Goal setting in later life: an international comparison of older adults' defined goals.

BACKGROUND: Studies of goal setting in later life tend to focus on health-related goal setting, are pre-determined by the researcher (i.e., tick box), and/or are focused on a specific geographical area (i.e., one country). This study sought to understand broader, long-term goals from the perspective of older adults (65 + years) from Australia, New Zealand (NZ), United Kingdom (UK), Ireland, Canada, and the United States of America (USA). METHODS: Through a cross-sectional, online survey (N = 1,551), this exploratory study examined the qualitative goal content of older adults. Thematic analysis was used to analyze the qualitative data, and bivariate analyses were used to compare thematic differences between regions and by participants' sex. RESULTS: Over 60% of the participants reported setting goals, and participants from the Australia-NZ and Canada-USA regions were more likely to set goals than the UK-Ireland region. The following six overarching themes were identified from the 946 goals reported: health and well-being; social connections and engagement; activities and experiences; finance and employment; home and lifestyle; and attitude to life. CONCLUSIONS: This study supports previous research that demonstrates that older adults can and do set personal goals that are wide ranging. These findings support the need for health professionals to consider different methods for elucidating this important information from older adults that builds rapport and focuses on aspects viewed as more important by the older adult and therefore potentially produces improved health outcomes.

Risk and Protective Factors of Loneliness among Older Adults: The Significance of Social Isolation and Quality and Type of Contact.

Loneliness has a significant impact on the health and well-being of older people, including an increased risk of mortality. This cross-sectional study explored possible risk and protective factors that can help explain loneliness and emotional and social loneliness in a sample of community-dwelling older adults (N = 477). The survey incorporated a standardized scale of loneliness and items to assess type and quality of contact with others, community support, social isolation, physical health, cognitive health, and functional ability. Bivariate and multivariate analyses explored the factors that contributed to loneliness, emotional loneliness, and social loneliness. Results indicated overall quality of contact with others, use of phone contact, and social isolation was significant in all three regressions; other significant variables were different for each analysis. The findings support social work and public health recommendations for addressing loneliness, particularly within the current climate of "social distancing" under the COVID-19 pandemic.

Relationship Quality and Sexuality: A Latent Profile Analysis of Long-term Heterosexual and LGB Long-term Partnerships.

Purpose: Drawing on survey data (N = 7,826) collected in the United Kingdom, Australia, and the United States, this paper examines whether sexual orientation is a differentiating factor in explaining relationship quality and maintenance. Previous research suggests that sexual orientation is not significant in determining relationship satisfaction; however, these analyses have used traditional variable driven approaches, which do not provide an holistic view of the relationship by considering the unique combination of characteristics.Method: In this study, latent profile analyses were used, which is a person-centered approach that allows for identification of different types of long-term relationships.Results: Data suggested that LGB individuals had marginally higher levels of relationship quality compared to their heterosexual counterparts, and sexual orientation was also associated with differing types of long-term relationships.Discussion: These findings are interrogated in more detail, in particular, how sexual orientation is associated with types of long-term relationships and how everyday practices are associated with relationship quality.

What attributes of successful aging are important to older adults? The development of a multidimensional definition of successful aging.

Older adults' experiences and perspectives have been missing in the quest to develop a unified definition of successful aging. Through an online survey using convenience sampling, respondents (N = 477) were asked to report how important 25 specific attributes of successful aging, originating from published literature that examined successful aging from the perspective of older adults, were to them as they age. Over 90% of respondents reported 11 attributes as important or very important to them as they age, which included "remaining free of chronic diseases" and "feeling good about myself." A factor analysis (N = 462) resulted in four dimensions explaining 57.06% of the variance: Adaptation and Coping; Being Healthy; Self-Determination; and Social Relationships and Interactions. The findings revealed older adults' definition of what is important to them as they age is multidimensional, with having access to affordable health care and remaining alert and mentally active as critical elements followed by elements of self-determination, coping, and physical and social health. Future research should replicate the study with diverse populations to continue to refine a definition of successful aging that could influence program development and intervention approaches in health and social services.

How Do Older Adults Define Successful Aging? A Scoping Review.

Successful aging is a prominent theory that describes the aging process and the expected activities and behaviors older adults should engage in or exhibit to age successfully. Although this theory is used to gauge the extent to which older adults are aging successfully, older adults' experiences and perspectives of what successful aging means to them are missing from the theory. A five-step scoping review framework was used to explore and synthesize the existing research that investigated older adults' perspectives on successful aging. Twelve main themes were found and ranged from the importance of social relationships and interactions to having a good death. Findings indicated older adults do not define successful aging as strictly as is found in the literature. Old age and the aging process from the views of older adults provide future directions for theory development and research.

Measuring Relationship Quality in an International Study: Exploratory and Confirmatory Factor Validity.

OBJECTIVE: This study reports on the operationalization and testing of the newly developed Relationship Quality (RQ) scale, designed to assess an individual's perception of his or her RQ in their current partnership. METHODS: Data were generated through extended sampling from an original U.K.-based research project, Enduring Love? Couple relationships in the 21st century. This mixed methods study was designed to investigate how couples experience, understand, and sustain their long-term relationships. This article utilizes the cross-sectional, community sample (N = 8,132) from this combined data set, drawn primarily from the United Kingdom, United States, and Australia. A two-part approach to scale development was employed. An initial 15-item pool was subjected to exploratory factor analysis leading into confirmatory factor analysis using structural equation modeling. RESULTS: The final 9-item scale evidenced convergent construct validity and known-groups validity along with strong reliability. CONCLUSION: Implications for future research and professional practice are discussed.

Do We Think Children Need a Mom and Dad?: Understanding How Gender Ideology Impact Attitudes Toward Same-Gender Parent Family Rights.

Research and opinion polls demonstrate that attitudes toward same-gender parent families have been improving in recent years among Western countries; however, the history of oppression toward, and misconceptions about, same-gender parent families continue to be demonstrated in Australian family rights policies. Common misconceptions include the belief that children need both male and female role models, and this could be influencing peoples' support for same-gender family rights and having a wider impact on legislation change. Yet a dearth of research exists exploring a connection between gender role beliefs and support for same-gender family rights using a broad international sample, including Australia. To investigate this connection, a sample (N = 615) from 18 English-speaking countries responded to a series of questions to determine the importance of gender norm beliefs on same-gender family prejudice. Regression analysis demonstrated that people with traditional beliefs about gender norms were more likely to endorse a negative attitude toward same-gender marriage and same-gender parenting. Findings suggest a link between socially prescribed gender norms and prejudice toward same-gender parent families that may be fueling arguments against same-gender family rights policies. The implications of these findings on same-gender parent families and their rights require future investigation.

Stereotypes and attitudes toward older people among children transitioning from middle childhood into adolescence: Time matters.

Ageism is fueled by stereotypes and negative attitudes about aging and older adults, which can lead to individual-level prejudice and discrimination. Through survey methodology, this study explored stereotypes and ageist beliefs of youth transitioning from middle childhood into adolescence (age 11-13 years) (N = 69) in the southwest of England. The results indicate that positive more than negative stereotypes were acknowledged, and more positive stereotyping was positively correlated with more positive attitudes toward older adults. Contact with older adults and age that one considers "old" were significant in predicting attitudes toward older people. The results suggest that time matters, in terms of contact with an older adult and time to reach "old age" in shaping youths' attitudes and stereotypes. Intergenerational and educational programs that seek to address aging myths and increase contact between youth and older adults are discussed as ways to improve attitudes amongst youth transitioning from middle childhood into adolescence.

Attitudes Toward Same-Sex Parenting: An Effect of Gender.

The definition of family in Australia has been continuously changing over the past four decades. The 21st century has brought with it various images of family, with an increase of awareness to same-sex families; however, the acceptance of such family structures does not appear to be widespread and is often determined by sex. Substantive literature demonstrates differences between men and women in attitudes toward same-sex parenting, with theory suggesting that gender role norms may explain this. Despite large efforts to determine sex differences in attitudes toward same-sex parenting, little research, and even less in Australia, has been done to investigate whether there are differences in reasons behind negative attitudes toward same-sex parenting between men and women. To further this understanding, an Australian sample (N= 790) ranging in age from 18-78 completed a survey regrading attitudes toward same-sex parenting, in addition to relevant demographic information. Participants reported more positive attitudes about parenting by lesbians as compared to parenting by gay men. Reasons behind attitudes toward same-sex parenting also differed between males and females. Results suggested that the impact of socially prescribed gender norms may affect prejudice toward same-sex families. Despite an increase in tolerance for sexual minorities recently, policies that continue to discriminate against same-sex parenting rights demonstrates the importance of continuing to identify potential influences of same-sex family prejudice to reduce the potentially negative impacts associated with the prejudice.

Does Closeness to Someone Who Is Gay, Lesbian, or Bisexual Influence Etiology Beliefs About Homosexuality?

Research suggests that contact with sexual minorities and etiology beliefs regarding the origins of homosexuality are associated with antigay bias; however, factors related to etiology beliefs have received little empirical attention. Our primary research question is: Does closeness to someone who is gay, lesbian, or bisexual influence etiology beliefs? Students (n = 851) from four U.S. universities completed an anonymous survey, and regression results indicated that contact and closeness were not significantly associated with etiology beliefs. Because both contact and relationship closeness were associated with antigay attitudes, and closeness demonstrated the largest effect, we tested three alternative structural equation models to determine if contact and closeness mediated etiology beliefs. Results suggested that contact and the degree of closeness are indirectly associated with students' etiology beliefs through antigay bias.

Why do I dread looking old?: A test of social identity theory, terror management theory, and the double standard of aging.

Outward appearance is one of the means by which age is determined, and fear of looking old may stem from fears about social identity and death. This study explored how social identity theory and terror management theory may help to explain the dread of looking old. University students from the United States, England, and Australia (N = 1,042) completed a questionnaire regarding their attitudes about aging and older adults. Results indicated that sex, age, beliefs about personal aging, and death anxiety explained 30.4% of the variance for participants' dread of looking old. Theoretical hypotheses were supported by our findings.

A Qualitative Investigation of Gerontological Practice: The Views of Social Work and Psychology Students, Faculty, and Practitioners.

Recently there has been an increase in the population of older adults; however, this increase has not been reflected in the helping professions. The aim of this study was to qualitatively investigate barriers to working with older adults within the human service professions. An online survey was sent to students, academic faculty, and practitioners from the disciplines of social work and psychology throughout Australia, addressing issues related to work with older adults. Thematic analysis was used to extract themes and subthemes from the responses (N = 252). The most important finding was that a barrier to working with older adults appears to be a consequence of a perpetuating cycle among students, academic faculty, and professionals collectively. Faculty members did not feel knowledgeable in the area of gerontology and were therefore not able to educate students in this area appropriately, leading to students to enter the workforce as either faculty members and/or practitioners without expertise to work with older adults. This study highlighted the importance of including more comprehensive gerontological information within social sciences' curriculum, which may promote more realistic images of older adults and help alleviate barriers to working with this population.

The LGBQ Microaggressions on Campus Scale: A Scale Development and Validation Study.

Although LGBQ students experience blatant forms of heterosexism on college campuses, subtle manifestations such as sexual orientation microaggressions are more common. Similar to overt heterosexism, sexual orientation microaggressions may threaten LGBQ students' academic development and psychological wellbeing. Limited research exists in this area, in part due to lack of a psychometrically sound instrument measuring the prevalence of LGBQ microaggressions on college campuses. To address this gap, we created and tested the LGBQ Microaggressions on College Campuses Scale. Two correlated subscales were generated: Interpersonal LGBQ Microaggressions and Environmental LGBQ Microaggressions. The results indicated that the subscales demonstrate strong reliability and validity.

Predicting social work students' interest in gerontology: results from an international sample.

The need for social workers with a specialization in gerontology has become a global priority. The purpose of this study was to explore social work students' interest in gerontology. This cross-sectional survey was completed by 1,042 students from the United States, England, and Australia, and only 5.4% of the sample indicated an interest in gerontology. Results of the logistic regression found that personal aging beliefs and the frequency of time spent with an older adult were significant in explaining gerontological interest. The infusion of aging content may facilitate further advancement in the field, but additional strategies may also be needed.

Ageism among social work faculty: impact of personal factors and other "isms".

The purpose of this article was (a) to determine the extent to which ageist attitudes are evident among social work faculty and how educational factors may contribute to ageism, (b) to determine if terror management theory (in terms of aging anxiety) offers a further explanation for ageist attitudes beyond known correlates, and (c) to understand how intersecting prejudices (attitudes toward women, gay men, and lesbians) may be associated with ageist attitudes. Results indicated a low bias toward older adults, with two variables, psychological anxiety about aging and paid experience with older adults, accounting for 29.7% of the variance. Further, no association was found between ageism and sexism and sexual prejudice in the multivariate analyses. These results indicate promising advances for terror management theory in explaining ageism. Social work faculty's low bias and perceived need for gerontological content in curricula is an encouraging finding for gerontological social work education.

Measuring sexual prejudice against gay men and lesbian women: development of the Sexual Prejudice Scale (SPS).

The presence of bias against gay men and lesbian women remains an ongoing issue, and accurate measurement is essential to targeted intervention. A validation study of a new instrument, the Sexual Prejudice Scale, is reported. Students (N = 851) from 4 different universities participated in this study. An exploratory factor analysis and confirmatory factor analysis were conducted, and results of these analyses indicated a 3-factor solution (affective - valuation, stereotyping, and social equality beliefs) for each of the sex-specific scales. Evidence of validity and the results of the reliability analysis are reported. Implications for future research are discussed.

Social work faculty interest in aging: impact of education, knowledge, comfort, and experience.

As the need for gerontological social workers increases, it is important to assess faculty interest in strengthening and bolstering this area in the classroom and curriculum. This study sought to compare training and experience of social work faculty that identified aging as a teaching or research interest with faculty who did not, and to identify predictors of aging interest among faculty. A national sample of social work faculty members was recruited, and a total of 609 individuals participated in the study. The findings reveal that faculty with an interest in aging differed from nonaging faculty in the areas of knowledge of older adults, personal and paid experience, and graduate and continuing education. In addition, predictors of interest in aging included taking a graduate course, continuing education units, having paid and volunteer experience, level of knowledge of older adults, and comfort level of covering content on aging in the classroom. The connection between social work faculty and student interest in aging are discussed as implications for further social work research and education.

Do empowerment strategies facilitate knowledge and behavioral change? The impact of family health advocacy on health outcomes.

This study evaluates the impact of a Family Health Advocacy (FHA) intervention on 46 African American women ages 13 to 35 living in a rural southern community. FHA utilizes empowerment strategies to provide education and social support to reduce risk factors for poor pregnancy outcomes. Use of a paired t test demonstrated a statistically significant difference between pretest and posttest scores in the acquisition of knowledge of safer sex practices, alcohol consumption, early prenatal care, maternal infection, and nutrition. Behavioral change was not realized in the areas of nutrition or behaviors that cause risk of maternal infection. Social workers can influence behavioral change for at-risk populations by addressing microlevel barriers such as education and resources and macrolevel barriers such as advocacy for expanded health and social services.

African-American women's conceptualizations of health disparities: a community-based participatory research approach.

Health disparities among African-American families represent a significant social problem. Nationally, African-American infants have dramatically worse birth outcomes than other racial and ethnic groups. A Community-Based Participatory Research approach was utilized to engage community residents. This study examined participants' definitions of infant mortality, views on the community impact of infant mortality, and strengths and vulnerabilities in the health care service delivery system. Qualitative data were gathered in a rural North Florida community where health education groups are conducted. Eight focus groups were arranged with African-American women (n = 46), ranging in age from 14 to 35, who were pregnant, parenting children under the age of two. Respondents poignantly described personal experiences of loss associated with infant mortality. They indicated awareness of problems related to lack of accessibility and availability of medical and social services. The use of social-ecological theory and implications for policy and social justice are discussed.