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Open Access Publications from the University of California

Scholarly Works (6 results)

  • Thesis
  • Peer Reviewed
UC San Francisco Electronic Theses and Dissertations (2020)

Problem: As aging and urbanization trends converge, developing “age-friendly community initiatives” (AFCIs) has become a global movement and important policy area, aspiring to support people’s desires to age in place regardless of age, income, or ability level. This project interrogated how AFCIs have been operationalized in practice and in the lived experiences of older people. Methods: Situational analysis was a theory-methods package used to compare the conceptual frames undergirding AFCIs with expert knowledges and lay perspectives. Historical and literature reviews, participant observations, and semi-structured in-depth interviews were conducted with thirteen AFCI experts and seventeen older adults asked to chronicle their everyday lives using disposable cameras. Findings: The rational dreams of AFCIs and material realities of aging in place are misaligned. Older adults elucidated a moving tension between the daily interiority of identity and contingencies of a changing environment that produces a sensation characterized as the uncanny. The vicissitudes of life and precariousness of their positionalities exposed tactics for “passing” as creative forms of resistance to their expulsion from society. This revealed how there are normative structures around which formal systems or institutions involved with AFCIs could impinge upon older adults; highlighting society’s interest in ensuring they remain healthy and safe, lest they be a threat to themselves or burden on others. This project illuminated how aging in place finds meaning through the quotidian; the mundanity of this work is the crux of its poignancy. AFCIs form a biopolitical paradigm because they not only seek to rework boundaries between bodies and environments, they operate as modes of individual and population governance for the sake of health; yet, struggle to find ways to preserve the inclusion of older people in the ongoing social system. This project contributes to gerontological discourse and has theoretical and policy implications for aging in place inequities.

    Cover page: A Critical Analysis of Age-friendly Community Initiatives
    • Article
    • Peer Reviewed
    UC San Francisco Previously Published Works (2024)
    During the pandemic, many older adults felt out of place in their home, work, and community spaces with potentially long-term consequences for health and wellbeing. Using national data from the COVID-19 Coping Study, thematic analysis of online long-answer responses (n = 1171; mean age 68 years; 71% female; 93% non-Hispanic White; 86% with at least a 4-year college degree; data collected April-June 2022) identified four themes regarding why particular places are challenging since the pandemic onset: (1) viral exposure fears, (2) frustrating regulations, (3) uncomfortable and hostile social dynamics, and (4) out of place negative emotions. Participants also shared how they continuously address or adapt to place-based challenges through lifestyle adjustments and coping strategies. Novel findings may inform multi-scalar policymaking and interventions to support wellbeing in later life in times of stress and instability.
      Cover page: I just cant go back: Challenging Places for Older Americans since the COVID-19 Pandemic Onset.
      • Article
      • Peer Reviewed
      UC Berkeley Previously Published Works (2022)
      This article calls for gerontologists to engage with visual methods in qualitative research as an innovative tool for community-engaged research that has potential to advance social justice in gerontology. Reflections about using visual methods from the intersectional standpoint of the authors, 3 younger women of color, are presented. In Working the Hyphen, J. Yeh shows how interpersonal dynamics are fundamental to visual methods and that attention to identity can provide new insights into aging while also reconstituting existing power dynamics that researchers must carefully consider. In Employing Elicitation Techniques With Experts, L. Reyes discusses how a colonial lens limits understandings of civic participation and erases contributions of Black, Indigenous, and People of Color (BIPOC) older adults, proposing that elicitation techniques offer opportunities for BIPOC older adults to contribute their expertise to the research process and dissemination of findings beyond an academic audience. In Pedagogy and Practicality, H. S. Versey describes promises and complexities of scaling visual methods on multiple levels-teaching future generations of researchers the philosophy and practice of photovoice; negotiating university and community relationships through a service-learning project; and navigating identity between herself, her students, and research participants. In sharing our self-narratives, we integrate reflexivity into the research process and challenge power dynamics in knowledge construction.
        Cover page: Emancipatory Visions: Using Visual Methods to Coconstruct Knowledge with Older Adults.
        • Article
        • Peer Reviewed
        UC San Francisco Previously Published Works (2016)
          Cover page: Building Inclusion: Toward an Aging- and Disability-Friendly City
          • Article
          • Peer Reviewed
          UC San Francisco Previously Published Works (2018)
          BACKGROUND AND OBJECTIVES: The aim of this study was to examine the factors contributing to the social isolation of older residents of a high-crime neighborhood through the in-depth examination of their lived experiences. A deeper understanding of factors contributing to social isolation can allow policymakers and health care providers to create policies and programs to alleviate the social isolation of these vulnerable and understudied individuals. RESEARCH DESIGN AND METHODS: Participants were recruited through the support of the Housing Authority and Police and Fire Departments of Richmond, California, a town with a high-crime rate. Fifty-nine ethnographic interviews were conducted with 20 individuals of 58-95 years of age. Transcripts and fieldnotes were analyzed with a focus on the specific factors contributing the social isolation of participants. RESULTS: An overarching theme of tension between personal and structural factors of social isolation and desire for social integration emerged from qualitative content analysis. A tension emerged between a longing to participate in society and the immersion in a reality so dense with obstacles that made participation in society difficult to attain. Four specific themes also emerged. Three themes demonstrated underlying factors of social isolation stemming from the personal sphere and the physical and social environment. The fourth theme illustrated participants desire for social integration. DISCUSSION AND IMPLICATIONS: Findings demonstrate the salience of interventions and programs to make neighborhoods safe and accessible to older residents. Findings also suggest a need to reframe the conceptual framework for social isolation to better measure and alleviate this public health problem.
            Cover page: I Feel Trapped: The Tension Between Personal and Structural Factors of Social Isolation and the Desire for Social Integration Among Older Residents of a High-Crime Neighborhood.
            • Article
            • Peer Reviewed
            UC San Francisco Previously Published Works (2023)
            Californias In-Home Supportive Services (IHSS) program provides vital home care to low-income consumers, some of whom live with Alzheimers disease or related dementias (ADRD). Yet, most IHSS caregivers receive little or no training in dementia care. We present preliminary descriptive results of the IHSS + ADRD Training Project, a 10-week, competency-based, dementia training program, delivered online, for IHSS caregivers, in Alameda County. Increase in dementia knowledge and self-efficacy at training completion supports the importance of continuing and expanding this work.
              Cover page: Enhancing Dementia Knowledge and Self-Efficacy of In-Home Supportive Services Caregivers Through Online Training.
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