B R Simon Rosser, Tetyana Shippee, Morgan M Wright, Cailynn Aumock, Rajean Moone, Kristine M C Talley, Phil Duran, Carrie Henning-Smith, Sean Cahill, Jason D Flatt, Jaime Slaughter-Acey, Samuel Greenwald, Teresa McCarthy, Michael W Ross
{"title":"\"Going Back in the Closet\": Addressing Discrimination Against Sexual and Gender Minority Residents in Long-Term Services and Supports by Providing Culturally Responsive Care.","authors":"B R Simon Rosser, Tetyana Shippee, Morgan M Wright, Cailynn Aumock, Rajean Moone, Kristine M C Talley, Phil Duran, Carrie Henning-Smith, Sean Cahill, Jason D Flatt, Jaime Slaughter-Acey, Samuel Greenwald, Teresa McCarthy, Michael W Ross","doi":"10.1080/08959420.2023.2226300","DOIUrl":"10.1080/08959420.2023.2226300","url":null,"abstract":"<p><p>Sexual and gender minority (SGM) older adults face discrimination in long-term services and supports (LTSS). Yet, SGM older adults use LTSS disproportionately higher relative to their non-SGM counterparts. The discrimination is compounded by existing disparities, resulting in worse health outcomes and well-being for SGM older adults. Guided by socioecological model, we posit that training LTSS staff in SGM responsive care and implementing SGM anti-discrimination policies will be needed to improve care. Considering accessibility and turnover challenges, training should be online, interactive, and easily accessible. Studies that assess interventions for SGM responsive care are needed to guide policy and practice.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"875-887"},"PeriodicalIF":2.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10739643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9871684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"And What About Self-Ageism? \"Inner Work\" as a Fifth Strategy for the Eradication of Ageism.","authors":"Sarit Okun, Liat Ayalon","doi":"10.1080/08959420.2023.2226294","DOIUrl":"10.1080/08959420.2023.2226294","url":null,"abstract":"<p><p>In response to the World Health Organization Report on ageism and the spread of ageism during the COVID-19 pandemic, varied actions to combat ageism have taken place, worldwide. To examined what older people think about combating ageism, 731 Israelis, ages 60-85, responded to an online survey. Thematic analysis of their responses identified that the two main reasons for combating ageism rely on \"moral-social justification\" and \"financial-employment justification.\" Respondents suggested various strategies to combat ageism including, \"changes in law and adjudication,\" \"inter-generational ties,\" \"educational activities,\" and \"campaigns.\" Respondents also identified \"inner work\" as the fifth and most important way to eliminate self-ageism. The results of this qualitative study contribute to the global campaign to combat ageism because of the emphasis on \"inner work\" of older people as a strategy in and of itself. Moreover, the study demonstrates the importance of including older adults in all stages of the global campaign to reduce and eliminate ageism.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"732-748"},"PeriodicalIF":2.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9696467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Are Age-Friendly Communities \"Friendly\" for All? Perspectives from LGBTQ2S+ Communities.","authors":"Emma Lipinski, Arne Stinchcombe, Kimberley Wilson","doi":"10.1080/08959420.2023.2226343","DOIUrl":"10.1080/08959420.2023.2226343","url":null,"abstract":"<p><p>Age-friendly initiatives have grown in popularity in their efforts to promote active aging among older adults in Canada and other countries worldwide. However, these initiatives often overlook underrepresented populations, such as lesbian, gay, bisexual, trans, queer, and two-spirit (LGBTQ2S+) older adults, who have unique social and historical contexts which impact their aging experiences. The study involved a survey and key-informant interviews with local leaders, volunteers, staff, and/or LGBTQ2S+ older adults involved in initiatives that were both age and LGBTQ2S+ friendly to explore what it means for a community to be age and LGBTQ2S+ friendly and learn what can further be done to promote these communities. Through a qualitative template analysis, our findings suggest that safety within the social environment should be at the forefront of age-friendly policy initiatives. Considerations and avenues to create this safety and an overall culture of acceptance for all older adults include recognizing generational differences among aging cohorts, increasing LGBTQ2S+ visibility and involvement and highlighting the importance of policy and cultural humility. These considerations and the voices of LGBTQ2S+ older adults need to be integrated into age-friendly community planning and policies to ensure they are inclusive and that all older adults feel safe and can thrive within their communities.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"888-911"},"PeriodicalIF":2.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9680373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Queering Age-Friendly NYC: A Critical Discourse Analysis.","authors":"Austin G Oswald","doi":"10.1080/08959420.2024.2320046","DOIUrl":"10.1080/08959420.2024.2320046","url":null,"abstract":"<p><p>This study employed critical discourse analysis to investigate the representation of lesbian, gay, bisexual, transgender, and queer (LGBTQ+) older adults in the context of New York City's age-friendly initiative. An extensive review of over 800 pages of public records was conducted to understand how LGBTQ+ older adults were depicted within the discourse and to identify the authorities responsible for their recognition. The findings highlight the unequal representation of social identities, notably the absence of transgender and queer older adults in the examined texts. Authorities wielded discourses of power and accountability to influence perceptions of LGBTQ+ older adults, focusing on their risks and vulnerabilities. This emphasis on deficits, without acknowledgment of strengths and protective factors, has implications for age-friendly initiatives and may lead to an oversight of information necessary for the development of culturally sensitive interventions. To foster communities that are not only friendly but also equitable and just, policymakers must recognize and address subgroup variations within the LGBTQ+ population. This research underscores the importance of ensuring that age-friendly initiatives are inclusive and responsive to the diverse needs of LGBTQ+ older adults.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"912-928"},"PeriodicalIF":2.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139933539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Analysis of the First Round of Public Comments for the National Coverage Determination for Monoclonal Antibodies in the Treatment of Alzheimer's Disease.","authors":"Jenna Wahl, Emily A Gadbois","doi":"10.1080/08959420.2023.2238534","DOIUrl":"10.1080/08959420.2023.2238534","url":null,"abstract":"<p><p>Following the Food and Drug Administration's (FDA) controversial approval of aducanumab for the treatment of Alzheimer's disease, the Centers of Medicare & Medicaid Services (CMS) used its National Coverage Determination process to determine its coverage for Medicare beneficiaries. A public comment period was available for 30 days between July 12, 2021 and August 11, 2021. This study analyzed the 132 comments submitted in the first public comment period. The comments were downloaded from CMS' publicly-available website and analyzed to identify key themes across stakeholders. Three major themes were identified. Those supporting CMS approving aducanumab argued FDA's approval was appropriate and the final decision for treatment should be left to patients and their doctors. Those against or uncertain of CMS approving aducanumab stated concerns about its clinical benefits, risks, burdens, and costs; many of these stakeholders instead argued CMS institute Coverage with Evidence Development. Lastly, regardless of perspective, stakeholders encouraged CMS to cover diagnostic tools to support Alzheimer's disease research and treatments. Our analysis identifies key themes and policy implications of CMS' decision, including acknowledgment of comments and subsequent changes to CMS' determination, highlighting the value of public comments as a resource to understand stakeholder perspectives on policy decisions.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"984-1003"},"PeriodicalIF":2.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10805961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9861007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Long-Term Care Use Among Older Migrants in the Netherlands: What to Expect in the Next Decade?","authors":"Nina Conkova, Thijs van den Broek","doi":"10.1080/08959420.2024.2384195","DOIUrl":"https://doi.org/10.1080/08959420.2024.2384195","url":null,"abstract":"<p><p>The number of older adults in the Netherlands is growing rapidly, and an increasing share of them is foreign-born. This may have implications for long-term care (LTC) demand. This study provides insights into older migrants' current and future use of LTC provisions under the Dutch long-term care act (LTCA). We distinguish three types of LTC and six groups of older migrants and analyze register data of all foreign-born older adults. Descriptive statistics for the 2016-2022 period and logistic regression analyses show considerable heterogeneity regarding the LTC-services used and the origin of care users. Most notably, Moroccan and Turkish older adults are least likely to use residential care and more likely to use personal care budgets. By combining our models' results with population projections, we project that older migrants' use of home-based care and personal budgets will increase rapidly in the next decade. Migrants with western and Surinamese origin will most often use LTC. Although the demand for residential care will rise less markedly, residential care will remain most used by older migrants under the LTCA. The rising demand for home-based care calls for policy efforts accommodating flexibility, room for differences, and grounds for establishing trustworthy relationships between all involved actors.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-17"},"PeriodicalIF":2.0,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
David B Miller, Khalil M Brown, Kathryn Betts Adams
{"title":"Economic Fragility of Older Adults: Factors Contributing to a Continuing Crisis.","authors":"David B Miller, Khalil M Brown, Kathryn Betts Adams","doi":"10.1080/08959420.2024.2384190","DOIUrl":"https://doi.org/10.1080/08959420.2024.2384190","url":null,"abstract":"<p><p>With rapid population aging in the U.S. a greater number of older adults now experience economic insecurity, a situation disproportionately affecting older people of color. The COVID pandemic, rising inflation, and increasing economic inequality have reduced the purchasing power of both wages and fixed incomes. Compared with prior cohorts, the current cohort of adults at or nearing retirement age faces higher levels of secured and unsecured debt burden from mortgages, home equity loans, student loans, credit cards, and out-of-pocket medical costs. Long-standing disparities in opportunities and generational wealth have resulted in more outstanding debt for Black older adults than their white counterparts. This \"financial fragility\" may result in older people foregoing proper nutrition, doctor's visits, needed medications, or home or car repairs, while stress about finances may contribute to chronic health and mental health conditions. Along with programs to educate and advise older adults on their pressing financial concerns, practitioners who interact with older people in many settings should incorporate needed financial assessment and referrals into their work with this population. Professional and continuing education should ensure financial literacy and awareness of financial fragility for those working with older adults.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-17"},"PeriodicalIF":2.0,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tiago D Ribeiro, Helena Carvalho, Élvio Rúbio Gouveia, Marcelo Nascimento, Miguel Peralta, Adilson Marques
{"title":"Frailty and Health-Related Quality of Life Among European Older Adults: The Moderating Effect of Human Development Index.","authors":"Tiago D Ribeiro, Helena Carvalho, Élvio Rúbio Gouveia, Marcelo Nascimento, Miguel Peralta, Adilson Marques","doi":"10.1080/08959420.2024.2384179","DOIUrl":"10.1080/08959420.2024.2384179","url":null,"abstract":"<p><p>The Human Development Index (HDI) is a proxy for the social and economic level of countries, which is related to the health and well-being of older adults. This study aimed to examine the moderating effect of the HDI on the relationship between frailty and health-related quality of life among European older adults. Participants were 23,972 older adults (53.2% female, <i>M</i> = 74.2 years old, <i>SD</i> = 6.75 years old) from 24 European countries, joining wave 8 (2020) of the Survey of Health, Aging, and Retirement in Europe (SHARE). Multilevel modeling was used to analyze nested data. Significant differences in health-related quality of life among the several European Union countries were observed (intraclass correlation coefficient [ICC] = 0.18, LRT (1) = 5568.07, <i>p</i> < .001). The HDI has been shown to moderate the relationship between frailty and health-related quality of life among older adults, buffering the impact of frailty on the health-related quality of life. Since healthy aging is a priority for the European Union, policies mitigating the impact of HDI on the relationship between frailty and health-related quality of life should be implemented.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-14"},"PeriodicalIF":2.0,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gabriella Facchinetti, Marzia Lommi, Giorgia Petrucci, Maria Matarese, Maria Grazia De Marinis, Michela Piredda
{"title":"Factors Promoting a Sense of Home Among Older Adults in Residential Care Facilities in Italy.","authors":"Gabriella Facchinetti, Marzia Lommi, Giorgia Petrucci, Maria Matarese, Maria Grazia De Marinis, Michela Piredda","doi":"10.1080/08959420.2024.2384323","DOIUrl":"https://doi.org/10.1080/08959420.2024.2384323","url":null,"abstract":"<p><p>Understanding the housing needs of older adults is crucial for policy makers, service providers, and professional carers. Evidence about the factors that contribute to older adults' \"sense of home\" and their practical and policies implications are lacking. Semi-structured interviews were conducted with 78 community-dwelling older adults to investigate which structural and organizational requirements and relational-affective environments could contribute to their experiencing a sense of home. Through inductive content analysis 119 subcategories were derived and grouped into eight main categories: being considered as a person; a safe, quiet, welcoming, and personalizable environment; meaningful relationships; optional and stimulating activities; active involvement in the organization within the facility; competent care personnel; preserving life memories; facility open and integrated with the community. Findings suggest that multiple factors might influence \"feeling at home,\" and many strategies can be adopted to facilitate older adults' successful adaptation. It is important that healthcare organizations consider these factors from a person-centered care perspective, and that care staff are trained in this type of care to enhance staff decision-making and older adults' wellbeing.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-22"},"PeriodicalIF":2.0,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Examining Health Differences Among Older Adults with Federal Rental Assistance in the United States.","authors":"Meghan Jenkins Morales","doi":"10.1080/08959420.2024.2384197","DOIUrl":"https://doi.org/10.1080/08959420.2024.2384197","url":null,"abstract":"<p><p>About 1.8 million older adults receive rental assistance in the United States, but surprisingly little is known about their health, especially among the growing number of older housing choice voucher (HCV) holders. This is the first known study to use nationally representative data (2006-2018) from the National Health Interview Survey merged with Department of Housing and Urban Development (HUD) administrative data to describe the health of older HUD renters (<i>N</i> = 4,582) living in public housing, multifamily housing, or receiving an HCV. Logistic regression models were used to examine potential health differences by HUD program type. Contrary to expectations, the results suggest that older HCV holders were more likely to experience health challenges compared to older adults with project-based assistance. The results bring awareness to the health challenges experienced by older HCV holders and emphasize the need for future research to examine <i>why</i> older HCV holders are more likely to experience these health challenges. Policy makers and program administrators must consider how the HCV program has significantly aged in the past two decades and consider what program and policy changes are necessary to ensure that older adults have access to affordable housing that matches their changing needs and preferences.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-16"},"PeriodicalIF":2.0,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}