Search results
1 – 10 of over 131000The purpose of this paper is to explore public assumptions underlying the apparent disregard for the lives of older people during the coronavirus outbreak. It attempts to…
Abstract
Purpose
The purpose of this paper is to explore public assumptions underlying the apparent disregard for the lives of older people during the coronavirus outbreak. It attempts to dispel myths about quality of life among older people.
Design/methodology/approach
This paper integrates the author’s personal experiences as a doctor with data collection, which involved general PubMed searches for articles relating to the public response to the effect of coronavirus on older people; beliefs about the lives of older people; and issues of happiness, contentedness and quality of life in older people.
Findings
Some people have concluded that the lives of older people – which they believe to be of low quality – are worth risking to lessen the economic impact of coronavirus. This morbid calculation is based in part on the assumption that older people are less happy than younger people. In fact, the evidence shows that as people get older, they become significantly happier.
Originality/value
This paper asks readers to explore their assumptions about ageing and reaffirms the importance of protecting older people in the midst of the coronavirus pandemic.
Details
Keywords
The prevalence of older people who use drugs is increasing in many countries, with evidence that some women continue or begin illicit substance use in midlife and older…
Abstract
The prevalence of older people who use drugs is increasing in many countries, with evidence that some women continue or begin illicit substance use in midlife and older age. While research on older people who use drugs is limited, evidence of risk behaviours among older women who use drugs is particularly inadequate. Unsafe drug use and sexual practices that are prolonged and sustained over many years increase the possibilities for poorer health, leading to potentially greater morbidity and early mortality among older drug users. This chapter is a timely contribution to the extant literature and explores our current knowledge of the risk behaviours of older women who use drugs.
Although midlife is viewed as a transition period in the life course, the normative role expectations of midlife and older women run parallel to the stereotypes of women who use drugs. Furthermore, drug-using bodies are politically and culturally shaped through control and containment practices centred around notions of difference and risk. Acknowledging the intersection of age, race and gender, this chapter frames its position around the concepts of ‘risk’ and ‘edgework’. Utilising these theoretical concepts, this chapter argues that a shift towards a support-focussed model, rather than control of, older women who use drugs is required. The absence of a focussed, gendered analysis of the lives and experiences of older drug users, and older women who use drugs in particular, limits our understanding. Consequently, the chapter concludes with a call for well-designed studies of this increasing and largely hidden cohort of drug users.
Bus use in later life tends to increase, especially in countries where there is cheaper or free travel on buses for older people. That said, there are still many barriers…
Abstract
Bus use in later life tends to increase, especially in countries where there is cheaper or free travel on buses for older people. That said, there are still many barriers to bus use. The most major barrier for older people is feeling unsafe on the bus, especially at night. Accessibility issues are also important, with concerns for step-free access and getting a seat. A bus driver driving off before the older person has sat down is another major concern for older people. The presence of a friendly helpful, understanding bus driver is seen as a huge benefit for older people. Training to support bus drivers in providing an age friendly service are therefore highly recommended. In many countries, public transport is supplemented by community transport offering a door-to-door on demand facility to help older people stay mobile where there is a lack of accessible public buses. There are real advantages for older people using such buses, especially creating a safe environment taking older people to important places, such as hospitals or shops. Such services can be supplemented by journeys for days out and these are very popular with users. Older people aren’t large users of railway services. Barriers include concerns over getting a seat, worry about what happens if connections are missed and services are disrupted. Older people are more likely to want staff to help them complete their journey and emphasise the need for seats, cleanliness and facilities over journey length and cost.
Details
Keywords
Saurav Chandra Acharya Samadarshi, Pimsurang Taechaboonsermsak, Mathuros Tipayamongkholgul and Korravarn Yodmai
The purpose of the study is to assess the quality of life (QOL) of older adults and explore factors associated with it.
Abstract
Purpose
The purpose of the study is to assess the quality of life (QOL) of older adults and explore factors associated with it.
Design/methodology/approach
A cross-sectional study was conducted in a remote community in Nepal. A total of 671 older adults aged 60 years were enrolled in the study. QOL was measured by WHOQOL-OLD questionnaire. Data were analyzed using multiple logistic regression.
Findings
Most participants were female (53.0%), illiterate (70.6%), married (64.2%) and living with family (59.3%). Among participants, 82.4% had fair QOL, and the autonomy domain received the lowest score (average = 10.98). After adjusting the model, the elderly aged <70 years had 11.07 times better QOL (aOR = 11.070; 95% CI = 2.546–48.123), elderly with high sufficient income had 2.73 times better QOL (aOR = 2.738; 95% CI = 1.183–6.337) and elderly free from depression had 9.45 times better QOL (aOR = 9.452; 95% CI = 3.466–25.773) compared to their counterparts. The elderly receiving social support had 9.97 times better QOL than those who did not (aOR = 9.976; 95% CI = 3.152–31.574), and those able to afford healthcare services had 4.69 times better QOL than those who could not afford it (aOR = 4.694; 95% CI = 1.046–21.063).
Originality/value
The five predictors – age, income sufficiency, depression, social support and healthcare service affordability – were found to significantly affect QOL. This study suggests special care strategies for vulnerable older adults addressing the issues that affect geriatric depression. This article provides relevant information to the government to consider increment of income, encourage family and community for social support and make health services affordable for older adults.
Details
Keywords
Isto Huvila, Åsa Cajander, Jonas Moll, Heidi Enwald, Kristina Eriksson-Backa and Hanife Rexhepi
Data from a national patient survey (N = 1,155) of the Swedish PAEHR “Journalen” users were analysed, and an extended version of the theory of technological frames was…
Abstract
Purpose
Data from a national patient survey (N = 1,155) of the Swedish PAEHR “Journalen” users were analysed, and an extended version of the theory of technological frames was developed to explain the variation in the technological and informational framing of information technologies found in the data.
Design/methodology/approach
Patient Accessible Electronic Health Records (PAEHRs) are implemented globally to address challenges with an ageing population. However, firstly, little is known about age-related variation in PAEHR use, and secondly, user perceptions of the PAEHR technology and the health record information and how the technology and information–related perceptions are linked to each other. The purpose of this study is to investigate these two under-studied aspects of PAEHRs and propose a framework based on the theory of technological frames to support studying the second aspect, i.e. the interplay of information and technology–related perceptions.
Findings
The results suggest that younger respondents were more likely to be interested in PAEHR contents for general interest. However, they did not value online access to the information as high as older ones. Older respondents were instead inclined to use medical records information to understand their health condition, prepare for visits, become involved in their own healthcare and think that technology has a much potential. Moreover, the oldest respondents were more likely to consider the information in PAEHRs useful and aimed for them but to experience the technology as inherently difficult to use.
Research limitations/implications
The sample excludes non-users and is not a representative sample of the population of Sweden. However, although the data contain an unknown bias, there are no specific reasons to believe that it would differently affect the survey's age groups.
Practical implications
Age should be taken into account as a key factor that influences perceptions of the usefulness of PAEHRs. It is also crucial to consider separately patients' views of PAEHRs as a technology and of the information contained in the EHR when developing and evaluating existing and future systems and information provision for patients.
Social implications
This study contributes to bridging the gap between information behaviour and systems design research by showing how the theory of technological frames complemented with parallel informational frames to provide a potentially powerful framework for elucidating distinct conceptualisations of (information) technologies and the information they mediate. The empirical findings show how information and information technology needs relating to PAEHRs vary according to age. In contrast to the assumptions in much of the earlier work, they need to be addressed separately.
Originality/value
Few earlier studies focus on (1) age-related variation in PAEHR use and (2) user perceptions of the PAEHR technology and the health record information and how the technology and information–related perceptions are linked to each other.
Details
Keywords
Ulrika Lundh Snis, Anna Karin Olsson and Iréne Bernhard
Within the ongoing digitalization of society and dimensions of integration, equality, citizen needs, sustainability and quality of life are of increasing importance as…
Abstract
Purpose
Within the ongoing digitalization of society and dimensions of integration, equality, citizen needs, sustainability and quality of life are of increasing importance as driving forces for cities to become smart. The purpose of this paper is to examine participatory management challenges in becoming a smart old town in the context of cultural heritage.
Design/methodology/approach
An explorative approach was applied on a qualitative single case study including in-depth interviews with 21 stakeholders representing local entrepreneurs, nonprofit organizations, the municipality, politicians, tourism organization and residents of an old town district in a Norwegian city. Additionally, participatory observations and document studies were performed. Findings were continuously validated with the respondents.
Findings
The present study contributes with stakeholder views on challenges arising from the development of a smart old town and suggests possible innovative solutions for participatory management. The transformation of a city with cultural heritage into a smart city require efforts that go beyond smart ICT implementations into issues of social sustainability.
Research limitations/implications
The study brings forward the opportunities that lie in the dynamics of interaction between the spirit of cultural heritage and the body of participatory management. It con-tributes by responding to calls for further research to deepen the insights into stakeholder inclusion in cultural heritage-based city transformation. This explorative study has its limitations as it is based on one qualitative single case.
Practical implications
Participatory management insights and recommendations for smart city transformation are provided.
Social implications
The study addresses socially sustainable outcomes to create democratic conditions that promote inclusion and community building by understanding what people need and expect from the place where they live and work.
Originality/value
This study is positioned as unique in terms of its complex nature of transforming an old town to become a smart old town based on cultural heritage and an open and coordinated inclusion of stakeholders. Smartness in context of city transformation is revealed in many dimensions ranging from technology-driven to more participant-driven.
Details
Keywords
The purpose of this article is to discuss the implications of government responses to COVID-19 for older people. Governments in England and in Wales faced complex…
Abstract
Purpose
The purpose of this article is to discuss the implications of government responses to COVID-19 for older people. Governments in England and in Wales faced complex decisions when responding to COVID-19. This paper considers the impact of their actions on the human rights of older people. It argues that there is a case to answer of potential breaches of the European Convention on Human Rights. Although it is too early to come to firm conclusions as more scientific and medical evidence is required, some actions by governments seem to be based on using age as a basis for decision-making. Human rights are complex, and it is important that claims of violations satisfy the Convention, the Human Rights Act 1998, the jurisprudence of the European Court of Human Rights and other international instruments.
Design/methodology/approach
The paper considers the legal framework of the European Convention and its relevance to Corona Virus Disease (COVID-19) and older people. Case law, academic research, guidance and media coverage form the basis of the research.
Findings
The governments have a strong case to answer. In defending their positions against allegations of discrimination against older people, they need to produce strong and convincing evidence including medical and scientific evidence that formed the basis of their decisions.
Originality/value
This paper is based on original research into human rights, older people and COVID-19.
Details
Keywords
The paper examines the compatibility of two UK policy priorities – extending working life (EWL) and the promotion of national economic performance through high performance…
Abstract
Purpose
The paper examines the compatibility of two UK policy priorities – extending working life (EWL) and the promotion of national economic performance through high performance work practices (HPWP).
Design/methodology/approach
Empirical analysis has been conducted using data from WERS2011 to test hypotheses on whether age moderates the link between HPWP and employee well-being outcomes.
Findings
Development-oriented human resource strategies are found to compromise the wellbeing of older workers relative to younger ones, while some dimensions of HPWP lead to more favourable wellbeing outcomes for older workers relative to their younger counterparts (flexible working, performance-related pay and appraisal systems).
Research limitations/implications
At older ages those still in the workforce may be over-represented by happier and psychologically more robust individuals who have settled into jobs they find fulfilling, matching their personal characteristics and abilities. If so, the adverse well-being influence of development-oriented strategies may be understated, while favourable well-being outcomes for older workers may be overstated.
Practical implications
HRM strategies may need to be more age sensitive to support the EWL agenda better.
Originality/value
While many studies have examined the link between HPWP and a range of individual-level outcomes, less widely researched is whether responses vary by age, which the paper addresses.
Details
Keywords
This study aims to gain a more holistic understanding of Chinese older adults' perceptions and use of social networking technology.
Abstract
Purpose
This study aims to gain a more holistic understanding of Chinese older adults' perceptions and use of social networking technology.
Design/methodology/approach
Grounded in the extended unified theory of acceptance and use of technology (UTAUT2) and expectation-confirmation (ECM) theory, the study proposed an integrated social media user engagement model and tested the model utilizing the data collected from 323 Chinese older adults.
Findings
The results reveal that half of the relationships in the proposed model were supported. Specifically, performance expectancy, facilitating conditions, social influence and hedonic motivation were all found to have a significant positive influence on perceived value. In addition, the results confirmed the positive impact of facilitating conditions on satisfaction. Both perceived value and satisfaction were also found to have a significant positive effect on Chinese older adults' intention to engage in social networking technology.
Originality/value
Chinese older adults are embracing Internet technologies at a greater rate; thus, understanding their perspectives of social networking technology offers valuable insights. This empirical study enhances understanding of the nature and strength of the relationships in the proposed integrated social media user engagement model in the context of Chinese older adults.
Details
Keywords
With the rapid development of modern economy and the process of urbanization is faster, a large number of historical relics have been mercilessly destroyed in the urban…
Abstract
With the rapid development of modern economy and the process of urbanization is faster, a large number of historical relics have been mercilessly destroyed in the urban reconstruction. In order to balance the contradiction between urban development and historical heritage and promote the harmonious development of new and old urban areas, it is necessary to research on the old urban areas from the perspective of historical landscape. Old urban area of Jingdezhen is taken as an example in this paper, the present situation of the reconstruction of the old city in Jingdezhen is analyzed. Then, by using the methodology of urban historical landscape, some specific methods for updating and designing the old urban area reconstruction of Jingdezhen is put forward, such as the elements of spatial form, urban texture, historical and cultural landscape elements, streets and alleys, the Changjiang River, public facilities and landscape sketches, and so on. A new design method of landscape transformation of old urban area is established. As the renewal method of respecting the urban history and cultural heritage is a very intelligent urban renewal model, it is found that the application of urban historical landscape in the old urban city is reasonable and effective, which is based on the development of the old urban area and pursues the coexistence of protection and development.
Details