Fewer Than 1% of China’s Oldest Citizens Live in a Nursing Home
An interesting new study on China’s 'oldest old' has been released by Duke University researcher Dr. Matthew Dupre and is available in the American Journal of Public Health. (note: you have to have a paid subscription to access it) He did the research while at the University of North Carolina and is now at Duke University Medical Center. Highlights of the Chinese Longitudinal Healthy Longevity Study, which included a sample size of more than 13,000 people include:- Fewer than 1 percent of of Chinese 80 and older are living in nursing homes.- Most are free of chronic disease and not disabled or cognitively impaired.- For urban men and women, living in larger households was associated with longevity, suggesting that residing with one’s children, or grandchildren, might extend lifespan.- Most study participants said they 'looked at the bright side.'- Rural women - likely the most disadvantaged group in China - showed the greatest longevity benefit from being optimistic. Most people in the survey have a positive outlook.- Most also eat veggies, and a lot of them are poor, have little education and drink and smoke, challenging some of the advice we get in regard to living a long time.
How Many 70-Year-Old-Football Players Do You Know?
Thanks to Changing Aging reader Jon Riewer for sharing this item from up Fargo way…Pictured here is Bob Bonawitz, a linebacker for the Fargo-Moorhead Liberty, a semi-pro football team. Bob, 70-years old, got the itch to play again after getting bored with retirement. He had last played football in the 1950s as a member of the Moorhead High School Spuds.You can see more photos of Bob taken by Fargo Forum photographer Dave Walls here.
How many 70-year-old football players do you know?
Thanks to Changing Aging reader Jon Riewer for bringing this item to our attention from up Fargo way … Bob Bonawitz is a 70-year-old linebacker for the semi-pro Fargo-Moorhead Liberty. Bob got bored with retirement and found a new-old outlet. He had played football for the Moorhead High School Spuds in the 1950s before returning to the game this year. Read the whole story in the Fargo Forum here.
Fewer Than 1 Percent of Oldest Old in China Live in Nursing Homes
A new study hit the American Journal of Public Health, providing insights on China’s oldest-old (80 to 105). The research of more than 13,000 people was done by Dr. Matthew Dupre of Duke University Medical Center while he was at the University of North Carolina. According to the study:- Today nearly 20 percent of the world’s population 80 and older lives in China, and by 2050, Chinese are expected to account for more than 25 percent of the world’s oldest old.- Most of the individuals studied were not disabled or cognitively impaired.- Most were free of chronic disease.- Most said they 'looked at the bright side.'- Rural women - likely the most disadvantaged group in China - showed the greatest longevity benefit from being optimistic.- For urban men and women, living in larger households was associated with longevity, suggesting that residing with one’s children, or grandchildren, might extend lifespan.- While most of China’s oldest citizens eat veggies and have a positive outlook, many are also living in poverty, have little education, and even smoke and drink.- Fewer than 1 percent of Chinese 80 and older are living in nursing homes or other institutions; most are cared for in their communities and by family members.
Financing Long Term Care in America: There’s Common Ground in Aging
Just when you think there aren’t issues that Red and Blue America can agree on, there comes this little thing called aging that we’re all doing and want to do well. On Wednesday a packed auditorium at the University of Minnesota Humphrey Institute of Public Affairs participated in a discussion about financing long-term care in America. And what one saw was a great issue opportunity for Red and Blue America to forge common ground. As several panelists, including a Republican state legislator, said: Aging isn’t a Republican or Democratic issue.The forum was sponsored by the Minnesota Health and Housing Alliance, the American Association of Homes and Services for the Aging and AARP. Twin Cities Public Television is creating a one-hour special on it and we’ll post that when it comes out later this year. In upcoming posts we’ll look at finance plans introduced at the Forum, but first, following are several highlights/themes from the discussions moderated by Minnesota state commissioner of labor and industry Steve Sviggum and Larry Jacobs, director, at the University of Minnesota’s Center for the Study of Politics and Governance. I know a number of Changing Aging readers were there, so please share what you found interesting or heard differently . . . thanks.- Environments are Disabled: Jan Malcolm, CEO of Courage Center, put a different paradigm on disability. Too often people live in environments that don’t allow for people with physical challenges. So why do we always focus on the person’s physical disability? Why aren’t we focusing on maximizing the physical environment in our communites to allow people young and old to live easily where they want to? - Money Has to Follow the Person: With government reimbursement money encumbered and siloed in so many areas of health care, people are mice in a never-ending maze, captive to running to the cheese (fragmented, inflexible funding sources). Let the money follow the person, so they can make the choices in their care and service options. - A Healthy Health Care System in America Must Include Aging Services: If we’re going to truly have a well-coordinated cradle-to-grave health care system that focuses on wellness, aging services must be an essential piece of the solution wheel. We have to connect the dots.- New Language: What do you think of when you think of long-term care? Many people think 'nursing homes.' Guess where people don’t want to live? Long-term care, er, aging services encompasses so much more than a nursing home, including: assisted living, rehab services, wellness centers, transportation, home care, memory care, technology … .- Home-Centered System: Home has to be an integral part of public policy innovation. Because that’s where people most want to be. Nursing homes will still have an integral role, but they will look very different. - This is a [Fill in the Blank] Issue: Long-term care isn’t just a long-term care issue. It’s a health care issue, business issue, education issue, economic security issue and community development issue. If we don’t ride the age wave, it’s going to damage other sectors of our communities.- Marry Technology and Results: We spend billions in America on technology in hospitals, attempting to help people live longer. What about adding life to years? Technology in aging services, such as sensors in people’s homes that spot small health problems before they grow into big ones, is the preventive-type of technology we should be focusing on in a results-based, wellness-focused health care system.- Fiscal Responsiblity Doesn’t End with the Mortgage: To save safety nets for those truly in need, more of us simply have to plan ahead and pay our way for aging services. The alternative is not sustainable for America.
Financing Senior Housing Development: A New Ecumen Whitepaper
Many people have visions of developing senior housing, but what separates dreams from ground breaking cermonies is the people with vision who put the right team together. Essential to this effort is a financing partner. Senior Housing Financing Options is a new Ecumen whitepaper that outlines some of the key financing options for would-be senior housing owners. Download here.
New Study Says Golf Prolongs Life
Do you golf a lot? According to this news from our friends in Sweden, golf can be a good investment for health. So says a new study from the Swedish medical university Karolinska Institutet. The death rate for golfers is 40 per cent lower than for other people of the same sex, age and socioeconomic status, which correspond to a 5 year increase in life expectancy. Golfers with a low handicap are the safest.It is a well-known fact that exercise is good for the health, but the expected health gains of particular activities are still largely unknown. A team of researchers from Karolinska Institutet has now presented a study of the health effects of golf €“ a low-intensity form of exercise in which over 600,000 Swedes engage.The study, which is published in Scandinavian Journal of Medicine & Science in Sports, is based on data from 300,000 Swedish golfers and shows that golf has beneficial health effects. The death rate amongst golfers is 40 per cent lower than the rest of the population, which equates to an increased life expectancy of five years.Professor Anders Ahlbom, who has led the study with Bahman Farahmand is not surprised at the result, as he believes that there are several aspects of the game that are proved to be good for the health.'A round of golf means being outside for four or five hours, walking at a fast pace for six to seven kilometres, something which is known to be good for the health,' he says. 'People play golf into old age, and there are also positive social and psychological aspects to the game that can be of help.'The study does not rule out that other factors than the actual playing, such as a generally healthy lifestyle, are also behind the lower death rate observed amongst golfers. However, the researchers believe it is likely that the playing of the game in itself has a significant impact on health.Golf players have a lower death rate regardless of sex, age and social group. The effect is greater for golfers from blue-collar professions than for those from white-collar professions. The lowest rates are found in the group of players with the lowest handicap (i.e. the best golfers).'Maintaining a low handicap involves playing a lot, so this supports the idea that it is largely the game itself that is good for the health,' says Professor Ahlbom.
Changing Aging Interview: Dr. Andrew Scharlach, University of California at Berkeley, Center for the Advanced Study of Aging Services
Changing Aging recently sat down with Dr. Andrew E. Scharlach, of the University of California at Berkeley, where he holds the Eugene and Rose Kleiner Chair in Aging. He also serves as Director of the Center for the Advanced Study of Aging Services, which conducts research designed to inform development of innovative and effective services for older adults. It recently sponsored an international web-based conference on 'Creating Aging-Friendly Communities' and technical support through an ongoing 'Community of Practice' is available here.Dr. Scharlach, who also serves as a gubernatorial appointee on the California Commission on Aging, has published extensively on the needs of older adults and their families, particularly with regard to long-term care services, work and family responsibilities, bereavement, and gerontological social work education. In addition to more than 40 articles, he is the author of Elder Care and the Work Force: Blueprint for Action (with B. Lowe and E. Schneider; Lexington Books, Controversial Issues in Aging (with L. Kaye; Allyn & Bacon), and Families and Work: New Directions in the Twenty-First Century (with K. Fredriksen-Goldsen; Oxford University Press).
What are the biggest changes that you think we’ll see in U.S. community planning as it relates to preparing for vital aging communities?
We’re going to and already are seeing older consumers more involved in the planning process in communities. Aging friendly initiatives and products will become the norm. You’re going to see much more universal design in housing development. You’re also going to see products that look good, have good design and that are functional. Michael Graves, the renowned designer, is creating good and functional design of shower heads, tea pots and other products used in everyday life. That will become more widespread in architecture and other community infrastructure.
How do you see senior housing changing for the age wave?
I see several different areas for change. I think you’re going to see more housing that’s built for a lifetime, e.g., universal design. That’s going to lead to communities that are more intergenerational. I think senior housing providers also will move more outside of their traditional bricks and mortar, where they help create virtual senior communities by delivering services to people in their home. Technology is going to play a much greater role. We’re already starting to see that with sensor monitoring in people’s homes. That technology is going to have to increase because we’re going have many fewer caregivers. I also think there will be more peer support and less reliance on family care. Communities that are known as “good places to grow old” are where people will want to live.
What are examples of U.S. communities you’ve seen that “get it” when it comes creating aging-friendly communities?
There are a number of communities that are seeing aging as an asset and working to be livable for a lifetime in different ways. Atlanta has a large initiative called Aging Atlanta, which is part of their regional planning and is focused on making Atlanta a place people want to stay. The University of Indiana has a Center for Aging and Community under the direction of Dr. Philip Stafford that has been doing a lot of work in this area to help communities become lifespan communities. Fremont, California, is another one that is doing community-wide work to help people live and stay in Fremont to the end of life.
By 2050, the U.S. will have more than a half million centenarians. Assuming a shortage in professional caregivers, how do you see family care changing for this unprecedented demographic shift?
Technology is going to have to play a critical role. Robotics are going to take on some roles that were traditionally done by humans. You’re also going to have nurses checking in with patients by video or by computer via sensors. We’re going to have to think very locally. Neighbors are going to have to look out for neighbors. Community design also is essential for this. Buildings have to be easy to live in and easy to navigate for people who have disabilities. You can start to see how the unprecedented age wave in the U.S. will impact just about every area of our society. Communities can’t plan in silos. There are a lot of interconnections and intergenerational ties to this.
What do you want old age to look like for you?
I want to be socially connected. I’d like minimal physical impediments, and I want to be able to maintain meaningful activities and relationships without undue pressure to maintain the functional levels of earlier years. There’s this image in America that to age well, you have to be jumping out of airplanes or running marathons. Not true. Healthy, successful aging is about enjoying life €“ not speed or intensity.
Seniors and Technology: New York Times Features Ecumen Customer
The Sunday New York Times featured Ecumen customer Helen Trost in an interesting article on technology enhancing independence, seniors being able to stay in their own home and involving family members across long distances. You can read more about technology Ecumen is using to enhance customers' independence here.