The Effects of Loneliness, Stigma, and Social Support on the Health and Mental Health of Older Populations

A special issue of Social Sciences (ISSN 2076-0760).

Deadline for manuscript submissions: closed (31 March 2024) | Viewed by 2407

Special Issue Editors


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Guest Editor
William James Center for Research, ISPA—Instituto Universitário, 1149-041 Lisbon, Portugal
Interests: LGBT+ families; parenting aspirations; LGBT+ health; lifecourse development; minority stress; sexual stigma; LGBT+ aging
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Co-Guest Editor
William James Center for Research, ISPA—Instituto Universitário, 1149-041 Lisbon, Portugal
Interests: LGB aging; loneliness; sexual health; minority stress; ageism

Special Issue Information

Dear Colleagues,

By 2050, the older world's population is expected to double to nearly two billion (22% of the world's population). These demographic changes highlight the need to promote the health and well-being of older populations. However, two biopsychosocial phenomena stand out as potential major public health pandemics with major negative impact on the mental health of older adults: loneliness and stigma.

Studies from several countries indicate that between 19% and 30% of older people report feeling loneliness. In addition, data from the World Health Organization from 57 countries indicate that 60% of the general population acknowledges that older adults do not receive the respect they deserve. Meta-analyses have recently found that loneliness increases the risk of dementia, stroke, and overall mortality, whereas other systematic data from 45 countries found that in 95% of the studies, ageist stigma led to negative mental health outcomes. Loneliness and stigma are expected to increase in the coming decades due to the population aging trend, the absence of policies to address these problems efficiently, and the lack of evidence from applied interventions that contribute to the improvement of mental health by reducing the impact of these two phenomena on older adults.

The chronicity of stigma, loneliness, and stress can have significant consequences on the health and mental health of older populations. In particular, older sexual minorities (lesbian, gay, bisexual) are faced with inequalities at various levels, including worse health indicators and poorer levels of adjustment and subjective well-being, when compared to the general older population, due to the impact of minority stress and sexual stigma. In contrast, protective variables, such as connectedness to the LGBT+ community, social support, and resilience, have been shown to play important roles in reducing the negative impact of minority stress and stigma.

You may choose our Joint Special Issue in Healthcare.

Dr. Pedro Costa
José Alberto Ribeiro-Gonçalves
Guest Editors

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Keywords

  • loneliness
  • discrimination
  • ageism
  • stigma
  • sexual stigma
  • older people
  • stress
  • well-being
  • social resources
  • resilience

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Published Papers (2 papers)

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Research

15 pages, 971 KiB  
Article
Neglect in Older Adults: A Sociodemographic and Health Approach in the Portuguese Context
by Joana Correia Jesus, Sofia von Humboldt, Luisa Soares and Isabel Leal
Soc. Sci. 2024, 13(8), 419; https://doi.org/10.3390/socsci13080419 - 9 Aug 2024
Viewed by 508
Abstract
Southern European countries have shown indicators of accelerated aging. In Portugal, a particularly worrying aspect of this reality lies in the relationship between the aging process and the incidence of violence in older adults, as the degree of dependence and/or health status becomes [...] Read more.
Southern European countries have shown indicators of accelerated aging. In Portugal, a particularly worrying aspect of this reality lies in the relationship between the aging process and the incidence of violence in older adults, as the degree of dependence and/or health status becomes a significant risk factor for the occurrence of violence. The objectives of the present study were (1) to assess the risk of violence and indicators of neglect in Portuguese older adults; (2) to examine the differences in neglect indicators according to sociodemographic characteristics and health habits. The final sample consisted of 1012 Portuguese older adults aged 65 or over. Participants were asked about sociodemographic characteristics and health habits. The risk of violence was measured using the Vulnerability to Abuse Screening Scale, and the neglect subscale of the Elder Abuse: A Multinational Prevalence Survey was used to evaluate indicators of exposure to neglect in the past year. The results show that approximately 27% of the population presents values of risk to violence. One-tenth of participants were exposed to low levels of neglect indicators and slightly fewer people (5%) were exposed to higher levels of neglect indicators. There are significant differences regarding exposure to neglect according to the age groups, gender, and marital status, depending on the living situation, years of retirement, practice of physical exercise, existence of chronic disease, alcohol consumption, and frequency of leaving home. Full article
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18 pages, 1774 KiB  
Article
A Life Course Approach on Older Portuguese Gay and Bisexual People: The Multifactorial Development of Sexual Identity
by José Alberto Ribeiro-Gonçalves, Maria Gouveia-Pereira, Renato Gomes Carvalho, Pedro Alexandre Costa and Isabel Leal
Soc. Sci. 2023, 12(11), 615; https://doi.org/10.3390/socsci12110615 - 3 Nov 2023
Cited by 2 | Viewed by 1497
Abstract
Research shows that successful development of sexual identity is essential for healthy and well-adjusted ageing. Gay and bisexual (GB) older people have experienced cumulative events throughout their lives that may have affected the development of their identity. In addition, the few previous studies [...] Read more.
Research shows that successful development of sexual identity is essential for healthy and well-adjusted ageing. Gay and bisexual (GB) older people have experienced cumulative events throughout their lives that may have affected the development of their identity. In addition, the few previous studies show an alarming lack of community connectedness among older GB people in Portugal. This study assessed the factors that have contributed to the development of sexual identity in Portuguese GB older adults throughout their lives, using an inductive qualitative cross-sectional approach based on Life Course Theory. Twenty-two semi-structured interviews were carried out with older (60+ years) GB people living in the community and using the lifeline technique. The interviews were analyzed using thematic analysis with a codebook approach. Results suggest a multifactorial contribution of factors throughout the life cycle that have affected the development of GB older people’s sexual identity. These include historical–cultural factors (e.g., sexual repression and traditionalism of the dictatorship), psychosocial factors (e.g., cumulative sexual stigma), relational factors (e.g., relational clandestinity) and intrapersonal factors (e.g., concealment of sexual orientation). The existence of the Internalized Sexual Minority Disconnectedness phenomenon and its contribution to the formation of the sexual identity of older GB adults were also verified. These results reveal important clues about the development of older GB people in Portugal and the factors that may be affecting the current invisibility of these people in the social and health-related context. Relevant implications for the clinical context are also discussed. Full article
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