Tag Archives for AARP

Seniors say they hesitate to mix healthcare and matters of faith

Published in RINewsToday on December 26, 2022

When it comes to matters of one’s personal beliefs, most seniors choose to keep their health care and their spiritual or religious lives separate, a new University of Michigan poll finds. But they do see a role for their health care providers in assisting them to cope with illness by looking for meaning or hope.

The National Poll on Healthy Aging (NPHA) is based at the U-M Institute for Healthcare Policy and Innovation (IHPI) and supported by AARP and Michigan Medicine, U-M’s academic medical center.

For this new NPHA report, the poll team worked with Adam Marks, M.D., M.P.H., a hospice and palliative care physician at Michigan Medicine, and L.J. Brazier, M.Div., a chaplain at Michigan Medicine’s Department of Spiritual Care.

The poll report is based on findings from a nationally representative survey conducted by NORC at the University of Chicago for IHPI and administered online and via phone in July 2022 among 2,163 adults, aged 50 to 80. The sample was subsequently weighted to reflect the U.S. population. 

Religious and Spiritual Beliefs and Health Care Decisions

According to new data from the National Poll on Healthy Aging (NPHA), released on Dec. 12, 84% of people between the ages of 50 and 80 say that they have religious and/or spiritual beliefs that are somewhat, or very important to them, including 71% who cited religious beliefs and 80% who cited spiritual beliefs.  About 40% of these older adults say those beliefs have gotten more important to them as they grow older. 

NPHA’s poll findings indicate that women were more likely than men (63% vs. 46%) to report that religious or spiritual believes were important, as those living in the South and Midwest (61% and 59%) compared to those in the West and Northeast (51% and 43%).

In addition, the researchers found that older adults with lower levels of education were also more likely to report religious and spiritual believes as being very important (61% high school or less, 56% some college, 47% bachelor’s degree or higher), as were those with annual household incomes less than $100,000 compared to those with $100,000 or more (59% vs. 43%).

Among older adults with religious or spiritual beliefs that are important to them, 19% say their beliefs have influenced their health care decisions, and 28% say they want health care providers to ask them about their beliefs, note the researchers.

Meanwhile, 77% of all older adults, regardless of beliefs, say health care providers should keep their own personal beliefs separate from how they deliver care.

“While 45% of older adults say their religious beliefs are very important to them, and 50% say that about their spiritual beliefs, even this group largely wants to keep this aspect of their lives separate from their health care,” says Marks, an associate professor of geriatric and palliative medicine, in a Dec. 12 statement announcing the poll’s findings.

“But a sizable majority of all older adults – whether or not they say belief is important to them – reported that they’d turn to health care workers to help them find deeper meaning in their illness, and 78% believe health care workers will help them find hope when they’re having a health-related challenge,” he adds.

According to Brazier, many health care systems have a way to record the religious affiliation of patients in their electronic medical records, and that medical students and others training for health professions are told to ask their patients about any beliefs that might affect their future care.  Having this information available can help providers ensure that patients with strongly held beliefs or specific religious affiliations receive everything from appropriate hospital food to visits with chaplains of a specific faith tradition when they’re having a health crisis or nearing the end of life. 

But for those who do not follow a faith tradition or have strongly held beliefs, having that information available to health providers can also be helpful, says Brazier.

“Being a religious or spiritual person, or not following a faith tradition or spiritual practices, is a highly personal matter,” notes poll director Jeffrey Kullgren, M.D., M.P.H., M.S., an associate professor of internal medicine at Michigan Medicine and physician and researcher at the VA Ann Arbor Healthcare System. “So perhaps it’s not surprising that only about a quarter of all people in this age range say they’ve talked about their beliefs with a health care provider, though this rose to about one-third of those who say their religious or spiritual beliefs are very important to them.”  In all, 70% of those who say their beliefs are somewhat or very important to them reported feeling comfortable discussing their beliefs with their health care providers, he says.

Researchers say that even if patients don’t want to discuss their beliefs with their health providers at a typical appointment, it’s important for providers to know if patients with significant health needs, or those experiencing a health crisis, are connected to a faith community that can help provide support. 

In all, 65% of the older adults whose religious or spiritual beliefs are important to them said they belong to a community of people who share their beliefs. 

My Say…

Kathryne Fassbender, Founder and Executive Director of the Hem of Christ: A Dementia Care Ministry, notes that she has never met anyone in her 15 years of work in the field of aging who has wanted to keep their health care and spiritual/religious life separate as the NPHA study states. “What I have found is hesitancy to bring up faith with health care professionals both in physical and mental health care,” she says.

“As Catholics, our health care is woven into how we live our faith, and we wish to have the care we receive be in line with the teachings of the Church. In all honesty, it is increasingly difficult to find doctors who will respect that wish, which opens up a much broader topic of discussion,” she notes. “This hesitancy is across generations, so even care partners for older adults are not always as forthcoming with information regarding faith and health for fear of losing a current healthcare team,” Fassbender observes.

“While the number of doctors who would dismiss someone as a patient because of one’s wishes to keep with the teachings of the Catholic faith in the care they receive is small, the fear is there and it does happen,” says Fassbender, noting that the current medical and social landscape magnifies this fear. “The hostility toward religion and in particular the Catholic Church has a greater impact than I think we understand sometimes,” she warns.

Fassbender says that while it can be helpful to know the personal beliefs of our care providers, it is more important that the doctor, nurse, and therapist, respect our faith. “I know some great care providers who are deeply atheist, yet when they work with their clients of deep faith, they don’t allow their personal beliefs to influence care in any way. They instead assist their client in living out their faith traditions,” she says, stressing that this is what we all seek.

“While I may question some of the findings of this research, I see the findings as a call for care providers to increase seeking to help people of all ages, and all beliefs to live their purpose until their final breath,” says Fassbender.

Fassbender adds: “We must never dismiss one’s faith, regardless of their physical or neuro-cognitive abilities, and most certainly one’s age. I see this study as an invitation to crack open this conversation and allow the hostility, misunderstandings, and fears regarding faith and health to be overcome by the pursuit of care for the human person, fully who they are, what they seek, and how they wish to live life until the final breath.”  

The Hem of Christ started when the time was taken to pause and hear that still, small voice. After years of witnessing how a person’s faith can be diminished simply because of a dementia diagnosis or because someone put their life on hold to care for a loved one, Kate decided that it was time to formalize the small ministry work she had been doing for almost a decade.  Kate answered the call to formalize and set a path for others to walk down, reaching for the hem of Christ. 

NPHA Poll Puts Spotlight on Health Care and Aging Issues

The National Poll on Healthy Aging (NPHA) is a recurring, nationally representative household survey. By understanding the perspectives of older adults, the NPHA provides information to the public, health care providers, policymakers, and aging advocates on issues related to health, health care and health policy affecting U.S. adults ages 50 to 80 and their families.

Launched in spring 2017, the NPHA grew out of a strong interest in aging-related issues among members of the U-M Institute for Healthcare Policy and Innovation (IHPI) bringing together more than 600 faculty members  who study health, health care and the impacts of health policy. In addition to IHPI, the poll receives support from AARP and Michigan Medicine, AARP and U-M’s academic medical center.

The NPHA results can put a spotlight on future research needs and to create an informed national dialogue on poll issues examined. 

Seniors key to Democratic win

Published in RINewsToday on November 28, 2022

Just weeks before the midterm elections, Oct. 18th, AARP Rhode Island released a voting analysis of the Sept. 13th Rhode Island primary election, revealing that voters ages 50 + were the most powerful election deciders. More than 70% of Rhode Island’s older voters turned out to vote.  

A newly released Washington, DC-based AARP study found that older voters also had a major impact on 63 of the most competitive House races nationwide, including Rhode Island, in the mid-term elections. 

AARP’s post-election survey of voters should send a powerful message to Capitol Hill, that is “Don’t take the votes of seniors for granted.”

According to AARP’s voting analysis findings, voters 50 and over made-up 61% of the 2022 electorate in the targeted Congressional Districts. The predicted red wave sputtered because of older female voters, say the researchers. Democrats were able to win these districts because of the senior vote, particularly women over 65 who shifted away from voting GOP compared to their intensions from this summer.

The researchers found that President Biden’s job approval rebounded markedly, driven by voters aged 65+, particularly among women. When they looked at former President Trump’s approval rate, they found it had decreased among this same group.

AARP also noted that Black and Hispanic voters continued to drift to the GOP while Democrats continued to gain white, college age and female voters. 

AARP’s voting analysis study also found that in 63 most competitive House races that were also surveyed in July, voters age 65+ shifted from favoring Republican candidates 50% to 40%, to favoring Democrats 49% to 46% in November. The voting analysis found that Democrats came away with a 2-point lead over Republican candidates among voters overall (18+) and voters aged 50-64 leaned Republican by 8 points. Overall, voters 50+ accounted for 61% of the electorate in these key districts.

“Americans aged 50+ once again proved that they are the nation’s most powerful voters and they were the deciders in this year’s midterm elections,” said Nancy LeaMond, AARP Executive Vice President and Chief Advocacy and Engagement Officer in a statement released with the 36-page report on Nov. 17, 2022. “They were crystal clear that they want elected officials to work together to address crucial issues that will ensure their health and financial security. Elected officials and candidates can’t afford to ignore this formidable group of voters and the issues that matter to them,” she notes.

Top concerns of older voters

According to AARP’s National Targeted Congressional District-post-election Survey, inflation and rising prices (33%) were the top concern for voters overall, followed by abortion (28%) and threats to democracy (25%).

The survey also showed differences in the issues most important to voters 50-64 vs. those age 65 and older. Inflation and rising prices were top of mind for the 50-64 age group. Among voters 65+, threats to democracy (30%), inflation (29%), and Social Security and Medicare (24%) topped the list, the study’s findings indicate.

The researchers also found that more than half of voters (53%) said they were worried about their personal financial situation, with 65% of those who voted Republican and 42% who voted Democrat said they were worried. 

The study’s report also noted that 70% voted more for the candidate they chose, rather than against the other candidate;  Independents and younger voters were more likely to say they voted against the other candidate.

The analysis also found that a majority (53%) voted for the candidate they thought would work in a bipartisan manner, while 42% preferred candidates they thought stayed true to their beliefs and stood firm in their positions. By 36 points, Democrats preferred candidates who they thought were bipartisan, while Republicans voted by a 25 point margin for candidates they thought would stay true to their beliefs.

Methodology

As to the study’s methodology, AARP commissioned the bipartisan polling team of Fabrizio Ward and Impact Research to conduct this survey. The firms interviewed 2,353 adults in 63 of the U.S. House districts that Cook Political Report rated as “Lean” or “Toss Up” as of Nov. 7, 2022. This included a sample of 1,903 2022 general election voters distributed across the districts and 450 adults who did not vote in the 2022 general election. The interviews were conducted via landline, cellphone, and SMS-to-web between November 9-10, 2022.

AARP’s statement noted that approximately 30 voter interviews were conducted in each congressional district and any non-voters who were encountered were also interviewed. The overall sample was weighted by age, gender race and education to be representative of the adult population in the 63 congressional districts based on demographic data from the U.S. Census and consumer data. The voter sample was weighted on congressional vote choice to match 2022 election results.

To see the completed research results, go to:

Click to access aarp-targeted-congressional-districts-post-election-voter-survey.doi.10.26419-2Fres.00550.046.pdf

AARP study shows Seniors favor a good life, over a lengthy one

Published in RINewsToday on September 26, 2022, 

Even with many older adults facing health challenges in their later years, they maintain an optimistic view of their aging and expect their lives to improve as they grow older, according to new research findings from AARP in collaboration with National Geographic Partners. The study found that three-quarters or more of those age 60 and over have at least one serious health condition, nearly half rate their health as very good or excellent.  

“The insights in this [57 page] study demand that we reexamine our assumptions about aging, especially outdated stereotypes around growing older,” said Jo Ann Jenkins, CEO of AARP in a statement released on June 1, 2022, announcing the findings of the study. “Far from being dragged down by worries about their health and finances, adults in their 70s and beyond are optimistic and positive about their lives.

They have a clear-eyed view of what it means to age, and they want their final decades of life to be independent and healthy – as they define the terms!” she says. 

According to the Second Half of Life Research study, Americans are doing more to stay healthy as they move into their later years.  They are more likely to take control of their health by getting health screenings, eating more produce and monitoring their sugar intake. And having more healthy years matters more than simply living longer – most respondents say that they were interested in a hypothetical pill that could slow down aging, but far fewer would take a pill to extend their life by a decade. 

The AARP study also found that the oldest Americans are also some of the happiest people: about one in three people aged 80 and older said they were very happy with their life, compared to just 16% of those ages 40-49. The researchers paired a national survey of adults 18 and older with in-depth interviews to paint a detailed picture of Americans’ outlook on life in the years from 40 to 100, and how those perceptions evolve with each decade. They found that relations with families and friends become an important feature and a source of purpose and joy as we age. Retirement allows one to control their lives and they choose to spend it with loved ones and having hobbies. Travel is expected but falls off as the person ages.  

The AARP study’s findings indicate that as people move into their later years, they don’t seem concerned about the length of their life, and as they live longer it becomes even less of a concern. “Fear of dying is low and drops as you age; feeling the need to prepare grows as you age,” notes the researchers.

On the financial front, just over half of adults 70 and older say their financial situation is excellent or very good – but responses vary widely by household income. More than half of those with an income of less than $30,000 per year rate their financial situation as fair or poor, while 60% of those with an income over $100,000 rate their finances as excellent or very good.

Among adults who are still working, most want to retire at a younger age than they think they will be able to – a gap that gets smaller with age. 

Most Americans want and expect to live independently as they age; only in their 80s did more respondents say they would need support to do so. Living in “my home” is also preferred over living in a retirement community, but this desire declines in the later decades, says the study’s findings.

The AARP Study also found that brain health, independence, and relationships were the top concerns of the respondents. The study’s findings indicate that memory loss was a top concern, too. For the respondents, memory and strength becomes a top concern as the person reached age 50 and over, while fear of cancer became less of a concern.

The study’s respondents expressed fear of becoming incontinent and have diminished hearing in their later years, but fear of diabetes and sexual performance loss declined after their 60s. 

For older study respondents, reliance on Social Security becomes a certainty. Hopefully this finding will reach the ears of Congressional lawmakers as they debate the merits of strengthening and expanding the nation’s Social Security program.

The study’s findings note that researchers also say that fears about the ability to live independently steadily increase over the decades.  Assistance from family and friends are more preferable to respondents when living at home, than hiring help. This preference increases as they age.

AARP’s Second Half of Life study, conducted in collaboration with National Geographic Partners with Heart+Mind Strategies, included an online and telephone survey of 2,580 US adults ages 18 and older, conducted January 7-28, 2022, and 25 in-depth, individual 30-minute interviews conducted virtually from February 22 to March 4, 2022.  Final data have been weighted to the U.S. Census for analysis by age group, gender, census division, ethnicity, and education.

To view the Second Half of Life Study’s report, go to:  https://www.aarp.org/content/dam/aarp/research/surveys_statistics/life-leisure/2022/second-half-life-desires-concerns-report.doi.10.26419-2Fres.00538.001.pdf.

For more information, please contact Vicki Levy, AARP’s Senior Research Advisor, at vlevy@aarp.org.