Canadian Journal on Aging

RÉSUMÉ L’inclusion sociale est un facteur important pour promouvoir la santé optimale et le bien-être des personnes âgées. Les arts communautaires engagés (ACE) ont été promus comme moyen de soutenir l’inclusion sociale des personnes âgées, mais peu de preuves empiriques ont été rapportées. Le but de cette étude était d’explorer le rôle d’un programme de l’ACE dans la promotion de l’inclusion sociale des personnes âgées résidant dans la communauté. Seize heures d’observation des participants, neuf entretiens et des analyses de documents ont été menées auprès de 20 aînés au programme Arts, Santé et Aînés (ASA) Projet de Vancouver. Les résultats ont indiqué que le programme a soutenu la capacité des personnes âgées à développer des relations dans la communauté par de nouveaux moyens en les aidant à nouer des liens au-delà du centre pour personnes âgées. Les participants ont également développé un sentiment plus fort d’appartenance à la communauté grâce à la collaboration en tant que groupe , travaillant ensemble sur le projet artistique pour produire une présentation finale à l’ensemble de la communauté. Les résultats suggèrent que l’ACE contribue à l’inclusion sociale des personnes âgées.

Elaine Moody

Alison Phinney

Canadian Journal on Aging / La Revue canadienne du vieillissement

A Community-Engaged Art Program for Older People: Fostering Social Inclusion

面向老年人的社区参与式艺术项目：促进社会融合

RÉSUMÉ Utilisant une approche participative basée sur la recherche dans le domaine des arts, nous avons examiné un programme novateur de l’Ontario rural, Canada, conçu pour répondre à l’isolement social chez les personnes âgées. Les personnes âgées qui étaient socialement isolées ont été jumelées à des bénévoles formés; en dyades, les huit paires ont créées de l’art expressif chez elles au cours des dix visites à domicile. Utilisant une enquête thematique et narrative, nous avons analysé les expériences et les perceptions du programme du chef, des participants plus âgés, et des bénévoles plus âgés à travers leurs créations artistiques, les journaux hebdomadaires, les évaluations et le carnet d’opérations. Les résultats révèlent une intervention réussie qui influencent positivement le bien-être des participants plus âgés et les bénévoles plus âgés, en particulier en ce qui concerne les relations, le développement personnel, et en la création du sens, ainsi que l’extension de l’impact de l’intervention au-delà de la durée du programme. Nous discutons aussi possibilités pour des programmes similaires pour la politique et permet des services sociaux positifs à l'isolement rural basés dans les communautés.

Ann MacLeod

Mark W. Skinner

Fay Wilkinson

Heather Reid

Connecting Socially Isolated Older Rural Adults with Older Volunteers through Expressive Arts

通过表达性艺术将社会孤立的农村老年人与老年志愿者联系起来

RÉSUMÉ La présente étude a évalué si les pensions publiques du Canada (Sécurité de la vieillesse et Régime de pension du Canada) fournissaient aux aînés vivant en Nouvelle-Écosse (N.-É.) un revenu adéquat qui puisse leur permettre de bénéficier d'un régime alimentaire de base nutritif en 2005. Les revenus mensuels ont été comparés aux dépenses mensuelles essentielles de quatre types de ménages: 1) couple marié, 80ans et 78ans, en milieu urbain en Nouvelle-Écosse; 2) homme célibataire, 77ans, en milieu rural en Nouvelle-Écosse; 3) couple, 70ans et 65ans, en milieu rural en Nouvelle-Écosse; 4) veuve, 85ans, en milieu urbain en Nouvelle-Écosse. Le coût mensuel des quatre ménages étaient respectivement de 313,32$, 193,83$, 316,71$ et 150,89$. Les résultats ont indiqué que le ménage de chacun des célibataires manquait des fonds nécessaires pour respecter un régime alimentaire nutritif, tandis que la vie avec un partenaire semblait protéger contre un manque de ressources financières adéquates. Ces résultats illustrent le besoin d'améliorer les régimes de retraite du Canada afin de s'assurer que tous les aînés aient des ressources financières qui leur permettent de subvenir à leurs besoins essentiels, notamment en matière d'obtention d'aliments nutritifs, de prévention des maladies chroniques, et d'amélioration finale de leur qualité de vie.

Rebecca J. Green

Patricia L. Williams

C. Shanthi Johnson

Ilya Blum

Can Canadian Seniors on Public Pensions Afford a Nutritious Diet?

加拿大领取公共养老金的老年人能否负担得起营养饮食？

Abstract To improve transitions in care, a new patient navigation (PN) program was introduced to support older adults with complex care needs transition from hospital to home. The patient navigator is a community social worker embedded in the hospital’s care teams. A cohort observational design was used to conduct the study by analysing the patient navigator’s clinical notes and hospital’s administrative data to describe the characteristics of patients, scope of the patient navigator’s activities, and patient outcomes. Ninety patients were assigned to the patient navigator’s caseload (November 2019–November 2021) in which the average age was 78.9 (range 55–95). The most frequent PN intervention types were referrals to community services (66%, n = 59) and discharge planning (61%, n = 55). The patient navigator supported 66% patients ( n = 59) in returning home and provided follow-up care for 74 days (average). This study provides important insights into the patient navigator’s role to guide decision makers in implementing PN programs for older adults in a hospital setting.

Grace Liu

Kristina M Kokorelias

Amanda Knoepfli

Tracey Dasgupta

Naomi Ziegler

Sara J T Guilcher

Sander L Hitzig

Characteristics and Trajectory of Older Adults Supported by a Patient Navigator Program in a Hospital Setting: A Cohort Observational Study

医院环境中由患者导航员支持的老年人的特征和轨迹：一项队列观察性研究

Abstract Supportive public policies are suggested as ways to lessen gentrification’s impact for older adults. While explicit policies designed to help older adults with gentrification are rare, literature on age-friendly cities is a close proxy. We utilized three North American cases undergoing gentrification: New York City, NY, and Denver, CO, in the United States and Hamilton, in Ontario, Canada, to present existing neighbourhood-based policies as social determinants of health in housing, resource access, healthcare, transportation, and communal places. Age-friendly policy application gap examples and COVID-19’s impact were included. Using a qualitative comparative case study method, we found policies were not specifically designed to address older adults’ gentrification needs. With the call for age-friendly designations, the role of gentrification in neighbourhoods with older populations must be included. We call for gentrification-specific policies for older adults to provide greater safeguards especially when events such as COVID-19 compete for existing, over-stretched resources.

Joyce Weil

Ronica N. Rooks

Emily E. Leonard

Emily Evans

Older Adults and Gentrification: The Positive Role of Social Policy

老年人与士绅化：社会政策的积极作用

Abstract As demographics and gender norms shift, more older men will be providing care for their wives living with dementia than ever before. Research on husbands as caregivers is limited and offers an incomplete picture of their role development and how they experience caregiving. This study examined husbands whose wives have dementia and how they provide care and construct their sense of self. Semi-structured interviews with 11 men aged 61–88 were conducted in Ontario, Canada. Data were analyzed using constant comparison analysis and a constructivist grounded theory (CGT) approach. Two categories were developed: Adapting to the Role of Caregiver and Staying a Husband. Caregiving as a husband for a wife living with dementia required revision of the role of husband to include that of caregiver by reimaging intimacy, being a protector in new ways, and finding new meanings to being a provider and the value of wealth.

Michaella Miller

Elena Neiterman

Heather Keller

Carrie McAiney

Being a Husband and Caregiver: The Adjustment of Roles When Caring for a Wife Who Has Dementia

丈夫与护理者：照顾患有痴呆症的妻子时的角色调整

Abstract This study provides researchers, practitioners, and policy makers with a profile of older adults’ travel behaviour and the older adult population that reports unmet travel needs. In addition, we quantified associations between reporting an unmet travel need and measures of health and social connectedness. Data came from the second follow-up survey of the Canadian Longitudinal Study on Aging, collected from 2018 to 2021 (n = 14,167). Nine in ten (90.2%) older adults aged 65 years and older indicated that driving is the main way they get around. Older adults with an unmet travel need were more likely to be women, have lower household incomes and education levels, and have a mobility limitation. People with an unmet travel need had 2.7 times the odds of reporting fair or poor general health (OR = 2.66, 95% CI: 2.19, 3.22) and 3.1 times the odds of feeling socially isolated (OR = 3.10, 95% CI: 2.57, 3.72) compared to those without an unmet need.

Kate Hosford

Beverley Pitman

Michael Brauer

Ruth Lavergne

Meghan Winters

Characterizing Older Adults’ Travel Behaviour and Unmet Needs: Findings from the Canadian Longitudinal Study on Aging (CLSA)

描述老年人出行行为与未满足需求：来自加拿大老龄化纵向研究（CLSA）的发现

Abstract The relationship between frailty and glycemic control in older adults with diabetes remains uncertain, mainly due to the fact that previous studies have not accounted for measures of body composition. In older adults with diabetes, we examined the association between three types of frailty measures and glycemic control, while accounting for fat-free mass (FFM) and waist circumference (WC). Eighty older adults (age ≥65, 27 women and 53 men, mean age 80.5 ± 0.6 years) had gait speed, Cardiovascular Health Study Index (CHSI), Rockwood Clinical Frailty Scale (RCFS), and glycosylated hemoglobin (Hg A1C ) measured. Hg A1C showed a negative association only with CHSI (standardized β = −0.255 ± 0.120, p = 0.038), but no association with gait speed or the RCFS. Even after accounting for FFM and WC, we demonstrated a negative association between glycated hemoglobin and increasing frailty in older adults with diabetes.

Kenneth M Madden

Boris Feldman

Sarah Sy

Graydon S Meneilly

Frailty, Body Composition, and Glycemic Control in Older Adults with Type 2 Diabetes

脆弱性、身体成分与老年2型糖尿病患者的血糖控制

短名	Can. J. Aging
Journal Impact	1.61
国际分区	GERONTOLOGY(Q3)
期刊索引	SCI Q3中科院 4 区

ISSN	0714-9808, 1710-1107
h-index	52
国内分区	医学(4区)医学老年医学(4区)

涉及主题	医学心理学哲学政治学社会学艺术老年学人文学科物理法学计算机科学地理生物量子力学
出版信息	出版商: Cambridge University Press，出版周期: ，期刊类型: journal，开源期刊: 否
基本数据	创刊年份: 1982，原创研究文献占比: 80.77%，自引率:5.90%， Gold OA占比: 43.41%

Canadian Journal on Aging

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A Community-Engaged Art Program for Older People: Fostering Social Inclusion

Connecting Socially Isolated Older Rural Adults with Older Volunteers through Expressive Arts

Can Canadian Seniors on Public Pensions Afford a Nutritious Diet?

Characteristics and Trajectory of Older Adults Supported by a Patient Navigator Program in a Hospital Setting: A Cohort Observational Study

Older Adults and Gentrification: The Positive Role of Social Policy

Characteristics and Trajectory of Older Adults Supported by a Patient Navigator Program in a Hospital Setting: A Cohort Observational Study

Older Adults and Gentrification: The Positive Role of Social Policy

Being a Husband and Caregiver: The Adjustment of Roles When Caring for a Wife Who Has Dementia

Characterizing Older Adults’ Travel Behaviour and Unmet Needs: Findings from the Canadian Longitudinal Study on Aging (CLSA)

Frailty, Body Composition, and Glycemic Control in Older Adults with Type 2 Diabetes