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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.
This volume reflects the emergence of ageing as a global concern, including chapters by international scholars from Asia, Australasia, Europe and North America. It provides a comprehensive overview of key trends and issues in the field, drawing upon the full range of social science disciplines. The Handbook is organized into five parts, each exploring different aspects of research into social aspects of ageing: * Disciplinary overviews: summaries of findings from key disciplinary areas within social gerontology * Social relationships and social differences: topics include: social inequality, gender and ageing, the role of religion, inter-generational ties, social networks, and friendships in later life. * Individual characteristics and change in later life: chapters in this section examine different aspects of individual aging, including self and identity, cognitive processes, and biosocial interactions and their impact on physical and psychological aging. * Comparative perspectives and cultural innovations: topics in this section include: ageing and development, ageing in a global context, migration, and cross-cultural perspectives on grandparenthood. * Policy issues: The final section examines some of the main policy concerns affecting older people across the world. Topics include: developments in social policy, long-term care, technology and older people, end of life issues, work and retirement, crime and older people, and the politics of old age. This will be essential reading for all students, researchers and policy-makers concerned with the major issues influencing the lives of older people across the globe.
Presents the results of the MacArthur Foundation Study of Aging in America, which show how to maintain optimum physical and mental strength throughout later life.
The Handbook of Sociology of Aging is the most comprehensive, engaging, and up-to-date treatment of developments within the field over the past 30 years. The volume represents an indispensable source of the freshest and highest standard scholarship for scholars, policy makers, and aging professionals alike. The Handbook of Sociology of Aging contains 45 far-reaching chapters, authored by nearly 80 of the most renowned experts, on the most pressing topics related to aging today. With its recurring attention to the social forces that shape human aging, and the social consequences and policy implications of it, the contents will be of interest to everyone who cares about what aging means for individuals, families, and societies. The chapters of the Handbook of Sociology of Aging illustrate the field’s extraordinary breadth and depth, which has never before been represented in a single volume. Its contributions address topics that range from foundational matters, such as classic and contemporary theories and methods, to topics of longstanding and emergent interest, such as social diversity and inequalities, social relationships, social institutions, economies and governments, social vulnerabilities, public health, and care arrangements. The volume closes with a set of personal essays by senior scholars who share their experiences and hopes for the field, and an essay by the editors that provides a roadmap for the decade ahead. The Handbook of Sociology of Aging showcases the very best that sociology has to offer the study of human aging.
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.
"Will 69 million baby boomers suddenly drop out of the workforce when they turn 65? It is difficult to imagine this generation, with its talent, education, and experience, idling away the last thirty years of life."—From the Foreword, by Robert N. Butler, M.D., The Mount Sinai Medical Center Old age has been historically thought of as a period of frailty and dependence, yet studies show that with the help of advances in health and medicine, current populations will live longer and remain healthier than previous generations. As average life expectancies rise, traditional concepts of retirement need to be reconsidered on all levels—from government policy to business practice to individual life planning. In this volume, leaders in the field of gerontology explore these changing conditions through the concept of "productive aging," which has been developed by leaders in the field to promote older adults' contributions to society in social and economic capacities. Productive Aging: Concepts and Challenges treats the implications of productive aging for the discipline of gerontology and for society in general. The first section defines the principles, historical perspectives, and conceptual frameworks for productive aging. The second section takes a disciplinary approach, treating the biomedical, psychological, sociological, and economic implications of a more capable older generation. The third section considers advances in theories of gerontology, and the fourth section suggests future directions in practice, theory, and research. Contributors: W. Andrew Achenbaum, University of Houston • Scott A. Bass, University of Maryland-Baltimore • Vern L. Bengtson, University of Southern California • James E. Birren, UCLA • Francis G. Caro, University of Massachusetts Boston • Carroll L. Estes, University of California-San Francisco • Marc Freedman, Civic Ventures (co-founder of Experience Corps) • James Hinterlong, Washington University • James S. Jackson, University of Michigan • Jane L. Mahakian, Pacific Senior Services • Harry R. Moody, Robert Wood Johnson Foundation • Nancy Morrow-Howell, Washington University • Philip Rozario, Washington University • James H. Schulz, Brandeis University • Michael Sherraden, Washington University • Alvar Svanborg, University of Illinois-Chicago and Goteburg University, Sweden • Brent A. Taylor, San Diego State University
China’s household saving rate has increased markedly since the mid-1990s and the age-savings profile has become U-shaped. We find that rising income uncertainty and pension reforms help explain both of these phenomena. Using a panel of Chinese households covering the period 1989-2006, we document that strong average income growth has been accompanied by a substantial increase in income uncertainty. Interestingly, the permanent variance of household income remains stable while it is the transitory variance that rises sharply. A calibration of a buffer-stock savings model indicates that rising savings rates among younger households are consistent with rising income uncertainty and higher saving rates among older households are consistent with a decline in the pension replacement ratio for those retiring after 1997. We conclude that rising income uncertainty and pension reforms can account for over half of the increase in the urban household savings rate in China since the mid-1990s as well as the U-shaped age-profile of savings.