"We Used to Have Four Seasons, but Now There Is Only One": Perceptions Concerning the Changing Climate and Environment in a Diverse Sample of Israeli Older Persons

Solastalgia is the pain caused by the loss of solace and isolation from one's environment. Solastalgia is contrasted with nostalgia, which is defined as melancholy characterized by homesickness or the distance from one's home. The present study examines the two concepts of solastalgia and nostalgia in the context of climate change among diverse populations of older Israelis. In total, 50 older persons from four different population groups (e.g., veteran Israeli Jews, Israeli Arabs, immigrants from the former Soviet Union, and Ethiopian immigrants) were interviewed. All interviews were transcribed and analyzed thematically. Members of all four groups expressed emotional distress and grief associated with the changing climate, increased environmental pollution, and the disappearance of nature. Perceptions around the undesirability of these changes were quite unanimous, thus leading us to conclude that the outcomes associated with solastalgia and nostalgia are quite similar despite different etiological explanations.

Age differences in the context of climate change: Does exposure to a fake consensus statement make a difference?

The present study examined whether people of different age groups respond differently to a true versus fake consensus statement concerning climate change. In total, 309 participants were randomly exposed to a true consensus statement about climate change and 311 were exposed to a false statement. Subsequently, respondents were asked to respond to items about attitudes, feelings, and behavioral intentions concerning climate change. Compared with younger people, older persons are significantly more concerned about climate change, more likely to report that climate change is real and more willing to take climate change action. Nevertheless, older persons also are more likely to be willing to post both fake and truthful information about climate change, thus, possibly serving as spreaders of both fake and truthful information. The findings suggest that it is younger people who will benefit from further education about climate change and older people who may benefit from education about the spread of information in social media. Our findings also suggest that simply providing individuals with consensus information has only limited impact on their climate change attitudes, feelings and behavioral intentions.

"We are the future": Advant-aged women speak-out through spoken word poetry

This study aims to investigate women between the ages of 50 and 70 who write and perform spoken word poetry, through which they wish to lead positive social change, by turning the culture of silence into open discourse. This period represents a new phase of life. These women are at an "in-between" phase of being no longer young but not yet old and are between life roles. This is a new age group that has not yet been studied. We argue that this stage of life requires a new term. The term chosen for this study is advant-age because it implies the advantages and opportunities that this period of life affords. Although this group of women is growing in relation to the general population, the ageism and sexism they experience are increasing, creating a gradual process of social exclusion and reduction in their agency. Spoken Word Poetry (SWP) is written on a page but performed live in front of an audience. It is a poetic piece that includes rhythm, rhyme, and sometimes humor, which help convey complex messages with finesse. The importance of the current research lies in revealing a new and unresearched social phenomenon that has been developing in Israel in recent years: Advant-aged women are discussing issues that society usually silences, using methods that traditionally have been associated with younger groups. Through SWP, advant-aged women are enabling the possibility of raising these issues for public discussion and creating an opportunity for social change.

"They Did Not Know What They Were Doing": Climate Change and Intergenerational Compassion

BACKGROUND AND OBJECTIVES

Compassion is described as an affective experience arising from witnessing the undeserved suffering of another that propels one to provide protection and cooperation. Climate change is often associated with "underserved suffering," especially of younger and future generations. Consequently, contemporary climate discourse has expressed hostility toward older generations for inflicting such suffering. Studies on intergenerational relations within the context of climate change agree that intergenerational solidarity, rather than conflict, is necessary for effective climate action. Because compassion is instrumental to solidarity, in this study, we explore intergenerational climate-related expressions of compassion leading to intergenerational solidarity.

RESEARCH DESIGN AND METHODS

We interviewed 16 climate activists from 8 countries (aged 16-76 years) to understand how they view climate responsibility. Thematic analysis was undertaken to create and explore themes related to intergenerational compassion and solidarity.

RESULTS

Compassion flowed in both directions: from younger to older generations in the form of forgiveness, empathy, and understanding, and from older to younger generations through advocacy, lifestyle changes, and transmission of knowledge and skills. All participants emphasized solutions over accusations. Areas of focus varied between industrialized and developing countries. Cultural factors played an essential role in intergenerational perceptions.

DISCUSSION AND IMPLICATIONS

Climate change can be a polarizing issue with older adults fielding accusations and younger people facing criticism for demanding climate action. Examples of intergenerational compassion can counter ageism, reshape climate narratives, encourage intergenerational cooperation, harness the skills of different generations, and create a sustainable world for all ages.

"We are a Generation of Slaves. We Support the Protests But do not Take to the Streets": Why Older Immigrants From the Former Soviet Union are not Part of the Protests Against the Judicial Overhaul in Israel

Beginning in 2023, Israel has been the site of extensive protests against a proposed judicial overhaul, drawing widespread participation. However, there is a notable absence of older individuals from minority groups, particularly older immigrants from the Former Soviet Union (FSU), within these protests. This study aims to explore the perspectives of this group on the judicial overhaul and to reveal the reasons behind their non-participation in the protests. The study involved semi-structured interviews with 20 older FSU immigrants (age 65+). Through thematic content analysis, two main themes emerged: the attitudes of FSU older immigrants towards the proposed judicial overhaul and the factors contributing to their non-involvement in the protests. Participants exhibited diverse opinions on the judicial overhaul, ranging from outright disapproval to ambivalence or indecision. The lack of participation in the protests was attributed to multiple factors, including (1) older age and age-related limitations, (2) unique historical experiences and characteristics of the FSU immigrant cohort, and (3) a lack of unified stance and organization within the FSU immigrant community. The study provides insights into the challenges and barriers faced by older individuals in FSU immigrant minority groups in engaging with political processes and decision-making. These findings are of significant importance to policymakers, researchers, and professionals working with immigrant communities. Understanding these dynamics can aid in developing more inclusive and representative political processes and support engaging mechanisms for older minority immigrants.

Beauty work or beauty care? Women's perceptions of appearance in the second half of life

The prevailing cultural emphasis on women's attractiveness being tied to youth raises questions about how women perceive their appearance in the second half of life. The current qualitative study addresses this issue by posing two questions: how do women over fifty perceive and describe changes in their appearance? And how do they cope with these changes? Five focus group meetings with 19 Israeli women aged 54-76 were held to examine the issue. The meetings were structured around viewing three film clips starring older characters, encouraging the reporting of attitudes and perceptions in response to the clips. Based on a latent thematic analysis, the findings led to the conceptualization of a five-attitude model in response to physical changes in women's appearance: Grief-over the loss of youth and attractiveness; Resentment-over gendered media representations and cultural norms; Avoidance-distancing from one's aged appearance; Care-maintaining grooming routines; and Acceptance-coming to terms with the changes in appearance. Differences in responses between women were interpreted as reflecting a distinction between internal and external locus of control. Those with an external locus of control internalized the judgmental gaze of others, thus, reporting a greater sense of loss. Those with an internal locus of control were better able to accept themselves and focus on grooming rather than conforming to an imagined ideal. Results suggest that the distinction between understanding women's relationship with their appearance in terms of beauty work or beauty care may depend on the woman's locus of control.

The "Mother of All Protests" Meets Israeli Older Persons: When Age and Gender Intersect in Political Protests

OBJECTIVES

The Israeli government's announcement of a judicial overhaul has resulted in ongoing protests and strikes starting in early 2023. The present study examines the intersection between age and gender in political protests.

METHODS

The present qualitative study is based on interviews with 13 men and 17 women over the age of 65 who participated in the protests. We conducted qualitative thematic analysis comparing and contrasting categories within and between interviews, while taking the gender perspective into account.

RESULTS

The study highlights patterns of gendered but also older-age protesting practices. Whereas men fought for the sake of past generations, women protested mainly for the sake of their children and grandchildren. In addition, men tended to capitalize on their past achievements as fighters, whereas women emphasized their current achievements as grandmothers.

DISCUSSION

Our findings suggest that under some circumstances, even stereotypical devalued attributes (e.g., being a grandmother) can be used as powerful tools to attract supporters and fight for a cause. Older men, on the other hand, tend to hold on to their past achievements as fighters, at the top of the hegemonic hierarchy to ensure their power and status in current protests. To ensure the appeal of political protests, heterogeneity in motives and protesting styles should be acknowledged.

Political activism and wellbeing among older adults in Israel

BACKGROUND AND OBJECTIVES

The aging process is characterized by encountering challenging situations and losses that may influence the subjective wellbeing of older adults. This study investigates the influence of the political-social crisis that unfolded in Israel in 2023 on the wellbeing of senior citizens. Additionally, it explores whether their participation in protests has contributed to their wellbeing.

RESEARCH DESIGN AND METHODS

We conducted interviews with 30 older adults who were actively engaged in the protest movement against the judicial overhaul. Our sampling approach was designed to encompass a diverse range of factors, including various age groups beyond 65 years, prior involvement in protest activities, geographical distribution, religious involvement, professional backgrounds, and differing political viewpoints.

RESULTS

Thematic analysis of the interviews revealed three key findings: (1) The participants reported feeling fear and anxiety due to the conflict, leading to a decrease in their wellbeing. (2) Participating in protests uplifted their spirits and provided social support, resulting in improved emotional and social wellbeing. (3) When asked about their perception of the crisis in the future, the participants expressed mixed views: Some were cautiously optimistic and others profoundly pessimistic, while the sentiments of some participants fluctuated.

DISCUSSION AND IMPLICATIONS

This qualitative study indicates the negative impact of political-social crisis on older adults' wellbeing, as well as the limited contribution of political activism to its improvement. Equally important, the research highlights the need for stakeholders in aging and gerontology to prioritize promoting older adults' mental health regularly and during political crises.

A Life Course, Intergenerational Perspective on Loneliness

The present study relied on 15 dyads of adult children and their older parent to better understand intergenerational family relations from a life course perspective. Interviews were analyzed relying on qualitative thematic analysis, identifying similarities and differences within and between interviews and dyads. Our analysis resulted in three major themes. The first concerns the important role of intergenerational family relation as a means to define and conceptualize the experiences of loneliness and ways of coping with loneliness. The second theme concerned intergenerational relations as a cause (and at times a remedy) of loneliness. The third theme concerns the ability of the dyad's members to reflect on the level of loneliness of the other member in the intergenerational dyad. The findings stress the importance of intergenerational family relations throughout the life course and highlight the importance of adopting an intergenerational lens as a possible means to address loneliness.

The mediating role of self-directed ageism in sexual health among Jewish-Israeli older people

This article examines the relationships between physical health, personal resilience and healthy sexuality in older adults, and the mediating role of self-directed ageism in these relationships. Healthy sexuality, which encompasses sexual partnership satisfaction, sexual behaviors, successful sexual functioning, few negative changes, and few sexual health concerns, is important in old age. Five hundred Jewish-Israeli women and men, aged 60 years and over, participated in the study. Five questionnaires were administered that examined the number of diseases, level of resilience, self-perceptions of aging, and sexual relationships and activities. The data were analyzed using multiple linear and logistic regressions, and path analysis for the mediating role of self-directed ageism. The results showed that higher levels of resilience were positively related to aspects of sexual health, while reporting more diseases and higher self-directed ageism were negatively related to sexual health. Self-directed ageism mediated the relationships between resilience and number of diseases and sexual health. The findings supported the biopsychosocial model of healthy sexuality. It was concluded that sexual health in older age may be promoted by fostering resilience, promoting good health, and reducing self-directed ageism.

The paradox of subjective age: age(ing) in the self-presentation of older adults

OBJECTIVES

Studies have shown that when people grow older, the negative perceptions about age(ing) become self-directed. In this study, we examined if and how this assertion is expressed in the self-presentation of older adults.

DESIGN

To explore this issue, we undertook an online survey with 818 Israeli older adults (aged 65-90) who were asked to present themselves in writing, using an open question and to choose the age terms that they preferred, relying on a multiple-choice question. Responses were analyzed qualitatively and quantitatively using "word cloud" and linguistic inquiry.

RESULTS

The analysis indicated three ways of coping with the issue of age in one's self-presentation: Absence of old age - older people who blur their processes of aging; Camouflaged aging - older people who emphasize their age by using a line of self-ageism; Multiplicity of old age terms - the existing gap between what is being used by people and the ideal related to the use of existing age terms. The findings highlight the role of subjective age in one's self-presentations.

CONCLUSIONS

The results point to the ambivalence that older people feel in relation to their age(ing) and especially reflect the paradox of subjective age. That is, on the one hand studies have stressed the positive aspects of this practice, whereas on the other hand, subjective age possibly reflects a response to internalized negative stereotypes and prejudice about old age(ing). In this sense, this study expands the knowledge in the field of self-presentation and (subjective) age in the second half of life.

The Perceived Contribution of Older People to Climate Change Impact, Mitigation, and Adaptation: Measurement Development and Validation

Background and Objectives

To improve the understanding of ageism toward older people in the context of climate change, the present study developed and validated a new measure that examines the perceived negative and positive contributions of older people to climate change impact, mitigation, and adaptation efforts.

Research Design and Methods

Four studies (N = 774) were conducted to develop a new measure and evaluate its reliability and validity, relying on exploratory factor analysis, reliability analysis, confirmatory factor analysis, multiple-group analysis (Australia and India), discriminative validity, and convergent and divergent validity.

Results

A 2-subscale measure covering older people's perceived negative contribution to climate change effects (5 items) and perceived positive contribution to adaptation and mitigation measures (3 items; eg, negative, and positive ageism in the context of climate change) was supported by the data. The measure has demonstrated adequate validity and reliability.

Discussion and Implications

The measure highlights a relatively neglected area in current climate change discourse and may assist in identifying ways to improve intergenerational solidarity as part of climate change adaptation and mitigation efforts toward building a world for all ages under a healthy climate, which allows for healthy aging and healthy longevity. These objectives are in line with the current mission posed by the UN Decade of Healthy Ageing.

Perceived Age Discrimination in the Second Half of Life: An Examination of Age, Period, and Cohort Effects

Background and Objectives

Ageism is defined as stereotypes, prejudice, and discrimination based on age. Perceived age discrimination (e.g., the behavioral component of ageism) is highly prevalent in society, as reported by 1 in 3 people in Europe. The present study examined variations in perceived age discrimination in the second half of life. We adopt a comprehensive approach that examines whether perceived age discrimination varies by age (chronological time from birth), period (the context when data were collected), or cohort (a group of people with shared life events experienced at a similar age) across gender and ethnic origin.

Research Design and Methods

We relied on psychosocial data from the Health and Retirement Survey between 2006 and 2018. We ran a set of age-period-cohort models to determine the separate effects of aging (age) factors, contextual (period) factors, and generational (cohort) factors on perceived age discrimination.

Results

Our findings show that perceived age discrimination increases with age but reaches a plateau around the age of 75. There also were some cohort effects, but they appeared minimal and inconsistent. No period effects were found.

Discussion and Implications

The findings attest to the consistent nature of perceived age discrimination, which is less likely to be affected by external contextual events. It also is less likely to be affected by gender or ethnicity. The findings also suggest that it is older persons who are more likely to report age discrimination, thus, interventions should address ageism in this age group.

Associations Between Everyday ICT Usage and (Self-)Ageism: A Systematic Literature Review

BACKGROUND AND OBJECTIVES

Both rapid technological changes and (self-)ageism are pervasive challenges of the 21st century, potentially affecting older adults' everyday functioning, health, and well-being. This systematic literature review aimed to synthesize scholarly evidence to determine the associations between everyday information and communication technology (EICT) usage and (self-)ageism as well as potential moderators.

RESEARCH DESIGN AND METHODS

A systematic search was performed in 8 academic databases, covering the time frame from January 1995 to January 2021. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a total of 15 articles met the inclusion criteria and were involved in the analysis. The standardized National Heart, Lung, and Blood Institute's quality assessment tools were used for risk bias.

RESULTS

Several studies demonstrated significant associations between EICT usage and stereotype embodiment (n = 8), stereotype threat (n = 2), and age discrimination (n = 3). Age (group), gender, and motivation were examined as potential moderators.

DISCUSSION AND IMPLICATIONS

This review provides initial evidence on the associations between (self-)ageism and EICT usage. It highlights the importance of positive subjective aging perceptions for active EICT usage in older adults, but also emphasizes the detrimental consequences of ageism in EICT learning settings and technology design on older persons' willingness and ability to use EICT. Further ecologically valid and methodologically sound research is needed to better understand both the nature and direction of the association between EICT usage and (self-)ageism.

Inconsistent and Arbitrary Age-Based Policies During the First Wave of the COVID-19 Pandemic

The COVID-19 pandemic has forced countries to issue public measures to address threats to the safety of citizens and the healthcare system. The role of chronological age in the ways in which different countries coped with the pandemic is particularly intriguing. Based on pool of purposely selected twenty-one countries, this article compares a variety of urgent public health policies that have been enforced during the first wave of the pandemic. It analyzes the ways in which countries introduced instructions related to older people and/or chronological age in relation to: Lockdown, exit and triage policies. It also examined whether the issue of long-term care settings (LTCS) received special attention in the primary guidelines developed in response to the lockdown and exit strategies. The analysis demonstrates inconsistencies within and across countries in the enactment and implementation of age-based measures. Moreover, it suggests that both acts of omission and commission based on age can be interpreted as ageist, arbitrary, not based on evidence, too inclusive, and offensive toward older people and neglectful of specific risk groups.

And What About Self-Ageism? "Inner Work" as a Fifth Strategy for the Eradication of Ageism

In response to the World Health Organization Report on ageism and the spread of ageism during the COVID-19 pandemic, varied actions to combat ageism have taken place, worldwide. To examined what older people think about combating ageism, 731 Israelis, ages 60-85, responded to an online survey. Thematic analysis of their responses identified that the two main reasons for combating ageism rely on "moral-social justification" and "financial-employment justification." Respondents suggested various strategies to combat ageism including, "changes in law and adjudication," "inter-generational ties," "educational activities," and "campaigns." Respondents also identified "inner work" as the fifth and most important way to eliminate self-ageism. The results of this qualitative study contribute to the global campaign to combat ageism because of the emphasis on "inner work" of older people as a strategy in and of itself. Moreover, the study demonstrates the importance of including older adults in all stages of the global campaign to reduce and eliminate ageism.

The role of chronological age in climate change attitudes, feelings, and behavioral intentions: The case of null results

Past research has stressed the role of age and generation in climate change discourse, worries, and willingness to act. Therefore, the present paper aimed to examine the role of chronological age (as an arbitrary factor, which represents ageism) in lay people's climate change-related attitudes, feelings, and behavioral intentions. Two experiments in different countries, Australia and Israel, were conducted for this purpose. The first study examined the impact of the age of the speaker, who provides information about the climate crisis and the second examined the impact of the age of the group being blamed for the situation. Outcome variables included perceived responsibility and motivation for the current climate situation in study 1 and perceived climate change-related attitudes, feelings, and behavioral intentions in study 2. In study 1 (n = 250, Australia), the age of the speaker, a climate activist, varied randomly to test the hypothesis that a younger activist would be more influential and increase motivation and responsibility to act compared to an older activist. In study 2 (n = 179, Israel), the age (young vs. old) of the group identified as being responsible for the climate crisis varied randomly, to test the hypothesis that people would be more willing to identify older people as being responsible for the current climate situation, and this would impact climate change-related attitudes, feelings, and behavioral intentions. Both studies resulted in null effects. Additionally, there was no interaction between the age of the respondent and the age of the source of the message or the age group being blamed by the message. The present study has failed to show that strategies that emphasize intergenerational conflict and ageism impact people's attitudes, feelings, and behavioral intentions towards the current climate situation. This possibly can serve as an instigator for strategies that emphasize intergenerational solidarity, rather than conflict, as a guiding principle in future campaigns that advocate climate change adaptation and mitigation measures.

Combatting ageism in the Western Pacific region

The present viewpoint examines the manifestation of ageism, defined as stereotypes, prejudice and discrimination towards people because of their age, in the Western Pacific region. Research is still equivocal concerning the nature of ageism in the Western Pacific region, especially in East and South-East Asia (e.g., Eastern countries). There has been plenty of research to support as well as question the general notion of Eastern cultures and countries as being less ageist compared to Western cultures and countries at individual, interpersonal, and institutional levels. Although varied theoretical explanations have aimed to explain East-West differences in ageism such as the modernization theory, the pace of population aging, the proportion of older people in the country, cultural hypothesis, and GATEism, none of these theories fully accounts for the mixed findings. As such, it is safe to conclude that targeting ageism should be an important step in ensuring a world for all ages in Western Pacific countries.

Helps you, helps me? Provision of instrumental and personal care and loneliness among adults aged 50 years and older during the COVID-19 pandemic

PURPOSE

To examine the association between provision of instrumental and personal care, and loneliness in adults aged 50 years and older during the COVID-19 pandemic. Instrumental care referred to the provision of assistance with obtaining necessary or essential products and/or services, whereas personal care referred to the assistance with daily life activities or the provision of emotional support. Social capital and caregiver stress theories served as the study's theoretical framework.

MATERIALS AND METHODS

The data were obtained from the two COVID-19 waves of the Survey of Health, Ageing, and Retirement in Europe (SHARE) conducted in 2020 and 2021. The data were analyzed using logistic regression models. The analytical sample consisted of 48,722 adults in the abovementioned age bracket residing in Europe and Israel.

RESULTS

Providing instrumental care negatively related to loneliness. Providing instrumental care to a single category of people negatively related to loneliness, whereas providing personal care to multiple categories of people positively related to loneliness. Providing personal care to children positively related to loneliness.

CONCLUSIONS

The results suggest that different types of care provision correspond differently to the experience of loneliness while partially supporting both theoretical frameworks. Moreover, care indicators correspond differently to loneliness. The results imply that for a better understanding of the link between care provision and loneliness in later life, various parameters as well as various types of care provision should be examined.

Sex and Love Among Older Adults in the Digital World: A Scoping Review

BACKGROUND AND OBJECTIVES

The digital world offers opportunities for sex and love and also reflects societal stereotypes regarding sex and love among older adults. The aim of the current review is to look at the ways older adults use digital media for sex and love and also at digital media's representations of older adults.

RESEARCH DESIGN AND METHODS

We searched for studies published in English that used qualitative and/or quantitative methods, with findings based on empirical data from individuals 55 years of age or older. The following data sets were searched: PubMed, Web of Science, PsycINFO, Cochrane Database of Systematic Reviews, and CINAHL. Bibliographies of all relevant studies were searched. Titles and abstracts were reviewed, and selected articles were extracted independently by 2 reviewers.

RESULTS

A total of 1,819 records were retrieved. After removing duplicates, 1,488 records remained. Of these, 70 records remained for full-text screening, and a final count of 15 records was included for synthesis.

DISCUSSION AND IMPLICATIONS

The present review highlights major research gaps in the field. Although studies have indeed focused on the online dating scene among this cohort, they have ignored older adults' sexuality in favor of other aspects (e.g., love and companionship). Representations of this cohort in terms of love and sex are also lacking, and diversity is hardly addressed. Additional research is needed to examine how older adults use digital media for reasons related to love and sex, and how the media mirrors societal stereotypes regarding sex and love among older adults.

Short- and Medium-Term Effects of Ageism on Loneliness Experienced During the COVID-19 Pandemic

Loneliness, common in old age, may be partially attributed to ageism. The present study explored the short- and medium-term effect of ageism on loneliness experienced during the COVID-19 pandemic using prospective data derived from the Israeli sample of the Survey of Health, Aging and Retirement in Europe (SHARE) (N = 553). Ageism was measured before the COVID-19 outbreak and loneliness in the summer of 2020 and 2021 using a direct single question. We also tested for age differences in this association. In both the 2020 and 2021 models, ageism was related to increased loneliness. This association remained significant after adjusting for a host of demographic, health, and social variables. In the 2020 model, we also found that the positive association between ageism and loneliness was significant only in people aged 70+. We discussed the results with reference to the COVID-19 pandemic, which drew attention to two global social phenomena: loneliness and ageism.

Intergenerational Relations in the Climate Movement: Bridging the Gap toward a Common Goal

The call for climate action has attracted global support, especially among youth. Over time, climate discourse has turned increasingly hostile toward both younger and older generations, potentially engendering intergenerational conflict when intergenerational cooperation is most needed. Using a purposive sampling method, we selected a sample of 50 international influential individuals to gain an overview of the common views in current climate discourse to examine how they may impact intergenerational relations. We used a summative content analysis approach to analyze the different worldviews. The results are broadly divided into two categories-messages of intergenerational tension and messages of intergenerational solidarity. We found that although both types of messaging communicate similar facts and concerns, their presentation may either unite or divide different generations. Therefore, to work toward a common future for the benefit for all ages, it is essential for polarizing and accusatory sentiments to be replaced with messages of inclusivity and cooperation. This may be facilitated through intergenerational contact and interventions.

“A GLARING OMISSION”: BARRIERS TO INCLUDING LONG-TERM CARE RESIDENTS’ VOICES IN THE NEWS MEDIA

News media stories on residential long-term care (LTC) are mostly negative in tone, and the increase in news coverage of residential LTC during the COVID-19 pandemic intensified the pessimistic tone with panicked and accusatory reporting. Although there has been an increase in the amount of news coverage on residential LTC over the last two years, the perspectives of the residents themselves have been largely overlooked and excluded. The aim of this study is to identify and understand the barriers and embedded institutional logics in the news reporting process of LTC that prevent residents from being included and interviewed. Using a purposive sampling strategy, the researchers conducted 26 semi-structured interviews with LTC administrators (n=7), journalists on the topics of aging and LTC (n=7), and older residents living in LTC settings (n=12) in the United States. Thematic analysis is applied to the data to qualitatively extract the guiding logics frameworks of each stakeholder group. Findings are grouped into the following four themes: (1) residents are not considered "experts" by reporters and are therefore not a prioritized source of information; (2) facility administrators fear for the facility's public image & reputation and do not enthusiastically cooperate with inquiring reporters; (3) facilities were in physical lockdown for several months during the COVID-19 pandemic, and (4) residents feel forgotten and unheard. Implications of this study point to the social exclusion of older residents living in LTC and reductive reporting that fails to capture their nuanced and dynamic lived experiences.

The Role of Ageism in Climate Change Worries and Willingness to Act

This study examined the association of negative ageist prescriptive expectations regarding older people with worries about climate change and willingness to act. An online survey was completed by 250 Australians over the age 18. Higher levels of ageism (e.g., negative prescriptive views towards older people) were associated with fears about the impact of climate change on one's life, worries about the impact of climate change on older members of the family, and willingness to pay higher taxes to fight climate change. Holding more negative prescriptive views towards older people can serve as an incentive to act and at the same time carries an emotional negative valence associated with concerns and worries about the impact of climate change. Although willingness to act and concerns about climate change may inspire adaptation and mitigation efforts, it is important to ensure that they are not tied to ageism.

Ever the father: Caring masculinities among older men in two Bollywood films

BACKGROUND AND OBJECTIVES

Ideals of masculinity have gradually evolved from dominant traits of "hegemonic masculinity" to a more nurturing concept of "caring masculinity" that recognises the caregiving roles of men. In this article, we explore the performance of caring masculinities among older men in later life. We do this specifically in the Indian context by analyzing two Bollywood films, Piku (2015) and 102, Not Out (2018), which revolve around the lives of three widowers aged 70, 75, and 102.

RESEARCH DESIGN AND METHODS

We use a directed content analysis approach to examine the performance of caring masculinities in intergenerational (older parent-adult child) relationships.

RESULTS

Both films exemplify tenets of caring masculinity as three older fathers continue to perform caring roles well into their later years. They also navigate a range of emotions and vulnerabilities that challenge behaviors associated with hegemonic masculinity, a mainstay of male role portrayal in Bollywood films. Additionally, the films highlight the complexity and fragility of intergenerational bonds, emphasizing the prevalence of ambivalence rather than pure solidarity or conflict that have traditionally been used to characterize such relationships.

DISCUSSION AND IMPLICATIONS

The films challenge the notion of older adults, especially older men, as being primarily care recipients as they age. The performance of caring masculinities allows for a re-imagining of masculinity performance in society. The portrayal of men aging within nuclear households without spousal and/or intergenerational support encourages viewers to perceive new roles and realities for older men in India.

Discomfort in Discussing Sexual Issues: Developing a New Scale for Staff at Long-Term Care Facilities for Older Adults

Interviews reveal that many health professionals working with older adults are uncomfortable discussing sexual issues with those under their care. Nevertheless, to date, discomfort in discussing sexual issues with older adults has not been empirically investigated. To facilitate exploration of this subject, the current study evaluated the psychometric properties of a new measure: The Discomfort in Discussing Sexual Issues (DDSI) with Older Adults scale. The study was conducted via online survey among 127 long-term care staff (e.g., nurses, physicians, physical therapists, social workers, speech therapists, occupational therapists) serving older adults. A confirmatory factor analysis confirmed the DDSI scale's structure as a single, four-item construct. More conservative attitudes regarding sexuality in later life were associated with higher DDSI scores. In addition, DDSI scale scores were negatively correlated with knowledge about sexuality in later life and educational level. Findings indicate that the DDSI has good psychometric properties, as reflected by its high reliability and adequate validity, making it a useful assessment tool for future research. [Journal of Gerontological Nursing, 48(9), 27-37.].

Eradicating ageism through social campaigns: An Israeli case study in the shadows of the COVID-19 pandemic

This study examined three social campaigns for the eradication of ageism that were undertaken in Israel during the COVID-19 pandemic (April, 2020-May, 2021). The documentation and analysis of the campaigns were undertaken via the lens of the Theory of Change and Five Key Principles for social campaigns: planning strategically, communicating effectively, fostering community engagement, implementing key activities, and using research. We conducted desk reviews and qualitative interviews with the campaigns' organizers. The Theory of Change implemented by the campaigns targeted self-ageism among independent older people and/or employers of older adults. All campaigns emphasized "active aging" and "successful aging," to decrease (self)-ageism. The focus on one dimension of active and positive aging may result in ageism and exclusion of older people who do not fit into the category of independent and active people. The complex timing of the campaigns had influenced the degree of implementation of the five key principles. The joining of forces of different organizations and the employment of more diverse representations of old age, may facilitate the achievement of campaign goals. Finally, an empirical evaluation of social campaigns' efforts is still necessary to gather evidence about the effectiveness of social campaigns.

Self-perceptions of aging and depressive symptoms: the mediating role of loneliness

Objectives: Depression is a major health concern for both individuals and societies. Hence, understanding the risk factors for depression is of importance. As individuals grow older, the way in which they perceive the aging process may have a significant influence on their physical and mental health. More negative perceptions of aging could put individuals at risk for social withdrawal, causing loneliness and resulting in higher levels of depressive symptoms.Methods: We use the Health and Retirement Survey, a large and longitudinal dataset spanning over a period of 8 years, to examine a model in which loneliness mediates the relationship between self-perceptions of aging and depressive symptoms.Results: Our findings suggest that loneliness indeed mediates the relationship between self-perceptions of aging and depressive symptoms.Conclusions: The results highlight to the importance of the way people view the aging process in shaping their social and mental well-being. Practitioners may want to address self-perceptions of aging when helping older adults cope with loneliness and depressive symptoms.

Reasons people refrain from sex in later life

There has been an increase in research on sexual activity in later life, yet far less is known about the actual perceptions and experiences of older adults who refrain from sexual activity. In the current study, a thematic analysis was conducted to identify patterns in semi-structured interviews with 47 older adults, aged 60-91. The analysis yielded seven themes that describe why older adults refrain from sex: 1) avoiding confronting sexual dysfunctions, 2) avoiding confronting the aging body, 3) avoiding performance anxiety, 4) being uninterested in sexual activity, 5) taking time to grieve the loss of a partner, 6) avoiding judgment, and 7) seeing sexuality as evolving and changing. Themes were organized according to the bio-psycho-social perspective and based on the axis of personal (self-focused) and interpersonal (partner-focused) motives. It is perfectly acceptable for people to refrain from sexual activity for their own reasons. However, if older adults want to remain sexually active, they should receive complete information about the many possibilities of treating different sexual problems in later life and about the many ways, beyond sexual penetration, one can enjoy sexual activity even in old age.

Intergenerational family online community and older adults' overall well-being

Purpose

This study aims to evaluate the potential contribution of a membership in an online family community to older adults' overall well-being.

Design/methodology/approach

A total of 427 respondents over the age of 64 participated in the study (M = 74.55, SD = 7.13), answering a survey. To test the contributing of belonging to family online communities (WhatsApp), three hierarchical regression analyses were conducted, with well-being, self-perceptions of aging and loneliness as outcome variables.

Findings

Findings show that belonging to an intergenerational family online community was associated with higher levels of well-being, less loneliness and better self-perceptions of aging, even once demographic characteristics and using social media were controlled for.

Social implications

This study demonstrates the important role that the family online community membership plays in older adults' lives. This has significant implications that may contribute to intergenerational emotional solidarity.

Originality/value

The authors suggest that technology is not per se, but the intergenerational opportunities that technology facilitates that make a difference.

Peer review

The peer review history for this article is available at: https://publons.com/publon/10.1108/OIR-06-2021-0332

Behavioral activation for live-in migrant home care workers and care recipients in Israel: a pilot study

In a growing global trend, individuals are migrating to other countries to live with and care for older adults with dementia. Although this trend addresses the geriatric workforce shortage, workers and older adults often experience distress. In a pilot study in Israel, six migrant care workers participated in a six-week group intervention in which they learned to increase valued, enjoyable activities for themselves and the older adult with whom they lived (behavioral activation). After the intervention, workers reported that they increased activities for themselves and the older adult and were satisfied, and quality of life and sense of achievement showed medium and large effect sizes, respectively. Participants suggested adapting the intervention to an online format for greater access. Although findings are tentative, the study points to promising strategies for migrant home care workers: focusing on the worker and older adult and offering online interventions.

The Wounded Lion - Ageism and Masculinity in the Israeli Film Industry

One of the intriguing issues connected to power relations in the world of cinema that has yet to be adequately explored is what has happened over the years concerning the dominance and privilege of masculinity as signifying preferred social status. This qualitative study explores this subject based on transcribed semi-structured interviews with 13 award-winning Israeli directors over the age of 55. The research examines two questions: How has the film industry changed its relation to leading, award-winning film directors as they grow older? And, what challenges confront the directors, in terms of their own self-perceptions? These questions capture the collisional intersection between hegemonic masculinity and ageism, because they examine the loss of power attributed to men in the film industry as they reach the second half of their lives. The findings led to the formation of a theoretical model of ageism within the cinematic industry, allowing for the dismantling of the different factors that create obstacles for directors as they get older. The four layers of the model are: arbitrary ageism, manifested in the demands of a rapidly changing industry in a changing world; passive ageism, expressed through encounters with negative attitudes; active ageism, reflected in preventing older directors from receiving funding and from screening their films; and self-ageism, manifested in the directors' attitudes toward themselves.

Adult daughters' emotional response to COVID-19: the role of worry, solidarity, conflict, and ambivalence in the relationship with the mother

Objectives: Older adults' greater susceptibility to mortality from COVID-19 may have meaningful psychological implications not only for them, but also for their children. In this study, we focused on daughters of older women and examined the intergenerational relationships as a correlate of daughters' anxiety, depressive symptoms, and psychosomatic complaints.Method: Data were collected from 456 daughters of older mothers (M(age) = 40.82) during the first wave of the COVID-19 outbreak in Israel, when a relatively strict lockdown was enforced, separating mothers and daughters.Results: Findings suggest that while mothers' objective risk factors (age and morbidity) were mostly not associated with their daughters' distress, the daughters' concern about their mothers, and their perceived ambivalence in the relationship with the mother, as well as structural and affectual solidarity, were.Conclusion: We conclude that the mother-daughter relationship is an important correlate of daughters' reactions to this health crisis. Practically, it suggests that some daughters to aging mothers could be at a greater risk for emotional distress following the COVID-19 outbreak.

Changes in Attitudes Toward Aging, Older People and Elder Care From the Perspective of Former Migrant Care Workers

Research on migrant home care workers has focused mainly on working conditions in the recipient countries and on the relationships between care recipients and their family members. However, because migrant care workers often are transnational, going back and forth between countries, some return to their home country, bringing with them newly acquired attitudes and practices. Based on a theoretical model of the transfer of innovation, this study aims to explore changes in attitudes toward aging and elder care among former migrant care workers. We conducted 13 in-depth interviews with migrant care workers who permanently returned to Lithuania. Data were analyzed thematically. Findings revealed changes in workers' perceptions of aging, including perceptions of their own old age, older people, and elder care. These changes were mainly attributed to their personal connections and encounters with different cultural attitudes and practices in the host country. Our findings indicate that returning migrant home care workers may act as potential innovators who bring back to their home country new ideas about aging and elder care.

Emotional availability in dyads of nursing aide - resident with dementia: Old tool, new perspective

Objectives

This study examined the emotional availability of nursing aide-resident with dementia dyads in a long-term care-facility. Emotional availability refers to the nursing aide’s sensitivity toward the resident, structuring their interactions in a non-intrusive and non-hostile manner and the resident’s responsiveness to and involvement of the nursing aide. The study evaluated the reciprocity in the emotional availability of nursing aides and the residents and examined whether emotional availability varies with the level of difficulty of taking care of the residents and with the context of the interaction.

Method

The study was conducted in three wards in one long-term care-facility. Twenty nursing aides and 40 residents took part in the study. Each nursing aide was videotaped during feeding, structured and unstructured interactions, with two residents, one that was nominated by the head nurse as difficult to take care of and one that was nominated as easy to take care of. The interactions were coded using the emotional availability scales.

Results

Linear mixed-effect model analyses indicated that higher emotional availability of nursing aides was related to higher emotional availability of the residents. Nursing aides’ emotional availability did not vary between “difficult” and “easy” residents or across the three interaction contexts. “Difficult” residents involved their nursing aides less than “easy” residents.

Discussion

The study documented the reciprocal nature of the interaction between nursing aides and residents with dementia. It suggests that nursing aides have an important role in promoting residents’ responsiveness and involvement.

"The Internal Police Officer Has Not Retired but Has Slowed Down": Israeli Women Reframe Their Aging Experiences in the Second Half of Life

Compared with gains, losses have received a substantial amount of research and public attention. The present study aims to shed light on the positive gains associated with older age from the perspective of older women. Five focus groups with 19 Israeli women over the age of 54 were conducted. Trailers of three different films were used to stimulate discussion about old age and aging and allow for reflections on societal norms in light of personal experiences. Focus group interviews were analyzed thematically. Respondents identified four contexts, characterized by reframing their experiences against societal norms. These included gender stereotypes, physical appearance, interpersonal relations, and employment. This study represents an opening to a different discourse around old age, which is characterized by gains and possibilities brought about by changes in reframing one’s experiences, while distancing oneself and exerting free will vis à vis social norms.

The Challenges Faced By Long-Term Care Residents and Their Families During COVID-19

The present research aims to examine the effects of protective measures due to the coronavirus disease (COVID-19) within long-term care (LTC) settings on the residents and their family members. Open-ended qualitative interviews were conducted with 14 family members of older adults who resided in LTC settings during the first wave of the pandemic in Israel. The first theme identified is Rupture, including physical disconnect; the disruption in routine treatment to residents; and decline in the satisfaction with the setting. The second theme is Response, including sharing viewpoints and involvement in decision making, as well as an intense ambivalence shared by family members. Our findings highlight the distress caused to residents and family members by the isolation and restrictions in LTC settings during the pandemic, and underscore values and priorities that are central to them and their family members, including maintaining continuity, transparency, and working in unison with their families.

The Relationship Between Perceived Age Discrimination in the Healthcare System and Health: An Examination of a Multi-Path Model in a National Sample of Israelis Over the Age of 50

OBJECTIVES

The present study aims to examine possible pathways that potentially account for the relationship between perceived age discrimination in healthcare settings (as one form of ageism) and health outcomes.

METHODS

We relied on 1570 complete surveys, which constitute a representative national sample of adults aged 50 and above in Israel.

RESULTS

We found a direct link between perceived age discrimination and health outcomes. This link was partially mediated by self-perceptions of aging and subsequently by health behaviors (e.g., eating vegetables) and preventive health behaviors (e.g., medical check-ups). The link between perceived age discrimination and health behaviors was moderated by age, thus, particularly detrimental for older people over the age of 65 as compared with those between the ages of 50 and 65.

DISCUSSION

This study adds to the literature as it examines comprehensive mechanisms to account for the path between perceived age discrimination and health status. Our findings point to the unique aspects associated with perceived age discrimination, which potentially make older people more susceptible to its negative effects.

"But at the age of 85? Forget it!": Internalized ageism, a barrier to technology use

The COVID-19 pandemic has underscored how everyday information and communication technology (EICT), such as online banking, e-shopping, or e-mail, are essential for individuals of all ages to maintain activity engagement, health, and well-being. Yet, older adults are often stereotypically portrayed as incapable, technophobic, or unwilling to engage in EICT. This may further contribute to the digital divide, as age stereotypes have the power to act like self-fulfilling prophecies and impede older adults' engagement in complex everyday life tasks. This study aimed to shed light on internalized ageism as manifested in older non-users' narrations about EICT use. It further explored how age stereotypes in the context of EICT are constructed and perpetuated through disempowering and ageist environments. A qualitative approach was applied, performing semi-structured interviews in participants' homes (N = 15). Data were analyzed following the principles of qualitative content analysis, applying both deductive categorization and inductive coding. Internalized ageism appeared to be an omnipresent element in older adults' narrations about EICT non-use. This was reflected in the four subcategories "competence and learning", "relevance and use", "technology design", and "intergenerational contact". Ageism, as manifested in the social environment and the design of technology, seemingly contributed to the internalization of age stereotypes and low EICT engagement. This research calls for inclusive technology designs, ageism-free EICT learning settings, and awareness campaigns about lifelong learning to help close the digital divide and ensure optimal aging experiences for older people.

"We Should Be at the Back of the Line": A Frame Analysis of Old Age Within the Distribution Order of the COVID-19 Vaccine

BACKGROUND AND OBJECTIVES

In the fall of 2020, it became clear that the initial doses of the coronavirus disease 2019 (COVID-19) vaccine would be limited, and a priority order would be necessary. This article examines the perceptions of old age in the context of establishing a priority order for the COVID-19 vaccine from the perspective of online newspaper commenters. Two research questions are investigated: (a) How do commenters place older people in line for the COVID-19 vaccine? and (b) What frames and factors do commenters use as reasoning for their proposed position of older adults?

RESEARCH DESIGN AND METHODS

This study involves a frame analysis of 440 online comments on an article published by The New York Times on December 1, 2020 about the U.S. recommendations for distributing the coronavirus vaccine.

RESULTS

Older adults were referenced as belonging to one of the 3 groups: older long-term care residents, older workers, and older adults retired and/or isolating at home. Two frames emerged from the data as criteria for prioritization: social contribution and vulnerability. Older commenters themselves frequently stated that they should be deprioritized so that others can be inoculated earlier.

DISCUSSION AND IMPLICATIONS

The findings may be interpreted as demonstrative of pervasive ageism throughout the pandemic; older commenters' sacrificial remarks may reflect generativity, internalized ageism, social pressure from online forums, or some combination thereof.

Tension between reality and visions: Lessons from an evaluation of a training program of paid elder care workers

The present study is based on a 3-year evaluation of an Israeli training program for local paid elder care workers, called, 'community care'. Interviews were conducted with all stakeholders involved in the program, including program developers, facilitators, funders, trainees, dropouts, graduates, employers and older care recipients. Qualitative thematic analysis was used. Analysis was supplemented by quantitative data concerning the program's inputs, outputs and outcomes. The program had multiple strengths, including a substantial funding stream and a highly skilled and committed team. Yet, out of 130 participants, 94 completed the program and 31 worked as care workers afterwards. Three main challenges to the efficacy of the training program were identified. A first challenge stems from the gap between the program's vision and real-life requirements and constraints. The second challenge concerns a disagreement between stakeholders concerning the definition of the new community care profession as an opportunity to empower trainees and encourage personal growth versus the community care worker as being no different from the traditional direct paid carer. A third challenge concerns the program's lack of integration between personal/physical care on the one hand and emotional and psychological care, on the other hand. The findings stress the importance of adequately conducting a needs assessment prior to embarking on a new social program and the tension between an ideal prototype and real-life constraints. The findings also stress the necessity of top-down processes, supported by the government to the development of a new profession of community elder care.

Self-Perceptions of Aging and Everyday ICT Engagement: A Test of Reciprocal Associations

OBJECTIVES

Everyday information and communication technologies (EICTs), involving digital services, such as online shopping, e-banking, and video calling, are perceived to be associated with youth and a modern lifestyle. On the other hand, older adults are often portrayed as technology-alienated, less willing, and incapable of using EICT. The internalization of potentially negative age stereotypes may compromise actual later life engagement and the ability to perform EICT. At the same time, low engagement in EICT may also contribute to negative self-perceptions of aging (SPA), for example, related to physical loss, social loss, and personal competence. This study was, hence, designed to evaluate the temporal reciprocal associations of SPA and older adults' EICT use.

METHODS

The article was based on 2 waves (2014 and 2017) from the German Ageing Survey (DEAS), a nationally representative survey of middle-aged and older individuals aged 40 and older. A cross-lagged model (N = 3,600) was estimated to examine the reciprocal associations of SPA and EICT.

RESULTS

The lagged effect of SPA on EICT engagement was nonsignificant, whereas the lagged effect of EICT engagement on SPA in the domain personal competence was significant, indicating that greater EICT engagement predicted more positive SPA related to personal competence 3 years later.

DISCUSSION

These findings encourage researchers and policymakers to put further emphasis on the empowerment of older individuals in their EICT engagement. Interventions that promote lifelong learning and age-friendly environments can enhance a more positive aging experience.