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Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.
As the largest generation in U.S. history - the population born in the two decades immediately following World War II - enters the age of risk for cognitive impairment, growing numbers of people will experience dementia (including Alzheimer's disease and related dementias). By one estimate, nearly 14 million people in the United States will be living with dementia by 2060. Like other hardships, the experience of living with dementia can bring unexpected moments of intimacy, growth, and compassion, but these diseases also affect people's capacity to work and carry out other activities and alter their relationships with loved ones, friends, and coworkers. Those who live with and care for individuals experiencing these diseases face challenges that include physical and emotional stress, difficult changes and losses in their relationships with life partners, loss of income, and interrupted connections to other activities and friends. From a societal perspective, these diseases place substantial demands on communities and on the institutions and government entities that support people living with dementia and their families, including the health care system, the providers of direct care, and others. Nevertheless, research in the social and behavioral sciences points to possibilities for preventing or slowing the development of dementia and for substantially reducing its social and economic impacts. At the request of the National Institute on Aging of the U.S. Department of Health and Human Services, Reducing the Impact of Dementia in America assesses the contributions of research in the social and behavioral sciences and identifies a research agenda for the coming decade. This report offers a blueprint for the next decade of behavioral and social science research to reduce the negative impact of dementia for America's diverse population. Reducing the Impact of Dementia in America calls for research that addresses the causes and solutions for disparities in both developing dementia and receiving adequate treatment and support. It calls for research that sets goals meaningful not just for scientists but for people living with dementia and those who support them as well. By 2030, an estimated 8.5 million Americans will have Alzheimer's disease and many more will have other forms of dementia. Through identifying priorities social and behavioral science research and recommending ways in which they can be pursued in a coordinated fashion, Reducing the Impact of Dementia in America will help produce research that improves the lives of all those affected by dementia.
Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.
The first UK assessment of environmental gerontology, this book contextualises personal experience of ageing, considers the value of intergenerational and age-related living and global to local population ageing concerns in light of COVID-19.
This state-of-the-art handbook will keep researchers and practitioners in gerontology abreast of the newest theories and models of aging. With virtually all new contributors and content, this edition contains 35 chapters by the most highly respected luminaries in the field. It addresses theories and concepts built on cumulative knowledge in four disciplinary areas- biology, psychology, social sciences, and policy and practice- as well as landmark advances in trans-disciplinary science. With its explicit focus on theory, the handbook is unique in providing essential knowledge about primary explanations for aging, spanning from cells to societies. The chapters in the third edition place a strong emphasis on the future of theory development, assessing the current state of theories and providing a roadmap for how theory can shape research, and vice versa, in years to come. Many chapters also address connections between theories and policy or practice. Each set of authors has been asked to consider how theories in their area address matters of diversity and inequalities in aging, and how theories might be revised or tested with these matters in mind. The third edition also contains a new section, "Standing on the Shoulders of Giants," which includes personal essays by senior gerontologists who share their perspectives on the history of ideas in their fields, and on their experiences with the process and prospects of developing good theory. Hallmarks of the Third Edition: Highlights important gains in trans-disciplinary theories of aging Emphasizes the future of theory development Provides insights on theory development from living legends in gerontology Examines what human diversity and inequality mean for aging theories Emphasizes interconnections between theory, research, intervention, and policy Underscores international issues with greater representation of international authors Includes section introductions by the editors and associate editors that summarize theoretical developments Key Features: Highlights variability and diversity in aging processes, from the cellular level of biological aging to the societal level of public policy Provides insights on theory development from living legends in gerontology Offers intergenerational, interdisciplinary, and international perspectives Disseminates a forward-thinking, future-oriented focus in theory development
This book presents a unique geographical perspective on issues of transport and mobility for ageing populations. Society is ageing across the globe. As well as living longer, older people are fitter, healthier and more active than previous generations were. There is both a desire and a need to be mobile in later life and mobility is clearly linked to older people’s health and wellbeing. Yet mobility can be hard for older people and we don’t always design our neighbourhoods, towns, cities and villages in an age friendly way. With case studies from across the globe, authors take a geographical lens to the important topic of transport and mobility in later life. Chapters examine how the relationships between mobility, modes of transport, place and technologies affect an aging population. This collection will be of interest to scholars and students in human geography, in particular those with interests in transport geography, mobilities, geographies of health and wellbeing, urban geographies and geographical gerontology. It will also appeal to practitioners and policy makers in urban design and planning, transport planning and engineering and public health who have interests in age-friendly cities and policy.
Sixteen chapters by scholars of social work relate the well-being of older adults to social work practice and the current model of service delivery. Chapters concentrate on issues affecting the health of older adults (depression, dementia, abuse), services to specific populations (African American women, grandparents raising grandchildren, the developmentally disabled), and professional issues (home care, case management, standardized assessment). The implications for training, research, and policy are highlighted. Annotation (c)2003 Book News, Inc., Portland, OR (booknews.com).
This book highlights international efforts to better understand the role of individual differences in healthy aging by exploring new directions, methods, and questions within the field. The book considers how to measure personality and personality change during adulthood, the associations between personality and healthy aging outcomes over time, and the role of personality in building interventions to promote healthy aging. The first section considers the value of personality constructs for healthy aging outcomes beyond the broad Big Five personality dimensions. It discusses the role of attachment, purpose, and affect, and also touches on the issue of psychopathology. The second section presents innovative assessment methods, research designs beyond classical longitudinal approaches, as well as sophisticated and integrative techniques for analyzing personality change processes. The third section raises new important questions, such as how interventionists from non-personality domains can incorporate personality processes in their intervention programs. It also discusses how different domains of individual functioning may interact in concert to predict healthy aging outcomes, as well as how more integrative lifespan models of healthy aging may advance research on personality and healthy aging. Overall, this book will spark interest and chart new directions for researchers, practitioners and interventionists in healthy aging, gerontology and applied fields.