Browsing by Author "Low, Gail"
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- Factors associated with older people’s anxiety symptom positioning after COVID-19: Cross-sectional findings from a Canadian SamplePublication . Low, Gail; AliSher, Anila Naz; Morero, Juceli Andrade Paiva; Gao, Zhiwei; M Gutman, Gloria; Bacadini França, Alex; von Humboldt, SofiaThis study sheds light on the personal characteristics of older Canadians self-identifying as severely anxious and the coping strategies that they gravitated to mitigate their anxiety. Our studied sample consisted of 606 Canadians aged 60 and above who took part in an e-survey across all 10 of Canada’s provinces, launched in July 2022, when social distancing was lifted across the country. Participants completed a personal characteristics questionnaire, the Geriatric Anxiety Scale or GAS-10, and a checklist of everyday coping strategies for mitigating anxiety. A seemingly greater number of severely anxious Canadians were born female, self-identified as a cisgender woman, and were in their 60s and in poor to fair health. A univariate logistic regression analysis revealed that all such personal characteristics were associated with statistically significantly greater odds of experiencing severe anxiety. In our multivariate logistic regression analysis, no significant differences were observed between the sexes (AOR = 0.590, p = 0.404), and non-binary and cisgender men (AOR = 0.689, p = 0.441) and women (AOR = 0.657, p = 0.397). Nor were there statistically significant differences in the odds of experiencing severe anxiety for those living with versus without a life partner and chronic illnesses. Older Canadians experiencing severe anxiety were far more likely to normalize their fear and anxiety (AOR = 4.76, p < 0.001), challenge their worries (AOR = 5.21, p < 0.001), and to relax or meditate (AOR = 2.36, p = < 0.001). They were less inclined to decrease other sources of stress in their lives, to stay active, and to get enough sleep. We offer anticipatory guidance for mental health program planners and practitioners, and fruitful avenues of inquiry for researchers.
- Health service accessibility, mental health, and changes in behavior during the COVID-19 pandemic: A qualitative study of older adultsPublication . von Humboldt, Sofia; Low, Gail; Leal, I.The COVID-19 pandemic has affected the access of older adults to health services. The two objectives of this study are understanding the influence of the COVID-19 pandemic on older adults’ access to health services and exploring how health service accessibility during the pandemic influenced older adults’ mental health and self-reported changes in behavior. This study included 346 older adults. Content analysis produced five themes: (1) decreased physical accessibility to health care providers (78%); (2) increased use of online health services and other virtual health care (69%); (3) growth in the online prescription of medication (67%); (4) difficulty obtaining information and accessing non-communicable disease and mental health indicators (65%); and (5) postponement of medical specialist consultations (51%). Regarding mental health, three themes emerged: (1) increased symptoms of anxiety, distress, and depression (89%); (2) the experience of traumatic situations (61%); and (3) the augmented use of alcohol or drugs (56%). Finally, the following changes in behavior were indicated: (1) frustrated behavior (92%); (2) emotional explosions (79%); and (3) changes in sleeping and eating behaviors (43%). Access to health services may have influenced the mental health and behavior of older adults, hence interventions in a pandemic must address their interactions with health services, their needs, and their well-being.
- How do older portuguese and mexican adults experience their sexual well-being? A cross-cultural qualitative studyPublication . von Humboldt, Sofia; Ruvalcaba, Neyda Ma Mendoza; Ribeiro-Gonçalves, José Alberto; Chávez-Rodríguez, Alejandro; Low, Gail; Leal, IsabelSexual well-being (SWB) refers to the subjective emotional and cognitive evaluation of the quality of the individual’s sexuality. SWB plays a relevant role in quality of life and health promotion on old age and has cross-cultural implications. In addition to the scarcity of in-depth qualitative studies in this area and studies with cross-cultural samples, no studies have compared perceptions of SWB among Portuguese and Mexican older adults. The aim of this study was to comparatively analyze perspectives on SWB among older adults residing in Portugal and Mexico. Data were collected from 86 Portuguese and 80 Mexican community-dwelling participants aged 65 years and older, using a semi-structured interview protocol. Older adults were asked about factors that significantly contribute to their SWB. Sociodemographic data were also gathered. Content analysis was used to identify key themes. Eight themes were identified across both studied samples: eroticism, supportive relationship, positive self-concept, health and self-care, romance, active life, tenderness and care, and no pain and no pregnancy restrictions. Eroticism was most pertinent to Portuguese participants (31.4%). Health and self-care was most frequently reported by Mexican participants (26.5%). The findings of this study indicate that SWB is strongly influenced by sociocultural and psychosocial values. Cross-cultural comparisons between older Portuguese and Mexican people provide a broader understanding of SWB in older age and suggest a scenario for future culture-adapted interventions and comprehensive policies.
- Is age an issue? Psychosocial differences in perceived older workers’ work (un)adaptability, effectiveness, and workplace age discriminationPublication . von Humboldt, Sofia; Miguel, Isabel; Valentim, Joaquim P.; Costa, Andrea; Low, Gail; Leal, I.The aging population in the developed world has implied increasing age diversity in the workforce of organizations. Consequently, mutual perceptions about one’s coworkers and age discrimination are becoming increasingly important. This study aims to explore how perceptions about older workers’ work (un)adaptability, work effectiveness, and workplace age discrimination vary according to participants’ psychosocial factors, such as age group, gender, education level, and work sector. This study included a sample of 453 workers in Portugal, diverse in terms of age, gender, education level, and work sector. Four different instruments were used: (a) a sociodemographic questionnaire; (b) an older workers’ Work Adaptability scale; (c) an older workers’ Work Effectiveness Scale and; (d) the Workplace Age Discrimination Scale (WADS). Results: Middle-aged and older participants perceive older workers as more adaptable than younger participants. The oldest group of participants perceives older workers to be more workeffective and experience the highest levels of age discrimination in the workplace, when compared to the other age groups. Also, participants with lower levels of education tend to perceive higher levels of workplace age discrimination, when compared to participants with high school and higher education. Conclusions: Generational perceptions in the workplace are perceived by workers differently, hence organizations should implement age management strategies to address age discrimination, particularly due to the increasing proportion of older workers.
- Mentally healthy living after pandemic social distancing: a study of older Canadians reveals helpful anxiety reduction strategiesPublication . Low, Gail; Gutman, Gloria M; Gao, Zhiwei; Bacadini França, Alex; von Humboldt, Sofia; VITORINO, LUCIANO; Wilson, Donna M.; Allana, HunainaBackground: Throughout the COVID-19 pandemic, older Canadians werethe most at risk of severe physical harm, including death, and their return topost-COVID life was expected to be especially anxiety-provoking. A studywas conducted to obtain nationally representative evidence of older Cana-dians’ self-perceived anxiety levels and their strategies to manage or miti-gate it as public health restrictions were lifting.Materials and Methods: This study had a cross-sectional descriptivedesign. An e-survey was used to collect data from 1327 Canadians aged60+ stratified by age, sex, and education to resemble the larger generalpopulation. Participants completed the Geriatric Anxiety Scale (GAS-10)and indicated which of the 16 Centre for Addictions and Mental Health’s(2022) Coping with Stress and Anxiety strategies they were using to man-age or mitigate their anxiety when social distancing was lifting. Descriptivestatistics, Pearson correlation, and multiple regression analysis were usedto explore the data.Results: While, on average, older Canadians were mildly anxious, nearlyone-quarter of responders rated their anxiety as severe. Age, sex, perceivedhealth, were statistically significant correlates of anxiety. Six coping strate-gies were associated with significantly lower anxiety scores. Moreover,accepting some fear and anxiety as normal, challenging worries and anx-ious thoughts, and practising relaxation/meditation appeared to increaseanxiety.Conclusion: Older Canadians used multiple strategies to manage or miti-gate their anxiety, and seemingly, with more successful than detrimentaltries. Practitioners have much to learn and understand about older people’smental health promotion efforts after social distancing, now and for futurepandemics
- Mitigating social isolation following the covid-19 pandemic: Remedy messages shared by older peoplePublication . Low, Gail; von Humboldt, Sofia; Gutman, Gloria M; Gao, Zhiwei; Allana, Hunaina; Naz, Anila; Wilson, Donna; Vastani, MuneerahAt the beginning of July 2022, when public health restrictions were lifted, we deployed a country-wide e-survey about how older people were managing now after COVID-19 pandemic-related anxiety. Our responder sample was stratified by age, sex, and education to approximate the Canadian population. E-survey responders were asked to share open-text messages about what contemporaries could do to live less socially isolated lives at this tenuous turning point following the pandemic as the COVID-19 virus still lingered. Contracting COVID-19 enhanced older Canadians’ risk for being hospitalized and/or mortality risk. Messages were shared by 1189 of our 1327 e-survey responders. Content analysis revealed the following four calls to action: (1) cultivating community; (2) making room for what is good; (3) not letting your guard down; and (4) voicing out challenges. Responders with no chronic illnesses were more likely to endorse making room for what is good. Those with no diploma, degree, or certificate least frequently instructed others to not let their guard down. While COVID-19 is no longer a major public health risk, a worrisome proportion of older people across the globe are still living socially isolated. We encourage health and social care practitioners and older people to share messages identified in this study with more isolated persons.
- Patterns of sexuality, adjustment to aging and satisfaction with life: A cluster analysis of adults across the lifespanPublication . von Humboldt, Sofia; Miguel, Isabel; Low, Gail; Leal, IsabelSexual satisfaction, adjustment to aging, and satisfaction with life are relevant dimensions of overall well-being across the life cycle. Through cluster analysis procedures, this study aims to describe the specific profile of adjustment to aging, sexual satisfaction and satisfaction with life of adults across the life span. This cross-sectional study involved a community-based sample of 619 Portuguese individuals, aged between 18 and 92 years old (M=47.53 SD=18.34) evaluated using a two-step cluster analysis. Fours clusters emerged. The most adjusted participants were mostly of a younger age, women and had a high education. The least adjusted participants globally presented low education, poor perceived health, and poor engagement in leisure activities. Well-being focused participants were mostly women of older age, with high education and spirituality. Finally, moderately satisfied participants were mostly men of older age, had a lower education, and presented poor reported health. Complementary comparative analysis among the identified subgroups was performed. The most adjusted participants had the highest perceived overall sexual well-being, sexual attractiveness, sexual openness and communication, and sexual satisfaction. These data characterize the profile of this population and can be used as the basis for developing efficient strategies aimed a combining adjustment to aging, satisfaction with life and sexual satisfaction for tailored interventions to the specific needs of populations across the lifespan.
- Perspectives on perceived workplace age discrimination and engagement: The moderating role of emotion regulationPublication . Miguel, Isabel; von Humboldt, Sofia; Silva, Sara; Tavares, Patrícia; Low, Gail; Leal, Isabel Maria Pereira; Valentim, Joaquim P.Engaging workers with their work is fundamental for employee wellbeing and performance. Perceived age discrimination in the workplace is a factor that may influence workers’ engagement. The present study aimed to analyze the moderating role of emotion regulation in the relationship between perceived age discrimination and work engagement. Survey data were collected from a sample of 453 Portuguese workers of various age groups, between 18 and 65 years-old. Four instruments were used in this study: (a) a sociodemographic questionnaire; (b) the Workplace Age Discrimination Scale (WADS); (c) the Emotion Regulation Scale and (d) the reduced version of the Utrecht Work Engagement Scale (UWES-9). Results show that perceived workplace age discrimination negatively impacts work engagement. Further, results suggest that emotional regulation exacerbates the negative relationship between perceived age discrimination and work engagement. The progressively aging workforce is creating challenging issues to organizations, from a human resource management perspective. Age management strategies to address perceived age discrimination and work engagement are needed
- Sexual expression in old age: How older adults from different cultures express sexually?Publication . von Humboldt, Sofia; Gonçalves, José Alberto Ribeiro; Costa, Andrea; Low, Gail; Leal, Isabel PereiraObjective This study aims to analyze how older adults express themselves sexually. For this purpose, a qualitative research was carried out, which analyzes their perspectives at a cross-cultural level. Methods Four hundred ninety-five older participants, aged 65 to 98 years, were interviewed. Participants were of three different nationalities and lived in the community. All the interviews went through the process of verbatim transcription and subsequent content analysis. Results A content analysis produced nine themes: tenderness and care (k = .91, p < .01); altruism and gratitude (k = .81, p < .01); attractiveness (k = 94, p < .01); positive communication (k = .89, p < .01); sexual activity (k = .88, p < .01); good health and physical condition (k = .96, p < .01); supportive relationship (k = .84, p < .01); eroticism (k = .94, p < .01); and feeling active and alive (k = .92, p < .01). Conclusions This study stressed different ways on expressing sexuality in old age and underlined the importance of tenderness and care and eroticism for older adults who are sexually active.
- Sexual well-being and aging patterns: Findings of a cluster analysis among older adults in Portugal and SpainPublication . von Humboldt, Sofia; Cabras, Emilia; Low, Gail; Leal, IsabelObjectives: From a cross-cultural perspective, aging well may encompass pertinent challenges in terms of adjustment, sexual well-being, and satisfaction with life in the late years. Considering the paucity of empirical data concerning cultural diversity of experiencing aging, this study aims to help fill this gap by assessing the specific patterns of sexual satisfaction, adjustment to aging (AtA), and life satisfaction with life (SwL) of older adults in Portugal and Spain. Methods: This cross-national study included 326 older adults, age 65 and older, from Portugal and Spain. Five instruments were applied: (a) Adjustment to Aging Scale (ATAS); (b) Satisfaction with Life Scale (SwLS); (c) New Sexual Satisfaction Scale-Short (NSSS-S); (d) Mini-Mental State Exam; and (e) Sociodemographic, Health and Lifestyle questionnaire. K-means cluster analysis was employed to identify and characterize the clusters considering adjustments to aging, sexual satisfaction, and life satisfaction. One-way ANOVAs were conducted to analyze differences in sexual well-being among clusters. Results: Findings indicated three clusters, which explained 77.7% (R-sq = 0.777) of the total variance: Cluster 1: “Most skilled” (n = 26, 8.0%), Cluster 2: “Least adjusted” (n = 115, 35.3%), and Cluster 3: “Aging strivers” (n = 185, 56.7%). Participants in Cluster 1 were mostly Portuguese, with high levels of AtA, sexual satisfaction, and SWL. Conversely, Cluster 2 included mostly Portuguese participants with moderate sexual satisfaction and lower levels of AtA and SwL. Participants from Cluster 3 were mostly Spanish, with moderate levels of AtA and reduced sexual satisfaction and SwL. Conclusions: This study innovates by exploring the elaborate interplay among sexual satisfaction, AtA, and SwL in a cross-cultural perspective, with implications for tailoring interventions, service planning, development, and evaluation of culturally diverse older populations.
