scholarly journals The Association Between Health, Social Engagement, and Psychological Well-Being Among Older Adults in China

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 95-96
Author(s):  
Yuekang Li
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Physical Health ◽  
Chronic Diseases ◽  
Social Engagement ◽  
Service Providers ◽  
Coping Resources ◽  
Psychological Wellbeing ◽  
Equation Modeling ◽  
Stress Process

Abstract Psychological health and health-related quality of life of older adults have been long minimized by caregivers, service providers and the society in developing countries, such as China. According to the Stress Process Model, the stress of physical disadvantages influences mental health outcomes directly and indirectly. However, being socially engaged has the potential to reduce disease burden and improve psychological wellbeing of older adults. The purpose of this study is to examine the role played by social engagement in the pathway through which physical health predicts mental health. Using the WHO Study on Global AGEing and Adult Health China wave 2010, 6,276 individuals ages 60 years and older were included for analyses. Structural equation modeling was used to construct a directional path leading from the functioning and chronic disease, impacting the social engagement, in turn impacting the psychological wellbeing. All variables in this model are latent constructs. Functioning and chronic diseases in later life were associated with social engagement and psychological wellbeing, and the link between social engagement and psychological wellbeing was also significant. The effect of function was greater than that of chronic diseases. Though the significant indirect effect of physical health on psychological wellbeing was not supported in this study, this study suggests the multiple roles of social engagement as coping resources in the stress process of physical impairment and illness of older adults. This present study also adds to the existing literature by exploring how SEM methods can be applied to studies of social engagement.

scholarly journals Brain Health: Attitudes towards Technology Adoption in Older Adults

Healthcare ◽  
2020 ◽  
Vol 9 (1) ◽  
pp. 23
Author(s):  
Nadir G. Abdelrahman ◽  
Raza Haque ◽  
Molly E. Polverento ◽  
Andrea Wendling ◽  
Courtney M. Goetz ◽  
...  
Keyword(s):  
Older Adults ◽  
Technology Adoption ◽  
Physical Health ◽  
Social Engagement ◽  
Information Technologies ◽  
New Technology ◽  
Handheld Devices ◽  
Brain Health ◽  
Use Of Technology ◽  
Health Related

(1) Background: There is increasing scholarly support for the notion that properly implemented and used, technology can be of substantial benefit for older adults. Use of technology has been associated with improved self-rating of health and fewer chronic conditions. Use of technology such as handheld devices by older adults has the potential to improve engagement and promote cognitive and physical health. However, although, literature suggests some willingness by older adults to use technology, simultaneously there are reports of a more cautious attitude to its adoption. Our objective was to determine the opinions towards information technologies, with special reference to brain health, in healthy older adults either fully retired or still working in some capacity including older adult workers and retired adults living in an independent elderly living community. We were especially interested in further our understanding of factors that may play a role in technology adoption and its relevance to addressing health related issues in this population; (2) Methods: Two focus groups were conducted in an inner-city community. Participants were older adults with an interest in their general health and prevention of cognitive decline. They were asked to discuss their perceptions of and preferences for the use of technology. Transcripts were coded for thematic analysis; (3) Results: Seven common themes emerged from the focus group interviews: physical health, cognitive health, social engagement, organizing information, desire to learn new technology, advancing technology, and privacy/security; and (4) Conclusions: This study suggests that in order to promote the use of technology in older adults, one needs to consider wider contextual issues, not only device design per se, but the older adult’s rationale for using technology and their socio-ecological context.

scholarly journals Dynamics of Multimorbidity Resilience and Health Outcomes Over Time in Community-Residing Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 890-891
Author(s):  
Yingzhi Xu ◽  
Zahra Rahmaty ◽  
Eleanor McConnell ◽  
Tingzhong (Michelle) Xue ◽  
Bada Kang ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Outcomes ◽  
Physical Health ◽  
Social Life ◽  
Structural Equation ◽  
Equation Modeling ◽  
Psychological Resilience ◽  
Pain Level ◽  
Reciprocal Relationships ◽  
Over Time

Abstract Multimorbidity resilience may mitigate the adverse effects of multiple chronic diseases on older adults’ health. Wister et al.’s (2018) multimorbidity resilience index was developed and tested in a cross-sectional sample of older adults in Canada. Building on these findings, we examined the reciprocal relationships of resilience on outcomes to test these potentially mitigating effects in a community-based, U.S. sample of older adults over time. The study sample includes 1,054 older adults from waves 2 and 3 of the National Social Life, Health, and Aging Project (NSHAP) study (Waite et al 2020). Wister et al.’s (2018) index was mapped to NSHAP measures, and reciprocal relationships of multimorbidity resilience and health outcomes over a 5-year period was tested using structural equation modeling (SEM). Results indicated significant effects of multimorbidity resilience on self-rated physical health and pain. Interestingly, a better functional resilience at baseline conferred better self-rated physical health at follow-up, while better psychological resilience predicted lower pain level. By contrast, the influence of health outcomes on any domain of multimorbidity resilience was not detectable at all, supporting the direction of these associations from resilience to outcomes. The study systematically investigated the dynamic hypotheses between multimorbidity resilience and health outcomes. That is, whether they are determinants or consequences, or both. Our findings suggest multimorbidity resilience predicts subsequent 5-year change in health outcomes, especially self-rated physical health and pain level, but not vice versa, strengthening the evidence of the importance of resilience in the health of older adults.

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.

Monitoring the physical health of individuals with serious mental illness

2008 ◽  
Vol 25 (3) ◽  
pp. 108-115
Author(s):  
Majella Cahill ◽  
Anne Jackson
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Service ◽  
Physical Health ◽  
Serious Mental Illness ◽  
Health Monitoring ◽  
Service Providers ◽  
Psychiatric Service ◽  
Service Users ◽  
Effective Models

AbstractDeveloping effective models of identifying and managing physical ill health amongst mental health service users has become an increasing concern for psychiatric service providers. This article sets out the general professional and Irish statutory obligations to provide physical health monitoring services for individuals with serious mental illness. Review and summary statements are provided in relation to the currently available guidelines on physical health monitoring.

scholarly journals Peritraumatic Stress From a Disaster Increases Risk for Onset of Chronic Diseases Among Older Adults

2022 ◽  
Vol 6 (1) ◽  
Author(s):  
Laura P Sands ◽  
Quyen Do ◽  
Pang Du ◽  
Rachel Pruchno
Keyword(s):  
Older Adults ◽  
Physical Health ◽  
Lung Disease ◽  
Chronic Diseases ◽  
Hospital Admissions ◽  
Panel Study ◽  
Hurricane Sandy ◽  
The Impact ◽  
Disaster Exposure ◽  
New Onset

Abstract Background and Objectives Our understanding of the impact of disaster exposure on the physical health of older adults is largely based on hospital admissions for acute illnesses in the weeks following a disaster. Studies of longer-term outcomes have centered primarily on mental health. Missing have been studies examining whether exposure to disaster increases the risk for the onset of chronic diseases. We examined the extent to which 2 indicators of disaster exposure (geographic exposure and peritraumatic stress) were associated with new onset of cardiovascular disease, diabetes, arthritis, and lung disease to improve our understanding of the long-term physical health consequences of disaster exposure. Research Design and Methods We linked self-reported data collected prior to and following Hurricane Sandy from a longitudinal panel study with Medicare data to assess time to new onset of chronic diseases in the 4 years after the hurricane. Results We found that older adults who reported high levels of peritraumatic stress from Hurricane Sandy had more than twice the risk of experiencing a new diagnosis of lung disease, diabetes, and arthritis in the 4 years after the hurricane compared to older adults who did not experience high levels of peritraumatic stress. Geographic proximity to the hurricane was not associated with these outcomes. Analyses controlled for known risk factors for the onset of chronic diseases, including demographic, psychosocial, and health risks. Discussion and Implications Findings reveal that physical health effects of disaster-related peritraumatic stress extend beyond the weeks and months after a disaster and include new onset of chronic diseases that are associated with loss of functioning and early mortality.

Patterns and Predictors of Preparation for Future Care Among Older Rural Chinese Adults: A Latent Profile Analysis

2020 ◽  
pp. 073346482096414
Author(s):  
Yuqin Li ◽  
Yaoyao Sun ◽  
Junxin Li ◽  
Jihui Jia
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Physical Health ◽  
Social Services ◽  
Latent Profile Analysis ◽  
Multinomial Logistic Regression ◽  
Health Indicators ◽  
Individual Characteristics ◽  
Chinese Adults ◽  
Future Care

This study aimed to identify profiles of preparation for future care (PFC) among older rural Chinese adults. A total of 481 older adults were recruited. PFC was evaluated using Preparation for Future Care Needs and respondents’ social services knowledge. Information on individual characteristics, physical health indicators, mental health, and support system was collected. Four profiles of PFC were identified: scarce-preparation (22.42%), high-avoidance/low-action (26.91%), moderate-preparation (44.17%), and high-avoidance/high-action (6.50%). The scarce-preparation and high-avoidance/low-action profiles had the lowest levels of social services knowledge. Multinomial logistic regression showed that older adults in moderate-preparation and high-avoidance/high-action profiles had fewer illnesses, exercised more frequently, and had higher loneliness levels compared with those in the scarce-preparation profile. Compared with high-avoidance/low-action persons, high-avoidance/high-action persons had fewer illnesses, exercised more frequently, and had lower self-esteem and higher loneliness levels. People who performed poorly in physical health indicators and well in mental health need to increase PFC.

Consumption of fruits and vegetables: improved physical health, mental health, physical functioning and cognitive health in older adults from 11 European countries

2019 ◽  
Vol 24 (4) ◽  
pp. 634-641 ◽  
Author(s):  
Kerstin H. Gehlich ◽  
Johannes Beller ◽  
Bernhard Lange-Asschenfeldt ◽  
Wolfgang Köcher ◽  
Martina C. Meinke ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Physical Health ◽  
Physical Functioning ◽  
Fruits And Vegetables ◽  
European Countries ◽  
Cognitive Health

The glass is not half empty: optimism, pessimism, and health among older adults

2019 ◽  
Vol 32 (1) ◽  
pp. 135-139 ◽  
Author(s):  
Michael D. Barnett ◽  
Ellen A. Anderson
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Physical Health ◽  
Short Form ◽  
Well Being ◽  
Community Dwelling ◽  
Physical And Mental Health ◽  
Cross Sectional Survey ◽  
Life Orientation Test ◽  
Health And Well Being

ABSTRACTObjectives:Optimism and pessimism are distinct constructs that have demonstrated independent relationships with aspects of health and well-being. The purpose of this study was to investigate whether optimism or pessimism is more closely linked with physical and mental health among older adults.Design:Cross-sectional survey.Participants:Community-dwelling older adults (N = 272) ages 59–95 in the southern United States.Measurements:The Life Orientation Test—Revised and the Short Form 8.Results:At the bivariate level, optimism was associated with higher physical health and mental health, while pessimism was associated with lower physical health and mental health. Multiple-regression analyses as well as comparison of correlation coefficients found that pessimism was more closely associated with physical health and mental health than optimism.Conclusions:These results add to the literature suggesting that, in terms of older adults’ health and well-being, avoiding pessimism may be more important than being optimistic.

Promoting mental health of immigrant seniors in community

2014 ◽  
Vol 7 (3) ◽  
pp. 146-156 ◽  
Author(s):  
Sharon D. Koehn ◽  
Pavlina Jarvis ◽  
Sharanjit K. Sandhra ◽  
Satwinder K. Bains ◽  
Madeleine Addison
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Social Inclusion ◽  
Service Providers ◽  
Community Organizations ◽  
Well Being ◽  
Health Determinants ◽  
Content Type ◽  
Economic Determinants ◽  
Mental Well Being

Purpose – The purpose of this paper is to explore if and how community organizations providing services to late-in-life Punjabi immigrants in British Columbia, Canada, offer services with the potential to promote their mental health or well-being. The authors also wanted to know how Punjabi seniors perceived available services and if they supported their mental well-being. Design/methodology/approach – To guide the research, the authors used the VicHealth Framework, which identifies three overarching social and economic determinants of mental health: social inclusion (SI), freedom from violence and discrimination, and access to economic resources and participation. This mixed methods study combines descriptive survey and qualitative focus group data with input from Punjabi seniors and community service providers. Findings – All three mental health determinants were identified as important by service providers and seniors, with SI as the most important. Family dynamics (shaped by migration and sponsorship status) influence all three determinants and can promote or diminish mental well-being. Research limitations/implications – The pilot study is limited in sample size and scope and further inquiry with different groups of immigrant older adults is warranted. Practical implications – Service providers assert that more outreach and sustainable funding are needed to reach the majority of potential beneficiaries unable to participate in community programmes. Information on mental well-being of seniors should be targeted at both seniors and their families. Originality/value – The VicHealth Framework provided a unique lens through which to explore the contributions of community organizations to mental health promotion for immigrant older adults.

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