Older woman model at Art Students League

General note: Title and date provided by Bettye Lane.

Older Women's Liberation conference

General note: Title and date provided by Bettye Lane.

Jeannette Rankin book display at NOW conference for older and mid-life women

General note: Title and date provided by Bettye Lane.

Writer Vivian Gornick speaks at "Older Women and Midlife" conference

General note: Title and date provided by Bettye Lane.

Writer Susan Sontag speaks at conference on older women

General note: Title and date provided by Bettye Lane.

Older women attend women's rally in NYC

General note: Title and date provided by Bettye Lane.

Has your work worked you too hard? Physically demanding work and disability in a sample of the older Irish population

There is a heightened need for the practitioner to be alert to the determinants of functional limitations and disabilities owing to the ageing workforce. This study investigated the association between work type and disability in older age in both the paid and the previously unexplored, unpaid worker (household labour).Data on demographic factors, physical measurements, work history and functional status were collected on three hundred and fifty seven 57-80-year-olds. Past or present work was identified as either physically demanding or not. Functional limitations and activities of daily living (ADL) disabilities were assessed using validated scales. Logistic regression was used to examine the relationship between the dependent variables and work type (physically demanding work or not physically demanding work).Over half of the sample reported doing physically demanding work. 20 % had complete function (n = 67), 65 % (n = 223) functional limitations and 15 % (n = 53) ADL disability. Physically demanding work was associated with functional limitations [OR 2.52 (1.41, 4.51), p = 0.01] and ADL disability [OR 2.10 (1.06, 4.17), p = 0.03] after adjustment for a measure of obesity and gender. When gender stratified, looking only at females, physically demanding work was associated with ADL disability [OR 2.79 (1.10, 7.07), p = 0.03] adjusted for a measure of obesity and household labour. Physically demanding work was related to functional limitations and ADL disability in older age. This is valuable information to inform practitioners in the treatment of older people with functional limitations and disabilities and in guiding interventions in the prevention of work related disability.

Utilizing ICT to prevent loneliness and social isolation of the elderly. A literature review

Ageing of the population is a worldwide phenomenon. Numerous ICT-based solutions have been developed for elderly care but mainly connected to the physiological and nursing aspects in services for the elderly. Social work is a profession that should pay attention to the comprehensive wellbeing and social needs of the elderly. Many people experience loneliness and depression in their old age, either as a result of living alone or due to a lack of close family ties and reduced connections with their culture of origin, which results in an inability to participate actively in community activities (Singh & Misra, 2009). Participation in society would enhance the quality of life. With the development of information technology, the use of technology in social work practice has risen dramatically. The aim of this literature review is to map out the state of the art of knowledge about the usage of ICT in elderly care and to figure out research-based knowledge about the usability of ICT for the prevention of loneliness and social isolation of elderly people. The data for the current research comes from the core collection of the Web of Science and the data searching was performed using Boolean? The searching resulted in 216 published English articles. After going through the topics and abstracts, 34 articles were selected for the data analysis that is based on a multi approach framework. The analysis of the research approach is categorized according to some aspects of using ICT by older adults from the adoption of ICT to the impact of usage, and the social services for them. This literature review focused on the function of communication by excluding the applications that mainly relate to physical nursing. The results show that the so-called ‘digital divide’ still exists, but the older adults have the willingness to learn and utilise ICT in daily life, especially for communication. The data shows that the usage of ICT can prevent the loneliness and social isolation of older adults, and they are eager for technical support in using ICT. The results of data analysis on theoretical frames and concepts show that this research field applies different theoretical frames from various scientific fields, while a social work approach is lacking. However, a synergic frame of applied theories will be suggested from the perspective of social work.

Sustained effectiveness of a multifaceted intervention to reduce potentially inappropriate prescribing in older patients in primary care (OPTI-SCRIPT study)

Background: Potentially inappropriate prescribing (PIP) is common in older people in primary care and can result in increased morbidity, adverse drug events and hospitalisations. We previously demonstrated the success of a multifaceted intervention in decreasing PIP in primary care in a cluster randomised controlled trial (RCT).
Objective: We sought to determine whether the improvement in PIP in the short term was sustained at 1-year follow-up.
Methods: A cluster RCT was conducted with 21 GP practices and 196 patients (aged ≥70) with PIP in Irish primary care. Intervention participants received a complex multifaceted intervention incorporating academic detailing, medicine review with web-based pharmaceutical treatment algorithms that provide recommended alternative treatment options, and tailored patient information leaflets. Control practices delivered usual care and received simple, patient-level PIP feedback. Primary outcomes were the proportion of patients with PIP and the mean number of potentially inappropriate prescriptions at 1-year follow-up. Intention-to-treat analysis using random effects regression was used.
Results: All 21 GP practices and 186 (95 %) patients were followed up. We found that at 1-year follow-up, the significant reduction in the odds of PIP exposure achieved during the intervention was sustained after its discontinuation (adjusted OR 0.28, 95 % CI 0.11 to 0.76, P = 0.01). Intervention participants had significantly lower odds of having a potentially inappropriate proton pump inhibitor compared to controls (adjusted OR 0.40, 95 % CI 0.17 to 0.94, P = 0.04).
Conclusion: The significant reduction in the odds of PIP achieved during the intervention was sustained after its discontinuation. These results indicate that improvements in prescribing quality can be maintained over time.

Cold weather plan for England

The cold weather plan gives advice to help prevent the major avoidable effects on health during periods of cold weather in England. The documents for the 2015 to 2016 winter season include: cold weather plan making the case: why long-term strategic planning for cold weather is essential to health and wellbeing letter for local authorities chief executives, directors of public health, directors of adult and child services, chairs of health and wellbeing boards, NHS England regional, clinical leads of CCGs

Life expectancy: recent trends in older ages

Over the last 30 years there has been an upward trend in life expectancy at older ages in England. Figures 1 and 2 show life expectancy in England at ages 65, 75, 85 and 95 from 1981 to 2014. The data points shaded red in Figures 1 and 2 indicate where life expectancy in that year was lower than in the previous year, showing that there is some fluctuation in life expectancy at these age groups, although the overall trend has been upwards. Male life expectancy was lower in 2012 than 2011 at ages 85 and 95, and at ages 65 and 75 it was the same in both years. There were no further falls in 2013. This flattening of the recent trend has not continued in 2014, which saw a rise in male life expectancy at all four ages. Male life expectancy increased by 0.3 years at age 65 and 0.2 years at ages 75, 85 and 95. For females, life expectancy at all four ages was lower in 2012 than 2011. At age 65, that was the first fall since 1995 and at age 75 the first fall since 2003. At ages 85 and 95, there have been frequent occasions when life expectancy in a year was lower than in the previous year. Between 2012 and 2013, there were no further falls in life expectancy at any of these ages. Between 2013 and 2014, there was an increase in female life expectancy at all four ages. Female life expectancy increased by 0.3 years at age 65 and by 0.2 years at ages 75, 85 and 95.  

Coimbra: cidade amiga das pessoas idosas?!

Introdução: Em Portugal, bem como nos restantes países mundiais, tem sido registado, em virtude de múltiplas transformações societárias, um aumento crescente do envelhecimento demográfico. Este novo cenário demográfico originou uma reflexão, por parte de organizações supranacionais, sobre as cidades na sua relação com os munícipes mais velhos. Desta reflexão surge o projeto Cidade Amiga das Pessoas Idosas que apresenta referenciais de avaliação das cidades para que estas possam adaptar as suas estruturas e serviços aos seus munícipes mais velhos. Beneficiando desta forma do potencial que as pessoas mais velhas representam para a humanidade. Objetivos: O presente estudo tem como objetivo central verificar se a cidade de Coimbra é uma cidade amiga das pessoas idosas. Metodologia: A pesquisa remete para um estudo qualitativo exploratório a partir dos procedimentos metodológicos que constam do Protocolo de Vancouver. O focus group decorreu em duas sessões. Participantes: Foram auscultados 16 pessoas, 15 (93,8%) do sexo feminino. A idade média situa-se nos 79,88 anos (dp= ± 10,658), são maioritariamente viúvos (7= 43,8 %) e 7 (43,8%) e têm como habilitações a 4ª classe. Autoclassificam-se maioritariamente na classe média baixa (7 =43,8). Resultados: Das oito categorias analisadas três categorias “espaços exteriores e edifícios”, “transportes” e “respeito e inclusão social” são avaliadas com aspetos positivos e negativos. O “suporte comunitário e serviços de saúde” é avaliado como positivo enquanto a “habitação”, “participação social” e “comunicação e informação” são avaliados como negativos. As sugestões efetuadas referem-se a um único tópico “espaços exteriores e edifícios”. Conclusões: Se partilharmos a tese que uma cidade amiga das pessoas idosas estimula o envelhecimento ativo porque otimiza as oportunidades de participação no ambiente urbano melhorando, desta forma, a qualidade de vida das pessoas envelhecem. Os resultados que obtivemos, a partir da auscultação de um grupo de idosos, permitem-nos afirmar que Coimbra precisa de se adaptar aos seus munícipes mais velhos. Só assim Coimbra se poderá tornar uma cidade amiga das pessoas idosas. Importa igualmente registar que os resultados encontrados devem ser mediados pelo perfil sociodemográfico dos idosos entrevistados. / Introduction: In Portugal, as well as in other countries worldwide, has been registered by virtue of multiple associated transformations, an increasing growing of population. This new demographic scenario triggered, led to a reflection on the part of supranational organizations, about the cities in their relationship with the older residents. This reflection comes with the project Friendly City of Older Persons that presents benchmarks for the evaluation of cities so that they can adapt their structures and services to its older citizens. Enjoying this way the potential that older people represent for humanity. Objectives: This study aims to check if the city of Coimbra is an elderly friendly city. Methodology: The research refers to an exploratory qualitative study from the methodological procedures of the Vancouver Protocol. The focus group was held in two sessions. Participants: 16 people were sounded out, 15(93.8%) were female. The average ages tends at79.88 years (dp = ±10,658), are mostly widowers (7=43.8%) and 7 (43.8%) have the qualifications to4th grade. They are classified mostly in the lower middle class(7=43.8). Results: Of the eight analyzed categories three categories" outdoor spaces and buildings", "transport" and "respect and social inclusion" are evaluated on positive and negative aspects. The "community support and health services" is evaluated as positive as the"housing", "social participation "and "communication and information" are evaluated as negative. The suggestions are related to a single topic "buildings and outdoor areas." Conclusions: If we share the view that an elderly friendly citizen courages active aging because it optimizes the opportunities for participation in the urban environment improving, in this manner, the quality of life of the elderly. The results we obtained from the consultation of a group of elderly allow us to say that Coimbra needs to adapt to its older citizens. Only then Coimbra can become a friendly city of the elderly. It should also be noted that the results should be mediated by socio-demographic profile of elderly respondents.

Famílias Unipessoais Idosas: um estudo das redes sociais pessoais de idosos que vivem sós

Objetivos: O presente estudo tem como objetivo analisar as características estruturais, funcionais e relacionais-contextuais das redes sociais pessoais de famílias unipessoais idosas. Metodologia: Utilizámos para recolha de dados um questionário para caracterizar sociodemograficamente a amostra, o Instrumento de Análise da Rede Social Pessoal (versão para idosos) (IARSP-Idosos) (Guadalupe, 2010; Guadalupe e Vicente 2012) e a escala de solidão UCLA (Neto, 1989). Participantes: A amostra é constituída por 567 indivíduos com média de idades de 75,53 anos, maioritariamente do sexo feminino (63,0%; n = 357). Predominam os sujeitos casados (53,7%; n = 304), com filhos (87,8%; n = 498) e em situação de coabitação (n = 450; 79,4%). Contudo, 20,6% (n = 117) vivem sós, constituindo as famílias unipessoais. Resultados: As redes sociais dos idosos têm em média 7,99 elementos, predominantemente familiares (M = 76,89%). Os participantes percecionam um nível elevado de apoio por parte das suas redes. São redes coesas, pouco dispersas e os contactos entre os elementos são frequentes. As mulheres, os indivíduos solteiros, viúvos ou divorciados e os idosos sem filhos têm uma maior probabilidade de viverem sós (p < 0,05) e estes apresentam uma maior probabilidade de necessitar de apoio social formal (p < 0,05). As famílias unipessoais, quando comparadas com os que não vivem sós, apresentam um maior número de campos relacionais e maior proporção de relações de amizade e de vizinhança (p < 0,05). Têm menor perceção de apoio material e instrumental, informativo, companhia social, acesso a novos vínculos e reciprocidade de apoio (p < 0,05). Além disso, referem menor frequência de contactos e uma maior dispersão geográfica (p < 0,05). Nas famílias unipessoais, observou-se a existência de correlações negativas significativas (p < 0,05) entre a percepção de solidão e o tamanho da rede, a proporção das relações familiares na rede, o apoio emocional e informativo e a reciprocidade de apoio. CONCLUSÃO: Os idosos com famílias unipessoais percecionam menor apoio por parte das suas redes, tendo uma maior propensão à solidão. É fundamental, ao longo do ciclo vital, promover a quantidade e qualidade dos vínculos, no sentido de manter a efetividade do suporte das redes mesmo quando se vive só. / Objectives: The present study aims to analyze the structural, functional and relational-contextual characteristics of older single-person households. Methodology: We used as instruments a questionnaire to evaluate sociodemographic data, the Instrumento de Análise da Rede Social Pessoal (version for elderly people: IARSP-Idosos) (Guadalupe, 2010; Guadalupe e Vicente 2012) and the UCLA Loneliness Scale (Neto, 1989). Participants: The sample consists of 567 individuals with an average age of 75.53 years, mostly females (63.0%; n = 357). There is a predominance of married individuals (53.7%; n = 304) with children (87.8%; n = 498). Older people live mainly in cohabitation (n = 450; 79.4%), however 20.6% oh them live alone, constituting one-person households. Results: The elderly personal social networks have 8 elements, on average, with a predominance of family relationships (M = 76.89%). The participants perceived a high level of support from their networks. In general the networks are cohesive, with low dispersion and have frequent contacts. The women, single, widowed or divorced and childless elderly are more likely to live alone (p < 0.05) and to need social services support (p < 0.05). The single-person households, compared with those who do not live alone, have a greater number of relational fields and a higher proportion of friendships and neighborhood relations (p < 0.05). They have a lower perception of material and informative support, social company and acess to new ties and reciprocal support (p < 0.05). They also refer lowest frequency of contacts and a wider geographical dispersion (p < 0.05). In single-person households there was a negative significant correlation between the perception of loneliness and the social network size, the proportion of family relationships in the network, emotional and informational support and reciprocal support. Conclusions: The elderly single-person households perceived less support from their networks and a greater propensity to loneliness. It is critical to promot the quality of ties, rather then their quantity, throughout the life cycle, in order to maintain the network effectiveness even when the person lives alone.

Tackling Ageing Continence through Theory, Tools & Technology (TACT3)

The complexity of issues surrounding continence management, have been investigated by a UK multi-disciplinary research team working under the project title Tackling Ageing Continence through Theory Tools and Technology (TACT3). The team comprising engineers, chemists, health researchers, designers and social anthropologists is funded by the New Dynamics of Ageing Programme, ‘a seven year multidisciplinary research initiative with the ultimate aim of improving quality of life of older people. The programme is a unique collaboration between five UK Research Councils , and is the largest and most ambitious research programme on ageing ever mounted in the UK’ (www.newdynamics.group.shef.ac.uk). The TACT3 project comprises four work packages that are individually managed by members of the research team. One work package focuses solely on knowledge transfer of the research outputs and the management of the overall project. Another work package, entitled ‘Challenging Environmental Barriers’ has focused on the barriers in the built environment that prevent older people with continence concerns from participating in wider social life, namely access to publicly available toilet facilities. We also have a work package entitled ‘Improving Continence Interventions and Services’ which is exploring patient, carer and service providers experiences in receiving and delivering National Health Service (NHS) continence management treatments. The fourth workpackage ‘Developing Assistive Technologies’ has worked with users to develop devices that promote confidence, improve health and therefore may facilitate greater social interaction for older people with continence management concerns.

Preliminary Results of an International Study Exploring and Comparing Positive Aspects and Concerns of Growing Older in Different Societies

This paper aims to gain an understanding and insight into the older person’s experiences and perceptions of growing older within their own societies in relation to their independence, choice and decision making. In an attempt to identify what is happening in different countries and cultures and to share these experiences, attitudes and perceptions from older people, this study asked people from three developing countries (Tanzania, Indonesia and Peru), from three different continents, to take part in this study.