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Journal of Aging Studies Sep 2020Aging in place policies have been adopted internationally as a response to population aging. The approach historically referred to the goal of helping people to remain...
Aging in place policies have been adopted internationally as a response to population aging. The approach historically referred to the goal of helping people to remain in their own homes so that they can retain connections with friends and family in their community. However, the places in which people grow old are often hostile and challenging, presenting potential barriers to the policy ideal of aging in place. This may be especially the case in cities characterized by rapid population turnover and redevelopment of buildings through urban regeneration. Yet, to date, there has been limited research focusing on the places of aging, and how these affect the experience of aging in place over time. This paper addresses this gap by presenting four in-depth case-studies from a qualitative longitudinal study of older people living in neighborhoods characterized by high levels of deprivation and rapid population change. The analysis illustrates how aging in place is affected by changing life-course circumstances and the dynamics of these neighborhoods over time. The conclusion suggests that further attention must be given to the changing dynamics of the places where people grow older. It also makes policy suggestions for how aging in place could be supported, taking account of the needs of people as they grow older as well as changes in the communities in which they live. The paper extends theoretical understanding of the interrelationship between aging in place and the places of aging, revealing how these processes change over time.
Topics: Aged; Aging; Cities; Humans; Independent Living; Longitudinal Studies; Residence Characteristics
PubMed: 32972616
DOI: 10.1016/j.jaging.2020.100870 -
Death Studies Aug 2017Where do people feel closest to those they have lost? This article explores how continuing bonds with a deceased person can be rooted in a particular place or places....
Where do people feel closest to those they have lost? This article explores how continuing bonds with a deceased person can be rooted in a particular place or places. Some conceptual resources are sketched, namely continuing bonds, place attachment, ancestral places, home, reminder theory, and loss of place. The authors use these concepts to analyze interview material with seven Swedes and five Britons who often thought warmly of the deceased as residing in a particular place and often performing characteristic actions. The destruction of such a place, by contrast, could create a troubling, haunting absence, complicating the deceased's absent-presence.
Topics: Adult; Aged; Aged, 80 and over; Death; Female; Humans; Interpersonal Relations; Interviews as Topic; Male; Middle Aged; Object Attachment; Sweden; United Kingdom
PubMed: 28140786
DOI: 10.1080/07481187.2017.1286412 -
Frontiers in Psychology 2021Life satisfaction is a research hotspot in positive psychology in recent years. This study uses overseas students as subjects and attempts to examine the effect of place...
Life satisfaction is a research hotspot in positive psychology in recent years. This study uses overseas students as subjects and attempts to examine the effect of place attachment and student life satisfaction on Mainland Chinese students' word-of-mouth (WOM) recommendations and their Ambassador Behavioral (AB) intention. A survey was systematically conducted in six institutions in Macao. The results of 312 valid data indicate that place dependence has a positive influence on place identity; place identity and place dependence have a positive influence on student life satisfaction; student life satisfaction mediates the influence of the two dimensions of place attachment on WOM and AB intention. Recommendations are provided to improve overseas students' life satisfaction in the study places. It helps to improve their sense of ownership and actively participate in the construction of the study places.
PubMed: 34966327
DOI: 10.3389/fpsyg.2021.766997 -
Journal of Personality and Social... May 2021People actively select their environments, and the environments they select can alter their psychological characteristics in the moment and over time. Such dynamic...
People actively select their environments, and the environments they select can alter their psychological characteristics in the moment and over time. Such dynamic person-environment transactions are likely to play out in the context of daily life via the places people spend time in (e.g., home, work, or public places like cafes and restaurants). This article investigates personality-place transactions at 3 conceptual levels: stable personality traits, momentary personality states, and short-term personality trait expressions. Three 2-week experience sampling studies (2 exploratory and 1 confirmatory with a total N = 2,350 and more than 63,000 momentary assessments) were used to provide the first large-scale evidence showing that people's stable Big Five traits are associated with the frequency with which they visit different places on a daily basis. For example, extraverted people reported spending less time at home and more time at cafés, bars, and friends' houses. The findings also show that spending time in a particular place predicts people's momentary personality states and their short-term trait expression over time. For example, people reported feeling more extraverted in the moment when spending time at bars/parties, cafés/restaurants, or friends' houses, compared with when at home. People who showed preferences for spending more time in these places also showed higher levels of short-term trait extraversion over the course of 2 weeks. The findings make theoretical contributions to environmental psychology, personality dynamics, as well as the person-environment transactions literature, and highlight practical implications for a world in which the places people visit can be easily captured via GPS sensors. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
Topics: Ecological Momentary Assessment; Emotions; Environment; Extraversion, Psychological; Female; Friends; Humans; Male; Personality; Young Adult
PubMed: 32496085
DOI: 10.1037/pspp0000297 -
Social Science & Medicine (1982) Dec 2021Over the last decade, policies in both the UK and many other countries have promoted the opportunity for patients at the end of life to be able to choose where to die....
Over the last decade, policies in both the UK and many other countries have promoted the opportunity for patients at the end of life to be able to choose where to die. Central to this is the expectation that in most instances people would prefer to die at home, where they are more likely to feel most comfortable and less medicalised. In so doing, recording the preferred place of death and reducing the number of hospital deaths have become common measures of the overall quality of end of life care. We argue that as a consequence, what constitutes a desired or appropriate place is routinely defined in a very simple and static 'geographical' way, that is linked to conceptualising death as an unambiguous and discrete event that happens at a precise moment in time in a specific location. In contrast, we draw on 18 months of ethnographic fieldwork with two inner-London palliative care teams to describe the continual work staff do to make places suitable and appropriate for the processes of dying, rather than for a singular event. In this way, instead of 'place of death' merely defined in geographic terms, the palliative care staff attend to the much more dynamic relation between a patient and their location as they approach the end of their life. Central to this is an emphasis on dying as an open-ended process, and correspondingly place as a social space that reflects, and interacts with, living persons. We propose the term 'placing work' to capture these ongoing efforts as a patient's surroundings are continually altered and adjusted over time, and as a way to acknowledge this as a significant feature of the care given.
Topics: Death; Home Care Services; Hospice Care; Humans; Palliative Care; Terminal Care
PubMed: 33994221
DOI: 10.1016/j.socscimed.2021.113974 -
Sociology of Health & Illness Feb 2020Simulations are increasingly integral to scientific and social knowledge making. While a number of social scientists study simulation, extant literature is yet to fully...
Simulations are increasingly integral to scientific and social knowledge making. While a number of social scientists study simulation, extant literature is yet to fully investigate how simulated settings are different from and similar to other scientific places. I draw on scholarship on the importance of place within knowledge making in order to study two medical simulation labs and ask what role place plays in these simulated settings. I show that effective pedagogical simulations ironically depend upon departures from 'real' places of medical and scientific knowledge production. I highlight the importance of divergences in the sequence of events and scripts, in the behaviour of the manikins and actors, and in the materiality and arrangement of the settings. For medical and nursing students, it is the very disjunctures between the simulated environment and the hospital environment - the infidelity of place - that allows learning to happen. Overall, this article offers an exploratory investigation into the mechanisms at work in pedagogical places of medical simulation and qualifies understandings of the relationship between place and knowledge production.
Topics: Clinical Competence; Education, Nursing; Female; Humans; Learning; Male; Manikins; Patient Simulation; Students, Nursing
PubMed: 31657035
DOI: 10.1111/1467-9566.13002 -
Journal of Health Communication Apr 2023Trust and mistrust influence the utilization of health services, the quality of overall healthcare, and the prevalence of health disparities. Trust has significant...
Trust and mistrust influence the utilization of health services, the quality of overall healthcare, and the prevalence of health disparities. Trust has significant bearing on how communities, and the individuals within them, perceive health information and recommendations. The People and Places Framework is utilized to answer what attributes of place threaten community trust in public health and medical recommendations.Augusta-Richmond County is ranked among the least healthy counties in Georgia despite being home to the best healthcare-to-residence ratios and a vast array of healthcare services. Semi-structured interviews were conducted with 31 neighborhood residents. Data were analyzed using the Sort & Sift, Think & Shift method. Threats to community trust were identified within four local-level attributes of place: availability of products and services, social structures, physical structures, and cultural and media messages. We found a broader web of services, policies, and institutions, beyond interactions with health care, that influence the trust placed in health officials and institutions. Participants spoke to both a potential lack of trust (e.g. needs not being met, as through lack of access to services) and mistrust (e.g. negative motives, such as profit seeking or experimentation). Across the four attributes of place, residents expressed opportunities to build trust. Our findings highlight the importance of examining trust at the community level, providing insight into an array of factors that impact trust at a local level, and extend the work on trust and its related constructs (e.g. mistrust). Implications for improving pandemic-related communication through community relationship building are presented.
Topics: Humans; Communication; Delivery of Health Care; Pandemics; Trust; Georgia; Southeastern United States; Healthcare Disparities; Health Status Disparities; Facilities and Services Utilization
PubMed: 36896640
DOI: 10.1080/10810730.2023.2187484 -
Cardiovascular Revascularization... 2009Grafts to the left anterior descending coronary artery (LAD) are generally placed in the distal, most accessible part of the vessel. As a result, there is a segment of... (Review)
Review
Grafts to the left anterior descending coronary artery (LAD) are generally placed in the distal, most accessible part of the vessel. As a result, there is a segment of variable length between the site of stenosis on the LAD and the site of graft placement. This segment is perfused in a retrograde unphysiological manner and is prone to the development of atherosclerosis and rapid progression of preexisting atherosclerosis. Placing the graft close to the site of stenosis has the potential to reduce the length of the arterial segment, which can become occluded or severely diseased. This holds important implications for the performance of percutaneous interventions in the event of graft failure, and possibly also for perfusion to the myocardium supplied by this segment even when the graft is patent. However, because of the tendency for rupture-prone plaques to segregate in the proximal portions of coronary arteries, a strategy of proximal graft placement might not provide the same protection from the effects of plaque rupture as the traditional distal graft placement. Despite their obvious clinical implications, these factors do not influence the site of graft placement in current practice. In this review, we attempt to quantify these opposing influences and present a theoretical framework for choosing the site of graft placement on the LAD.
Topics: Anastomosis, Surgical; Coronary Artery Bypass; Coronary Circulation; Coronary Restenosis; Coronary Stenosis; Graft Occlusion, Vascular; Humans; Practice Guidelines as Topic; Treatment Outcome; Vascular Patency
PubMed: 19327674
DOI: 10.1016/j.carrev.2007.11.001 -
The Gerontologist Feb 2024Response to the coronavirus disease 2019 pandemic required rapid changes to physical, social, and technological environments. There is a need to understand how...
BACKGROUND AND OBJECTIVES
Response to the coronavirus disease 2019 pandemic required rapid changes to physical, social, and technological environments. There is a need to understand how independent-living older adults are adapting to pandemic-borne transformations of place and how environmental factors may shape experiences of aging well in the context of a public health emergency response.
RESEARCH DESIGN AND METHODS
We conducted a photovoice study to examine the characteristics associated with aging in place. Our study investigated how independent-living older adults characterized aging in a "right" place approximately 1 year after the onset of the pandemic.
RESULTS
Six themes categorized into 2 groups capture how older adults describe a "right" place to age. The first category, "places as enactors of identity and belonging," describes the significance of places contributing to intimate relationships, social connections, and a sense of personal continuity. The second category, "places as facilitators of activities and values," recognizes environments that promote health, hobbies, goals, and belief systems. Participants reported modifying their daily living environments with increased use of technology and more time outdoors.
DISCUSSION AND IMPLICATIONS
Our findings emphasize older adults' active engagement with place and strategies used to maintain healthy aging despite public health restrictions. The results also identify place-based characteristics that may help overcome stressful circumstances from older adults' perspectives. These findings inform pathways to pursue to facilitate resiliency for aging in place.
Topics: Humans; Aged; Independent Living; Health Promotion; Pandemics; Housing; Aging
PubMed: 37417468
DOI: 10.1093/geront/gnad087 -
Journal of Environmental Psychology Dec 2020The Covid-19 pandemic has prompted a reconsideration, perhaps even a fundamental shift in our relationships with place. As people worldwide have experienced 'lockdown,'...
The Covid-19 pandemic has prompted a reconsideration, perhaps even a fundamental shift in our relationships with place. As people worldwide have experienced 'lockdown,' we find ourselves emplaced in new and complex ways. In this Commentary, we draw attention to the re-working of people-place relations that the pandemic has catalysed thus far. We offer insights and suggestions for future interdisciplinary research, informed by our diverse positionalities as researchers based in different continents employing diverse approaches to people-place research. The article is structured in two sections. First, we consider theoretical aspects of our current relationships to place by proposing a framework of three interdependent axes: emplacement-displacement, inside-outside, and fixity-flow. Second, we identify six implications of these dialectics: for un-making and re-making 'home'; precarity, exclusion and non-normative experiences of place; a new politics of public space; health, wellbeing and access to 'outside' recreational spaces; re-sensing place, virtual escapes and fluid places, and methodological and ethical considerations. Across these topics, we identify 15 key questions to guide future research. We conclude by asserting that learning lessons from the global pandemic is necessarily tentative, requiring careful observation of altered life circumstances, and will be deficient without taking relationships with place into account.
PubMed: 36540651
DOI: 10.1016/j.jenvp.2020.101514