Helps you, helps me? Provision of instrumental and personal care and loneliness among adults aged 50 years and older during the COVID-19 pandemic.

PURPOSE: To examine the association between provision of instrumental and personal care, and loneliness in adults aged 50 years and older during the COVID-19 pandemic. Instrumental care referred to the provision of assistance with obtaining necessary or essential products and/or services, whereas personal care referred to the assistance with daily life activities or the provision of emotional support. Social capital and caregiver stress theories served as the study's theoretical framework. MATERIALS AND METHODS: The data were obtained from the two COVID-19 waves of the Survey of Health, Ageing, and Retirement in Europe (SHARE) conducted in 2020 and 2021. The data were analyzed using logistic regression models. The analytical sample consisted of 48,722 adults in the abovementioned age bracket residing in Europe and Israel. RESULTS: Providing instrumental care negatively related to loneliness. Providing instrumental care to a single category of people negatively related to loneliness, whereas providing personal care to multiple categories of people positively related to loneliness. Providing personal care to children positively related to loneliness. CONCLUSIONS: The results suggest that different types of care provision correspond differently to the experience of loneliness while partially supporting both theoretical frameworks. Moreover, care indicators correspond differently to loneliness. The results imply that for a better understanding of the link between care provision and loneliness in later life, various parameters as well as various types of care provision should be examined.

What's Keeping Residents "Out of the Mainstream": Challenges to Participation in the News Media for Older People Living in Residential Care.

The voices of older people living in residential care are often excluded from news articles about residential care, and this exclusion was especially apparent during the COVID-19 pandemic. The aim of this study is to identify and understand the barriers which may be obstructing the news media participation of older residents. Semi-structured interviews were conducted with 7 journalists, 7 administrators, and 12 residents. Interview transcripts were analyzed using a thematic analysis, which resulted in the following themes: (1) residents are physically separated from their communities; (2) journalists do not consider residents to be official sources for news stories; (3) administrators feel they must manage their care home's reputation and control access to residents; and (4) journalists and administrators are not equipped to handle issues of consent and privacy. The role of ableism and ageism in the news reporting process is discussed.

Short- and Medium-Term Effects of Ageism on Loneliness Experienced During the COVID-19 Pandemic.

Loneliness, common in old age, may be partially attributed to ageism. The present study explored the short- and medium-term effect of ageism on loneliness experienced during the COVID-19 pandemic using prospective data derived from the Israeli sample of the Survey of Health, Aging and Retirement in Europe (SHARE) (N = 553). Ageism was measured before the COVID-19 outbreak and loneliness in the summer of 2020 and 2021 using a direct single question. We also tested for age differences in this association. In both the 2020 and 2021 models, ageism was related to increased loneliness. This association remained significant after adjusting for a host of demographic, health, and social variables. In the 2020 model, we also found that the positive association between ageism and loneliness was significant only in people aged 70+. We discussed the results with reference to the COVID-19 pandemic, which drew attention to two global social phenomena: loneliness and ageism.

Eradicating ageism through social campaigns: An Israeli case study in the shadows of the COVID-19 pandemic.

This study examined three social campaigns for the eradication of ageism that were undertaken in Israel during the COVID-19 pandemic (April, 2020-May, 2021). The documentation and analysis of the campaigns were undertaken via the lens of the Theory of Change and Five Key Principles for social campaigns: planning strategically, communicating effectively, fostering community engagement, implementing key activities, and using research. We conducted desk reviews and qualitative interviews with the campaigns' organizers. The Theory of Change implemented by the campaigns targeted self-ageism among independent older people and/or employers of older adults. All campaigns emphasized "active aging" and "successful aging," to decrease (self)-ageism. The focus on one dimension of active and positive aging may result in ageism and exclusion of older people who do not fit into the category of independent and active people. The complex timing of the campaigns had influenced the degree of implementation of the five key principles. The joining of forces of different organizations and the employment of more diverse representations of old age, may facilitate the achievement of campaign goals. Finally, an empirical evaluation of social campaigns' efforts is still necessary to gather evidence about the effectiveness of social campaigns.

Are Older Adults More Optimistic? Evidence From China, Israel, and the United States.

OBJECTIVES: Optimistic bias refers to the phenomenon that individuals believe bad things are less likely to happen to themselves than to others. However, whether optimistic bias could vary across age and culture is unknown. The present study aims to investigate (a) whether individuals exhibit optimistic bias in the context of coronavirus disease 2019 (COVID-19) pandemic, and (b) whether age and culture would moderate such bias. METHOD: 1,051 participants recruited from China, Israel, and the United States took the online survey. Risk perceptions consist of 3 questions: estimating the infected probability of different social distance groups (i.e., self, close others, and nonclose others), the days that it would take for the number of new infections to decrease to zero and the trend of infections in regions of different geographical distances (i.e., local place, other places inside participants' country, and other countries). Participants in China and the United States also reported their personal communal values measured by Schwartz's Value Survey. RESULTS: Results from Hierarchical Linear Modeling generally confirmed that (a) all participants exhibited optimistic bias to some extent, and (b) with age, Chinese participants had a higher level of optimistic bias than the Israeli and U.S. participants. Compared to their younger counterparts, older Chinese are more likely to believe that local communities are at lower risk of COVID-19 than other countries. DISCUSSION: These findings support the hypothesis that age differences in risk perceptions might be influenced by cultural context. Further analysis indicated that such cultural and age variations in optimistic bias were likely to be driven by age-related increase in internalized cultural values.

The Challenges Faced By Long-Term Care Residents and Their Families During COVID-19

The present research aims to examine the effects of protective measures due to the coronavirus disease (COVID-19) within long-term care (LTC) settings on the residents and their family members. Open-ended qualitative interviews were conducted with 14 family members of older adults who resided in LTC settings during the first wave of the pandemic in Israel. The first theme identified is Rupture, including physical disconnect;the disruption in routine treatment to residents;and decline in the satisfaction with the setting. The second theme is Response, including sharing viewpoints and involvement in decision making, as well as an intense ambivalence shared by family members. Our findings highlight the distress caused to residents and family members by the isolation and restrictions in LTC settings during the pandemic, and underscore values and priorities that are central to them and their family members, including maintaining continuity, transparency, and working in unison with their families.

Self- and Other-Directed Ageism and Worries Concerning COVID-19 Health Consequences

Worries associated with COVID-19 health consequences are well-justified. They may motivate people to take safety precautions, but may hinder if they become too intense. Current research examined mainly age and gender as potentially associated with worries. This study instead, focuses on self-perceptions of ageing (SPA) and perceived age discrimination as potential predictors of worry, in light of the ageism pandemic which co-occurred with the COVID-19 outbreak. The study is based on a national representative sample of 1,092 adults aged 50+ in Israel. Phone interviews were conducted between March – May 2020, when Israel gradually moved from strict to partial lockdown. Our findings show that SPA and age-based discrimination in the healthcare system were significant predictors of worries. The findings point to the potentially negative impact of the ageism pandemic in relation to worries. Interventions that address ageism directed by self or others might alleviate people's worries in the COVID-19 pandemic.

"But at the age of 85? Forget it!": Internalized ageism, a barrier to technology use.

The COVID-19 pandemic has underscored how everyday information and communication technology (EICT), such as online banking, e-shopping, or e-mail, are essential for individuals of all ages to maintain activity engagement, health, and well-being. Yet, older adults are often stereotypically portrayed as incapable, technophobic, or unwilling to engage in EICT. This may further contribute to the digital divide, as age stereotypes have the power to act like self-fulfilling prophecies and impede older adults' engagement in complex everyday life tasks. This study aimed to shed light on internalized ageism as manifested in older non-users' narrations about EICT use. It further explored how age stereotypes in the context of EICT are constructed and perpetuated through disempowering and ageist environments. A qualitative approach was applied, performing semi-structured interviews in participants' homes (N = 15). Data were analyzed following the principles of qualitative content analysis, applying both deductive categorization and inductive coding. Internalized ageism appeared to be an omnipresent element in older adults' narrations about EICT non-use. This was reflected in the four subcategories "competence and learning", "relevance and use", "technology design", and "intergenerational contact". Ageism, as manifested in the social environment and the design of technology, seemingly contributed to the internalization of age stereotypes and low EICT engagement. This research calls for inclusive technology designs, ageism-free EICT learning settings, and awareness campaigns about lifelong learning to help close the digital divide and ensure optimal aging experiences for older people.

COVID-19 and Everyday ICT Use: The Discursive Construction of Old Age in German Media.

BACKGROUND AND OBJECTIVES: Media discourses have the power to construct and perpetuate positive and negative aging images and influence public and individuals' attitudes. This study aims to critically examine the media portrayal of older persons' everyday information and communication technology (EICT) usage during the first and second waves of the coronavirus disease 2019 pandemic. RESEARCH DESIGN AND METHODS: A total of 51 articles published in 3 leading German newspapers between March 2020 and November 2020 were identified from the LexisNexis Academic database. Data were analyzed employing critical discourse and thematic analysis. RESULTS: EICT use was associated with youthful, consumption-orientated, and active lifestyles, while nonuse was constructed as failures on the policy or individual level. The pandemic seemed to have acted as an amplifier, further exacerbating and perpetuating stereotypical, dichotomous, but also empowering aging images. DISCUSSION AND IMPLICATIONS: Neoliberal rational and binary distinctions of active users and nonusers opened and encouraged critical discussions on positive aging trends, the concept of the third and fourth ages, and aging-and-innovation discourses. Moreover, the crucial educative role of the media in raising awareness about power imbalances and reducing EICT-related ageism is stressed.

"I Didn't Meet My Mother; I Saw My Mother": The Challenges Facing Long-Term Care Residents and Their Families in the Age of COVID-19.

The present research examines the effects of protective measures due to the coronavirus disease 2019 (COVID-19) pandemic within long-term care (LTC) settings on residents and their family members. Open-ended qualitative interviews were conducted with 14 family members of older adults who resided in LTC settings during the first wave of the pandemic in Israel. The first theme identified is Rupture, including the physical disconnect; the disruption in routine treatment to residents; and decline in the satisfaction with the setting. The second theme is Response, including sharing viewpoints and involvement in decision-making, as well as an intense ambivalence shared by family members. Our findings highlight the distress caused to residents and family members by the isolation and restrictions in LTC settings during the pandemic and underscore values and priorities that are central to them and their family members, including maintaining continuity, transparency, and working in unison with their families, staff, and management.

"We Should Be at the Back of the Line": A Frame Analysis of Old Age Within the Distribution Order of the COVID-19 Vaccine.

BACKGROUND AND OBJECTIVES: In the fall of 2020, it became clear that the initial doses of the coronavirus disease 2019 (COVID-19) vaccine would be limited, and a priority order would be necessary. This article examines the perceptions of old age in the context of establishing a priority order for the COVID-19 vaccine from the perspective of online newspaper commenters. Two research questions are investigated: (a) How do commenters place older people in line for the COVID-19 vaccine? and (b) What frames and factors do commenters use as reasoning for their proposed position of older adults? RESEARCH DESIGN AND METHODS: This study involves a frame analysis of 440 online comments on an article published by The New York Times on December 1, 2020 about the U.S. recommendations for distributing the coronavirus vaccine. RESULTS: Older adults were referenced as belonging to one of the 3 groups: older long-term care residents, older workers, and older adults retired and/or isolating at home. Two frames emerged from the data as criteria for prioritization: social contribution and vulnerability. Older commenters themselves frequently stated that they should be deprioritized so that others can be inoculated earlier. DISCUSSION AND IMPLICATIONS: The findings may be interpreted as demonstrative of pervasive ageism throughout the pandemic; older commenters' sacrificial remarks may reflect generativity, internalized ageism, social pressure from online forums, or some combination thereof.

Ageism and the State of Older People With Mental Conditions During the Pandemic and Beyond: Manifestations, Etiology, Consequences, and Future Directions.

The pandemic has put the spotlight on older people and on the topic of ageism. In early 2021, a call was made for input into the Thematic Report on Ageism and Discrimination to inform the United Nations Independent Expert on the Rights of Older Persons' forthcoming report to the 48th session of the Human Rights Council. The aim of this paper is to articulate the International Psychogeriatric Association (IPA) and the World Psychiatric Association Section of Old Age Psychiatry (WPA-SOAP) response to this call. This brief statement on ageism with a special focus on older people with mental health conditions is divided into three sections. We start by outlining the various manifestations of ageism in varied contexts and countries with a primary focus on the pandemic. Possible consequences of ageism with a focus on older people's mental health and well-being are outlined. We conclude by discussing ways to overcome ageism and reduce its occurrence, especially during times of extreme conditions.

Measures of self- and other-directed ageism and worries concerning COVID-19 health consequences: Results from a nationally representative sample of Israelis over the age of 50.

Worries associated with COVID-19 health consequences are well-justified. They may motivate people to take safety precautions, but may hinder if they become too intense. Current research has examined mainly age and gender as potential correlates associated with worries. This study instead, is focused on self-perceptions of aging (SPA) and perceived age discrimination as potential predictors of worry, in the light of the ageism pandemic which has co-occurred with the COVID-19 outbreak. The study is based on a national sample of 1,092 adults aged 50 and above in Israel. Phone interviews were conducted between March 29 2020 and May 3 2020, when Israel gradually moved from strict to partial lockdown. Respondents were queried about their worries related to COVID-19 health consequences, demographic characteristics, known-risk factors, SPA and perceived age-based discrimination in the healthcare system. Our findings show that in addition, to sex, financial status and chronic illness, SPA and age-based discrimination in the healthcare were significant predictors of worries and explained additional 8% of the variance. The findings point to the potentially negative impact of the ageism pandemic in an area that has not received much attention, thus far, namely people's worries. Interventions that address ageism directed by self or others might alleviate worries in the midst of the COVID-19 pandemic.

Adult daughters' emotional response to COVID-19: the role of worry, solidarity, conflict, and ambivalence in the relationship with the mother.

Objectives: Older adults' greater susceptibility to mortality from COVID-19 may have meaningful psychological implications not only for them, but also for their children. In this study, we focused on daughters of older women and examined the intergenerational relationships as a correlate of daughters' anxiety, depressive symptoms, and psychosomatic complaints.Method: Data were collected from 456 daughters of older mothers (M(age) = 40.82) during the first wave of the COVID-19 outbreak in Israel, when a relatively strict lockdown was enforced, separating mothers and daughters.Results: Findings suggest that while mothers' objective risk factors (age and morbidity) were mostly not associated with their daughters' distress, the daughters' concern about their mothers, and their perceived ambivalence in the relationship with the mother, as well as structural and affectual solidarity, were.Conclusion: We conclude that the mother-daughter relationship is an important correlate of daughters' reactions to this health crisis. Practically, it suggests that some daughters to aging mothers could be at a greater risk for emotional distress following the COVID-19 outbreak.

Trust and Compliance with COVID-19 Preventive Behaviors during the Pandemic.

This study examined the role of trust in lay people's health behaviors related to the current pandemic. A total of 376 Israelis completed an online questionnaire during the second lockdown. A latent profile analysis was conducted to identify profiles of individuals based on their levels of trust in the various institutions and stakeholders examined in this study. A three-profile solution was deemed most appropriate. The largest profile (N = 178) was characterized by low levels of trust in the government, but high levels of trust in science and one's primary care provider. Next, was the generally low trust profile (N = 108), characterized by low levels of trust directed towards all stakeholders and institutes. The third profile (N = 79) was characterized by high levels of trust. Results are discussed in relation to the important role of trust in determining people's response to the current pandemic and the unique features of Israeli society.

COVID-19 Protective Behaviors: The Role of Living Arrangements and Localities.

OBJECTIVES: Guided by the human-ecological model, we aimed to identify contextual factors related to protective behaviors during the COVID-19 outbreak. METHOD: Data are based on a nationally representative survey of adults aged 50+ in Israel during the COVID-19 outbreak (N = 1,019). Regression models predicted three behaviors: using hand sanitizers and masks, stocking up food, and avoiding social meetings. The independent variables were living arrangements (microsystems) and type of localities (macrosystems). RESULTS: Participants who lived alone or lived in rural localities were less likely to adopt protective measures. CONCLUSION: Policy makers should pay particular attention to adults who live alone or live in rural areas as they might be less likely to adopt protective behaviors and face higher health risks during the pandemic.

When She Worries I Worry too: COVID-19 Worries in the Context of Daughters' and Mothers' Relations.

We examined the extent to which a daughter's worries are related to her mother's perceived worries about COVID-19 (i.e., the daughter's perception of her mother's worries). Regard, defined as reciprocity, closeness or compatibility, and responsibility, defined as guilt, burden and protectiveness, were measured as potential moderators of the relationship between the daughter's worries and her mother's perceived worries. A convenience sample of 438 women between the ages of 30 and 60 completed an online survey. We found a significant correlation between daughters' and mothers' perceived COVID-19 worries. This association was moderated by the daughters' regard. For those daughters that characterized their relations as high on regard, higher levels of COVID-19 worries were associated with higher levels of perceived worries among mothers. The importance of considering the relationships between daughters and mothers, during the pandemic is discussed.

'We have become prisoners of our own age': from a continuing care retirement community to a total institution in the midst of the COVID-19 outbreak.

BACKGROUND AND OBJECTIVES: during the coronavirus disease 2019 pandemic in Israel, people residing in continuing care retirement communities (CCRC) found themselves under strict instructions to self-isolate, imposed by the CCRC managements before, during and after the nationwide lockdown. The present study explored the personal experiences of CCRC residents during the lockdown. RESEARCH DESIGN AND METHODS: in-depth interviews were conducted with 24 CCRC residents from 13 different CCRCs. Authors performed a thematic analysis of interview transcripts, using constant comparisons and contrasts. RESULTS: three major themes were identified: (i) 'Us vs. them: Others are worse off'. Older residents engaged in constant attempts to compare their situation to that of others. The overall message behind these downward comparisons was that the situation is not so bad, as others are in a worse predicament; (ii) 'Us vs. them: Power imbalance'. This comparison emphasised the unbalanced power-relations between older adults and the staff and management in the setting and (iii) 'We have become prisoners of our own age'. Interviewees described strong emotions of despair, depression and anger, which were intensified when the rest of society returned back to a new routine, whilst they were still under lockdown. DISCUSSION AND IMPLICATIONS: the measures imposed on residents by managements of CCRCs during the lockdown, and the emotional responses of distress among some of the residents, revealed that CCRCs have components of total institutions, not normally evident. This underscores the hidden emotional costs of the lockdown among those whose autonomy was compromised.