Background: Research showed that older people's sexual health is not addressed adequately in the health sector. It is a subject that is very limited or non-existent during basic training for nursing students. Older peoples sexually health has improved and hence there will be an even more important area for the nurse, who is responsible for the patient's health. Existing prejudices about sexuality of elderly people means that more knowledge is needed. Aim: The aim was to describe: 1. elderly person's experience of their sexual health and the health care receptions. 2. health care workers' attitudes towards older patients' sexual health. Method: A literature overview. Four qualitative and six quantitative studies between the years 2000- 2015 were analyzed. Results: Three main themes were identified; older people's experiences, that showed that older patients are healthier and more sexually active than before. The second main theme; health care workers experience of older people's sexual health showed that the patient's greatest obstacles to exercising their sexuality is the lack of private spaces. The nurse usually had a negative attitude to the elderly persons' sexual health, which could be due to nurses' ignorance and that sexuality is a sensitive subject. The third theme showed factors which affect sexual health in elderly. Conclusion: More information is needed about the elderly person's sexual health for patients and more training in nursing. Many older suppress their sexuality because of different standards and taboos in society, which may lead to unnecessary suffering.

There is literature based on masters athletes and their involvement in sports at the later stages of life. Masters athletes are exercise-trained individuals who compete in athletic events at a high level well beyond a typical retirement age (Tanaka & Seals, 2008). These athletes vary widely in age but are typically older than 35 years, with many more over the ages of 50 and well into old age. The research questions guiding this study included; (a) what are the media representation of masters athletes, and how are they used to generate meanings around aging, sports and the aging body and (b) what are the implications of these meanings on how the aging body is represented to the audience. A qualitative (i.e., case study) approach was used to explore what meanings were generated around aging and sports through media narratives in relation to aging successfully. Media data in the form of sports magazines (i.e., Runner’s World and Lexis-Nexis data base) were compiled for the data analysis. This research focused specifically on two cases, 81year old Ed Whitlock, a Canadian long distance marathon runner, and 77 year-old Jeanne Daprano, an American masters track and field athlete. The data included (n=41 Ed Whitlock, n= 17 Jeanne Daprano). The data were analyzed via an inductive thematic analysis (see Braun & Clarke, 2006). The following central themes emerged a) life-long involvement in sports (higher order themes: earlier sporting experience, triumphant return, uninterrupted engagement), (b) performance narratives (serious contenders, reasoning for performance, systematic training, an individualized approach), and (c) decline narratives (resistance to declines in old age, sports related injuries, maintenance of performance). This study highlights how both athletes were depicted in the media narratives, demonstrating that their involvement in sports in later life provided an alternate way to view the aging process. The findings from this study seek to extend the understanding of masters athletes, by contextualization how they challenge some of the decline narratives associated with old age.

Background: Good social connections have been identified as a factor that may be associated with healthy cognitive function in later life. In line with cognitive reserve theory, good social connections may provide mental stimulation through complex interaction with others and hence build cognitive reserve and maintain healthy cognitive function. However, there is considerable inconsistency in findings reported by studies that examine this association. Inconsistency in findings may be attributed to the heterogeneity of concepts potentially associated with social connections and to the variation in approaches to measuring and defining these concepts. Aims: To assess the association between aspects of social connections and cognitive function in later life. This thesis introduces a novel element by considering the moderating role of cognitive reserve in this association. Method: A scoping review was conducted to establish which concepts are used within the literature to describe social connections and how these are measured and defined. Next, a systematic review and meta-analysis was conducted to identify evidence regarding the association between social isolation and cognitive function in published studies. Empirical work was conducted using cross-sectional and longitudinal data from the Cognitive Function and Ageing Study-Wales (CFAS-Wales) to determine the associations between social isolation, cognitive reserve, and cognitive function in healthy older people. Extending this approach further, these associations were examined in two groups potentially at risk of social isolation: older people with depression or anxiety and older people living alone. Finally, empirical work was completed using the Platform for Research Online to investigate Genetics and Cognition in Ageing (PROTECT) to assess how satisfaction with social contact may be associated with cognitive function compared to a structural measure of isolation. Results: A lack of social connections was associated with poor cognitive function in later life. For people with depression or anxiety, these associations may be better explained by mood-related symptoms than social connections. People who live alone in later life were at no greater risk of poor cognitive function compared to those living with others. Satisfaction with social contact was associated with poor cognitive function but a structural measure of social isolation was not. Conclusions: Social connections play an important role in building cognitive reserve and protecting people against poor cognitive function in later life. People who are vulnerable to social isolation have different needs to those who are less vulnerable. Satisfaction with social contact is often neglected in measures that assess structural aspects of social connections but may be a better predictor of cognitive function.

The thesis presents analysis on four types of social statuses (as defined by Linton and Merton), namely volunteer, carer for an adult, child carer, and friend, in the second half of life in Germany based on the German Ageing Survey. In reference to the cultural sociological theories of Gerhard Schulze, the impact of retirement as life event on older adults’ lifestyle and likelihood of adopting these statuses is critically discussed. The use of the category of ‘old adult’ is put into question. It is found that between 1996 and 2008 the share of volunteers and of people spending time on leisure activities in company has increased in all age groups in the German population aged 50 and over. Carers, on the other hand, showed stable numbers with decreasing time investment, and the share of people looking after children was on the decline. All social statuses were represented in different numbers in Eastern and Western Germany, with Eastern Germany showing less engagement especially in volunteering and social leisure activities. Possible reasons for this are discussed. The volunteer and friend statuses were selected as dependent variables for regression models of the influence of retirement. The models based on cross-sectional as well as the models based on panel data showed that there was at best a marginal influence of retirement on a person’s likelihood of volunteering or spending leisure time with friends and relatives. With Gerhard Schulze’s theory of the ‘event society’, it is argued that the reason for the increase of volunteers and of people more actively cultivating their friend status amongst older Germans is that they no longer significantly differ in their value orientations and lifestyles from younger adults and that therefore the persistent founding of research and social policy on age categories is no longer a valid approach.

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The study of social withdrawal continues to grow among younger samples, including childhood, adolescence, and emerging adulthood. Little research has addressed socially withdrawn older adults, despite the various losses, declines, and changes experienced by those in later life and their known benefits resulting from social interactions. Shy, avoidant, or unsocial individuals at younger ages may withdraw and possibly miss out on important opportunities; as a result, when they are grown, these same socially withdrawn individuals may experience greater regret and lower fulfillment in later life. Further, socially withdrawn older adults residing in long-term care (LTC) facilities may have more time to reminisce of past regret or fulfillment. Data was collected from 45 older participants (Mage = 83.07) residing in a long-term care facility on O'ahu. The current study used Bayesian linear regression models to examine ways that three subtypes of withdrawal (shyness, avoidance, and unsociability) may relate to regret and fulfillment in later life; with an exploratory qualitative portion assessing withdrawn participant's biggest regrets and accomplishments. Results indicated that higher levels of shyness significantly predicted higher levels of regret, while higher levels of unsociability were related to higher levels of fulfillment. The findings may help us to understand the role of ability to choose in the lives of socially withdrawn individuals, as shy individuals who may withdraw because of fear could be missing out on desired life experiences, while unsocial individuals appear able to participate in their desired activities.

<p> The purpose of this thesis was to explore why and how seniors used complementary and alternative medicine (CAM) as well as the meanings they attached to their use of unconventional therapies. To this end, I conducted in-depth, individual interviews with 43 older adults-15 men and 28 women. Based on these data, I found that while all participants recognized the importance of conventional healthcare and continued to use its services, a number of people distrusted and were dissatisfied with medical doctors and treatments as well. Though these negative feelings were not sufficient to push seniors towards CAM, they certainly played a role in their decision making. What informants particularly valued about unconventional approaches was that they allowed them to assert greater control over their health and, to some extent, their aging process. As a result, they viewed CAM as being an integral part of their aging lifestyles and actively incorporated these therapies into their treatment regimens. These findings overall contribute to the relatively scant, albeit growing, body of research on CAM use in later life, seniors' management of regimens, and older patients' dissatisfaction with and distrust of conventional medicine. Theoretically, the findings of this work demonstrate the importance of meaning in later life and specifically, how meanings attached to conventional and unconventional care can influence older adults' health-related perceptions and practices.</p> / Thesis / Doctor of Philosophy (PhD)

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