Older Women and Lower Self-Rated Health

Several studies have found that older women report lower self-rated health than men. However, it is not clear why older women are more likely to report poor self-rated health than older men. Data for this study came from a national cross-sectional survey, Mental Health and Quality of Life of Older Malaysians (MHQoLOM). Included in the survey were 2980 respondents consisting of Malaysians aged 60 years and over, with both men (n = 1428) and women (n = 1552) represented. Results of t-tests showed older men expressed significantly higher levels of self-rated health and self-esteem than women (p < .01). Separate multivariate regression by gender revealed that age, life-threatening problems, and self-esteem were highly significant predictors of self-rated health among older men and women and explained 18.4% of variance in self-rated health for men and 18.2% for women. In the last step we examined the main effects of gender on self-rated health using General Linear Models (GLM) Univariate by adjusting for age, life-threatening problems, and self-esteem. Results showed an insignificant difference in self-rated health between older men and women (F _(1,2715) = 2.26, P = 0.13) only after adjusting for self-esteem. It can be concluded that self-esteem affects responses to self-rated health of older men and women.     

Examining Patterns and Motivations for Drug-Related Information Seeking and Scanning Behavior: A Cross-National Comparison of American and Israeli College Students

The current study uses a grounded theory approach to explore dimensions and bi-national comparisons of active information seeking efforts (seeking) for and passive information acquisition (scanning) of drug-related information among two college student samples from the United States (N = 25) and Israel (N = 39). Specifically, the study focuses on seeking and scanning related to amphetamines and marijuana, two frequently used drugs among college populations, about which information is easily accessible. Results of semi-structured interviews suggest that information scanning and seeking about marijuana and amphetamines are common, particularly from peers and from the Internet. The analysis uncovers themes relating to young adults’ drug-related, information-seeking behaviors, including cross-source information acquisition across interpersonal and media sources, and motivations for engaging in active efforts to seek drug-related information. These findings extend research on information seeking and scanning and suggest future research should examine predictors and effects of these behaviors in the context of substance use.     

A Review of: “LEARNING LATER By Brian Findsen”

Many older adults do not use health information available on the Internet. Older adults residing in affordable housing were taught to use the NIHSeniorHealth.gov Web site. Participants were predominantly African American women with limited education and income (N = 42). Outcomes included changes in computer and health Web site navigation skills. Results showed significant improvements for all demographic groups in both computer and Web site navigation (p < .001). Older minority adults with no prior computer experience were willing and able to learn to use health Web sites. Success factors included an instructor familiar with the community, peer training assistants, and a focus on new learner needs.     

Learning about sex in later life: sources of education and older Australian adults

This paper examines the preferred sexuality education sources of older Australian adults in later life. Drawing on findings from qualitative interviews with 30 men and 23 women aged 60 years and older, we consider the sources that participants currently use, or would like to use, in seeking information about sex. Where relevant, we examine participants’ experiences of learning about sex in later life using different sources, and the impact these had on their sexual expression, pleasure and well-being. Preferred sources of information include the Internet, the media, health care providers, books and workshops or discussion groups. A substantial number of participants did not actively seek information on sex. For those who had, these educational endeavours could profoundly shape their sexual practices. As such, learning about sex should be viewed as a lifelong endeavour. Our findings carry important implications for the development and delivery of sexuality education for older adults.     

Confidence and Expectations About Caring for Older People With Dementia: A Cross-Sectional Survey of Student Nurses

Older people who are living with dementia often need healthcare, including hospital admissions, due to additional health conditions. Caring for older people who are living with dementia is, therefore, a core nursing role. This study investigated student nurses’ expectations of, and confidence about, caring for older people with dementia and the effect of students’ age, precourse experience, and their academic year. The design was a cross-sectional survey using questionnaires to collect data. The participants (n = 328), based at one university in England, had all had at least one practice learning placement. Most student nurses (n = 202; 62%) had precourse contact with older people with dementia and had cared for them during the course (n = 291; 89%). The student's academic year significantly affected confidence about caring for older people with dementia (p = .006), but still only 52% (n = 26) of third-year students felt “generally confident.” Precourse contact with older people with dementia had a significant impact on expectations (p = .001) and confidence in caring for people with dementia (p = .002). Students who were >25 years were significantly more likely to have had precourse contact with older people with dementia (p = < .001). Nurse educators should ensure that students entering nurse education appreciate that caring for older people who are living with dementia will be a core part of their role. They must proactively prepare nursing students to care for people with dementia, recognizing that some students have no previous contact, which may affect their confidence and experiences.     

Education on sexually transmitted infections: finding common ground among youth,parents, providers and policy advocates

Outcomes from sex education are shaped not only by the knowledge and attitudes of youth but also by groups influential in young people's lives. American youth bear one of the highest rates of sexually transmitted infections (STIs) in the industrialized world. Four constituencies with important roles in communicating about STIs are youth, parents, healthcare providers and policy advocates of sex education. This paper aims to understand the attitudes held by these key groups and to ascertain common ground. Eight focus groups were conducted with: youth 15–23 years old (n = 20), parents of youth 10–19 years old (n = 18), healthcare providers (n = 17), and advocates working with national policymakers (n = 6). Participants discussed the issue of STIs in youth within both individual and societal contexts: the knowledge, attitudes and behaviors of individual youth – Ignorance, Exploration, Peer Pressure, Denial, and Indifference; and the influence of segments of society that could affect decisions by youth – Sex is a taboo topic, Reluctant communication by parents, Restricted school education, Limited communication by doctors, Poor role models, and Missing information in media. Understanding the groups' common ground of individual and societal contexts may provide a foundation for more effective sex education.     

The use of ICT devices by older people with a special focus on their type and respondents’ age: A Czech case study

The recent demographic trends show a rapid increase of aging population, especially in developed countries. Therefore, there is an urgent need to look for the opportunities of maintaining the quality of life of this aging population. One of the solutions seems to be the use of information and communication technology (ICT) devices, which can promote autonomy of older people by facilitating the execution of many routine activities such as shopping or communication. The purpose of this study is to explore the use of ICT devices among older people in the Czech Republic with respect to their type and respondents’ age. The methods include a questionnaire survey, as well as statistical processing of data collection. The results indicate that present seniors are becoming more digitally literate, especially in the use of mobile phones. However, the use of the technological devices then dramatically drops at the age of 75 years. In addition, the results indicate that future research should focus on the use of mobile phones, respectively smartphones, and its effectiveness on the improvement of quality of life of older generation groups.     

Are Older Adults Prepared to Ensure Food Safety During Extended Power Outages and Other Emergencies?: Findings from a National Survey

Natural disasters and other emergencies can cause an increased risk of foodborne illness. We conducted a nationally representative survey to understand consumers’ knowledge and use of recommended practices during/after extended power outages and other emergencies. Because older adults are at an increased risk for foodborne illness, this paper presents findings from a sample of older adults (n = 290). Only 17% of respondents reported they are fully prepared to keep food safe during an extended power outage. Respondents identified lack of cogitation (42%), storage space (19%), and concern (27%) as barriers to not being fully prepared. Of those who had experienced a recent power outage, less than 40% followed the recommended practices of discarding frozen foods that had thawed and discarding refrigerated, perishable foods. Additionally, 21% to 36% of respondents reported they tasted food to determine whether it was safe to eat. Awareness and likelihood of following recommended practices were higher among women than men. Many older adults are not following recommended practices to ensure food safety during/after extended power outages and other emergencies. Educational materials need to address barriers and be tailored to specific locations and subpopulations of older adults. Educators and public health officials can use the survey findings to address gaps in older adults’ knowledge and practices and to help reduce the risk of foodborne illness among older adults.     

Positive and negative aspects of relationship quality and unprotected sex among young women

The aim of this study was to examine both positive and negative aspects of relationship quality in relation to condom use. Sexually active young women aged 14–18 years (n = 111; 34% non-white) were recruited from community clinics and schools in the Midwest USA and provided data via an online survey. The number of unprotected sex acts in the past month with the most recent male partner was regressed on relationship quality with that partner, adjusting for demographics and other characteristics. Negative relationship quality was associated with a greater number of unprotected sex acts among women reporting a low level of positive relationship quality and among women taking hormonal/IUD contraception. Positive relationship quality was associated with unprotected sex among women who reported multiple partners in the past month. Both positive and negative aspects of relationship quality may confer risk for unprotected sex. This risk appears to be modified by patterns of contraceptive use and other sexual behaviours. Health professionals and sexual health educators may be more effective in promoting condom use if they ask questions about both positive and negative aspects of young people’s relationship quality and tailor their conversations based on the responses received.     

‘I learned to be okay with talking about sex and safety’: assessing the efficacy of a theatre-based HIV prevention approach for adolescents in North Carolina

Adolescents are at increased risk of HIV and sexually transmitted infections (STIs) in the Southern states of the USA, where rates among youth are higher than in the rest of the nation. This paper reports on findings from a pilot study of an HIV prevention intervention that uses interactive theatre to educate young people about sexual health. The intervention was developed in Los Angeles and adapted for testing in the Southern USA, with its legacy of abstinence-based approaches to sexual health education. This study assessed intervention effects among a sample of young people in two public high schools in North Carolina. We used a pre-test, post-test quasi-experimental evaluation design to assess changes in 317 ninth-grade participants' knowledge and attitudes about HIV. At post-test, we found statistically significant increases in participants' HIV knowledge (t = 60.14; p = 0.001), as well as changes in attitudes (χ² = 8.23; p = 0.042) and awareness (χ² = 4.94; p = 0.026). Focus group data corroborated an increase in HIV knowledge and a reduction in HIV stigma as successful outcomes of intervention participation. The findings make an important contribution to the literature on theatre-based interventions for sexual health education. Furthermore, they highlight the importance of considering sociocultural and political context in implementing HIV prevention interventions in schools.     

Relationship between social capital and lifestyle among older adults

ABSTRACT

Objective: This study was designed with the purpose of determining the relationship between social capital and lifestyle and their sub-variables among older adults.

Methods: This is a cross-sectional study using interviews that was conducted in 2017. This study was performed with randomly selected older people over 60 years of age in an urban area of Iran. Data were collected using a questionnaire in 3-month duration. The relationship between the study variables (lifestyle and social capital) was assessed through correlation analysis (in the case of non control of the underlying variables) and general linear modeling (in the case of control of the underlying variables). Data were analyzed using SPSS v.24 software at a 0.05 significant level.

Results: A total of 512 questionnaires were filed out. According to the Pearson correlation test, all social capital variables were associated with lifestyle components. However, in the general linear model test, feeling of trust and safety (p < 0.001), value of life (p = 0.030), and social participation (p = 0.004) had a significant relationship with the lifestyle.

Conclusions: The results indicated that social capital and lifestyle in the older adults were interconnected. Therefore, there is a need to improve social capital factors, especially social participation, feeling of trust and safety, and value of life, which is in-line with the strategies of achieving healthy older population. The results can be used to learn how to increase lifestyle in older adults.     

Integrating Curriculum and Practice with Students and their Field Supervisors: Reflections on Spirituality and the Aging (Rosa) Model

Previous research has found links between older adults' future orientation—hope, optimism, and death anxiety—and their physical and mental health; however, these relationships may be confounded by other psychosocial variables such as locus of control and social support. The purpose of the present study was to isolate the effects of future orientation in order to determine which future orientation variable or variables predict physical and mental health among older adults. Older adults (n = 182) completed a survey. After controlling for the effects of sociodemographic and psychosocial variables, hope emerged as the sole predictor of both physical health and mental health. This indicates that hope is a reliable predictor of physical and mental health among older adults.     

The social convoys of affordable senior housing residents: Fellow residents and “Time Left”

Living in an affordable senior housing site is a viable option for older adults who want to age in a community setting. Affordable senior housing is subsidized housing provided in the United States by the federal government’s Department of Housing and Urban Development (HUD). Such housing is available to people 62-years-of-age and older whose income level is low enough to merit federal assistance. The current study assessed the social convoys of 32 residents of one affordable senior housing site, with interest in the number of co-residents included in participants’ social convoys, as well as participants’ levels of social isolation and loneliness. In the present study, family relationships made up the largest proportion of residents’ social convoys (38.6%); however, co-residents made up 26% of participants’ social convoys. There was a positive correlation between the number of years that participants had lived at the affordable senior housing site and the percent of co-residents in their social convoys r = .39, p = .03. These findings suggest that under certain conditions older adults are willing to invest in creating new relationships with co-residents in congregate settings. The implications of these findings are explored.     

College institutional characteristics and the use of barrier methods among undergraduate students

Sexually transmitted infections (STIs) may be prevented through the use of barrier methods, but rates of use among US college students are low. Previous research focuses on individual-level factors influencing barrier method use, but few studies consider community-level influences. This study examined consistency of barrier use by college institutional characteristics including region, enrolment, control (public or private), locale, type, or religious-affiliation. Data from the Autumn 2013 US National College Health Assessment-II (n?=?13,400; 57 colleges) were analysed. Prevalence ratios were calculated for consistent barrier method use during vaginal, oral and anal sex. Consistent barrier use during vaginal sex was associated with enrolment at a college in the Northeast, compared to the West (aPR: 1.16 [95%CI 1.01–1.29], p = 0.04), and enrolment at larger institutions compared to smaller colleges. Attending a private college or university was associated with more consistent barrier method use during vaginal sex and anal sex compared to those attending a public college or university. Findings demonstrate differences in barrier method use by institutional-level factors, and future research should consider the role of the college community. US college-based health promotion should include barrier method interventions at multiple levels if STIs are to be reduced.     

Understanding pickleball as a new leisure pursuit among older adults

For older adults, participating in leisure activities has psychosocial benefits, increases social interactions, and promotes well-being. Among various leisure activities, pickleball is an activity that fosters positive social interaction and health benefits in older adults. Pickleball is regarded as one of the fastest growing sports in the USA, and it is reported to be popular among people of all ages, especially among older adults. The purpose of this study was to gather demographic details of older pickleball participants and elucidate the psychosocial benefits of playing the sport, such as life satisfaction, optimism, and social integration. To this end, we gathered information from 153 older adults who competed in pickleball tournaments. Multivariate analysis of variance and Hotelling’s T² test were used to compare the differences that emerged in experiential factors such as life satisfaction, optimism, and social integration among the different demographic characteristics. The results showed that life satisfaction was significantly different among the following three age groups: 50–59 years, 60–69 years, and ≥70 years. Results of Hotelling’s T² test showed a significant difference in social integration between male and female participants. The test also revealed a significant difference in terms of life satisfaction between retired and employed participants. The results suggest that playing pickleball can be an enriching leisure activity for retirees and may help them cope with the transition that retirement typically entails.     

Learning with and from: positioning school students as advisors in pre-service teacher education

This article reports on an innovative pedagogical approach within the Learning Partnerships program in which school students help to ‘teach the teachers’ within pre-service teacher education. Classes of school students join with classes of pre-service teachers to provide input on how teachers can enhance school students’ engagement and wellbeing. The article draws on data collected from 125 students (aged 13–16) and 120 pre-service teachers in these workshops. Findings generated from a mixed methods study combining pre-workshop focus groups (n = Students: 38, Teachers: 33) and post-workshop focus groups (n = Students: 69, Teachers: 15) and post-workshop surveys (n = Students: 96; Teachers: 101) demonstrated that the workshops were mutually beneficial for both students and pre-service teachers. Participants found that workshopping together enhanced their belief in the possibility of positive student–teacher relationships. The pre-service teachers reported greater confidence in communicating with young people about the issues that affect student engagement and wellbeing. The school students reported that they were more willing to use teachers as a source of help. Implications include the need for increased attention to a ‘third space’ for learning in teacher development which provides opportunity for learning with and from young people about how to foster their engagement and wellbeing.     

“Because if we don’t talk about it,how are we going to prevent it?”: Lucidity,a narrative-based digital game about sexual violence

This paper describes the development and evaluation of an interactive, narrative-based, multimedia game to promote learning and communication about sexual violence and health topics. High school-aged participants created the game concept in a three-week workshop, after which assets were assembled and refined by a university-based game design lab. The outcome, Lucidity, was a multimedia game with a nonlinear narrative that led to two different outcomes based on player decisions. The narrative followed the life of one character, an African American woman named Zaria who remembers and grapples with a sexual assault from her past. The player discovers parts of the story by reading comics, watching videos, navigating interactive websites and playing short videogames. The final evaluation consisted of gameplay, a post-game focus group and follow-up interviews. Twenty-four young people participated in three focus group discussions (n = 9, n = 5, n = 10); 23 participated in the follow-up interviews. Salient themes identified in the focus group discussions included: overall approval of the game, the acquisition of new knowledge and minimal past exposure to conversations or education about sexual violence. At follow-up, almost all (n = 22) had initiated a conversation about sexual violence with a parent, peer and/or teacher. Lucidity succeeded in engaging young people and facilitating communication with adults and peers regarding sexual violence and other sexual health topics. Ultimately, a game-based intervention such as this represents a feasible approach for introducing issues of sexual violence, with potential for future implementation in educational settings.     

Training professionals to implement a group model for alleviating loneliness among older people – 10-year follow-up study

Background and objectives: Although randomized controlled trials (RCTs) have been performed to alleviate loneliness among older people, little is known about how they have been implemented, or whether they are effective in real life. Our RCT-based model, “Circle of Friends” (CoF) proved to be effective in improving the wellbeing, health and cognition of lonely older people. Over 10 years we have systematically trained 752 professional facilitators of lonely older people’s CoF groups. This study aims to explain how this training has succeeded in practice and to describe the outcomes of CoF implementation. Research Design and Methods: Survey data were gathered in 2006–2016 from trained facilitators (n = 319) and CoF participants (n = 1041). Results: The CoF has been disseminated in 80 municipalities in Finland. The trained CoF facilitators have maintained the original key elements and structure of the model fairly well in its implementation and dissemination processes. The main objectives of CoF – the alleviation of loneliness, making new friends, and members continuing meetings on their own – have remained the facilitators’ priority. The CoF socially activates older participants, as 67% organized group meetings after the facilitated process. However, the CoF has become diluted in some aspects during its dissemination, as a small proportion of trained facilitators have implemented the model in their own way. Discussion and Implications: The CoF may be an encouraging example of how an original RCT model with a rigorous training program can be implemented and disseminated in real-life settings over 10 years.     

Condom Carnival: feasibility of a novel group intervention for decreasing sexual risk

Young people who engage in unprotected sex are at risk of negative consequences. The current study explored pre-post assessment data from 124, mostly Black, young people (M age = 19.6, SD = 2.8) attending an educational and vocational training programme who participated in the Condom Carnival, a novel, brief, interactive, peer-led, culturally tailored, sexual risk reduction group intervention. Condom Carnival activities provided practice negotiating condom use and using condoms correctly, instruction on safe lubricant use, and opportunities to dispel myths regarding condom size and breakage. We examined the preliminary impact of the Condom Carnival in increasing participants’ condom-related self-efficacy, lubricant safety awareness, and condom-related behavioural intentions and behaviour likelihood. Despite previous exposure to prevention efforts, participants reported significant increases in lubricant safety awareness (p < 0.001) and intentions to carry a condom in the next year (Z = ?2.05, p = 0.04). Although participants reported high condom-related self-efficacy and intentions to use a condom, only three-quarters of young people endorsed intentions to always carry a condom. Findings indicate the need to explore the gap between intentions to use and carry condoms and to develop effective strategies to increase condom carrying among young people. Further assessment of the Condom Carnival as an add-on intervention to enhance sexual risk reduction efforts among youth is warranted.