Health, body image, gender, and migration status: their relationship to sexuality in old age

2013 ◽  
Vol 25 (10) ◽  
pp. 1717-1727 ◽  
Author(s):  
Darya Shkolnik ◽  
Esther Iecovich
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Body Image ◽  
Sexual Activity ◽  
Old Age ◽  
Perceived Health ◽  
Sexual Life ◽  
Migration Status ◽  
New Immigrants ◽  
And Migration

ABSTRACTBackground:The aim of this study was to assess the relationships between gender, migration status, perceived health, body image, and sexual activity and satisfaction among older adults. It was hypothesized that men and those who are long-standing residents in Israel will report better perceived health, a positive body image, and these will be associated with greater sexuality, compared with women, new immigrants with poorer perceived health and a negative body image.Methods:The sample included 200 respondents who were 60 years and older, functionally independent and living with a spouse or a partner for at least one year, heterosexual, and living in the community in Israel. Respondents were recruited through community-based services for older persons and snowballing. Multivariate analyses were performed to examine differences by groups of respondents and to identify the best predictors of the outcome variables.Results:The majority had some kind of sexual activity. No significant differences were found between men and women with regard to perceived health, body image, sexual activity and satisfaction, but significant differences were found between new immigrants from former Soviet Union countries and long-standing residents in Israel. Mental health, age, and migration status were significant in explaining sexual activity, while age, education, and sexual activity were significant in explaining sexual satisfaction.Conclusions:A variety of factors play a role with regard to sexuality in old age, in particular immigration status. Appropriate interventions can help older adults cope with the determinants that negatively affect their mental health and sexual life.

Chronic Mental Illness in Old Age Homes

2019 ◽  
pp. 509-527
Author(s):  
Shamsi Akbar ◽  
Hitesh Khurana
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Old Age ◽  
Mental Health Problems ◽  
Developmental Process ◽  
Living Arrangement ◽  
Human Beings ◽  
Care Family ◽  
And Migration ◽  
Old Age Homes

Aging is a part of natural developmental process in the life of any living being. For human beings it is not just a biological phenomenon but it has psychological and social implications too. Some of the areas that would be affected include those related to health and health care, family composition, living arrangement, housing and migration. As a result of these socio-demographic evolutions and situations, older adults at times are forced to shift from their own homes to institutions/ Old age homes OAH. Living in OAH evokes a picture of apathy, dependence, and sadness which make the older adults increasingly vulnerable to mental health problems. Further there is also a strong need to develop suitable strategies to implement better mental health programmes and guidelines for the CMI in old age homes.

Chronic Mental Illness in Old Age Homes

2017 ◽  
pp. 21-39
Author(s):  
Shamsi Akbar ◽  
Hitesh Khurana
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Old Age ◽  
Mental Health Problems ◽  
Developmental Process ◽  
Living Arrangement ◽  
Human Beings ◽  
Care Family ◽  
And Migration ◽  
Old Age Homes

Aging is a part of natural developmental process in the life of any living being. For human beings it is not just a biological phenomenon but it has psychological and social implications too. Some of the areas that would be affected include those related to health and health care, family composition, living arrangement, housing and migration. As a result of these socio-demographic evolutions and situations, older adults at times are forced to shift from their own homes to institutions/ Old age homes OAH. Living in OAH evokes a picture of apathy, dependence, and sadness which make the older adults increasingly vulnerable to mental health problems. Further there is also a strong need to develop suitable strategies to implement better mental health programmes and guidelines for the CMI in old age homes.

scholarly journals Role of social integration in the protection against depression in the Chilean elderly population

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L de Albuquerque Araújo ◽  
N Bello Escamilla ◽  
V Sabando Franulic
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Social Integration ◽  
Old Age ◽  
Protective Factor ◽  
Depression Scale ◽  
Mental Illnesses ◽  
National Study ◽  
Close Relatives ◽  
Negative Gradient

Abstract Chile has improved survival however this process occurs under a framework of socioeconomic and gender inequalities, which results in an impact of mental health, especially in vulnerable groups. The objective was to determine the association between depression and social integration in Chilean older adults. Cross-sectional study from the National Study of Dependence in Old Person 2010. The risk of depression was amount with Geriatric Depression Scale (>5). The social integration were quantity as frequency of meeting with close relatives (child, partner, daughter/ son-in-law, grandchildren); with other relatives (brother, brothers-in-law, nephews or other relatives) and with friends and neighbors in the last 12 months in 5 categories (never visit; less frequently; 1-2 times a month; 1-2 times a week; every day or almost). Logistic regression models considered the sampling design of the survey to identify association with odd ratio (OR) (never as reference category), adjustment for sex, age, ethnicity, household income, education, housing arrangement and chronic diseases (p ≤ 0,5). Total of 4179 older adults 25,3% reported risk of depression, the significative association with close relatives was in daily or almost frequency OR:0.42 (95%CI 0.27-0.67), 1-2 times a week OR: 0,57 (95%CI 0,33-0,99), 1-2 times/month OR: 0,56 (95%CI 0,99); other relatives were lower frequency OR: 0.54 (95%CI 0.38-0.78); 1-2 times/month OR; 0.50 (95%CI 0.31-0.81); 1-2 times/week OR:0.35 (95%CI 0.22-0.55); daily or almost OR:0.27 (95%CI 0.18-0.42). And meeting with friends and neighbors in the same frequency order were OR: 0.66 (95%CI 0.44-0.99); OR:0.43 (95%CI 0.26-0.73); OR:0.4 (95%CI 0.25-0.62); OR: 0.32 (95%CI 0.21-0.47). There is a negative gradient between depression and the frequency of meeting with friends, neighbors and family, independent of sociodemographic and health characteristics. Social integration must be promoted as a protective factor of mental health in elderly. Key messages Depression is one of the most common mental illnesses in old age and we found a negative gradient between the frequency of meeting friends, neighbors and family and the possibility of depression. It seems essential for public health to have strategies that address social life in old age to strengthen quality of live and mental health.

The ‘loneliness pandemic’: implications for gerontological nursing

2021 ◽  
Vol 30 (11) ◽  
pp. 652-655
Author(s):  
Carlos Laranjeira
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Older People ◽  
Chronic Diseases ◽  
Old Age ◽  
Social Isolation ◽  
Social Relationships ◽  
Vulnerable Groups ◽  
Negative Consequences ◽  
Gerontological Nursing

The COVID-19 pandemic compelled states to limit free movement, in order to protect at-risk and more vulnerable groups, particularly older adults. Due to old age or debilitating chronic diseases, this group is also more vulnerable to loneliness (perceived discrepancy between actual and desired social relationships) and social isolation (feeling that one does not belong to society). This forced isolation has negative consequences for the health of older people, particularly their mental health. This is an especially challenging time for gerontological nursing, but it is also an opportunity for professionals to combat age stereotypes reinforced with COVID-19, to urge the measurement of loneliness and social isolation, and to rethink how to further adjust interventions in times of crisis, such as considering technology-mediated interventions in these uncertain times.

Geropsychology and psychogeriatrics in Portugal: research, education and clinical training

2010 ◽  
Vol 22 (6) ◽  
pp. 854-863 ◽  
Author(s):  
Oscar Ribeiro ◽  
Lia Fernandes ◽  
Horácio Firmino ◽  
Mário R. Simões ◽  
Constança Paúl
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Old Age ◽  
Health Professionals ◽  
Clinical Training ◽  
Care Delivery ◽  
Health Service Delivery ◽  
Aging Research ◽  
Research Education ◽  
Geriatric Mental Health

ABSTRACTBackground: In response to the global challenges of population aging in Portugal, it is crucial to improve research, education and clinical training in old age in order to meet the growing demands placed on psychogeriatric care services.Methods: An overview is provided on the status of old age psychology and psychiatry as part of the multidisciplinary care delivery system for the elderly in Portugal. Available educational offerings and clinical training in geriatric mental health at both undergraduate and postgraduate level are described, as well as primary research associations and initiatives within Portugal.Results: Important issues raised include the need for more educational and clinical training programs for specialists, a broader commitment to aging research and the need to increase interest in working with older adults among students across disciplines. The recent movement towards multidisciplinary work conducted by researchers, psychiatrists, psychologist and other health professionals in Portugal points to the urgent need for specialist education for all health professionals working in geriatrics. This educational initiative must focus not only on the transmission of knowledge on aging-related topics, but also on the training of specific skills and competencies. Improving geriatric mental health service delivery and connecting research with clinical practice constitute other significant steps forward.Conclusions: An effective intervention in psychogeriatrics should involve a strategy with the participation of a multidimensional network that includes the commitment of researchers, educators, clinicians, health policy-makers and older adults. Several recommendations to improve late life mental health care are presented.

scholarly journals Taking an intersectional approach to define latent classes of socioeconomic status, ethnicity and migration status for psychiatric epidemiological research

2017 ◽  
Vol 27 (6) ◽  
pp. 589-600 ◽  
Author(s):  
L. Goodwin ◽  
B. Gazard ◽  
L. Aschan ◽  
S. MacCrimmon ◽  
M. Hotopf ◽  
...  
Keyword(s):  
Mental Health ◽  
Socioeconomic Status ◽  
Social Identity ◽  
Latent Class ◽  
Common Mental Disorder ◽  
Health Study ◽  
Migration Status ◽  
Multiple Indicators ◽  
Multiple Indicator ◽  
And Migration

Aims.Inequalities in mental health are well documented using individual social statuses such as socioeconomic status (SES), ethnicity and migration status. However, few studies have taken an intersectional approach to investigate inequalities in mental health using latent class analysis (LCA). This study will examine the association between multiple indicator classes of social identity with common mental disorder (CMD).Methods.Data on CMD symptoms were assessed in a diverse inner London sample of 1052 participants in the second wave of the South East London Community Health study. LCA was used to define classes of social identity using multiple indicators of SES, ethnicity and migration status. Adjusted associations between CMD and both individual indicators and multiple indicators of social identity are presented.Results.LCA identified six groups that were differentiated by varying levels of privilege and disadvantage based on multiple SES indicators. This intersectional approach highlighted nuanced differences in odds of CMD, with the economically inactive group with multiple levels of disadvantage most likely to have a CMD. Adding ethnicity and migration status further differentiated between groups. The migrant, economically inactive and White British, economically inactive classes both had increased odds of CMD.Conclusions.This is the first study to examine the intersections of SES, ethnicity and migration status with CMD using LCA. Results showed that both the migrant, economically inactive and the White British, economically inactive classes had a similarly high prevalence of CMD. Findings suggest that LCA is a useful methodology for investigating health inequalities by intersectional identities.

Mental Health and Older Adults

2020 ◽  
Author(s):  
Hee Yun Lee ◽  
William Hasenbein ◽  
Priscilla Gibson
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Old Age ◽  
Social Isolation ◽  
Older Adult ◽  
Adult Population ◽  
Depression And Anxiety ◽  
Health Issues ◽  
Mental Health Issues ◽  
Older Adult Population

As the older adult population continues to grow at a rapid rate, with an estimated 2.1 billion older adults in 2050, social welfare researchers are determined to fill the shortage of gerontological social workers and structural lag to best serve the baby boomers who are expected to need different services than previous generations. Mental illness impacts over 20% of older adults in the world and the United States. The major mental health issues in older adults include depression, anxiety, loneliness, and social isolation. Depression is considered one of the most common mental health issues among this population; however, the prevalence could be underestimated due to older adults linking relevant symptoms to other causes, such as old age, instead of as possible depression. Like depression, anxiety symptoms are often mistaken as results of aging. It is also difficult for providers to diagnose anxiety in this population due to anxiety frequently being coupled with other illnesses and the psychological stress that comes with old age. Because the presence of loneliness or social isolation can manifest depression and anxiety symptoms in older adults, it is also difficult to separate these two issues. With the anticipated increase of the older adult population within the next few years, measurement tools have been created to assess depression and anxiety specifically for older adults. In addition to adapting assessment tools, interventions tailored to older adults are essential to ensure treatment coherence, even though medications are the go-to treatment option.

scholarly journals Migration Status, Internet Use, and Social Participation among Middle-Aged and Older Adults in China: Consequences for Depression

2020 ◽  
Vol 17 (16) ◽  
pp. 6007
Author(s):  
Qian Liu ◽  
Haimin Pan ◽  
Yuanyuan Wu
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Social Participation ◽  
Indirect Effects ◽  
Regression Models ◽  
Structural Equation ◽  
Internet Use ◽  
Equation Modeling ◽  
Middle Aged ◽  
Migration Status

This study aimed to examine the underlying relationship between migration status and depressive symptoms among middle-aged and older adults in China. Data were derived from three waves of panel data (2011, 2013, and 2015) from the China Health and Retirement Longitudinal Study. Two-level regression models and generalized structural equation modeling were run to fit the data. The results showed that migration status of the respondents could ameliorate their depression (β = −0.02, p < 0.01), so did internet use (β = −0.02, p < 0.001), and social participation (β = −0.06, p < 0.001). The indirect effects of migration status on depression through internet use and of internet use on depression through social participation existed. The effects of migration status, internet use, and social participation in decreasing depression were discussed. Provided the associations among migration status, internet use, social participation, and depression, attention should be paid on increasing protective aspects of migration among middle-aged and older adults, such as internet use and social participation, to enhance their mental health.

scholarly journals ″Time does not heal all wounds″: Sexual victimisation is associated with depression, anxiety and PTSD in old age

2021 ◽  
Author(s):  
Anne Nobels ◽  
Gilbert M.D. Lemmens ◽  
Lisa Thibau ◽  
Marie Beaulieu ◽  
Christophe Vandeviver ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Care ◽  
Old Age ◽  
Suicide Attempts ◽  
Mental Health Problems ◽  
Later Life ◽  
Health Impact ◽  
The Past ◽  
Self Harm

Background Sexual violence (SV) has an important impact on mental health. Childhood sexual abuse is linked to internalising disorders in later life. In older adults, SV occurs more often than previously believed. Moreover, health care workers lack the skills to address SV in later life. Studies researching the mental health impact of lifetime SV, i.e. SV during childhood, adulthood and old age, are lacking. Methods Between July 2019 and March 2020, 513 older adults living in Belgium participated in structured face-to-face-interviews. Selection occurred via a cluster random probability sampling with a random walk finding approach. Depression, anxiety and posttraumatic stress syndrome (PTSD) were measured using validated scales. Participants were asked about suicide attempts and self-harm during their lifetime and in the past 12-months. SV was measured using behaviourally specific questions based on a broad SV definition. Results Rates for depression, anxiety and PTSD were 27%, 26% and 6% respectively, 2% had attempted suicide, 1% reported self-harm in the past 12-months. Over 44% experienced lifetime SV, 8% in the past 12-months. Lifetime SV was linked to depression (p =.001), anxiety (p =.001), and PTSD in participants with a chronic illness/disability (p = .002) or no/lower education (p <.001). We found no link between lifetime SV and suicide attempts or self-harm in the past 12-months. Conclusions Lifetime SV is linked to mental health problems in late life. Tailored mental health care for older SV victims is necessary. Therefore, capacity building of professionals, and development of clinical guidelines and care procedures are important.

scholarly journals Higher training in liaison psychiatry for older adults: experiences of two specialist training posts

2007 ◽  
Vol 31 (9) ◽  
pp. 354-356
Author(s):  
Maura Young ◽  
Siobhan Morris
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Older People ◽  
General Hospital ◽  
Old Age ◽  
Mental Health Problems ◽  
Hospital Setting ◽  
Health Problems ◽  
Liaison Psychiatry ◽  
The Past

Over the past decade, old age liaison psychiatry services have been developing across the UK. The driving force behind this has been the recognition of the inequity in service provision for people over the age of 65 with mental health problems in a general hospital setting. A postal survey of consultants in old age psychiatry in April 2002 showed that most respondents (71%) considered that the service they provided to older people in general hospitals was poor and needed to be improved (Holmes et al, 2002). Much work has been done to highlight this issue, and liaison psychiatry for older adults is gaining prominence. The national conference on liaison psychiatry for older people, which has been held in Leeds for the past 4 years, attracts large numbers of enthusiastic participants. The Department of Health (2006) document A New Ambition for Old Age specifically mentions the current poor standard of care that older people with mental health problems receive in a general hospital setting. The Royal College of Psychiatrists (2005) has produced guidelines for the development of liaison mental health services for older people.

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