scholarly journals Shelter/housing options, supports and interventions for older people experiencing homelessness

2021 ◽  
pp. 1-27
Author(s):  
Sarah L. Canham ◽  
Joe Humphries ◽  
Piper Moore ◽  
Victoria Burns ◽  
Atiya Mahmood
Keyword(s):  
Older People ◽  
English Language ◽  
Later Life ◽  
Supported Housing ◽  
Empirical Literature ◽  
Future Research ◽  
Term Care ◽  
Ageing In Place ◽  
Individual Level ◽  
Housing Options

Abstract While experiences of later-life homelessness are known to vary, classification of shelter, housing and service models that meet the diverse needs of older people with experiences of homelessness (OPEH) are limited. To address this gap, a scoping review was conducted of shelter/housing options, supports and interventions for OPEH. Fourteen databases were searched for English-language peer-reviewed and/or empirical literature published between 1999 and 2019, resulting in the inclusion of 22 sources. Through a collaborative, iterative process of reading, discussing and coding, data extracted from the studies were organised into six models: (1) long-term care, (2) permanent supportive housing (PSH), including PSH delivered through Housing First, (3) supported housing, (4) transitional housing, (5) emergency shelter settings with health and social supports, and (6) case management and outreach. Programme descriptions and OPEH outcomes are described and contribute to our understanding that multiple shelter/housing options are needed to support diverse OPEH. The categorised models are considered alongside existing ‘ageing in place’ research, which largely focuses on older adults who are housed. Through extending discussions of ageing in the ‘right’ place to diverse OPEH, additional considerations are offered. Future research should explore distinct sub-populations of OPEH and how individual-level supports for ageing in place must attend to mezzo- and macro-level systems and policies.

scholarly journals PRECARITY AND LATER LIFE: UNDERSTANDING NEW INEQUALITIES AND RISKS IN LATER LIFE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S588-S588
Author(s):  
Dale Dannefer ◽  
Christopher Phillipson ◽  
Dale Dannefer
Keyword(s):  
Older People ◽  
Life Course ◽  
Social Dynamics ◽  
Later Life ◽  
Academic Disciplines ◽  
Potential Contribution ◽  
Term Care ◽  
Economic Changes ◽  
Individual Level ◽  
The Life Course

Abstract This symposium addresses debates around the theme of precarity and its implications for understanding social and economic changes affecting the lives of older people. To date, the concept of precarity has been applied to several subpopulations by various academic disciplines but has yet to be systematically applied to later life. The symposium will give particular attention to the extent to which the lens provided by precarity can illuminate different types of inequalities experienced through the life course and reflected in public policies directed at older people. Chris Phillipson reviews theoretical perspectives relating to precarity, examining their potential contribution for the development of critical gerontology. His paper also considers the extent to which the concept of ‘precarious ageing’ offers a competing or complementary view to theories of ‘active’ and ‘successful ageing’. Larry Polivka examines the growing precarity of life for older Americans emanating from austerity budgets and privatization of public services. The paper suggests that policies such as health care and long term care are in jeopardy, creating a glide path toward the extension of precarious employment into a precarious retirement for millions of older people. Wenxuan Huang examines how the focus on agency and other individual-level foci obscure understanding of social dynamics. Finally, Amanda Grenier draws on a scoping review of precarity to outline conceptual distinctions between frailty, vulnerability, and precarity. She presents reflections on what these concepts offer in terms of understandings of late life the study of disadvantage across the life course.

scholarly journals Sexual Violence Against Older People: A Review of the Empirical Literature

2017 ◽  
Vol 19 (5) ◽  
pp. 567-583 ◽  
Author(s):  
Hannah Bows
Keyword(s):  
Domestic Violence ◽  
Older People ◽  
Sexual Violence ◽  
Elder Abuse ◽  
Later Life ◽  
Academic Disciplines ◽  
Empirical Literature ◽  
Future Research ◽  
Future Research Agenda ◽  
Similarity And Difference

Aging and sexual violence are both established areas of research, but little attention has been paid to research into sexual violence against older people. This article presents a critical review of the literature reporting empirical research in three overlapping fields of inquiry: elder abuse, domestic violence, and sexual violence, identifying points of theoretical and methodological similarity and difference across academic disciplines. Using a range of search terms combining age, sexual violence, and elder abuse, the following databases were searched: EBSCOHOST, Ingenta-Ingenta connect, and JSTOR. In total, the databases searches returned 31 relevant articles and an additional 9 relevant articles were found through manual searches of bibliographies and Google searches, which were grouped into three categories: elder abuse, domestic violence in later life, and sexual violence against older people. Four themes common across these fields emerged: prevalence, characteristics of victims and risk factors, impacts and coping strategies, and perpetrator and assault characteristics. The findings in each area are discussed in detail, exposing gaps in knowledge and understandings of sexual violence against older women. The article ends by defining a future research agenda for this underexplored phenomenon that is of increasing importance in a context of global aging.

scholarly journals Fourth Ageism: Real and Imaginary Old Age

Societies ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. 12
Author(s):  
Paul Higgs ◽  
Chris Gilleard
Keyword(s):  
Older People ◽  
Long Term Care ◽  
Social Representations ◽  
Later Life ◽  
Chronological Age ◽  
Biological Parameters ◽  
Term Care ◽  
The Impact ◽  
State Responses

This paper is concerned with the issue of ageism and its salience in current debates about the COVID-19 pandemic. In it, we address the question of how best to interpret the impact that the pandemic has had on the older population. While many feel angry at what they see as discriminatory lock-down practices confining older people to their homes, others are equally concerned by the failure of state responses to protect and preserve the health of older people, especially those receiving long-term care. This contrast in framing ageist responses to the pandemic, we suggest, arises from differing social representations of later life, reflecting the selective foregrounding of third versus fourth age imaginaries. Recognising the tension between social and biological parameters of ageing and its social categorisations, we suggest, may offer a more measured, as well as a less discriminatory, approach to addressing the selective use of chronological age as a line of demarcation within society.

scholarly journals Prevalence and Risk Factors of Postprandial Hypotension Among Japanese Older Adults in a Facility

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 222-222
Author(s):  
Noriko Suzuki ◽  
Masahiko Hashizume ◽  
Hideyuki Shiotani
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Older Adults ◽  
Older People ◽  
Future Research ◽  
Baseline Body Mass Index ◽  
Term Care ◽  
Postprandial Hypotension ◽  
Before And After ◽  
Japanese Older Adults

Abstract Postprandial hypotension (PPH) is an unrecognized sudden drop of blood pressure (BP) after meals and a hidden problem among older people including those living in long-term care facilities (LTCFs). Though PPH causes dizziness, falls, and syncope, it has received little attention from¬¬¬ healthcare workers (HCW) including caregivers, nurses and physicians, and risk factors of PPH should be carefully assessed to improve quality of life. Therefore, we aimed to examine the prevalence and risk factors of PPH in a LTCF in Japan. Participants were 114 older adults living in a LTCF in Japan (mean age 85.9 years old; 85 female (74%)). To examine PPH, blood pressure (BP) was measured before and after lunch. BP after meal was measured four times every 30 minutes. PPH is defined as a BP drop of 20 mmHg or more and we also defined a BP drop within a range of 19 to 15 mmHg as potential-PPH. As risk factors, we compared systolic and diastolic BP at baseline, body mass index, pulse rate, disease and complications between groups with/without PPH. The prevalence of PPH was 41% (47/114) and 52% with potential-PPH; 11% (13/114) added. Among risk factors, systolic BP was significantly higher in those with PPH (142.6 vs 123.5 mmHg, p <0.001). This study revealed that PPH & potential-PPH occurred in half of the subjects in a LTCF in Japan. HCW need to focus on high systolic BP to predict PPH and future research is necessary to prevent and cope with PPH for older people.

Theorising Sleep Practices and Later Life: Moving to Sheltered Housing

2007 ◽  
Vol 12 (5) ◽  
pp. 214-224 ◽  
Author(s):  
Eileen Fairhurst
Keyword(s):  
Older People ◽  
Textual Analysis ◽  
Later Life ◽  
Original Data ◽  
Sheltered Housing ◽  
Future Research ◽  
Special Issue ◽  
Professional Discourse ◽  
Interesting Topic

This paper re-analyses data from a study of older people and sheltered housing which combined textual analysis of professional discourse with interviews. There were only two references salient to ‘sleep’ in that paper and I offered no analytic comment upon them. At that time, then, sleep as a sociologically interesting topic, was, for me a taken for granted matter. It is that taken for grantedness that is examined here. On being invited to contribute to this special issue, I went back to the original data and interrogated it for ‘sleep’. I realised that, with this different concern, the texts and interviews contained much more about the ‘doing’ of sleep in later life than I had appreciated, especially where, when and how sleeping practices occur. Sleeping ‘upstairs’ or ‘downstairs’, in a single- or double-bed and on which side of the bed were all matters of relevance when older people were considering a move to sheltered housing. Older people's own sleeping practices are contrasted with those offered in texts produced by architects designing sheltered housing. The paper concludes by considering the methodological implications of re-analysing research materials for emerging sociological topics and by giving pointers to future research on sleep practices in later life.

scholarly journals Social Exclusion in Older-Age and the European Pillar of Social Rights

2021 ◽  
pp. 421-431
Author(s):  
Maciej Kucharczyk
Keyword(s):  
Older People ◽  
Labour Market ◽  
Social Exclusion ◽  
Working Conditions ◽  
Social Protection ◽  
Later Life ◽  
Social Rights ◽  
Term Care ◽  
Goods And Services

AbstractThe European Pillar of Social Rights is about delivering new and more effective rights for Europeans. It builds upon 20 key principles, structured around three categories: equal opportunities and access to the labour market; fair working conditions; and social protection and inclusion. Directly relevant to older people, the Pillar has the potential to address the multidimensionality of exclusion in later life from a rights-based perspective – for example, by enhancing the rights to quality and affordable health and long-term care, to adequate pensions to live in dignity, to age-friendly working conditions and an inclusive labour market, or to access goods and services. Despite these valuable elements, there remains significant uncertainly around how the Pillar will achieve this and what kind of implemental actions might emerge across member states. This chapter analyses the potential of the European Pillar to address social exclusion of older people in Europe, the challenges that might impede its efforts, and the measures necessary to overcome such challenges.

Working towards successful retirement: older workers and retirees speaking about ageing, change and later life

2015 ◽  
Vol 19 (1) ◽  
pp. 25-32 ◽  
Author(s):  
Sheila J. Gewolb
Keyword(s):  
Discourse Analysis ◽  
Older People ◽  
Focus Groups ◽  
Older Workers ◽  
Later Life ◽  
Small Sample ◽  
Future Research ◽  
Structured Interviews ◽  
Content Type ◽  
Linguistic Approach

Purpose – The purpose of this paper is to demonstrate how older workers and people who have already retired speak about ageing and change and their experience of retirement. Design/methodology/approach – A qualitative study is described in which focus groups with older workers and semi-structured interviews with retired people were carried out. The recorded data were analysed using a linguistic approach (Discourse Analysis), which investigates in detail how people express their views and opinions and how their discourse might relate to societal attitudes towards ageing and retirement. Findings – Many older people who were still at work were concerned that they would decline and become senile once they retired unless they could remain active in some way. This was confirmed by people who had already retired and who spoke about how keeping busy and active had resulted in successful retirement and ageing. Research limitations/implications – Participants from four focus groups and five interview respondents represent only a small sample of older people who are still working or who are retired. This means that the results of this study cannot be extended to include all older workers and retired people. Social implications – This study will help to raise awareness of the concerns of older workers who may be nearing retirement, and how keeping busy and active after leaving work is considered by retirees to be part of successful retirement and helping to combat decline. Originality/value – A study of this nature which examines how older workers express their views about retirement using Discourse Analysis is original and may be used as a method for future research into other aspects of being older at work.

scholarly journals Community-level Educational Attainment and Dementia: A 6-year Longitudinal Multilevel Study in Japan

2021 ◽  
Author(s):  
Tomo Takasugi ◽  
Taishi Tsuji ◽  
Masamichi Hanazato ◽  
Yasuhiro Miyaguni ◽  
Toshiyuki Ojima ◽  
...  
Keyword(s):  
Older People ◽  
Educational Attainment ◽  
Urban Areas ◽  
Community Level ◽  
Contextual Effect ◽  
The European Union ◽  
Term Care ◽  
Individual Level ◽  
Dementia Incidence ◽  
Lower Educational Attainment

Abstract Background:Understanding of the association between community-level socioeconomic status and dementia is insufficient. We examined the contextual effect of community-level prevalence of lower educational attainment on the risk of dementia incidence. This work further explored the potential differences in associations for urban and non-urban areas. Methods:We analyzed a six-year prospective cohort data from the Japan Gerontological Evaluation Study, a nationwide survey between 2010 and 2012 of 49,888 (23,339 men and 26,549 women) physically and cognitively independent individuals aged ≥65 years from 346 communities at 16 municipalities in seven prefectures. Dementia incidence was assessed through the public long-term care insurance system by the Ministry of Health, Labor, and Welfare in Japan. Educational years were dichotomized as ≤9 years and ≥10 years. We classified urban and non-urban areas using a Functional Urban Area defined by the European Union (EU) and Organisation for Economic Co-operation and Development (OECD). We performed a two-level (community- and individual-level) multilevel survival analysis to calculate hazard ratios (HRs) and 95% confidence intervals (CIs). Results:The cumulative incidence of dementia during the follow-up period was 10.3%. The mean proportion of educational attainment with ≤9 years was 41.1% (range, 4.7%–88.4%). Higher prevalence of community-level lower educational attainment had a significant association with a higher risk of dementia incidence (HR, 1.03; 95% CI, 1.00–1.06, estimated by 10 percentage points of lower educational attainment) post adjusting for individual-level educational years, age, sex, income, residential years, disease, alcohol, smoking, social isolation, and population density. The association was significant in non-urban areas (HR, 1.05; 95% CI, 1.00–1.10). Conclusions:Older people living in communities with a higher prevalence of less educational attainment among their age demographic tended to develop dementia more often than those living in areas with a lower prevalence of less educational attainment after adjusting for individual-level educational attainment and covariates. In particular, the association was more pronounced in non-urban areas than in urban areas. Securing education for adolescence as a life course and population approach could thus be crucial to prevent dementia later in life among all older people living in non-urban areas.

scholarly journals ‘It Can’t Really be Answered in an Information Pack…’: A Realist Evaluation of a Telephone Housing Options Service for Older People

2020 ◽  
Vol 19 (3) ◽  
pp. 361-378
Author(s):  
Andrew J. E. Harding ◽  
Sarah Hean ◽  
Jonathan Parker ◽  
Ann Hemingway
Keyword(s):  
Older People ◽  
Recent Literature ◽  
Later Life ◽  
Realist Evaluation ◽  
Key Factors ◽  
Information Pack ◽  
Literature Reviews ◽  
Market Practices ◽  
Private Owner ◽  
Housing Options

Despite calls for better support to empower people when reassessing their housing in later life, two recent literature reviews highlight a paucity of research on the efficacy of such services. This article reports a qualitative realist evaluation on the efficacy of a UK telephone service providing information on specialist housing to older people. The findings of thirty-one realist interviews with sixteen older people are presented. Information-seekers’ existing tenure (social tenant or private owner-occupier/renter) shaped their experience and utilisation of support. Broadly, however, information was considered too ‘light touch’ to empower older people. However, the widely recognised lack of accessible housing options and reports of non-transparent and unresponsive market practices were also key factors. This study underlines the widely acknowledged need to increase the supply of specialist housing, and recommends that housing options support be reflective of market conditions and be more substantive – including discussion, deliberation, education and advocacy.

Understanding and alleviating loneliness in later life: perspectives of older people

2016 ◽  
Vol 17 (3) ◽  
pp. 168-178 ◽  
Author(s):  
Mary Pat Sullivan ◽  
Christina Rita Victor ◽  
Michael Thomas
Keyword(s):  
Older People ◽  
Design Methodology ◽  
Later Life ◽  
Qualitative Interview ◽  
Empirical Literature ◽  
Community Based Interventions ◽  
Community Based ◽  
Content Type ◽  
Internal And External Factors ◽  
External Intervention

Purpose There is extensive empirical literature that has sought to establish the prevalence of, and risk factors for, loneliness and social isolation in later life. Traditional empirical gerontological approaches have characterised loneliness as a linear experience that is both pathological and easily relieved with external intervention. The purpose of this paper is to explore the potential of qualitative interview data to reveal the possible complexities in understanding loneliness, including conceptual considerations for the dynamic and multi-dimensional aspects of loneliness. Design/methodology/approach The authors draw on two different studies where the purpose was to qualitatively examine the meaning of loneliness in the lives of older people and how they understood loneliness in the context of their daily life (n=37). Findings Interviews with “lonely” older people revealed that loneliness is a complex and dynamic experience. The authors also identified a range of internal and external factors that contribute to vulnerability for loneliness as well as resources to alleviate it. Originality/value The dynamic and multi-dimensional characteristics of loneliness in older people may help explain why community-based interventions to diminish it may be so challenging.

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