Scoping study of definitions and instruments measuring vulnerability in older adults

Levasseur, Mélanie; Lussier-Therrien, Marika; Biron, Marie Lee; Dubois, Marie‐France; Boissy, Patrick; Naud, Daniel; Dubuc, Nicole; Coallier, Jean-Claude; Calvé, Jessica; Audet, Mélisa

doi:10.1111/jgs.17451

Cited by 12 publications

(8 citation statements)

References 72 publications

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“…The results of this study are twofold: First, by creating a continuous latent variable to represent different degrees of vulnerability, the concept of vulnerability becomes multidimensional and contributes to the current debate over the conceptualization and operationalization of vulnerability [ 17 ]. Second, the analyses reveal a negative correlation between this construct and life satisfaction, but that this relationship is mitigated by social support.…”

Section: Discussionmentioning

confidence: 99%

“…Advantages and disadvantages in old age with regard to health, social relations and financial situation on the individual level are described to emerge within a cumulating process over the life course [ 6 , 9 ], which leads to increasing heterogeneity in higher age groups [ 4 ]. Considering these aspects, a significant dispersion of vulnerability among older adults is expected with varying outcomes [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

“…Recent research takes up the idea of heterogeneity in old age and has criticized the empirical implementation of the different dimensions of vulnerability to decreased life satisfaction as merely isolated influencing factors. The simultaneous occurrence of risks in different life domains is usually ignored [ 17 , 22 ], although inequality research implies that financial, health-related and social disadvantages in old adulthood interact with one another resulting in an accumulation of adverse effects on life satisfaction [ 2 , 26 ]. Following this argument, Shin et al.…”

Section: Introductionmentioning

confidence: 99%

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Multidimensionale Vulnerabilität bei älteren Menschen in Deutschland

2022

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Background Multidimensional vulnerability among older adults, characterized by low levels of individual resources in different life domains, has been insufficiently studied. This phenomenon is considered to be associated with a marked decrease in overall life satisfaction. Social support is supposed to buffer the negative effect of multidimensional vulnerability on life satisfaction. Methods Analyses are based on the German Health Update dataset (GEDA 2014/2015-EHIS). The analytic sample includes respondents ≥ 65 years (N = 5826). Confirmatory factor analyses were performed to construct a latent variable from the indicators income poverty, activities of daily living (ADL) limitations, multimorbidity, mental problems, and living alone. Multivariate linear regression models estimate the relationship between vulnerability and life satisfaction with a special focus on the interaction between vulnerability and social support. Results The analyses supports the multidimensional construct of vulnerability. Social support considerably moderates the negative relationship between vulnerability and life satisfaction. As the degree of vulnerability increases, the influence of social support becomes more pronounced. Conclusion The assessment of vulnerability as a multidimensional construct helps to depict the life situation of older people in a more differentiated way. Vulnerable older adults with a small or unreliable social network while finding it difficult to access practical help need additional external social support to achieve a high level of life satisfaction.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Multidimensionale Vulnerabilität bei älteren Menschen in Deutschland

2022

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“…Thereby it is highlighted that vulnerability is value-laden and at the same time under-theorized as a concept (Sanchini et al 2022 ). Much more, terms such as frailty, dependence, or loss of autonomy are often used interchangeably with vulnerability (Levasseur et al 2022 ). Considering a prevalent understanding of autonomy common in the context of health care, in which persons are predominantly viewed as rational agents that can actively decide and therefore protect themselves, vulnerability is seen where autonomy (in this perception) is diminished or absent (ten Have 2016 ).…”

Section: Notions Of Vulnerabilitymentioning

confidence: 99%

Vulnerability, ageism, and health: is it helpful to label older adults as a vulnerable group in health care?

Langmann

2022

Med Health Care and Philos

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Despite the diversity of ageing, society and academics often describe and label older persons as a vulnerable group. As the term vulnerability is frequently interchangeably used with frailty, dependence, or loss of autonomy, a connection between older age and deficits is promoted. Concerning this, the question arises to what extent it may be helpful to refer to older persons as vulnerable specifically in the context of health care. After analyzing different notions of vulnerability, I argue that it is illegitimate to conclude that older age is related to increased vulnerability. Much more, identifying older adults as a vulnerable group is closely related to ageism and can be associated with paternalistic benevolence and a tendency to overprotection, especially within health care. Additionally, even though older adults are more often in situations of increased vulnerability due to their potentially higher need for health care, I argue further that older adults mainly become a vulnerable group due to ageism. In this way, it can be concluded that the vulnerability of older adults does not originate in certain attributes of the group, but arises from a characteristic of society and, in turn, health personnel, namely ageism. Labeling older adults as vulnerable therefore is only helpful, when it is used to raise awareness of the widespread ageism in society, in this context, especially in the setting of health care, and the negative consequences thereof for older adults.

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“…Uma das formas de evitar o isolamento social é pensar em estratégias que favoreçam a participação social do idoso na sociedade, de modo que tenha uma vida significativa, promovendo sua saúde e prevenindo doenças. Cabe, porém, esclarecer que mesmo em países industrializados, muitos idosos não têm oportunidades equitativas para alcançar uma participação social plena devido a, por exemplo, a falta de acesso a ambientes sociais, atividades socialmente benéficas e meios de informações relevantes para um desenvolvimento intelectual ativo (Levasseur et al, 2022). Research, Society andDevelopment, v. 11, n. 12, e510111234860, 2022 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v11i12.34860 3 Ao entender que a participação social dos idosos é vital para o envelhecimento ativo, salienta-se que as necessidades dos idosos vão além e devem ser contempladas de modo mais abrangente, assim é fundamental que os idosos sejam protagonistas nas decisões e ações que lhe dizem respeito (Pichora-Fuller et al, 2016;Levasseur et al, 2020).…”

Section: Introductionunclassified

Fatores que interferem na participação social de idosos com perda auditiva

Santos

Morais

Lacerda

et al. 2022

RSD

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No decorrer das últimas décadas a discussão sobre ações e fatores que favoreçam uma comunicação mais efetiva de idosos com perda auditiva tornou-se meta de muitos profissionais. Objetivo: Analisar a visão de idosos com perda auditiva, usuários e não usuários de Aparelhos auditivos (AASI), acerca de fatores que influenciam sua participação social. Método: Os participantes desta pesquisa foram recrutados em uma clínica-escola de Fonoaudiologia credenciada ao SUS, localizada na região sul brasileira e foram divididos em 2 grupos: Grupo 1 n=51 -idosos com perda auditiva usuários de AASI, grupo 2 n=31-idosos com perda auditiva não usuários de aparelho de amplificação sonora individual (AASI). Foram aplicados os seguintes instrumentos:1) questionário para delinear as características sócio demográficas das duas populações, 2) instrumento internacional (LIFE H 3.1) e 3) questionário (HHIEs). Resultados: Alguns fatores que interferem na participação social de idosos de ambos os grupos, foram: moradias precárias, baixa aposentadoria, poucos recursos financeiros que dificultam o acesso a saúde. Na aplicação do HHIES não foram encontradas diferenças significativas entre os grupos; já no LIFE-H 3.1 houve diferenças significativas no cruzamento com a perda auditiva no Grupo 01 para a área da Comunicação e no Grupo 02 para as áreas Condicionamento físico e Educação (p=0,36). Conclusão: A falta de recursos pode levar ao idoso com perda auditiva a uma vida sem lazer e interações salutares. O AASI se mostrou um dispositivo importante para que os idosos com perda auditiva possam melhorar suas relações sociais e as interações com os outros.

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Scoping study of definitions and instruments measuring vulnerability in older adults

Cited by 12 publications

References 72 publications

Multidimensionale Vulnerabilität bei älteren Menschen in Deutschland

Multidimensionale Vulnerabilität bei älteren Menschen in Deutschland

Vulnerability, ageism, and health: is it helpful to label older adults as a vulnerable group in health care?

Fatores que interferem na participação social de idosos com perda auditiva

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