scholarly journals Financial Exploitation Vulnerability and Social Isolation in Older Adults: Results From a Longitudinal Survey

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 29-29
Author(s):  
Gilbert Gimm ◽  
Scott Beach
Keyword(s):  
Older Adults ◽  
Social Isolation ◽  
Household Income ◽  
Self Report ◽  
Investment Opportunity ◽  
Never Married ◽  
Financial Exploitation ◽  
Adult Participants ◽  
Credibility Rating ◽  
Socially Isolated

Abstract OBJECTIVE: This study examined the prevalence and characteristics of socially isolated older adult participants in a survey funded by National Institute of Aging (NIA), and the association of social isolation with financial exploitation (FE) vulnerability. METHODS: Baseline data were collected from 528 participants (age 60+ years) and recruited from two regions. Assessments included a detailed cognitive battery and an array of self-report measures including socio-demographic and psychosocial variables. Social isolation was measured with the Friendship Scale (Hawthorne, 2006). Participants also read six randomly ordered “scam” scenarios (investment opportunity; Medicare phishing and prescription drug fraud; health product; sweepstakes; telemarketing) and provided credibility ratings for each (1 = Not at all credible; 10 = Extremely credible). Ratings are coded “0” (credibility rating 1); “1” (ratings 2-4); “2” (ratings 5-10) and summed, with total FE “vulnerability” scores ranging from 0-12. RESULTS: Preliminary results showed the prevalence of social isolation was 12.5% overall. Social isolation was higher for males (17.4% vs. 9.8%, p<.05); single / never married (28.7% vs. 12.5%, p<.01); and those in the lowest household income (under $10,000) category (28.3% vs. 12.5%, p<.05). However, we did not find evidence that social isolation varied significantly by race or educational attainment. FE vulnerability risk was higher for socially isolated older adults (2.44 vs. 1.44, p<.001) compared to non-isolated participants. CONCLUSION: Social isolation is associated with FE vulnerability. Therefore, identifying the prevalence and characteristics of socially isolated older adults is needed to improve the targeting of interventions for those at greater risk of FE vulnerability.

scholarly journals Effects of Household Size and Partner Status on Financial Well-Being and Financial Exploitation

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 114-115
Author(s):  
Jessica King McLaughlin ◽  
Elizabeth Anderson ◽  
Ashley Taeckens-Seabaugh ◽  
Jennifer Greenfield ◽  
Eric Chess ◽  
...  
Keyword(s):  
Older Adults ◽  
Social Isolation ◽  
Significant Risk ◽  
Well Being ◽  
Community Dwelling ◽  
Negative Effects ◽  
Chi Square ◽  
Partner Status ◽  
Financial Exploitation ◽  
Socially Isolated

Abstract Social isolation and loneliness are significant risk factors for older adults (adults over the age of 50) for a multitude of reasons. This study explored the connections between social isolation, vulnerability to financial exploitation, and financial wellbeing in a sample of older adults. Using the concept of precarity as a guiding framework, this study assessed behaviors that expose individuals to financial exploitation as well as indicators of financial wellbeing in individuals with varying degrees of social isolation. One-hundred-eight community-dwelling older adults completed a pen-and-paper survey containing measures of risk to financial exploitation and financial wellbeing. Participants were predominantly female (75.9%), White (90.7%), and highly educated. Fifty-eight participants were unpartnered (53.7%) and 67 participants (62%) lived with at least one other person. Chi-square analyses resulted in a significant association between partner status and being a victim of financial exploitation (χ2(1) = 10.842, p≤.001). Furthermore, there was an association between social isolation and engaging in certain behaviors that put someone at risk for financial exploitation (such as reading junk mail). As for measures of financial wellbeing, partner status was significantly associated with feelings of financial freedom (χ2(3) =8.608, p =.035). These findings indicate that socially isolated individuals may be at greater risk of financial exploitation and have lower levels of financial wellbeing, such as feeling unprepared for retirement (χ2(2) =7.358, p =.025). The results of this study highlight the risks involved with social isolation and indicate further research is needed into ways to mitigate these negative effects.

Addressing COVID-19 Worry and Social Isolation in Home-Based Primary Care

2020 ◽  
Author(s):  
Rachel Elizabeth Weiskittle ◽  
Michelle Mlinac ◽  
LICSW Nicole Downing
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Primary Care ◽  
Social Workers ◽  
Social Isolation ◽  
Mental Health Providers ◽  
Health Providers ◽  
Home Based Primary Care ◽  
Home Based ◽  
Socially Isolated

Social distancing measures following the outbreak of COVID-19 have led to a rapid shift to virtual and telephone care. Social workers and mental health providers in VA home-based primary care (HBPC) teams face challenges providing psychosocial support to their homebound, medically complex, socially isolated patient population who are high risk for poor health outcomes related to COVID-19. We developed and disseminated an 8-week telephone or virtual group intervention for front-line HBPC social workers and mental health providers to use with socially isolated, medically complex older adults. The intervention draws on skills from evidence-based psychotherapies for older adults including Acceptance and Commitment Therapy, Cognitive-Behavioral Therapy, and Problem-Solving Therapy. The manual was disseminated to VA HBPC clinicians and geriatrics providers across the United States in March 2020 for expeditious implementation. Eighteen HBPC teams and three VA Primary Care teams reported immediate delivery of a local virtual or telephone group using the manual. In this paper we describe the manual’s development and clinical recommendations for its application across geriatric care settings. Future evaluation will identify ways to meet longer-term social isolation and evolving mental health needs for this patient population as the pandemic continues.

scholarly journals FINANCIAL EXPLOITATION OF OLDER ADULTS: PRELIMINARY RESULTS FROM A PROSPECTIVE LONGITUDINAL STUDY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S192-S192
Author(s):  
Scott R Beach ◽  
Sara J Czaja ◽  
Richard Schulz ◽  
David Loewenstein ◽  
Peter Lichtenberg
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Psychosocial Factors ◽  
Cognitive Abilities ◽  
Self Report ◽  
Prospective Longitudinal Study ◽  
Preliminary Results ◽  
Financial Exploitation ◽  
Advance Theory ◽  
Prospective Longitudinal

Abstract This paper presents study design and preliminary results from a new study funded by the National Institute on Aging that is examining financial exploitation (FE) among 720 White, African-American and Hispanic adults age 60+ (240 per group; 120 age 60-79; 120 age 80+). A conceptual model linking socio-demographics, physical health, social support / integration, cognitive function, financial skills / supports, and psychosocial factors to FE is being evaluated. Three assessments (baseline, 12; 24 mos.) include: a detailed cognitive battery, web-based banking simulation tasks, scam scenarios, and a standardized battery of self-report measures assessing socio-demographic and psychosocial variables. Preliminary baseline results from ~200 participants show support for the proposed model. Exposure to sales, remote purchasing behavior, and telemarketer receptivity (scam exposure); and scam vulnerability as measured by credibility ratings of “legitimate” and “fake” scam scenarios are positively associated with reports of both stranger-initiated and trusted other FE. Older adults with smaller social networks and less social support were more likely to report both exposure and vulnerability to scams. Higher general cognitive abilities, financial skills, and numeracy; and better performance on online banking tasks correlate with less scam exposure and vulnerability. Preliminary analyses of psychosocial factors also show that more depressed, impulsive, and trusting older adults report more exposure and scam vulnerability. The paper will present updated analyses of ~500 baseline participants. Understanding multiple pathways to FE is important to advance theory and for the development of interventions to minimize risk.

Neighborhood Deterioration and Social Isolation in Later Life

1993 ◽  
Vol 36 (1) ◽  
pp. 9-38 ◽  
Author(s):  
Neal Krause
Keyword(s):  
Older Adults ◽  
Elderly People ◽  
Social Isolation ◽  
Strong Support ◽  
Nationwide Survey ◽  
Later Life ◽  
Neighborhood Characteristics ◽  
Financial Difficulties ◽  
Low Levels ◽  
Socially Isolated

The purpose of this study is to test a conceptual model that attempts to show how selected neighborhood characteristics are related to social isolation in later life. This model specifies that older adults with low levels of educational attainment are more likely to experience financial problems and that elderly people who are confronted by financial difficulties are more likely to reside in dilapidated neighborhoods. The model further predicts that deteriorated neighborhoods in turn tend to promote distrust of others and older adults who are more distrustful of others tend to be more socially isolated. Based on data provided by a nationwide survey of elderly people, subsequent analyses revealed strong support for the theoretical sequence described above.

scholarly journals Social Isolation and Hospitalization Risk Factors Among Community-Dwelling Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 95-95
Author(s):  
J Mary Louise Pomeroy ◽  
Gilbert Gimm
Keyword(s):  
United States ◽  
Risk Factors ◽  
Older Adults ◽  
Social Isolation ◽  
The United States ◽  
Community Dwelling ◽  
Psychosocial Risk ◽  
Depression And Anxiety ◽  
Socially Isolated ◽  
Community Dwelling Older Adults

Abstract PURPOSE: This study examines psychosocial risk factors associated with hospitalization among community-dwelling older adults in the United States. METHODS: Using two waves of the National Health and Aging Trends Study from 2011 and 2015, we conducted descriptive and multivariate analyses of individual-level data from a nationally representative sample of 8,003 Medicare beneficiaries ages 65 and older. Associations between hospitalization and risk factors including social isolation, depression, and anxiety were assessed. Covariates included gender, race/ethnicity, age, region, insurance type, falls, and comorbidities. RESULTS: Overall, about 20.9% of older adults reported a hospitalization within the past year and 22.2% were socially isolated. The odds of hospitalization were higher for socially isolated adults (OR 1.17; p = .02), for depressed adults (OR 1.25; p = .01), and for individuals with anxiety (OR 1.25; p = .02). Individuals living in the Western region had lower odds of hospitalization (OR 0.71; p = .001), whereas men (OR 1.13; p = .03), those requiring assistance with activities of daily living (OR 1.48; p < .001), and those having one (OR 1.41; p = .03) or more (OR 3.05; p < .001) chronic health conditions had higher odds of hospitalization. CONCLUSION: Social isolation, depression, and anxiety represent significant psychosocial risk factors for hospitalization among community-dwelling older adults in the United States. Efforts to reduce health care costs and improve health outcomes for older adults should explore ways to strengthen social integration and improve mental health.

scholarly journals Social Isolation and Well-Being Among Middle-Age and Older Adults: Before and During the COVID-19 Outbreak

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 38-38
Author(s):  
Lydia Li
Keyword(s):  
Older Adults ◽  
Social Isolation ◽  
Social Connectedness ◽  
Well Being ◽  
Symptoms Of Depression ◽  
Physical Isolation ◽  
Multiple Dimensions ◽  
Aging And Health ◽  
Socially Isolated ◽  
The Relationship

Abstract This symposium brings together five studies that examined the relationship between social isolation and well-being. Two used pre-COVID data from the Health and Retirement Study (HRS). One aimed to identify patterns of social isolation trajectory in a 9-year period, where social isolation was conceptualized as a multidimensional construct. It identified four distinct patterns, and the pattern had a gradient relationship with health outcomes. Another examined the association between self-perceptions of aging (SPA) and social well-being among older adults. It found that positive SPA predicted increased social connectedness and reduced loneliness in four years. Two other studies were based on a longitudinal survey (COVID-19 Coping Survey) that began in April 2020. One reports that adults 55+ with comorbidity at pandemic onset had persistently elevated depressive symptoms in a 6-month period, regardless of their social isolation level. Another paper suggests that physical isolation at pandemic onset was associated with elevated symptoms of depression, anxiety, and loneliness throughout the following six months. The fifth paper was based on two-wave data—2019 survey and 2020 COVID supplement—from the National Aging and Health Trend Study (NAHTS). It found that older adults who were very socially isolated and completely homebound before the pandemic experienced less psychological distress during the outbreak than those who were very socially integrated and not homebound. The five studies highlight the multiple dimensions of social isolation, their antecedents and development over time, and their role in shaping mental health in a pandemic context.

scholarly journals Correlates of Social Isolation Among Minority Older Adults During the COVID-19 Pandemic

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 294-295
Author(s):  
Omolola Adepoju ◽  
Daniel Howard ◽  
Kendra Smith ◽  
Luz Herrera ◽  
Daikwon Han ◽  
...  
Keyword(s):  
Older Adults ◽  
African American ◽  
Social Isolation ◽  
Emergency Preparedness ◽  
Community Support ◽  
Social Needs ◽  
Main Independent Variable ◽  
Health Related ◽  
Socially Isolated ◽  
Community Supports

Abstract Background Over the past year, engagement with older adults has been severely curtailed given the high rates of COVID-19 morbidity and mortality in this population. This study examined the correlates of social isolation among African American and LatinX older adults during the COVID-19 pandemic. Methods Working with community-based organizations and senior living centers, we administered a survey to older adults 55+, in the Houston metroplex, between 11/2020 and 01/2021 (n=575). The survey assessed COVID-19 prevention behaviors and health-related social needs. Responses to “How often do you feel lonely or isolated from those around you?” were used to create a dichotomous social isolation dependent variable. The main independent variable, family/community support, was based on responses to the validated question "If for any reason you need help with day-to-day activities such as bathing, preparing meals, shopping, managing finances, etc., do you get the help you need?" Multivariate logistic regression adjusting for socioeconomic status, medical conditions, positive COVID test (for self or family), COVID-19 prevention behaviors, and emergency preparedness levels was used. Results Limited family/community support was strongly associated with social isolation (OR=6.2; p<0.01), as was having any chronic condition (OR=2.9, p=0.02). Females and seniors who reported daily social distancing were more likely to report being socially isolated (OR=2.4, p=0.04; OR=1.09; p=0.09, respectively). Of all chronic conditions examined, diabetes was the single strongest predictor of social isolation (OR=2.49, p=0.02). Conclusion Being female, having diabetes and limited family/community supports are associated with COVID-19-induced social isolation in African American and Latinx communities.

scholarly journals Cumulative Effect of Loneliness and Social Isolation on Health Outcomes among Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 920-920
Author(s):  
Timothy Barnes ◽  
Stephanie MacLeod ◽  
Rifky Tkatch ◽  
Manik Ahuja ◽  
Laurie Albright ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Health Outcomes ◽  
Social Isolation ◽  
Healthcare Utilization ◽  
Cumulative Effect ◽  
Cumulative Effects ◽  
Chi Square ◽  
Socially Isolated

Abstract Loneliness and social isolation are described similarly yet are distinct constructs. Numerous studies examine each construct separately; however, less research has been dedicated to exploring their impacts together. Using survey and claims data among adults age 65+ (N=6,994), the cumulative effects of loneliness and social isolation on late-life health outcomes were examined using Chi-square and multivariate regression models. Loneliness and social isolation were measured using the UCLA-3 Loneliness Scale and the Social Network Index. Participants were grouped into four categories of loneliness and social isolation based on overlap, including: lonely only (L), socially isolated only (SI), both lonely and socially isolated (LSI), or neither (N). Outcomes included quality of life and healthcare utilization and costs. Among participants, 9.8% were considered L, 20.6% SI, 9.1% LSI, and 60.5% N. Respondents were primarily female (55.0%) and 70-74 years of age (27.1%). Those considered LSI were more likely to be older, female, less healthy, depressed, with lower quality of life and greater healthcare utilization patterns. Participants who were L or LSI had higher rates of emergency room visits compared to the N group; LSI had the highest medical costs. Results demonstrate the cumulative effects of loneliness and social isolation among older adults. Findings not only fill a gap in research exploring the impacts of these constructs later in life, but also confirm the need for approaches targeting older adults who are both lonely and socially isolated. As the COVID-19 pandemic continues, this priority will continue to be urgent for older adults.

scholarly journals Social Support, Isolation, Loneliness, and Health Among Older Adults in the PRISM Randomized Controlled Trial

2021 ◽  
Vol 12 ◽  
Author(s):  
Sara J. Czaja ◽  
Jerad H. Moxley ◽  
Wendy A. Rogers
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Social Network ◽  
Social Isolation ◽  
Network Size ◽  
Functional Impairments ◽  
Social Connectivity ◽  
Social Network Size ◽  
Socially Isolated ◽  
Aging Adults

Objectives: Social isolation and loneliness are serious public health issues given the association with negative physical, mental; and cognitive health outcomes and increased risk for mortality. Due to changes in life circumstances many aging adults are socially isolated and experience loneliness. We examined the relationships among four correlated but distinct constructs: social network size, social support, social isolation, and loneliness as they relate to indices of health and wellbeing among diverse subpopulations of older adults. Guided by WHO’s International Classification of Functioning, Disability and Health (ICF) we also examined factors that predict loneliness and social isolation.Methods: Analyses of baseline data from sample of older adults who participated in an intervention trial that examined the beneficial effects of a software system designed to support access to resources and information, and social connectivity. Participants included 300 individuals aged 65–98, who lived alone, were primarily of lower socio-economic status and ethnically diverse. Participants completed a demographics questionnaire, self-report measures of health, depression, social network size, social support, and loneliness.Results: Loneliness was strongly associated with depression and self-ratings of health. In turn, greater social isolation and less social support were associated with greater loneliness. Social isolation was associated with depression and lower self-ratings of health. The association between social isolation and health was mediated by loneliness. Individuals in the older cohorts (80+) reported less social support. With respect to loneliness, having a smaller social network, more functional limitations, and limitations in engaging meaningful activities was associated with higher levels of loneliness and greater social isolation.Conclusion: The findings underscore the importance of social connectively to wellbeing for older adults and suggest that those in the older cohorts, who have a small social network, and with greater physical and functional impairments may be particularly vulnerable to being socially isolated and lonely. The findings provide guidance for future interventions. In this regard, we discuss how Information and Communication Technologies (ICTs) may be used to promote social connectivity and engagement. Strategies to make the usability and availability of these applications for aging adults are highlighted.

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