scholarly journals Commentary: Value of the life course approach to the health care of older people

2016 ◽  
Vol 45 (4) ◽  
pp. 1011-1013 ◽  
Author(s):  
AA Sayer ◽  
TM Gill
Author(s):  
Torbjörn Bildtgård ◽  
Peter Öberg

Until recently the sex life of older people was more or less invisible in family and gerontological research. This chapter contributes to breaking this silence by focusing on the role and meaning of sex in intimate relationships in later life. Based on biographical case studies, the chapter investigates how sexual norms have changed over the life course of contemporary cohorts of older people and how they have experienced this change. The chapter considers sexual intimacy as part of new intimate relationships established late in life and questions the persistent assumption that older people who date are primarily looking for companionate relationships. It is shown that older people’s ideas about sex are deeply embedded in an ideology of love, where sex tends to be viewed as a natural part of a loving relationship, while sex outside of a loving relationship – also in a loveless marriage – is frowned on.


2014 ◽  
pp. 0 ◽  
Author(s):  
M Linder ◽  
S Piaserico ◽  
M Augustin ◽  
A Fortina ◽  
A Cohen ◽  
...  

Vaccine ◽  
2019 ◽  
Vol 37 (44) ◽  
pp. 6581-6583 ◽  
Author(s):  
Jody Tate ◽  
Teresa Aguado ◽  
Jan De Belie ◽  
Daphne Holt ◽  
Emilie Karafillakis ◽  
...  

2007 ◽  
Vol 72 (5) ◽  
pp. 812-830 ◽  
Author(s):  
Nicholas L. Danigelis ◽  
Melissa Hardy ◽  
Stephen J. Cutler

Prevailing stereotypes of older people hold that their attitudes are inflexible or that aging tends to promote increasing conservatism in sociopolitical outlook. In spite of mounting scientific evidence demonstrating that learning, adaptation, and reassessment are behaviors in which older people can and do engage, the stereotype persists. We use U.S. General Social Survey data from 25 surveys between 1972 and 2004 to formally assess the magnitude and direction of changes in attitudes that occur within cohorts at different stages of the life course. We decompose changes in sociopolitical attitudes into the proportions attributable to cohort succession and intracohort aging for three categories of items: attitudes toward historically subordinate groups, civil liberties, and privacy. We find that significant intracohort change in attitudes occurs in cohorts-inlater- stages (age 60 and older) as well as cohorts-in-earlier-stages (ages 18 to 39), that the change for cohorts-in-later-stages is frequently greater than that for cohorts-inearlier-stages, and that the direction of change is most often toward increased tolerance rather than increased conservatism. These findings are discussed within the context of population aging and development.


Author(s):  
Ignacio Madero-Cabib ◽  
Claudia Bambs

Background: We identify representative types of simultaneous tobacco use and alcohol consumption trajectories across the life course and estimate their association with cardiovascular and chronic respiratory diseases (CVDs and CRDs) among older people in Chile. Methods: We used data from a population-representative, face-to-face and longitudinal-retrospective survey focused on people aged 65–75 (N = 802). To reconstruct trajectory types, we employed weighted multichannel sequence analysis. Then, we estimated their associations with CVDs and CRDs through weighted logistic regression models. Results: Long-term exposure to tobacco use and alcohol consumption across life are associated with the highest CVD and CRD risks. Long-term nonsmokers and nondrinkers do not necessarily show the lowest CVDs and CRDs risks if these patterns are accompanied by health risk factors such as obesity or social disadvantages such as lower educational levels. Additionally, trajectories showing regular consumption in one domain but only in specific periods of life, whether early or late, while maintaining little or no consumption across life in the other domain, lead to lower CVDs or CRDs risks than trajectories indicating permanent consumption in both domains. Conclusions: A policy approach that considers CVDs and CRDs as conditions that strongly depend on previous individual experiences in diverse life domains can contribute to the improved design and evaluation of preventive strategies of tobacco use and alcohol consumption across the life course.


Author(s):  
Holly Syddall ◽  
Avan Aihie Sayer

This chapter describes a life course approach for understanding later life sustainability, focusing on grip strength as a marker of physical sustainability, and explaining how a life course approach recognizes that muscle strength in later life reflects not only rate of loss in later life, but also the peak attained earlier in life. We present evidence that risk factors operating throughout the life course have an impact on physical sustainability in later life with particular consideration of the effects of body size, socioeconomic position, physical activity, diet, and smoking. We have shown that low birth weight is associated with weaker grip strength across the life course and that there is considerable evidence for developmental influences on ageing skeletal muscle. Finally, a life course approach suggests opportunities for early intervention to promote later life physical sustainability; but optimal strategies and timings for intervention are yet to be identified.


Author(s):  
Ruth Bell ◽  
Michael Marmot

A long and healthy life is universally valued. The starkest inequalities in later life are how many years of life remain at an older age such as 65 years, and how many years of life that remain free from disabilities that impede physical, cognitive, and social functioning to the extent that they limit the sense of valuing one’s life. In this chapter we apply the frame of social determinants of health, using the life course approach to understand inequalities in health in later life. Healthy ageing is patterned by degrees of social advantage. Biological ageing, as revealed by physical and cognitive changes, is slower in people in better socioeconomic circumstances. These inequalities in health in later life need to be understood in terms of current social, economic, environmental conditions of living, as well as previous experiences and living conditions across the life course that affect the biological processes of ageing.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S6-S6
Author(s):  
Ioana Sendroiu ◽  
Laura Upenieks

Abstract Perceived life trajectories are rooted in structural systems of advantage and disadvantage, but individuals also shape their futures through setting goals and expectations. “Future aspirations” have typically been used in life course research to refer to one’s conception of their chances of success across life domains and can serve as a resource to help individuals persevere in the face of hardship. Taking a life course approach and using three waves of data from the MIDUS study, we utilize hybrid fixed effects models to assess the relationship between future aspirations and income. We find that, net of age, health, and a host of other time-varying factors, more positive future aspirations are indeed related to higher income over time, but that this relationship takes different shapes in different contexts. In particular, in lower quality neighborhoods, higher future aspirations lead to worse economic outcomes over the life course, while in higher quality neighborhoods, higher aspirations are indeed related to higher incomes. We thus argue that aspirations are only helpful in some contexts, and are inherently contextual not just in their sources but also in their effects.


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