Relationships with companion animals, or “pets”, may promote health and well-being for older adults as they age-in-place. Less is known, however, about ways that pet-related challenges may simultaneously influence aging-in-place experiences. This study explores the relational qualities of having pets later in life by considering qualitative accounts of older adults who are aging in the community. Semi-structured interviews with 14 socio-economically diverse, community-dwelling older adult pet-owners (≥ 60 years) living in Calgary, Alberta, Canada, were analyzed reflexively. Four recurring themes suggested that companion animal relationships were valued in older adults’ lives and helped them cope with challenging circumstances, even when pets were central to these challenges. Findings also confirmed the relational nature of human-animal relationships as being shaped by both individual attributes and systemic factors. Methodological approaches to addressing these multifaceted complexities when studying pets and aging are considered. Enhanced cross-sectoral community and policy-level supports for aging-in-place with pets may have a population-level influence on health, well-being, and social justice across the socio-demographically diverse aging population.

Given the significant impact the pandemic has had on the lives of older adults, research is needed to understand how conceptions of ageing in place and attitudes about living independently may have shifted during a time marked by significant environmental change. There is a gap in knowledge about how older adults characterise positive support for ageing in place in response to rapid changes in physical and social environments, including home confinement, reduced social interaction and greater barriers to resources. To fill this knowledge gap, we conducted a photovoice study with community-dwelling older adults (N = 17) to understand how their experiences of adapting to pandemic conditions influenced their attitudes and behaviours towards ageing in place. We organised data into five themes: (1) the importance of proximity to family and loved ones; (2) the ability to balance safety and social connectivity; (3) an increased appreciation for the outdoors; (4) new platforms for learning; and (5) the role of inner belief systems. Adapting attitudes, expectations and behaviours through physical, social and personal domains highlights the role of change within an ecological framework of ageing. Findings contribute to the ongoing discourse about ageing in place within an ecological framework by identifying changes that older adults make at individual, interpersonal and system levels. This paper adds to the literature by identifying characteristics of ageing in place that community-dwelling older adults prioritise in the pandemic era. The paper also contributes to a growing body of research that elicits participation and offers the co-creation of knowledge with older adults. Lessons learned from the pandemic will continue to shape and inform future policies on ageing in place.

La présente étude visait à documenter l’implantation de l’Accompagnement-citoyen personnalisé d’intégration communautaire (APIC), lors duquel des bénévoles soutiennent la participation sociale d’aînés, dans des organismes communautaires en identifiant les facteurs favorables et défavorables ainsi que ses conditions essentielles. Soutenu par un devis qualitatif descriptif de type recherche clinique, une rencontre et six entretiens semi-dirigés ont été réalisés afin de documenter cette implantation dans six organismes communautaires œuvrant en milieu urbain au Québec (Canada). Selon les six coordonnatrices de l’APIC, les cinq directeurs généraux et l’agente de recherche, le principal facteur favorable est la conviction des responsables de l’implantation en la valeur ajoutée de l’intervention, incluant sa concordance avec la mission et les valeurs des organismes et les besoins de la population qu’ils desservent. Les facteurs défavorables sont principalement la répartition aléatoire et le temps accordé pour l’implantation. Ces résultats permettront de mieux guider l’implantation de l’APIC à plus grande échelle.

Food fortification improves vitamin D intakes but is not yet mandated in many countries. Combining vitamin D with different dietary lipids altered vitamin D absorption in in vitro and postprandial studies. This randomised, placebo-controlled trial examined the effect of the lipid composition of a vitamin D-fortified dairy drink on change in 25-hydroxyvitamin D (25(OH)D) concentrations. Sixty-three healthy adults aged 50+ years were randomised to one of the following for 4 weeks: vitamin D-fortified olive oil dairy drink, vitamin D-fortified coconut oil dairy drink, vitamin D supplement or placebo control dairy drink. All vitamin D groups received 20 µg of vitamin D3 daily. Serum was collected at baseline and post-intervention to measure 25(OH)D concentrations and biomarkers of metabolic health. Repeated-measures general linear model ANCOVA (RM GLM ANCOVA) compared changes over time. There was a significant time × treatment interaction effect on 25(OH)D concentrations for those classified as vitamin D-insufficient (P < 0·001) and -sufficient at baseline (P = 0·004). 25(OH)D concentrations increased significantly for all insufficient participants receiving vitamin D3 in any form. However, for vitamin D-sufficient participants at baseline, 25(OH)D concentrations only increased significantly with the coconut oil dairy drink and supplement. There was no effect of vitamin D on biomarkers of metabolic health. Vitamin D fortification of lipid-containing foods may be used in lieu of supplementation when supplement adherence is low or for individuals with dysphagia. These results are important given the recent recommendation to increase vitamin D intakes to 15–20 µg for older adults in Ireland.

Loneliness and social isolation are important social determinants of wellbeing of older adults. Conversational exchanges can promote connectedness between older adults, however, conversations may not always come easy. Research shows that exposure to nature-based stimuli such as pictures and videos can stimulate social aspirations and trigger associations that could facilitate conversations, in particular when nature scenery is perceived as fascinating, mysterious, spacious and suited for social interaction. Therefore, this study investigated whether exposure to these nature characteristics (high versus low) lead to associations that could act as conversational material. A randomised factorial design, using a virtual reality-based approach for experimental control, led to 17 different virtual representations of nature (VN). In total, 150 participants (60 years and older) were recruited for an online survey. Spontaneous associations were coded on personal engagement and valence. The number of associations was measured with one multiple-choice question. VN exposure successfully triggered personally engaging and positively valenced associations and were related to multiple associations, in particular when the VN were high on mystery. Furthermore, positive effects of VN exposure was more pronounced for participants with high (rather than low) levels of nature relatedness and many (rather than few) available nature opportunities. These findings indicate that VN exposure provides fertile ground for conversations as a means to promote connectedness and social wellbeing of older adults.

The purpose of this study was to describe the social isolation of older adults in the Côte-des-Neiges neighbourhood (Montreal, Canada) from the perspectives of older adults and community stakeholders. To do so, a descriptive qualitative study was conducted, involving community-dwelling older adults and a variety of key stakeholders from the neighbourhood. Seven focus groups were held, with a total of 37 participants. Focus group transcripts were analyzed using the approach of Miles, Huberman, and Saldaña. Participants reported that social isolation of older adults is characterized by gaps in social interactions (scarcity of social interactions, lack of social support, and unsatisfying relationships) as well as by low social participation that can be depicted in three ways: (1) exclusion by society, (2) self-restriction of participation, and (3) low eagerness to socialize. This study highlights that there is a diversity in how social isolation of older adults manifests itself. It can be the result of a deliberate choice (or not), as well as being desired (or not). These aspects of the phenomenon of social isolation of older adults are still not well described. However, they offer relevant avenues for rethinking approaches to intervention development.

The distributions of antibiotic prescriptions by geography, antibiotic class, and prescriber specialty are similar in the US Centers for Medicare and Medicaid Services (CMS) Part D Prescriber Public Use Files and IQVIA Xponent dataset. Public health organizations and healthcare systems can use these data to track antibiotic use and guide antibiotic stewardship interventions for older adults.

This article investigates the unique contribution of specific programme characteristics together with personal stigma, stigmatisation by the public, and claims stigma, to the non-take-up of targeted income support among Hong Kong older adults. Drawing on data from a sample of 3,299 Hong Kong older adults aged 65 or above, we find that between 11-14 per cent of eligible participants did not receive cash transfers from Normal and Higher Old Age Living Allowance (OALA) and old-age Comprehensive Social Security Assistance (old-age CSSA). By combining mainstream economic analysis with attempts to quantify welfare stigma (Baumberg, 2016) we find that transaction costs were most consistently and strongly related to non-take-up of targeted income support; non-take-up of old-age CSSA and Higher OALA but not Normal OALA varied with welfare stigma after controlling for personal and household characteristics of study participants. This article further adds to the literature by examining the effect of recent reforms to asset- and means-tested benefits for the same target population of older adults on take-up in the East Asian context. The article suggests that automatic switching of beneficiaries from Normal OALA to Higher OALA effectively facilitated higher take-up of the latter. The policy implications of these various findings are discussed.

Despite the recent policy impetus for age-friendly cities, there is still scope for more geographical insights into ageing in low- and middle-income countries (LMICs). Cities in LMICs, such as Bengaluru (India), are witnessing an increase in the size of the older population in their peripheral urban regions, but there is relatively little understanding of the risks of exclusion in later age in these liminal zones. This study, set in a peripheral ward of Bengaluru, focuses on the experiences of exclusion/inclusion of socio-economically marginalised older adults and their access to work, health care and leisure. The research uses a multidimensional old-age exclusion framework to highlight how the domains of neighbourhood, material resources, mobility infrastructure and social relations influence the risks for social exclusion. We use a qualitative approach by combining behavioural mapping and in-depth interviews. Our findings highlight some ways in which institutionalised exclusion from civic infrastructure accentuates the precariousness of ageing. The rigidity of traditional hierarchies in peri-urban regions has meant that older adults who were poor, women and belonged to marginalised castes experience constrained mobilities to access labour markets, health care and social life, compounding their place-based exclusion. Despite social networks and solidarities, older adults on the periphery faced individualisation of risks while trying to access the basic amenities, thereby falling between the gap of the urban–rural milieu and governance. Age-friendly cities need to accommodate such hybrid transitionary urban processes, in the absence of which, active ageing in these rising peripheries can be impeded.

Prospect Theory predicts that people tend to be more risk seeking if their reference point is perceived as a loss and more risk averse when the reference point is perceived as a gain. In line with this prediction, Franken, Georgieva, Muris and Dijksterhuis (2006) showed that young adults who had a prior experience of monetary gains make more safe choices on subsequent decisions than subjects who had an early experience of losses. There are no experimental studies on how experiencing prior gains and losses differently influences young and older adults on a subsequent decision-making task (the Iowa Gambling Task). Hence, in the current paper, adapting the methodology employed by Franken et al.’s (2006), we intended to test the generality of their effect across the life span. Overall, we found that subjects who experienced prior monetary gains or prior monetary losses did not display significant differences in safe/risky choices on subsequent performance in the Iowa Gambling task. Furthermore, the impact of prior gains and losses on risky/safe card selection did not significantly differ between young and older adults. These results showed that the effect found in the Franken et al.’s study (2006) is limited in its generality.

While debts are widely used financial tools, few longitudinal studies investigating potential causal links between debts and mental wellbeing exist among older adults. Older adults, particularly those not employed, are less likely to have increasing incomes to help them pay off their debts. This study investigates whether older adults with non-mortgage debts in three different labour market states have lower mental wellbeing and, separately, whether it is likely that reducing their debts helps to improve mental wellbeing. Using the English Longitudinal Study of Ageing, the study focuses on the English context, which is particularly interesting due to the high levels of, and a unique policy approach to, private indebtedness.

The results indicate that people with debts have lower mental wellbeing (more depressive symptoms and lower quality of life) in all categories, but the mental pain linked to debts is stronger for people who are jobless (not working, not retired). The analysis from a causal perspective suggests that getting rid of debts may reduce depressive symptoms among people who are jobless but may also improve quality of life among the retired and employed. Both these findings suggest that mental health services should work closely with debt advice when needed.

In recent years, various authorities launched projects that aim to make their cities more age-friendly. Designing age-friendly cities is a complex and context-dependent process that requires clear implementation guidelines for policy makers. As one of the eight domains of age-friendly cities, transportation is a critical component of making our cities more liveable for older adults and their families. This paper contributes to the literature by exploring the travel behaviour of older adults with a focus on the factors that lead to sustainable mobility patterns. Our empirical analysis is based on survey data collected from 1,221 older adults as part of the Age-Friendly Columbus project in Columbus, Ohio in the United States of America. We develop multinomial logistic regression models to investigate the travel mode choices of older adults (auto only, non-auto options only and multimodal (auto and at least one non-auto option)). We include age and built environment characteristics as the key variables, with lifestyle-related factors and socio-demographics as controls in our analysis. We find older respondents were more likely to use autos only compared to younger respondents. Our analysis also reveals significant associations between built environment characteristics and travel mode choices. Interaction effects show that the relationships between built environment characteristics and travel preferences differed by age cohorts among older individuals. The primary contribution of this study is that it provides evidence on what built environmental improvements help to promote sustainable travel among older adults in mid-sized and auto-dependent metropolitan cities. We argue that these improvements contribute to older adults' sustainable mobility, as well as out-of-home activity behaviour, social engagement and individual health. The results of this study may especially benefit non-driver older adults who lack reliable non-auto alternatives for their daily travel.

Recent findings suggest that the distribution of protein intake throughout the day has an impact on various health outcomes in older adults, independently of the amount consumed. We evaluated the association between the distribution of dietary protein intake across meals and all-cause mortality in community-dwelling older adults. Data from 3225 older adults aged ≥ 60 years from the Seniors-ENRICA-1 cohort were examined. Habitual dietary protein consumption was collected in 2008–2010 and in 2012 through a validated diet history. Protein distribution across meals was calculated for each participant as the coefficient of variation (CV) of protein intake per meal, in sex-specific tertiles. Vital status was obtained from the National Death Index up to 30 January 2020. Cox proportional hazards regression was performed to determine the hazard ratios (HR) and their 95 % CI for the association between the distribution of daily protein intake across meals and all-cause mortality. Over a median follow-up of 10·6 years, 591 deaths occurred. After adjustment for potential confounders, the CV of total protein intake was not associated with all-cause mortality (HR and 95 % CI in the second and third tertile v. the lowest tertile: 0·94 (0·77, 1·15) and 0·88 (0·72, 1·08); P trend = 0·22). Similarly, the HR of all-cause mortality when comparing extreme tertiles of CV for types of protein were 0·89 (0·73, 1·10) for animal-protein intake and 1·02 (0·82, 1·25) for plant-protein intake. Dietary protein distribution across meals was not associated with all-cause mortality, regardless of protein source and amount, among older adults. Further studies should investigate whether this picture holds for specific causes of death.

Cowgill's modernisation theory stipulates that older people's social status is lower in societies with higher societal modernisation. The few existing studies reveal conflicting results showing either negative or positive associations. The current study follows up seminal cross-national research on the perceived social status of people in their seventies (PSS70) in a diverse set of countries. PSS70 was defined as the relative status of people in their seventies compared to people in their forties. Data were obtained by the World Values Survey (2010–2014) and included 78,904 respondents from 58 countries. Multilevel regressions showed that the level of modernisation had a strong and negative association with the PSS70 but mostly due to one component, namely the share of older people in society. The associations were more complex when considering cultural zones of which two stood out. Irrespective of level of modernisation, Muslim countries showed higher and post-communist countries showed lower levels of PSS70. In Muslim countries, modernisation had a near-zero association with PSS70, whereas it was strongly negatively associated with PSS70 in post-communist countries. This study generally supports Cowgill's theory in a large and diverse cross-sectional sample of countries, yet it also illustrates its cultural boundary conditions.