This article aims to estimate the association between age-friendly urban environments and psychosocial wellbeing in adults aged 55+ living in four Irish cities. Data is from the Healthy and Positiv...

Background. Health literacy has been separately associated with socio-economic status and worse health status and outcomes. However, the magnitude of the associations between health literacy and health status and outcomes may not be evenly distributed across society. This study aims to estimate and compare the associations between health status, health behaviours, and healthcare utilisation within different levels of social status in the Irish population. Materials and methods. Data from Ireland collected as part of the 2011 European Health Literacy Survey were analysed. General health literacy was measured on a 0–50 scale, low to high. There were four binary outcomes: long-standing health conditions, smoking, hospital visits in the last 12 months, and self-rated health status. Logistic regression analysis was conducted to estimate the likelihood of each health outcome. Health literacy was treated as the main independent variable. Marginal effects were calculated using the delta method to demonstrate the change in likelihood of each outcome associated with a 5-point increase in health literacy score. The sample was grouped into tertiles based on self-reported social status, and models were replicated and compared for each tertile. Models were adjusted for known correlates of health literacy and health: age, gender, and education. Analysis was conducted using Stata V14. Results. Higher health literacy scores were associated with a lower probability of having a limiting illness within the low social status group only. Higher health literacy scores were associated with a lower probability of three or more hospital visits in the past 12 months in the low and middle social status groups. For people in the low and middle social status groups, higher health literacy levels were associated with a lower probability of being a current smoker. The associations between health literacy and self-rated health status were similar in each social status group. Conclusions: Improvement in population health literacy may reduce the prevalence of long-term chronic health conditions, reduce smoking levels, and result in fewer hospital visits. Whilst improved health literacy should improve behaviours and outcomes in all groups, it should have a more marked impact in lower social status groups, and hence contribute to reducing the observed social disparities in these health outcomes.

Journal of Medical Internet Research - International Scientific Journal for Medical Research, Information and Communication on the Internet

Purpose: The purpose of this paper is to investigate the relationship between the age-friendliness of local environments and self-reported loneliness for a representative sample of community-dwelling adults aged 55+ in Ireland. Design/methodology/approach: Data were from the Healthy and Positive Ageing Initiative Age friendly Cities and Counties Survey (n=10,540) (2016). Several age friendly indicators, as proposed by World Health Organisation, were included in this study: outdoor spaces and buildings; access to social services; social participation; respect and social inclusion; and transport. Loneliness was measured using five items from the UCLA Loneliness Scale. Informed by an ecological approach to ageing, multi-level negative binomial regression models were used to investigate the association between each age friendly indicator and social loneliness. Models were adjusted for known demographic, socio-economic and health correlates of loneliness. Findings: Average loneliness scores were significantly higher for those in poorer health, who lived alone, were materially deprived and those never or formerly married. Lower ratings and poorer outcomes for several interrelated age friendly place-based factors were significantly associated with higher loneliness scores: difficulty with transport, difficulty accessing social services, barriers to community activities, lower social engagement, and experiences and perceptions of ageism in the community; however, the effect sizes were small. Originality/value: This study identified several modifiable age friendly features of local environments that are associated with loneliness in this older population. The results of this study can inform coordinated local and national efforts to enhance the age-friendliness of local environments and reduce the risk and experience of loneliness among the ageing population in Ireland.

Purpose: The purpose of this paper is to explore the association between experiencing ageism in the workplace and working conditions on perceived job sustainability among current workers aged 40 and over in Europe, within the context of positive and active ageing strategies and programmes. Design/methodology/approach: Data are from the 6th round of the European Working Conditions Survey (n=22,229), and the analytical sample contains adults aged 40 and older in 28 European Member States grouped by employment regime: social-democratic regime, corporatist regime, liberal regime, Southern European regime, post-socialist corporatist regime and post-socialist liberal regime. Perceived job sustainability estimated based on whether the respondent thinks (yes/no) that they can do their current job or similar role until the age of 60 or in next five years if the respondent is aged 56 and over. Experience of ageism in the workplace (yes/no) is self-reported. Generalised structural equation modelling was used to control for both individual- and organisational-level influences and to correct for potential endogeneity in estimating the impact of experienced ageism on perceived job sustainability. In addition, employment regimes are included in the model to investigate differences in this relationship by setting. Findings: Adults who have not experienced ageism are more likely to have positive perceptions of job sustainability, net of other factors and employment regime. Job sustainability is positively associated with age, being male, being in good health status and higher levels of work satisfaction. Research limitations/implications: The main limitation of this study is that data are cross-sectional, and time variant factors and individual fixed characteristics are excluded from the estimation. The results are influenced by the self-reported data about experienced ageism and evaluation of workplace environment, which may lead to potential endogeneity caused by unobservable personal characteristics such as personality type. Originality/value: Although the average reported prevalence of ageism in the workplace is 3.4 per cent across the 28 European Union Member States, this study shows that ageism imposes significant negative influence on current workers. This study has highlighted the interrelationship between ageism, workplace satisfaction and job sustainability in this comparative setting. Efforts to reduce ageism in the workplace are likely to lead to improved working conditions and job sustainability.

The objective of this study was to measure consensus among expert stakeholders on a set of positive aging outcome indicators in Ireland. Stakeholders from academic, public, and voluntary sectors and older people participated in a 3-round, online Delphi study to evaluate indicators for participation, security, healthy aging, attitudes to aging, and information access. Evaluation criteria included: acceptability, utility, accessibility, ranking, and balance and coherence. Consensus was achieved on 56 key indicators that are aligned with action areas in the National Positive Ageing Strategy. These indicators will be reported on a biannual basis to monitor progress in positive aging in Ireland.