After the Divorce

The present study compares postdivorce adjustment factors among older, long-married persons with similar familial factors among younger divorced persons. Data collected from personal interviews indicate that older divorced persons are not devastated by their divorce. Although these two groups do not differ in their overall scores of emotional health as measures by the General Well-Being Scale, within certain categories the older persons appear to be emotionally healthier. Statistically significant differences between the two samples include: importance of family closeness; conflict in relationships; and forewarning of the divorce from family members. There are also differences in the familial factors that predict well-being for the two age groups. Professionals intervening at all system levels should be sensitive to age differences and incorporate familial factors that ameliorate postdivorce adjustment. Implications for practice with older divorced persons include strengthening parent/adult child relationships and creatively designing programs at macro and micro levels to decrease family conflict. With younger divorced persons, conflict mediation with the family following divorce is necessary.     

Sexual desire in later life

The has been relatively little research on sexuality in later life, particularly among persons over 60 years of age. The existing literature consists of studies of small samples, much of it from a biomedical perspective. This literature suggests that age, hormone levels, specific illnesses, and various medications negatively affect sexual functioning in older persons. The study reports results from a survey of a large sample (N=1,384) of persons age 45 and older that included measures of a variety of biological, psychological and social factors that potentially influence sexual functioning. We report bivariate and multivariate analysis conducted separately for women and men. We find that the principal influences on strength of sexual desire among women are age, the importance of sex to the person, and education. In this sample of the population of older persons, attitudes are more significant influences on sexual desire than biomedical factors.     

Sexual desire in later life

There has been relatively little research on sexuality in later life, particularly among persons over 60 years of age. The existing literature consists of studies of small samples, much of it from a biomedical perspective. This literature suggests that age, hormone levels, specific illnesses, and various medications negatively affect sexual functioning in older persons. This study reports results from a survey of a large sample (N = 1,384) of persons age 45 and older that included measures of a variety of biological, psychological and social factors that potentially influence sexual functioning. We report bivariate and multivariate analyses conducted separately for women and men. We find that the principal influences on strength of sexual desire among women are age, the importance of sex to the person, and the presence of a sexual partner. Among men, they are age, the importance of sex to the person, and education. In this sample of the population of older persons, attitudes are more significant influences on sexual desire than biomedical factors.     

State expenditures on home and community based services and use of formal and informal personal assistance: a multilevel analysis

Despite wide state variation in commitment to home and community-based services (HCBS) for functionally impaired older persons, little is known about how such variation affects older adults' strategies to compensate for their functional limitations. This study examines the association of state HCBS expenditures with use of formal and informal personal assistance among non-institutionalized older Americans aged 70 and older with functional limitations. We conducted multilevel multinomial logistic regression analysis using data from the first wave of the Assets and Health Dynamics among the Oldest Old Survey, combined with data on state HCBS expenditures. Controlling for individuals' demographic, socioeconomic, and care needs factors, persons residing in states with higher HCBS expenditures were more likely to use formal personal assistance, but not less likely to use informal assistance. Our study suggests state variation in HCBS expenditures leads to inequitable access to formal personal assistance, especially among those with high functional limitations.     

Increasing older persons' employment in Finland: in search of a new strategy.

Using Finland as a case study, it is argued that early retirement will probably no longer be used on a large scale to reduce older-worker labor-force participation and unemployment among older workers. Instead, new strategies are needed to enhance the ability of older workers to remain productive and in the labor force, and to facilitate the reintegration of unemployed older persons back into working life. Both tasks require massive pioneering efforts. Reducing unemployment rates among older workers, particularly, requires completely new kinds of labor-market measures.     

Diabetes mellitus in older men

Most persons with diabetes mellitus are over the age of 60 years. Males develop diabetes more commonly than females. Older diabetics tend to have both impaired insulin release as well as insulin resistance. In older persons diabetes mellitus is associated with decreased functional status and cognitive dysfunction. In general, older persons with diabetes are inclined to be underdiagnosed and undertreated. Managing diabetes in older persons requires special considerations because of their differences in pathophysiology of diabetes and strong association with functional, cognitive impairments and comorbidities. The use of strict therapeutic diets is not recommended in older persons. Treatment of hypertension and hyperglycemia can improve outcomes in older persons. The interdisciplinary team approach is important for care of older diabetic persons.     

Intimate partner abuse of older men: considerations for the assessment of risk

Intimate partner abuse among older persons, though less common than among the general population, is a significant concern. Drawing from the intimate partner abuse and elder abuse literatures, this paper presents considerations for the assessment of risk for intimate partner abuse perpetrated against older men, with reference to the prevalent gendered view of abuse between intimate partners. Potential victim and perpetrator risk factors specific to this context are discussed and existing risk assessment tools are introduced. Implications and future research directions are discussed with regard to the application of risk assessment technology to this context.     

Increasing Older Persons' Employment in Finland

ABSTRACT

Using Finland as a case study, it is argued that early retirement will probably no longer be used on a large scale to reduce older-worker labor-force participation and unemployment among older workers. Instead, new strategies are needed to enhance the ability of older workers to remain productive and in the labor force, and to facilitate the reintegration of unemployed older persons back into working life. Both tasks require massive pioneering efforts. Reducing unemployment rates among older workers, particularly, requires completely new kinds of labor-market measures.     

Intimate Partner Abuse of Older Men: Considerations for the Assessment of Risk

SUMMARY

Intimate partner abuse among older persons, though less common than among the general population, is a significant concern. Drawing from the intimate partner abuse and elder abuse literatures, this paper presents considerations for the assessment of risk for intimate partner abuse perpetrated against older men, with reference to the prevalent gendered view of abuse between intimate partners. Potential victim and perpetrator risk factors specific to this context are discussed and existing risk assessment tools are introduced. Implications and future research directions are discussed with regard to the application of risk assessment technology to this context.     

Economic Trends,Politics, and Employment Policy for Older Workers

The rising interest among policymakers in developing employment policies for older persons can be traced to several sources. Two of these-concerns about the financing of retirement benefits and fears about possible future labor shortages-are shaping employment policies in ways that have undesirable consequences for older workers who are in poor health and who lack the economic resources to be able to afford retirement. In contrast, employment policies that operate by providing work incentives, rather than retirement disincentives, do not have discriminatory impacts on these subgroups of the older population.     

Residential Differences in Filial Responsibility Expectations Among Older Persons1

Abstract This study examines variation in filial responsibility expectations-the extent to which adult children are expected to assist and care for their aging parents-among a sample of 440 older persons. The analysis focuses on the relationship of filial responsibility expectations to residential location and tests the hypothesis that older rural residents have higher expectations for assistance from their children than do older urbanites. Current residential location is found to have little impact on expectations, but older persons who were raised in rural areas, particularly on farms, have significantly higher expectations for filial assistance than do older persons from urban backgrounds. Possible consequences of these patterns for the transmission of expectations from parents to children are discussed.     

Interviewing Older Adults: A Comparison of Telephone and Face-to-Face Modalities

This article examines telephone interviewing of older adultsand compares it with face-to-face interviews. Specifically,the following issues are examined in several national surveys:(1) differences in age distributions between the samples ofadults reached in both modes; (2) explanations for potentialdifferences in age distributions; (3) differences between thetwo modes in demographic characteristics in the adults reached,in interview process and in response quality, and how thesemode differences vary by age of the respondents. Telephone surveystend to underrepresent older persons, and older persons whodo participate in a telephone survey are disproportion atelywell educated. Implications of the lower response rate amongolder persons are softened by the fact that reponse distributionsacross a range of questions show little difference by interviewmode between older persons and persons of other age groups.     

Letter From the Editors

ABSTRACT

In this article we explore older persons’ definitions of and explanations for elder abuse in the Netherlands by means of interviews with older persons. A qualitative study was conducted based on semistructured interviews with 35 older persons who had no experience with abuse. Our findings show that older persons participating in our study define elder abuse foremost as physical violence that is performed intentionally. The study participants explain elder abuse as a result of the dependency and vulnerability of older persons, of changing norms and values, and of changes in the position of older persons in society, which result in disrespect toward older persons and a lack of social control and responsibility. The older persons’ explanations for the occurrence of abuse mainly focus on societal changes; older persons seem to regard elder abuse primarily as a societal problem. This understanding of, and explanation for, elder abuse may influence their detection and reporting behavior, as they may tend to acknowledge only severe cases of intentional physical violence that leave clear and therefore physically detectable evidence.     

THE ECOLOGY OF AGING: NEIGHBORHOOD SATISFACTION IN AN OLDER POPULATION*

This paper explores the determinants of neighborhood satisfaction for a population of older persons. Here neighborhood satisfaction is presumed to be the result of a complicated process involving: objective qualities in the neighborhood, the psychological and physical state of the person making the evaluation, as well as the person's own subjective definitions of the neighborhood. The intent of this research is to weigh the significance of these objective neighborhood conditions, subjective definitions, and the individual's level of environmental docility for the determination of neighborhood satisfaction among the elderly. To investigate this issue a random sample of 1,185 respondents 60 years and older was interviewed in the Albany-Schenectady-Troy, New York SMSA. The data suggest that while all three general factors are significant in the production of neighborhood satisfaction, mental portraits of the neighborhood are the most significant source of neighborhood satisfaction. This finding indicates support for a synthesis of symbolic interactionist and traditional ecological models of environmental response. Clearly, for this sample, older persons sharing the same neighborhoods do not necessarily occupy the same environmental worlds.     

Psychological Well‐being Among Older Adults: The Role of Partnership Status

Today's older adults are increasingly unmarried. Some are in cohabiting unions, others are dating, and many remain unpartnered. Unmarried older adults are at risk of poorer well‐being than married older adults, but it is unclear whether older cohabitors fare worse than or similar to their married counterparts; nor have well‐being differences among cohabitors, daters, and unpartnered persons been considered. Conceptualizing marital status as a continuum of social attachment, data from Waves I and II of the National Social Life, Health, and Aging Project are used to examine how older married, cohabiting, dating, and unpartnered individuals differ across multiple indicators of psychological well‐being. Among men, cohabitors appear to fare similarly to the married, and better than daters and the unpartnered. In contrast, there are few differences in psychological well‐being by partnership status for women.     

Gender,Preloss Marital Dependence,and Older Adults’ Adjustment to Widowhood

I examine how preloss emotional and instrumental dependence on one's spouse affects older adults’ psychological adjustment to widowhood. Analyses are based on 297 persons from the Changing Lives of Older Couples (CLOC) study, a prospective study of widowhood among adults aged 65 and older. Women who were most emotionally dependent on their spouses had the poorest self‐esteem while still married, yet evidence the highest levels of self‐esteem following loss. Men who were most dependent on their wives for home maintenance and financial management tasks experience the greatest personal growth following loss. These results suggest that widowed persons who were once highly dependent upon their spouses reap psychological rewards from the recognition that they are capable of managing on their own.     

Demographic Comparisons of Aging in Five Selected Countries

The worldwide aging of the population is having a major impact upon society. The United Nations General Assembly has declared 1999 to be the International Year of Older Persons to increase the awareness of aging worldwide. They identified five principles for older persons: independence, participation, care, self-fulfillment, and dignity. The numbers of elderly are growing around the world with many elderly living considerably longer than in past times. Developed countries are struggling with the high cost of maintaining support programs, and developing countries face dissolution of traditional care systems without institutional replacements. Women around the globe typically live longer than men, often without the economic resources to maintain independence. As nations adapt to their aging populations, a partnership among policy makers, family members, and older persons themselves is needed to offer alternatives to meet the needs of elders.     

Ideology,Context, and Obligations to Assist Older Persons

Are older adults responsible for meeting their own needs, is it their children's obligation to care for them, or is there a collective responsibility to see that older adults have their needs met? The purpose of this study was to examine the normative obligations of individuals, family members, and the government to provide for the needs of older adults. The authors examined how ideological beliefs and contextual circumstances are related to beliefs about obligations to older persons. Data were collected from phone interviews of a sample of 270 adults who were over 40 years old. The results indicate that ideological beliefs were better predictors of normative obligations than were contextual variables. Future research should reflect the complex relationships among ideological beliefs, contextual circumstances, and normative obligation beliefs.     

The meaning of frailty according to Dutch older frail and non-frail persons

Frailty is a term often used by researchers and clinicians to describe a state in which older persons are at risk for adverse outcomes such as falls, disability, institutionalization and mortality. However, no study so far examined what frailty means to older persons. Therefore the aim of this study was to describe the meaning that older community-dwelling persons attach to frailty. Twenty-five semi-structured interviews were conducted. The interviews were analyzed using the grounded theory method. Frailty was described as being in poor health, having walking difficulties, feeling down, being anxious, having few social contacts and not being able to do the things one likes to do. Men described in more detail the physical dimension whereas women elaborated in more depth on the psychological and social component. Existing definitions of frailty should be adjusted to better reflect the meaning of frailty for older persons.