1. 9/12/20151 Gerontology 300 Introduction Prof. Worsfold

2. 9/12/20152 Introduction I would like to introduce myself, your Instructor and my graduate assistant-TM- Melissa- and then to get you to tell us a little bit about yourselves and why you are taking this course. Information on the Gerontology Department, library and support services

3. 9/12/20153 Topics of Discussion In this lecture we will introduce the course, go over the outline and the assignments and some of the administrative arrangements to complete the program.

4. 9/12/20154 Topic One Healthy aging: What is it? What are the ongoing processes in response to aging events and transitions? What are the areas of concern for the aging Adult in our society?

5. 9/12/20155 Healthy Aging Areas to address are: Health both mental and physical Independence and functional loss Life satisfaction across the aging spectrum-Attitudes towards aging Finances and Economics Housing Social Integration

6. 9/12/20156 Health Aging Gerontology is the study of aging in its bio-psycho-social manifestations. We must also add the spiritual component Social Gerontology draws on research from the social sciences and medicine to identify successful aging and to address areas of concern-physical and mental frailty

7. 9/12/20157 Healthy Aging Successful aging has social and individual implications: areas of public policy, lifestyle, interpersonal relationships and community development. In Canada this is done with a back- drop of both individualistic, capitalistic and socialistic structures in our society

8. 9/12/20158 Healthy Aging Studying aging processes requires both scientific and descriptive analysis. Ageism as a social attitude-Introduction and Chap. One Chronological age has definitive markers-age breaks: young-65-74, middle-75-84 and old/old 85 + Studies on cohort aging gives us valuable information (Stats Can)

9. 9/12/20159 Healthy Aging Studies also include: social roles and role changes in the aging process, and attributes of attitudes and beliefs, cultural and gender issues, social and economic status. This reviews such issues as retirement, changes in marital status, extended parenting, end of life issues

10. 9/12/201510 Assessing Population Aging There are three measures of pop aging: 1. The percentage of population 65 and over. If 10% of pop is over 65 it is considered old.The the percentage increases the pop ages. Why 65? Look at Course Fact Book Reader and page 27 Textbook 2. Median age-median-one half pop is older and one half is younger. When median age increases pop is considered aging. Stats Can-2000-36.8

11. 9/12/201511 POP AGING 3. Dependency Ratios-social burden-aged dependency ration-no of people 65 and over as a ratio of persons 15-64. Stats Can 2000 183/1000. These numbers are affected by fertility and mortality rates. Dependency ratios are also only tied to paid labor.( pages 28-29 Text)

12. 9/12/201512 How has Canada’s pop aged? Factors which influence aging-1. Baby Boomers-born1946-1962. They will enter old age in 2011-2027 2. Aging of current pop-In 2000 3% of pop were 80+ whereas in 1961 it 1.4% Fertility-when it declines the pop ages-urbanization, cost of raising a family, women’s participation in the labor force, effective measures to control reproduction.

13. 9/12/201513 POP AGING Look at pop pyramids-Fig 1.2-Course Reader-Fact Book Mortality decline and increased life expectancy which impact longevity and life-span. Two kinds of life-expectancy- dependency free and chronic disability- the concept of Compression Ratio is more people are able to postpone chronic disability. This is gender related given the life expectancy data.

14. 9/12/201514 Healthy Aging Functional Age: This looks at issues such as appearance, capability, movement from independence to frailty Subjective Age: This is influenced by social class and self-identity and media influences. Discuss examples

15. 9/12/201515 Cohort studies Cohort studies examine aggregations of data gathered for like groups of individuals who are experiencing the same events in the same time intervals Cohort aging is the continuous advancement of the cohorts own life span

16. 9/12/201516 Cohorts There are five distinct cohorts in the 20 th Century: 1910-1926-Swing Generation, 1927-1945-Silent Generation, 1946-1964-Baby Boomers, 1965-1976-Baby Bust and 1977-1994-Echo Boomers Cohorts vary in race, gender, ethnic composition and size

17. 9/12/201517 Structural Change Here we must look at issues that affect aging such as: Culture and Institutions Contexts in which we age Social units such as families and kinship structures Educational systems, health care, social welfare programs

18. 9/12/201518 Ageism New ageism presents itself in the form of patronization, lack of autonomy, denial of emotionality and media presentation on how the elderly are portrayed and represented or what they are excluded from.

19. 9/12/201519 Ageism Lets look at Print: Novels, Newspapers and Journals both popular and scientific Film: About Schmidt, On Golden Pond, Notebooks, Life with Ivy etc. Examine the positive and negative presentations

20. 9/12/201520 Ageism This the issue of stereotyping the elderly and affects attitudes, policies, media, interpersonal relationships, attributes, categories and power. Lets review some examples from personal experience

21. 9/12/201521 CAUSES OF DEATH As the pop ages, the causes of death change and most death occurs in Canada in old age. Epidemiological Transition Theory- historical transitions-plagues, pestilence and famines to pandemics, chronic diseases and infectious diseases. This is also impacted by socioeconomic development

22. 9/12/201522 CAUSES OF DEATH IN CANADA Chronic and Degenerative disease- heart disease, stroke, neoplastic diseases, respiratory diseases. Gender related-females have lower mortality rates, but this decreases with age and begins to even out with some exceptions-stroke and suicide-read pages 16-21 in the Fact Book

23. 9/12/201523 What This Means Gerontology is a broad area with both social and psychological concerns as well as medical and biological studies of the aging process. This is then pasted into an economic and cultural background and modulated by education and experience.

24. 9/12/201524 Next Steps Our next lecture will look at the Theories of Aging and will examine how we approach the study of aging within certain frameworks