Religion, Aging, and Public Health

Author(s):  
Jeff Levin ◽  
Ellen Idler

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.

2021 ◽  

Building Health Throughout the Life Course elucidates how health develops and changes throughout the life course, and how the use of the life course approach among public health practitioners can ensure that health as a human right is achieved for all individuals. It describes the life course vision of health that focuses not only on diseases and their consequences, but rather on achieving long, healthy, active, and productive lives.  The book consists of three stand-alone parts. Part 1, “Concepts”, aims to illuminate the complexity of health through the understanding of the life course approach. It can be used to familiarize oneself with the evolution and meaning of the life course, which serves as a basis for effective public health practice. Part 2, “Implications”, identifies the implications for the operationalization of the life course approach in public health. It translates the technical language of the life course literature to understand how the application of the life course approach requires changes in health systems, policies, research, and practice. Part 3, “Application in Public Health”, identifies key opportunities to strengthen the adoption of the life course approach in public health practice. It describes concrete, evidence-based actions to improve health and well-being through the promotion and generation of skills throughout the life course.  This book aims to help decision-makers and public health professionals to understand the life course meaning and concepts, which is essential to comprehend how health develops and changes throughout the life course. The book also describes how the life course model allows us to address health disparities by generating mechanisms to improve health and well-being by promoting the vision of health as the product of a series of experiences that contribute to or detract from health in the near and long term.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  

Abstract Many concepts that are key to public health policy-making are conceptual and often values-based. How such concepts can be implemented by Member States, and how the effectiveness of this implementation can be measured and reported, remains an critical challenge that all major monitoring frameworks are faced with, from Health 2020 (WHO’s European policy framework for health and well-being), to the Sustainable Development Goals for Agenda 2030. In 2016, WHO established a project to interrogate how four key values-based public health concepts can be better measured and reported on, to increase the accountability of Member States towards these concepts. Based on the priority areas of Health 2020, the concepts which were chosen are: resilience;empowerment;life-course approach; andwhole of society approach. Four Health Evidence Network (HEN) synthesis reports were commissioned from leading experts and have now been published, synthesizing the best available evidence and grey literature on these concepts, and proposing a variety of quantitative and qualitative approaches to measuring them. The workshop will be organized as round table workshop. It will bring together the authors of all four reports to provide an overarching thematic discussion on how to enhance the monitoring and reporting of values-based public health concepts. In addition, it will also present an opportunity to discuss the findings of the reports, in particular how qualitative evidence can be deployed to make up for the shortcomings of quantitative indicators. The role of culture in informing these values-based concepts will also be discussed. The session will be chaired by Nick Fahy, who will set the scene and provide some background to the WHO Europe project on enhancing monitoring and reporting. Jane South will then give overview of the HEN synthesis report on measuring resilience, followed Glenn Laverack, who will talk about the HEN report on measuring empowerment. Mark Hanson and Scott Greer will review their respective HEN reports on measuring the life-course approach and whole-of-society approach implementation. Each speaker will be asked to illustrate their presentation with a case study which demonstrates how qualitative evidence can enhance the monitoring and/or reporting of the various concepts. During the discussion, a number of key questions will be discussed by the panel with input from the audience. How can actionable measurement strategies be derived from existing research regarding values based concepts?How can meaningful, country-level reporting mechanisms be expanded to include quantitative and qualitative health information and indicators?What is the role of cultural contexts in mediating these (and other) values-based concepts? Key messages Many key public health concepts are inherently values-based. However, this is often not acknowledged, making it challenging to monitor and report on them. Qualitative evidence can be key to designing more effective ways to measure the implementation of values-based public health concepts. Jane South Contact: [email protected] Glenn Laverack Contact: [email protected] Mark Hanson Contact: [email protected] Scott Greer Contact: [email protected]


BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e027217 ◽  
Author(s):  
Jessica Bengtsson ◽  
Nadya Dich ◽  
Andreas Rieckmann ◽  
Naja Hulvej Rod

PurposeThe DANish LIFE course (DANLIFE) cohort is a prospective register-based study set up to investigate the complex life course mechanisms linking childhood adversities to health and well-being in childhood, adolescence and young adulthood including cumulative and synergistic actions and potentially sensitive periods in relation to health outcomes.ParticipantsAll children born in Denmark in 1980 or thereafter have successively been included in the cohort totalling more than 2.2 million children. To date, the study population has been followed annually in the nationwide Danish registers for an average of 16.8 years with full data coverage in the entire follow-up period. The information is currently updated until 2015.Findings to dateDANLIFE provides information on a wide range of family-related childhood adversities (eg, parental separation, death of a parent or sibling, economic disadvantage) with important psychosocial implications for health and well-being in childhood, adolescence and young adulthood. Measurement of covariates indicating demographic (eg, age, sex), social (eg, parental education) and health-related factors (eg, birth weight) has also been included from the nationwide registers. In this cohort profile, we provide an overview of the childhood adversities and covariates included in DANLIFE. We also demonstrate that there is a clear social gradient in the exposure to childhood adversities confirming clustering of adverse experiences within individuals.Future plansDANLIFE provides a valuable platform for research into early life adversity and opens unique possibilities for testing new research ideas on how childhood adversities affect health across the life course.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 111-111
Author(s):  
Stephanie Skees ◽  
Stephen Roll

Abstract The lack of retirement savings in the United States has been well-documented. For example, in 2013 roughly one-third of households near retirement lacked either a defined benefit or defined contribution retirement plan (U.S. Government Accountability Office, 2015), and the median retirement account balance is $0 (Oakley, Brown, & Saad-Lesler, 2018). While this lack of savings is concerning, less clear is the relationship between retirement security and a household’s sense of financial well-being. To that end, this study uses the nationally representative 2017 Survey of Household Economics and Decisionmaking to investigate the relationship between both retirement security indicators and subjective financial well-being—as measured through the Consumer Financial Protection Bureau’s financial well-being scale—across the life course. Specifically, we use multiple regression approaches to compare how financial and knowledge-based indicators of retirement security contribute to the financial well-being of young, mid-career, and pre-retirement cohorts. Preliminary results indicate that feeling “on track” for retirement savings and comfort in making retirement savings decisions were among the strongest contributes to a sense of financial well-being across age cohorts. However, these indicators were particularly important to the financial well-being of older households. Surprisingly, having a 401(k), IRA or pension had no significant impact on savings when controlling for other factors. This study speaks to the importance of both providing effective retirement savings tools, including both educational and financial resources, at multiple points across the life course. It also contributes to a small but growing literature on the intersections between subjective financial well-being and financial decisionmaking.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 947-947
Author(s):  
Victoria Raveis ◽  
Nancy VanDevanter ◽  
Christine Kovner ◽  
Gary Yu ◽  
Laura Jean Ridge ◽  
...  

Abstract Having an experienced and trained healthcare workforce available during public health emergencies, such as the COVID-19 pandemic, is critical. While all healthcare workers are at risk of contracting COVID-19, older workers are at increased risk of serious or fatal illness. This investigation explores the front-line experiences and perspectives of registered nurses (RNs) at a major New York City medical center during the COVID-19 pandemic, focusing on two age cohorts: older (50+) and younger (20-49) RNs. An anonymous internet-based survey was sent to all RN’s employed at the center. Data collection was initiated in May 2020, following the initial surge in NYC’s COVID-19 related hospitalizations and deaths; 1,483 surveys were completed. This investigation found that in comparison to younger RNs (n=1,067), older RNs’ (n=416) psychosocial well-being was significantly better -- fewer depression, anxiety, and PTSD symptoms (p<.001). They were less stressed caring for COVID-19 patients (p <.001) and less worried about work-related exposure risk (p<.001). They also reported higher job satisfaction (p<.001), less work-home stress (p<.001), a higher commitment to choosing the nursing profession (p<.001), were more confident in the profession (p<.001) and to meeting its’ expectations (p<.001). Overall, although older RNs represent a smaller proportion of the nursing workforce, their collective expertise and clinical experience in healthcare delivery are significant. The older RN workforce is a seasoned resource to draw upon during public health emergencies and a valuable role model for younger RNs, particularly given their continued adherence to nursing, during this COVID-19 time of uncertainty and personal health risk.


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