The present volume in our series follows the format of the immediately in dealing with a topical theme of considerable impor preceding ones tance in the environment and behavior field. In view of current and projected demographic trends, it is a certainty that a broad-ranging set of issues concerned with the elderly and the physical environment will continue to be of focal pertinence-if not of increasing importance--in the remaining decades of this century. The present volume also follows in the tradition of earlier volumes in the series in being eclectic with respect to content, theory, and meth odology and in including contributions from a variety of disciplines, such as anthropology, economics, psychology, geography, and urban and regional planning. To have encompassed the whole array of disci plines and topics in this emerging field in a single volume would have been impossible. We trust that the sample of contributions that we have selected is provocative and that it will illustrate the range of problems and topics and point to promising areas of study and analysis. We are pleased to have M. Powell Lawton as a guest co-editor for this volume. His broad-ranging expertise, perceptive judgment, and fine editorial talents have contributed enormously to the volume.

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This report examines the relationships between aging and exposure to environmental agents (including natural and man-made agents, as well as life-style factors). Several relationships must be considered--the impact of intermittent or lifelong exposure to environmental agents on the rate of aging, the impact of lifelong exposure on health status when one reaches more advanced age, and the special response of the aged compared with that of the young when exposed to environmental agents.

Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.

This book looks at the relationships between the physical-social environment and the elderly in Europe and Latin America, from the Environmental Gerontology perspective and through geographical and psychosocial approaches. It addresses the main environmental issues of population ageing, based on an understanding of the complex relationships, adjustments and adaptations between different environments (home, residence, public spaces, landscapes, neighbourhoods, urban and rural environment) and the quality of life of the ageing population, associated with residential strategies and other aspects related to health and dependency. The different levels of socio-spatial analysis are also explored: macro (urban and rural environments, regions and landscapes), meso (neighbourhood, public space) and micro (personal, home and institution). New theoretical and methodological approaches are proposed to analyse the attributes and functions of the physical-social environment of the elderly, as well as new ways of living the ageing process. All will have to respond to the challenges of urbanisation, globalisation and climate change in the 21st century. Also, the different experiences and challenges of public planning and management professionals involved with the growing ageing population are presented, and will require greater association and collaboration with the academic and scientific fields of Environmental Gerontology.

The nature and consequences of aging depend on its environmental context, and the literature does not treat the various environmental dimensions in an integrated fashion. The authors introduce a general approach to the human ecosystem, highlighting theoretical and empirical issues necessary to an understanding of person-environment interaction related to aging. They then investigate in detail three aspects of the environment of older persons: residential and neighborhood, interpersonal support networks, and age-related attitudes. They give specific attention to the impact of the age composition of neighborhoods and interpersonal networks. The authors present findings from their interview survey of 1,185 community residents aged 60 and over. Major findings from the interviews include: Despite objective neighborhood problems, older persons express high neighborhood satisfaction. This partly reflects limited residential options, as well as a passive and vicarious spatial experience. The environment is experienced in diverse ways; however, urbanism and personal competence shape the nature and outcomes of person-environment interaction. Older persons have relatively robust interpersonal support networks. Perceived sufficiency of contact and support are more salient to morale than are more objective measures of interpersonal support. Although attitudes toward other older people are generally favorable, patterns of age identity reflect a detrimental view of aging. There is little evidence that socialization for aging or age-group solidarity make aging “easier” in this regard. Older persons exhibit moderate age homogeneity within their interpersonal networks, partly reflecting neighborhood age concentration. Contrary to the apparent benefits of planned age-segregated housing, age homogeneity in neighborhoods and networks does not contribute to well-being. The authors examine three major themes in their concluding chapter; age itself does not “loom large” in the lives of these community residents, though age becomes salient under certain conditions; there is diversity in the implications of the environmental context for aging, in particular reflecting an “environmental docility” hypothesis; and aging must be viewed in interactional or transactional terms—older people “construct” the environment as a subjective entity.