scholarly journals BUILDING H.O.U.S.E. (HEALTHY OUTCOMES USING A SUPPORTIVE ENVIRONMENT) FOR LGBTQ OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S973-S973
Author(s):  
Amy Rosenwohl-Mack ◽  
Matt Beld ◽  
Meredith Greene ◽  
Karyn Skultety ◽  
Leslie Dubbin ◽  
...  
Keyword(s):  
Older Adults ◽  
Service Use ◽  
Good Health ◽  
Baseline Survey ◽  
Senior Housing ◽  
Health And Wellbeing ◽  
Supportive Environment ◽  
Income Disparities ◽  
Memory Problems ◽  
Social Difficulties

Abstract Lesbian, gay, bisexual, transgender, and queer (LGBTQ) older adults face unique challenges in finding affordable, inclusive, and supportive housing. These challenges may be due to discrimination, income disparities, and higher rates of health problems compared to cisgender heterosexual seniors. To our knowledge, this is the first longitudinal study of the health and wellbeing of older adults who move into LGBTQ-welcoming, affordable senior housing. Participants completed a brief baseline survey at the time of their housing lottery application. Questions focused on physical, psychological, and social health and current health service use. We calculated descriptive statistics on health status at baseline. 184 participants completed the baseline survey, mean age was 68 years (SD 5.2), and nearly 75% reported an annual income under $30,000. Almost half reported a diagnosis of hypertension, 40% depression, 27% anxiety, and 25% HIV/AIDS. Around 70% reported their health as good to excellent, 21% fair, and 9% poor or very poor. However, 58% reported their physical activities were at least somewhat limited by their physical health, 43% reported difficulties with balance or walking, and 32% reported memory problems. Nearly 3% had been admitted into the hospital and 10% had visited the emergency room in the past 30 days. In terms of social wellbeing, 63% felt isolated from others at least some of the time. In summary, LGBTQ older adults seeking affordable senior housing report relatively good health, although they also experience functional and social difficulties. New forms of housing that are explicitly LGBTQ-welcoming may help address these health challenges.

scholarly journals Activity Disengagement: Understanding Challenges and Opportunities for Reengagement

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Krista Fox ◽  
Nancy Morrow-Howell ◽  
Stephanie Herbers ◽  
Paula Battista ◽  
Carolyn M. Baum
Keyword(s):  
Older Adults ◽  
Intervention Development ◽  
Positive Influence ◽  
Structured Interviews ◽  
Social Challenges ◽  
Senior Housing ◽  
Health And Wellbeing ◽  
Challenges And Opportunities ◽  
Person Centered Approach

Although maintaining engagement in activities has a positive influence on our health and wellbeing as we age, many programs that serve older adults struggle with getting participation in the programs they offer. This study sought to explore activity disengagement among older adults in a senior housing community and identify the challenges and opportunities for reengagement with the aim of informing future intervention development and testing. Fifty-one adults over the age of 60 participated in structured interviews. Findings highlighted that many older adults have activities patterns that are not optimal for health. Many reasons given for disengaging in activities (e.g., no opportunity) were surprising given that participants lived in a setting where a variety of programs were offered. Programs need to more purposively address social challenges to participating in activities and consider a more person-centered approach when developing interventions for the older adults they serve.

Aging in Place of Vulnerable Older Adults: Person–Environment Fit Perspective

2015 ◽  
Vol 36 (11) ◽  
pp. 1327-1350 ◽  
Author(s):  
Sojung Park ◽  
Yoonsun Han ◽  
BoRin Kim ◽  
Ruth E. Dunkle
Keyword(s):  
Older Adults ◽  
Low Income ◽  
Research Effort ◽  
Aging In Place ◽  
Positive Health ◽  
Senior Housing ◽  
Supportive Environment ◽  
Person Environment Fit ◽  
Poverty Status ◽  
The Impact

Based on the premise that the experience of aging in place is different for vulnerable subgroups of older adults compared with less vulnerable subgroups, we focus on low-income older adults as a vulnerable subgroup and senior housing as an alternative to a conventional, private home environment. Using the 2008 and 2010 waves of the Health Retirement Study, regression models determined the impact of person–environment (P-E) fit between poverty status and residence in senior housing on self-rated health. Consistent with the environmental docility hypothesis, findings show that, among low-income individuals, the supportive environment of senior housing plays a pronounced compensating role and may be a key to successful adaptation in aging. As the first research effort to empirically demonstrate the positive health effects of senior housing among socioeconomically vulnerable elders, our findings provide a much-needed theoretical and practical underpinning for policy-making efforts regarding vulnerable elders.

scholarly journals Ecosystem Service Use and the Motivations for Use in Central Parks in Three European Cities

Land ◽  
2021 ◽  
Vol 10 (2) ◽  
pp. 154
Author(s):  
Jörg Priess ◽  
Luis Valença Pinto ◽  
Ieva Misiune ◽  
Julia Palliwoda
Keyword(s):  
Social Relations ◽  
Service Use ◽  
Well Being ◽  
Good Health ◽  
Urban Green Spaces ◽  
Agenda 2030 ◽  
Health And Wellbeing ◽  
Development Goals ◽  
Physical Interactions ◽  
Municipal Level

The majority of Europeans live in cities, where parks as components of Urban Green Spaces (UGSs) play an important role in well-being and the provision of ecosystem services (ES). UGSs are especially relevant for the implementation of the United Nations (UN) Agenda 2030 Sustainable Development Goals “Good health and wellbeing” (Goal 3) and “Sustainable cities and communities” (Goal 11). This study focused on ES use and users’ motives, which were surveyed during visits at central parks in the cities Leipzig, Coimbra and Vilnius. Park visitors used 17 different ES, dominated by physical interactions such as walking or biking, followed by experiential and aesthetical ES and ES linked to social relations. Age of visitors, cultural setting and distance to homes influenced ES use in the parks differently in each city, limiting the transferability of park—user behaviour or motivations across different spatial and cultural contexts. Results also indicate that aligning sustainability objectives and usability, good accessibility of urban parks plays a central role and encourages the use of non-motorized or public transport for park visits. Concrete information about UGS user motivation and behaviour generated in this and similar studies contributes to convert the UN Agenda 2030 strategies at the municipal level into sustainability and user-oriented design and management of UGS.

scholarly journals Multilevel Factors for Life Satisfaction Among Residents in Non-Urban Subsidized Senior Housing

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 109-109
Author(s):  
BoRin Kim ◽  
Sojung Park ◽  
Casey Golomsky ◽  
Marguerite Corvini ◽  
Allison Wilder ◽  
...  
Keyword(s):  
Older Adults ◽  
Life Satisfaction ◽  
Social Relations ◽  
Low Income ◽  
Service Use ◽  
Organizational Level ◽  
Small Scale ◽  
Senior Housing ◽  
Individual Level ◽  
Increased Risk

Abstract Although a quarter of HUD-assisted properties for older adults are located in rural/non-metropolitan areas, there is limited understanding of the population living in these locations. Advanced age and low income are known risk factors for poor physical and mental health. Older adults in rural subsidized housings may be at increased risk for poor health and social isolation due to their isolated locations and small-scale housing complexes. This presents the additional challenge of service provision for the residents’ needs. This study aims to explore multi-level factors affecting life satisfaction among residents in subsidized senior housing. Data were collected for five subsidized senior housings in New Hampshire: two in Coos county (rural, population=33,055) and three in Strafford county (suburban, population=128,613). Mixed-methods approaches were used: Community/organizational-level data were collected using semi-structured interviews conducted with the directors of senior housings. At the individual level, quantitative survey data were collected from 82 residents of five senior housings. Contrary to expectations, we found that residents in rural senior housings were likely to report better life satisfaction (Coef.=0.597, p<.01) than those in suburban areas despite controlling for individual-level factors such as age, gender, education, marital status, health, social relations, and service use. The most salient terms used in the interviews with directors of rural senior housings include limited resources, tight community, and emotional support. The last two may be protective factors positively influencing life satisfaction among their residents. Our results contribute to development strategies to improve quality of life among residents in rural/non-metropolitan subsidized senior housing.

scholarly journals The Impact of Tuberculosis on the Well-Being of Adolescents and Young Adults

Pathogens ◽  
2021 ◽  
Vol 10 (12) ◽  
pp. 1591
Author(s):  
Patricia Moscibrodzki ◽  
Leslie A. Enane ◽  
Graeme Hoddinott ◽  
Meredith B. Brooks ◽  
Virginia Byron ◽  
...  
Keyword(s):  
Older Adults ◽  
Young Adults ◽  
Social Development ◽  
Well Being ◽  
Good Health ◽  
Health Needs ◽  
Adolescents And Young Adults ◽  
Supportive Environment ◽  
Learning Competence ◽  
The Impact

The health needs of adolescents and young adults (AYAs) have been neglected in tuberculosis (TB) care, control, and research. AYAs, who are distinct from younger children and older adults, undergo dynamic physical, psychological, emotional, cognitive, and social development. Five domains of adolescent well-being are crucial to a successful transition between childhood and adulthood: (1) Good health; (2) connectedness and contribution to society; (3) safety and a supportive environment; (4) learning, competence, education, skills, and employability; and (5) agency and resilience. This review summarizes the evidence of the impact of TB disease and treatment on these five domains of AYA well-being.

scholarly journals Sex disparities in cardiovascular health metrics among rural-dwelling older adults in China: a population-based study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xiaolei Han ◽  
Ziying Jiang ◽  
Yuanjing Li ◽  
Yongxiang Wang ◽  
Yajun Liang ◽  
...  
Keyword(s):  
Older Adults ◽  
Rural Communities ◽  
Cardiovascular Health ◽  
Rural China ◽  
Descriptive Analysis ◽  
Population Based ◽  
Baseline Survey ◽  
Chinese Older Adults ◽  
Face To Face ◽  
Sex Disparities

Abstract Background Cardiovascular health (CVH) metrics among Chinese older adults are poorly understood. We investigated sex disparities in CVH metrics and their management among rural-dwelling older adults in China. Methods This community-based study included 5026 participants (age ≥ 65 years; 57.2% women) in the baseline survey of a multimodal intervention study in rural China. In March–September 2018, data were collected through face-to-face interviews, clinical examinations, and laboratory tests. We defined six CVH metrics (three behavioral factors—smoking, body mass index, and physical activity; three biological factors—blood pressure, total cholesterol, and blood glucose) following the modified American Heart Association’s recommendations. We performed descriptive analysis separately for men and women. Results Of all participants, only 0.8% achieved ideal levels in all six CVH metrics. Men were more likely than women to have ideal levels in all CVH metrics but smoking. Women had higher prevalence of ideal global (9.7% vs. 7.8%) and behavioral (18.3% vs. 9.5%) CVH metrics (p < 0.001), whereas men had higher prevalence of ideal biological CVH metrics (5.4% vs. 3.5%, p < 0.001). The prevalence of ideal global and behavioral CVH metrics increased with age in both women and men (p for trend< 0.001). Women were more likely to be aware of their hypertension and diabetes, and to receive antihypertensive treatment, while men were more likely to achieve the goal of high cholesterol treatment (p < 0.05). Conclusions The CVH metrics among older adults living in the rural communities in China are characterized by an extremely low proportion of optimal global CVH metrics and distinct sex differences, alongside poor management of major biological risk factors. Trial registration ChiCTR1800017758 (Aug 13, 2018).

scholarly journals Changing Educational Gradients in Life Expectancy With and Without Disease Among U.S. Older Adults From 2000 to 2010

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 505-505
Author(s):  
Matthew Farina ◽  
Phillip Cantu ◽  
Mark Hayward
Keyword(s):  
Older Adults ◽  
Life Expectancy ◽  
Chronic Diseases ◽  
Population Aging ◽  
Good Health ◽  
Vital Statistics ◽  
Healthy Life Expectancy ◽  
Healthy Life ◽  
Education Group ◽  
Education Groups

Abstract Recent research has documented increasing education inequality in life expectancy among U.S. adults; however, much is unknown about other health status changes. The objective of study is to assess how healthy and unhealthy life expectancies, as classified by common chronic diseases, has changed for older adults across education groups. Data come from the Health and Retirement Study and National Vital Statistics. We created prevalence-based life tables using the Sullivan method to assess sex-specific life expectancies for stroke, heart disease, cancer, and arthritis by education group. In general, unhealthy life expectancy increased with each condition across education groups. However, the increases in unhealthy life expectancy varied greatly. While stroke increased by half a year across education groups, life expectancy with diabetes increased by 3 to 4 years. In contrast, the evidence for healthy life expectancy provides mixed results. Across chronic diseases, healthy life expectancy decreased by 1 to 3 years for respondents without a 4-year degree. Conversely, healthy life expectancy increased for the college educated by .5 to 3 years. While previous research shows increases in life expectancy for the most educated, trends in life expectancy with chronic conditions is less positive: not all additional years are in lived in good health. In addition to documenting life expectancy changes across education groups, research assessing health of older adults should consider the changing inequality across a variety of health conditions, which will have broad implications for population aging and policy intervention.

scholarly journals Asking Young Adults about Their Attitudes toward and Knowledge of Sex in Later Life

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 870-871
Author(s):  
Iulia Fratila ◽  
Liza Berdychevsky
Keyword(s):  
Older Adults ◽  
Young Adults ◽  
Survey Methods ◽  
Leisure Activity ◽  
Later Life ◽  
Health And Wellbeing ◽  
Knowledge And Attitudes ◽  
Intercept Survey ◽  
Knowledge Practice ◽  
Research Questions

Abstract Sexual expression is a lifelong need related to health and wellbeing. However, older adults’ sexuality is often neglected and stigmatized due to societal ageist stereotypes portraying them as asexual. Although baby boomers’ generation resists such portrayals, societal acceptance of sexuality in later life is slow to materialize. The purpose of this study was to explore this acceptance among young adults while focusing on three research questions: (1) How much do young adults know about older adults’ sexuality and how do they feel about it? (2) Do young adults’ knowledge and views of later-life sexuality vary by gender? (3) Do young adults’ views of later-life sexuality vary based on their general attitudes toward sexuality? Data collection included online and intercept survey methods. The sample (N=270) was young (M=21.58 years, SD=4.32) and included 149 women and 113 men. Results revealed that young adults had medium levels of knowledge, yet rather permissive/open-minded attitudes regarding later-life sexuality. Higher levels of knowledge were unrelated to more permissive attitudes. Independent samples t-test revealed no differences by gender in young adults’ knowledge and attitudes. However, multiple regression results indicated that general liberal attitudes toward sexuality (β=.772, t=17.867, p=.000) and viewing sex as leisure activity (β=.147, t=3.338, p=.001) are significant predictors of having more permissive/open-minded attitudes toward older adults’ sexuality (R2=.557, F(3,266)=111.390, p=.000). These findings suggest that socio-psychological (rather than cognitive and demographic) factors drive the acceptance of later-life sexuality among young adults. This study offers valuable insights for knowledge, practice, and advocacy concerning older adults’ sexuality.

scholarly journals Higher Rates of Untreated Distress in Older Versus Younger Adults With Indolent Lymphoma

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 466-466
Author(s):  
Kelly Trevino ◽  
Peter Martin ◽  
John Leonard
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
Younger Adults

Abstract Indolent lymphomas are incurable but slow-growing cancers, resulting in a large number of older adults living with these diseases. Patients typically live with their illness for years with the knowledge that disease progression is likely. Yet, little is known about psychological distress in this population. This study examined rates of and the relationship between distress and mental health service use in older and younger adults with indolent lymphomas. Adult patients diagnosed with an indolent lymphoma (e.g., follicular lymphoma, marginal zone lymphoma) within the past six months completed self-report surveys of distress (Hospital Anxiety and Depression Scale; HADS) and mental health service use since the cancer diagnosis (yes/no). Descriptive statistics, t-tests, and chi-square analyses were used to examine study questions. The sample (n=84) included 35 patients 65 years or older. Across the entire sample, 21.4% screened positive for distress on the HADS; 58.8% of these patients did not receive mental health services. Older adults reported lower distress levels than younger adults (17.1% v. 24.5%; p=.038). Among younger adults, 50% of distressed patients received mental health services; only 20% of distressed older adults received mental health services. Distress was associated with mental health service use in younger adults (p=.004) but not in older adults (p=.17). Older adults with indolent lymphomas have higher levels of untreated distress than younger adults. Research on the mechanisms underlying these age differences (e.g., stigma toward mental health services, ageism) would inform interventions to increase rates of mental health service use and reduce care disparities due to age.

The burden of infertility in New Zealand: A baseline survey of prevalence and service use

2021 ◽  
Author(s):  
Antoinette Righarts ◽  
Nigel P. Dickson ◽  
Alec Ekeroma ◽  
Andrew R. Gray ◽  
Lianne Parkin ◽  
...  
Keyword(s):  
New Zealand ◽  
Service Use ◽  
Baseline Survey
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