Isolation And Engagement

Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.

Providing an account of loneliness and social isolation as experienced by older people living in Britain, this book considers the incidence and effects of isolation and loneliness, identifying the factors which lead to such experiences and considering potential interventions.

Democracy promotion, security and energy are the predominant themes of US policy in Central Asia after the Cold War. This book analyses how the Bush administration understood and pursued its interests in the Central Asia states, namely Kyrgyzstan, Tajikistan, Kazakhstan, Uzbekistan, Turkmenistan. It discusses the shift in US interests after September 11 and highlights key ideas, actors and processes that have been driving US policy in Central Asia. The author examines the similarities between the Bush and Obama administrations’ attitudes towards the region, and he points to the inadequacy of the personality focused, partisan accounts that have all too often been deployed to describe the two presidential administrations. To understand US Central Asian policy, it is necessary to appreciate the factors behind its continuities as well as the legacies of the September 11 attacks. Using case studies on the war on terror, energy and democracy, drawing on personal interviews with Americans and Central Asians as well as the fairly recent releases of declassified and leaked US Government documents via sources like the Rumsfeld Papers and Wikileaks, the author argues that the US approached Central Asia as a non-unitary state with an ambiguous hierarchy of interests. Traditionally domestic issues could be internationalised and non-state actors were able to play significant roles. The actual relationships between its interests were neither as harmonious nor as conflicted as the administration and some of its critics claimed. Shedding new light on US relations with Central Asia, this book is of interest to scholars of Central Asia, US Politics and International Relations.

This book focuses on an increasingly current phenomenon in various countries around the world. It offers an interdisciplinary point of view with a broad and, at the same time, in-depth vision of the various aspects that can contribute to better understanding social isolation. The authors, who represent different disciplines and belong to different countries of the world, offer high-profile scientific contributions with new perspectives in the field of social security thanks to the originality of their ideas, theories, research, scientific results and suggestions. Understanding all this opens up new horizons towards the new frontiers of knowledge. "I go out. You want to come? The insulation would be too heavy; desperate and crazy on the deserted streets. To demand a destiny."(Sylvia Plath)

This book is a seminal guide to loneliness and social isolation in old age, providing a comprehensive overview of the important correlates of socioeconomic, health and lifestyle factors upon loneliness and social isolation in old age. Bringing together contributions from leading authorities, the book showcases expertise from, among other things, medicine, psychology, epidemiology, sociology, economics and gerontology. It shows the importance of identifying factors associated with loneliness and social isolation among older adults from a broader perspective, and includes discussion of a range of topics including income poverty, physical activity, family care and frailty. The chapters are evidence-based and offer a mix of empirical studies as well as reviews of international research. The book also discusses policy implications and provides an overview of nationally representative cohort studies around the world available to researchers quantifying loneliness or social isolation. This book is unique in examining loneliness and social isolation from such wide-ranging perspectives and will be essential reading for researchers and postgraduate students in the areas of e.g., mental health research, social work, and psychiatry. Health professionals involved with gerontology and geriatrics will also find this book of benefit. With the exception of Chapter 17, the Open Access version of this book, available at http://www.taylorfrancis.com, has been made available under a Creative Commons (CC-BY) 4.0 license.

Amid civil war, failing states, and terrorism, Arab liberals are growing in numbers and influence. Advocating a culture of equity, tolerance, good governance, and the rule of law, they work through some of the region’s largest media outlets to spread their ideals within the culture. Broadcasting Change analyzes this trend by portraying the intersection of media and politics in two Arab countries with seismic impact on the region and beyond. In Saudi Arabia, where hardline clerics silenced their opponents for generations, liberals now dominate the airwaves. Their success in weakening clerics’ grip over the public space would not only help develop the country; it would ensure that the birthplace of the prophet Muhammad exports a constructive understanding of Islam. In Egypt, home to a brutal government crackdown on Islamists and a bloodsport of attacks on Coptic Christians, local liberals are acting with courage on the ground and over the airwaves. Through TV talk shows, drama, and comedy, they play off the government’s anti-Islamist agenda to more thoughtfully advocate religious reform. Author Joseph Braude, himself a voice in Arabic-language broadcasts and publications, calls for international assistance to the region’s liberals, particularly in the realm of media. Local civic actors and some reform-minded autocrats welcome a new partnership with media experts and democratic governments in North America, Europe, and the Far East. Broadcasting Change argues that support for liberal reform through Arabic media should be construed as an international “public good” — on par with military peacekeeping and philanthropy.