Skip to main content

Older Adults’ Wellbeing

  • Chapter
  • First Online:
Sustainable Community Health

Chapter Overview and Statement of Objectives

As global life expectancy continues to rise secondary to medical, technological, information, and public health advancements, there is an increased need for the development of sustainable health policies and systems for older adults. Collaboration is required across a multitude of public and private sector health systems for the health and wellbeing of older adults ensuring the availability, accessibility, and delivery of appropriate health and long-term care services, as well as implementation of age-friendly policies with targeted financial resources. This chapter characterizes sustainable health systems for the wellbeing of older adults across life domains and to protect their rights to successful aging across the continuum of in-place or residential care living environments. We provide an overview on key historical events and practices that have guided community-level health and wellbeing supports for older adults to background current related practices. Next, we discuss the leading current approaches in community-wellbeing focused interventions for older adults, providing practical insights on how these approaches would reduce the health disparities and inequalities of an aging society. Moreover, we discuss the influences of culture, professional practices, and legislation on community health supports for older adults in their diversity. We then provide an overview of the interdisciplinary nature of sustainable community health interventions with older adults. Finally, we identify the issues for research and other forms of scholarship in design and implementation of sustainable community health systems for the older adult population.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Australian Institute of Health and Welfare. (2014). Australia’s health 2014 [Ebook] (14th ed., pp. 256–271). Australian Institute of Health and Welfare. Retrieved on May 3, 2020, from https://www.aihw.gov.au.

  • Ayalon, L., Chasteen, A., Diehl, M., Levy, B., Neupert, S. D., Rothermund, K., … Wahl, H. W. (2020). Aging in times of the COVID-19 pandemic: Avoiding ageism and fostering intergenerational solidarity. The Journals of Gerontology: Series B. https://doi.org/10.1093/geronb/gbaa051

  • Bernd, R., Doyle, Y., Grundy, E., & McKee, M. (2009). How can health systems respond to population ageing? (Policy brief 10). The regional office for Europe of the World Health Organization, 4–24. Retrieved from http://www.euro.who.int/en/health-topics/Life-stages/healthy-ageing/publications/2009/how-can-health-systems-respond-to-population-ageing

  • Boyle, N., Naganathan, V., & Cumming, R. G. (2010). Medication and falls: Risk and optimization. Clinics in Geriatric Medicine, 26(4), 583–605. https://doi.org/10.1016/j.cger.2010.06.007

    Article  PubMed  Google Scholar 

  • Brothers, A., Gabrian, M., Wahl, H. W., & Diehl, M. (2016). Future time perspective and awareness of age-related change: Examining their role in predicting psychological well-being. Psychology and Aging, 31(6), 605–617.

    Article  Google Scholar 

  • Browning, C., & Sims, J. (2007). Ageing without driving: Keeping older people connected. In No way to go: Transport and social disadvantage in Australian communities (pp. 1–10). Melbourne, VIC: Monash University.

    Google Scholar 

  • Campbell, C., & Jovchelovitch, S. (2000). Health, community and development: Towards a social psychology of participation. Journal of Community and Applied Social Psychology, 10(4), 255–270. https://doi.org/10.1002/1099-1298(200007/08)10:4<255::AID-CASP582>3.0.CO;2-M.

  • Castro, C. M. (2020). Active choices: Telephone-assisted physical activity self-management program for older adults. Arlington, VA: National Council on Aging. Retrieved on May 11, from https://d2mkcg26uvg1cz.cloudfront.net/wp-content/uploads/F_Active-Choices-FINAL.pdf

  • Centers for Disease Control and Prevention. (2019). Identifying vulnerable older adults and legal options for increasing their protection during all-hazards emergencies: A cross-sector guide for states and communities. Atlanta, GA: U.S. Department of Health and Human Services.

    Google Scholar 

  • Chang, P. J., Wray, L., & Lin, Y. (2014). Social relationships, leisure activity, and health in older adults. Health Psychology, 33(6), 516.

    Article  Google Scholar 

  • Cheadle, A., Egger, R., LoGerfo, J. P., Schwartz, S., & Harris, J. R. (2010). Promoting sustainable community change in support of older adult physical activity: Evaluation findings from the Southeast Seattle senior physical activity network (SESPAN). Journal of Urban Health, 87(1), 67–75.

    Article  Google Scholar 

  • Chernoff, R. (2001). Nutrition. In E. A. Swanson, T. Tripp-Reimer, & K. Buckwalter (Eds.), Health promotion and disease prevention in the older adult (pp. 43–55). New York, NY: Springer Publishing Company.

    Google Scholar 

  • Crews, D. E., & Ice, G. H. (2012). Aging, senescence, and human variation. Human evolution: An evolutionary and biocultural perspective. New York, NY: John Wiley & Sons.

    Google Scholar 

  • Cummings, S., & Cockerham, C. (2004). Depression and life satisfaction in assisted living residents. Clinical Gerontologist, 27(1–2), 25–42. https://doi.org/10.1300/j018v27n01_04

  • Czaja, S. J., Boot, W. R., Charness, N., & Rogers, W. A. (2019). Designing for older adults: Principles and creative human factors approaches. Boca Raton, FL: CRC Press.

    Book  Google Scholar 

  • Daly, J. M. (2011). Domestic and institutional elder abuse legislation. Nursing Clinics of North America, 46(4), 477.

    Article  Google Scholar 

  • Diehl, M., & Wahl, H. W. (2020). The psychology of later life: A contextual perspective. Washington, DC: American Psychological Association.

    Book  Google Scholar 

  • Dodds, S. (2005). Gender, ageing, and injustice: Social and political contexts of bioethics. Journal of Medical Ethics, 31(5), 295–298. https://doi.org/10.1136/jme.2003.006726

    Article  PubMed  PubMed Central  Google Scholar 

  • Elliott, J., Stolee, P., Boscart, V., Giangregorio, L., & Heckman, G. (2018). Coordinating care for older adults in primary care settings: Understanding the current context. BMC Family Practice, 19(1). https://doi.org/10.1186/s12875-018-0821-7

  • Faulkner, L. R. (1982). Mandating the reporting of suspected cases of elder abuse: An inappropriate, ineffective and ageist response to the abuse of older adults. Family Law Quarterly, 16, 69–91.

    Google Scholar 

  • Geriatrics Interdisciplinary Advisory Group. (2006). Interdisciplinary care for older adults with complex needs: American Geriatrics Society position statement. Journal of the American Geriatrics Society, 54(5), 849–852. https://doi.org/10.1111/j.1532-5415.2006.00707.x

    Article  Google Scholar 

  • Harrison, A., & Ragland, D. (2003). Consequences of driving reduction or cessation for older adults. Transportation Research Record: Journal of the Transportation Research Board, 1843(1), 96–104. https://doi.org/10.3141/1843-12

    Article  Google Scholar 

  • Hafner, K. (2016). As population ages, where are the geriatricians? Retrieved on July 10, 2020 from https://www.nytimes.com/2016/01/26/health/where-are-the-geriatricians.html

  • Hope, P., Bamford, S., Beales, S., Brett, K., Kneale, D., Macdonnell, M., & McKeon, A. (2012). Creating sustainable health and care systems in ageing societies. Retrieved from http://www.cpahq.org/cpahq/cpadocs/Creating%20Sustainable%20Health%20and%20Care%20Systems%20in%20Ageing%20Societies.pdf

  • Horowitz, B., & Vanner, E. (2010). Relationships among active engagement in life activities and quality of life for assisted-living residents. Journal of Housing for the Elderly, 24(2), 130–150. https://doi.org/10.1080/02763891003757056

    Article  Google Scholar 

  • Howie, L., Troutman-Jordan, M., & Newman, A. (2013). Social support and successful aging in assisted living residents. Educational Gerontology, 40(1), 61–70. https://doi.org/10.1080/03601277.2013.768085

    Article  Google Scholar 

  • Jackson, K., Roberts, R., & McKay, R. (2019). Older people’s mental health in rural areas: Converting policy into service development, service access and a sustainable workforce. Australian Journal of Rural Health, 27(4), 358–365.

    Article  Google Scholar 

  • Jones, L., & Wells, K. (2007). Strategies for academic and clinician engagement in community-participatory partnered research. JAMA, 297(4), 407. https://doi.org/10.1001/jama.297.4.407

    Article  PubMed  Google Scholar 

  • Kohli, M., & Arza, C. (2011). The political economy of pension reform in Europe. Handbook of Aging and the Social Sciences, 251–264. https://doi.org/10.1016/b978-0-12-380880-6.00018-6

  • Kuruvilla, S., Sadana, R., Montesinos, E. V., Beard, J., Vasdeki, J. F., de Carvalho, I. A., … Koller, T. (2018). A life-course approach to health: Synergy with sustainable development goals. Bulletin of the World Health Organization, 96(1), 42.

    Article  Google Scholar 

  • Lamanes, T., & Deacon, L. (2019). Supporting social sustainability in resource-based communities through leisure and recreation. The Canadian Geographer/Le Géographe canadien, 63(1), 145–158.

    Article  Google Scholar 

  • Laslett, P. (1995). Necessary knowledge: Age and aging in the societies of the past. In P. Laslett & D. Kertzer (Eds.), Ageing in the past: Demography, society, and old age (1st ed., pp. 1–79). Berkeley, CA: University of California Press. Available at http://ark.cdlib.org/ark:/13030/ft096n99tf/

    Google Scholar 

  • Longman, P. (2010, November). Think again global aging: A gray tsunami is sweeping the planet—And not just in the places you expect. How did the world get so old, so fast? Foreign Policy, (182), 52+. Retrieved from https://libproxy.library.unt.edu:7175/apps/doc/A241179403/OVIC?u=txshracd2679&sid=OVIC&xid=29cdbb6b

  • Lubitz, J., Cai, L., Kramarow, E., & Lentzner, H. (2003). Health, life expectancy, and healthcare spending among the elderly. New England Journal of Medicine, 349(11), 1048–1055.

    Article  Google Scholar 

  • Maddox, B. B., & Gaus, V. L. (2019). Community mental health services for autistic adults: Good news and bad news. Autism in Adulthood, 1(1), 15–19. https://doi.org/10.1089/aut.2018.0006

    Article  PubMed  Google Scholar 

  • Martin, S., & Smith, R. W. (1993). OBRA legislation and recreational activities: Enhancing personal control in nursing homes. Activities, Adaptation, & Aging, 17(3), 1–14.

    Article  Google Scholar 

  • Ming, Y., & Zecevic, A. (2018). Medications & polypharmacy influence on recurrent fallers in community: A systematic review. In Canadian Geriatrics Journal, 21(1), 14–25. Canadian Geriatrics Society. https://doi.org/10.5770/cgj.21.268.

  • Montgomery, L., Anand, J., Mackay, K., Taylor, B., Pearson, K. C., & Harper, C. M. (2016). Implications of divergences in adult protection legislation. The Journal of Adult Protection, 18(3), 149–160.

    Google Scholar 

  • Mpofu, E. (2014) (Ed). Community-oriented health services (1st ed.). New York, NY: Springer Publishing Company.

    Google Scholar 

  • Mpofu, E., Machina, M., Wang, B., & Knight, R. (2019). Allied and clinical mental health systems-of-care and strength-based approaches. In L. Levers & D. Hyatt-Burkhart (Eds.), Clinical mental health counseling: Practicing in integrated systems of care (1st ed., pp. 43–68). New York, NY: Springer Publishing Company.

    Google Scholar 

  • National Centre for Health Statistics. (2019). Long-term care providers and services users in the United States, 2015–2016 (pp. 1–38). Washington, DC: U.S. Government Publishing Office.

    Google Scholar 

  • National Institute on Aging. (2011). Global health and aging. Retrieved from https://www.nia.nih.gov/sites/default/files/2017-06/global_health_aging.pdf

  • National Institute on Aging. (2019). Global aging. Retrieved on July 20, 2020 from https://www.nia.nih.gov/research/dbsr/global-aging

  • National Research Council. (2001). Preparing for an aging world: The case for cross-national research. Washington, DC: The National Academies Press. https://doi.org/10.17226/10120

    Book  Google Scholar 

  • Partnership for Health in Aging. (2014). Position statement on interdisciplinary team training in geriatrics: An essential component of quality health care for older adults. Journal of the American Geriatrics Society, 62(5), 961–965. https://doi.org/10.1111/jgs.12822

    Article  Google Scholar 

  • Pérez, L., Ro, M., & Treadwell, H. (2009). Vulnerable populations, prison, and federal and state medicaid policies: Avoiding the loss of a right to care. Journal of Correctional Health Care, 15(2), 142–149. https://doi.org/10.1177/1078345808330040

    Article  PubMed  Google Scholar 

  • Perkins, E. A., & Berkman, K. A. (2012). Into the unknown: Aging with autism spectrum disorders. American Journal on Intellectual and Developmental Disabilities, 117(6), 478–496. https://doi.org/10.1352/1944-7558-117.6.478

    Article  PubMed  Google Scholar 

  • Quadagno J . (2015). The transformation of Medicaid from poor law legacy to middle class entitlement? In A. B. Cohen D. C. Colby K. A. Wailoo , & J. E. Zelizer (Eds.), Medicare and medicaid at 50: America’s entitlement programs in the age of affordable care (pp. 77–94). New York: Oxford University Press.

    Google Scholar 

  • Quadagno, J. (2018). Aging and the life course: An introduction to social gerontology. McGraw-Hill Higher Education.

    Google Scholar 

  • Roberts, A., & Adams, K. (2017). Quality of life trajectories of older adults living in senior housing. Research on Aging, 40(6), 511–534. https://doi.org/10.1177/0164027517713313

    Article  PubMed  Google Scholar 

  • Rowe, J. W., & Kahn, R. L. (2015). Successful aging 2.0: Conceptual expansions for the 21st century. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences. https://doi.org/10.1093/geronb/gbv025

  • Rowland, D. T. (2009). Global population aging: History and prospects. In P. Uhlenberg (Ed.), International handbook of population aging. International handbooks of population (Vol. 1). Dordrecht, Netherlands: Springer.

    Google Scholar 

  • Shelton, R. C., Lee, M., Brotzman, L. E., Crookes, D. M., Jandorf, L., Erwin, D., & Gage-Bouchard, E. A. (2019). Use of social network analysis in the development, dissemination, implementation, and sustainability of health behavior interventions for adults: A systematic review. Social Science & Medicine, 220, 81–101.

    Article  Google Scholar 

  • Siegler, E. L., Lama, S. D., Knight, M. G., Laureano, E., & Reid, M. C. (2015). Community-based supports and services for older adults: A primer for clinicians. Journal of Geriatrics, 2015, 1–6. https://doi.org/10.1155/2015/678625

    Article  Google Scholar 

  • Stiefel, M. C., Perla, R. J., & Zell, B. L. (2010). A healthy bottom line: Healthy life expectancy as an outcome measure for health improvement efforts. The Milbank Quarterly, 88(1), 30–53.

    Article  Google Scholar 

  • United Nations, Department of Economic and Social Affairs, Population Division (2019). World Population Prospects 2019: Highlights. New York, NY: Author.

    Google Scholar 

  • U.S. Department of Health and Human Services. (2017). HHS action plan to reduce racial and ethnic health disparities: A nation free of disparities in health and health care (pp. 197–230). National Strategy for Achieving Health Equity and a Plan to Reduce Racial and Ethnic Health Disparities. https://doi.org/10.1037/e553842012-001

  • United States. (1978). Older Americans act of 1965, as amended. Washington, DC: Administration on Aging, Office of Human Development Services, U.S. Department of Health, Education, and Welfare.

    Google Scholar 

  • Westerhof, G. J., Miche, M., Brothers, A. F., Barrett, A. E., Diehl, M., Montepare, J. M., … Wurm, S. (2014). The influence of subjective aging on health and longevity: A meta-analysis of longitudinal data. Psychology and Aging, 29(4), 793.

    Article  Google Scholar 

  • World Health Organisation. (2020). Decade of healthy aging 2020–2030. Geneva, Switzerland: The World Health Organisation. Retrieved on May 11, 2020, from www.who.int/ageing/decade-of-healthy-ageing

  • World Health Organization. (2010). Definition of an older or elderly person. Retrieved on May 11, 2020, from http://libproxy.library.unt.edu:2506/healthinfo/survey/ageingdefnolder/en/index.html

  • World Health Organization. (2015). World report on ageing and health. Geneva: The World Health Organization. Retrieved on May 11, 2020 from www.who.int/ageing/events/world-report-2015-launch/en/

  • World Health Organization (2019). Global strategy and action plan on ageing and health. Retrieved on July 20, 2020 from from: https://www.who.int/ageing/WHO-GSAP-2019.pdf?ua=1

  • Wurm, S., Diehl, M., Kornadt, A. E., Westerhof, G. J., & Wahl, H. W. (2017). How do views on aging affect health outcomes in adulthood and late life? Explanations for an established connection. Developmental Review, 46, 27–43.

    Article  Google Scholar 

  • Xu, W., & Larbi, A. (2017). Markers of T cell senescence in humans. International Journal of Molecular Sciences, 18(8), 1742.

    Article  Google Scholar 

  • Young, H., Siegel, E., McCormick, W., Fulmer, T., Harootyan, L., & Dorr, D. (2011). Interdisciplinary collaboration in geriatrics: Advancing health for older adults. Nursing Outlook, 59(4), 243–250. https://doi.org/10.1016/j.outlook.2011.05.006

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Maidei Machina .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Machina, M., Mpofu, E., Rivera-Torres, S., Knight, R., Abah, T. (2020). Older Adults’ Wellbeing. In: Mpofu, E. (eds) Sustainable Community Health. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-030-59687-3_13

Download citation

Publish with us

Policies and ethics