scholarly journals Age Equity: A Framework for Addressing Ageism, Stigma, and Bias

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 431-431
Author(s):  
Charles Emlet ◽  
Karen Fredriksen Goldsen
Keyword(s):  
Adult Population ◽  
Adverse Outcomes ◽  
Background Characteristics ◽  
Policy Makers ◽  
Health Aging ◽  
Research Findings ◽  
Aging And Sexuality ◽  
And Gender ◽  
The Life Course ◽  
Older Adult Population

Abstract In the Covid-19 context, researchers and policy makers have turned their attention to long-standing disparities in health equity, including by race, ethnicity, poverty, sexuality, and gender. Yet, scholarship to date does not conceptualize age as a critical aspect of difference requiring an equity lens. In this presentation, we utilize an Age Equity Framework to investigate ageism based on research findings from the 2018 National Health, Aging and Sexuality/Gender Study (NHAS): Aging with Pride. Investigating ageism, stigma, and bias, we found nearly half of LGBTQ older adults feel invisible and disrespected. After adjusting for background characteristics, experiences of ageism were associated with higher rates of stigma, lifetime victimization, discrimination, lower support and community engagement, and adverse outcomes (lower mental and physical health and quality of life). The rapidly growing older adult population highlights the pressing need to consider age inequities and the importance of achieving age equity across the life course.

scholarly journals COMMUNITY ENGAGEMENT AND SERVICE LEARNING: PROMISING PEDAGOGICAL PRACTICES FOR TEACHING GERONTOLOGY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S61-S61
Author(s):  
Tina M Kruger
Keyword(s):  
College Students ◽  
Young Adult ◽  
Service Learning ◽  
Community Engagement ◽  
Older Adult ◽  
Personal Experience ◽  
Adult Population ◽  
Pedagogical Practices ◽  
The Life Course ◽  
Older Adult Population

Abstract In terms of studying human development, gerontology is unique in that most college students have not experienced this aspect of the life course yet. While personal experience cannot be generalized, our students can at least relate to the idea of being a child, an adolescent, and a young adult. What they cannot do it relate to the experience of being old, and they may have limited contact with the older adult population, with the exception of grandparents, who tend to be viewed differently from older non-relatives. One way to facilitate students connecting with the older adult population is through community engagement or service-learning (CE/SL) projects. Such projects are ripe for facilitating learning, but there are also potential pitfalls to consider. Here we discuss the need for CE/SL in gerontology, theoretical and practical suggestions, and potential pitfalls to avoid.

scholarly journals FRAILTY EXISTS IN YOUNGER ADULTS ADMITTED AS SURGICAL EMERGENCY LEADING TO ADVERSE OUTCOMES

2017 ◽  
pp. 1-5
Author(s):  
R. Smart ◽  
B. Carter ◽  
J. McGovern ◽  
S. Luckman ◽  
A. Connelly ◽  
...  
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Adult Population ◽  
Time Frame ◽  
Adverse Outcomes ◽  
Younger Adults ◽  
Surgical Units ◽  
Observational Cohort ◽  
Comparative Group ◽  
Older Adult Population

Background: Frailty is prevalent in the older adult population (≥65 years of age) and results in adverse outcomes in the emergency general surgical population. Objective: To determine whether frailty exists in the younger adult emergency surgical population (<65 years) and what influence frailty may have on patient related outcomes. Design: Prospective observational cohort study. Setting: Emergency general surgical admissions. Participants: All patients ≥40 years divided into 2 groups: younger adults (40-64.9 years) and older adult comparative group (≥65). Measurements: Over a 6-month time frame the following data was collected: demographics; Scottish Index of Multiple Deprivation (SIMD); blood markers; multi-morbidities, polypharmacy and cognition. Frailty was assessed by completion of the Canadian Study of Health and Ageing (CSHA). Each patient was followed up for 90 days to allow determination of length of stay, re-admission and mortality. Results: 82 young adults were included and the prevalence of frailty was 16% (versus older adults 38%; p=0.001) and associated with: multi-morbidity; poly-pharmacy; cognitive impairment; and deprivation. Frailty in older adults was only significantly associated with increasing age. Conclusions: This novel study has found that frailty exists in 16% of younger adults admitted to emergency general surgical units, potentially leading to adverse short and long-term outcomes. Strategies need to be developed that identify and treat frailty in this vulnerable younger adult population.

scholarly journals An overview of prevalence, determinants and health outcomes of polypharmacy

2020 ◽  
Vol 11 ◽  
pp. 204209862093374 ◽  
Author(s):  
Mina Khezrian ◽  
Chris J. McNeil ◽  
Alison D. Murray ◽  
Phyo K. Myint
Keyword(s):  
Health Outcomes ◽  
Adult Population ◽  
Adverse Outcomes ◽  
High Rate ◽  
Inappropriate Drug ◽  
Ageing Population ◽  
Narrative Literature ◽  
Narrative Literature Review ◽  
Older Adult Population ◽  
Self Assessed Health

A high rate of polypharmacy is, in part, a consequence of the increasing proportion of multimorbidity in the ageing population worldwide. Our understanding of the potential harm of taking multiple medications in an older, multi-morbid population, who are likely to be on a polypharmacy regime, is limited. This is a narrative literature review that aims to appraise and summarise recent studies published about polypharmacy. We searched MEDLINE using the search terms polypharmacy (and its variations, e.g. multiple prescriptions, inappropriate drug use, etc.) in titles. Systematic reviews and original studies in English published between 2003 and 2018 were included. In this review, we provide current definitions of polypharmacy. We identify the determinants and prevalence of polypharmacy reported in different studies. Finally, we summarise some of the findings regarding the association between polypharmacy and health outcomes in older adults, with a focus on frailty, hospitalisation and mortality. Polypharmacy was most often defined in terms of the number of medications that are being taken by an individual at any given time. Our review showed that the prevalence of polypharmacy varied between 10% to as high as around 90% in different populations. Chronic conditions, demographics, socioeconomics and self-assessed health factors were independent predictors of polypharmacy. Polypharmacy was reported to be associated with various adverse outcomes after adjusting for health conditions. Optimising care for polypharmacy with valid, reliable measures, relevant to all patients, will improve the health outcomes of older adult population.

Sustainable Human Development Across the Life Course

2021 ◽  
Keyword(s):  
Human Development ◽  
Sustainable Development Goals ◽  
Policy Makers ◽  
Global Issues ◽  
Agenda 2030 ◽  
Sustainable Human Development ◽  
Wide Range ◽  
Development Goals ◽  
And Gender ◽  
The Life Course

Sustainable Human Development Across the Lifecourse brings together impactful findings that respond to the United Nations’ Agenda 2030 commitment to ‘leave no one behind’. Drawing together international longitudinal studies researching child and adolescent wellbeing in over 40 countries, contributors explore a wide range and complexity of pressing global issues, with emphasis given to excluded and vulnerable populations and gender inequality. Importantly, the book sets out actionable strategies for policy makers and practitioners to help strengthen the global Sustainable Development Goals framework, accelerate their implementation and guide improvements for effective public policy.

scholarly journals Who Masturbates? It Depends: Predictors of Masturbation by Gender and Partnership of Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 314-314
Author(s):  
Patricia Barrett ◽  
Elisabeth Burgess
Keyword(s):  
Older Adults ◽  
Social Life ◽  
Adult Population ◽  
Third Wave ◽  
Older Adulthood ◽  
Partnership Status ◽  
Using Data ◽  
The Life Course ◽  
Older Adult Population ◽  
Mental And Physical Health

Abstract Studies on masturbation often exclude older adults. While the frequency of masturbation is known to decline over the life course, research has neglected masturbation in older adulthood. In the adult population, the connection between partnered sex and masturbation has been well established; this relationship is mediated by individual’s contentment with their sex life. Furthermore, the sex/masturbation relationship is distinct by gender. This study seeks to understand how these relationships exist and influence masturbation among older adults. Using data from the third wave of the National Social Life, Health and Aging Project (NSHAP) (N=2,006), we completed logistic regressions to examine how sexual thoughts, frequency and contentment with partnered sex predict older adult’s likelihood of masturbating. Preliminary analyses, controlling for partnership status, gender, age, race, mental and physical health, indicate that frequent sexual thoughts (OR 4.52) and discontentment with sex frequency (OR 1.46), rather than frequent partnered sex, are significantly associated with an increased likelihood of masturbating in the year prior. Employing separate regressions for gender, bothersome sexual dysfunctions and higher depression scores were significantly associated with increased odds of masturbating for women, but not men. For partnered older adults, only those who reported relationships that were both physically and emotionally satisfying were less likely to masturbate (OR 0.54). To our knowledge, this is the first study that considers masturbation as a sexual behavior with distinct predictors by gender and partnership status. We conclude by discussing the implications of nuanced and varying sexual desires and behaviors among the older adult population.

scholarly journals Flipping the Script About Aging Through Films: The Gerontological Movie Database Review

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 102-102
Author(s):  
Sara Hackett
Keyword(s):  
Older Adults ◽  
Life Course ◽  
Older Adult ◽  
Undergraduate Students ◽  
Adult Population ◽  
Life Course Perspective ◽  
Course Content ◽  
Innovative Strategies ◽  
The Life Course ◽  
Older Adult Population

Abstract Education about the heterogeneity of the older adult population is an important step for reducing ageist attitudes. As many undergraduate students view gerontology as an unrelatable discipline, educators are tasked with identifying innovative strategies to make course content engaging. The purpose of this presentation is to share an emerging educator’s experience with creating a novel essay assignment. Based off the International Movie Database (IMDb), the Gerontological Movie Database (GMDb) Review encourages students to use their knowledge to evaluate how older adults are portrayed in films. Explicitly, students must 1) choose a film that focuses on older adult characters and 2) apply key gerontological concepts (e.g., the life course perspective) to critique the film’s representation of aging. Though movie reviews are not a typical genre of writing, this assignment increases students’ understanding of how their perception of aging, coupled with master narratives embedded within today’s culture, influences the construction of age.

scholarly journals Bioavailability of micronutrients obtained from supplements and food

2017 ◽  
Vol 1 ◽  
pp. 239784731769636 ◽  
Author(s):  
Peter Pressman ◽  
Roger A Clemens ◽  
A Wallace Hayes
Keyword(s):  
Pediatric Population ◽  
Adult Population ◽  
Nutritional Supplements ◽  
World Health ◽  
Policy Makers ◽  
Search Terms ◽  
Nutritional Health ◽  
Control And Prevention ◽  
Health Organization ◽  
Older Adult Population

Nutritional status is an important determinant of quality of life, morbidity, and mortality. This review is a survey of one of the least appreciated and understood factors that contributes significantly to nutritional health: that of bioavailability. As the economic importance of nutritional supplements and foods carrying claims of health promotion continues to grow, physicians are increasingly accountable for critically evaluating the therapeutic and toxicologic impact of any recommended nutritional supplements and foods, and to do so, an understanding of bioavailability is essential. As we learn more about nutrition, and as it becomes increasingly clear that our fund of knowledge about nutrition is not what it should be, physicians, allied health practitioners, patients, and public health policy makers are obliged to better understand the basis for efficacy and of safety of nutritional supplements and foods. The concept of bioavailability is central to advancing our clinical acumen, particularly for the older adult population (>55 years of age), which according to the Centers for Disease Control and Prevention, typically take 16 scripted medications daily. In addition, over half of all adults consume one or more dietary supplements ( http://www.cdc.gov/nchs/data/databriefs/db61.pdf ). The World Health Organization data demonstrate that older adults form the single largest demographic group at disproportionate risk of inadequate diet and malnutrition ( http://www.who.int/ageing/publications/global_health.pdf ) followed by the pediatric population ( http://data.unicef.org/nutrition/malnutrition.html ). The challenge and the importance of understanding the determinants of bioavailability and the fundamentals of toxicology are demonstrated through the consideration of this construct in polyphenols. In support of this review, we scanned the literature using PubMed and Google Scholar. We selected peer-reviewed studies and review papers using the following search terms: bioavailability, nutritional supplements, food matrix, polyphenols, flavonoids, toxicology, microbiome, dietary intake, and metabolism.

Addressing Fall-Related Disability in the Older Adult Population: Bridging Kinesiology Theory, Research, and Practice

2012 ◽  
Vol 1 (1) ◽  
pp. 24-31 ◽  
Author(s):  
Debra J. Rose
Keyword(s):  
Older Adult ◽  
Adult Population ◽  
Cognitive Strategies ◽  
Incidence Rates ◽  
Theoretical Frameworks ◽  
National Initiatives ◽  
National Initiative ◽  
Research Findings ◽  
Theory Research ◽  
Older Adult Population

The discipline of kinesiology has the potential to make significant contributions to the study of fall-related disability and the advancement of national initiatives aimed at reducing disability in the older adult population. Theoretical frameworks routinely used to guide research across the subdisciplines of kinesiology could and should be applied to the study of fall-related disability and the development of movement-based interventions aimed at improving balance and gait and thereby reducing fall incidence rates and/or injury that contributes to premature morbidity and mortality. Current research findings suggest the need for a stronger focus on the learning or relearning of skilled movement patterns and/or cognitive strategies than currently exists in the falls intervention literature. As a profession, kinesiology is uniquely positioned to play an important role in advancing the goals of the Falls Free© national initiative given the important role that exercise plays in the reduction of fall-related disability and mortality.

Materialism and Green Purchase Intention: A Study of Urban Vietnamese Consumers

2017 ◽  
pp. 89-106 ◽  
Author(s):  
Mai Nguyen Thi Tuyet ◽  
Hung Nguyen Vu ◽  
Linh Nguyen Hoang ◽  
Minh Nguyen Hoang
Keyword(s):  
Conceptual Framework ◽  
Survey Data ◽  
Purchase Intention ◽  
Behavioral Control ◽  
Subjective Norm ◽  
Perceived Behavioral Control ◽  
Policy Makers ◽  
Tpb Model ◽  
Research Findings ◽  
The Impact

This study focuses on examining the impact of three components of materialism on green purchase intention for urban consumers in Vietnam, an emerging economy. An extended Theory of Planned Behavior (TPB) is applied as the conceptual framework for this study. The hypotheses are empirically tested using survey data obtained from consumers in Hanoi, the capital of Vietnam. The regression results show support for most of our hypotheses. The findings indicate that two out of three facets of materialism are significant predictors of green purchase intention. Specifically, success is found to be negatively related to purchase intention, while happiness is related positively to the intention. All three antecedents in the TPB model, including attitude towards green purchase, subjective norm, and perceived behavioral control are also found to have positive impacts on purchase intention. The research findings are discussed and implications for managers and policy makers are provided.

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