Food Waste and Quality of Life in Elderly Populations Living in Retirement Living Communities

Food waste is an increasingly important issue in all food-service establishments, including retirement living communities. With residents of these communities having faced food insecurity as children and young adults, they have unique and very strong feelings regarding this issue. We interviewed 16 Canadian residents and used manifest content analysis to gain an understanding of how their experiences, behaviors, and feelings toward food waste may impact their quality of life. The results of this study may have implications for how retirement living communities approach their food-service operations.     

Continuing Care Retirement Communities:

No abstract available for this article.     

Quality of Life in Nursing Homes

Abstract

The Nursing Home Reform Act (NHRA) of 1987 established nursing home requirements and dually emphasized quality of care and quality of life outcomes. We researched elders' perceptions of quality of life in nursing homes using focus groups. Analysis revealed four major themes important to residents: generativity, spiritual well-being, homelike environment, and privacy. Themes were used to analyze the disparity between NHRA's goal of dual emphasis and the dominance of quality of care in the treatment of frail elders living in nursing homes. Policies and procedures must be developed that promote decisional control in everyday matters of an older person's life.     

The Relationship Between Spiritual Well-Being and Health-Related Quality of Life in College Students

Abstract

Objective: This study investigated the relationship between spiritual well-being (SWB) and various aspects of health-related quality of life (HRQL) of college students. Participants and Methods: Two hundred twenty-five participants were surveyed during October 2010 to assess SWB and HRQL using the Spiritual Well-Being Scale and questions from the Centers for Disease Control and Prevention's scale for HRQL, respectively. Hierarchical multiple linear regression analyses tested the relationship between SWB and multiple measures of HRQL while controlling for sex, age, and race. Results: Participants who reported higher SWB scores were more likely to participate in religious-type activities and report better HRQL compared with students who reported a moderate sense of SWB. Jointly, SWB and participation in religious activities explained 18% of the variance in HQRL in this sample. Conclusions: SWB made a significant contribution to HRQL in a sample of college students. Such a relationship should be considered by campus health program planners to improve the quality of life of young adults.     

The Elderly's Perceptions of Nursing Home Sponsorship of Retirement Communities

A research study involving 350 healthy, middle-income seniors indicated that people of retirement age have very different expectations about a housing community depending upon the nature of the sponsoring organization - be it a specific well-known hotel chain, a respected local builder, or a local, not-for-profit nursing home. A nursing home sponsored community is seen, for example, as very friendly, very sensitive to the needs of older people, but only average in quality and average in price. Further, there are differences in perceptions among demographic sub-groups of this population.     

No Place Called Home: Life Quality and Purpose of Homeless Youths

Subjective quality of life (SQOL) has been reported to display remarkable resilience to objective circumstances. This is thought to derive from the capacity to interpret experience in positive ways, but is defeated by very adverse circumstances. This raises the question of whether such positive mental devices are able to adequately protect the SQOL of homeless youths, who typically face substantial objective trials. This study compares youths who are homeless or at risk of homelessness with youths living consistently with their families (control group). It was found that both the homeless and at risk youths reported significantly lower SQOL. These youths also reported lower levels of personal meaning than the control group, and higher existential vacuum. Of the variables measured, personal meaning provided the strongest prediction of SQOL, challenging theories that would predict choice/responsibleness to provide the predominant contribution. Lack of differences in response between homeless and at risk youths suggests that subjective difficulties may precede homelessness rather than stem from it. A model is proposed to describe the possible factors involved in the maintenance and erosion of SQOL.     

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.     

Sibling Relationships Over the Life Course: A Panel Analysis

Using pooled time series analysis on approximately 9,000 individuals ages 16–85 interviewed in the 1987–1988 and 1992–1994 waves of the National Survey of Families and Households (NSFH), this research examines change in 4 behavioral measures of sibling relationships—proximity, contact, giving help, and receiving help—over the life course. All four measures of sibling relationship decline significantly during early adulthood, but proximity and contact stabilize in middle age and do not decline further, whereas sibling exchange demonstrates a slight rise after approximately age 70. Life course analyses provide only modest support for a model in which siblings substitute for parents, spouses, and children. With the partial exception of proximity, measured life course changes do not explain observed age effects.     

Life Space Over the Life Span

Much of the literature in gerontology has focused on the objective paramters of age, and the narrow causal links between behavior and environment. This has reduced the multi-layered experience of aging to stage-specific taxonomies of a disengagement process which depict behavioral units and overt operational actions, or alternately a developmental-biological paradigm that presents aging as a progressive deterioration of physical and cognitive copmetence. A more wholistic and open perspective of 'topophilia', or i.e., the relations, perceptions, attitudes, values and world view that affectively bond people and place was chosen. An oral history interview method was selected where elderly informants were invited to trace their environmental biographies over their life span. In this way the investigators were able to treat their informants' place memories as experiential data and analyzed the content of their remembrances for significant and recurring themes about space and place. This approach yielded importance insights into fundamental life themes of autonomy, privacy, environmental mastery, and sense of place.     

Serial Cohabitation and the Marital Life Course

Using cohort data from the National Longitudinal Survey of Youth, this paper tracks the experiences of serial cohabitors. Results indicate that only a minority of cohabiting women (about 15% – 20%) were involved in multiple cohabitations. Serial cohabitations were overrepresented among economically disadvantaged groups, especially those with low income and education. They also were less likely than single‐instance cohabiting unions to end in marriage rather than dissolve. If serial cohabitors married, divorce rates were very high — more than twice as high as for women who cohabited only with their eventual husbands. The results suggest the need to balance the government’s current preoccupation with marriage promotion with greater support of “at risk” unions that marriage promotion initiatives have helped create.     

The Developmental Life Course Perspective: A Conceptual and Organizing Framework for Human Behavior and the Social Environment

The developmental life course perspective (DLC) focuses attention on the socio-historical context in which we live our lives as it influences opportunities and life events that produce cumulative advantage or disadvantage. These large contextual forces shape preference and behavior, and it is within this context that the individual exerts personal agency. This perspective has particular utility as a conceptual framework for human behavior and the social environment courses as it integrates individual-level behavior within a social forces context. This article describes the DLC and its application as both a conceptual and an organizing framework for human behavior and the social environment courses at the masters level. It is illustrated with a case example.     

Programmatic and Operational Issues of Continuing Care Retirement Communities

No abstract available for this article.     

The Overlooked Side of the Experience: Personal Growth and Quality of Life Among Grandparents of Children Who Survived Cancer

This study adopted the theoretical framework of Schaefer and Moos (1992) to identify the resources that contributed to the personal growth and quality of life of 56 grandparents of childhood cancer survivors and compare them with 60 grandparents of healthy children. Participants filled out questionnaires addressing sense of coherence, social support, personal growth, and quality of life. A significant difference was found only with regards to personal growth. Hierarchical regressions revealed that health, economic status, higher levels of sense of coherence, and support contributed to quality of life, whereas being a grandparent of a child who survived cancer, lower sense of coherence, support, and past experience of the Holocaust contributed to personal growth. It seems that though they are both positive dimensions, quality of life and personal growth represent different entities in grandparents’ lives. This study sheds light on the experiences and perspectives of grandparents, indicating that alongside the physical and emotional toll taken by their grandchild’s illness, there are also positive implications that can lead to personal growth. Strengthening grandparents could enable families to take advantage of the potential contribution of one of the most committed support providers in the family.     

The Relationship Between Work-Life Policies and Practices and Employee Loyalty:A Life Course Perspective

Using a representative sample of 3,381 American workers, this study investigates relationships among work/life policies, informal support, and employee loyalty over the life course (defined by age and parental status and age of youngest child). The central thesis is that our understanding of the impact of work/life policies on employee loyalty will be enriched by consideration of the non-work and work contexts that influence employee attitudes and behavior. The relationship between employee child care policies and loyalty varies for women and men at different stages of parenthood. Flexible-time policies have a consistent, positive association with employee loyalty with some variation based on life stage. Informal support (via supervisors and co-workers) has the greatest positive relationship with employee loyalty.     

The Prospect for the Future of Continuing Care Retirement Communities in New York State

No abstract available for this article.     

Attitudes Toward Aging and Retirement Homes Before and After Entry Into a Retirement Home

The change of one's habitual living conditions in favor of institutionalized living in a retirement home can be a stressful event. Therefore, the question arises: How does entry into a retirement home affect attitudes toward one's life and aging and toward retirement homes? In order to answer this question, we used longitudinal data from 53 older individuals who were surveyed before and after entry into a retirement home. The data revealed that attitudes toward one's life and aging changed negatively and attitudes toward retirement homes changed positively; however, there are gains and losses in both attitudes.     

The Timing of Leaving the Parental Home and Its Linkages to Other Life Course Events in Turkey

Abstract

This study employs the data of the 2003 Turkish Demographic and Health Survey to study the timing of leaving the parental home and the links between home leaving and other life course events (entry into labour force, family formation, and first birth) for three groups of home-leavers: early, on-time, and late. Results of the study suggest that the majority of the home-leavers are late home-leavers in Turkey. This pattern of parental home leaving observed in Turkey resembles the pattern which can found today in Mediterranean and Southern European countries. The median age at home leaving is found to be 24.4 years. In terms of gender differentials, the study implies that the timing of leaving the parental home for males (27.2 years) markedly differs from the timing of leaving the parental home for females (21.6 years). Results also imply the sequence of life-course events for males in Turkey: entry into labour force, marriage, the birth of first child, and home leaving. On the other hand, timing of home leaving for females was found to be in line with the timing of family formation. However, the home leaving experiencing by females does not mean a real home leaving in the context of Turkey; it is just a shifting from their own parental home to their husbands' parental home.     

Home Environment and Its Relation with Quality of Life of Older People

In this cross-sectional study, we tested the relationship between sociophysical environment, quality of life (QOL), and perceived social support among elderly in Iran. The sample includes 128 participants recruited in the city of Shahrekord, Iran. We measured Evaluation of Older People Living Environment (EVOLVE); Control, Autonomy, Self-realization and Pleasure scale (CASP-19) and Multidimensional Scale of Perceived Social Support (MSPSS) tools respectively, through home-based observation and interview. A significant relationship was found between several domains of home environment, QOL, and perceived social support. The interaction effect of the home environment and gender in relation to QOL and perceived social support was statistically significant. Our results support that the home physical environment may not be considered a strong predictor of QOL among the Iranian elderly.