Search results

Purpose: This chapter explores the role of life course transitions, personal networks, community, and social support in the physical and mental health of LGBTQ+ elders. Specifically, we review the literature on formal and informal supports and resources available to LGBTQ+ elders as they age.

Methodology: We use an intersectional lens that explores dimensions of social identity and social location among diverse subpopulations within sexual and gender minority (SGM) elders. We outline the implications of access (or lack of access) to formal and informal care for SGM elders' physical and mental health and well-being in late life. We examine the availability of these supports in the context of broad inequalities and life events that structure the life course for LGBTQ+ elders and have long-term health implications.

Findings: Our findings from this review demonstrate how social factors over the life course shape SGM mental and physical health later in life for aging LGBTQ+ populations. We reflect on how strained relationships and lack of acceptance compel some to seek alternative sources of support and relationships. Our analysis uncovers individual and institutional sources of support: personal social networks and formal spaces, such as healthcare settings, that connect elders with resources to develop social support and avoid social isolation.

Implications: The implications of our review reveal the unique needs and barriers to practical and social support that SGM older adults face. We explore alternative supports that LGBTQ+ elders need compared with their heterosexual cisgender peers, given the disproportionate rejection they face in a range of public and intimate spaces. We conclude by identifying and celebrating sources of support and resilience as LGBTQ+ elders have crafted alternate support networks and advocated for increased recognition, rights, and care.

Originality and Value: Despite some recent flourishing of research in SGM health, a road map for scholars, practitioners, and community members outlining future research in understudied areas such as LGBTQ+ aging and transgender health would help advance scholarship and policy. Our commentary highlights quantitative and qualitative studies and suggests avenues for research that put in conversation literatures on rural studies, urban sociology, and social networks; gerontology; health; and gender/sexuality studies.

As a result of the COVID-19 pandemic, many countries have implemented preventive measures that may negatively affect the physical and mental health of older adults. This study aims to investigate the changes in life satisfaction, depressive symptoms and quality-of-life (QoL) of older adults during the post-COVID-19 pandemic in Oman.

A prospective four-week follow-up study was conducted in one health-care center in Muscat, Oman. Convenience sampling was used, and the recruitment was from November 2021 to October 2022, with 38 participants aged 60–81, of whom 36 completed the study. The study evaluated changes in psychological well-being over time and analyzed gender differences.

The study revealed a positive impact of the preventive measures on the QoL (F = 3.08, p = 0.032) and a reduction in depressive symptoms (F = 3.09, p = 0.045). However, there was no significant change in life satisfaction (F = 1.90, p = 0.165). In particular, older women reported decreased depression (F = 5.31, p = 0.006), while older men reported improved QoL (F = 4.27, p = 0.025).

Few studies have reported on the well-being issues of older adults in Oman during the pandemic. Thus, the findings of this study can contribute to the international understanding of the impact of pandemics on the well-being of older adults in Oman and help health-care professionals tailor health-care programs for older adults in the community setting.

This study provides valuable insights into the well-being of older adults in Oman during the pandemic. Understanding the effects of long-term health hazards is crucial for developing community-level intervention plans and strategies for older adults in the community setting.

Purpose – Our study focuses on the impacts of young adults’ financial situation and agency on success and satisfaction regarding developmental tasks (attainments in educational, work and social domains) in the context of economic upheavals.

Methodology/approach – The study is part of the longitudinal Finnish Educational Transitions Studies (FinEdu), in which high school students (N=614 at baseline) participated once before and three times after graduation (ages 19–25) while progressing to tertiary education and employment.

Findings – Agency (indicated by achievement and social approach strategies) increased, whereas achievement and social avoidance decreased from ages 19 to 25. Financial situation improved from an objective but not subjective perspective. Both high and increasing levels of agency were related to high levels of success and satisfaction regarding developmental tasks at age 25. In particular, social approach was related to educational attainment, sense of belonging, and romantic relationship satisfaction. High initial levels of agency and an improved financial situation predicted low economic pressure at age 25.

Research implications – Both sociopolitical structures and individual agency are important in shaping life course transitions in early adulthood. The apparent discrepancy between the macro-level national economic recession and young adults’ relatively high economic satisfaction could be explained by high agency in a welfare state context.

Social implications – The study shows important links between individuals’ life course and the societal context of Finland, a secure Nordic welfare state in the midst of global economic upheavals.

Originality/value of paper – Our longitudinal study makes a significant contribution to life course research by comprehensively conceptualizing the developmental tasks and considering their individual and social determinants.

Using a life course perspective, we identified perceived events, transitions and trajectories in older adults' lives that contributed to and inhibited continuous participation in physical activities and exercise at three stages of their lives (ie, young adulthood, middle adulthood, late adulthood). In‐depth interviews with nine men and six women provided an understanding of how societal processes and opportunities, life course roles and transitions and individual meanings of physical exercise influenced the older adults' perceptions of and current participation in physical activity and exercise.

This study assessed the marital quality of older men and women in first marriages and remarriages, examining gender differences within first marriages and remarriages, and marriage order differences for men and women separately.

The study employed nationally representative survey data for 1,243 married adults, aged 62–91, from Wave II of the National Social Life, Health, and Aging Project (NSHAP), conducted in 2010–2011. Marital quality was assessed with six positive relationship dimensions and two negative ones.

Descriptive data revealed mean ratings above scale midpoints on all positive dimensions of marital quality, and mean ratings generally below the midpoints on the negative dimensions for men and women in both first marriages and remarriages. Multivariate analyses indicated an overall stronger influence of gender than marriage order on marital quality for this sample of older adults. In both first marriages and remarriages, men reported more favorable perceptions of marriage across several positive dimensions (e.g., emotional satisfaction, physical pleasure), though they also reported more spousal criticism than did women. Within gender groups, marriage order was not associated with any of the dimensions of marital quality that were assessed.

This study demonstrates that marriage order does not have a significant influence on the marital quality of older adults today, but that long-standing gender differences in marital quality hold across marriage order. These findings are critical given the increasingly diverse marital histories of individuals entering old age in the early 21st century, and the importance of a positive, supportive marriage for older adults’ well-being.

This study aims to explore the perceptions of quality of life among older Thai adults with hypertension.

A descriptive qualitative design was used. Semistructured interviews were conducted with 40 older adults. Thematic analysis was used to analyze the data.

The analyses were divided into six major themes: happiness in life; health and functionality; activity in social relationships; religion anchor; autonomy to manage their own life; and security in finances and environment.

The findings can guide health care professionals and policymakers when planning and implementing interventions and policies for improving the quality of life of older adults, particularly that of rural older adults with low incomes.

The findings showed minor differences between urban and rural older adults in financial security, where the rural participants expressed greater financial insecurity than the urban counterparts. However, no other major differences emerged.

For nearly a century, research on economic hardship has demonstrated its negative effects on family relations. However, with few exceptions, this work has focused on the consequences for marital quality and parenting behaviors in early stages of the life course. In contrast, in the present study, we examine how financial distress among adult children in midlife affects their relationships with their mothers in their 70s and early 80s. Specifically, we used quantitative and qualitative data collected from 387 mothers in 2001–2002 and 2008–2010 regarding their adult children’s recent financial problems and their levels of tension and closeness felt toward each child. Multilevel analyses revealed that both children’s financial problems within the past year and earlier problems that had been resolved predicted mothers’ reports of tension in their relationships with their adult children. Contrary to expectations, neither measure of children’s financial problems predicted mothers’ reports of closeness to their children. Examination of the qualitative data suggested that mothers attributed their children’s financial failures to personal failures of the adult children. In addition, the qualitative data revealed clear gender differences. Mothers disproportionately attributed their sons’ financial problems to lack of career success, whereas mothers were much more likely to express disappointment in daughters with financial problems because of marital dissolutions.

The aim of this study was to examine the impact of resiliency and associated factors on the mental health and quality of life among older adults in Thailand.

This cross-sectional study was conducted with 1,800 older adults (M = 69.3, SD = 7.2) from nine provinces across all regions of Thailand. Each participant completed an anonymous paper-based survey that included demographic data, work activities, health behaviors, social support, Connor-Davidson Resilience Scale (CD-RISC), Depression, Anxiety, Stress Scale (DASS) and World Health Organization Quality of Life Assessment for Older Adults (WHOQOL-OLD).

Through hierarchical multiple regression, resiliency, social support, exercise and work hours per week were found to be significant predictors of mental health: depression (F (6, 520) = 19.38, p < 0.001, adjusted R² = 0.17); anxiety (F (6, 520) = 18.64, p < 0.001, adjusted R² = 0.17); stress (F (6, 521) = 12.91, p < .001, adjusted R² = 0.12). Five predictors of quality of life were identified through hierarchical multiple regression: resiliency, social support, exercise, age and family economic status. These predictors explained 35% of the variance, F (5, 1655) = 178.44, p < 0.001, adjusted R² = 0.35.

Based on the results of this study, a comprehensive Wellness Program was designed to improve the mental health and quality of life of older adults in Thailand. This Wellness Program included five components: Volunteer Program, Resiliency Building Program, Social Support Program, Exercise Program, and Financial Education Program.

Purpose: Grandparents are common providers of childcare within the Caribbean region. Yet research on the implications of grandparent caregiving for older adults’ well-being is limited. This study examined gender differences in the relationship between grandparent caregiving and the life satisfaction of older adults in Jamaica.

Methodology: Using a sample of 1,622 grandparents 60 years and older drawn from the 2012 study “The Health and Social Status of Older Jamaicans,” we estimated binary logistic regression models to examine the association between the frequency of grandparent caregiving and the life satisfaction of grandparents.

Findings: Grandmothers were more likely than grandfathers to provide care. We did not find a statistically significant gender difference in the life satisfaction of caregiving grandparents. Yet, gender differences in the patterns of association between grandparent caregiving and life satisfaction were evident. Among grandmothers, both occasional and regular caregiving was associated with higher life satisfaction relative to non-caregivers. Among grandfathers, however, only regular caregiving was positively associated with life satisfaction.

Originality: This is the first population-based study within the Caribbean to examine gendered patterns of grandparent caregiving and the association with grandparents’ well-being. The findings of this study suggest that grandparent caregiving is beneficial to the well-being of older Jamaican men and women. This study challenges assumptions of gender norms that typically do not position men to be involved in caregiving roles, and to derive satisfaction from such roles, within Caribbean households. The authors suggest more attention should be given to interventions to encourage men to be actively involved in family caregiving.

The purpose of this paper is to examine the relationships among satisfaction with food-related life (SWFL), perceived foodservice quality, and quality of life for older adults.

A survey done using face-to-face interviews of older adults residing in long-term care facilities. A total of 238 older adults participated in this study.

The results showed that perceived foodservice quality had a strong association with SWFL; SWFL had a significant positive association with quality of life; perceived foodservice quality positively related to quality of life. Increased SWFL would improve quality of older adults.

This study has limitations related to convenience sample. Different sampling could help with generalization of results.

Foodservice managers in long-term care facilitates should try to maximize food and service qualities for residents because improving food and service quality improves their quality of life. For example, offering a variety of menus to allow older adults to enjoy food and improve their SWFL.

This study emphasized that food was important to older adults and helped determine quality of life for them. SWFL was rarely empirically examined in the previous research.