Preprint / Version 2

The Curse of Old Age, an Evaluation of Current Medical Discrimination Based on Age and Future Directions in Resolving Ageism

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  • Eason Yang Polygence

DOI:

https://doi.org/10.58445/rars.122

Keywords:

Ageism, Anxiety, Medical Discrimination, Gerontology, Cultural Differences

Abstract

Ageism refers to the discrimination or bias held against people because of their age regardless of context. This phenomenon has been especially rampant in the medical context. Older patients past the age of 50 tend to receive less attention and care during their time at the hospital, both during diagnosis and prognosis. Aside from some general biased ideas, one of the most common factors influencing the degree of ageism experienced by people in a specific region is culture. Some cultures have high reverence for people older in age, while other cultures frantically praise youth and spurn the elderly. This has expanded beyond the medical context during Covid times, onto social media and into daily life, which have been damaging older adults’ mental and physical health. The mind and body are connected, which means an unhealthy mental state can have an effect on the person’s body. For example, anxiety can increase the chances of depression and insomnia. This anxiety is the result of both exterior and interior factors. In order to untangle this complicated web of culture, anxiety, discrimination, and self-awareness, this paper will outline and evaluate current circumstances of ageism, collect data from the Port Hope community in Ontario, Canada to investigate further, and eventually propose an evidence-based strategy and future directions.

References

Pew Research Center. Washington (DC): The Pew Charitable Trusts. Attitudes about aging: A Global Perspective. 2014 Jan 30. https://www.pewresearch.org/global/2014/01/30/attitudes-about-aging-a-global-perspective/

World Health Organization. Geneva (CH): United Nations. Aging and Health. 2022 Oct 1. https://www.who.int/news-room/fact-sheets/detail/ageing-and-health

Donizzetti, A. R. Ageism in an aging society: The role of knowledge, anxiety about ageing, and stereotypes in young people and adults. International Journal of Environmental Research and Public Health. 2019;16(8):1329. doi:10.3390/ijerph16081329

Columbia University Irving Medical Center. New York (NY). Robert N. Butler: Pioneer in Study of Aging. 2022 Sep 26. https://www.cuimc.columbia.edu/news/robert-n-butler-pioneer-study-aging

Butler, N. R. 1975. Why Survive? Being Old in America. New York: Harper & Row.

Achenbaum, W. A. A History of Ageism Since 1969. Generations: Journal of the American Society on Aging. 2015;39(3):10-16.

Jimenez-Sotomayor, M. R., Gomez-moreno, C., & Soto-perez-de-celis, E. Coronavirus, Ageism, and Twitter: An Evaluation of Tweets about Older Adults and COVID19. Journal of the American Geriatrics Society. 2020;68(8):1661-1665. doi: https://doi.org/10.1111/jgs.16508

Ontario Human Rights Commission. Age Discrimination and Healthcare. https://www.ohrc.on.ca/en/age-discrimination-and-healthcare-fact-sheet

Yun, R. J., & Lachman, M. E. Perceptions of aging in two cultures: Korean and American views on old age. Journal of Cross-Cultural Gerontology. 2006;21(1-2):55-70. doi:10.1007/s10823-006-9018-y

Berger, R. Aging in America: Ageism and general attitudes toward growing old and the elderly. Open Journal of Social Sciences. 2017;5(8):183-198. doi:10.4236/jss.2017.58015

Allen, J. O., Solway, E., Kirch, M., Singer, D., Kullgren, J. T., Moïse, V., & Malani, P. N. Experiences of everyday ageism and the health of older US adults. JAMA Network Open. 2022;5(6):e2217240. doi: 10.1001/jamanetworkopen.2022.17240

Munir, S., & Takov, V. 2022. Generalized Anxiety Disorder [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK441870/

Mayo Clinic. Rochester (MN): Mayo Clinic. Anxiety Disorders. 2018 May 04.

Lasher, K. P., & Faulkender, P. J. Measurement of aging anxiety: Development of the anxiety about aging scale. The International Journal of Aging and Human Development. 1993;37(4):247-259. doi:10.2190/1U69-9AU2-V6LH-9Y1L

Fraboni, M., Saltstone, R., & Hughes, S. 2021. Fraboni Scale of Ageism with Factors [Internet]. ResearchGate. https://www.researchgate.net/publication/355381764_Fraboni_Scale_of_Ageism_with_Factorspdf

Canadian Network for the Prevention of Elder Abuse. ROPE: Relating to Old People Evaluation. 2008. https://cnpea.ca/en/tools/practice-tools/223-rope-relating-to-old-people-evaluation

Lee, J., Yu, H., Cho, H. H., Kim, M., & Yang, S. Ageism between medical and preliminary medical persons in Korea. Annals of Geriatric Medicine and Research. 2020;24(1):41-49. doi:10.4235/agmr.19.0043

Burnes, D., Sheppard, C., Henderson, C. R., Wassel, M., Cope, R., Barber, C., & Pillemer, K. Interventions to reduce ageism against older adults: A systematic review and meta-analysis. American Journal of Public Health. 2019;109(8):e1-e9. doi:10.2105/AJPH.2019.305123

Hu, R. X., Luo, M., Zhang, A., & Li, L. W. Associations of ageism and health: A systematic review of quantitative observational studies. Research on Aging. 2020;43(7-8):311-322. doi:10.1177/0164027520980130

Fernández-jiménez, C., Álvarez-hernández, J. F., Salguero-garcía, D., Aguilar-parra, J. M., & Trigueros, R. Validation of the Lasher and Faulkender anxiety about aging scale (AAS) for the Spanish context. International Journal of Environmental Research and Public Health. 2020;17(12):4231. doi:10.3390/ijerph17124231

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2023-01-12 — Updated on 2023-01-12

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