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.

Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.

Does a longer life mean a healthier life? The number of adults over 65 in the United States is growing, but many may not be aware that they are at greater risk from foodborne diseases and their nutritional needs change as they age. The IOM's Food Forum held a workshop October 29-30, 2009, to discuss food safety and nutrition concerns for older adults.

Although philosophy, religion, and civic cultures used to help people prepare for aging and dying well, this is no longer the case. Today, aging is frequently seen as a problem to be solved and death as a harsh reality to be masked. In part, our cultural confusion is rooted in an inadequate conception of the human person, which is based on a notion of absolute individual autonomy that cannot but fail in the face of the dependency that comes with aging and decline at the end of life. To help correct the ethical impoverishment at the root of our contemporary social confusion, The Evening of Life provides an interdisciplinary examination of the challenges of aging and dying well. It calls for a re-envisioning of cultural concepts, practices, and virtues that embraces decline, dependency, and finitude rather than stigmatizes them. Bringing together the work of sociologists, anthropologists, philosophers, theologians, and medical practitioners, this collection of essays develops an interrelated set of conceptual tools to discuss the current challenges posed to aging and dying well, such as flourishing, temporality, narrative, and friendship. Above all, it proposes a positive understanding of thriving in old age that is rooted in our shared vulnerability as human beings. It also suggests how some of these tools and concepts can be deployed to create a medical system that better responds to our contemporary needs. The Evening of Life will interest bioethicists, medical practitioners, clinicians, and others involved in the care of the aging and dying. Contributors: Joseph E. Davis, Sharon R. Kaufman, Paul Scherz, Wilfred M. McClay, Kevin Aho, Charles Guignon, Bryan S. Turner, Janelle S. Taylor, Sarah L. Szanton, Janiece Taylor, and Justin Mutter

"Will 69 million baby boomers suddenly drop out of the workforce when they turn 65? It is difficult to imagine this generation, with its talent, education, and experience, idling away the last thirty years of life."—From the Foreword, by Robert N. Butler, M.D., The Mount Sinai Medical Center Old age has been historically thought of as a period of frailty and dependence, yet studies show that with the help of advances in health and medicine, current populations will live longer and remain healthier than previous generations. As average life expectancies rise, traditional concepts of retirement need to be reconsidered on all levels—from government policy to business practice to individual life planning. In this volume, leaders in the field of gerontology explore these changing conditions through the concept of "productive aging," which has been developed by leaders in the field to promote older adults' contributions to society in social and economic capacities. Productive Aging: Concepts and Challenges treats the implications of productive aging for the discipline of gerontology and for society in general. The first section defines the principles, historical perspectives, and conceptual frameworks for productive aging. The second section takes a disciplinary approach, treating the biomedical, psychological, sociological, and economic implications of a more capable older generation. The third section considers advances in theories of gerontology, and the fourth section suggests future directions in practice, theory, and research. Contributors: W. Andrew Achenbaum, University of Houston • Scott A. Bass, University of Maryland-Baltimore • Vern L. Bengtson, University of Southern California • James E. Birren, UCLA • Francis G. Caro, University of Massachusetts Boston • Carroll L. Estes, University of California-San Francisco • Marc Freedman, Civic Ventures (co-founder of Experience Corps) • James Hinterlong, Washington University • James S. Jackson, University of Michigan • Jane L. Mahakian, Pacific Senior Services • Harry R. Moody, Robert Wood Johnson Foundation • Nancy Morrow-Howell, Washington University • Philip Rozario, Washington University • James H. Schulz, Brandeis University • Michael Sherraden, Washington University • Alvar Svanborg, University of Illinois-Chicago and Goteburg University, Sweden • Brent A. Taylor, San Diego State University

This book is a collection of work on aging and development from authors from the global south. Aging is steadily evolving as a public health and social crisis for which countries of the global south are ill-prepared. The forces of development and improved public health services have ensured that human being live longer. But there is enough evidence that such longevity do not commensurate with good health. As such, many countries of the global south are seeing a booming population who are aging in poor health, without the necessary safety net to ensure quality of life. This book discusses work from Asia, Africa, and South America to explore the challenges facing older adults. Topics include: aging in institutions, living arrangements of older adults, food insecurity, social isolation, end of life migration, and policy papers. This is the first book to bring together varied perspectives on the situation of older adults, and the challenges and opportunities that lie in developing innovative, sustainable programs to support elderly care services.

Preparing for the Challenges of Population Aging in Asia discusses the challenges posed by a rapidly aging population and identifies needed research to help policymakers better respond to them. While the percentage of elderly people in nearly every nation is growing, this aging trend is particularly stark in parts of Asia. Projections indicate that the portion of the population age 65 and older will more than triple in China, India, and Indonesia and more than double in Japan between 2000 and 2050, based on data from the United Nations. Moreover, this demographic shift is coinciding with dramatic economic and social changes in Asia, including changing family structures and large-scale migrations from rural to urban areas. These trends raise critical questions about how nations can develop policies that best support health and economic well-being in large and growing populations at older ages. Governments in Asia still have time to determine the best ways to respond to the unfolding demographic transformation, but taking advantage of this window of opportunity will require new research to shed light on the status and needs of the aging population. Currently the research base on aging in this region is relatively underdeveloped. This book identifies several key topics for research to inform public policy, including changing roles in the family; labor force participation, income, and savings; and health and well-being of the public.