scholarly journals GENDER-SPECIFIC APPROACHES TO HEALTHY AGING WITH HIV

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S764-S764
Author(s):  
Tonya N Taylor ◽  
Ruth Finkelstein

Abstract Older adults with HIV (OAH) evidence a significant burden of disease, characterized by high frequencies of non-HIV related comorbidities that result in multimorbidity and polypharmacy decades earlier than non-HIV infected older adults. Commonly observed comorbidities among OAH 50 years and older include cardiovascular disease, hypertension, diabetes, osteoporosis, and cancers. Geriatric conditions such as frailty, functional impairment, chronic inflammation, and cognitive dysfunction are also prevalent. Poverty, unemployment, housing, and food insecurity, as well as stigma-driven discrimination, persistent social isolation and high rates of depression, can make health-related challenges associated with aging overwhelming, resulting in a diminished capacity for self-care. Older men and women with HIV; however, are aging differently due to gender-specific differences in comorbidity profiles, polypharmacy burden, social networks, and intersectional stigmas (HIV/AIDS, ageism, racism, sexism, classism, homophobia, and transphobia). This symposium explores the impact of gender on healthy aging among OAH. Dr. Brennan-Ing and colleagues describe specific strategies for achieving healthy aging among female OAH in NYC and Oakland, CA. Dr. Rubtsova and colleagues explore multiple meanings of “successful aging” among older women in Atlanta and Brooklyn, and the role of resilience that empowers them as long-term HIV survivors. Dr. Taylor qualitatively examines the impact of biopsychosocial factors on notions of “Healthy HIV Aging” among older gay, bisexual and heterosexual men with HIV. Dr. Ruth Finkelstein will discuss the public health implications for developing equitable and gender-specific and intersectional HIV prevention and wellness interventions and suggest future areas of inquiry to improve HIV outcomes across the care continuum.

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Shweta Pandey ◽  
Deepak Chawla ◽  
Sandeep Puri ◽  
Luz Suplico Jeong

Purpose Notwithstanding the novelty and importance of wearable fitness devices, few studies have focussed on comparing the drivers of adoption and usage of wearable fitness in the context of developing countries. This study aims to explore factors that drive overall acceptance of wearable fitness devices in developing countries (India and the Philippines) and whether the impact of these factors on the intention to adopt (INT) differs by country and gender. Design/methodology/approach The study extends the existing body of knowledge by developing a model that integrates the impact of various perceived benefits (health, autonomy, social, hedonic, symbolic), health self-efficacy (HEALTHSE) and individual characteristics (technological innovativeness [TI]) on the INT wearable fitness devices and the moderating impact of country and gender. The analysis was carried out using partial least square and data of 343 respondents. Findings This study finds that the INT wearable fitness devices by consumers in developing countries are positively impacted by hedonic, health and autonomy, HEALTHSE and TI. Symbolic and social factors do not have any significant impact on the overall INT wearable fitness devices. However, there are country and gender-specific differences that are consequential to the development of marketing strategies. Research limitations/implications The framework and results are specific to the two countries and limited by convenience sampling. Future research can focus on replication across different countries and extend the model with additional contextual factors such as perceived risks. Originality/value To the best knowledge of the authors, this is one of the few studies to examine and compare the drivers of adoption of wearable fitness devices in lesser researched developing countries. Also, it is one of the few studies to compare the moderating impact of country and gender in the context of the INT wearable devices. The study provides a theoretical and methodological foundation for future research, as well as practical implications for global companies developing and promoting wearable fitness devices.


BMC Nursing ◽  
2022 ◽  
Vol 21 (1) ◽  
Author(s):  
Mei-Hua Yeh ◽  
Cheng-Hsien Huang ◽  
Yu-Chih Lin ◽  
Tung-Jung Huang ◽  
Mei-Yen Chen

Abstract Background Healthy aging with dignity and aging in place are important for Taiwanese individuals. Although Taiwan did not experience COVID-19 outbreaks prior to May 2021, many older adults have been encouraged to stay at home since the beginning of the global pandemic in January 2020. Such shelter-in-place recommendations have resulted in significant lifestyle changes, limiting activities associated with aging with dignity such as exercise and community engagement. Few studies have explored how to promote or maintain holistic health practices and physical fitness in older adults residing in rural communities during the COVID-19 pandemic. This pilot study aimed to establish an interdisciplinary collaboration with community care workers (CCWs) and evaluate the impact of an innovative summer camp (ISC) program for older adults residing in rural areas. Methods A quasi-experimental pre-post-test design with an interdisciplinary collaborative approach was implemented. The ISC program was based on a standardized protocol of modified Baduanjin exercise combined with three recreational breathing games. Participants were recruited from three community centers around the western coastal region of Yunlin County between June and August 2020. The ISC program was designed and executed by a nurse-led health promotion research team that collaborated with trained CCWs for 90 min per day, five days per week, for 12 weeks. Participants and CCWs wore facemasks during all activities. Paired t-test was used to measure changes in physical biomarkers, pulmonary lung function, and health-related fitness changes. Results Sixty-eight participants completed the ISC program. The ISC program significantly improved the participants’ physiological biomarkers and health-related fitness, including reduced body weight, waistline, and systolic blood pressure, and increased forced vital capacity, biceps arm flexion, and ability to sit and stand from a chair, step with a knee up in situ, and stand on one foot with eyes open. Most participants reported that they felt happy, satisfied, and hoped that this program would be continued in their community center. Conclusions This interdisciplinary, collaborative ISC program improved physical biomarkers and health-related fitness in older adults. Despite limitations, results strongly suggested that primary healthcare providers and CCWs can employ the described ISC program to promote wellness in older adults.


2021 ◽  
Author(s):  
Mei-Hua Yeh ◽  
Cheng-Hsien Huang ◽  
Yu-Chih Lin ◽  
Tung-Jung Huang ◽  
Mei-Yen Chen

Abstract Background Healthy aging with dignity and aging in place are important concepts for most Taiwanese individuals, which can hopefully affect health policies. However, many elders have been encouraged to stay at home during the COVID-19 pandemic since January 2020. Consequently, most elders limited their social participation in a previous regular activity in the community center, which undermined the strategies for healthy aging. Few studies have explored how to promote or maintain holistic health and physical fitness for community elders during the COVID-19 worldwide. Therefore, this study aimed to establish and evaluate the impact of an innovative summer camp program for older adults in the rural community. Methods A quasi-experimental pre-post-test design was used. The innovative summer camp (ISC) was based on a standardized protocol of modified Baduanjin exercise combined with three recreation breathing games. Participants were recruited from three community centers around the western coastal Yunlin County between June and August 2020. ISC program was designed and demonstrated by the research team and conducted by each community care worker for 90 minutes per day, five days per week, for 12 weeks. The paired t-test was used to measure the physical biomarkers, pulmonary lung function, and health-related fitness changes. Results Sixty-eight participants completed this study. The findings indicated that the ISC program significantly improved elderly individuals’ physiological biomarkers and health-related fitness, including reduced body weight, waistline, systolic blood pressure, and increased forced vital capacity, biceps arm flexion, sit and stand from a chair, step with a knee up in situ, and stand on one foot with eyes open. Besides wearing a facemask during the activity, almost all participants reported that they felt happy, satisfied and hoped that this program can be continued in their community center. Conclusion This pilot study supported the finding that a three-month ISC program can improve physical biomarkers and health-related fitness. The results strongly suggested that community care workers can employ the proposed ISC program as routine activity for community elders.


2021 ◽  
Vol 8 (3) ◽  
pp. 229-250
Author(s):  
Sabiha Yeasmin Rosy ◽  
Fatemeh Nejati

Abstract This study investigates the impact of male labor migration upon wives living among their husbands’ extended families in Tajikistan. It studies the risks and choices available to such wives in bargaining for remittances, with a particular focus on the risks that daughters-in-law (kelin in Tajik) undertake when negotiating remittances with their mothers-in-law. This paper explores age and gender-specific norms in Tajik transnational families and their minimal opportunities for kelins to bargain and negotiate the risks associated with making “claims” on remittances by using Deniz Kandiyoti’s “patriarchal bargain” and Bina Agarwal’s household bargain framework, as well as extensive fieldwork conducted in Tajikistan. The study concludes that international migration and remittances have had a complex impact on gender norms in Tajikistan, with emerging new forms of passive negotiation by kelins unlikely to undermine patriarchal gender norms in their favor.


2014 ◽  
Vol 3 (1) ◽  
pp. 101-106 ◽  
Author(s):  
Wojtek J. Chodzko-Zajko

For more than half a century fellows of the National Academy of Kinesiology have enthusiastically advocated for the promotion and adoption of physically active lifestyles as an affordable and effective means to prevent chronic diseases and conditions, and enhance independence and high quality of life for older adults. It is possible to discern distinct evolutionary stages when examining scholarship related to the role of physical activity in the promotion of healthy aging. Research into physical activity and aging began with critical early studies that established the underlying scientific evidence for a relationship between physical activity and healthy aging. More recent work has addressed such topics as building consumer demand, developing policies and legislation to support active aging, and understanding the complex interrelationships between physical activity and other lifestyle factors in the prevention and treatment of chronic diseases and conditions. It is increasingly apparent that strategies to promote active and successful aging must be integrated into an effective public policy. Kinesiologists and other health professionals, working in collaboration with colleagues from other disciplines, can help to reduce risk factors for chronic disease and improve quality of life for older adults by building awareness of the importance of physical activity and by assisting with the development and implementation of appropriate and effective interventions that reduce risk factors and improve quality of life.


2021 ◽  
Vol 15 (24) ◽  
pp. 155-166
Author(s):  
Jeļena Badjanova ◽  
Dzintra Iliško ◽  
Svetlana Ignatjeva ◽  
Margarita Nesterova

During the social distancing, an increasing number of people use communication applications, various types of digital tools and programs. Various video conferencing platforms are regularly used in the educational environment. The study presents the analyses how intensive is the use of Information and Communication Technologies (ICT) in the educational environment and how it can change cognitive-behavioral gender differences. This is particularly important to pay a special attention to the analysis of gender as a dynamic category, to take into account the processes of gender socialization and transformation of gender identification in the changing social environment. The research methods also included a set of additional methods, such as a focus group on different aspects of gender-specific behavior in the digital learning environment, putting together collages, as well as the method of the unfinished sentence related to the impact of ICT on teachers' professional development and well-being. In the course of the study, it was recognised that the design of social models of male and female gender-specific behaviour includes more than the basic gender identity and gender stability: in today's society, there is a multiplicity of views on the similarities and differences of gender-specific behaviours, and a rapid change in the accepted social guidelines and behavioural patterns is in progress, socio-cultural norms that define the psychological characteristics of women and men, their patterns of behaviour.


2018 ◽  
Vol 20 (3) ◽  
pp. 401-408
Author(s):  
Anamica Batra ◽  
Richard C. Palmer ◽  
Elena Bastida ◽  
H. Virginia McCoy ◽  
Hafiz M. R. Khan

Objective. In 2015, only half (48%) of older adults in the United States (≥60 years) reported engaging in any kind of physical activity. Few studies examine the impact of evidence-based programs when adopted in community-based settings. The purpose of this study is to assess the effectiveness of EnhanceFitness (EF) upto 12-months. Method. EF was offered to older adults in South Florida. A total of 222 EF classes were offered between October 2008 and December 2014. Program consisted of a 1-hour session held three times a week. Even though participation was required for 4 months, 1,295 participants continued the program for at least 1 year. Results. All participants showed significant improvement in outcome measures. A mean change of 1.5, 1.7, and 1.9 was seen in number of chair stands at 4, 8, and 12 months (p < .001), respectively. The number of arm curls performed improved from 16.8 at baseline to 18.8, 18.8, and 19.2 at 4-, 8-, and 12-months, respectively. Participants improved their up-and-go time by decreasing from 9.1 (baseline) to 8.7 (4 months) to 8.6 (12 months; p = .001). Discussion. Randomized controlled trials are commonly used to determine the efficacy of an intervention. These interventions when disseminated at the population level have the potential to benefit large masses. EF is currently offered at more than 700 locations. This tremendous success of EF brings attention to an important question of continuous monitoring of these programs to ensure program consistency and intended outcomes. The model used by the Healthy Aging Regional Collaborative could be replicated by other communities.


2020 ◽  
Vol 54 ◽  
pp. 7
Author(s):  
Fernanda W. Machado Luz ◽  
Alexandre Emídio Ribeiro Silva ◽  
Ana Paula Perroni ◽  
Marília L. Goettems ◽  
Noéli Boscato

OBJECTIVE: This study evaluated the oral health-related quality of life (OHRQoL) of older adults participating or not in Seniors Centers (SC). METHODS: Two independent samples were compared: older adults who participate in SC (n = 124) and older adults who visited Primary Healthcare Centers (PHC) and do not participate in SC (n = 164). The data collected consisted of sociodemographic (sex, age, educational level, marital status, family income) and psychosocial characteristics—Sense of Coherence (SOC), anxiety and depression using HADS, happiness—, and oral clinical evaluation—use and need of dental prosthesis and decayed (D), missing (M), or filled (F) teeth. The resulting OHRQoL was evaluated using the Oral Health Impact Profile (OHIP-14). The Mann-Whitney test was used to assess the associations between the independent variables and the OHIP-14. Poisson regression models were also used in the analyses (α=0.05). RESULTS: In the PHC, of the 270 individuals invited to participate in the study, 164 (60.7%) were interviewed and clinically examined; while in the SC, of the 166 individuals invited to participate in the study, 124 (74.7%) were interviewed and clinically examined. After adjustments for sociodemographic, psychosocial and clinical factors, we found that the impact on OHRQoL was 2.8 times higher (95%CI 2.0–4.2) for older adults who did not participate in SC. CONCLUSION: Older adults who participated in SC showed better perception on OHRQoL, independently of sociodemographic, psychosocial and clinical factors.


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