Space,time, and self: Rethinking aging in the contexts of immigration and transnationalism

Critical gerontology views aging as a social construction that reflects the intersections of micro-processes with the macro-level forces of individual aging experiences. In the contexts of immigration and transnationalism, however, the macro-structural conditions, dynamics and experiences of aging have become further diversified and complicated. The dearth of empirical and explanatory knowledge in this area has inhibited us from comprehending aging in a changing world. Drawing on data from a study of Chinese grandparents' experiences of transnational caregiving in Canada, this article examines the impacts of such experiences on three interconnected dimensions – spatial, temporal and cognitive – of aging. Although the practice of transnational caregiving allows skilled immigrant families to mobilize care resources outside Canada, it has not only ruptured the traditional trajectories of aging for their elderly parents, but also complicated the inequalities that they have to bear on individual, familial and transnational levels. I argue that the critical examination of aging in the context of transnational caregiving helps us take into consideration those dimensions (such as place, space, time, and knowledge) that are changed by immigration processes, and rethink aging from a broader perspective that links seniors' experiences with their relationship with their adult immigrant children's families and macro-structures outside national borders.     

Oxidative mutagenesis, mismatch repair, and aging

A PubMed search for the term "oxidative stress" yields over 29,000 articles published on the subject over the past 10 years; more than 2000 of these articles also include the term "aging" in their title or abstract. Many theories of aging predict causal roles for oxidative stress in the myriad of pathological changes that occur as a function of age, including an increasing propensity to develop cancer. A possible link between aging and cancer is the induction and accumulation of somatic mutations caused by oxidative stress. This Review focuses on small mutational events that are induced by oxidative stress and the role of mismatch repair (MMR) in preventing their formation. It also discusses a possible inhibitory effect of oxidative stress on MMR. We speculate that a synergistic interaction between oxidative damage to DNA and reduced MMR levels will, in part, account for an accumulation of small mutational events, and hence cancer, with aging.     

Decentralization, aging policy, and the age of Clinton

This article examines the recent trends in decentralization and their implications for aging policy in the Clinton presidency. It first discusses a decade-long trend toward decentralizing policy and then examines some recent federal enactments that promote more discretion by state and local policymakers, suggesting that these may set the framework for aging policy during most of Clinton's first term. A basic premise of the discussion is, however, that the degree of flexibility varies with the policy area being analyzed-housing, transportation, health and social services--and whether these are "old" (pre-1980s) or "new" (post-1980s) policies. It concludes with the suggestion that a dual-centered, shared federal-state solution may provide the best approach to the premier issue in aging policy today-long-term care.     

Competency requirements for policy gerontologists: what are the essentials?

"Policy gerontologists" are professionals knowledgeable about both public policy and aging. Through a survey of potential employers about the education of these specialists, the authors examined what is desired in terms of knowledge base, skill proficiencies, and behavioral characteristics. Although a solid knowledge of aging policies and the policymaking process are considered essential for policy gerontologists, respondents suggested that communication and political skills as well as the ability to take initiative and to follow through were also essential.     

Competency Requirements for Policy Gerontologists

"Policy gerontologists" are professionals knowledgeable about both public policy and aging. Through a survey of potential employers about the education of these specialists, the authors examined what is desired in terms of knowledge base, skill proficiencies, and behavioral characteristics. Although a solid knowledge of aging policies and the policymaking process are considered essential for policy gerontologists, respondents suggested that communication and political skills as well as the ability to take initiative and to follow through were also essential.     

Institutional abuse of older adults: what we know, what we need to know

Although Canadian policies support "aging in place," there still will be a number of older adults who will require institutional care in the future. Most research on elder abuse, however, has focused on domestic abuse and has paid less attention to institutional abuse. The purpose of this article is to comprehensively review current research to identify gaps in knowledge and methodological issues in the study of institutional abuse. Overall, 49 studies in English and 20 studies in French were reviewed, and 11 key-informant interviews were conducted with methodological experts. Methodological challenges are addressed in light of the review and interviews.     

Implementation issues for consumer-directed programs: comparing views of policy experts, consumers, and representatives

An increasing number of aging community providers and consumers support consumer-direction (CD) in long-term care services. In regard to devolution, consumer-direction goes beyond the usual approach of shifting responsibilities from the federal government to state governments to bring programs "closer to the people." Consumer-direction goes even further by placing resources directly in the hands of consumers. Yet, many questions remain unanswered regarding how to implement CD personal assistance services in general, and especially for older persons. This article describes the importance of examining views from multiple key stakeholders involved in implementing CD programs. We report on three background studies that have informed the Cash and Counseling Demonstration and Evaluation (CCDE) design and implementation-policy expert interviews as well as surveys and focus groups with consumers and representatives. As a fourth data source, we drew upon experiences in designing the CCDE and initial results from the first year of implementation. Each of the three studies on its own provided essential information for planning the CCDE. However, when we examined the studies together, and added CCDE design and implementation experiences, views expressed by the different stakeholders formed a type of multi-perspective "dialogue" that expanded our knowledge about implementing CD services. We hope this increased knowledge will help expand the availability of such services for consumers of any age who want to direct their own care.     

Understanding Older Americans' Attitudes,Knowledge, and Fears About Vision Loss and Aging

ABSTRACT

The purpose of the present study was to identify factors associated with attitudes, knowledge, and fear of age-related vision impairment in a representative sample of US adults age 55 and older. Data were obtained from a national telephone survey. Attitudes toward vision impairment and aging were positive, but fears were extensive and knowledge was lacking. Higher socioeconomic status and experience with nonrelated persons who were visually impaired predicted better attitudes and greater knowledge. Being a women and having experience with persons who were visually impaired predicted lower fear. Findings emphasize the importance of accurate knowledge and training about visual impairment for practitioners working with this population.     

Medication management, antidepressant drugs, and the elderly: an overview.

1. Several factors may affect an elderly client's use of medications: polypharmacy, potentially leading to interactions; over-the-counter drugs taken without a physician's knowledge; noncompliance or poor compliance with medication regimens; and ageist beliefs. 2. Psychiatric nurses must be aware that the signs and symptoms they observe may be the result of normal physical or biological aging, psychosocial changes, disease-related changes, medication side effects, or a drug interaction. 3. Nurses must ask two questions when psychotropic drugs are used with elderly clients: What will be the onset, duration, magnitude, and characteristic action of a specific drug in an individual; and What are the characteristics of an "ideal" medication?     

KNOWLEDGE AND POWER, BODY AND SELF:

Symbolic interactionists have widely established the tenet that the self is formed in interaction with others. Despite this great contribution, this perspective has tended to sidestep discussions of the relationship between the body and the self and to overlook systems of power and the ways in which they impact upon the self and the body. The more recent contributions of postmodernists and critical theorists have focused on knowledge as a system of power. An examination of a sample of transgendered persons, individuals who endeavor to present alternatively gendered selves within a social system that proclaims males to be men and females to be women, provides a unique opportunity to analyze the ways in which knowledge systems affect gender identity and the embodied self. While individuals are not able to fully escape the dictates of the binary system of knowledge about sex and gender, they are capable of devising alternative ways of "doing" gender that more closely adhere to an internalized sense of self. In the end, individuals neither passively enact nor completely escape the dictates of the binary system of gender knowledge.     

Older Gay,Lesbian, and Bisexual Adults: Tools for Age-Competent and Gay Affirmative Practice

This article presents a demographic snapshot of older GLB adults, discusses the barriers to service provision, and melds aging competencies with that of affirmative practice with GLB individuals. Its goals are to delineate the specific knowledge, attitudes, and skills recommended for age-competent and gay affirmative practice with an aging GLB population.     

The Sandwich Generation: Dependency, Proximity, and Task Assistance Needs of Parents

This study was designed to determine the extent of sandwiched families and the impact of dependency and proximity to task assistance provided to parent(s). Data were collected in Idaho, Oregon, Utah, and Michigan from a random sample of 40–65-year-old respondents. Fifteen percent are sandwiched between needs of aging parents and financially dependent children. Respondents are much more likely to be providing assistance to mothers than fathers. Parents are most likely to live near, but not necessarily with, the respondent. Spouses and partners' parents, however, are likely to live farther away. Task assistance provided most often to aging parent(s) includes help with transportation and shopping; financial assistance was reported least often. Income of respondent and dependency and proximity of parents are significantly related to providing assistance to parents. This study offers a unique glimpse at the relationships between personal characteristics, dependency, proximity, and task assistance issues as they pertain to the sandwich generation.     

Gender,academic careers,and the social psychology of aging

Because of cultural, historical and other social structural factors, men and women with the same chronological age have had quite different career trajectories. This paper examines how the different career-paths of men and women academics create differences in their images of aging, self and work. In-depth interviews (N=47) were conducted with a sample of male and female professors, currently between fifty and sixty years of age. Male respondents nearly uniformly followed continuous, linear careers while the women's careers were, with equal uniformity, discontinuous. Data suggest that this difference in career routes fashions different gender timeclocks, i.e., different experiences of aging.     

A city within a city: A “snapshot” of aging in a HUD 202 in Detroit, Michigan

Because of a recent surge of aging in place literature, we know a considerable amount about how older adults wish to remain in long lived-in homes and communities. However, there are still gaps in our knowledge. What happens when older adults live in a community that does not support their everyday needs? This paper represents an initial attempt to explore how one group of poor, non-white, central city residents in Detroit, Michigan make sense of and organize a new age-segregated home. Findings presented in this article are based on 30 in depth and photographic elicitation interviews with African American, low-income, older adults living in one Housing and Urban Development 202 (HUD 202). Findings suggest that participants in this sample cultivated a new urban space within the facility to compensate for the deficiencies of a deteriorated inner-city neighborhood. I use these findings to encourage broader conceptualizations and consideration for the aging in place model to be more inclusive to the lived experiences of older adults who occupy oppressed places.     

How an aging society affects the economic costs of inactivity in Germany: empirical evidence and projections

Background

Aging societies represent a major challenge for health care systems all over the world. As older people tend to be more physically inactive, economic costs of inactivity are likely to increase notably. The present study aims to investigate this relationship between an aging society and economic costs of inactivity using the example of Germany.

Methods

Using data from the German Socio-Economic Panel, this study applied the comparative risk assessment method developed by the WHO to estimate the direct costs of inactivity for the period 2001–2013 differentiated by gender-specific age-groups (15–29; 30–44; 45–64; 65+). Based on population statistics predicting the aging of the German population for the years 2014–2060, this research projects the development of future costs of inactivity and potential effects of interventions promoting physical activity among the German population.

Results

The results reveal an increase in the level of physical activity during the observed period (2001–2013) which compensated the negative effect of aging and resulted in a decline of inactivity costs. The projections for the years 2014–2060 indicate a constant increase in direct per capita costs until 2060 because of an aging society. Scenarios indicating how a short-term reduction of physical inactivity impacts costs of inactivity reveal the crucial role of the oldest age-group in this context.

Conclusion

The findings indicate that the aging of the German population demands further actions and initiatives to promote physical activity, especially for the oldest age-group.

     

Aging as intracohort differentiation: Accentuation,the Matthew effect,and the life course

Recent contributions of sociologists and others have brought a new awareness and new theoretical understanding of the extent to which human aging and life-course patterns are shaped by social conditions and influenced by social change. Yet the potential of many social processes to account for individual aging patterns remains untapped, because research and theory have focused heavily upon comparisons between cohorts rather than the internal differentiation of cohorts. This paper shows that focusing upon intracohort differentiation over the life course leads to a mobilization of sociological findings whose age-related implications have not been exploited. Using the phenomenon of aged heterogeneity as an illustrative case, it is suggested that intracohort differentiation—operating through macro-level, organizational, and micro-level processes—can explain significant phenomena of aging previously neglected by theory, or else assumed to be psychological in origin. These processes specify Merton's Matthew effect. Implications for biological aging and for research are briefly discussed.     

Comparing Iraq to Vietnam: Recognition, Recall, and the Nature of Cohort Effects

Cross-section samples in five states were asked in December2004 and July 2005 whether the Iraq war is more like the VietnamWar or more like World War II. The Vietnam analogy was chosendisproportionately by those who were alive during that war,though the choice was not limited to exposure to the Vietnamperiod during what have been called the "critical years" ofadolescence and early adulthood. The distinction between twoforms of remembering, recall and recognition, helps situatethe results with regard to past research on cohort effects oncollective memory. Evidence is also presented against interpretingthe present effect as related to the biological and social correlatesof aging. Other results are included on the relations of analogychoice to partisan identification, gender, education, race,and region.     

A test of Palmore's Facts on Aging Quizzes as alternate measures

In 1977, Palmore constructed the first Facts on Aging Quiz (FAQ1) in order to inspire students' interest in the topic of aging and to provide a short objective test on the subject. After the broad acceptance of this first quiz, Palmore produced a second, retest version Facts on Aging Quiz (FAQ2). The quizzes were designed to measure basic knowledge of physical, mental, and social facts about old age and aging as well as common misconceptions. We test Palmore's proposition that FAQ1 and FAQ2 can be used as alternate measures of knowledge about aging. Our analysis of data from a sample of nurses contradicts his claims that the quizzes are alternate measures.     

Medical rationalization, cultural lag, and the malpractice crisis

The theses of this paper are that (1) the practice of medicine has become more formally rationalized in the past century; (2) this rationalization process has been retarded by the professional aspects of medical practice, e.g., the service ethic and the medical profession's exclusive jurisdiction over medicine; (3) this retardation is evident in cultural lag between the development of medical knowledge and how medicine is practiced; and (4) the "malpractice crisis" is a particular force which is accelerating the rationalization process and is overcoming lag. Data from physician surveys and interviews are presented which show the utility of a rationalization-cultural lag model in generating a number of substantive questions pertinent to the quality of rationalized medical care.