scholarly journals An Inclusive Community: Architecture for Age Integration

2021 ◽  
Author(s):  
◽  
Pearl James

<p>Our elderly population is increasing and people are living longer. Healthcare advancements mean that illnesses are more controlled and people do not die as young.   Due to our age-segregated society, the issue of elderly social isolation is at an all time high. Retirement villages are, for the most part, gated communities, isolated away from the rest of the younger population and wider community. The generation gap between young and older continues to broaden and issues such as elderly neglect, loneliness, financial abuse and other mental-health related problems are becoming more common.  This research finds that many suburban community facilities often neglect the needs of this growing senior demographic. The site at 245 Karori Road, Karori, is used to test and challenge the norms of current suburban community architecture typologies for social inclusiveness.  The site is tested in three iterative stages led by an interdisciplinary literature review to address this overarching problem of age-segregation in suburban communities. A major focus in this research is to target the suburb’s youngest and oldest members to shift negative ageist attitudes through providing spaces for intergenerational interaction.  This research portfolio is a critique of current community architecture typologies such as the community centre and public space, to investigate ways these typologies could be redefined and altered to play a key role in countering the negative effects of age-segregation.</p>

2021 ◽  
Author(s):  
◽  
Pearl James

<p>Our elderly population is increasing and people are living longer. Healthcare advancements mean that illnesses are more controlled and people do not die as young.   Due to our age-segregated society, the issue of elderly social isolation is at an all time high. Retirement villages are, for the most part, gated communities, isolated away from the rest of the younger population and wider community. The generation gap between young and older continues to broaden and issues such as elderly neglect, loneliness, financial abuse and other mental-health related problems are becoming more common.  This research finds that many suburban community facilities often neglect the needs of this growing senior demographic. The site at 245 Karori Road, Karori, is used to test and challenge the norms of current suburban community architecture typologies for social inclusiveness.  The site is tested in three iterative stages led by an interdisciplinary literature review to address this overarching problem of age-segregation in suburban communities. A major focus in this research is to target the suburb’s youngest and oldest members to shift negative ageist attitudes through providing spaces for intergenerational interaction.  This research portfolio is a critique of current community architecture typologies such as the community centre and public space, to investigate ways these typologies could be redefined and altered to play a key role in countering the negative effects of age-segregation.</p>


2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii1-iii16
Author(s):  
Olwen Kennedy ◽  
Pauline Boland

Abstract Background Intergenerational interaction is the communication which occurs between people from two or more generations and known benefits include improved psychological wellbeing and decreased social isolation. Intergenerational programs therefore have the potential to decrease risk of loneliness for older people. Public spaces are accessible and open for use to all people, irrespective of age or ability, and are therefore an important environment to consider for intergenerational interaction development. The aim of this review was to identify factors which impact non-familial intergenerational interaction within public spaces. Methods An integrative review of qualitative and quantitative peer reviewed literature was completed, from inception through January 2019. Academic Search Complete, Avery Index to Architectural Periodicals, CINAHL, Science Direct, SCOPUS, Social Sciences Citation Index and Web of Science were searched. The search yielded 488 articles, 16 of which were included. Research studies were critically appraised using the Crowe Critical Appraisal Tool and key data were extracted and synthesised to identify the factors which impact non-familial intergenerational interactions in public spaces, through a method of constant comparison analysis. Results Three key themes were identified: ‘Comparing naturally occurring non-familial intergenerational interactions with structured intergenerational programs’; ‘Barriers to non-familial intergenerational interactions in public spaces’ and ‘Successful non-familial intergenerational interaction achieved through shared activity’. Conclusion The findings highlighted that structured intergenerational programs have a greater chance of facilitating positive intergenerational interaction, as the presence of a group facilitator directly enabled non-familial intergenerational interactions. Successful non-familial intergenerational interactions were achieved through shared experiences of fun and meaningful activities. Barriers to non-familial intergenerational interaction in public space included lack of opportunities, negative attitudes held of different generations, age stereotypes and age segregation. Older people have the potential to benefit most from non-familial intergenerational interaction, due to increased risk of loneliness and high participation rates in non-familial intergenerational interactions in public spaces.


2021 ◽  
Author(s):  
Moreno-Sánchez Luisa Valentina ◽  
Angela María Muñoz-Uscátegui ◽  
Luis Miguel Rodríguez-Hortúa ◽  
Francisco Palencia-Sánchez

Health education is one of the most important strategies when addressing the needs of the population in terms of health, an example that reveals this is the case of the educational strategies implemented in the population of pig farmers of Restrepo-Valle del Cauca to mitigate negative effects in terms of public health, particularly in occupational and environmental health related to zoonotic diseases. It is important to recognize that the evaluation of the interventions carried out in this regard must be made within the educational process, which is why the current work focused on evaluating the response of this population of workers with the health education strategies taught in the region in 2018. From a complimentary review of the literature and adaptation and implementation of an interview proposal, for a qualitative and quantitative evaluation of these educational interventions. After the application of the population interviews, it was found that less than half of the population in the database answered the telephone calls, which somewhat limited the generalization of the results from a quantitative data perspective; However, based on the information provided, a qualitative analysis was carried out that allows an idea of how the educational intervention could modify the behaviors of this population group based on One Health approach.


Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Rie Sato ◽  
Takashi Hisamatsu ◽  
Hideki Tsumura ◽  
Mari Fukuda ◽  
Yukio Esumi ◽  
...  

Introduction: Drinking alcohol before sleeping (Ne-Zake) or in the morning (Mukae-Zake) is occasionally seen in Japan although it is well known that drinking alcohol have some negative effects on sleep. There have been studies which indicated that alcohol worsen sleep quality and quantity however few which investigated how alcohol before sleeping and no which noticed on how alcohol in the morning affects. The purpose of this study is to verify the relationship between Ne-Zake and/or Mukae-Zake and insomnia adjusting the influence of quality and frequency of drinking on the relationship. Hypothesis: We assessed the hypothesis that there is a significant association between Ne-Zake and/or Mukae-Zake and sleeplessness but this association can be confounded by quality and frequency of drinking. Method: Seven hundred and forty-six farmers who underwent annual medical checkups were analyzed. Ne-Zake was defined as “drinking as a sleeping aid” and Mukae-Zake was defined as “drinking in order to get calm down or to fix hungover”. Athene Insomnia Scale (AIS) was used to evaluate objective sleeplessness. AIS consists of 8 questions, which were evaluated from 0 (no sleeplessness) to 3 points (severe sleeplessness), asking the sleeping status in the previous 2 weeks. Insomnia was defined by AIS point more than 6. We conducted the multivariable logistic analysis, setting the presence of insomnia as a dependent variable and the presence of Ne-Zake and Mukae-Zake, quantity of alcohol at one time, frequency of drinking, sleeping related diseases (sleep apnea syndrome, restless leg syndrome, narcolepsy, limb movement disorder, depression), gender, and age as independent variables. Results: Among a total of 746 farmers (mean age 59.5 years; 74.1% men), insomnia, Ne-Zake, and Mukae-Zake were observed in 151 (20.2%), 140 (18.8%) and 37 (5.0%), respectively. Adjusted odds ratios (95% Confidence Intervals) of Ne-Zake and Mukae-Zake were 1.75 (1.07-2.88) and 3.01 (1.41-6.42). The association of Ne-Zake was consistent between men and women but that of Mukae-Zake was stronger in men than in women. (P-values for interaction = 0.98 and 0.03, respectively). Conclusion: Both Ne-Zake and Mukae-Zake had statistically positive significant association with insomnia independent of quantity and frequency of drinking. It may indicate that the timing of drinking alcohol has a stronger relationship with insomnia than quantity and frequency of drinking does. The feature of farmers’ lives in which they can decide their life style might give more opportunities to have Ne-Zake and/or Mukae-Zake than groups with well-scheduled working environment. This result can be utilized to improve farmers’ further physical and psychological health related to alcohol by encouraging to pay attention to not only the quantity or frequency of alcohol drinking but also the timing in a day.


Author(s):  
Mahdieh Motamedi ◽  
Reza Vaezi ◽  
Seyed Mehdi Alvani ◽  
Davood Danesh Jafari

Nowadays, the field of healthcare is facing difficult issues in a way that both public and private sectors are fully aware of their inability to address emerging public health-related issues without the help of the other sector. Accordingly, public-private partnerships are put on the agenda in policy-related issues as a mechanism of cooperation between the public and private sectors to take into account the interests of both parties in the related contracts .From the late of 2019, the world is struggling with a new virus called the coronavirus, which has already cost a lot to the health sector. The partnership between the government and the private sector is very important to get through the corona period since the government alone cannot be responsible for the negative effects of the virus in the field of health. Considering the successes and failures of countries in the implementation of partnership models, a question arises as to how such partnerships for health development strategies can be attractive and effective in developing Islamic countries. In addition to the review of theoretical foundations of the subject and examining the development process of public-private partnerships, the study emphasizes the use of the third sector capacities. It further reviews the endowments and charitable affairs in the framework of multi-sectoral partnerships to develop health in the community with all available potentiality. The theoretical framework of the research includes the four steps of policy-making in the country, creating common perspectives among stakeholders, ensuring key success factors in the project, and reviewing the achievements of participation are considered. These policies are described after classifying and reconstructing the components in the research literature.


2018 ◽  
Vol 13 (1) ◽  
pp. 225-238 ◽  
Author(s):  
Muhammet Ruhat Yasar ◽  
Zeynel Amac

Summary The Syrian civil war affected Turkey so much that approximately three and a half million Syrians live in Turkey. Ministry of Education implemented an inclusive approach to schooling of Syrian asylum-seekers’ children by educating them in public schools with their Turkish peers in the same classrooms in 2016 in order to address their educational needs, integration into the Turkish culture, and to prevent generation gap. Education, as a basic human right and as a way of integration into the Turkish society, is provided for free at all levels of education in Turkey. The inclusion of Syrian students in the Turkish school environment is quite a new experience for Turkish teachers and if the inclusion process is not managed properly, it may have negative effects on both students and their teachers. The purpose of this phenomenological study was to explore the experiences of teachers teaching Syrian students in the city of Kilis, where the number of asylum-seekers outnumbered the local population and almost one-fifth of the students in public schools are Syrians. The guiding question of this research was “What are the lived experiences of primary and middle school teachers educating Syrian children in culturally inclusive classrooms?” Five teachers from four different primary and middle schools were interviewed. The six open-ended interview questions allowed the participants to reflect on their experiences. The data were collected during the spring semester of 2017. The interviews were analyzed according to thematic methods. Three themes emerged: language barrier, lack of family support, and teachers’ lack of pedagogical skills to teach asylum-seeker students.


2021 ◽  
Author(s):  
◽  
Divyesh Bhaven

<p>This thesis explores the potential large public architecture offers for efficient transformation into a relief station in post-disaster situations. The increase in catastrophic disasters globally has demonstrated a widespread lack of preparedness in these situations. There is a shortage of safe, comfortable, and self-sufficient hubs for coordinating relief activity, for sheltering temporarily and providing emergency care to disaster victims, and relief personnel.  Disaster relief generally involves the urgent dispatching of medical supplies, food, water, blankets, sanitation systems, temporary shelters, and relief personnel to affected locations. Following the recent devastating spate of earthquakes and flood disasters in New Zealand makeshift relief centres were set up in public parks, schools, and community facilities to house displaced victims. These were set up to function as efficient relief stations. The facilities also depend heavily on deployed relief supplies and the public for donations and support. In addition, these relief hubs are quickly overwhelmed and in adverse weather conditions, they are inadequate for providing warm, dry, hygienic, and safe environments for sheltering large numbers of people including the injured and the sick.  This thesis explores how an airport may be designed for a dual purpose and the feasibility and complexity of planning and designing public space for transformation into a disaster relief station.</p>


2018 ◽  
Vol 69 (11) ◽  
pp. 3115-3117
Author(s):  
Madalina Bicheru ◽  
Cristina Teodora Preoteasa ◽  
Andreea Zamfirescu ◽  
Ana Capisizu ◽  
Marina Melescanu Imre ◽  
...  

To assess polypharmacy (i.e., multiple medication use, as synthetic chemical products) and its relationship to general, systemic health and oral health factors in adults over 50 years old. A cross-sectional study was conducted on a convenience sample of adult patients recruited from two medical centers from Bucharest, i.e. from the Clinic of Dental Prosthetics, Carol Davila University of Medicine and Pharmacy, and from Saint Luca Hospital for Chronic Diseases. Study sample included 126 patients, that used a mean of 5.2 drugs. Almost half of patients (43.65%) used more than five prescribed medications. There was a tendency to use a greater number of medications in the case of patients that were hospitalized at Saint Luca Hospital, were less educated, had a lower income, had a greater number of comorbidities, had untreated edentulism in both jaws, were unfrequently wearing removable prosthesis and were using denture adhesives. Both positive and negative effects of polypharmacy should be considered in mutimorbidity patients when establishing prescription medications, along with general and oral factors that may influence treatment conduct and outcome.


2021 ◽  
Vol 33 ◽  
pp. 95-98
Author(s):  
Alessandro Capitanini

Introduction: Healthcare workers represent a population that is well analysed by health studies: since 1976, the Nurses’ Health Study has been examining American nurses for health-related risks and is currently recruiting its third cohort. The survey models used are predominantly biomedical, i.e. based on the disease-healing scheme which focuses on purely biological factors with little or no assessment of psychological, behavioural and environmental aspects. The biopsychosocial assessment model, in its multifaceted nature, is probably more suitable for assessing occupational distress as a progressive cause of health worker burnout. It attributes the outcome of illness, as well as that of health, to the numerous, complex interactions of biological, psychological and social factors. In this work, we decided to evaluate the lifestyle and habits of a homogeneous population of nurses, all belonging to an Operative Unit of Nephrology (Pistoia). Methods: We decided to use unconventional instruments: a “selfie” questionnaire on habits, constructed with scientifically validated items, aimed at the self-assessment of habits, scientifically recognised as determinants of health (nutritional, behavioural, relational, physiological...), correlating it with the analysis of the receipts of the weekly shopping of the family unit of the nurse in the study, according to the principle that “we eat what we buy”. Results and conclusion: Nurses evaluated in the study showed a frequent unhealthy lifestyle which can have negative effects on their health, on their family and, consequently, on their work environment. Questionnaire and focus group discussions were appreciated and potentially useful and effective in changing bad habits.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 978-979
Author(s):  
Patricia Chilton ◽  
Cindy Woolverton ◽  
Elizabeth Glisky ◽  
Matthias Mehl ◽  
Matthew Grilli

Abstract According to the theory of generativity, one would expect older adults to inherently feature life lessons in naturalistic conversations with younger adults. Little though, is known about the process of these conversations, and to what extent they convey wisdom characteristics. In this project, intergenerational conversations between university students and older adults living in assisted and independent living communities were analyzed to identify life lessons within older adults’ informal life reviews. In the original study, 37 young and 52 older adults engaged in an intergenerational interaction as part of an undergraduate course. These conversations were recorded with participants’ consent, and transcribed with identifying information removed. For the current project, we analyzed 15 of these recorded conversations, averaging 46 minutes each between 10 students and 5 older adults to (1) develop a coding scheme and procedure to examine life lessons in intergenerational conversations, and (2) investigate whether wisdom characteristics are embedded into life lessons shared in this context. On average, each older adult referenced 4 life lessons (SD = 2) per conversation, which were coded for the following constructs: meaning making, personal growth, emotional valence, wisdom characteristics, life lesson type, and autobiographical memory type. Exploratory analyses suggest life lessons are inherently integrated into naturalistic intergenerational conversations, and that reflectivity is the most frequently expressed wisdom characteristic. This supports previous research identifying reflectivity as key to wisdom, and to the process of generativity. Further analysis is needed to illuminate the value of intergenerational conversations, particularly in a time of age segregation and ageism.


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