scholarly journals COMPOSITE MEASURES FOR MULTIDIMENSIONAL SOCIAL EXCLUSION: AN APPLICATION TO THE IRISH LONGITUDINAL STUDY ON AGEING

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S803-S803
Author(s):  
Sinead Keogh ◽  
Stephen O’ Neill ◽  
Kieran Walsh

Abstract The measurement of the complex, multidimensional and dynamic concept of old-age social exclusion has been constrained due to theoretical and methodological challenges as well as a reliance on secondary data sources not designed to collect social exclusion indicators. Limitations in measuring social exclusion in later life hinder the expansion of our empirical and conceptual understanding of social exclusion. In this paper, we seek to address these limitations by developing a composite measure of old-age social exclusion using three methods: 1) normalisation through re-scaling with linear aggregation, 2) a sum-of-scores approach with an applied threshold and, 3) classification and regression trees (CART), a machine learning approach. Using the conceptual framework of old-age exclusion presented by Walsh et al., (2017), these three approaches are applied empirically with data from Wave 1 of The Irish Longitudinal Study on Ageing (TILDA). The measures are assessed in terms of their ability to explain a validated measure of psychological well-being. Results suggest that despite the challenges associated with secondary data and measurement techniques that implicitly measure social exclusion, the newly proposed composite measure computed using CART performed better than the other two measures which are more prevalent in the literature.

Author(s):  
Tine Buffel ◽  
Samuèle Rémillard-Boilard ◽  
Kieran Walsh ◽  
Bernard McDonald ◽  
An-Sofie Smetcoren ◽  
...  

Developing ‘Age-Friendly Cities and Communities (AFCC)’ has become a key part of policies aimed at improving the quality of life of older people in urban areas. Despite this development, there is evidence of rising inequalities among urban elders, and little known about the potential and limitations of the age-friendly model to reduce old-age exclusion. This article addresses this research gap by comparing how Brussels, Dublin, and Manchester, as three members of the Global Network of AFCC, have responded to social exclusion in later life. The article combines data from document analysis and stakeholder interviews to examine: first, the age-friendly approach and the goal of reducing social exclusion; and second, barriers to developing age-friendly policies as a means of addressing exclusion. The paper suggests that there are reciprocal benefits in linking age-friendly and social exclusion agendas for producing new ways of combatting unequal experiences of ageing in cities.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S728-S729
Author(s):  
David Weiss ◽  
Jennifer A Bellingtier ◽  
Manfred Diehl

Abstract Social status - the standing of a person or group in the social hierarchy - is part and parcel of social life and a significant determinant of cognition and behavior. Status hierarchies are basis of virtually all human and primate societies and assign different roles and privileges to its members. However, the dynamic nature of social status and the underlying mechanisms in old age are not well understood. Therefore, this symposium addresses questions of how social status is influenced by aging-related changes in roles, life events, self-concept, and images of aging and how social status shapes in response personality, subjective age, prosocial behavior, performance, and well-being in old age. Bellingtier and colleagues examined objective and subjective social status and their connections to subjective age, attitudes towards aging, and awareness of age-related changes. Zhang shows paradoxical association between aging stereotypes and prosocial behaviors toward older adults. Barber and Hamel investigated how stereotypes of reduced physical competence in old age affect the gait performance on easy and difficult tasks. Weiss and colleagues take a cross-cultural perspective on the different sources of social status in China, Germany, and the US showing that generations in contrast to age groups represent a source of high social status in later life. Finally, Kornadt investigates the dynamic interplay of changes in social roles and personality in old age. Together, these presentations enlarge our understanding of the dynamics of social status in old age.


2019 ◽  
Vol 9 (9) ◽  
pp. 94
Author(s):  
Ieva Stončikaitė

Important demographic shifts and the so-called ‘longevity revolution’ have generated profound transformations in social interpretations of old age, an increased interest in age studies and new ideas on how to age well. The majority of current successful ageing models, however, represent rather a prevailing construct in Western societies. Physical and psychosocial well-being and the ability to adjust to the ideals of successful ageing are often seen as an integral part of a good quality in life. Those who do not or cannot follow these lines are often regarded as morally irresponsible and seem to be doomed to have a lonely, unhealthy and unhappy later life. This paper questions the current discourses of successful ageing in terms of healthy and happy living and calls for a reconsideration of more global, integrated and holistic understandings of the process of growing old.


2013 ◽  
Vol 44 (4) ◽  
pp. 697-706 ◽  
Author(s):  
C. R. Gale ◽  
C. Cooper ◽  
I. J. Deary ◽  
A. Aihie Sayer

BackgroundObservations that older people who enjoy life more tend to live longer suggest that psychological well-being may be a potential resource for healthier ageing. We investigated whether psychological well-being was associated with incidence of physical frailty.MethodWe used multinomial logistic regression to examine the prospective relationship between psychological well-being, assessed using the CASP-19, a questionnaire that assesses perceptions of control, autonomy, self-realization and pleasure, and incidence of physical frailty or pre-frailty, defined according to the Fried criteria (unintentional weight loss, weakness, self-reported exhaustion, slow walking speed and low physical activity), in 2557 men and women aged 60 to ⩾90 years from the English Longitudinal Study of Ageing (ELSA).ResultsMen and women with higher levels of psychological well-being were less likely to become frail over the 4-year follow-up period. For a standard deviation higher score in psychological well-being at baseline, the relative risk ratio (RR) for incident frailty, adjusted for age, sex and baseline frailty status, was 0.46 [95% confidence interval (CI) 0.40–0.54]. There was a significant association between psychological well-being and risk of pre-frailty (RR 0.69, 95% CI 0.63–0.77). Examination of scores for hedonic (pleasure) and eudaimonic (control, autonomy and self-realization) well-being showed that higher scores on both were associated with decreased risk. Associations were partially attenuated by further adjustment for other potential confounding factors but persisted. Incidence of pre-frailty or frailty was associated with a decline in well-being, suggesting that the relationship is bidirectional.ConclusionsMaintaining a stronger sense of psychological well-being in later life may protect against the development of physical frailty. Future research needs to establish the mechanisms underlying these findings.


Nutrients ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 3066
Author(s):  
Chen Ye ◽  
Sumiya Aihemaitijiang ◽  
Ruoyu Wang ◽  
Mairepaiti Halimulati ◽  
Zhaofeng Zhang

Background: The association between childhood food deprivation (FD) and health in later life has been extensively studied; however, studies on the association between childhood food deprivation and frailty are scarce. This study assessed the associations between childhood FD and the risk of frailty at middle-age and old age. Methods: Three waves of the China Health and Retirement Longitudinal Study (CHARLS), including 11,615 individuals aged over 45 years, were used for this research. Frailty was operationalized according to the FRAIL scale as a sum of fatigue, resistance, ambulation, illness, and the loss of weight. Childhood FD experiences and levels were measured by self-reported FD and historical content. Logistic mixed-effects models and proportional odds ordered logistic regression models were used to analyse the association between childhood FD and frailty. Findings: Childhood FD increased the odds of frailty at old age (1.30, 95% CI: 1.26–1.36). Compared with subjects with mild FD, those with extreme FD experiences had increased risks of frailty (1.34, 95% CI: 1.26–1.43). Subjects exposed to hunger at different ages all had an increased risk of frailty, and subjects who had FD during ages 6–12 (1.15, 95% CI: 1.09–1.22) were more likely to have an increased risk of frailty than those who had experienced FD in younger ages. The interaction of experience of FD at ages 0–6 and the experience of FD at ages 6–12 is not statistically significant after adjusting all covariates. Conclusions: Our findings suggest that childhood FD exerts long-lasting effects on frailty among older adults in China. The prevention of childhood FD may delay or even avert the emergence of frailty in people of middle-age and old age.


AYUSHDHARA ◽  
2021 ◽  
pp. 3581-3584
Author(s):  
Priya Pathak

The term Geriatrics is made by union of two Greek word first ‘geras’ (old age) and second ‘iatros’ (physician) and derived from Greek root “gergero- geronto” meaning old age or the aged or especially one receiving special care. Geriatrics is the branch of medicine that focuses on health promotion and prevention and treatment of disease and disability in later life. In India population of the elderly has been increasing steadily since 1961 as it touched 13.8 crore in 2021, growing faster due to decrease in death rate, according to a study by National Statistical Office (NSO). Ageing is the process in which structural and functional changes occur with passage of time. Thus study of all aspects of ageing including physiological, pathological, psychological, economical and sociological problems is termed as Geriatrics. With advancing age, several changes take place in the body, in the external appearance as well as in Dosha, Dhatu, Mala, Agni, Oja level, also on the mental functions. In Ayurvedic texts, there are many ways given for prevention and promotion of health, one of them is Dinacharya (daily regimen), which is most important part to maintain a healthy and happy life. The importance of appropriate daily routine cannot be underestimated. It set the wheels in motion for entire day, bringing a sense of calm and well-being. It gives the body, mind and spirit the chance to start afresh.


2020 ◽  
Vol 15 (2) ◽  
pp. 434-437
Author(s):  
Pallavi ◽  
Tulika Borah

The aim of the present study is to introduce the well- being and aging development during old age. In old age peoples are not more productive as in early stage of life. They need others support for doing some activities. Sometimes they feel stressed and depressed about that. The current study indicated that physical condition of old age person, sociodemographic factors, social network characteristics, and activity level all seem to affect subjective well-being in later life. In the present study discuss several different forms of well-being that play a vital role in the lives of elderly and it helps them to live longer and safer.


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