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This study examined constraints to participation in the arts by three sub-populations of older Americans: the young old (60–69), the old (70–79) and the oldest old (80+). Health, poor performance quality and lack of companions were identified as constraints more frequently by the oldest old than by the younger respondents. The oldest old were five times more likely to be constrained by health than the young old and twice as likely as the old. The oldest old were over two times more likely to be constrained by performance quality and lack of companionship than the young old.

This paper analyzes the situation of women 85 and over using the United States Census public use sample for 1990 involving individual census records of 154,008 women and men It provides weighted population estimates. Data is presented on the oldest disability levels for men and women, the level of economic need, living arrangements, and access to a car. International comparisons from the Luxembourg Income study of elderly men and women's poverty level are also examined. Current proposals in the United States for cutbacks at the federal level in health care, income assistance and social services are examined with respect to their disproportional impact on oldest old women.

Although quality of life and attitudes to ageing have been explored in the context of mental and physical health problems in older adults, the interplay between these variables has received little attention. The purpose of this study is to explore how attitudes to ageing relate to and predict quality of life in an international sample of older people those of age 57 to 79 (youngest-old) and those over 80 years old (oldest-old).

A large international sample (n = 4,616) of participants recruited from 20 different countries completed a set of measures assessing several demographic variables, attitudes to ageing, older adult specific quality of life, general quality of life and depression.

Correlational and regression analysis showed that more positive attitudes to ageing were associated with and predicted better quality of life in older adults beyond demographic and depression variables. Those in the oldest-old group had significantly more negative attitudes to ageing and a poorer quality of life. However, positive attitudes to ageing remained a significant predictor of better quality of life in both the youngest-old and oldest-old age groups.

Attitudes to ageing play an important part in quality of life in older adults; however, the impact of these attitudes might be different according to age group. These results suggest that attitudes to ageing could be a possible clinical target in interventions aiming at improving quality of life in older adults.

Accessing and interviewing older people in residential and nursing homes (care homes) presents a number of methodological challenges. Such challenges were encountered and, in many respects, overcome in a recent survey of more than 900 residents undertaken for the Office of Fair Trading (OFT). This survey helped underpin a broader review of care homes that reflected the OFT's concerns about the ‘potential for detriment’ in the position of residents as consumers of services.Notable are the ways in which an attempt was made to maximise the inclusion of people with cognitive impairments through the devising of what was regarded as an appropriate screening test that reflected the demands of the planned interviews. A discussion of the potential for using proxies (for those failing the screening test) points to their inability to fairly represent the views of cognitively impaired residents. Also explored is the way in which access was obtained to residents and issues concerning the gate‐keeping role of home owners and managers. Questions relating to the associated rights of residents and third party interests are touched upon.

Rates of drinking- and alcohol-related harms among older adults are increasing in most developed nations. The purpose of this paper was to explore the relationship among at-risk alcohol use, smoking, gender, geographical location, self-reported health and psychological well-being among Western Australians aged 65 years and older.

A secondary analysis was conducted of a cross-sectional survey that collected data from 7,804 West Australians aged 65 years and older between 2013 and 2015. Participants were categorised according to the following age groups: young-old (aged 65–74 years), older-old (aged 75–84 years) and oldest-old (aged 85+ years).

Results from a multinomial logistic regression analysis indicated that at-risk drinking decreased with increasing age. Current smokers, males and those males and females who perceived their health to be “excellent” were more likely to report at-risk drinking, as were the oldest-old males who lived in remote communities. Psychological well-being was not a predictor of at-risk drinking

This paper examines drinking behaviour among a diverse population of older Western Australians. The way in which the age groups were segmented is unique, as most studies of older Australian drinking patterns aggregate the older adult population. Some of the authors’ findings support existing literature, whereas the remainder provides unique data about the relationship among at-risk drinking, geographic location and psychological well-being.

This study investigates how older women linguists' careers developed and led to self-employment, and this not necessarily in a linear career stage fashion. The focus is on understanding the factors that influence older women to become or continue into an entrepreneurship lifestyle, beyond economic reasons.

The research questions that guided this research are: (1) How have women linguists' careers developed at older or older old age? and (2) Which factors influenced women linguists' decision to become or continue as self-employed at older or older old age? This study is based on semi-structure interviews and short narratives written by ten informants about their late-career motivations and decisions. To get a holistic view of career development of women linguistics at an older age, the approach adopted in this study is explorative and interpretive, where the theoretical perspective supporting this approach derives mainly from career and wellbeing theories.

The authors’ findings signal that these self-employed older women's careers develop along parallel, explorative or expertise directions. The factors which appear to influence these women's decision to continue their careers as entrepreneurs include economic reasons (having), clearly. They also importantly point to other themes surrounding wellbeing including social relations (loving), self-realization and lifelong learning (being), entrepreneurship as a life style (acting) and meaningful extension of one's career (belonging).

This paper discusses how older women entrepreneurs may experience wellbeing and careers integrated together. It challenges the common notion of “career” as a one-time, linear “choice”, and instead shows how older women's entrepreneurship is a complex phenomenon.

As summarized in our introductory Chapter 1, the trend toward ever-healthier elderly seems to have been broken (Figures 8 and 9). The share of young and middle-aged Swedish men and women, reporting very good or good health status to the Survey of Living Conditions, started to decline already in the 1980s. As a consequence, as the cohorts are graying, the share of elderly people, reporting very good or good health status, has also begun to decline. Increasing health problems among Swedish oldest old have also been reported from the SWEOLD (SWEdish panel of living conditions of oldest OLD) study (Parker et al., 2004). Similar trends have been reported for the United States and for the entire EU-15. Part of the explanation appears to be the growth at young ages in allergy, asthma, diabetes, other long-standing illness, and health problems associated with obesity. In the time perspective of our simulations, these trends in long-standing health problems might have less impact on the health of the elderly (and their demand for healthcare and old-age care or their life expectancy) than on the health of people in their middle ages but still be important. In this section, we will present some additional information on the development of health status during the last 20 years or so for the Swedish population.

Family as a domestic group is seen to be crucial for the production and replenishment of human capital from generation to generation. With the consequences of demographic aging process, there is a rethinking into the structure and function of the institution for critically analyzing the contemporary challenges. In India, graying of the population became one among the major reason for scholars to pay more attention to interpret family attributes. Women’s social status, autonomy, and entitlements had marked serious shifts according to subsequent changes that happened. Using mixed methodology, aged women from Hindu families in India were studied. An examination of the existing structure, functions, social duties, and responsibilities in Hindu families, sociocultural constructions of identities within the sphere of family, and the impacts of age identities in determining the health-related quality of life and subjective well-being of aged women were the objectives of the study. While Bourdieu’s concept of habitus was used as a theoretical basis for the study, the researcher gives prepositions for sociocultural constructions of age identities through the concepts of Reverse Metamorphosis and Identity Cocoons. The study reveals that the self and social identity constructs explain interactive behavior as well as the interplay of personal meanings, family dynamics, and informal factors across the life span under the sociocultural underpinnings in a multicultural society like India.

This chapter will review the evaluations of the newly developed elderly care system in Japan, Long Term Care Insurance, and its social implications with the focus on demographic change.

By reviewing literature, this chapter will examine how demographic and social change over the years has impacted the features of caregivers. Then, how this policy change has demedicalized the aging process will be described. Finally, this chapter will evaluate whether this insurance has shifted the responsibility for elderly care from the family to society as the governmental slogan advertised.

The new insurance has offered more options in different services and established a new norm of self-reliance and determination for one’s own aging however it is doubtful if this new insurance has shifted the responsibility from family to society.

Applying the implications of policy reforms for elderly care in Japan to the United States, one can assume the traditional U.S. norms and values can facilitate effective utilization of the elderly care system. However, since each nation faces different problems with its specific condition, continuous studies and observations on the relationship between elderly care, immigration issues, and demographic changes will be necessary in order to offer more specific suggestions for each aging nation.

As Japan’s new insurance scheme for the elderly has been studied by many aging nations, recommendations for more comprehensive plans are suggested including building a community-based support system into the Long Term Care Insurance scheme to prevent social isolation and respond to emergency situations for the elderly.

Parents and offspring experience strong feelings for one another throughout the life span. Indeed, as other chapters in this volume suggest, this relationship is fraught with complexity. Yet, it is not clear whether ambivalence is specific to the parent-child relationship or whether it is characteristic of close relationships in general. Further, we do not know whether parents and children experience ambivalence in their tie throughout life or only at specific periods of life. In this chapter, we address two questions about ambivalence in the parent-child relationship: (1) Do individuals experience more ambivalence in their relationships with parents and offspring than they do in other social relationships? (2) Do individuals experience varying degrees of ambivalence in this relationship at different points in the life span?