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Social isolation, loneliness, and mental health among older adults during COVID-19: a scoping review. COVID-19 期间老年人的社会隔离、孤独感和心理健康:范围综述。
IF 3.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2024-02-01 Epub Date: 2023-07-27 DOI: 10.1080/01634372.2023.2237076
Aiman Mushtaq, Mohd Arif Khan

COVID-19 continues to have detrimental effects worldwide, especially on vulnerable populations. The burden of mental health concerns and psychological well-being resulting from social isolation and loneliness induced by COVID-19 are increasingly recognized in old age. The aim is to determine the extent of social isolation and loneliness among older adults, the methodologies used, the effect on mental health during COVID-19, and review intervention strategies and lifestyle changes to improve the current situation through the recommendations of the studies included. The articles published on PubMed, ProQuest, and Scopus databases from December 2019 to December 2021 with the following keywords ("Older Adults" "Social Isolation," "Loneliness," "Mental Health," "COVID-19") in English were included. Older adults have faced a serious burden of social isolation and adverse mental health effects during COVID-19. Anxiety, depression, stress, and insomnia are the major mental health concerns among older adults worldwide. It is suggested that spousal support and social networks, adaptive organizational change, and a responsive public sector are critical in reducing the obstacles to older adults. COVID-19 resilience among the aging population can be remarkable if adequately cared for with senior-friendly pandemic-related intervention strategies, policies and legislation.

COVID-19 继续在全球范围内产生有害影响,尤其是对弱势群体。人们越来越认识到,COVID-19 引起的社会隔离和孤独感会给老年人带来精神健康问题和心理健康负担。本研究旨在确定老年人中社会隔离和孤独的程度、所使用的方法、COVID-19 对心理健康的影响,并通过所纳入研究的建议审查干预策略和生活方式的改变,以改善目前的状况。该研究纳入了2019年12月至2021年12月期间在PubMed、ProQuest和Scopus数据库中发表的文章,关键词为 "老年人""社会隔离""孤独""心理健康""COVID-19"。在 COVID-19 期间,老年人面临着严重的社会隔离负担和不利的心理健康影响。焦虑、抑郁、压力和失眠是全球老年人主要的心理健康问题。建议配偶支持和社会网络、适应性组织变革以及反应迅速的公共部门对于减少老年人面临的障碍至关重要。如果采取对老年人友好的大流行病相关干预战略、政策和立法,老龄人口的 COVID-19 复原能力将非常突出。
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引用次数: 0
Statewide Age-Friendly Virtual Fair as a Tactic for Social Change Across the Aging Ecosystem. 全州范围内的 "老龄友好虚拟博览会 "作为在整个老龄生态系统中进行社会变革的一种策略。
IF 3.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2024-02-01 Epub Date: 2023-07-31 DOI: 10.1080/01634372.2023.2237098
Althea Pestine-Stevens, Emily A Greenfield, Natalie Elaine Pope, Renie Carniol, Cathy Rowe

Prior research has demonstrated ways in which community events help to establish age-friendly community initiatives and strengthen their impact. We extend these insights by discussing how the design and implementation of a statewide event - the New Jersey Age-Friendly Virtual Fair - exemplifies this practice theory and extends its applicability beyond local community development toward broader state-level age-friendly ecosystems. We describe how events that are deliberately multi-organizational, multi-sectoral, and multi-level can help to further propel the Age-Friendly Movement toward systems change for aging in community.

先前的研究表明,社区活动有助于建立老年友好社区倡议并加强其影响力。我们通过讨论一项全州性活动--新泽西州老年友好虚拟博览会--的设计和实施如何体现这一实践理论,并将其适用性从地方社区发展扩展到更广泛的州级老年友好生态系统,从而扩展这些见解。我们描述了有意识地开展多组织、多部门和多层次的活动如何有助于进一步推动老龄友好运动,实现社区老龄化的系统变革。
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引用次数: 0
"Do Your Best to Avoid it": Appraisals and Coping with Discrimination-Related Stress Among Older Chinese Immigrants in Affordable Senior Housings During the COVID-19 Pandemic. "尽力避免":COVID-19大流行期间在可负担得起的老年公寓中的中国老年移民对歧视相关压力的评价和应对。
IF 3.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2024-02-01 Epub Date: 2023-07-21 DOI: 10.1080/01634372.2023.2239876
Jiaming Liang, Kexin Yu, Yi-Hsuan Tung, Shinyi Wu, Iris Chi

This study investigated how older Chinese immigrants in affordable senior housing facilities (ASHs) appraise and cope with anti-Asian discrimination and related stress during the COVID-19 pandemic. Qualitative interviews were conducted with 26 participants aged over 65, analyzing verbatim transcripts and field notes using thematic analysis. Four major domains were identified: (1) discriminatory experience, (2) appraisals of discrimination stress, (3) coping strategies, and (4) rationales behind coping. Among the participants, 11 (42%) reported experiencing discrimination either personally or by someone they know. Participants' appraisals of discrimination stress varied, and most of them opted for disengagement coping strategies (e.g., avoidance, rationalization) attributing them to health concerns, individual characteristics, environmental and societal factors, and low acculturation. The findings suggest the need for more social and community resources to enhance coping capacity and resilience in this vulnerable population.

本研究调查了在 COVID-19 大流行期间,经济适用的老年住房设施(ASHs)中的中国老年移民如何评价和应对反亚裔歧视及相关压力。研究人员对 26 名 65 岁以上的参与者进行了定性访谈,并采用主题分析法对逐字记录稿和现场笔记进行了分析。确定了四个主要领域:(1) 歧视经历,(2) 歧视压力评估,(3) 应对策略,(4) 应对背后的理由。在参与者中,有 11 人(42%)报告自己或被熟人歧视过。参与者对歧视压力的评价各不相同,其中大多数人选择了脱离应对策略(如回避、合理化),并将其归因于健康问题、个人特征、环境和社会因素以及文化适应程度低。研究结果表明,需要更多的社会和社区资源来提高这一弱势群体的应对能力和复原力。
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引用次数: 0
VA social workers identify factors predictive of enrollment and variability in Veterans' access to aid and attendance benefits. 退伍军人事务部的社会工作者确定了退伍军人入学的预测因素以及他们在获得补助和护理福利方面的差异。
IF 3.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2024-02-01 Epub Date: 2023-07-24 DOI: 10.1080/01634372.2023.2237086
Katherine A Kennedy, Emily Corneau, Taylor Rickard, Whitney L Mills, Kali S Thomas

The Aid and Attendance (A&A) benefit is a cash entitlement for Veterans who served in the U.S. military to obtain personal care services. Our objective was to identify factors contributing to variation in A&A enrollment across VA Medical Centers (VAMCs). We used VA data to calculate the enrollment rate among older Veterans receiving a VA pension or compensation in 2015, then purposefully sampled social work leaders at 15 VAMCs with the highest (n = 7) and lowest (n = 8) enrollment rates for interviews. All respondents viewed A&A as an important benefit. Participants at high-enrollment sites indicated strong working relationships with Veterans Benefits Administration (VBA) and Veterans Service Organizations (VSOs) with onsite presence and education about A&A facilitate access. Participants at low-enrollment sites indicated they desired education around A&A eligibility criteria and collaboration with VBA/VSOs. VA and non-VA social workers would benefit from education about VBA's benefits, and this requires collaboration with VBA representatives.

护理补助金 (A&A) 是退伍军人在美国军队服役期间获得个人护理服务的一项现金权利。我们的目标是找出造成退伍军人医疗中心 (VAMC) 之间 A&A 注册率差异的因素。我们使用退伍军人事务部的数据计算了 2015 年领取退伍军人事务部抚恤金或补偿金的老年退伍军人的注册率,然后有目的地抽取了注册率最高(n = 7)和最低(n = 8)的 15 家退伍军人医疗中心的社会工作负责人进行访谈。所有受访者都认为 A&A 是一项重要福利。注册率高的医疗点的受访者表示,他们与退伍军人福利局(VBA)和退伍军人服务组织(VSOs)建立了牢固的工作关系,并在现场开展了有关 A&A 的教育活动,这为他们获得 A&A 提供了便利。低登记率地点的参与者表示,他们希望获得有关 A&A 资格标准的教育,并与退伍军人福利局/退伍军人服务组织合作。退伍军人和非退伍军人社会工作者将受益于有关退伍军人事务部福利的教育,这需要与退伍军人事务部的代表合作。
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引用次数: 0
The 100 Leading Contributors to English-Language Gerontological Journals: An International Study of Scholarly Impact. 英文老年学期刊的 100 位主要撰稿人:学术影响力国际研究》。
IF 3.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2024-01-01 Epub Date: 2023-07-24 DOI: 10.1080/01634372.2023.2236670
David R Hodge, Patricia R Turner, Chao-Kai Huang

The two aims of this study were to: 1) identify the 100 most impactful contributors to English-language gerontological journals, and 2) map their respective disciplinary affiliations to help illuminate the perspectives shaping gerontological discourse. Toward that end, we conducted a secondary data analysis of a publicly available database of the world's leading scientists. After extracting all scientists in the gerontological category, we rank ordered them according to a composite measure of scholarly impact that controls for self-citations and author order while also calculating other bibliometric statistics. Disciplinary affiliations were assigned based upon the Classification of Instructional Programs codes developed by the National Center for Education Statistics at the United States Department of Education. The results reveal the mean contributor to the gerontological literature published 241.15 (SD = 203.95) papers and - after correcting for self-citations - had an h-index of 50.05 (SD = 25.00), and an hm-index 23.67 (SD = 7.50). A diverse array of professional affiliations characterized the contributors with a plurality being located in the health professions category, followed by the biological and biomedical science, and social sciences categories. The results reveal that gerontology is home to some of the world's leading scientists. Leveraging their expertise can help advance the field's collective knowledge development.

本研究的两个目的是1)确定英语老年学期刊中最具影响力的 100 位撰稿人;2)绘制他们各自的学科归属图,以帮助阐明影响老年学话语的观点。为此,我们对全球顶尖科学家的公开数据库进行了二次数据分析。在提取了老年学类别中的所有科学家后,我们根据学术影响力的综合衡量标准对他们进行了排序,该衡量标准在计算其他文献计量统计数据的同时还控制了自引和作者顺序。学科归属根据美国教育部国家教育统计中心制定的教学计划分类代码进行分配。结果显示,老年学文献的平均撰稿人发表了 241.15(SD = 203.95)篇论文,校正自我引用后的 h 指数为 50.05(SD = 25.00),hm 指数为 23.67(SD = 7.50)。投稿人的专业背景多种多样,其中大部分人属于卫生专业类别,其次是生物和生物医学科学以及社会科学类别。研究结果表明,老年学是一些世界顶尖科学家的故乡。利用他们的专业知识有助于推动该领域的集体知识发展。
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引用次数: 0
Generativity in Later-Life: The Interplay Between Retirement Status and Human, Social, and Financial Capital. 晚年的创造力:退休状态与人力资本、社会资本和金融资本之间的相互作用。
IF 3.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2024-01-01 Epub Date: 2023-05-15 DOI: 10.1080/01634372.2023.2212730
Natalee Hung, Yu-Chih Chen, Rebecca M P Choy Yung, Mingo S M Kwan, Angela K Y To, Ellmon S M Fung, Cecilia L W Chan

Generativity has been increasingly recognized as an important component of healthy aging. Although the desire to be generative is influenced by societal and cultural expectations, the relative influence of its driving factors by retirement status, a significant life-course transition, is underexplored. This study examined how later-life generativity is driven by the interplay between retirement status and financial, human and social capital. An online survey targeting Hong Kong adults aged 45+ was conducted. Linear regression models were stratified by retirement status (working and retired) to examine the effects of financial (income, assets, and financial satisfaction), human (education and health-related measures), and social capitals (productive and social engagement) on generativity. Among those working, higher generativity was associated with financial, human, and social capitals that facilitated material provision. Among those retired, human and social capitals that supported the transmission of knowledge and experience were more important for generativity. For both groups, support from close social networks was the strongest predictor. Different cultural demands, dictated by retirement status, play a crucial role in determining how older adults feel like they can contribute to subsequent generations. These findings can inform policies and programs that seek to support healthy transitions into retirement.

人们越来越认识到,生育力是健康老龄化的一个重要组成部分。虽然生育的愿望受到社会和文化期望的影响,但其驱动因素与退休状况的相对影响却未得到充分探讨。本研究探讨了退休状况与财务、人力和社会资本之间的相互作用如何驱动晚年的生育意愿。本研究针对 45 岁以上的香港成年人进行了在线调查。线性回归模型按退休状况(在职和退休)进行分层,以研究财务资本(收入、资产和财务满意度)、人力资本(教育和健康相关措施)和社会资本(生产和社会参与)对晚年生活的生成性的影响。在职者中,较高的生成性与促进物质供应的财务、人力和社会资本有关。而在退休人员中,支持知识和经验传承的人力资本和社会资本对生育力更为重要。对于这两个群体来说,来自亲密社会网络的支持是最有力的预测因素。退休身份决定了不同的文化需求,而不同的文化需求在决定老年人认为自己如何为后代做出贡献方面起着至关重要的作用。这些发现可以为旨在支持健康过渡到退休生活的政策和计划提供参考。
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引用次数: 0
Internet Use and Well-Being of Older Adults Before and During the COVID-19 Pandemic: Findings from European Social Survey. COVID-19 大流行之前和期间老年人的互联网使用情况和幸福感:欧洲社会调查的结果。
IF 3.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2024-01-01 Epub Date: 2023-05-28 DOI: 10.1080/01634372.2023.2217682
Sunwoo Lee

The present study examined older adults' use of digital technology and its relation to perceived well-being before and during the COVID-19 pandemic in Europe. Three cross-sectional survey data from the European Social Survey (ESS) were employed including ESS8-2016 (n = 10,618, Mean age = 73.59 ± 6.76 years; 54.4% female), ESS9-2018 (n = 13,532, Mean age = 73.85 ± 6.58 years; 55.9% female), and ESS10-2020 (n = 4,894, Mean age = 73.49 ± 6.40 years; 59.0% female). Results showed that there was a tendency to increase Internet use on a daily basis across different European countries before and during the COVID-19 pandemic. Old age, low education, being widowed, and living in a household with more than five household members were salient factors that are correlated with lower levels of Internet use. Internet use was positively associated with happiness and life satisfaction, and negatively associated with poor general health.

本研究考察了欧洲 COVID-19 大流行之前和期间老年人使用数字技术的情况及其与感知幸福感的关系。研究采用了欧洲社会调查(ESS)的三个横断面调查数据,包括ESS8-2016(n = 10,618,平均年龄 = 73.59 ± 6.76 岁;54.4% 为女性)、ESS9-2018(n = 13,532,平均年龄 = 73.85 ± 6.58 岁;55.9% 为女性)和ESS10-2020(n = 4,894,平均年龄 = 73.49 ± 6.40 岁;59.0% 为女性)。结果表明,在 COVID-19 大流行之前和期间,不同欧洲国家每天使用互联网的人数呈上升趋势。年龄大、受教育程度低、丧偶和居住在有五名以上家庭成员的家庭中是与互联网使用水平较低相关的突出因素。互联网的使用与幸福感和生活满意度呈正相关,而与总体健康状况不良呈负相关。
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引用次数: 0
The Link of COVID-19-Related Beliefs and Information Sources to Ageism: Myth or Reality? 与 COVID-19 相关的信念和信息来源与年龄歧视的联系:神话还是现实?
IF 3.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2024-01-01 Epub Date: 2023-06-05 DOI: 10.1080/01634372.2023.2220381
Cherrie Park, Holly Dabelko-Schoeny, Ha-Neul Kim

This study aimed to understand ambivalent ageism among younger adults during the pandemic by examining whether younger adults' beliefs around COVID-19 and the sources from which they received COVID-19 information were associated with the intensity of their ageism. For this aim, survey data were collected from individuals ages 18 to 44 between July and September 2021. Multiple hierarchical regression analysis revealed that benevolent ageism was more intense than hostile ageism when two subscales of ambivalent ageism-benevolent and hostile-were compared. Hispanic or Latinx respondents showed less intense ambivalent ageism than non-Hispanic and non-Latinx respondents. The respondents' beliefs about safety measures and the prioritization of medical resources were significantly associated with the intensity of their ageism. Receiving COVID-19 information via traditional media and social media was also significantly associated with more intense ageism. These findings indicate that social work advocacy should continue to combat ageism in times of crisis.

本研究旨在通过考察年轻成年人对 COVID-19 的看法以及他们从哪些渠道获得 COVID-19 的信息是否与其年龄歧视的强度有关,从而了解大流行期间年轻成年人中矛盾的年龄歧视。为此,我们在 2021 年 7 月至 9 月期间收集了 18 至 44 岁人群的调查数据。多元分层回归分析显示,在比较矛盾年龄歧视的两个分量表--善意的和敌意的--时,善意的年龄歧视比敌意的年龄歧视更强烈。与非西班牙裔和非拉丁裔受访者相比,西班牙裔或拉丁裔受访者表现出的矛盾型老龄歧视没有那么强烈。受访者对安全措施和医疗资源优先级的信念与他们的老龄歧视强度有显著关联。通过传统媒体和社交媒体接收 COVID-19 信息也与更强烈的老龄歧视明显相关。这些研究结果表明,社会工作宣传应继续打击危机时期的年龄歧视。
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引用次数: 0
Introducing Issue 67(1). 第 67(1)期介绍。
IF 3.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2024-01-01 Epub Date: 2024-01-19 DOI: 10.1080/01634372.2024.2304493
Robin P Bonifas
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引用次数: 0
Characterizing Canadian Social Workers Willing to Be Involved in Medical Assistance in Dying for Persons Lacking Decisional Capacity. 加拿大社会工作者愿意参与为缺乏决定能力者提供临终医疗协助的特点。
IF 3.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2024-01-01 Epub Date: 2023-06-27 DOI: 10.1080/01634372.2023.2229397
Gina Bravo, Nathalie Delli-Colli, Isabelle Dumont, Marie-Eve Bouthillier, Marianne Rochette, Lise Trottier

Medical assistance in dying (MAID) is available in Canada for competent persons meeting the legal requirements. Extending access to persons lacking decisional capacity is being considered. Social workers may be called upon to accompany these persons through the MAID process. As part of a larger survey, we asked social workers from Quebec whether they would be willing to be involved should advance requests for MAID be legalized. Of the 367 respondents, 291 replied that they would. Using multivariable logistic regression, we identified characteristics that distinguish them from the other social workers surveyed: importance of religious or spiritual beliefs, being born in Canada, having received assisted-death requests from families, professional experiences with MAID, and dreading the prospect of participating in MAID for persons lacking decisional capacity. These findings underline the need for educational interventions that would increase social workers' confidence in providing high-quality care to clients who opt for MAID.

在加拿大,符合法律要求的有能力者可获得临终医疗协助(MAID)。目前正在考虑将使用范围扩大到缺乏决定能力的人。社会工作者可能会被要求陪伴这些人完成 MAID 程序。作为一项大型调查的一部分,我们询问了来自魁北克的社会工作者,如果提前申请 MAID 合法化,他们是否愿意参与其中。在 367 位受访者中,291 位回答愿意。通过多变量逻辑回归,我们发现了这些社工有别于其他受访社工的特征:宗教或精神信仰的重要性、出生在加拿大、接受过来自家庭的协助死亡请求、在MAID方面的专业经验,以及害怕参与对缺乏决定能力者的MAID。这些调查结果表明,有必要采取教育干预措施,以增强社会工作者的信心,为选择MAID的当事人提供高质量的护理。
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引用次数: 0
期刊
Journal of Gerontological Social Work
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