Social participation has tremendous implications for the physical and mental health of older adults. A growing body of Canadian literature has examined social participation among older adults, including frequency of participation; gender, age, and regional differences in participation; and associations with self-perceived health, loneliness, and life dissatisfaction. The current study adds to this important body of research, using a large, nationally representative sample of adults 45–85 years of age (Canadian Longitudinal Study on Aging [CLSA] baseline data [n = 51,338]), to examine nuanced characteristics associated with social participation (socio-demographics, social support, cognitive ability, mental health, physical conditions), frequency of participation, and the relationship between the aforementioned characteristics and frequency of participation. Findings indicated that compared with those who reported infrequent/no participation, more frequent participation was associated with greater social support, higher cognitive abilities, increased satisfaction with life, fewer depressive symptoms, reduced odds of self-reported mood and anxiety disorders, and fewer self-reported physical conditions. Findings highlight the importance of active social participation, and have important implications for the development and implementation of accessible community programs across Canada.

The collaborative involvement of legal and healthcare professionals is often crucial when managing the consequences of the difficult experiences of those seeking asylum and the impact of these on the construction of the asylum application itself. While such collaboration is not always possible, this article focuses on the experiences of lawyers specialized in immigration law, who are often faced with challenges that do not fall strictly within the legal sphere but must be understood in order to support a successful asylum claim. This article examines the different perceptions among these lawyers as to the scope and limits of their role in this context. Some place greater emphasis on the distinction between professions and the limits of each person’s role. Others appear to express a more nuanced perspective, proposing specific strategies to better manage certain aspects related to mental health in particular.

A prominent demographic trend throughout the industrialized world is population aging. Concerns about economic growth and labour force shortages have led many European nations to enact policies aimed at prolonging working life. Understanding how paid work among late-middle-aged and senior adults is associated with health is therefore important. Using a sample of persons who were 50–75 years of age in 2015 from waves six (2015) and seven (2017) of the Survey of Health, Ageing and Retirement in Europe (n = 38,884), this study shows how a comprehensive set of six workforce involvement/transitions patterns are associated with health. The results show benefits of paid work, especially among respondents having financial difficulties. There is further heterogeneity by gender. The more fragmented employment histories of 50–75-year-old women are associated with stable paid work being of less benefit for addressing financial difficulties and with their health being especially vulnerable to unemployment while they are undergoing financial troubles.

Although Canada's first documented case of COVID-19 appeared in mid-January 2020, it was not until March that messaging about the need to contain the virus heightened. In this research note, we document the use of the media's construction of risk through framing in the early stages of the pandemic. We analyze three dimensions of the health risk narratives related to COVID-19 that dominated Canadians’ concerns about the virus. To capture these narratives, we examine print and online news coverage from two nationally distributed media sources. We assess these frames alongside epidemiological data and find there is a clear link between media coverage, epidemiological data and risk frames in the early stages of the pandemic. It appears that the media relied on health expertise and political sources to guide their coverage and was responsive to the public health data presented to Canadians.

In this paper, osteological and archaeological data are brought together to further our understanding of childhood in the early Neolithic Linearbandkeramik culture (LBK; c. 5500–5000 cal BC). In many characterizations of LBK society, fixed representations of sex or identities based on subsistence strategies pervade, with children rarely considered and then only as a specialized and separate topic of study. As a challenge to this view, a summary of the current models of childhood in the LBK culture is presented and debated with reference to the burial rites of children. A period of ‘middle’ childhood is proposed for the LBK culture. The osteological evidence suggests that childhood could be a time of dietary stress, perhaps with sex-based differences from childhood, and examples of the diseases and traumas suffered are discussed. Finally, the possibility that the children were actively contributing to acts of personal violence is raised. While the recognition of identity making as a continuous process remains a powerful exploratory route to investigating prehistoric societies, we argue that this should not discourage us from seeing identity as formed over the entire lifecourse.

Few studies of older individuals have directly assessed secondary control beliefs, previously defined by Morling and Evered in 2006 as a combination of psychological adjustment and acceptance. We classified older adults (n = 223, M age = 85 years, 62% women) into three categories of secondary control beliefs: psychological adjustment only, psychological adjustment and acceptance, and neither psychological adjustment nor acceptance. Relative to individuals who emphasized beliefs about psychological adjustment only, those who emphasized a combination of secondary control beliefs (including both psychological adjustment and acceptance), reported more frequent positive emotions, greater life satisfaction, and less severe chronic conditions. Our findings have implications in both theoretical and applied contexts. Theoretically, our findings extend contemporary thinking on secondary control. In applied contexts, they suggest ways of thinking that could enhance well-being in the very old.

The association of health and disability factors on the perception of involuntary retirement in Canada was investigated with a multivariate logistic regression analysis of the 2006 Participation and Activity Limitation Survey data. The study investigated the role that choice or control plays in the decision to retire. Study participants were adults, with disabilities, aged 45 to 74 and who retired during the period 2001–2006. The analysis revealed that health at the time of retirement was not significantly associated with the perception of involuntary retirement, whereas disability characteristics were strongly associated with the type of retirement when health and other characteristics were controlled. Further, persons with disabilities who had to permanently retire because of their condition were eight times more likely to retire involuntarily than those whose conditions did not force involuntary retirement, suggesting the importance that control over the retirement decision has on the perception of involuntary retirement.

This article examines, on the basis of longitudinal data from the Canadian Survey of Labour and Income Dynamics, the effects of health and employer-provided pensions on retirement decisions, which have not been studied simultaneously in the Canadian context. The results indicate that employer-provided pensions have substantial and significant incentive effects on retirement behaviour. Having poor health substantially increases the likelihood of entering retirement, by up to 25 percentage points. The results corroborate previous evidence regarding the relative importance of attenuation and justification bias in self-reported health measures. Further, the results confirm U.S. and European evidence that employer-provided pensions and health are significant determinants of retirement.

This study examined the relationship between physical mobility, social integration and well-being in a subsample of 754 unmarried older community dwellers selected from Statistics Canada's 1985 General Social Survey. Also examined was the relationship of mobility; social integration with children, siblings, other relatives, and close friends; and social satisfaction with friend and family relations in predicting well-being. A cross-sectional design was used. Age, gender, marital status and living arrangements were included in the multiple regression analysis. Although no significant interactions were found between mobility and social integration, the results lend support to the importance of mobility and the quality, as opposed to the quantity, of social relationships to well-being. Mobility, satisfaction with friendships, being older and satisfaction with family relations were identified as the variables most strongly related to well-being. Research and practice implications are discussed.

To define policies to cope with the aging population of developed countries, one must combine several analytical dimensions in space and in time. Is there a contradition between short-term policies to contain the expansion of the care segment of health services and the potential increase in needs for the “old-old” segment of the population? How should policies aimed at the security of income be balanced with policies aimed at the organization of services, be they curative services or local services designed to protect the autonomy and dignity of the elderly? In this text, an attempt is made to put together the bits and pieces of the policy for aging puzzle.

Des problèmes de santé, des attitudes corporelles, le degré d'estime de soi et la satisfaction de vivre ont fait l'objet d'une évaluation portant sur 53 femmes âgées vivant deux situations différentes. Outre le fait que les 25 résidentes d'un foyer de personnes âgées (moyenne d'âge de 79,8 ans) étaient plus âgées, elles ont signalé davantage de problèmes de santé ainsi qu'une perception plus négative de leur corps que les 28 femmes demeurant à domicile (moyenne d'âge de 68,9 ans). Les différences observées, concernant les attitudes vis-à-vis le corps et la satisfaction de vivre, sont à attribuer davantage aux nombreux problèmes de santé signalés par les résidents des foyers de vieillards qu'aux différences d'âges et de conditions de vie. Cependant, et de façon très significative, les résidents des foyers de personnes âgées étaient beaucoup moins satisfaits de leur condition physique (entre autre l'agilité, la force, la coordination) que ceux demeurant chez eux, même si l'on tient compte des correctifs apportés au chapitre de l'âge et des problèmes de santé. Les résultats montrent également que chez les femmes âgées, les attitudes vis-à-vis leur corps sont reliés à l'âge, à la santé et à la satisfaction de vivre. En outre, ces résultats sont analysés sous l'angle de la nécessité d'assurer aux résidents des centres d'accueil l'occasion de pouvoir participer à des activités physiques et à des exercices.

This paper reviews the literature on the relation of coping and control processes to health outcomes in late adulthood and presents new data on relations between coping and control processes and health for 295 World War II veterans. The results for the veterans showed that health was positively associated with cognitive coping, and negatively associated with behavioural coping and avoidance. No association was found between perceived locus of control and health. These findings, together with those in the literature, were discussed in terms of their implications for future research on the role of coping and control in health maintenance and their significance for people working with older persons.

This paper presents a selective review of sociological gerontology in Canada, examining where it has been, where it is, and where it could go in the future in four general areas: inequality, population aging and the social construction of crisis; family relations and caregiving; work, retirement and income security; and health, health care systems, and health policy. This review suggests that the sociology of aging has not differentiated itself by the topic studied or by its applied and empirical focus, but rather in its unique perspective that reveals the importance of social structures for the personal and private experience of aging. In doing so, sociological gerontology rejects deterministic assumptions ofinevitability. The importance of relating the personal to the public and of continuing a critical examination of existing trends will continue into the future. An additional challenge will be the generation ofnew knowledge on how to transform institutions so that they better enhance the quality oflife ofseniors, including the identification of support of family structures and community environments, as well as more appropriate health and income security policies. This also includes research on effective and appropriate means of introducing new structures and implementing new policies and programs within the context of current social institutions.

The purpose of this paper is to explore occupational health issues among employees of home care agencies. Results of a survey of 892 office and visiting employees of three not-for-profit home care agencies and focus group discussions show that employees of home care agencies experience high levels of stress, tiredness and exhaustion. This work-related stress is most acutely felt by those in managerial occupations, nurses and therapists. When compared to findings from the Canadian National Population Health Survey, employees of home care agencies are found to be significantly more likely than all working women to suffer from allergies, asthma, arthritis or rheumatism, back problems, high blood pressure, migraine headaches, and work-related injuries in the past year. Many employees of home care agencies suffer pain or discomfort in several body locations. Visiting employees of home care agencies suffer from sprains or strains, dislocations, fractures, and bruises as a result of lifting or moving clients, bending or straining, accidental falls, repetitive motion injuries, and motor vehicle accidents. Home care office staff suffer from repetitive strain injuries and respiratory illness. Implications for policy and research are discussed.

Palmore, Nowlin, and Wang (1985) posit a theoretical framework in which to predict the health status of older adults over time as a function of social, economic, physical and mental health variables. The current study provides the first independent, empirical test of this model based upon longitudinal data derived from a representative sample of older British Columbians. The results of this study support the basic structure of the Palmore model; however, various revisions were required to improve the fit of data. Findings indicate that demographic and socio-economic variables have a direct effect upon functional status at baseline. Results further suggest significant consistency in the functional status of older adults over a two-year interval. Directions for future research as well as limitations of the current study are discussed.

Little comparative research exists on health experiences and conditions of minority groups in Canada and the United States, despite both countries having a racially diverse population with a significant proportion of immigrants. This article explores race and immigrant disparities in health and health care access across the two countries. The study focus was on middle and old age given the change and increasing diversity in health and health care policy, such as Medicare. Logistic regression analysis of data from the 2002–2003 Joint Canada/United States Survey of Health shows that the joint effect of race and nativity on health outcomes – health differences between native and foreign-born Whites and non-Whites – is largely insignificant in Canada but considerable in the U.S. Non-White native and foreign-born Americans within both 45-to-64 and 65-and-over age groups experience significant disadvantage in health status and access to care, irrespective of health insurance coverage, demographic, socio-economic, and lifestyle factors.

The study’s purpose was to evaluate the psychometric properties of the short form of the Daily Spiritual Experience Scale (DSES) in an elderly French population. Two studies were conducted to examine the psychometric properties of the DSES. Results of factor analysis (studies 1-2) and confirmatory factor analysis (Study 2) indicated that the DSES can be conceptualized on a single general factor. The reliability of the DSES appeared to be satisfactory with good internal consistency (studies 1-2) and good temporal stability (Study 2). As expected, higher scores were correlated with good life satisfaction and good self-evaluation of health, but no correlation was found with depression. Study results provided preliminary evidence of the psychometric properties of the French translation of the DSES short version. This short version indicates the potential benefit of encouraging the spiritual aspects of life and could be used in a variety of health-related research.

This study examined the relationships between culture and the health status of older Chinese in Canada. Data were collected through face-to-face interviews with a cross-sectional, randomly selected sample of 2,272 older Chinese between 55 and 101 years of age in seven Canadian cities. Health status was assessed by the number of chronic illnesses, by limitations in ADL and IADL, and by information on the Medical Outcome Study Short Form SF-36. Although cultural variables explained only a small proportion of variance in health status, having a stronger level of identification with traditional Chinese health beliefs was significant in predicting physical health, number of illnesses, and limitations on IADL. Other cultural variables, including religion, country of origin, and length of residence in Canada, were also significant in predicting some health variables. Interventions to improve health should focus on strategies to enhance cultural compatibility between users and the health delivery system.

The demographic aging of the Registered Indian population suggests that the social, economic, and health conditions of older Registered Indians will be increasingly important for communities and policymakers. We have adapted the United Nations Development Program's Human Development Index using data from the Census of Canada and the Indian Register to measure whether improvements seen in the knowledge, standard of living, and health of the Registered Indian population between 1981 and 2001 are also observed among Registered Indians of older ages. The absolute levels of well-being of older Registered Indians were found to have improved, but gaps with other older Canadians had widened, particularly in terms of income and male life expectancy.

Data from the Canadian Labour Force Survey (1997) reveal that relatively few mid-life women offer ill health as a reason for leaving their job or downshifting to part-time employment, implying that the role of ill health may be inconsequential in effecting changing patterns in mid-life women's labour force activity. In contrast, interviews with 30 mid-life women (aged 40 to 54 years) illustrate that, although they do not offer illness as their main reason for leaving their job or working part-time, health is a determining factor. This research also maps the complex relationship between work and ill health, showing that stressful working conditions (due to funding cuts and policy changes) affected the mental and physical health of this group of mid-life women, which, in turn, influenced their decision to change their labour force activity. The author concludes that policy makers must recognize that ill health may be under-reported among mid-life women in large surveys and that research is needed that specifically examines women's working conditions as they relate to health. Such research should not be based solely on large surveys but must also include qualitative studies that capture women's experiences.