Social Relationships of African American and Hispanic Older Assisted Living Residents: Exploring the Role of Race and Ethnicity

African American and Hispanic older adults are underrepresented in assisted living communities, so little is known about how they experience social relationships in these settings. The purpose of the study was to explore resident-to-resident and resident-to-staff relationships experienced and perceived by African American and Hispanic older residents in assisted living settings. In-depth interviews with 15 African American and 15 Hispanic older adults were conducted in seven assisted living communities in Central Florida. Three salient themes emerged using a grounded theory approach: formation of relationships: emotional vs. instrumental support; language as a facilitator or barrier; and avoidance of inter-racial relationships. Implications for providing culturally competent services in assisted living communities with diverse populations are discussed.     

Local Environment of Neighborhood Naturally Occurring Retirement Communities (NORCs) in a Mid-Sized U.S. City

As the U.S. population ages, almost half of elderly householders have lived in their current home for more than 20 years, and a significant majority wish to remain in their current residence or community for as long as possible as they age. Concern with how communities will cope with these trends has led to a growing interest in naturally occurring retirement communities (NORCs), which are neighborhoods or housing complexes that house a concentration of older adults, and their potential to enhance efforts to support aging-in-place. In this article, we examine the local built and social environment of neighborhood NORCs in Tallahassee, Florida, a low-density mid-sized city. We found that a large proportion of NORCs are located in neighborhoods with an urban form, or physical design, that is presumed to be less supportive of active aging, and associated with poor access to amenities, such as grocery stores, pharmacies, and parks. Another substantial portion of NORCs are located in neighborhoods with some aspects of a supportive urban form. We also found that NORCs are over-represented in neighborhoods featuring low residential turnover and above average homeownership rates. This suggests a potential for collective action to facilitate aging-in-place, even in neighborhoods thought not to have supportive physical environments.     

Keynote 2. Viewing Participants as Resources for One Another,Communities and Societies

Abstract

The new millennium has heralded fundamental shifts in our sense of security and solidarity. Systemic changes are warranted to restructure human relationships both within and between diverse communities. The call for establishing ‘resilient’ communities is becoming a common theme as governments worldwide struggle to maintain social cohesion. The primary purpose of this paper will be to advance the proposition that communities are strengthened economically and socially through the creation of strategic initiatives that foster the establishment and ongoing maintenance of intergenerational solidarity. Intergenerational solidarity is described as an effective vehicle for converting life into a dynamic learning laboratory with mutual benefits for individuals, groups and society. Ageist attitudes and aged-based stereotypes, particularly as applied to older adults and aging, are seen as a threat to intergenerational solidarity. The conventional solidarity model requires comparison and challenge from a framework that incorporates the possibility for negative tensions arising from intergenerational competition for scarce resources and services. A lifespan development perspective is offered as an effective means for viewing how socio-economic conditions and the policy agenda influence interactions between the generations. Core ingredients for developing and sustaining meaningful interaction between generations are proposed and a view of the future is given where aging and the social roles of older adults are transformed.     

Relationships Among Active Engagement in Life Activities and Quality of Life for Assisted-Living Residents

This cross-sectional research explored the relationships between active engagement in life activities (leisure, social, and instrumental activities of daily living) and quality of life for seniors aged 65 and older residing in assisted living facilities. It is increasingly recognized that active participation in diverse physical, cognitive, and social activities can promote older adults’ quality of life, including physical and mental health, but there is limited information about this in the population of residents in assisted living facilities. It is estimated that there are one million older adults residing in assisted living facilities, making assisted living facilities a rapidly growing segment of senior housing. Older adults who relocate to assisted living facilities commonly experience lifestyle changes, often related to their altered physical and social environment, reduced demands regarding household chores and meal preparation, and new opportunities for recreation and socialization. In this study, interviews were conducted with 131 ambulatory residents from assisted living facilities in the New York City metropolitan area using the 55-Item Activity Checklist, SF-36v2, Life Satisfaction Index-Z, and demographic questions. Results found significant low to moderate correlations between retained engagement in life activities (leisure, social, and instrumental activities of daily living) and life satisfaction, and several quality of life domains, including physical functioning, mental health, general health, and vitality. Older adults continued to engage in a greater percentage of everyday life activities they identified as important. This data supports exploration of client-centered activity programs to promote participation of residents in assisted living facilities in diverse activities to both maintain resident functional abilities and manage functional decline.     

Green grey hairs: A life course perspective on environmental engagement

ABSTRACT

Older adults provide a long view of understanding environmental engagement from their early beginnings to their current community activities. This study draws on interviews with self-described environmentalists and follows a life course analysis that employs social work values and practice skills as they work towards environmental justice in their Midwestern communities. We conclude that the older adults of this second generation of environmentalists offer valuable lessons for social workers with regard to environmental justice, while at the same time contributing insights into older adult volunteering and addressing the challenge of a generational gap in participation in their community organizations.     

Volunteer Behavior and Factors that Influence Volunteering Among Residents in Continuing Care Retirement Communities

The purpose of this survey was to explore volunteer preferences, perceived benefits and barriers, and the factors that influence volunteering among older adults living in a continuing care retirement community. This was a single group, one-time survey completed via a face-to-face interview. The sample included 127 older adults who were eligible and completed the survey. The majority were women (78%) and White (98%), with an average age of 88.0 (SD = 6.5) years. Engagement in volunteer activities ranged from 0 to 7, with a mean of .94 (SD = 1.30). Just under half (47%) of the participants were engaged in volunteer work, with the majority (87%) volunteering within the facility. Perceived benefits and barriers to volunteering were described. Chronic illness, age, time spent exercising, and resilience accounted for 25% of the variance in volunteer activity. Those who had fewer chronic illnesses, were younger, spent more time exercising, and were more resilient were more likely to volunteer. Findings from this study suggest that there are advantages to offering volunteer activities within senior living facilities. Ongoing study is needed to develop and implement successful facility-specific volunteer programs.     

Health and Aging-in-Place: Implications for Community Practice

ABSTRACT

There is increasing interest in helping elders to remain independent in their homes. As the nation experiences the unprecedented growth among its oldest residents, public and private efforts are emerging to facilitate aging-in-place. However older people, particularly the oldest old, experience a myriad of issues impacting their health and ability to remain at home. This article presents the findings from a needs assessment of a Naturally Occurring Retirement Community (NORC) (n?=?114) that revealed multiple health-related issues among older people residing in high-need neighborhoods. The study utilized a holistic perspective of health to measure physical, mental, and social well-being among the older residents. Implications for community-based health interventions to enhance aging-in-place are discussed.     

Perceived Need for Home- and Community-Based Services: Experiences of Urban Chinese Older Adults With Functional Impairments

Guided by Cantor’s social care model, this study identified individual, family, and social support factors that influence urban older adults’ need for home- and community-based services, including medical and rehabilitation, instrumental care and support, and psychosocial services. The data were extracted from the Sample Survey on Aged Population in Urban/Rural China conducted by the China Research Center on Aging in 2006. Results from multiple logistic regression show that older adults’ need for medical and rehabilitation services is significantly related to instrumental activities of daily living, depression, not having filial children, friend support networks, and having a confidant. Older adults’ need for instrumental care and support is related to their educational attainment, financial strain, instrumental activities of daily living, not living with children, and friend support networks. Finally, older adults’ need for psychosocial services is significantly related to educational attainment, depression, not being married, friend support networks, and having a confidant. Implications for social service development are discussed.     

Gambling among culturally diverse older adults: a systematic review of qualitative and quantitative data

Culturally diverse older gamblers may face multiple jeopardies and socially structured challenges. In this first systematic review of empirical evidence of gambling in this population, the authors examined both quantitative and qualitative studies published between 1996 and June 2016. A thorough search of 7 databases yielded 18 articles with a total sample of 11,296 culturally diverse older adults. The review revealed contrary findings on the correlation between gender, education, income and gambling behaviour. Early onset was more frequently found among older adults who belonged to a culture that promoted tolerance of gambling activities; however, some developed a gambling habit after they had moved to a western society. Using an analytical framework, the authors demonstrate interrelated factors: enabling factors (cultural acceptance of gambling, supportive social networks, accessibility to gambling facilities and venues, and external cues); motivational factors (desire for excitement and winning money, coping with boredom, and stress due to structural issues); and buffering factors for culturally diverse older gamblers . Both environmental and personal factors could be triggered as buffers between gambling and culturally diverse older adults. In light of the motivational and enabling factors, practitioners and policy makers may need to step beyond focusing on ‘correction’ during intervention.     

Renegotiating family gender identities in a disadvantaged Atlantic Canadian working-class community: young adults' perspectives

Within a climate of reduced social welfare support, disadvantaged working-class communities in Canada are in transition as they consider their futures without the industries that were once the staples of their economies. In this paper, I examine how a group of young women and men living in Industrial Cape Breton – a disadvantaged Atlantic Canadian working-class community – negotiate the traditional gendered identities ascribed to them through local history with twenty-first-century conceptions of family and gender. Young adults in this study suggest that class-based and gender-based capital plays a significant role in how these changes are experienced by individuals, families, and communities. Furthermore, the social, economic, and psychological expenses for individuals attempting to secure economic comfort and gendered respectability in their disadvantaged communities leave little time and energy to critically reflect on the systemic social and economic conditions that enable class-based gender inequalities to thrive. As a result, traditional concepts of the masculine family ‘breadwinner’ and the feminine family ‘caregiver’ survive even as the societal basis for these roles is eroded by global capitalism.     

Casino Gambling Among Older Adults in North Dakota: A Policy Analysis

This article examined social issues surrounding casino gambling among older adults both nationally and in the state of North Dakota. An exploratory review of gambling trends among older adults and an examination of policies to protect older gamblers revealed that older adults are targeted by the gaming industry as a lucrative market (Singh et al. J Retail Leisure Property 2007, 6(1):61–68). The authors used the national literature to frame their qualitative study, which explored gambling issues among older adults in North Dakota from the perspective of six counselors trained in gambling addiction who provide treatment services in the state. Findings indicated that relatively few policies existed at the state and national levels to protect older, more vulnerable adults who gamble. Further, the six casinos in North Dakota were viewed as very effective in marketing their casino gaming opportunities to older citizens by the gambling treatment providers interviewed. Additionally, barriers to gambling addiction treatment involved lack of available services and distance to receive services in this rural state. Based on the findings of this study, social policy changes which could lead to increased protection for older adult gamblers in the state were included.     

Functional Ability,Neighborhood Resources and Housing Satisfaction among Older Adults in the U.S.

The purpose of this study was to explore neighborhood resources that influence the housing satisfaction of older adults. The study included 10,146 participants from the 2009 panel of the American Housing Survey who were 65 years and older. Hierarchical regression modeling was performed to examine older adults’ perceptions of neighborhood resources and consequently the role these resources play in predicting housing satisfaction among community dwelling and residents of assisted living, controlling for age, sex, ethnicity, education, and housing maintenance. In addition, three levels of physical functioning among residents of assisted living were examined. Results showed that there were differences in housing satisfaction by residences and levels of physical functioning. Subjective evaluations of neighborhoods and the near surrounds were significant predictors of housing satisfaction. Results of the study suggest that policy makers and housing professionals need to continue to consider the role of supportive neighborhoods and social environments in promoting successful aging particularly for frail older adults.     

In the Best Interest of the (Adult) Child: Ideas About Kinship Care of Older Adults

This article uses a qualitative, ethnographic approach to examine the experiences of older adults and their kin, as the older adult engages in relocation. Studies looking at caregiving by kin for older adults highlight burdens for the adult child. This study offers a life course perspective on kinship care, analyzing older adults’ decisions to move. It was found that many older adults are strongly influenced by the desire to not be solely cared for by their kin, as well as to select housing near their existing social network, which might exclude kin. In conclusion, policy implications are discussed.     

Power mobility and the built environment: the experiences of older Canadians

In this article, we employ data from qualitative interviews with 15 men and 14 women aged 51–92 to examine older Canadian adults’ experiences of utilizing power wheelchairs and motorized scooters in the context of the built environment. When functioning properly and utilized within accessible spaces, power mobility devices provided many of the participants with the autonomy they desired. However, the features and functionality of power mobility equipment also constrained participants’ abilities to negotiate their surroundings and maintain valued social roles and physical activities. Participants’ experiences of power mobility technology as enabling or disabling were further complicated by the organization of the built environment, as the men and women described encountering various barriers to mobility within both public and private spaces. We discuss our findings in relation to the extant literature concerning the social and spatial construction of disability.     

Intergenerational Remote Exergaming with Family and Friends for Health and Leisure

Global guidelines for physical activity are not being met by most of the world’s youths, adults, and older adults. Family and friends who engage in physical activity across generations derive emotional, social, cognitive, and physical benefits from their interaction. Youths depend on adult assistance to travel long distances, adults are encumbered with obligations to work, and older adults often live more than 200 miles from their extended families. Intergenerational physical activity is difficult because generations are distant and lead busy lifestyles. Remotely played exergames can connect family and friends for intergenerational physical activity. Internet exergaming can help to make physical activity convenient and enjoyable as well as eliminate the effect of distance on playing with family and friends.     

Food Sovereignty in Everyday Life: Toward a People-centered Approach to Food Systems

Abstract

This paper proposes a theoretical approach that de-centers ‘food’ in food-related research, placing social life as the point of departure for a critical analysis of food systems and the search for alternatives. Using a relational conception of food as a nexus of multiple, intersecting social-historical processes, a ‘people-centered’ approach illuminates the social elements that can inform resonant and locally inflected strategies for food sovereignty, particularly for urban communities in the USA. Building on theoretical concepts of primitive accumulation, articulation, and everyday life, as well as empirical work with the Chicago-based Healthy Food Hub, this paper explores the relationship between everyday food practices and historical processes of proletarianization as they are produced, reproduced, and contested at multiple conjunctures. In these spaces of contestation, the capacity for diverse communities to re-articulate social relations through everyday food practices could provide a potentially powerful pathway not just to food sovereignty, but an alternative to life under capitalism.     

Social Workers’ Attitudes Toward Older Adults: A Review of the Literature

Ageist attitudes toward older adults have been recognized as barriers to recruiting and training competent social workers. This article provides a systematic review of the literature that focused on social workers’ and social work students’ attitudes toward older adults and working with older adults. The authors sought empirical studies that used an attitudinal measure of ageism with a social work sample, and a total of 20 articles met the criteria. Characteristics of the studies’ participants, methodology, instruments, and results were evaluated. This article discusses the findings and offers implications for future research.     

Examining the effects of social networks formed in a senior-oriented online community on older participants’ subjective well-being in China

In recent decades, the dramatic socioeconomic changes that have occurred in China have increasingly affected the social lives of older Chinese adults. The purpose of this study is to determine whether the social networks developed in an online community contributed to the subjective well-being of this age group. The underlying mechanism of this effect was examined by investigating a senior-oriented online community (OldKids). An online survey was administered to participants in the OldKids network. The results showed that the proposed theoretical model was effective in demonstrating that their participation in the OldKids network improved the participants’ subjective well-being through the mediation of perceived social support and feelings of social connectedness. The theoretical and practical implications of the results are discussed in this paper.     

Attitudes and knowledge of social work students towards sexuality in later life

Background: Sexuality in later life may be compromised by restrictive attitudes, and lack of knowledge among professionals. This study examined social work students’ attitudes and knowledge towards sexuality and sexual expression in later life and investigated associated factors.

Method: Undergraduate social work students from Israel (n = 375) completed the Attitudes and Knowledge towards Older Adult’s Sexuality Scale and questionnaires regarding contacts and exposure to older adults, prior sexual education and sociodemographic.

Results: Attitudes and knowledge were correlated. First year students were the most conservative and demonstrated the least knowledge. No differences were found between men and women regarding attitude. However, men and married students had greater knowledge regarding older adults’ sexuality than women or non-married students did. Increased religious observance predicted more conservative attitudes. Age predicted more permissive attitudes and greater knowledge about sexuality in later life. A mediating process examined, suggested knowledge is a mediator variable between age and attitudes towards older adults’ sexuality.

Conclusion: As the population in Israel and in Western countries ages, it is important to examine the knowledge and attitudes of social work students regarding older adults’ sexuality and to develop educational and interventional programs aimed at increasing awareness, knowledge, and positive attitudes in this area.