The social and cultural context of well-being and physical activity in later life in the USA

Author(s):  
Jasmin Tahmaseb McConatha ◽  
Karin Volkwein-Caplan ◽  
Amarachi Akwarandu
BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e047632
Author(s):  
Helen Humphreys ◽  
Laura Kilby ◽  
Nik Kudiersky ◽  
Robert Copeland

ObjectivesTo explore the lived experience of long COVID with particular focus on the role of physical activity.DesignQualitative study using semistructured interviews.Participants18 people living with long COVID (9 men, 9 women; aged between 18–74 years; 10 white British, 3 white Other, 3 Asian, 1 black, 1 mixed ethnicity) recruited via a UK-based research interest database for people with long COVID.SettingTelephone interviews with 17 participants living in the UK and 1 participant living in the USA.ResultsFour themes were generated. Theme 1 describes how participants struggled with drastically reduced physical function, compounded by the cognitive and psychological effects of long COVID. Theme 2 highlights challenges associated with finding and interpreting advice about physical activity that was appropriately tailored. Theme 3 describes individual approaches to managing symptoms including fatigue and ‘brain fog’ while trying to resume and maintain activities of daily living and other forms of exercise. Theme 4 illustrates the battle with self-concept to accept reduced function (even temporarily) and the fear of permanent reduction in physical and cognitive ability.ConclusionsThis study provides insight into the challenges of managing physical activity alongside the extended symptoms associated with long COVID. Findings highlight the need for greater clarity and tailoring of physical activity-related advice for people with long COVID and improved support to resume activities important to individual well-being.


Author(s):  
Jongnam Hwang ◽  
Sangmin Park ◽  
Sujin Kim

Cognitive function is a critical health issue in later life, the decline of which disrupts well-being and daily life function. Cognitive decline in older ages can also be understood in the context of the social environment such as social connectedness and engagement in personal life. This study aimed to examine: (1) whether participation in social activities contributes to preventing cognitive decline, and (2) what type of social activities are beneficial to maintaining cognitive function. Data from the Korean Longitudinal Study of Aging (KLOSA) 2006–2014, a longitudinal survey of the household-dwelling population aged 45 and older in Korea were used. The results revealed that Mini-Mental State Examination (MMSE) scores decreased with increasing age, at a rate of approximately 0.18 units across all age-gender groups, and the decrease was steeper for adults aged 65 and over. Participation in social gatherings was likely to delay the decline in cognitive function after the age of 65. In a gender-stratified model, social activity may not have an impact on the decline of cognitive function for men, whereas participation in social gatherings was negatively related to the decline of MMSE scores in women. This study suggests the need for a gender-stratified policy for preventing the decline of cognitive function while promoting engagement in social activities in Korean older adults.


Gerontology ◽  
2018 ◽  
Vol 64 (6) ◽  
pp. 576-588
Author(s):  
Deirdre A. Robertson ◽  
David Weiss

Background: Social status is the standing of a person or group in the social hierarchy, and is perceived to change across the life span from low social status in early life, to peak in midlife, and to a decline thereafter. As threats to subjective social status are known to be detrimental to individuals’ health, it is important to better understand how older adults perceive themselves and others in terms of age-related social status. Objective: We examined status ambivalence – the potential discrepancy between how older adults’ perceive social status for themselves compared to older adults in general. Method: Study 1 used qualitative data from 37 semi-structured interviews with older adults to assess perceptions of social status. Study 2 used quantitative survey data from 114 older adults who completed explicit and implicit measures of social status. Results: Study 1 (n = 37, meanage = 71.72, SDage = 5.69; 81.1% women) provided preliminary evidence for status ambivalence such that older adults reported unequivocal low social status for other older adults but a more ambivalent perception of their own social status. Study 2 (n = 114, meanage = 64.32, SDage = 8.98, 57.9% women) compared implicit and explicit measures of social status revealing that older adults consistently perceive older adults to have low social status but again show a more ambivalent perception of their own social status. Conclusion: We discuss status ambivalence as a potential protective mechanism in the context of negative societal perceptions of age-related social status that may be important for well-being in later life.


2014 ◽  
Vol 24 (4) ◽  
pp. 319-325 ◽  
Author(s):  
Gill Windle

SummaryExercise and physical activity are thought to be among the most important lifestyle factors for the maintenance of health and prevention of premature disease and mortality. Yet sedentary lifestyles are common. Many people avoid exercise, and have done so across their lifespan. Exercise and physical activity are also considered important for positive psychological functioning; however, this has received limited research attention. This mini-review discusses the effects of exercise and physical activity on mental health and well-being in later life. It draws on international peer reviewed research, summarized in systematic reviews and/or meta-anlaysis, and presents the key findings. Systematic reviews and meta-analyses generally confirm the importance of exercise for mental well-being; however, there is a lack of good quality research. The review discusses some of the barriers to exercise, and identifies strategies that may facilitate uptake and adherence in later life. Limitations in the current evidence are discussed. Based on the current evidence, it is recommended that health practitioners should encourage exercise or physical activity of low to moderate intensity, and leisure time activity such as walking, especially at retirement. Future intervention research would benefit by focusing on people who have not self-selected into studies so as to understand the causal direction, and include theory driven approaches to behaviour change.


2015 ◽  
Vol 12 (2) ◽  
pp. 674
Author(s):  
Wycliffe W. Njororai Simiyu ◽  
Fletcher Njororai ◽  
Billystrom Aronya Jivetti

<p><strong>Introduction:</strong> Physical activity has become an important intervention against overweight and obesity cases in the USA and worldwide. One key aspect of physical activity is walking, which has been identified as a component that can easily be incorporated into one’s lifestyle. Recent studies on physical activity have focused on promoting walking as a health enhancing endeavor. In 2010, the proportion of Texas adults who reported no participation in leisure time activity (26.7%) was significantly higher than the national average (24.4%). However, many Texans, like most Americans, are sedentary.</p><p><strong>Purpose:</strong> This study examined the walkability of the environments in selected counties in east Texas including Wood, Van Zandt and Smith counties.</p><p><strong>Methods and material:</strong> The data was drawn from the Walkscore.com and was based on all the zip codes in the three counties in east Texas. The community capitals were used a framework for analysis. </p><p><strong>Results:</strong> Only three (8.82%) zip codes had walkable scores between 70 and 89; five (14.71%) had scores between 50 and 69; four (11.76%) between 25 and 49 and 22 (64.71%) had a score below 24.</p><p><strong>Discussion:</strong> The vast majority (26, 76.47%) of zip codes are highly dependent on vehicle transport.</p><p><strong>Conclusions and recommendations:</strong> Stakeholders need therefore to focus on causes for the minimal walkability so that practical interventions are generated to enhance the physical activity friendly infrastructure so as to enhance the well-being of the residents in these three east Texas counties.</p>


Author(s):  
Anna Chalkley ◽  
Lauren Sherar

Physical activity is beneficial to children’s health and well-being. Evidence suggests that physical activity declines with age from childhood through adolescence and into adulthood, with boys being more active than girls at all ages. Physical activity participation in childhood is affected by the social support and role modelling provided by family, peers, friends, and teachers. Marginalized groups are disadvantaged in terms of access to opportunities to be physically active. From a population perspective, the greatest gains in public health will be achieved by helping those who are most inactive to become moderately active. Physical activity promotion efforts for children have predominantly focused on school-based programmes, but multisectoral approaches are needed with transformative and enlightened public policy regarding many facets of children’s lives such as school curricula, active travel, safe play areas, and enhanced sports opportunities for all.


2020 ◽  
Vol 12 (22) ◽  
pp. 9614
Author(s):  
Fengrui Jing ◽  
Lin Liu ◽  
Suhong Zhou ◽  
Guangwen Song

Fear of crime can lead to lower satisfaction with life and subjective well-being. The indicators of fear of crime vary from the social and cultural context, and the hukou (household registration) status causes unequal rights between local hukou and non-local hukou residents in China. To improve people’s perception of safety, this study takes hukou as an indicator of social vulnerability and examines the relationship between hukou, perceived neighborhood conditions, and fear of crime in China. A binary logistic regression model was used to analyze the 1727 residents garnered from the 2016 Project on Public Safety in Guangzhou Neighborhoods (PPSGN) in Guangzhou, China. The results show that women, victimization experience, physical and social disorder, and neighborhood policing are associated with residents’ fear of crime. Although hukou status has no statistically significant effect on fear of crime, hukou status significantly moderates the influence of perceived neighborhood conditions on fear of crime. That is, perceived neighborhood conditions’ effects on fear are conditional on one’s hukou status: non-local hukou, perception of the social disorder has more of the detrimental effect on fear, and perception of social integration has less of the helpful effect on fear. In sum, this study adds to the international literature by revealing the conditional effect of the hukou on fear in a Chinese city.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Glyn Atwal ◽  
Douglas Bryson

Purpose The conceptualization of the Base of Pyramid (BOP) proposes that low-income markets can lead to profitable opportunities for businesses. The purpose of this study is to identify key success factors of a BOP business strategy based on a case study of the discount retailer, Dollar General, in the USA. Design/methodology/approach The research design used in this research is an in-depth case study of Dollar General in the USA. Qualitative methods are applied in both the primary and secondary data collection and during the follow-on data analysis of Dollar General. Findings Dollar General’s strategic profile is achieved through the combination of the following four actions which are tailored to compete effectively at the BOP in the USA: creating the neighborhood discounter, raising aspirational appeal, reducing service and eliminating internationalization. Research limitations/implications The case is specific to Dollar General in a US cultural context. Practical implications The case of Dollar General demonstrates how a discounter retailer should not only follow a low-cost strategy to compete at the BOP. Its ability to craft a distinctive strategy is coherent with meeting the logistical, rational and emotional needs of the low-income consumer in the USA. Social implications Many businesses have neglected rural areas of the USA as being unprofitable. The ability for businesses such as Dollar General to serve the BOP segment can foster the socio-economic well-being of communities. Originality/value The overwhelming body of the BOP literature is based on emerging markets. To the best of the authors’ knowledge, this is one of the few studies to investigate BOP business strategy in the USA.


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