Global Climate Emergency: after COP24, climate science,urgency, and the threat to humanity

ABSTRACT

This Special Editorial on the Climate Emergency makes the case that although we are living in the time of Global Climate Emergency we are not yet acting as if we are in an imminent crisis. The authors review key aspects of the institutional response and climate science over the past several decades and the role of the economic system in perpetuating inertia on reduction of greenhouse gas emissions. Humanity is now the primary influence on the planet, and events in and around COP24 are the latest reminder that we live in a pathological system. A political economy has rendered the UNFCCC process as yet a successful failure. Fundamental change is urgently required. The conclusions contain recommendations and a call to action now.     

The Impact of Economic,Demographic, and Cultural Changes on Preferences for Independent Living Arrangements and Seniors Housing in South Korea

Abstract

Asian countries are experiencing demographic, economic, and cultural changes that are altering housing and living arrangements. Many South Korean baby boomers will enter retirement with sufficient financial resources to live independently of their children if they choose to do so. Using a derivation of push-pull and life-course movement models, regression analysis results indicate that preference for both independent living arrangements and seniors housing is related to availability of pension resources, sex, presence of a son, and attitudes about intergenerational living, in-home care, and seniors housing. Pensions are an enabling factor; however, the cultural expectation of the eldest son providing housing for his aging parents may continue to moderate the demand for seniors housing developments. [Article copies available for a fee from The Haworth Document Delivery Service:     

Editorial

Immigrants from Asian countries who are living in Canada are more likely to live with extended families than Canadian-born seniors. This article focuses on the living arrangements of 161 South Asian immigrant seniors in Edmonton, Alberta, Canada, and examines the relative importance of various factors that influence living arrangements. Demographic characteristics were associated with living arrangements; seniors who immigrated when they were young and were married were the most likely to live independently. Logistic regression analyses suggest that economic and cultural factors were more important than health and availability of kin factors in explaining living arrangements, after controlling for demographic and immigration variables.     

Restrictiveness of Eligibility Determination and Medicaid Enrollment by Low-Income Seniors

Medicaid is an important source of supplemental health care coverage for low-income seniors, yet little is known about the effect of state policy on Medicaid enrollment by eligible elderly. Data from a nationally representative survey were used to examine Medicaid enrollment by elderly, low-income Medicare beneficiaries living in states that liberalize or restrict Medicaid eligibility criteria using the 1986 Omnibus Budget Reconciliation Act or provision 209(b) of the 1972 Social Security Act Amendment, respectively. Controlling for demographics and health status, residence in states applying these laws was significantly, though modestly, associated with Medicaid enrollment. Additionally, 73% of eligible elderly Medicare beneficiaries were not enrolled in Medicaid, and most have serious chronic health problems. These findings suggest that a significant number of eligible elderly are not enrolled in Medicaid and that liberalizing or tightening Medicaid eligibility criteria can have an impact on Medicaid enrollment by low-income elderly patients.     

Who Plays Bingo in Later Life? The Sedentary Lifestyles of ‘Little Old Ladies’

Abstract Bingo is a popular past time with less than 20% of seniors, but the prevailing stereotype of bingo players describes elderly women with nothing better to do, smoking heavily while gambling away their limited income day after day. Little research has actually explored the lifestyles of seniors who frequent the bingo halls or identified social factors explaining who plays and why. Purpose The purpose of this study was to clarify the social context and lifestyle characteristics of seniors who regularly invest money on bingo. Design and Methods A 30-min telephone survey was conducted randomly with quotas for gender and urban/rural location with 400 Albertans aged 65+. Next, a strategic sample of 44 bingo players was added to the population sample to strengthen the dependent variable for regression analyses. Multiple regression analyses were used to define key characteristics of bingo players among 10 social or contextual factors and 5 lifestyle variables. Results Being female, more elderly, living in rental accommodation, receiving federal income supplements and reporting more health problems were significant predictors of more money typically spent on bingo (18% variance explained), and these findings lend support to the “little old lady” stereotype. However, sedentary living, rather than smoking, was the only significant and predictive lifestyle pattern, suggesting that the lifestyle vices projected about bingo players are not entirely accurate. Conclusions Elderly women of marginal means do dominate the game of bingo in terms of money spent, but their gaming lifestyle apparently has less to do with habits of smoking, eating poorly, drinking alcohol, or having excessive leisure time, and more to do with sedentary recreation that is socially delimited by their gender, age, income and health.     

Living arrangements of elderly women and men in Chinese cities

Based on data from the 1988 Nine‐City Survey of the Elderly Aged 60 and Over, this study uses multivariate technique to examine how and to what extent demographic and socioeconomic characteristics of the elderly may motivate or discourage coresidence with married children. Focusing on seniors who have at least one married child, it contrasts two outcomes: living with married children and not living with married children. The analysis shows that being married and healthy significantly reduces coresidence with married children, whereas being financially dependent significantly increases the probability of coresidence. In addition, in contrast to the situations found in other Asian societies, gender is shown to have significant effect on coresidence, even after other variables are controlled.     

Fiduciary Abuse of the Elderly:

Fiduciary abuse of the elderly is an increasingly recognized social problem. While all seniors are potential victims, the oldest members of society are at greater risk. This article identifies those at risk, profiles those most likely to commit financial abuse, describes indicators of abuse, defines commonly encountered crimes, and explains the roles of service professionals and the criminal justice system in responding to incidents of financial abuse.     

Service Enriched Housing and the Senior Living Enhancement Program

ABSTRACT

The Senior Living Enhancement Program was an initiative designed to provide selected services to seniors, including nursing and health promotion, social service coordination, and social and recreational opportunities. The seniors were located at 12 high-rise buildings for the elderly. The main goal of the initiative was to improve the health of seniors in 10 areas called the 10-Keys to Healthy Aging. In general, the 10-Keys to Healthy Aging are strategies aimed at reducing preventable risk factors in the aging population. Over a period of 2 years, seniors showed improvements in a majority of the 10-Keys to Healthy Aging and, therefore, proved the health benefits for elders coming from this service-enriched housing initiative.     

Naturally Occurring Retirement Community (NORC) Residents Have a False Sense of Security That Could Jeopardize Their Safety in a Disaster

High-rise apartments bring unique challenges in emergency situations. To better understand the needs of apartment-dwelling seniors in emergency situations and potential sources of support available, a novel collaborative community development approach was used with seniors living in a naturally occurring retirement community (NORC) in London, Ontario, Canada (N = 2500; mean ± SD age = 79 ± 9.53 years). A surprising finding was a false sense of security, with seniors expecting that management would take care of all needs. This finding reinforces the critical need for better public messaging for seniors, as well as targeted emergency management plans for frailer older individuals living in the community.     

Finnish Seniors’ Move to a Senior House: Examining the Push and Pull Factors

The purpose of this article is to explore the factors influencing residential decisions of Finnish seniors. Analysis draws on qualitative data gathered from in-depth interviews and open-ended survey questions completed by 37 seniors living in three independent living facilities in Finland. Content analysis was used to identify key factors pushing residents out of their former living situations and pulling them into their respective independent living facility. Analysis indicates that different senior houses attract different types of residents. Nevertheless, as a group, they reported similar motivational factors relating to community, physical, and social environments and to their personal circumstances.     

The Seniors' Outdoor Survey (SOS Tool): A Proposed Weighting and Scoring Framework to Assess Outdoor Environments in Residential Care Settings

Spending time outdoors offers substantial health benefits for older adults. However, in long-term care settings, outdoor areas may fail to adequately support elderly residents' needs and preferences. The Seniors' Outdoor Survey (SOS Tool) was recently developed to help users evaluate outdoor areas and indoor–outdoor connections in residential facilities for seniors, by rating 60 environmental features on a 1–7 scale. This article proposes a weighting strategy to approximate the relative importance of different items on the tool, according to their potential level of support for resident usage and preferences. A standardized scoring system will allow multiple stakeholders to apply the results to research, design, construction, and renovation projects.     

Harvard Crooners: Building Intergenerational Relationships Through Participatory Music Making

The world is rapidly aging, and yet aging is fraught with many difficulties. In particular, the rights of older people to participate fully in cultural life are frequently not met. To help address this issue, we propose an innovative model for intergenerational, participatory music-making between younger people and older people. Specifically, instead of giving traditional, non-participatory performances for older people as is commonly done in nursing homes and other elderly institutions, we advocate for engaging seniors in collective music-making and singing. We believe this kind of collective music-making will better meet the rights of older adults to participate in cultural life and will lead to stronger intergenerational relationships.     

Identification of Elder Abuse in Institutional Settings:

Most literature on elder abuse has focused on the abuse of community dwelling elderly, rather than elderly living in institutional settings. Yet this population is particularly vulnerable to abuse because of their exceptional frailty and the danger of retaliation from their caretakers. A particular difficulty with the identification of abuse in institutional settings is the lack of measurement instruments designed to remedy this lack by analyzing the literature on institutional abuse of the elderly, and comparing this knowledge to the existing indicators of abuse. Abuse types included in the analysis are: Physical Abuse, Physical Neglect, Psychological Abuse, Psychological Neglect, Material Abuse, and Violation of Personal Rights. The research showed that most identification items used in community settings are also useful in institutional settings, but additional issues must also by considered. Among these are the need for greater attention to evidence of the use of restraints, particularly chemical restraints; special problems with identifying the abuser; and the existence of different sources of information, such as medical records.     

Engagement of the Elderly in Time Banking: The Potential for Social Capital Generation in an Aging Society

Community currency systems attempt to empower the economically marginalized and build social capital. This research explores the role of the elderly in a local voluntary organization. The elderly are potentially very important contributors, yet we know little about their participation in these local exchange networks. Eighty-seven months' worth of transaction data from a “time bank,” which has had a total of 950 members, was examined in social network analyses. Measures of quantitative engagement in the system were constructed. The elderly were found to be as active as other members. Qualitative characteristics of the network were also explored. The organization is rather homogeneous, yet exchanges within it tend to connect diverse actors. Male and female seniors undertransact with themselves and with one another, generating bridging social capital. The evidence presented suggests that the participation of the elderly in local currencies is mutually beneficial.     

Geriatric hospitals in India, today and in the future

In a country that shuns hospitalization of the elderly, regarding it as disrespect of those who helped youngsters evolve, Heritage Hospital (HH) is a welcome change, a model and pioneer stand-alone geriatric hospital. With its non-ambulatory services looking after sick elderly, HH is like an extended family of seniors. HH's love and fresh air complement its Meals-on-Wheels program, guided by the nutritionist's healthy food. HH's Volunteer Guild; its Diabetes Club, ever growing with India's dramatic rise in the number of diabetics; its Senior Net Club's Click@50, making elders computer savvy; and Grandparent-Grandchild and Golden and Silver Couple contests celebrated on October 1st, are all widely appreciated, enforcing strong values Indians still share on marriage and family. Heritage brings together 10,000 seniors in Hyderabad, strengthening its motto of Eastern philosophy with its strong emphasis on care for the elderly.     

A Methodological Discourse On Gender, Independence, And Frailty: Applied Dimensions Of Identity Construction In Old Age

In this article, we discuss some of the methodological implications of gender, based on research conducted among seniors in the age group 67 to 100+, living independently (alone, or with minimal assistance) in Victoria, British Columbia, Canada's retirement capital. Our research evolved over time to concern the manner in which people being interviewed altered their presentation of self in discourses on independence and identity, depending on the interviewer's gender as well as their own. There are some significant implications that arise from our analysis for assessing the needs of individuals for home-making services and probably for service delivery, in general. This article discusses initial, qualitative interviews conducted with 39 people (19 men and 20 women) dealing specifically with the concept of independence. The chief methodological significance of these interviews derives from the strategy of doing two separate sets of interviews using the same protocols, but changing the gender of the interviewer/subject dyads from same-gender interviews to cross-gender interviews and assessing the differences between the two sets of conversations. Prior to the discussion, however, some of the most pressing issues surrounding the health care of elderly people in Canada, in general, and Victoria, in particular, will be addressed briefly as they relate to the rationale for conducting the research.     

Geriatric Hospitals in India,Today and in the Future

Summary

In a country that shuns hospitalization of the elderly, regarding it as disrespect of those who helped youngsters evolve, Heritage Hospital (HH)is a welcome change, a model and pioneer stand-alone geriatric hospital. With its non-ambulatory services looking after sick elderly, HH is like an extended family of seniors. HH's love and fresh air complement its Meals-on-Wheels program, guided by the nutritionist's healthy food. HH's Volunteer Guild; its Diabetes Club, ever growing with India's dramatic rise in the number of diabetics; its Senior Net Club's Click@50, making elders computer savvy; and Grandparent-Grandchild and Golden and Silver Couple contests celebrated on October 1st, are all widely appreciated, enforcing strong values Indians still share on marriage and family. Heritage brings together 10,000 seniors in Hyderabad, strengthening its motto of Eastern philosophy with its strong emphasis on care for the elderly.     

Housing Concepts For and By the Elderly: From Subjects of Design to a Design Resource

ABSTRACT

The perception of elderly residents as a homogeneous group is challenged by the diversification of lifestyles and emphasis on individuality in housing. Recently, there has been a rise in Finland in housing projects initiated by groups of elderly people, where the seniors themselves are seeking to fill in qualitative gaps in the offering of housing. This article presents a comparative analysis of four senior housing concepts that represent both a producer-driven (“for the elderly”) and a resident-driven (“by the elderly”) approach. The study shows that elderly people can be a resource for residential development and that this necessitates a different “design logic” than in conventional senior housing.     

Reflections on 30 Years of Advocacy,Thinking, and Writing About Elderly Latinos

SUMMARY

The author reflects on over 30 years of thinking, writing, and advocating on behalf of elderly Latinos. Personal, cultural, and familial experiences are intertwined with implications for policy and practice. The impact of Latinos' generational socialization into American society is examined in relation to familial obligations to elderly relatives.     

An ICT-Driven Hybrid Automation System for Elderly Care Support: A Rehabilitation Facility Study Case

Abstract

The demographic statistics in developed countries suggest growth in the elderly segment of the population. At the same time, other studies forecast a shortage of nurses, increasing the pressure on hospitals to provide treatment for longer periods of time. These trends suggest a need for new ways of taking care of the elderly population that support safe, comfortable, and independent living. Meanwhile, prominent advances in information and communications technology (ICT) have enabled new systems that address various needs of the elderly. This article presents a case study of a rehabilitation facility located in Tampere, Finland, that uses an automation system in which ambient assisted living (AAL) and building automation (BA) system functionalities are combined. It details a field study summarizing the needs of the users, describes functional scenarios supported by the system, and reports the results of the first usability tests suggesting acceptance of a new technology by residents and caregivers. The unique combination of ambient assisted living and building automation offers a safer and more comfortable environment for the elderly as well as helps caregivers on-site in managing their workloads.