According to the 2010 Census, 5.2 million people identified themselves as American Indian or Alaska Native (AIAN) in the United States. This was an increase of 39% from the prior Census, making AIANs one of the nation's fastest growing populations. The health and social programs reaching them, however, have experienced documented devastating shortfalls. Decades of inadequate resources have resulted in significant health and socioeconomic disparities. AIANs are often considered an "invisible minority." In 2012, there were 266,000 AIAN elders 65 or older who claimed one race alone. That number is projected to almost triple by 2030-when the nation's baby boomers move into the ranks of the older population. This article provides an overview of two primary mental health issues-depression and dementia-that will confront this emerging AIAN elder population. Although other health and social issues exist, this article addresses depression and dementia because they are hidden from the community and from health care agencies. This paper focuses both on the unique characteristics of the AIAN population and why it is important to address depression and dementia. The conclusion explores pragmatic policy recommendations for improving the health and long-term mental health care status of AIAN elders.
The 2010 US Census recorded 40.3 million residents aged 65 years and older mostly living in urban environments that were not originally designed for older adults. This potential social and spatial mismatch is made worse by the unavoidable decline of physical adaptability that could come in older age. Ultimately, within residential settings that have remained mostly unaltered for decades, diminished physical and cognitive capacity can force older adults to face undesired and, most importantly, unplanned transformations of their established routines in everyday life. The article expands on Pierre Bourdieu's concept of habitus and body capital to advance the need for research on the interaction between bodies and places. By highlighting theoretical arguments that express dissonance between aging populations and built environments, the paper further explores the concept of habitus. Of importance is how diminished body capital not only changes habitus, but also changes how other people see older people, contributing towards ageism. The conclusion addresses how the European ENABLE‐AGE project and the World Health Organization Age‐Friendly cities are developing processes to mitigate this change.
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