scholarly journals Moving residence in later life: actively shaping place and wellbeing

2021 ◽  
Author(s):  
Manik Gopinath ◽  
Vikki Entwistle ◽  
Tim Kelly ◽  
Barbara Illsley
Keyword(s):  
At Risk ◽  
Older People ◽  
Capability Approach ◽  
Late Life ◽  
Later Life ◽  
Well Being ◽  
Policy Discourse ◽  
Ageing In Place ◽  
Residential Settings

Policy discourse favours the idea of “ageing in place” but many older people move home and into different kinds of residential settings. This article extends the understanding of how relocation can promote as well as diminish older people’s well-being. Using relational understandings of place and capabilities (people’s freedoms and opportunities to be and to do what they value) we explored well-being across the relocation trajectories of 21 people aged 65–91 years living in diverse residential settings in Scotland. We found that a diverse array of capabilities mattered for well-being and that relocation was often motivated by concerns to secure “at-risk” capabilities for valued activities and relationships. Moving residence impacted several other capabilities, in addition to these, both, positively and negatively. We suggest that a capability approach offers a valuable lens for understanding and supporting well-being through behavioural models of late-life relocation.

scholarly journals Loneliness as a Biographical Disruption—Theoretical Implications for Understanding Changes in Loneliness

2020 ◽  
Vol 75 (9) ◽  
pp. 2029-2039
Author(s):  
Deborah J Morgan ◽  
Vanessa Burholt
Keyword(s):  
Risk Factors ◽  
Social Network ◽  
Older People ◽  
Later Life ◽  
Well Being ◽  
Narrative Interviews ◽  
Biographical Disruption ◽  
Stability And Change ◽  
Life Study ◽  
Over Time

Abstract Objectives While a great deal is known about the risk factors that increase vulnerability to loneliness in later life, little research has explored stability and change in levels of loneliness. Methods Narrative interviews were conducted with 11 participants who were identified as being lonely during Wave 1 of the Maintaining Function and Well-being in Later Life Study Wales (CFAS Wales). The interviews were used to explore stability and change in levels of loneliness from the perspective of older people themselves. The interviews focused on participant’s perspectives of the events that triggered loneliness, stability, and change in levels of loneliness over time as well as participant’s responses to loneliness. Results The findings show that participants experienced losses and loneliness as biographical disruption. How participants and their wider social network responded to these losses had implications for the individual’s trajectory through loneliness. Discussion Drawing on a biographical lens, the study reframed the events that triggered loneliness as disruptive events. This article discusses the utility of biographical disruption in understanding stability and change in loneliness. The findings suggest how drawing on valued identities may help lonely adults transition out of loneliness.

scholarly journals Personality disorders in later life: epidemiology, presentation and management

2020 ◽  
Vol 26 (4) ◽  
pp. 208-218
Author(s):  
Ayesha Bangash
Keyword(s):  
Older Adults ◽  
Personality Disorder ◽  
Older People ◽  
Medical Care ◽  
Personality Disorders ◽  
Late Life ◽  
Later Life ◽  
Enormous Amount ◽  
Expected Increase ◽  
Growing Population

SUMMARYDespite the enormous amount of literature on medical care of older people, personality disorders in late life have been given little attention. Clinicians tend not to assign this diagnosis to older adults in view of limited research into, and therefore limited awareness of, this topic. This article aims to promote better understanding of this subject in view of the growing population of older people and hence an expected increase in the number of personality disorder cases.

The gendered impact of the National Pension Scheme on late-life economic well-being: evidence from the Korean retirement and income study

2017 ◽  
Vol 18 (1) ◽  
pp. 3-19 ◽  
Author(s):  
Seung-Min Park
Keyword(s):  
Older People ◽  
Labour Market ◽  
Later Life ◽  
Well Being ◽  
Policy Option ◽  
Pension Scheme ◽  
Third Wave ◽  
Content Type ◽  
South Korean ◽  
Economic Well Being

Purpose The purpose of this paper is to analyse the effect of the National Pension Scheme (NPS) on the economic well-being of older people in South Korea. Design/methodology/approach It analyses older people aged 60 and over sampled from the third wave of the Korean retirement and income study. Findings The analysis shows a gendered effect. The NPS is positively associated with the economic well-being of only older men. This gendered impact is probably attributable to the inherent patriarchal structure of the NPS that is based on the strong male bread-winner model. Originality/value The results suggest that promoting the female labour market participation, and also reforming the gender structure of the NPS and South Korean labour market, can be a potential policy option to amend gendered economic well-being in later life.

scholarly journals Water, Sanitation and the Risk of Chronic Conditions among Older Persons in Ghana: Results from the WHO Study on Global AGEing and adult health (SAGE) Wave 2

2020 ◽  
Author(s):  
Razak M Gyasi ◽  
Shiellah N. Simiyu ◽  
Moussa Bagayoko
Keyword(s):  
Older People ◽  
Chronic Conditions ◽  
Later Life ◽  
Well Being ◽  
Adult Health ◽  
Significant Interaction Effect ◽  
Water And Sanitation ◽  
Logistic Regression Models ◽  
Sanitation Services ◽  
Global Ageing

Abstract Objective Water and sanitation have been related to the health of populations, yet, the effects of these factors on the occurrence of chronic conditions (CC) in later life have been least explored. This study examines the association of CC with water and sanitation among older Ghanaians and whether the associations are moderated by gender and residence. Methods Data from the WHO-SAGE Wave 2 comprising of 4735 adults aged ≥ 50 years were analyzed in this study. The primary outcome was CC and the exposures included sources of water, sanitation facilities and the sharing of sanitation facilities. Generalized logistic regression models estimated the effects of water and sanitation indicators on the occurrence of CC. Results Overall, 18.8% of the sample reported at least one CC. Compared to men and rural residents, women and urban residents respectively were more likely to report CC (p < 0.001). After full adjustments, logistic regressions showed that the use of unimproved sanitation (OR = 1.732, CI: 1.377–5.418) and sharing of sanitation facilities (OR = 1.624, CI: 1.095–1.320) were associated with higher odds of CC. However, the use of water did not reach significance (p = 0.125). We found a significant interaction effect for type of toilet × gender (OR = 3.498, CI: 1.744–16.442), source of water × residence (OR = 5.935, CI: 1.320-26.685) and type of toilet × residence (OR = 1.998, CI: 1.462–8.642). Conclusions The use of unimproved sanitation facilities and the sharing of sanitation facilities are associated with the occurrence of CC among older people. Policy and public health interventions targeted at improving the health and well-being of older people should conspicuously include improving access to sanitation services.

The effect of ageing on personality

2013 ◽  
Author(s):  
Bob Woods ◽  
Gill Windle
Keyword(s):  
Social Networks ◽  
Older People ◽  
Perceived Control ◽  
Rank Order ◽  
Later Life ◽  
Well Being ◽  
Self Esteem ◽  
Personality Change ◽  
Ways Of Coping ◽  
Stable Development

Ageing and personality interact. Whilst experiences that may be associated with age, including changes in roles and social networks, losses and health challenges, may require adaptation of aspects of personality, personality across the life-span fundamentally influences how ageing is experienced. There are indications that extraversion, conscientiousness and openness show reduced levels in later life, but people’s rank order on personality traits remains stable. Development continues into later life, but builds on earlier experiences and ways of coping. Personality resources such as self-esteem, perceived control, self-efficacy and resilience shape the person’s response to adversity in later life, enabling older people to maintain high levels of well-being, despite the challenges. Dementia, the ultimate challenge, is accompanied by personality change, with raised neuroticism and lowered conscientiousness both predicting its onset and accompanying its course. Pre-morbid personality does also appear to have some influence on behavioural problems experienced.

scholarly journals Management of depression and referral of older people to psychological therapies: a systematic review of qualitative studies

2019 ◽  
Vol 69 (680) ◽  
pp. e171-e181 ◽  
Author(s):  
Rachael Frost ◽  
Angela Beattie ◽  
Cini Bhanu ◽  
Kate Walters ◽  
Yoav Ben-Shlomo
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Older People ◽  
Functional Decline ◽  
Late Life ◽  
Later Life ◽  
Healthcare Services ◽  
Qualitative Studies ◽  
Late Life Depression ◽  
Psychological Therapies

BackgroundDepressive symptoms are common in later life and increase both the risk of functional and cognitive decline and the use of healthcare services. Despite older people expressing preferences for talking therapies, they are less likely to be referred than younger adults, particularly when aged ≥80 years.AimTo explore how healthcare professionals (HCPs) manage older people in relation to depression and referrals to psychological therapies.Design and settingSystematic review and thematic synthesis of qualitative studies.MethodMEDLINE, Embase, PsycINFO, CINAHL, and the Social Sciences Citation Index (inception–March 2018) were searched for studies exploring HCPs’ views regarding management of late-life depression across all settings. Studies of older people’s views or depression management across all ages were excluded.ResultsIn total, 27 studies, were included; these predominantly focused on the views of GPs and primary and community care nurses. Many HCPs felt that late-life depression was mainly attributable to social isolation and functional decline, but treatments appropriate for this were limited. Clinicians perceived depression to have associated stigma for older adults, which required time to negotiate. Limited time in consultations and the complexity of needs in later life meant physical health was often prioritised over mental health, particularly in people with frailty. Good management of late-life depression appeared to depend more on the skills and interest of individual GPs and nurses than on any structured approach.ConclusionMental ill health needs to be a more-prominent concern in the care of older adults, with greater provision of psychological services tailored to later life. This may facilitate future identification and management of depression.

Housing suitable for an ageing population

2016 ◽  
Vol 20 (4) ◽  
pp. 204-208 ◽  
Author(s):  
Angela Morrison
Keyword(s):  
Older People ◽  
Design Methodology ◽  
Later Life ◽  
Well Being ◽  
Ageing Population ◽  
Housing Crisis ◽  
Content Type ◽  
Age In Place ◽  
Family House ◽  
Health And Well Being

Purpose The older population is growing but there is too little housing being built and very little suits their needs. The purpose of this paper is to describe what is on offer now and looks at the viability of the chalet bungalow as a desirable, affordable option which could attract older people to downsize from a family house. Design/methodology/approach This is a viewpoint piece. Findings An age-friendly dwelling is one where all types of people can age in place. Traditionally the bungalow fulfilled this niche however as more pressure is put on land and its value the style has gone out of favour. Whereas at the top end of the market developers are offering large cottages with a reception room that can be used as a ground floor bedroom the less well off owner occupier is not catered for until they need care. The dwindling supply of suitable properties has led to older people feeling trapped in homes too big for their needs at a time when there is a chronic shortage of family houses. This leads to poor health and well-being and a later life move into expensive housing with care. Originality/value Mainstream developers have avoided building bungalows because single storey dwellings are “land hungry”. This paper reviews a chalet bungalow solution which can be built to a greater density and is of a size and style that is age friendly, future proof and affordable. This message if more widely disseminated could help solve the housing crisis.

The Prevalence of Late-Lifedepression and Physicians’ Attitude Toward it in Primary Care Settings of China

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
S. Chen
Keyword(s):  
Primary Care ◽  
Clinical Practice ◽  
Older People ◽  
Primary Care Physicians ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Late Life ◽  
Well Being ◽  
Late Life Depression ◽  
Primary Care Settings

Late-life depression is associated with physical and psychological comorbidity, functional and cognitive impairment, and increased mortality due to suicide and other causes. However, studies in the west show that the identification of depression in older people is problematic and consequently the illness is underdiagnosed and undertreated. We investigated the prevalence of late-life depression and physicians’ attitude toward it in primary care settings of China.The survey was performed in urban primary care settings of Hangzhou, China. 1000 patients aged ≥ 55 years and 300 primary care physicians were recruited, of which 689 patients and 247 physicians provided complete data. The Geriatric Depression Scale (GDS-30) was used for investigating the prevalence of late-life depression in patients, and the Depression Attitude Questionnaire (DAQ) for investigating physicians’ attitudes and knowledge about depression.Of the 689 patients, 23.4% (n=161) scored ≥ 11 on the GDS-30, including 3% (n=21) who scored ≥ 21. Among the physicians, 72% (n=178) endorsed that “Becoming depressed is a natural part of being old”, and 70% (n=173) of them thought “Working with depressed patients is heavy going”; in their clinical practice. Only 6.6% of physicians prescribed anti-depressants.Primary care physicians in China are ill prepared to diagnose and treat depression in older adults, which presents at high rates in primary care clinics. How to improve their attitudes and clinical practice is crucial to the well-being of older people in China.

scholarly journals Frailty, depression, and anxiety in later life

2012 ◽  
Vol 24 (8) ◽  
pp. 1265-1274 ◽  
Author(s):  
Aine M. Ní Mhaoláin ◽  
Chie Wei Fan ◽  
Roman Romero-Ortuno ◽  
Lisa Cogan ◽  
Clodagh Cunningham ◽  
...  
Keyword(s):  
At Risk ◽  
Older People ◽  
Depression Scale ◽  
Later Life ◽  
Anxiety Symptoms ◽  
Community Dwelling ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Increased Risk ◽  
Clinically Significant

ABSTRACTBackground: Anxiety and depression are common in older people but are often missed; to improve detection we must focus on those elderly people at risk. Frailty is a geriatric syndrome inferring increased risk of poor outcomes. Our objective was to explore the relationship between frailty and clinically significant anxiety and depression in later life.Methods: This study had a cross-sectional design and involved the assessment of 567 community-dwelling people aged ≥60 years recruited from the Technology Research for Independent Living (TRIL) Clinic, Dublin. Frailty was measured using the Fried biological syndrome model; depressive symptoms were assessed using the Center for Epidemiological Studies Depression Scale; and anxiety symptoms measured using the Hospital Anxiety and Depression Scale.Results: Higher depression and anxiety scores were identified in both pre-frail and frail groups compared to robust elders (three-way factorial ANOVA, p ≤0.0001). In a logistic regression model the odds ratio for frailty showed a significantly higher likelihood of clinically meaningful depressive and anxiety symptoms even controlling for age, gender and a history of depression or anxiety requiring pharmacotherapy (OR = 4.3; 95% CI 1.5, 11.9; p = 0.005; OR = 4.36; 95% CI 1.4, 13.8; p = 0.013 respectively).Conclusions: Our findings suggest that even at the earliest stage of pre-frailty, there is an association with increased symptoms of emotional distress; once frailty develops there is a higher likelihood of clinically significant depression and anxiety. Frailty may be relevant in identifying older people at risk of deteriorating mental health.

scholarly journals Shelter/housing options, supports and interventions for older people experiencing homelessness

2021 ◽  
pp. 1-27
Author(s):  
Sarah L. Canham ◽  
Joe Humphries ◽  
Piper Moore ◽  
Victoria Burns ◽  
Atiya Mahmood
Keyword(s):  
Older People ◽  
English Language ◽  
Later Life ◽  
Supported Housing ◽  
Empirical Literature ◽  
Future Research ◽  
Term Care ◽  
Ageing In Place ◽  
Individual Level ◽  
Housing Options

Abstract While experiences of later-life homelessness are known to vary, classification of shelter, housing and service models that meet the diverse needs of older people with experiences of homelessness (OPEH) are limited. To address this gap, a scoping review was conducted of shelter/housing options, supports and interventions for OPEH. Fourteen databases were searched for English-language peer-reviewed and/or empirical literature published between 1999 and 2019, resulting in the inclusion of 22 sources. Through a collaborative, iterative process of reading, discussing and coding, data extracted from the studies were organised into six models: (1) long-term care, (2) permanent supportive housing (PSH), including PSH delivered through Housing First, (3) supported housing, (4) transitional housing, (5) emergency shelter settings with health and social supports, and (6) case management and outreach. Programme descriptions and OPEH outcomes are described and contribute to our understanding that multiple shelter/housing options are needed to support diverse OPEH. The categorised models are considered alongside existing ‘ageing in place’ research, which largely focuses on older adults who are housed. Through extending discussions of ageing in the ‘right’ place to diverse OPEH, additional considerations are offered. Future research should explore distinct sub-populations of OPEH and how individual-level supports for ageing in place must attend to mezzo- and macro-level systems and policies.

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