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The number of older adults in Thailand is currently increasing. To create the appropriate oral health service for this age group requires an understanding of the factors that are associated with their dental service utilization. This study aimed to determine the associations between social backgrounds, oral behaviors and dental service utilization among Thai older adults.

This was a cross-sectional study on a representative sample of older adults in the 8th Thai National Oral Health Survey (TNOHS). Data of 4,130 Thai older adults were collected through interviews. The association between social backgrounds, oral behaviors and dental service utilization were investigated using chi-square and logistic regression models.

Of the older adults aged 60–74 years old, 38.4% had used dental services in the last 12 months. Smokers used dental services the least (32.1%). Location, income, education and social welfare were significantly associated with dental service utilization. Among the oral behaviors evaluated, smoking was significantly associated with low dental service utilization.

Thai older adults with a poor social background including location, income, education, entitlement to the Universal Coverage Scheme (UCS) and smoking made less use of dental services.

Older adults’ sexual health is becoming an increasingly important component of healthy aging in the wake of the HIV/AIDS epidemic and rising infection rates among this age cohort. The increase in HIV/AIDS diagnoses in the older adult population ignites the need to understand the reasons why older adults are omitted from HIV/AIDS prevention education policy.

This chapter examines the social forces that influence HIV/AIDS policy at the state and community levels. Through qualitative methodology and analysis, including interviews with state policymakers and managers of AIDS service organizations in four Midwestern states (n=31), I look for trends and patterns as to whether or not older adults are considered as an “at-risk” group for HIV infection.

Findings reveal that HIV/AIDS policy may be impacted by enduring sexual scripts about older adults. To some extent both state policymakers and AIDS service organization personnel adhere to stereotypes about older adults’ sexuality and sexual activity, which is then implemented in their health promotion activities. The result is that gaps exist in HIV/AIDS prevention education for older adults, despite the fact that current trends show an increase in new HIV infections and AIDS diagnoses among people over the age of 50.

While this is an exploratory study of the available HIV/AIDS prevention education and health promotion activities for older adults, as well as the viewpoints of state policymakers and AIDS service organization personnel, the findings do indicate the need for additional research on the potentially dangerous sexual behaviors – lack of HIV testing, low condom usage, multiple partners – exhibited by older adults. Future research involving interviews with older adults, physicians, and medical personnel may add new perspectives to the current research.

As the baby boomers continue to age and challenge cultural stereotypes of sexual behaviors among older adults, research in the area of sexual health and HIV/AIDS prevention education will remain an important component of healthy aging. This research begins what will ultimately be a necessary conversation.

Facing the aging workforce but older workers’ vulnerability in the labor market, this chapter empirically explores factors and policy implications to enhance older workers’ entered employment rates (EER) after exiting the national workforce program. After reviewing older workers’ attributes and the unique methods to train them, the chapter examines demographic, socioeconomic, and program attributions to older workers’ EER, controlling for cyclical changes in the labor market. The chapter relies on three sets of models including logistic regression, multi-level mixed-effect regression, and multilevel mixed effect logistic regression models, as well as longitudinal Workforce Investment Act Standardized Record Data and Bureau of Labor Statistics unemployment data. Older dislocated workers and older adults are examined separately. Some Workforce Innovation and Opportunity Act training and related service combinations are identified to contribute to older adults and older dislocated workers’ EER and to inform strategic decision-making about future allocations of funds and policy efforts to serve older workers.

Researchers in the field of occupational stress and well-being are increasingly interested in the role of emotion regulation in the work context. Emotion regulation has also been widely investigated in the area of lifespan developmental psychology, with findings indicating that the ability to modify one’s emotions represents a domain in which age-related growth is possible. In this chapter, we integrate the literatures on aging, emotion regulation, and occupational stress and well-being. To this end, we review key theories and empirical findings in each of these areas, summarize existing research on age, emotion regulation, and stress and well-being at work, and develop a conceptual model on how aging affects emotion regulation and the stress process in work settings to guide future research. According to the model, age will affect (1) what kinds of affective work events are encountered and how often, (2) the appraisal of and initial emotional response to affective work events (emotion generation), and (3) the management of emotions and coping with affective work events (emotion regulation). The model has implications for researchers and practitioners who want to understand and facilitate successful emotion regulation and stress reduction in the workplace among different age groups.

Older adults and their families, geriatricians and gerontological practitioners, other health care providers, and social policy makers are invested in finding ways to prevent health and safety problems so that older adults can remain in their homes safely and independently. Family life education and problem-prevention programs designed for older adults are cost-effective ways of trying to avoid or prevent problems before they occur. The purpose of this chapter is to describe the use of multiple segment factorial vignettes as an educational method to promote safety and health.

Multiple segment factorial vignettes (MSFVs) are short stories comprised of two to five separate segments. In research, MSFVs have been used to study attitudes, values, beliefs, and behaviors. MSFVs also have potential for use in interventions with individuals, couples, and families. We present an example of the use of MSFVs in an intervention project in which we taught the family members and friends of older adults who lived alone how to use MSFVs in collaborative problem-solving with older adults about maintaining their independence safely in their homes. The MSFV method was easily learned by project participants, readily individualized to fit the situations of older individuals, and the participants enjoyed using them.

MSFVs were effective in changing behaviors and cognitions of older adults.

We present issues to consider for practitioners who want to develop and utilize MSFVs in interventions. Examples of MSFVs as interventions are presented and limitations to MSFVs are discussed.

Caring for older adults is an increasingly complex and multi-dimensional global concern. This article provides a comprehensive definition of the older adult care experience and discusses its key components to help practitioners deliver older adult-centered care to maximize well-being outcomes for older adults.

Based on prior research on service operations, service experience, person-centered care and the unique, evolving needs of older adults regarding their care, this paper develops a conceptual framework in which the older adult care experience is the central construct, and key dimensions of well-being are the outcomes.

The older adult care experience is shaped by older adults' perceptions and evaluations of the care that they receive. Older adult-centered care has autonomy, dignity, unique needs and social environment as its core dimensions and results in those older adults feel empowered, respected, engaged and connected as part of their experience. The article also discusses how such experience can be evaluated by using quality dimensions from service operations, hospitality and healthcare contexts, and challenges that service firms may face in creating older adult care experience.

Given the changing demographics and unique needs of older adults, it is an imperative for academics and practitioners to have an understanding of what determines older adult care experience to better serve them. Such understanding is important as by creating and fostering older adult care experience, service organizations can contribute to individual and societal well-being.

To the authors' best knowledge, this is the first paper to provide a comprehensive conceptualization of the older adult care experience.

More and more older adults begin to use the mobile internet to obtain information. However, the quality of information obtained through mobile internet by older adults is hard to be guaranteed. The purpose of this paper is to study the role of family support when older adults obtain information from mobile internet.

This study conducted a survey of 263 older adults who owned mobile internet devices such as smartphones or tablet PCs. The theory hypotheses are tested using partial least squares techniques.

For older adults, family support is the influencing factor of mobile internet literacy improvement. Family emotional support has stronger impacts on the improvement both of mobile internet skill literacy and of mobile internet information literacy than family cognitive support has. Furthermore, the improvement of both mobile internet skill literacy and of mobile internet information literacy hs positive impacts on the quality improvement of obtained information by older adults.

This paper gives advice on how family members can support older adults during their obtaining information from mobile internet to improve their mobile internet literacy and quality of obtained information.

This study examines the factors that influence mobile internet literacy and quality of obtained information among older adults from the perspective of family support in the Chinese mobile internet context. The research results enrich the internet literacy theory and the information quality theory.

The purpose of this paper is to examine the prevalence of suicide attempts and explore the suicide methods among community-dwelling Chinese older adults.

Data were drawn from the Population Study of Chinese Elderly in Chicago (PINE) study, a population-based epidemiological study of Chinese older adults aged 60 years and above in the greater Chicago area. Guided by the community-based participatory research (CBPR) approach, the study enrolled 3,159 community-dwelling Chinese older adults from 2011 to 2013.

The lifetime prevalence of suicide attempts is 791 per 100,000 and the past 12-month prevalence of suicide attempts is 285 per 100,000. Medication overdose is the most common suicide method both in the group of lifetime suicide attempts and 12-month suicide attempts. Lower income is positively correlated with lifetime suicide attempts and 12-month suicide attempts. Living with fewer household members is positively correlated with lifetime suicide attempts but not with 12-month suicide attempts.

The findings emphasize the needs for improved understanding of suicidal behavior among minority older adults and to develop culturally and linguistically sensitive prevention and intervention strategies.

Community stakeholders should improve the accessibility and availability of culturally sensitive mental health services and extend timely and effective suicide interventions in the Chinese community.

This study represents the first and largest population-based epidemiological study to investigate the suicide attempts and methods among US Chinese older adults. In addition, the implementation of the CBPR approach allows us to minimize the cultural barriers associated with suicide investigation. The study emphasizes the need for improved understanding on suicidal behavior among minority older adults to inform culturally and linguistically sensitive prevention and intervention strategies.

With the growing preference of the generation of ageing baby boomers to age in place, mobility has played an increasingly important role in their continued physical and mental well-being. As older adults drive less, their ability to travel freely where and when they desire becomes increasingly limited. Consequences of this include the cessation of various activities and services that are necessary for daily living. Transportation immobility is known to negatively impact the quality of life through physical, mental, and social isolation. For any initiative or policy to be put in place, an assessment of the current state of transportation services, specifically for older adults, needs to be carried out. The purpose of this paper is to assess the access to public transit in the Greater Lansing, Michigan region, which has a population density of about 2,042 people per square kilometre, available to ageing adults, especially when they have to stop driving.

The study uses a spatial approach through the use of geographical information systems to assess the transit infrastructure available for use by older adults in the Greater Lansing region.

This paper finds a considerable gap in available options and that some of these can be addressed by quite simple actions and initiatives.

Because the data were drawn from the US Census, the spatial analysis is limited to block-level data. The US Census (2011) defines blocks as “statistical areas bounded by visible features such as roads, streams, and railroad tracks, and by nonvisible boundaries such as property lines, city, township, school district, county limits and short line-of-sight extensions of roads”. More detailed geographical data would have enabled a more comprehensive analysis.

This study area is typical of many small towns in the USA and underlines the need for more policy- and community-led transit initiatives to address this critical barrier to optimal ageing.

This paper fulfils an identified need to study the transit infrastructure of a range of urban areas and ascertain whether it currently fulfils mobility needs of older adults who do not drive.

Prescription drug advertisements are commonly seen in magazines and on television. Many drug ads are targeted toward older adults, who tend to use more medications and suffer from more chronic conditions. Nonetheless, the effectiveness of such advertising remains uncertain. The aim of this paper is to compare implicit and explicit memory for drug ads in older and younger adults.

Older adults typically perform more poorly than young adults on explicit memory tasks, but not on implicit memory tasks. The current study measured implicit memory with an incidental ratings exercise and an indirect test of preference; explicit memory was also measured with intentional studying and a direct test of recognition. The study was a 2 x 2 mixed experimental design with one between-participants variable and one within-participants variable. The between-participants variable was age group (older vs younger adults) and the within-participants variable was implicit and explicit memory. The memory test measures were the outcome variables of the study.

The results showed no age difference for implicit memory for drug ads, but an age difference was found for explicit memory for the ads. The implicit memory manipulation succeeded in demonstrating that drug ads are persuasive, suggesting that a complete assessment of advertising effectiveness should include a test of implicit memory.

The fact that age differences were not found for implicit memory, but were found for explicit memory, is not surprising.

The study is of theoretical significance because it contributes to cognitive aging research and examines memory within an everyday context. The study is of practical significance because pharmaceutical companies spend vast amounts of money on prescription drug advertisements that may or may not be effective with older adults. The component of this study that may be most important is that the results expanded everyday memory research to another applied context using an implicit memory measure, and the indirect test of memory demonstrated that the prescription drug advertising was effective.

Although the findings were consistent with previous research, the study focuses on the real-world context of direct-to-consumer advertising for prescription drugs. Given that older adults have poorer explicit memory than younger adults, but not poorer implicit memory, it is particularly important for advertisers to use implicit memory measures when assessing advertisements aimed at older adult consumers. Marketers of pharmaceutical drug companies must remain aware that the memory abilities of their potential customers are extremely variable, and in some cases, limited.