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Reducing loneliness amongst older people is an international public health and policy priority, with signs of decreasing importance in the UK. A growing body of research on tackling loneliness indicates it is a complex challenge. Most interventions imply they address loneliness, when in fact they offer social connectedness to address social isolation and can inadvertently responsibilise the individual for the causes and solutions for loneliness. This article presents research that explored loneliness in an underprivileged community in South Wales through interviews and focus groups with nineteen older people and eighteen local service providers. Their perspective supports a growing body of evidence that loneliness amongst older people is driven by wider structural and socio-cultural exclusion. Interventions to build social connections will be more effective if coupled with policies that reverse the reduction in public services (including transport and healthcare), and challenge socio-cultural norms, including a culture of self-reliance and ageism.
Visual representations of aging have historically relied upon binarized clichés: idealized youthfulness versus frailty and illness. To challenge these oversimplified depictions, graduate students developed a community outreach project titled ‘Seniors of Canada’. The aim of this project was twofold: (1) share images and stories of people in later life; and (2) challenge dominant narratives and stereotypes of aging. In this note, we outline the prevailing discourse of what aging ‘looks like’, how we collected stories and images, and implications for knowledge mobilization and research in Canada. This article highlights insights gained since the inception of the project, including three key learnings: (1) Building bridges across academia and community, (2) Intergenerational connection and digital tools, and (3) The power of visual storytelling. We provide a practical overview of a successful knowledge mobilization/community outreach project and showcase the power of bridging academia and community for social change.
Recent studies provide evidence that the coverage of older people's issues in the mass media during the COVID-19 pandemic was accompanied by a (re-)emergence of negative stereotypes surrounding the question of age. However, these studies primarily relied on written materials. As visual imagery has the power to attract greater attention than words, this study set out to investigate the visual portrayal of older adults in the mass media. Via web crawling, we identified a total of 3,560 articles with keywords such as ‘older adults’ and ‘COVID-19 pandemic’ in the four most popular online news sites in Germany during the first phase of the pandemic. We applied visual content analysis to assess the frequency of a diverse set of characteristics of older adults in the cover photos of the articles in question (N = 604). Older individuals were most often depicted as physically weak, alone, professionally taken care of, passive, living at home or in a nursing home, and cognitively inactive. The images – mostly of female passing persons – were characterised by a stereotypical presentation that evokes distance to the subject by cropping out any faces. Our results reflect findings on the negative media representation of older adults as homogenously vulnerable in verbal materials during the COVID-19 pandemic in contrast to increasingly diverse representations in pre-pandemic times. This stereotypical misrepresentation of older adults can be interpreted as visual ageism, which is amplified by their visual othering. Our findings demonstrate the need for the media to reflect upon these practices as negative age stereotypes have an impact on mental health for people of all ages.
Belonging is a pervasive human need that is vital to our well-being as we age. Ageist attitudes, stereotyping, and life transitions tend to jeopardise older adults’ experiences of belonging. Although community involvement can lead to the development of social relationships that support belonging in older adulthood, little is known about how belonging is perceived and experienced by older adults. The purpose of this article is to share findings from research conducted with members of a community centre for people 50 years of age and older who shared their perceptions and experiences of belonging. Findings highlight the ways that age-related life transitions affect experiences of belonging. Findings also reveal that features of a belonging experience include feeling worthwhile, being welcomed and accepted, having opportunities for connection, and seeking to belong. We draw from these findings to suggest ways to enhance belonging for older adults.
Ageism is the stereotyping, inequity, exclusion, and discrimination of people on the basis of their age. At the same time the older population is growing rapidly—over 2 billion people will be over 60 by 2050—ageism is rampant. An astounding 80% of older adults report ageism has impacted their lives. Even more serious, many heallth professionals may assess older people incorrectly—diagnosing problems such as cognitive impairment or psychological disorders as the result of their age rather than the real culprit: too many drugs, some unsafe being prescribed; undiagnosed medical problems. 2020 Global research report of 7 million people worldwide from 45 countries showed that ageism led to worse health outcomes in 95% of the studies. Studies also document that having positive feelings about aging can add 7.5 years to your life. This chapter gives 5 action items you can do to reduce Ageism in general and in your own thinking.
Aging and Memory in the African American Community. Pregnant women exposed to high temperatures or air pollution are more likely to have children who are premature, underweight, or stillborn, and the effects hurt African American mothers and babies most. The population of those over 80 will increase 80% in the next ten years. Many older Americans who live with disabilities will not be able to pay for adequate housing, food, medicine and personal care. Many families of color are unable to pay for healthcare.
Building on the Stereotype Content Model, the present work examined the heterogeneity of the stereotypes about older people. We aimed to broaden the range of perceived predictors of competence in older people and included respect in addition to status. Seventeen subtypes were selected in a pilot study (n = 77). The main study was conducted on a French sample (n = 212) that took part in a self-reported survey. Cluster analysis showed that specific older people subtypes appear in three combinations of warmth and competence. Correlation and regression analyses showed that competition negatively predicts warmth, and that status positively predicts competence. In a substantial number of target groups, respect played a more important role than status in the perception of group competence. To sum up, this study suggests that the perceived competence of older people is not only related to perceived socio-economic status but also to the amount of respect they receive.
During the pandemic, older adults were perceived as a vulnerable group without considering their various strengths. This study explored the associations between character strengths and resilience, and verified if some of these could predict resilience during the COVID-19 pandemic. A sample of 92 participants (women = 79.1%), ≥ 70 years of age (mean = 75.6 years), completed an online version of the Values in Action Inventory of Strengths – Positively keyed (VIA-IS-P) to assess 24 character strengths (grouped under six virtues) and the Connor and Davidson Resilience Scale. Results showed that 20 of the 24 strengths correlated positively and significantly with resilience. A multiple regression analysis revealed that the virtues of courage and transcendence, as well as attitudes toward aging, uniquely predicted the level of resilience. Interventions should be developed to improve certain strengths (e.g., creativity, zest, hope, humor, and curiosity), while reducing ageism, in order to promote resilience.
Ageism has become a social problem in an aged society. This study re-examines an ageism affirmation strategy; the designs and plans for this study were pre-registered. Participants were randomly assigned to either an experimental group (in which they read an explanatory text about the stereotype embodiment theory and related empirical findings) or a control group (in which they read an irrelevant text). The hypothesis was that negative attitudes toward older adults are reduced in the experimental group compared with the control group. Bayesian analysis was used for hypothesis testing. The results showed that negative attitudes toward older adults were reduced in the experimental group. These findings contribute to the development of psychological and gerontological interventions aimed at affirming ageism. In addition, continued efforts to reduce questionable research practices and the spread of Bayesian analysis in psychological research are expected.
We consider the important roles played by creativity and emotional intelligence in enhancing the success of older persons in dealing with stressors and adaptive tasks of later life. These cognitive and interpersonal skills can maximize late life adaptations, including competent functioning in the face of chronic illnesses, social losses, and care-getting needs.
This article increases understanding of university labour processes. The antecedents and characteristics of early retirement schemes implemented by Australian universities between 2010 and 2020 were considered. Twenty-eight schemes were identified across 20 universities. Content analysis of descriptions of the schemes contained in official documents was undertaken. This revealed somewhat common justifications for the schemes, linked to concerns about organisational sustainability/resilience in the face of external threats and the implementation of modernising efforts. Such justifications appeared to be underpinned by similar ageist biases on the part of management. Despite this broad commonality, however, the schemes manifested a multifurcation of possible work-retirement pathways across institutions. Such reorganisation of labour processes, based on ageist representations that potentially place established workers in conflict with others, represents an incongruence between the market-oriented objectives of universities and areas of public policy responding to workforce ageing. It is argued that drawing momentum from emerging conceptions of sustainability and current diversity initiatives such as Athena Swan and Age Friendly Universities it may be possible to sever the link university leadership perceive between the divestment of older workers and the fulfilment of modernising agendas.
Some philosophers and segments of the public think age is relevant to healthcare priority-setting. One argument for this is based in equity: “Old” patients have had either more of a relevant good than “young” patients or enough of that good and so have weaker claims to treatment. This article first notes that some discussions of age-based priority that focus in this way on old and young patients exhibit an ambiguity between two claims: that patients classified as old should have a low priority, and that patients classified as young should have high priority. The author next argues, drawing on a problem raised by Christine Overall, that equity cannot justify giving “old” patients low priority, since there is wide variety in the total lifetime experiences of older people, partly influenced by gender, race, class, and disability injustice. Finally, the author suggests that there might be a limited role for age-based prioritization in the context of infant and childhood death, since those who die in childhood are always and uncontroversially among the worst-off.
Many ethical theorists believe that a given distribution of healthcare is morally justified only if (1) it is cost-effective and (2) it does not discriminate against older adults and disabled people. However, if (3) cost-effectiveness involves maximizing the number of quality-adjusted life-years (QALYs) added by a given unit of healthcare resource, or cost, it seems the pursuit of cost-effectiveness will inevitably discriminate against older adults and disabled patients. I show why this trilemma is harder to escape than some theorists think. We cannot avoid it by using age- or disability-weighted QALY scores, for example. I then explain why there is no sense of “discrimination” on which discrimination is both unjust, and thus something healthcare rationing must avoid, and something cost-effective healthcare rationing inevitably involves. I go on to argue that many of the reasons we have for not favoring rationing that maximizes QALYs outside the healthcare context apply in healthcare as well. Thus, claim (1) above is dubious.
L’objectif de cette étude était d’introduire un processus de traduction et de validation de l’Ambivalent Ageism Scale en français. L’Ambivalent Ageism scale (AAS) est la première échelle de mesure qui prend en compte l’âgisme bienveillant. Notre étude a suivi trois grandes étapes : la traduction, l’enquête et la validation. L’enquête transversale a été réalisée auprès d’étudiants de master en Sciences de la santé publique de la Faculté de santé publique de l’UClouvain lors de l’année académique 2019–2020 : sur 544 inscrits, 111 étudiants ont participé. L’échantillon était majoritairement composé de professionnels de la santé, avec un âge moyen de 31,47 ans (écart type = 7,48 ans). En conclusion, la version française de l’AAS est composée de douze items et est subdivisée en trois nouveaux facteurs : la surprotection (six items), l’infantilisation (quatre items) et le contrôle (deux items) auprès des personnes âgées. La nouvelle mesure de l’âgisme paternaliste (MAP) est une échelle de mesure simple et courte qui identifie des stéréotypes et des attitudes paternalistes à l’égard des personnes âgées.
Ageism is defined as stereotypes, prejudice, and discrimination towards people because of their age. Although ageism can be directed towards people of any age group, most research has focused on ageism towards older people. Ageism towards older people is known to have a significant impact on their health and wellbeing and to even result in higher healthcare costs. The present study evaluated the use of virtual embodiment (VE) to reduce self- and other-directed ageism.
Design, setting, and participants:
We randomized 80 individuals between the ages of 18 and 35 years to one of two conditions: VE as an older or a younger avatar.
Results:
No differences were found on explicit measures of ageism. Once multiple comparisons were accounted for, a nonsignificant reduction in implicit age bias following exposure to the older avatar (Cohen’s d = .75, p = .02) also was found.
Conclusions:
Past research has established the effectiveness of VE in relation to implicit measures. However, once both explicit and implicit measures are included and multiple comparisons are accounted for, neither explicit nor implicit measures of ageism show a significant effect. Given the multidimensional nature of ageism, further research is needed to establish the effectiveness of VE once multiple measures of ageism are considered.
This article examines UK newspaper coverage during the first wave of the COVID-19 pandemic March-August 2020. A qualitative framing analysis of public messaging on age in five high circulation newspapers provides a detailed account of who is deemed to be at risk of dying from COVID-19. Newspapers represent older people as most at risk, with disability as a secondary factor. Reports on who is responsible, who is at risk, and who is to blame for deaths from COVID-19 are framed as issues of public health and generational fairness, with individual responsibility occupying a prominent role. We also find two counter-frames. First, in letters to the editor, older people’s pleas for freedom are framed as a fight for their civil liberties. Second, newspapers praise 99-year-old Captain Tom Moore and frame his behaviour as a source of national pride. We identify this as positive ageism. We conclude that reporting across progressive and conservative newspapers reflects age-based stereotypes and paternalism towards older people. Public figures are represented as scapegoats or heroes, offering distraction from the less newsworthy fact that long-term under-investment in social care increased the risk of dying amongst the old and disabled during the pandemic.
Older adults have been statistically proved to be at a higher risk of getting severely infected by the coronavirus COVID-19, evoking sweeping narratives of compassionate ageism surrounding them in different discourses. By analysing the media content, scholars from different areas have alerted us about the amplified ageism aroused by the pandemic crisis. However, we are still short of empirical evidence to learn how ageism is constructed in diverse sociocultural contexts in the wake of this global pandemic crisis. This study provides the case of Hong Kong to reflect on how ageism, as a set of social inequalities, is constructed. By examining 814 articles collected from the three most popular newspapers with different political orientations in Hong Kong, this study uses quantitative and qualitative content analysis to examine how older people have been generally represented. Then it further compares how these representations have been influenced by the media's liberal or conservative preferences. Third, it examines the relationship between the political orientation of newspapers and how different forms of ageism are constructed. The findings indicate that despite the liberal or conservative inclination of the three newspapers, they portray the older population as frail, dependent and deprived not only at the biomedical level but in all aspects of life. This study also reveals that the newspapers with a populist inclination in both camps have shown more hostile attitudes in representing compassionate ageism. In contrast, liberal and conservative-leaning media affirmed the government's dominant role in taking full responsibility for caring for the older population. The findings indicate that the polarised ageism frame cannot fully explain the underpinnings of ageism and implied policy processing in different contexts.
Suicide in old age is frequently considered the result of a rational decision. Accumulation of physical illnesses, frailty, dependence on others, loss of partner and loneliness are often seen as reasons that might justify suicidal acts. Depression is an important risk factor for suicidal behaviour even at very advanced age. However, ageistic views tend to consider depression as a normal feature of the aging process; it is possible that its presence can be overestimated or perhaps generalized more than necessary by making it the scapegoat of any situation related to suicide. In fact, adopting an attitude that involves excessive simplification of problems, where everything is attributable to ‘depression’, can induce a rigid prescriptive approach, often limited to the indication of an antidepressant drug. In this way, the appreciation of the multifactorial nature of an individual’s crisis becomes too narrow and the chances of counteracting the complexities of a dangerous suicide progression too modest. From a prospect of suicide prevention, approaching a patient carefully and prudently is always to be preferred to the disposition that considers life events as inevitable as well as all reactions related to them, including the most extreme, such as suicide. This attitude can lead to a poor involvement of the treating physicians, who might become too acceptant of the ‘unavoidability’ of the unfavourable progression of their patient. Such a passive approach may especially characterise the relationship with patients of very advanced age, where stressors of physical and non-physical nature easily aggregate, multiplying their impacting power.
Loneliness among older people is perceived as a global public health concern, although assumptions that old age is a particularly lonely time for everyone are not accurate. While there is accumulating quantitative and qualitative evidence on the experience and impact of loneliness amongst older adults, there is little exploration of methodological issues that arise in engaging with older adults particularly through research-oriented conversations. The sensitivity and stigma often attached to loneliness means that interviewing research participants presents ethical challenges for researchers navigating complex emotional responses. This paper presents reflections from three research projects that used research interviews to explore accounts of loneliness experienced by older people. The everyday methodological decisions of research teams are often hidden from view, but through a critical examination of reflexive accounts of fieldwork, this paper makes visible the internal and external negotiations of researchers responding to ethical complexity. The paper explores the key decisions that researchers make during interviews about loneliness: how to introduce the topic; how to phrase questions about loneliness; when to ask the questions; how to deal with the stigma of loneliness and respond to ageism; and how to manage the participant–researcher relationship post-interview. The paper concludes with recommendations for appropriately navigating ethical complexity in loneliness research, thus contributing to an effective qualitative methodological approach to researching loneliness in later life.
Older persons represent a large, and the fastest growing, segment of the global population. Women form the majority of older persons with global demographic data consistently showing that women tend to live longer than men, especially at advanced ages. Older women also make substantial contributions to our societies and economies, including as informal caregivers, volunteers and community leaders. Ageing, however, is not gender-neutral and inequality and discrimination experienced by women during their lifespan is often exacerbated in older age. For example, older women are at a higher risk of living in poverty and of facing barriers in accessing basic rights such as health, adequate housing, and protection from violence, abuse and neglect. Yet, the specific challenges created by the intersection between age and gender often remain invisible and understudied. This also applies to people living in Europe. And elderly women with mental disorders face a triple stigma: suffering from mental disorders, being a woman, being old. The presentation emphasises the UN-decade of healthy ageing with fight against ageism, and a paper of the WHO and IPA on the topic of this presentation.