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The baby boom generation came of age at a time that pushed boundaries of sexual freedom. Changes in attitudes and behaviors about sexuality were framed by the sexual revolution, women’s rights, gay rights, and the birth control pill. Decades later, the first wave of this generation is now turning 65. While most boomers still have a decade or more before they consider moving into assisted living facilities, a study suggests that sexual freedom is difficult to come by for those who currently reside in a structured environment such as assisted living.

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When we think about well-being among older adults, how often do we think about their oral health as being an important component? In reviews of risk factors for low well-being among older adults, oral health is never explicitly mentioned, although other health conditions and disease states are often discussed.

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A growing body of scientific support for the notion that an individual’s attitudes toward aging and personal appearance could have profound effects upon physical and mental well-being. As a result, I began to wonder whether it’s possible that such attitudes may, in measurable ways, impact the development of specific diseases.

The post Aesthetic surgery and Alzheimer’s risk appeared first on OUPblog.

Financial entitlement is one domain of financial exploitation. In 2010 Conrad and colleagues defined financial entitlement as: a belief held primarily by adult children that they can take their older parent(s)’ money to spend on themselves without permission. Although some adult children argue that the money is their inheritance and thus already earmarked for them, using an older person’s money without permission is exploitation.

The post Preventing financial exploitation of older adults appeared first on OUPblog.

On Sunday September 13, the United States will celebrate National Grandparents’ Day. This annual holiday, held on the first Sunday after Labor Day, celebrates our grandmothers and grandfathers. Marian McQuade, grandmother to 43 and great-grandmother of 15, is widely credited with founding the holiday.

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Who decides with whom we are allowed to have sex? Generally, consenting adults are considered to have the ability to make decisions regarding sexual activity and are allowed to pursue a sexual relationship with whomever they choose, assuming appropriate criteria for consent are met.

The post Sexual decision-making for older adults with dementia appeared first on OUPblog.

Online dating is becoming an increasingly prevalent context to begin a romantic relationship. Nearly 40% of single adults have used online dating websites or apps. Furthermore, the world of online dating is no longer confined to young adults; reports suggest adults aged 60 and older are the largest growing segment of online daters. Obviously, adults using these websites are motivated to find a partner, but we know little about why they want to date or how adults of different ages present themselves to potential partners.

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In our study analyzing data from the New England Centenarian Study, we found that for people who live to 90 years old, the chance of their siblings also reaching age 90 is relatively small – about 1.7 times greater than for the average person born around the same time.

The post Nature vs. nurture: genes strongly influence survival to the oldest ages appeared first on OUPblog.

As a resident of Los Angeles, one of the most polluted cities in the United States, I think a lot about the air we breathe. It’s well established that outdoor air pollution is a health threat -- exposure to high pollution concentrations has been linked to increased risk of respiratory and cardiovascular damage, emergency room visits and hospitalization, and premature mortality.

The post Air pollution and cognitive function in older adults appeared first on OUPblog.

We know that volunteering is important for health and well-being among older people. While higher education is known to facilitate volunteerism, much less is known about the role of social networks.

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By Lawla Law

Cognitive impairment is a common problem in older adults, and one which increases in prevalence with age with or without the presence of pathology. Persons with mild cognitive impairment (MCI) have difficulties in daily functioning, especially in complex everyday tasks that rely heavily on memory and reasoning. This imposes a potential impact on the safety and quality of life of the person with MCI as well as increasing the burden on the care-giver and overall society. Individuals with MCI are at high risk of progressing to Alzheimer’s diseases (AD) and other dementias, with a reported conversion rate of up to 60-100% in 5-10 years. These signify the need to identify effective interventions to delay or even revert the disease progression in populations with MCI.

At present, there is no proven or established treatment for MCI although the beneficial effects of physical activity/exercise in improving the cognitive functions of older adults with cognitive impairment or dementia have long been recognized. Exercise regulates different growth factors which facilitate neuroprotection and anti-inflammatory effects on the brain. Studies also found that exercise promotes cerebral blood flow and improves learning. However, recent reviews reported that evidence from the effects of physical activity/exercise on cognition in older adults is still insufficient.

Surprisingly, studies have found that although numerous new neurons can be generated in the adult brain, about half of the newly generated cells in the brain die during the first 1-4 weeks. Nevertheless, research also found that spatial learning or exposure to an enriched environment can rescue the newly generated immature cells and promote their long-term survival and functional connection with other neurons in the adult brain

It has been proposed that exercise in the context of a cognitively challenge environment induces more new neurons and benefits the brain rather than the exercise alone. A combination of mental and physical training may have additive effects on the adult brain, which may further promote cognitive functions.

Daily functional tasks are innately cognitive-demanding and involve components of stretching, strengthening, balance, and endurance as seen in traditional exercise programs. Particularly, visual spatial functional tasks, such as locating a key or finding the way through a familiar or new environment, demand complex cognitive processes and play an important part in everyday living.

In our recent study, a structured functional tasks exercise program, using placing/collection tasks as a means of intervention, was developed to compare its effects on cognitions with a cognitive training program in a population with mild cognitive impairment.

Patients with subjective memory complaint or suspected cognitive impairment were referred by the Department of Medicine and Geriatrics of a public hospital in Hong Kong. Older adults (age 60+) with mild cognitive decline living in the community were eligible for the study if they met the inclusion criteria for MCI. A total of 83 participants were randomized to either a functional task exercise (FcTSim) group (n = 43) or an active cognitive training (AC) group (n = 40) for 10 weeks.

We found that the FcTSim group had significantly higher improvements in general cognitive functions, memory, executive function, functional status, and everyday problem solving ability, compared with the AC group, at post-intervention. In addition, the improvements were sustained during the 6-month follow-up.

Although the functional tasks involved in the FcTSim program are simple placing/collection tasks that most people may do in their everyday life, complex cognitive interplays are required to enable us to see, reach and place the objects to the target positions. Indeed, these goal-directed actions require integration of information (e.g. object identity and spatial orientation) and simultaneous manipulation of the integrated information that demands intensive loads on the attentional and executive resources to achieve the ongoing tasks. It is a matter of fact that misplacing objects are commonly reported in MCI and AD.

Importantly, we need to appreciate that simple daily tasks can be cognitively challenging to persons with cognitive impairment. It is important to firstly educate the participant as well as the carer about the rationale and the goals of practicing the exercise in order to initiate and motivate their participation. Significant family members or caregivers play a vital role in the lives of persons with cognitive impairment, influencing their level of activities and functional interaction in their everyday environment. Once the participants start and experience the challenges in performing the functional tasks exercise, both the participants and the carer can better understand and accept the difficulties a person with cognitive impairment can possibly encounter in his/her everyday life.

Furthermore, we need to aware that the task demands will decrease once the task becomes more automatic through practice. The novelty of the practicing task has to be maintained in order ensure a task demand that allows successful performance and maintain an advantage for the intervention. Novelty can be maintained in an existing task by adding unfamiliar features, and therefore performance of the task will remain challenging and not become subject to automation.

Dr. Lawla Law is a practicing Occupational Therapist for more than 24 years, with extensive experience in acute and community settings in Hong Kong and Tasmania, Australia. She is currently the Head of Occupational Therapy at the Jurong Community Hospital of Jurong Health Services in Singapore and will take up a position as Lecturer in Occupational Therapy at the University of Sunshine Coast, Queensland, Australia in August 2014. Her research interests are in Geriatric Rehabilitations with a special emphasis on assessments and innovative interventions for cognitive impairment. Dr. Law is an author of the paper ‘Effects of functional tasks exercise on older adults with cognitive impairment at risk of Alzheimer’s disease: a randomised controlled trial’, published in the journal Age and Ageing.

Age and Ageing is an international journal publishing refereed original articles and commissioned reviews on geriatric medicine and gerontology. Its range includes research on ageing and clinical, epidemiological, and psychological aspects of later life.

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Image credit: Brain aging. By wildpixel, via iStockphoto.

The post When simple is no longer simple appeared first on OUPblog.

        

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By Corinne Reczek

The growing support for same-sex marriage rights represents an important shift in the everyday lives of lesbian, gay, bisexual, transgender, and queer (LGBTQ) people in the United States today. However, the continued focus on same-sex marriage in the media, by states, and by local governments, and by scholars and researchers leaves other arenas of the family lives of gay and lesbian adults reletively unexplored.

Of course, like all other Americans, gay and lesbian adults have primary relationships outside of their romantic partnerships. The adult child-parent tie is one of the most enduring and central of our social relationships, with most parents and children having weekly contact, exchanging support and love, and of course experiencing conflict. Indeed gay and lesbian adults keep in steady contact with their family of origin members–most especially parents–as they age into adulthood. Yet, we know virtually nothing about the nature of these intergenerational ties for gay and lesbian adults. While some attention has been paid to the importance parents for LGBTQ adolescents, what happens to the adult child-parent relationships of gay and lesbian adults as they age into mid- and later-life? Do they remain intact? Or are they estranged? Do adult children experience conflict or support? What do these relationships look like?

Family jump by Evil Erin. CC-BY-2.0 via Wikimedia Commons.

It is important to pay attention to the adult child-parent relationships of gay and lesbian adults. A child’s non-heterosexual identity has been shown to be associated with negative interactions with later-life parents; later-life parents may be especially unable to accept their gay or lesbian child because they grew up in a sociopolitical era where a gay or lesbian identity was unspeakable at best and pathological at worst. As a result, gay men and lesbian women appear to have fewer family confidants than heterosexuals, and tend to rank social support from friends as more consistent and important than support from family. Yet, gay men and lesbians do maintain contact with parents, even if parents are disapproving of children’s’ sexual identity. How, then, are these relationships negotiated and understood by adult children?

In a recent study on gay men and lesbians in long-term intimate partnerships, I show that there are specific markers of support and strain in gay and lesbian adult child-parent ties. For example, parents demonstrate their support of a gay or lesbian adult child by inclusion through language such as “in-law,” affirmations of support by joining gay rights advocacy groups, and via the integration into every day and special events in ways similar to other adult children. I also found that gay and lesbian adult children know their parents are accepting because parents rely on adult children and their partners for social support and caregiving. While providing social support to parents may be time-consuming and stressful, it is critical for parental well-being and provides an important opportunity for parents to demonstrate trust in gay and lesbian adult children.

The picture, of course, isn’t entirely rosy. The gay and lesbian intergenerational tie is embedded within broader institutional norms of heterosexuality and homophobia, and these broader structural constraints of homophobia and heterosexism contour these negative family interactions–with implications for both generations well-being. It appears, in the present study, that conflict is experienced in ways that are similar to when conflict is experienced in other central aspects of identity or life circumstances, such as religious values, finances, and unemployment. For example, adult children might experience significant rejection in their everyday encounters with parents and experience traumatic events of disownment by their parents. Moreover, adult children suggest that they are scared that their property may be usurped by a parent, rather than be taken care of by a partner, if something were to happen to them.

There’s hope for people who have strained relationships with their parents, however. Key moments, such as family death, illness, or injury, were described as transformative in ways that altered the structure of the adult-child-parent tie from negative to positive. Also, there has been remarkable legal and social change over the past decade, including the federal and state-level legalization of same-sex marriage and decreased public and institutional stigma against gay and lesbian identities. Given this social change, there is strong potential for changing the nature of conflictual intergenerational relationships. Clearly, the years after these social and legal changes may provide new opportunity for supportive intergenerational relationships for adult children coming of age in a new social and political era.

Dr. Corinne Reczek is an Assistant Professor in the departments of Sociology and Women, Gender, and Sexuality Studies at Ohio State University. Dr. Reczek’s research focuses on gay and lesbian families, including relationships between parents and gay and lesbian adult children, same-sex marriage, and the health of minor children in same-sex relationships. Her work was most recently published in The Journals of Gerontology, Series B: Psychological and Social Sciences, her article “The Intergenerational Relationships of Gay Men and Lesbian Women” is freely available to read now” You can find Corinne on Twitter @CorinneReczek.

The Journals of Gerontology® were the first journals on aging published in the United States. The tradition of excellence in these peer-reviewed scientific journals, established in 1946, continues today. The Journals of Gerontology, Series B® publishes within its covers the Journal of Gerontology: Psychological Sciences and the Journal of Gerontology: Social Sciences.

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The post Discussing gay and lesbian adults’ relationships with their parents appeared first on OUPblog.

        

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By Chandra Ford

The seventh of February will mark the thirteenth National Black HIV/AIDS Awareness Day. Despite the fact that blacks make up only 14% of the US population, the CDC reports that blacks accounted for 44% of all newly reported HIV infections in 2009, the HIV infection rate among Latinos was nearly three times as high as that of whites, and 1 in 4 persons living with HIV/AIDS in the USA is an older adult (50+ years old).

The CDC reported that 1,600 White, 450 Black, and 300 Latino men aged 50 or older acquired HIV in 2009 through unprotected sex with other men. In other research conducted among senior-housing residents, investigators learned that 42% of residents had been sexually active within the previous six months. One third of the sexually active residents reported two or more partners during that period, but only 20% had regularly used condoms.

Alarmingly, older adults are prone to be disproportionately diagnosed in the late stages of HIV disease. Many older Americans who seek services in public health venues do not undergo testing for HIV infection, some due to mistrust in the government. Researchers in a recent study found among the 226 participants, 30% reported belief in AIDS conspiracy theories, 72% reported government mistrust, and 45% reported not undergoing HIV testing within the past 12 months.

Among African Americans, endorsements of AIDS conspiracy theories stem from historical experiences with racism and medical discrimination, although knowledge of African Americans’ experiences may lead members of other racial/ethnic groups to endorse such theories.

Making HIV testing routine in public health venues may be an efficient way to improve early diagnosis among at-risk older adults. Alternative possibilities include expanding HIV testing in nonpublic health venues. Finally, identifying particular sources of misinformation and mistrust would appear useful for appropriate targeting of HIV testing strategies in the future.

Key calendar dates:
7 February 2013               National Black HIV/AIDS Awareness Day
19 May 2013                       Asian Pacific Islander HIV/AIDS Awareness Day
27 June 2013                     National HIV Testing Day
15 October 2013               National Latino HIV/AIDS Awareness Day
1 December 2013              World AIDS Day

For further reading:

• AIDS.gov
• CDC on HIV/AIDS
• “Belief in AIDS-Related Conspiracy Theories and Mistrust in the Government” by Chandra L. Ford et al. in The Gerontologist

Dr. Chandra Ford is an assistant professor in the Department of Community Health Sciences at UCLA. Her areas of expertise are in the social determinants of HIV/AIDS disparities, the health of sexual minority populations and Critical Race Theory. Ford has received several competitive awards, including the Ruth L. Kirschstein National Research Services Award (an individual dissertation grant) from the National Institutes of Health and a North Carolina Impact Award for her research contributions to North Carolinians. Her most recent research, “Belief in AIDS-Related Conspiracy Theories and Mistrust in the Government” in The Gerontologist, is available to read for free for a limited time.

The Gerontologist, published since 1961, is a bimonthly journal (first issue in February) of The Gerontological Society of America that provides a multidisciplinary perspective on human aging through the publication of research and analysis in gerontology, including social policy, program development, and service delivery. It reflects and informs the broad community of disciplines and professions involved in understanding the aging process and providing service to older people.

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