scholarly journals Disaster Preparedness Among Middle-Aged and Older Adults: Who is the Least Prepared?

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 780-781
Author(s):  
Caitlin Connelly ◽  
Kathrin Boerner ◽  
Natasha Bryant ◽  
Robyn Stone

Abstract Adverse impacts of natural disasters are viewed as particularly concerning for older adults. Disaster preparedness is an important step towards offsetting potential harm. Research comparing different age groups with respect to their disaster preparedness has produced inconclusive evidence. Some studies found older adults more prepared than younger age groups, whereas others found them to be equally or less prepared. To shed light on this issue, we examined disaster preparedness among N = 16,409 adults age 40 and older from the American Housing Survey. Using logistic regression analyses, we compared preparedness levels of four groups – households of middle-aged adults (age 40-64), older adults (age 65-84), oldest old adults (age 85+), and mixed households comprised of both middle-aged and older adults. Findings showed that households of older adults and the oldest old had significantly higher preparedness levels compared to middle-aged and mixed households, accounting for demographics, living alone, and disability. However, the oldest old group appeared less prepared compared to the older adult group. Thus, while our findings suggest that older adults aged 65-84 may be better prepared for disasters than middle-aged adults, the oldest old group, who are likely at a higher risk of adverse impacts from natural disasters, may be less prepared than their relatively younger counterparts. Therefore, older adults should not be treated as a homogenous group when considering disaster preparedness. Rather, policies and interventions to improve disaster preparedness may benefit from focusing on specific high vulnerability groups.

2021 ◽  
Author(s):  
Yan Luo

BACKGROUND The depression level among US adults significantly increased during the Coronavirus Disease 2019 (COVID-19) pandemic and age disparity in depression during the pandemic were reported in recent studies. Delay or avoidance of medical care is one of the collateral damages caused by the COVID-19 pandemic and it can lead to increased morbidity and mortality. OBJECTIVE The present study aims to assess the prevalence of depression and delay of care among US middle-aged adults and older adults during the pandemic, as well as investigate the role of delay of care in depression among those two age groups. METHODS This cross-sectional study used the 2020 Health and Retirement Study (HRS) COVID-19 Project (Early, Version 1.0) data. Univariate analyses, bivariate analyses, and binary logistic regression were applied. US adults older than 46 years old were included. Depression was measured by Composite International Diagnostic Interview Short Form (CIDI-SF). Delay of care were measured by four items: delay of surgery, delay of seeing a doctor, delay of dental care, and delay of other care. Univariate analyses, bivariate analyses, and binary logistic regression were conducted. RESULTS More than half of participants were older than 65 years old (58.23%) and 274 participants (8.75%) had depression during the pandemic. Delay of dental care was positively associated with depression among both middle-aged adults (OR=2.05, 95%CI=1.04-4.03, P<0.05) and older adults (OR=3.08, 95%CI=1.07-8.87, P<0.05). Delay of surgery was positively associated with depression among older adults (OR=3.69, 95%CI=1.06-12.90, P<0.05). Self-reported pain was positively related to depression among both age groups. Middle-aged adults who reported higher education level (some college of above) or worse self-reported health had higher likelihood to have depression. While perceived more loneliness was positively associated with depression among older adults, financial difficulty was positively associated with depression among middle-aged adults. CONCLUSIONS This study found that depression among middle-aged and older adults during the pandemic was also prevalent. The study highlighted the collateral damage of the COVID-19 pandemic by identifying the effect of delay of surgery and dental care on depression during the pandemic. Although surgery and dental care cannot be delivered by telehealth, telehealth services can still be provided to address patients’ concern on delay of surgery and dental care. Moreover, the implementation of tele-mental health services is also needed to address mental health symptoms among US middle-aged and older adults during the pandemic. Future research that uses more comprehensive CLINICALTRIAL N/A


Author(s):  
Kathryn Baringer ◽  
Dustin J. Souders ◽  
Jeremy Lopez

Introduction: The use of shared automated vehicles (SAVs) should lead to several societal and individual benefits, including reduced greenhouse gas emissions, reduced traffic, and improved mobility for persons who cannot safely drive themselves. We define SAVs as on-demand, fully automated vehicles in which passengers are paired with other riders traveling along a similar route. Previous research has shown that younger adults are more likely to report using conventional ridesharing services and are more accepting of new technologies including automated vehicles (AVs). However, older adults, particularly those who may be close to retiring from driving, stand to greatly benefit from SAV services. In order for SAVs to deliver on their aforementioned benefits, they must be viewed favorably and utilized. We sought to investigate how short educational and/or experiential videos might impact younger, middle-aged, and older adult respondents’ anticipated acceptance and attitudes toward SAVs. Knowing what types of introductory experiences improve different age groups’ perceptions of SAVs will be beneficial for tailoring campaigns aiming to promote SAV usage. Methods: We deployed an online survey using the platform Prolific for middle-aged and older respondents, and our departmental participant pool for younger adults, collecting 585 total responses that resulted in 448 valid responses. Respondents answered questions regarding their demographic attributes, their ridesharing history, preconceptions of technology, as well as their anticipated acceptance attitudes towards SAVs as measured by the dimensions of the Automated Vehicle User Perception Survey (AVUPS). After this, respondents were randomly assigned to an intervention condition where they either watched 1) an educational video about how SAVs work and their potential benefits, 2) an experiential video showing a AV navigating traffic, 3) both the experiential and educational videos, or 4) a control video explaining how ridesharing works. Anticipated acceptance attitudes towards SAVs were measured again after this intervention and difference scores calculated to investigate the effect of the intervention conditions. Prolific respondents were paid at a rate of $9.50/hour and younger adults received course credit. Results: Controlling for preconceptions of technology and ridesharing experience, a MANOVA was run on the difference scores of the dimensions of the AVUPS (intention to use, trust/reliability, perceived usefulness (PU), perceived ease of use (PEOU), safety, control/driving-efficacy, cost, authority, media, and social influence). Both older and middle-aged adults expressed significantly greater increases in PEOU and PU of SAVs than younger adults. We also observed an interaction between age and condition for both PU and PEOU. For PU, older adults’ difference scores were found to be significantly greater than younger adults’ for the control video condition. With PEOU, older adults’ difference scores were significantly greater than both younger adults’ for the control video condition, and middle-aged adults had greater difference scores for the educational-only video condition than younger or older adults. Discussion: The increases in PU observed for older adults in the control condition suggests that educating them on how to use currently available ridesharing services might transfer to and/or highlight the benefits that automated ridesharing might provide. The PEOU interactions also suggest that middle-aged adults might respond more positively than younger or older adults to an educational introduction to SAVs. Conclusion: The positive findings pertaining to PU and PEOU show that exposure to information related to SAVs has a positive impact on these attitudes. PU’s and PEOU’s positive relationship to behavioral intentions (BI) in the Technology Acceptance Model, coupled with the findings from this study, bode well for higher fidelity interventions seeking to inform and/or give individuals experience with SAVs. Providing information on how currently available ridesharing services work helped our older adult respondents recognize the potential usefulness of SAVs. Knowing that different age groups may respond better to educational versus experiential interventions, for example middle-aged adults in this study responding more positively to the educational video condition than younger or older adults, may be useful for targeted promotional campaigns.


2019 ◽  
Vol 27 (6) ◽  
pp. 929-944 ◽  
Author(s):  
Karl Spiteri ◽  
David Broom ◽  
Amira Hassan Bekhet ◽  
John Xerri de Caro ◽  
Bob Laventure ◽  
...  

Identifying the difference in the barriers and motivators between middle-aged and older adults could contribute toward the development of age-specific health promotion interventions. The aim of this review was to synthesize the literature on the barriers and motivators for physical activity in middle-aged (50–64 years) and older (65–70 years) adults. This review examined qualitative and quantitative studies using the theoretical domain framework as the guiding theory. The search generated 9,400 results from seven databases, and 55 articles meeting the inclusion criteria were included. The results indicate that the barriers are comparable across the two age groups, with environmental factors and resources being the most commonly identified barriers. In older adults, social influences, reinforcement, and assistance in managing change were the most identified motivators. In middle-aged adults, goal-setting, the belief that an activity will be beneficial, and social influences were identified as the most important motivators. These findings can be used by professionals to encourage engagement with and adherence to physical activity.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 712-712
Author(s):  
Justina Pociunaite ◽  
Tabea Wolf

Abstract Centrality of an event (CE) is a characteristic denoting how important a life experience is to one’s identity. Usually, positive memories are more central than negative ones in the community samples. Nevertheless, there is emerging evidence showing substantial individual differences in how one perceives CE. Especially regarding age, one could expect pronounced differences due to age-related changes in personal goals. In this study, we investigated how older adults differ from young and middle-aged adults. Apart from age, we tested whether personality traits such as neuroticism and openness to experience influence the CE ratings among age groups. The sample comprised of 363 German participants, age ranging from 18 to 89 (M=49.57, SD=17.087), 67.2 % of the sample were women. Using multilevel analysis, we found the CE of positive memories to be higher in all age groups. The CE of positive events significantly differed for older adults compared to younger adults but not to the middle-aged group. With respect to personality, neuroticism had an impact only on the CE of negative memories in younger and middle-aged adults. For older adults, neither neuroticism, nor openness to experience had an impact on CE ratings. This shows that while older adults significantly differ from younger adults in the CE of positive memories, other individual differences characteristics do not have an impact on the way older adults perceive memories as central to their identity.


Author(s):  
Hao Chen ◽  
Chao Liu ◽  
Szu-Erh Hsu ◽  
Ding-Hau Huang ◽  
Chia-Yi Liu ◽  
...  

Objective The purpose of this study was to investigate whether animation can help to improve the comprehension of universal healthcare symbols for middle-aged and older adults. Background The Hablamos Juntos (HJ) healthcare symbol system is a set of widely used universal healthcare symbols that were developed in the United States. Some studies indicated that HJ healthcare symbols are not well-understood by users in non-English-speaking areas. Other studies found that animations can improve users’ comprehension of complex symbols. Thus, we wanted to test whether animation could help to improve users’ comprehension of HJ symbols. Methods The participants included 40 middle-aged and 40 older adults in Taiwan. We redesigned the 12 HJ symbols into three visual formats—static, basic animation, and detailed animation—and compared them to find which best improved the participants’ guessability scores. Results (1) Middle-aged adults’ comprehension of static and basic animated symbols was significantly better than that of older adults, but there was no significant difference in the guessability scores between the two age groups in terms of detailed animated symbols; (2) In general, both basic animation and detailed animation significantly improved the guessability score, but the effect with detailed animation was significantly greater than that with basic animation; (3) Older women were more receptive to detailed animation and showed better guessing performance. Conclusion Detailed animation contains more details and provides a more complete explanation of the concept of the static symbols, helping to improve the comprehension of HJ symbols for middle-aged and older adult users. Application Our findings provide a reference for the possibility of new style symbol design in the digital and aging era, which can be applied to improve symbol comprehension.


2013 ◽  
Vol 37 (5) ◽  
pp. 395-406 ◽  
Author(s):  
Nicole Alea ◽  
Mary Jane Arneaud ◽  
Sideeka Ali

The quality of functional autobiographical memories was examined in young, middle-aged, and older adult Trinidadians ( N = 245). Participants wrote about an event that served a self, social, and directive function, and reported on the memory’s quality (e.g., significance, vividness, valence, etc.). Across age groups, directive memories were the most negative, and social function memories were the most positive. Social function memories were also talked about most. Compared to younger adults, older adults’ functional memories, regardless of the type of function, were positive and talked about often, and middle-aged adults’ memories were significant and vivid. The discussion encourages researchers to continue to simultaneously consider both why humans remember so much of their life, and what they remember when doing so.


1997 ◽  
Vol 85 (3_suppl) ◽  
pp. 1326-1326 ◽  
Author(s):  
Mark S. Chapell

This study of the frequency of public smiling in a sample of 15,824 children, adolescents, young adults, middle-aged adults, and older adults yielded a significant decrease in public smiling across age groups. Females smiled significantly more than males.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 604-604
Author(s):  
Melissa O'Connor ◽  
Megan Pedersen ◽  
Susan McFadden

Abstract Research on attitudes toward dementia has often focused on younger and older adults; few studies have also included the age groups of established and middle adulthood. The current study utilized data from community-dwelling adults aged 18-95 (n=567) residing in two Midwestern states. Participants were divided into four age groups: emerging/young adulthood (ages 18-29), established adulthood (ages 30-45), middle adulthood (ages 46-64), and older adulthood (age 65+). ANOVA models were used to examine age group differences on the following outcomes: factual knowledge about dementia (total score on 14 true-false questions); attitudes toward dementia (total score on the 20-item Dementia Attitudes Scale); and a single item, “I am afraid of losing my memory” (rated on a 5-point scale). The effect of age group was significant in all models (p&lt;0.01 for all). Emerging/young adults had significantly more knowledge about dementia, but less positive attitudes toward dementia, relative to established, middle-aged, and older adults. Attitudes and knowledge did not differ between established, middle-aged, and older adults. By contrast, older adults reported significantly more fear of memory loss than emerging/young, established, and middle-aged adults; fear did not differ between the latter three age groups. There were no significant interactions between age group and sex in any of the models. Implications of these findings are discussed.


2005 ◽  
Vol 64 (4) ◽  
pp. 273-280 ◽  
Author(s):  
Adrian Bangerter

Perceptions of the entitativity of age groups, cohorts, and generations were studied in a sample of young adults. Participants rated one of three age groups (young adults, middle-aged adults, older adults), described either as generations (e.g., Baby Boom generation), by age (e.g., people 50 years old), or as cohorts (e.g., people born between 1945 and 1950). Ratings were made on entitativity and related properties (importance of membership to members, shared experience, common goals, common values, similarity among members). Results show that age groups and generations are meaningful social categories for laypersons, whereas cohorts are not.


2013 ◽  
Vol 34 (8) ◽  
pp. 1335-1355 ◽  
Author(s):  
SOONDOOL CHUNG ◽  
YUNKYUNG JUNG

ABSTRACTDespite rapid social change that has influenced the social status of older adults, expectations about their behaviour and whether such expectations differ across generations remain unexplored in Korea. Based on ageing theories of activity, disengagement and modernisation, this study investigated age norms among Koreans conceptualised as shared expectations of appropriate behaviours of older adults. Competing perspectives in intergenerational relations and prejudice toward older adults were examined to test if they influenced age norms and if such associations varied across different age groups. Data were analysed from a survey of 1,445 individuals aged 20 and above who resided in 16 administrative districts of Korea. Comparisons of age norms across age groups indicated that the older adult group (age 65+) held more restrictive attitudes about social participation and engagement in various behaviours in old age than the middle-aged adults (ages 45–64) and younger adults (ages 20–44). Respondents with more prejudice towards older adults tended to place more restrictions on the behaviour of older adults. A significant interaction indicated that respondents whose views were in line with a generational conflictive perspective, assessed as reporting more competitive perspectives between young and old people and being less supportive of intergenerational programmes, had a more restrictive view about older adults' behaviours among the middle-aged group but less restrictive attitudes in determining acceptable behaviour in later life among the older adult group.


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