scholarly journals Social engagement and physical frailty in later life: does marital status matter?

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yi Wang ◽  
Zhuo Chen ◽  
Chengchao Zhou
Keyword(s):  
Public Health ◽  
Older Adults ◽  
Older People ◽  
Marital Status ◽  
Social Engagement ◽  
Fixed Effects ◽  
Public Health Issue ◽  
Older Individuals ◽  
Physical Frailty ◽  
Longitudinal Association

Abstract Background Physical frailty is a common characteristic of older people with the ageing process and has been viewed as a major public health issue. The longitudinal association between different social engagement and physical frailty among older people has not been explored adequately in China. Marital status forms a critical context for the link between social engagement and frailty among older people, which might constitute a moderating process. The purpose of the present study is to investigate the longitudinal association between social engagement and the changes in physical frailty among Chinese older adults, and to examine whether the association between social engagement and frailty differs by marital status. Methods The data use in this study were from the data from the China Health and Retirement Longitudinal Study aged 60+ years from 2011 to 2015. A total of 6575 respondents who participated in at least one follow-up wave were included in the analysis. The relationship between social engagement and changes in frailty over time, and the moderating role of marital status were estimated using individual fixed-effects models. Sensitive analyses were conducted to test the robustness of the results. Results After adjusting the confounders, participants who interact with friends (Coef: -1.309, P < 0.001), engaging in hobby groups (Coef: -1.189, P < 0.001), engaging in sports groups (Coef: -0.945, P = 0.001), and volunteering (Coef: -1.957, P = 0.001) with a frequency of almost daily had a significantly lower frailty risk than participants who never engaging in those activities. The association between frequent engaging in hobby groups and physical frailty was strongest for unmarried than married older adults (Coef: -1.325, P = 0.031). Conclusions Frequent social engagement might help to decrease the risk of frailty in the Chinese older population. This finding has important implications for public health policy and encourages the incorporation of a broad range of social engagement into the daily lives of older individuals. Specially, encouraging unmarried older adults to engage in intellectual activities, such as playing chess or Mahjong with others, may be an effective way to reduce physical frailty.

Self-perception of Social Isolation and Loneliness in Older Adults

2017 ◽  
Vol 29 (4) ◽  
pp. 249-252 ◽  
Author(s):  
Patricia T. Alpert
Keyword(s):  
Public Health ◽  
United States ◽  
Older Adults ◽  
Baby Boomers ◽  
Social Isolation ◽  
The United States ◽  
Research Literature ◽  
Intervention Research ◽  
Public Health Issue ◽  
Older Individuals

There are a large group of older individuals suffering from social isolation and loneliness; in fact, the number of older adults affected is increasing due to the large aging population worldwide. Within the United States, the baby boomers are or will be potentially facing social isolation and loneliness in great numbers. The current research literature in this area is difficult to interpret because the variable used to define social isolation and loneliness varies across disciplines when looking at this problem. Intervention research has also produced mixed findings. This article looks at this public health issue by reviewing some of the research in this area and discussing potential interventions.

scholarly journals Self-reported diabetes in older people: comparison of prevalences and control measures

2014 ◽  
Vol 48 (4) ◽  
pp. 554-662 ◽  
Author(s):  
Sheila Rizzato Stopa ◽  
Chester Luiz Galvão César ◽  
Neuber José Segri ◽  
Moisés Goldbaum ◽  
Vanessa Martins Valente Guimarães ◽  
...  
Keyword(s):  
Public Health ◽  
Older Adults ◽  
Older People ◽  
Confidence Intervals ◽  
Low Income ◽  
Hypoglycemic Agents ◽  
Diabetic Patients ◽  
Older Individuals ◽  
Chi Square ◽  
Control Diabetes

OBJECTIVE The objective of this study was to analyze the prevalence of diabetes in older people and the adopted control measures.METHODS Data regarding older diabetic individuals who participated in the Health Surveys conducted in the Municipality of Sao Paulo, SP, ISA-Capital, in 2003 and 2008, which were cross-sectional studies, were analyzed. Prevalences and confidence intervals were compared between 2003 and 2008, according to sociodemographic variables. The combination of the databases was performed when the confidence intervals overlapped. The Chi-square (level of significance of 5%) and the Pearson’s Chi-square (Rao-Scott) tests were performed. The variables without overlap between the confidence intervals were not tested.RESULTS The age of the older adults was 60-69 years. The majority were women, Caucasian, with an income of between > 0.5 and 2.5 times the minimum salary and low levels of schooling. The prevalence of diabetes was 17.6% (95%CI 14.9;20.6) in 2003 and 20.1% (95%CI 17.3;23.1) in 2008, which indicates a growth over this period (p at the limit of significance). The most prevalent measure adopted by the older adults to control diabetes was hypoglycemic agents, followed by diet. Physical activity was not frequent, despite the significant differences observed between 2003 and 2008 results. The use of public health services to control diabetes was significantly higher in older individuals with lower income and lower levels of education.CONCLUSIONS Diabetes is a complex and challenging disease for patients and the health systems. Measures that encourage health promotion practices are necessary because they presented a smaller proportion than the use of hypoglycemic agents. Public health policies should be implemented, and aimed mainly at older individuals with low income and schooling levels. These changes are essential to improve the health condition of older diabetic patients.

Perceived Voice Disorders in Older Adults and Impact on Social Interactions

2021 ◽  
pp. 1-8
Author(s):  
Connie K. Porcaro ◽  
Clare Singer ◽  
Boris Djokic ◽  
Ali A. Danesh ◽  
Ruth Tappen ◽  
...  
Keyword(s):  
Older Adults ◽  
Social Interactions ◽  
Social Engagement ◽  
Leisure Activities ◽  
Treatment Strategies ◽  
Voice Disorders ◽  
Community Dwelling ◽  
Vocal Performance ◽  
Older Individuals ◽  
Cross Sectional

Purpose Many aging individuals, even those who are healthy, report voice changes that can impact their ability to communicate as they once did. While this is commonly reported, most do not seek evaluation or management for this issue. The purpose of this study was to investigate the prevalence and differences in voice disorders in older adults, along with the effect of fatigue on their social interactions. Method This is a cross-sectional investigation of a community-dwelling sample of individuals aged 60 years or older. Participants completed the Questionnaire on Vocal Performance, the Social Engagement Index subset “Engagement in Social or Leisure Activities,” and the Fatigue Severity Scale. Results Results indicated 32.5% of the 332 participants reported symptoms of voice problems with no difference found between male and female respondents. A slight increase in report of voice problems was noted with each year of age. Participants who self-reported voice problems indicated less interaction in social activities involving communication than those who did not. Finally, as severity of self-reported voice problems increased, an increase was reported by the same individuals for signs of fatigue. Conclusions Voice problems and resulting decreased social interaction are commonly experienced by older individuals. Voice symptoms in older adults have been found to benefit from evidence-based treatment strategies. It is critical to provide education to encourage older individuals to seek appropriate evaluation and management for voice issues through a speech-language pathologist or medical professional.

scholarly journals INTERNET USE AND LONELINESS OF OLDER ADULTS OVER TIME: THE MEDIATION EFFECT OF SOCIAL CONTACT

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S194-S194
Author(s):  
Kexin Yu ◽  
Kexin Yu ◽  
Shinyi Wu ◽  
Iris Chi
Keyword(s):  
Older Adults ◽  
Older People ◽  
Internet Use ◽  
Social Contact ◽  
Total Effect ◽  
Mediation Effect ◽  
Health And Retirement Study ◽  
Longitudinal Association ◽  
Retirement Study ◽  
Over Time

Abstract Internet is increasingly popular among older adults and have changed interpersonal interactions. However, it remains controversial whether older people are more or less lonely with internet use. This paper tests the longitudinal association of internet use and loneliness among older people. One pathway that explains the association, the mediation effect of social contact, was examined. Data from the 2006, 2010 and 2014 waves of Health and Retirement Study was used. Hierarchical liner modeling results showed internet use was related to decreased loneliness over 12-year period of time (b=-0.044, p&lt;.001). Internet use was associated with more social contact with family and friends overtime (b=0.261, p&lt;.001), social contact was related to less perceived loneliness longitudinally (b=0.097, p&lt;.001). The total effect of internet use on loneliness is -0.054 and the mediated effect is -0.025. The findings imply that online activities can be effective for reducing loneliness for older people through increased social contact.

scholarly journals Strategies Older New Zealanders Use to Participate in Day-To-Day Occupations

2011 ◽  
Vol 74 (11) ◽  
pp. 509-516 ◽  
Author(s):  
Clare Hocking ◽  
Juanita Murphy ◽  
Kirk Reed
Keyword(s):  
Public Health ◽  
Physical Activity ◽  
Older Adults ◽  
New Zealand ◽  
Older People ◽  
Exploratory Study ◽  
Occupational Therapists ◽  
Falls Prevention ◽  
Public Health Messages ◽  
The Impact

Aim: This exploratory study aimed to uncover the strategies that older adults employ to ameliorate the impact of impairments and barriers to participation. Method: Eight participants were interviewed in their own homes, in a town or city in New Zealand. Findings: Inductive analysis of data revealed four main categories of strategies: strategies to keep safe, to recruit and accept help, to meet social and biological needs (nutritional and medical), and to conserve financial, material and bodily resources. Discussion: The study supports some previous findings of strategies used by older people, and demonstrates that enquiring into the strategies that older people devise and adopt into their own lives is a productive line of inquiry. The strategies described differ from those that occupational therapists recommend, and do not incorporate public health messages about the benefits of physical activity or recommendations about falls prevention. Conclusion: The findings suggest that asking older clients about the strategies that they use will uncover valuable information for therapists giving advice or issuing equipment to help older adults to manage in the community.

scholarly journals What influences diet quality in older people? A qualitative study among community-dwelling older adults from the Hertfordshire Cohort Study, UK

2017 ◽  
Vol 20 (15) ◽  
pp. 2685-2693 ◽  
Author(s):  
Ilse Bloom ◽  
Wendy Lawrence ◽  
Mary Barker ◽  
Janis Baird ◽  
Elaine Dennison ◽  
...  
Keyword(s):  
Older Adults ◽  
Cohort Study ◽  
Older People ◽  
Social Engagement ◽  
Community Dwelling ◽  
Related Factors ◽  
Age Related ◽  
Hertfordshire Cohort Study ◽  
The Uk ◽  
Community Dwelling Older Adults

AbstractObjectiveTo explore influences on diet in a group of community-dwelling older adults in the UK.DesignData were collected through focus group discussions with older people; discussions were audio-recorded, transcribed verbatim and transcripts analysed thematically.SettingHertfordshire, UK.SubjectsParticipants were sampled purposively from the Hertfordshire Cohort Study, focusing on those whose diets had been assessed at two time points: 1998–2001 and 2011.ResultsNinety-two adults participated (47 % women; 74–83 years) and eleven focus groups were held. A number of age-related factors were identified that were linked to food choices, including lifelong food experiences, retirement, bereavement and medical conditions, as well as environmental factors (such as transport). There appeared to be variability in how individuals responded to these influences, indicating that other underlying factors may mediate the effects of age-related factors on diet. Discussions about ‘keeping going’, being motivated to ‘not give up’, not wanting to be perceived as ‘old’, as well as examples of resilience and coping strategies, suggest the importance of mediating psychological factors. In addition, discussion about social activities and isolation, community spirit and loneliness, indicated the importance of social engagement as an influence on diet.ConclusionsInterventions to promote healthier diets in older age should take account of underlying psychological and social factors that influence diet, which may mediate the effects of age-related factors.

Injuries and the Cost of Falls Among Older Adults—How Pharmacists Can Help

2009 ◽  
Vol 22 (3) ◽  
pp. 344-345 ◽  
Author(s):  
Donald Limona
Keyword(s):  
Public Health ◽  
Quality Of Life ◽  
Older Adults ◽  
Medical Expenditures ◽  
Public Health Issue ◽  
Considerable Morbidity ◽  
The Cost ◽  
Serious Injuries ◽  
Care Costs

Fall-related injuries are a serious public health issue among older adults. In addition to having a significant impact on our economy, these injuries are associated with considerable morbidity. Each year, 1 out of every 3 adults aged 65 and older fall; of these adults, 10% to 20% sustain serious injuries such as fractures or head traumas. Such injuries account for about 6% of medical expenditures for adults 65 years and older. Pharmacist interventions can prevent falls, thereby improving the quality of life of these older adults, preserving their independence, and significantly reducing health care costs.

scholarly journals SOCIAL ENGAGEMENT THROUGH VIDEO CHAT FOR OLDER INDIVIDUALS WITH AND WITHOUT COGNITIVE IMPAIRMENT

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S15-S15 ◽  
Author(s):  
Wendy Rogers ◽  
Qiong Nie ◽  
Lydia Nguyen ◽  
Raksha Mudar ◽  
Dillon Myers ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Social Engagement ◽  
Older Individuals ◽  
Life Outcomes ◽  
Web Based ◽  
Video Chat ◽  
Potential Benefits ◽  
Prevailing View

Abstract Social engagement is a fundamental component of health and quality-of-life outcomes. However, there is a prevailing view that older adults primarily want to engage socially with current family and friends – that they are not interested in developing new relationships. That is an overgeneralization. We have found that older adults are interested in the opportunity to engage in social interactions with people who have shared interests. Technology can facilitate these interactions. We will describe our research with OneClick.chat, a web-based video chat system. We explored potential benefits of use by adults aged 70-85, including those with mild cognitive impairment (MCI), as well as barriers and facilitators to adoption. Participants saw value of this online social engagement platform and were able to use it with some initial training. They envisioned using OneClick not only for conversations but also for learning and doing activities with like-minded individuals.

scholarly journals Technological advancements to address elderly loneliness: practical considerations and community resilience implications for COVID-19 pandemic

2020 ◽  
Vol 24 (4) ◽  
pp. 257-264 ◽  
Author(s):  
Kristina M. Conroy ◽  
Srikripa Krishnan ◽  
Stacy Mittelstaedt ◽  
Sonny S. Patel
Keyword(s):  
Public Health ◽  
Older Adults ◽  
Environmental Factors ◽  
Social Engagement ◽  
The Elderly ◽  
Advanced Technology ◽  
Health Concern ◽  
Specific Situation ◽  
Content Type ◽  
Elderly Populations

Purpose Loneliness has been a known severe public health concern among the elderly population during the COVID-19 pandemic. This paper aims to discuss the practicalities of using emerging technologies to address elderly loneliness and its implications and adaptations to the outbreak of corona virus disease–2019. Design/methodology/approach The authors draw on examples from the literature and their own observations from working with older adults, to provide an overview of possible ways technology could help this population in the current COVID-19 pandemic. Findings Technological advancements have offered remarkable opportunities to deliver care and maintain connections despite the need to stay physically separated. These tools can be integrated into crisis communications, public health responses and care programs to address loneliness among the elderly. However, it must be done strategically and informed by the type of loneliness at play, environmental factors, socioeconomics and technological literacy. Practical implications Care-providing organizations and policymakers should consider the risk of loneliness while responding to COVID-19 outbreak, particularly within elderly populations. As a part of a broader plan, technological solutions and low-tech approaches can make a difference in mitigating loneliness. Solutions should be accessible to and usable by older adults. Provision of equipment, training and guidance may be necessary to execute a technology-centric plan; for some communities and individuals, approaches that do not rely on advanced technology may be more effective. Originality/value Technological advancements can be a valuable tool in addressing known public health concerns, such as loneliness among the elderly populations. However, the use of this tool should be governed by the specific situation at hand, taking into consideration individual needs and environmental factors, especially the compounded effects caused by the coronavirus pandemic. Different technological programs and approaches are appropriate for different types of loneliness. For example, online therapy such as internet-based cognitive behavior therapy may mitigate loneliness caused by fear and online interaction such as videoconferencing may relieve loneliness caused by lack of social engagement.

scholarly journals Challenges Faced and Support Received: Older Adults’ Perceptions of Hurricane Sandy

2016 ◽  
Vol 11 (1) ◽  
pp. 39-47 ◽  
Author(s):  
Allison R. Heid ◽  
Seran Schug ◽  
Francine P. Cartwright ◽  
Rachel Pruchno
Keyword(s):  
Public Health ◽  
Older Adults ◽  
New Jersey ◽  
Older People ◽  
Hurricane Sandy ◽  
Community Networks ◽  
Structured Interviews ◽  
Ongoing Research ◽  
The People

AbstractObjectiveIndividuals exposed to natural disasters are at risk for negative physical and psychological outcomes. Older adults may be particularly vulnerable; however, social support can act as a resource to help individuals respond to severe stressors. This study explored the challenges older people faced before, during, and after Hurricane Sandy in October 2012 and the people they turned to for support.MethodsSemi-structured interviews were conducted with 20 older adults in New Jersey drawn from the ORANJ BOWL (Ongoing Research on Aging in New Jersey – Bettering Opportunities for Wellness in Life) research panel, who experienced high levels of primary home damage during Hurricane Sandy. Content analysis of interview transcripts classified older adults’ perceptions on how they “made it” through—the challenges they faced and the support they received.ResultsThe findings suggested that older adults experienced emotional, instrumental, social, and financial challenges before, during, and after the storm. However, by relying on family and friends, as well as neighbors and community networks, older people were able to respond to stressors.ConclusionsOur findings carry implications for ensuring that older adults are connected to social networks before, during, and after disasters. The role of neighbors is particularly important when disasters strike. (Disaster Med Public Health Preparedness. 2017;11:39–47)

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