Younger Family Members Research Articles

Socialisation Agents' Use(fulness) for Older Consumers Learning ICT.

This research investigates the socialisation agents older consumers use to learn about information and communication technologies (ICT). We surveyed 871 older consumers in Victoria, Australia, about whom they would most likely turn to for advice (i.e., their preferred socialisation agents) if they needed help using or fixing an ICT device. They were asked to identify the most and second most likely source of advice. Participants were also asked to assess the usefulness of the advice received from their preferred agents and to estimate their level of ICT knowledge. The findings reveal that older consumers tend to rely on younger family members. Still, the agency they receive from non-familial sources is essential when preparing for a digital consumer role. Surprisingly, ICT knowledge is determined by the socialisation agency received by older adults' second advice option-which is less likely to be their own adult children. This research expands current knowledge about how older consumers perceive various ICT socialisation agents. Consumer socialisation theory suggests that socialisation agents impact how consumers function in the marketplace. Although the first choice of socialisation agent may be perceived as beneficial for older adults, the advice given does not relate to marketplace functioning regarding improved ICT knowledge.

The Effects on Labor Supply of Living with Older Family Members Needing Assistance with Activities of Daily Living.

Using a sample of 18,201 observations of working age respondents drawn from the Medical Expenditure Panel Survey, 1996-2018, this research examined the labor supply effects for younger family members of living with older persons needing assistance with activities of daily living. We report the effects for three labor supply outcomes of younger family members: working hours, full-time work, and occupational flexibility of working hours. Our results indicate that living with an older family member needing assistance significantly reduced younger women's working hours and the probability of working full-time among younger women, but increased both of these labor outcomes among younger men. In addition, living with an older family member needing help led younger women to work in occupations with significantly larger average variances in working hours. This suggests that these women occupied positions that allowed greater flexibility of working hours. We found little effect on flexibility of working hours for younger men. We conclude that the need for assistance among older family members has important effects on the labor market outcomes of younger family members.

Measuring Pro-Environmental Behavior Triggered by Environmental Values

Pro-environmental behavior in addressing climate change is influenced by multi-dimensional factors-knowledge, values, intention and sociodemographic background. Correlational studies between environmental values and environmental behaviors have not been able to determine values or behaviors that need to be given priority in future interventions. Therefore, this study firstly determined the environmental values and pro-environmental behavior that are easy or difficult to embrace by 152 respondents with low socioeconomic background. Secondly, we identified the extent pro-environmental behavior is triggered by environmental values. This survey study employs the Rasch analysis model. The respondents had difficulty in associating themselves with biospheric values however readily demonstrated consideration toward altruistic values, especially related to concerns for future generations. In terms of environmental conservation behavior, the respondents were not willing to relinquish comfort easily, such as giving up self-driving and taking public transportation or reducing usage of electricity. In addition, adults of low socioeconomic background find it difficult to endorse statements such as getting involved in campaigns related to environmental conservation. Thus, younger family members must be educated about conservation behaviors such as environmental campaigns commonly offered at schools, and these youngsters can be encouraged to extend their role by educating their parents.

Development and initial testing of a multi-stakeholder intervention for Lynch syndrome cascade screening: an intervention mapping approach

BackgroundLynch syndrome is an underdiagnosed hereditary condition carrying an increased lifetime risk for colorectal and endometrial cancer and affecting nearly 1 million people in the United States. Cascade screening, systematic screening through family members of affected patients, could improve identification of Lynch syndrome, but this strategy is underused due to multi-level barriers including low knowledge about Lynch syndrome, low access to genetics services, and challenging family dynamics.MethodsWe used intervention mapping, a 6-step methodology to create stakeholder-driven interventions that meet the needs of a target population, to develop an intervention to improve cascade screening for Lynch syndrome. The intervention development process was guided by input from key stakeholders in Lynch syndrome care and patients. We conducted usability testing on the intervention with Lynch syndrome patients using qualitative semi-structured interviewing and rapid qualitative analysis.ResultsWe developed a workbook intervention named Let’s Talk that addresses gaps in knowledge, skills, self-efficacy, outcome expectancy and other perceived barriers to cascade screening for Lynch syndrome. Let’s Talk contained educational content, goal setting activities, communication planning prompts and supplemental resources for patients to plan family communication. Evidence-based methods used in the workbook included information chunking, guided practice, goal setting and gain-framing. We conducted usability testing focused on the complexity and relative advantage of the intervention through 45-min virtual interviews with 10 adult patients with Lynch syndrome recruited from a national advocacy organization in the United States. Usability testing results suggested the intervention was acceptable in terms of complexity and relative advantage to other available resources, but additional information for communication with young or distant family members and a web-based platform could enhance the intervention’s usability.ConclusionsIntervention mapping provided a framework for intervention development that addressed the unique needs of Lynch syndrome patients in overcoming barriers to cascade screening. Future work is needed to transform Let’s Talk into a web-based tool and evaluate the effectiveness of the intervention in clinical practice with patients and genetic counselors. Intervention mapping can be useful to researchers as an evidence-based technique to develop stakeholder-centered interventions for addressing the needs of other unique populations.

Conceptualizing access to community-based supports from the perspectives of people living with young onset dementia, family members and providers.

People living with young onset dementia and their families have significant support needs, but experience difficulties accessing services. This study explored the process of accessing community-based services drawing on semi-structured interviews with people living with dementia, family members and providers in Winnipeg, Canada. Data analysis involved a combination of inductive coding and theoretical analysis using the candidacy framework as a conceptual lens. Forced to navigate services that do not recognize people with young onset dementia as a user group, participants experienced ongoing barriers that generated continuous work and stress for families. Access was constrained by information resources geared towards older adults and restrictive eligibility criteria that constructed people with young onset dementia as "not impaired enough" or "too impaired". At the organizational level, fragmentation and underrepresentation of young onset dementia diminished access. Our findings underscore the need for continuous, coordinated supports alongside broader representation of young onset dementia within research, policy, and practice. We conclude with a discussion of how the candidacy theory could be extended to account for the social and political status of user groups.

"I Never Imagined Grandma Could Do So Well with Technology"

Older adults' technology learning is a long-term process, during which family members often play significant roles. Although much research has emphasized how family support is important, little research has dove into the evolution of family dynamics when older adults are learning to use new technology. Drawing on the results from a qualitative study that performed semi-structured interviews with 20 older adults and 18 younger adults in China, we unpack how family members were involved in technology learning over time. Our findings suggest that younger family members play transformative roles throughout older adults' learning stages, i.e., as influencers, supporters, protectors, and monitors. Younger family members' roles co-evolve with not only older adults' changing needs but also their perceptions of older adults' learning abilities and online behaviors. They may struggle to adjust their teaching strategies to accommodate older adults' needs and abilities during the process. They may also worry about older adults' online benefits and safety as many older adults become far more active online than anticipated. Challenges while teaching and tensions regarding protection may thus emerge during the support process. With these findings, we suggest that older adults' technology learning should be treated as a collaborative activity with family members rather than an activity they pursue alone. We also highlight older adults' technology learning as a recurrent, dynamic, and evolving process, and call attention to the unique culture of "xiaoshun" in China that acts as a buffer to the burdens and tensions found with family support.

An Exploration of Death Anxiety of Family Members of Silent Mentor Body Donation Program.

Background: This study assesses the level of death anxiety among the family members of the Silent Mentor Programme (SMP) and determines whether their participation in various ceremonies during the training session impacted their death anxiety. Methods: The revised Collett-Lester Fear of Death Scale (CL-FODS) was administered to the study participants before the opening ceremony and after the sending-off ceremony of the programme. Results: All the four subscales that measure fear of one's own death, fear of the process of one's own dying, fear of the death of others and fear of the process of others dying in the CL-FODS showed significant reduction after the sending-off ceremony compared with before the opening ceremony. Younger family members reported significantly higher mean total death anxiety scores compared to the older members. Conclusion: The SMP not only nurtures doctors with humanity but also helps the family members to cope with grief and loss.

Geriatric Depression in India; Causes and Solutions: An Ayurveda Perspective

Geriatric Depression (GD) prevalence rate is on the rise as is the geriatric population in India. It can be correlated to Kaphaja Unmada in Ayurveda based on its causes and symptoms. GD patients have symptoms like Mandavakchesta (slowing of speech and actions), Tushnibhava (depressed look), Anaannabhilasha (disinclination for food). GD has several causative factors like decreased physical agility, cognitive decline, lack of financial liberty, social isolation, long standing diseases and medicines etc. Following the surge of industrialization, urbanization like western countries after 1980s, the family systems and values in India have changed. Nuclear families are on rise and elderlies in families are considered as burden. Contrastingly, earlier elderlies were regarded as source of wisdom and guidance. This study is an attempt to go through all the possible literature offline and online to find out the causes and solutions of GD in India. Findings showed that along with the common causative factors related to the old age in elderlies, ignorance from younger family members is also equally important. GD is a psychosomatic disease, so treatments approach involving the body, mind, family dynamics and values using family psychotherapies and psychoeducation, Medhya rasayana and if needed modern psychiatric medication can address all types of GD and related mental health problems in India.

The role of parents, other adults, peers and informal learning communities in shaping positive social media use in adolesent girls

PurposeThis study aims to introduce the concept of communities of social media practice where more experienced users provide guidance to female novice users, enacting a form of legitimate peripheral participation to “onboard” newcomers.Design/methodology/approachThrough surveys with 968 early adolescents (average age was 13), the authors quantitatively explored sources and types of guidance for young social media users, popularity of conversation themes related to this guidance and how these conversations are associated with positive social media engagement. The authors qualitatively documented a case study of how a summer workshop of 17 students promotes positive social media use through a community of practice.FindingsAlthough early adolescent girls reported that they more frequently talked to their parents about a wider range of social media topics, same-age peers and younger family members (e.g., siblings, cousins) were also frequent sources. Surprisingly, the authors also found that the source most strongly associated with positive social media use was the peer group. This case study of an intentional community of practice demonstrated how peers go from “peripheral” to “centered” in socializing each other for more positive social media use.Originality/valueUnlike most prior scholarship on mediating social technology use, this study focuses on a critical developmental period (e.g. early adolescents), sources of guidance other than exclusively parents, explore the specific conversation topics that offer guidance and document an informal community of practice for girls that provides the training ground for peers and adult facilitators to codesign more positive social media spaces.

Feasibility of home-based ELISA capillary blood self-testing for anti-SARS-CoV-2 antibodies

ObjectivesSerological assays for the presence of anti-SARS-CoV-2 antibodies are crucially needed for research and monitoring of the SARS-CoV-2 pandemic. Antibodies are reliability detected in capillary blood, a minimally invasive and cost-effective alternative to venous blood testing. However, there is a limited knowledge on feasibility of capillary blood self-sampling. This study compared the feasibility of capillary blood self-testing in people aged less than 65 vs. people aged 65 or more. A secondary aim was to investigate the performance of the Hem-Col® (no additive) device compared to venous blood testing. Design and methodsData were collected in a prospective study in Switzerland (n = 106). Capillary blood was collected using the Hem-Col® (no additive) device. Feasibility was assessed using 1) collecting the recommended amount of capillary blood and 2) achieving all steps of capillary blood collection. A sample of 5 ml of venous blood was also collected. ResultsFor the primary objective, 86.2%/62.1% of patients aged less than 65 collected the recommended amount of capillary blood/achieved all steps vs. 62.5%/39.6% of patients aged 65 or more (p = .006/p = .022). For the secondary objective, the correlation between capillary and venous blood was r = 0.992 and kappa = 1. ConclusionsCapillary blood self-testing appeared as a feasible and reliable alternative to venous blood testing. Such alternative would improve access to serological testing and spare health care resources. However, the difference between age groups should be considered when using self-sampling devices. Help should be developed for older people, such as phone counseling or encouraging asking younger family members for help.

PUNGGAWA-SAWI VALUES EDUCATION IN OVERSEAS BUGIS ETHNIC FAMILY AS LOCAL WISDOM OF THE FISHERMAN COMMUNITY (DESCRIPTION ANALYSIS FISHERMAN SOCIETY ON COAST BANDAR LAMPUNG)

In changes the values of life skills that occur in the Bugis ethnic fishing community, Karang Village, Telukbetung Timur District, Bandar Lampung City as local wisdom are due to incompatibility between the rules that are lived by the behavior they carry out, the weak role of social institutions in conducting supervision and socialization. The values of life that are framed in the activities of Bagang in the next generation are low in interest and the next generation to apply the values of life of the Bugis ethnic in overseas lands in their interactions among family members, the community as well as in the development and implementation of the Bagang activity. This study aims to determine the description of local wisdom in the process of educating the value of the life of the Bagang fishing community (read; Bagan) of the Overseas Bugis ethnicity in Karang Village, Teluk Betung Timur District, Bandar Lampung City. The method used in this research is descriptive analytical research with a qualitative approach that functions to describe and explain a complex reality by applying concepts and theories that have been developed by scientists.Based on the results of the research and analysis, it was found that (1) the pattern of punggawa fishermen's families in preserving local wisdom in overseas lands by inculcating life skills values was more likely to be participatory education patterns. This pattern tends to emphasize the process of the child's association with other punggawa or sawi who are more mature in developing their potential by providing maximum opportunities for achieving independence in living their lives. (2) The sawi family in the process of preserving local wisdom by instilling life skills values their education, tends to use a repressive pattern from older family members to younger family members, either directly or indirectly. Consequently, those with low education are positioned as people who accept the values of local wisdom in the lower class social strata. (3) The process of applying the life skills values of punggawa or sawi as local wisdom in the Bagang fishing community of the overseas Bugis ethnic in the Karang City Village area occurs because of the community's desire to survive with their existence as a fishing community that is unique with its traditions.

Oxidative balance disorders as a factor of formation and progression of hypoandrogenism in boys

Objective — to study the features of the phenotype of adolescent boys with hypoandrogenism and hereditary burdened disorders of the reproductive system. Materials and methods. The analysis of pedigrees was carried out in 45 families of adolescent boys 12—17 years old with hypoandrogenism (HA) and burdened family history of reproductive system disorders, which were examined in the laboratory of medical genetics of the State Institution «CAHC NAMS». The control group consisted of 47 families of healthy peers, residents of Kharkiv and Kharkiv region.The presence of minor developmental anomalies (MDA) was assessed in adolescent boys with HA. The comparison groups consisted of adolescent boys with systemic connective tissue dysplasia (CTD) and healthy adolescent boys with normal physical and sexual development, examined by specialists of the institute. Mathematical calculations were carried out using statistical programs Excel and SPSS Statistics 17.0. To determine the significance of differences between the groups, the Student’s t-test was used. To assess the likelihood of sexual dysfunction development in younger family members, the odds ratio indicator was calculated. Results and discussion. Hereditary burden on reproductive system disorders was registered in 66.7 % of families of adolescent boys with HA. Inheritance of pathological traits in generations was observed with the same frequency in the paternal (33.7 %), maternal (30.0 %) and both (paternal and maternal) lines simultaneously (36.2 %). Fathers of boys had delayed sexual development in puberty twice as often as mothers (26.7 vs 13.3 %, p < 0.05), and four times more often in comparison with the frequency in the population (2.5—9.8 %). In the presence of hereditary burden on reproductive diseases, the risk of development of sexual development disorders in other relatives increased in 21.5 times.Assessment of phenotype of adolescent boys with HA showed that 65.0% of patients had an average level of minor developmental abnormalities (from 7 to 10 MDA); high level (more than 14 MDA) was not observed. The majority of MDA were revealed in the craniofacial zone (57.3 %). When compared with healthy peers, boys with HA more often had average and elevated MDA levels. Patients with HA in comparison with boys with MDA less often demonstrated the dysmorphic auricles, spinal deformity, dysplastic tooth growth, up-slanting palpebral fissures and ocular hypertelorism, and more often the sandal gap. Conclusions. The findings indicate the familial accumulation of reproductive system disorders and increased risk of these disorders development in other children in these families. Among the examined adolescent boys with HA, 65.0 % had an average level of minor developmental abnormalities and an unclassified phenotype, which may indicate a lower severity of connective tissue dysplasia in the patient group.

(Re)constructing Ageing Futures: Insights from Migration in Asia and Beyond

This special issue examines how older adults anticipate and manage their futures through migration. Although ageing is often associated with decline towards the end-of-life, it is still a life stage where (the lack of) planning for the future can profoundly impact the life outcomes of older adults and their caregivers. This collection illustrates different ways migration can impact ageing. For some, perceptions and depictions of the future lead older adults to turn to migration to improve their prospects of ageing well although they continue to face constraints while ageing abroad. For others, the migration of younger family members exacerbates the stress of eldercare felt by non-migrant caregivers. Collectively, the papers focus on how countries in Asia function as source and destination sites for ageing-related migration, while also forging transnational connections with the Global North. Focusing on ageing futures allows us to link the current and future lives of migrants and non-migrants, across generations and space.

Disaggregating How Asian Americans Define a Healthy Diet: Exploring Generational and Intra-family Differences Through Dyadic Interviews

ObjectivesAsian Americans (AAs) experience a complex and growing non-communicable disease burden linked with dietary behaviors. Dietary norms, which significantly contribute to eating behaviors, face a complex set of Western and Asian socio-ecological influences in AA communities. However, little is known of how dietary norms (such as definitions of a “healthy diet”) are transmitted, intersect, and differ in a multigenerational family environment. MethodsAA young adults and family members were recruited to participate in dyadic, 60-minute Zoom interviews (Jun - Dec 2021). Young adults and family members were interviewed separately on their respective eating behaviors, including perceived definition of a healthy diet. Recordings were inductively analyzed to identify themes related to different facets of a conceptualized healthy diet. ResultsA total of 41 AAs were interviewed (76% female, 61% US-born, age 19–69), including 20 young adults and 21 family members (10 parents, 9 siblings, 2 cousins). Diet healthfulness was defined in three dimensions: types of food, cooking methods, and intersection of diet with holistic wellbeing. Young adults consistently emphasized the role of their parents in shaping their idea of a healthy diet, particularly Asian-specific conceptualizations of balance (e.g., “yeet hay”). However, while these ideas were particularly influential among older participants, younger participants also emphasized the intersection of diet with emotional and spiritual well-being. Both stressed cooking methods as indicators of healthfulness. While a “healthy diet” was conceptualized through intake of food groups such as fruits, vegetables, and proteins, foreign-born and older participants put a larger emphasis on dietary restrictions (e.g., completely cutting out food groups, such as fast food), while US-born and younger participants stressed enjoying foods in moderation. ConclusionsThe differential understanding and impact of AA norms related to diet healthfulness highlights the need for a disaggregated understanding of dietary attitudes and behaviors in health-based interventions for AAs of different generations, particularly family-based programs. Findings call for future mixed-methods research to explore the complex dietary norms identified. Funding SourcesSouth Asian Health and Research Group (SAHARA).

Balinese Calonarang in Performance

Balinese <i>Calonarang</i> in Performance

Effect of a family-based multimedia intervention on the uptake of faecal immunohistochemical test among South Asian older adults: A cluster-randomised controlled trial

BackgroundColorectal cancer screening, including faecal immunohistochemical test, is an effective method for detecting colorectal cancer early. Nevertheless, faecal immunohistochemical test uptake among South Asian ethnic minorities is low because they have limited knowledge of and face barriers in accessing colorectal cancer screening. Tailored education and appropriate messaging has potential to convey to this population group the importance of colorectal cancer screening. ObjectivesThis study aimed to assess the acceptability and effectiveness of a family-based multimedia intervention to raise awareness of colorectal cancer screening and increase the uptake of faecal immunochemical tests among South Asian older adults. DesignA cluster-randomised controlled trial with a wait-list control group. ParticipantsThree-hundred and twenty dyads of South Asian older adults and their younger family members were recruited at South Asian community centres and non-governmental organisations providing support services to local South Asians in six Hong Kong districts. MethodsGroup allocation of dyads during cluster randomisation was based on the group assignment of the district where they were recruited. The intervention comprised a multimedia health talk, conveying the importance of colorectal cancer screening and support from younger family members in encouraging their older relatives to undergo screening. Site coordinators assisted participants in accessing faecal immunohistochemical test. The primary outcome was increased uptake of faecal immunohistochemical test among South Asian older adults. Secondary outcomes included younger family members' encouragement of their older relatives to undergo faecal immunohistochemical test and their readiness to assist their relatives with the test. Acceptability of the intervention was measured by dyad satisfaction with the intervention. ResultsThe proportion of older adults participating in faecal immunohistochemical testing was significantly higher among intervention dyads compared with controls (71.8% vs 6.8%, p < 0.001). No significant within-group change was observed on the willingness of younger family members in the intervention group to encourage older adults to undergo faecal immunohistochemical test, nor their readiness to assist older adults in doing so, although a decrease in both outcomes was observed among the control group. Most participants (>86%) were satisfied with the intervention. ConclusionsOur findings demonstrate the acceptability and effectiveness of the intervention in enhancing faecal immunohistochemical test uptake among South Asian older adults, and the benefit of using a family-based approach in the implementation of cancer screening interventions for these individuals. Implementation of the intervention as a component of usual care within South Asian communities is recommended.Trial registration ISRCTN72829325, 10 July 2018.

Coresidence increases the risk of testing positive for COVID-19 among older Brazilians

BackgroundBrazil is among the countries hit hardest by COVID-19, and older adults are among the vulnerable groups. Intergenerational coresidence and interdependence among family members, both prevalent in Brazil, likely increase social and physical contact and thus potential infection.MethodsUsing nationally representative data from the COVID-19 module of the Brazilian National Household Sample Survey (Pesquisa Nacional por Amostra de Domicílios), collected between July and November of 2020, we examined the association between living arrangements and exposure to and testing for COVID-19 among 63,816 Brazilians aged 60 years and older. We examine whether living arrangements influence self-reported COVID-19 symptoms as an indicator of subjective health assessment, testing as an indicator of health care service use, and a positive COVID-19 test result as an objective indicator of exposure to the disease.ResultsLiving arrangements shape older adults’ vulnerabilities to COVID-19 exposure and testing. Specifically, those living alone were more likely to report having symptoms and having had a test for COVID-19. However, older adults in multigenerational and skipped generation households were more likely than solo-dwellers to test positive for COVID-19. Those with symptoms were more likely to test, regardless of their living arrangement. Among older adults without symptoms, those living alone had a higher probability of testing than those living in multigenerational or skipped-generation households.ConclusionsOverall, our findings suggest that coresidence with younger family members puts older adults’ health at risk in the context of COVID-19. As younger Brazilians are increasingly vulnerable to COVID-19 and experiencing severe outcomes, policy makers need to be more attentive to the health needs of households that comprise older and younger cohorts, which are also more prevalent in poor and marginalized segments of the population.

Prevalence, characteristics, and consequences of verbal and physical violence against healthcare staff in Chinese hospitals during 2010-2020.

ObjectivesThis study investigated the characteristics of workplace violence (WPV) against Chinese healthcare staff and their casualties after severe physical violence (PV).MethodsWe scrutinized medical WPV incidents reported online and analyzed information on timing, location, violence, criminal incentives, and casualties following severe PV in China from 2010 to 2020.ResultsWPVs were mostly committed by young and middle‐aged male family members of the patients, especially in the emergency department (49.1%), and mostly associated with dissatisfaction with treatment effect (28.9%) in general. High medical costs (62.5%) were the leading cause of verbal violence (VV), whereas men predominantly committed PV (OR = 4.217, 95% CI: 1.439–12.359) owing to dissatisfaction with the healthcare staff's attitude (P < 0.001). The victims were security personnel in most cases (81.1%). Nurses were generally more likely to experience PV (P < 0.05), while doctors were more likely to experience lethal PV (OR = 4.732, 95% CI: 1.42–15.772), which mostly happened in oncology (P < 0.05) and committed by visitors (P < 0.001). Slight injuries and mortality were more likely to be inflicted by being rejected for unreasonable demands and disappointed with the treatment effect (P < 0.05).ConclusionsMedical WPV has numerous reasons, locations, and diverse victims and offenders. Some severe WPVs have serious consequences. Therefore, it is recommended for the concerned authorities to adopt effective steps for appropriate legislative, security, and conflict‐resolution measures.

Coresidence Increases Risk of Testing Positive for COVID-19 Among Older Brazilians

Brazil is among the countries hit hardest by COVID-19, and older adults are among the vulnerable groups. Intergenerational coresidence and interdependence among family members, both prevalent in Brazil, likely increase social and physical contact. Using nationally representative data from the COVID-19 module of the Brazilian National Household Sample Survey, collected from July to November of 2020, we examined the association between living arrangements and exposure to and testing for COVID-19 among 63,816 Brazilians 60+. Our multivariate analyses utilize multilevel mixed-effects Poisson regression to examine the association between living arrangements and the COVID-19 outcome measures. Results show that those living alone were more likely to report having symptoms and having had a test for COVID-19. However, older adults in multigenerational (PR=1.532, 95% CI 1.15, 2.04, p<0.001) and skipped generation households (PR=1.607, 95% CI 1.04, 2.48, p<0.001) were more likely than solo-dwellers to test positive for COVID-19. Those with symptoms were more likely to test, regardless of their living arrangement. Among older adults without symptoms, those living alone had a higher probability of testing than those living in multigenerational or skipped-generation households. Overall, our findings suggest that coresidence with younger family members is a risk factor for older adults’ health due to the higher COVID-19 positivity. As younger Brazilians are increasingly vulnerable to COVID-19 and experiencing severe outcomes, policy makers need to be more attentive to the health needs of households that comprise older and younger cohorts, which are also more prevalent in poor and marginalized segments of the population.

Grandparents and Parents: An Essential Partnership for Longevity Societies

This presentation hypothesizes that an innovative collaboration by the adult generations will be necessary to enable conditions needed for family success in a longevity society. Unprecedented challenges of parents and grandparents are examined. Reasons why adults have to regard youth as a source of learning about their unique experiences in an age-separated society are explained. International curriculum development studies to support families of children from birth through adolescence are described. A curriculum that provides a common knowledge base about child and adolescent guidance is proposed to harmonize efforts of adults to support younger relatives. Curriculum for retirees should focus on continuing responsibilities other generations expect of them, learning about the lives of younger family members, and gaining awareness of parenting practices to reinforce lessons. Training volunteers in assisted living and long-term care facilities to be indigenous leaders of grandparent classes is discussed as a practical way to offer relevant learning and improve social support. Instruments are examined that assess ethnic relationships between adult generations, adults and adolescents, and track results of education intervention.