The purpose of this research was to determine if differences exist between the young/old (55-74) and the old/old (75+) regarding external search behavior and the importance of information sources.

As the population ages, providing health services for the growing number of older people will become an increasingly difficult problem. In countries where the health services are provided by the government, these problems are involved with complicated issues of finance and ethics. This is the case of the National Health Service, the government institution providing health care for the citizens of the United Kingdom. Knowing what social factors influence health care usage can be a link to match usage and funding. Literature has shown that health care utilization can be predicted by social factors, as well as the medical model, and from this orientation social variables were drawn from the 1994 General Household Survey. Social factors were analyzed to determine relationships that exist between certain types of health care use and these factors. Age, sex, and class, the three main factors shown in literature to affect usage, were then analyzed to determine if services are allocated on the basis of these factors or the basis of need from illness and disability. Results of the study show that of the predisposing variables, age, sex, and class, are associated with most types of health care use. From the enabling variables, both source of income and visits from friends and relatives are associated with most types of health care. Of the illness determinants, disability, limiting illness, restricted activity days and eyesight difficulty were all related to health care use. When intervening control variables were introduced, the intervening control variables of difficulty with activities of daily living and difficulty with instrumental activities of daily living had an explanatory effect on the use of home help, district nursing, consultations with a general practitioner at home, consultations with a general practitioner at a surgery or health clinic, and inpatient stays. These services were offered more according to need than the factors of age, sex, and class.

1 Employment of the elderly This paper focuses on employment of older people. The issue is tackled in the light of the international documents of the United Nations, the Council of Europe and the European Union. In the following sections the paper analyses French and Czech policies and compares their approach. There are major differences between these two countries in terms of social systems as well as lifestyle of the population. However, France deals with ageing of its population longer than the Czech Republic, therefore its approach may offer an inspiration. The employee representatives traditionally play an important role in France. They also influence the state policy on employment of older people on the basis of the tripartite agreements from 2005 and 2013 respectively. Several action plans on ageing were issued in the Czech Republic. However, there seems to be a lack of political will to introduce proper legislation. The programmes reflect the international documents and recommendations but they are just declarations. On the other hand, the ideas of French agreements are really put in practise. Nevertheless, the French approach cannot be considered a coherent policy of employment of older people. It is rather a set of measures which originated from concessions of the subjects on the labour market The...

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This study attempts to understand the issues and challenges related to healthy aging faced by Chinese seniors who are living in a cultural and social context different from their home countries. Using an ecosystems perspective, the study focuses on exploring three major components in seniors’ lives: health, social capital, and residential environment, and then analyzing the interactions among the components. A convergent parallel mixed methods design was used in this study. A survey was conducted with seniors in Winnipeg Chinese communities to collect quantitative data on health (SF-36) and social capital (views of community, trust and reciprocity, civil participation, social networks and social support, and social participation), and focus group interviews were conducted to collect qualitative data on social capital and residential environment. One hundred and one respondents were interviewed in person to fill out the questionnaire and 43 seniors participated in focus group interviews. PASW 18 (SPSS) and NVivo 8 were applied to analyzed quantitative and qualitative data respectively. Descriptive and bi-variate statistics, a comparison of Winnipeg sample data and general Chinese-Canadian seniors data, and qualitative findings are presented to describe the research target group’s demographics, health conditions, social capital, and residential environmental issues. Overall, Winnipeg Chinese seniors enjoy moderate health; but many of them reported different levels and types of difficulties they had experienced with health care and health care support services. Both quantitative and qualitative data demonstrate the level of low social capital among Chinese Seniors in Winnipeg. The quantitative data reveal some correlations between social capital factors and Chinese seniors’ health conditions, among which the most significant is that social capital likely has effects on female Chinese seniors’ mental health and male Chinese seniors’ physical health. In particular, the level of social networks and social support was positively correlated with older Chinese women’s mental health. The environments in which these seniors lived appeared to have hindered or triggered them in building or increasing their social capital. For example, those who had acquired less support from their immediate micro environment – family – tended to be more motivated to extend their social connections in a larger environment in order to obtain resources for problem-solving. Cultural influence and health care support services were critical factors in Chinese seniors’ considerations and expectations of a residential environment. In contrast to traditional Chinese cultural norms of an inter-dependent living arrangement, the majority of Chinese seniors preferred to live in separate households from their adult children. Another important finding is that a cultural- and linguistic-homogeneous residential environment does not necessarily provide positive support to Chinese seniors for their acquisition of social capital. Upon further analysis of social capital and its relationships with health and residential environments, the study offers implications from research findings to social work practice, integrating cross-cultural considerations. The study concludes with an analysis of limitations as well as suggestions for recommendations for future research. / May 2015

Background Depression in older people often goes undetected but has severe consequences on physical health, functioning and quality of life. As the aging population is growing, mental ill-health already is and will continue to be an important public health problem. There is a need for adequate strategies to meet this challenge. Aims (1) To investigate the prevalence of and the association between depressive symptoms and loneliness in relation to age and sex in a random Swedish sample in the age group 65-80 years, and to investigate to what extent those scoring ≥ 8 in the depression dimension of the Hospital Anxiety and Depression Scale (HAD) had visited health care professionals and/ or used antidepressive medication. (2) To evaluate the effect of group discussions, in which structured reminiscence and a Problem Based Method (PBM) were used, on depressive symptoms, Quality of Life (QoL) and Self-Rated Health (SRH) among older people. (3) To describe the individual´s experiences of the year before and the time after retirement. (4) To evaluate the factorial structure of the HAD in a general older population 65-80 years and to examine the possible presence of differential item functioning (DIF) related to sex. Result More men than women reported depressive symptoms, few were offered psychological treatment and a quarter used antidepressant medication. Depressive symptoms were associated with loneliness and this association decreased with increasing age.   Participation in group discussions resulted in a decrease in depressive symptoms and an increase in QoL and SRH. Both expectations and fears were experienced the year before and the time after retirement. The psychometric evaluation of the HAD showed a two-factorial structure and invariance regarding sex. Conclusion The result highlights the importance of detecting depressive symptoms and loneliness in older people and offer adequate treatment. Transition into retirement should receive more attention both from a health care and organizational perspective. Group discussions with structured reminiscence and PBM as a nursing intervention, seem to be a promising method to prevent depressive symptoms in older people, but further research is needed. The HAD can be recommended to assess anxiety and depression among a general population 65-80 years old.

Thesis advisor: James Lubben / It has been shown that the effect of social networks and social support systems on health may be greater among immigrants who live away from their homeland and their natural social support systems. Despite the significance of social support systems, relevant research on minorities in the U.S. is limited. For this reason, the current cross-cultural study examined the pathways underlying different formations of social networks (kin vs. non-kin) and social support systems (emotional vs. instrumental), which affect depression symptoms and perceived general health among older Korean immigrants and non-Hispanic Caucasians in the United States. This analysis is based on the secondary data from the "Korean-American Elderly: Social Supports and Long-Term Care" study conducted in 1994. The data (n=424) were collected from non-Hispanic White Americans (n=201) and Korean immigrant elders (n=223) aged 65 and older residing in Southern California. Structural equation modeling (SEM) was used to test the proposed conceptual model designed to explain the direct and indirect relationships between social networks and social support on health outcomes. Empirical evidence from this study indicated different effect of one's social networks and social support on health by race/ethnicity. The result indicated that both kin and non-kin networks provided social support for Korean immigrants. Moreover, among social network measures, non-kin networks had a greater effect on social support for older Korean immigrants compared to kin networks. For non-Hispanic Caucasians, on the other hand, only kin network had a significant effect on social support systems. In addition, receiving instrumental support lowered the perceived general health among older non-Hispanic Caucasians. The work discussed in this paper pointed to the need to recognize the role of culture in assessing the effect of one's social networks and social support systems on health. This paper highlighted the characteristics of those older Korean-American and older non-Hispanic Caucasians who are most, as well as, least likely to benefit from social networks and social support systems. By utilizing the existing social networks and social support of diverse populations, we can improve overall health outcomes and serve the elderly community better. / Thesis (PhD) — Boston College, 2013. / Submitted to: Boston College. Graduate School of Social Work. / Discipline: Social Work.

Thesis advisor: Natalia Sarkisian / A multiplicity of scholarly publications has found salutary associations between various aspects of religion and mental health, particularly depression. However, Hispanic older adults are seldom the focus of empirical studies analyzing these relationships. I fill that gap. Theories on the effects of church attendance, private prayer, religious coping, and religiosity on depression are developed and investigated. These analyses are based on a sample of older Mexican-origin individuals (N = 1,495). Data were obtained from the Hispanic Established Population for Epidemiological Studies of the Elderly (H-EPESE), a longitudinal survey. Results reveal an inverse association between moderate church attendance and depression that persists despite controls for social support, financial strain, and physical and mental impairment. An inverse association between higher levels of religiosity and depression and a direct association between higher levels of religious coping and depression also persisted beyond all controls. Findings suggest that the effects of religion on depression vary and are not always salutary. Methodological and theoretical implications, limitations, and future research directions are discussed.

This study explored the healthy aging process by: (a) examining the selected demographics of older adults in South Florida; (b) examining technology use of older adults in South Florida; (c) examining the health literacy levels of older adults in South Florida; (d) determining whether a relationship exists between older adults living in South Florida use of technology and their health literacy levels; and (e) evaluating the effects of health literacy as it relates to technology use in older adults in South Florida. Variables explored included health literacy, education, ethnicity, and technology use. The sample study included 102 older adults (age > 60) living in South Florida that had completed profiles on the South Florida Quality Aging Registry, a part of the Healthy Aging Research Initiative (HARI). The sample size represented 22.3% of the total South Florida Quality Aging Registry population. The ethnicities of the participants among the South Florida Quality Aging Registry were African American (17%); Afro Caribbean (7.8%); Hispanic (10.7%); and European American (63.7%). The education mean was 15, indicating that the majority of participants had an education level equivalent to completing high school. The mean health literacy score was 3.88, demonstrating that the majority of the participants had moderate levels of health literacy. The mean technology use score was 7.5 on a scale of one through ten, indicating that the majority of the participants had a moderate level of technology use. Analysis of variance, correlation coefficients, and multiple regression analysis was used to explore the variables that may influence health literacy. There was a statistically significant difference among Afro Caribbean and African American, Afro Caribbean and European American, European American and Hispanic ethnicities related to their health literacy skill level (p < .01). Additionally, there was a statistically significant difference among Afro Caribbean American and European American ethnicities and technology use (p. < .01). / Includes bibliography. / Dissertation (Ph.D.)--Florida Atlantic University, 2014. / FAU Electronic Theses and Dissertations Collection

Yan Chau Wai Elsie. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2002. / Includes bibliographical references (leaves 84-90). / Abstracts in English and Chinese. / LIST OF TABLES --- p.i / LIST OF FIGURES --- p.iii / ABSTRACT --- p.iv / CHAPTERS / Chapter 1. --- Introduction --- p.1 / Chapter 2. --- Method --- p.17 / Chapter 3. --- Results --- p.25 / Chapter 4. --- Discussions --- p.75 / REFERENCES --- p.85