an ageism outbreak (Ayalon et al., 2020). The correlates of ageism during the COVID-19 pandemic are widely unknown, and the goal of this study was to explore whether experiences of ageism were related to different affective and health-related responses to the pandemic. In a sample of older adults (N=65) collected in September 2020, we found that benevolent ageism positively correlated with pandemic specific experiences of pity (r=.27, p<.05), loneliness (r=.30, p<.05), worry (r=.40, p<.01), and negatively related to self-reported physical health (r=-.31, p<.05) and emotional well-being (r=-.26, p<.05). Hostile ageism did not relate to pity, but positively correlated with loneliness (r=.25, p<.05) and worry (r=.37, p<.01), and negatively related to physical health (r=-.27, p<.05) and emotional well-being (r=-.38, p<.01). This work provides preliminary evidence of how the lives of older adults have been influenced by COVID-19 and the resulting ageism outbreak. Future research should continue this avenue of study with more expansive and inclusive samples and approaches as the pandemic is not over.

scholarly journals Exploring Gender Differences in Volunteer Behavior Among Older Asian Americans

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 24-25
Author(s):  
Patrick Ho Lam Lai ◽  
Christina Matz ◽  
Cal Halvorsen
Keyword(s):  
Older Adults ◽  
Gender Differences ◽  
Later Life ◽  
Well Being ◽  
Asian Women ◽  
Asian Men ◽  
Using Data ◽  
Social And Cultural Factors ◽  
Racial Ethnic ◽  
Health And Well Being

Abstract Prior research has documented the health and well-being effects of volunteerism in later life, and that positive outcomes increase in the first 100 volunteer hours/year and slightly increase between 100-200 hours. Given this, it seems that using an intersectional lens to explore disparities in volunteer behaviors and what might explain them is important from a health equity standpoint. Using data from 268,194 individuals aged 65-85 from the most recently available Volunteer Supplement of the Current Population Survey, this study found that White older adults were most likely to spend any time in volunteer activities, while Asian and Hispanic older adults were least, across all racial/ethnic groups. Further, the percentage of older Asian women volunteering in the 100-200 hour range (27%) was significantly higher than that of older Asian men (19%). Social and cultural factors that may explain these racial/gender differences and implications for recruiting older adults as volunteers are discussed.

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