[Doing vulnerability : The social construction of age(ing) during the COVID-19 pandemic]. / Doing Vulnerability : Soziale Konstruktionen des Alter(n)s während der COVID-19 Pandemie.

BACKGROUND: Since the beginning of the COVID-19 pandemic old age has been "vulnerablilized" in the media by characterizing old age as a vulnerable and risky phase of life. Gerontologists have criticized the age-based definition of risk groups for their underlying agism. OBJECTIVE: From a practice-theoretical perspective the article asks through which social practices a vulnerable age is realized during the COVID-19 pandemic. MATERIAL AND METHODS: The article refers to data from six qualitative interviews with people aged 65 and older. The data was analyzed using fine structure analysis followed by a topic analysis. RESULTS: The results show that during the COVID-19 pandemic doing age was characterized by a not doing or the disappearance of routinized everyday practices. For the respondents this not doing age was connected to experiencing vulnerable ageing, in which they felt physically and temporally vulnerable. DISCUSSION: Practices of aging during the COVID-19 pandemic have developed against the backdrop of a societal discourse that has positioned activity as an indicator of good and positive aging. At the same time few opportunities have been created to maintain activity under the conditions of the COVID-19 pandemic.

[Influence of social contacts on corona concerns in the nursing home population : Quantitative cross-sectional survey]. / Einfluss sozialer Beziehungen auf Corona-Sorgen bei der Pflegeheim-Bevölkerung : Quantitative Querschnittsbefragung.

BACKGROUND: During the pandemic caused by the coronavirus disease 2019 (COVID-19) in spring and summer 2020, the anxiety and concerns of residents living in long-term care facilities about contracting and falling ill from the virus (corona concerns) increased. Contact to close persons represents an important asset in coping with concerns or anxiety; however, this was strictly regulated particularly in nursing facilities. Therefore, an elevated psychological burden was assumed; however, there is a lack of representative data. OBJECTIVE: This study aims to answer the question: how do social contacts influence the corona concerns of long-term nursing home residents? MATERIAL AND METHODS: In summer 2020 a representative sample of 259 long-term nursing home residents in the whole of Austria participated in a standardized face-to-face interview. RESULTS: Firstly, the data show a high emotional burden in nursing home residents; however, many residents also demonstrated a certain degree of mental resilience. Secondly, there was an association between emotional loneliness and higher corona concerns (odds ratio, OR = 2.30; p < 0.01). Thirdly, a frequent contact with relatives via telephone or in person also related to higher corona concerns (OR = 1.32; p < 0.05). CONCLUSION: In the current times, when one crisis is replaced by the next, more knowledge is needed about the mental resilience of long-term nursing home residents and how it can be promoted. Furthermore, more knowledge is needed about the role of relatives and whether they are more the origin of concerns or they represent a strategy for coping with concerns.

Vulnerability to heatwaves and implications for public health interventions - A scoping review.

BACKGROUND: Heatwaves form a serious public health threat, especially for vulnerable groups. Interventions such as active outreach programs, exposure reduction measures and monitoring and mapping of at-risk groups are increasingly implemented across the world but little is known about their effect. OBJECTIVES: To assess how vulnerable groups are identified and reached in heat health interventions, to understand the effectiveness and efficiency of those interventions, and to identify research gaps in existing literature. METHODS: We performed a literature search in relevant scientific literature databases and searched with a four element search model for articles published from 1995 onward. We extracted data on intervention measures, target group and evaluation of effectiveness and efficiency. RESULTS: We identified 23 eligible studies. Patterns exist in type of interventions 1) to detect and 2) to influence extrinsic and intrinsic risk and protective factors. Results showed several intervention barriers related to the variety and intersection of these factors, as well as the self-perception of vulnerable groups, and misconceptions and unfavorable attitudes towards intervention benefits. While modest indications for the evidence on the effectiveness of interventions were found, efficiency remains unclear. DISCUSSION: Interventions entailed logical combinations of measures, subsumed as packages. Evidence for effective and efficient intervention is limited by the difficulty to determine effects and because single measures are mutually dependent. Interventions prioritized promoting behavioral change and were based on behavioral assumptions that remain untested and mechanisms not worked out explicitly. CONCLUSIONS: Multifaceted efforts are needed to tailor interventions, compiled in heat health warning systems and action plans for exposure reduction and protection of vulnerable populations, to fit the social, economic and geographical context. Besides adequately addressing relevant risk and protective factors, the challenge is to integrate perspectives of vulnerable groups. Future research should focus on intervention barriers and improving the methods of effectiveness and efficiency evaluation.

Job strain and coping among ageing baby boomers.

BACKGROUND: Research indicates that the so-called baby boomer generation (the population born after World War II) exhibits worrying health trends. Taking age-cohort effects into account, it is still unclear how the mechanisms concerning stress and health function and how the distribution of stressors, stress mediators and stress effects on health differ between generations. OBJECTIVES: The article approaches stress from a generational perspective asking: which are the stressors the baby boomer generation is facing? Under which conditions and with which resources is exposure to stressors harmful to health? Is there an accumulation of stress in later working life? MATERIAL AND METHODS: In the course of the project "Wellbeing", a quantitative online survey was carried out in selected commercial enterprises and public institutions in four project partner countries. The results for Austrian participants are presented in this article. RESULTS: Employees of the baby boomer generation are exposed to both time-related and social stressors at the workplace and a high percentage of respondents expressed symptoms of physical and psychological stress. Stress mediators, such as agency-based coping strategies and social resources at the workplace could buffer these stressors; however, stressors and stress mediators are significantly correlated creating a "triple whammy" effect (i.e. exposure to stressors, lack of social resources and restricted coping), which particularly affects older male baby boomers. CONCLUSION: Social support buffers the negative effects of a limited health and lower education for female baby boomers, which supports the buffering hypothesis of social convoy theory, whereas male baby boomers lack the resources to effectively cope with work stress.

[Equity and social determinants of health over the life course]. / Gerechtigkeit und soziale Determinanten der Gesundheit im Lebenslauf.

BACKGROUND: Socio-structural and socio-cultural change in Western societies is increasingly challenging healthcare institutions to take good care of people's health and dignity. Further and sustainable progress in health care is increasingly influenced by socio-cultural conditions. If these conditions are insufficiently taken into account, further medical progress is jeopardized. AIM OF THE PAPER: The aim of this paper is to elucidate the significance of social conditions of health over the life course and thus to shed more light on one of the four ethical principles in medicine, namely equity. MATERIAL: The question is addressed by a literature review, whereby the literature was reviewed from a structural theory perspective. RESULTS: If people feel discriminated against in terms of their age, gender, or migration background, this not only has an impact on their self-esteem, but also on their health and recovery from illness. Unfavorable economic living conditions have a negative impact on health behavior. Experiences of discrimination in the healthcare system can reduce satisfaction with treatment and contribute to non-compliance with treatment instructions. DISCUSSION: The socio-cultural effects mentioned above can be influenced not only by individual changes in behavior but in particular by structural and institutional change processes. There is a need for "habitus sensitivity" in both clinical and private practice, i.e., it is also part of the responsibility of doctors in the healthcare system to eliminate discrimination.

A Multilevel Model of Older Adults' Appropriation of ICT and Acquisition of Digital Literacy.

Digital literacy refers to a set of competencies related to the skilled use of computers and information technology. Low digital skills can be a barrier for older adults' full participation in a digital society, and COVID-19 has increased this risk of social exclusion. Older adults' digital inclusion is a complex process that consists of the interplay of structural and individual factors. The ACCESS project unwrapped the complexity of the process and developed an innovative, multilevel model that illustrates how societal, institutional, material and pedagogical aspects shape adults' appropriation of digital literacy. A holistic model describes factors contributing to older adults' digital literacy, acknowledging sociocultural contexts, environments, learning settings and instruction practices for learning digital literacy. Instead of seeing older adults' reasons for learning digital skills purely as individual choice, this model recognizes the interpersonal, institutional and societal aspects that implicitly or explicitly influence older adults' acquisition of digital literacy. The results offer a tool for stakeholders, the research community, companies, designers and other relevant stakeholders to consider digital skills and the given support. It demands diverse communication between different stakeholders about the things that should be discussed when organizing digital support in digitalized societies.

Doing digital exclusion - technology practices of older internet non-users.

Gerontological literature has widely explored barriers to technology use in later life, often drawing upon binary conceptualizations of "using" and "not using" a certain technological device. However, such concepts have been increasingly up for debate. Using a praxeological approach, this study aims to explore technology use and non-use in later life not as dichotomous counterparts, but as routine experiences that take place in the everyday lives of older adults, asking: Which technology practices that go beyond using and not using a certain device can be found in the everyday lives of older non-users? How are these practices related to experiences of age and aging? The paper draws upon data from 15 semi-structured interviews with older adults (65+) in Austria, who self-identify as 'non-users' of digital technologies. Data was analyzed using thematic coding (Flick, 2016) and revealed that while interviewees saw themselves as "non-users" of digital technologies, they all regularly engaged with digital technologies in their daily lives. These manifold everyday engagements with digital technologies can be summarized as four bundles of technology practices: (1) avoidance practices, (2) usage practices, (3) appropriation practices, and (4) subjectivation practices. Non-users regularly engaged in and transitioned between these practice bundles. Not using digital technologies therefore emerged as an ambivalent, everyday experience, rather than an actual practice pattern that can be measured using binary categories of 'use' and 'non-use'. By understanding the use and non-use of digital technologies in later life not as binary counterparts, but as an active process of doing, this paper highlights how the use and non-use of digital technologies is not a rational decision, but rather an ensemble of avoidance, usage, and appropriation practices that older adults experience and negotiate in their everyday lives. This paper therefore suggests moving away from technology use and non-use as central concepts for studying technology in later life, and instead questioning which practices are valued as a 'right' or 'real' way of using digital technologies, and which are devalued as 'wrong' usage.