East Central Regional Funders
Roundtable
July 23, 2009
Silver Tsunami or Golden Opportunity
Philip B. Stafford, Ph.D.
Center on Aging & Community, Indiana University
Silver Tsunami or Golden Opportunity
By the year 2010,
almost half of all
women will be at
least 50 years
old.
Source: Age Wave
The first of 77 million
baby-boomers will turn
65 in 2011.
Source: Age Wave
Indiana NNORC’s
(naturally occurring
retirement communities)
•South Bend
•Gary
•Indianapolis
•Linton
•Huntington
Aging is not about time
and the body, but
about relationships…
and the meaning of
place.
“Community is the
smallest unit of health.”
Wendell Berry, Health is Membership
In Another Turn of the Crank
Our work should help
create good places to
grow up and grow old…
livable, lifespan
communities
Indiana Partnerships for
Lifespan Communities
Three year Administration on Aging
Planning Demonstration Site
The first application of the
AdvantAge Initiative on a statewide
basis
“…a comprehensive, participatory, and data
driven initiative to create good places to
grow up and grow old in Indiana.”
Addresses
Basic Needs
Promotes Social and Civic
Engagement
 Provides appropriate and
affordable housing
 Fosters meaningful connections
with family, neighbors, and friends
 Promotes safety at home and
in the neighborhood
 Promotes active engagement in
community life
 Assures no one goes hungry
 Provides opportunities for
meaningful paid and voluntary
work
 Provides useful information
about available services
The Four
Domains of An
Elder-Friendly
Community
 Makes aging issues a communitywide priority
Optimizes Physical and
Mental Health and
Well Being
Maximizes
Independence for Frail
and Disabled
 Promotes healthy behaviors
 Supports community activities
that enhance well being
 Mobilizes resources to
facilitate “living at home”
 Provides ready access to
preventative health services
 Provides accessible
transportation
 Provides access to medical,
social, and palliative services
 Supports family and other
caregivers
Reproduced by permission of
The AdvantAge Initiative
Center for Home Care Policy & Research
Visiting Nurse Service of New York
AdvantAge Initiative Tool Components
 Elder-Friendly Community Framework
 33 indicators of elder-friendliness
 Consumer survey
 Technical assistance
AdvantAge Initiative Survey Conducted in:
10 pilot communities:

Six neighborhoods of
Chicago, IL

Indianapolis, IN

Jacksonville, FL

Lincoln Square, NYC

National Survey

Grand Rapids, MI

Contra Costa County, CA

Parsippany, NJ

Newaygo County, MI

State of Indiana

Maricopa County, AZ

Orange County, FL

El Paso County, TX

Puyallup, WA

Chinatown, NY

Santa Clarita, CA


Upper West Side, NYC

Yonkers, NY
14 grantee-communities of
the Robert Wood Johnson
Foundation Community
Partnerships for Older
Adults program (CPOA)
Figure 2.1, Indiana-Area 6§
Percentage of people age 60+ who want to remain in their current residence
and are confident they will be able to afford to do so
Not Very
Confident**
41%
Disagree
3% ‡
Neither/
DK/RF
‡
2%
Agree*
95%
Very
Confident
59%
Unweighted N=284
Weighted N=83,491
Unweighted N=300
Weighted N=88,016
We asked respondents whether they agree or disagree
with the following statement: “What I’d really like to do is
stay in my current residence for as long as possible.”
For people who answered “agree” we calculated the percentage of adults
age 60+ who were very confident/not very confident that they will be able to
afford to live in their current residence for as long as they would like.
Note: Percentages may not add up to 100% due to rounding and/or missing information.
*Agree includes those who said Strongly agree or Somewhat agree.
**Not Very Confident includes those who said Somewhat confident, Not too confident, Not confident at all, Don’t know, or Refused.
‡ This percentage is based on fewer than 20 respondents (Unweighted N<20) and should be interpreted with caution.
§ Area 6 includes Blackford, Delaware, Grant, Henry, Jay, Madison, & Randolph Counties.
Source: AdvantAge Initiative Community Survey in Indiana 2008
Figure 3.1, Indiana-Area 6§
Percentage of householders age 60+ in housing units with home
modification needs*
9%‡
No
modifications
needed
87%
DK/RF
Not planning
to modify
‡
21%
11,442
One or more
modification
needed
13%
Planning to
modify
70%
Unweighted N=300
Weighted N=88,016
*People were asked whether their current residence needs
any significant repairs, modifications, or changes to
improve their ability to live there over the next five years.
Unweighted N=38
Weighted N=11,122
*People who said that their homes need modification were
asked if they plan to make the change over the next five years.
Note: Percentages may not add up to 100% due to rounding and/or missing information.
‡
This percentage is based on fewer than 20 respondents (Unweighted N<20) and should be interpreted with caution.
6 includes Blackford, Delaware, Grant, Henry, Jay, Madison, & Randolph Counties.
§ Area
Source: AdvantAge Initiative Community Survey in Indiana 2008
Figure 3.2, Indiana-Area 6§
Type of modification needed
Cosmetic/minor
repairs
8%
‡
Structural changes/
major repairs
6%
Bathroom
modification
5%
‡
Better cooling
in the summer
5%
Better heating in
the winter
4%
Accommodations for
disabilities
3%
Fix problem with
insects/rodents
3%
Medical emergency
response system
Other
‡
‡
3%
‡
‡
‡
‡
‡
1%
This percentage is based on fewer than 20 respondents (Unweighted N<20) and should be interpreted with caution.
6 includes Blackford, Delaware, Grant, Henry, Jay, Madison, & Randolph Counties.
§ Area
Source: AdvantAge Initiative Community Survey in Indiana 2008
Unweighted N=300
Weighted N=88,016
Figure 8.1, Indiana-Area 6§
Percentage of people age 60+ who do not know whom to
call if they need information about services in their
community*
Other
‡
2%
Do Not Know
Whom to Call
26%
Internet/Phone Book/
Other Media
9%
Senior Center
9%
4%
Church/Synagogue
‡
Medical
Center/
Health
Professional
Family/
Neighbors
8%
City/County/
Office of Aging/
Social Services/
Other Agency
23%
21%
Unweighted N=300
Weighted N=88,016
Note: Percentages may not add up to 100% due to rounding and/or missing information.
*People were asked to indicate the best resource, such as a person or an organization, in their city, town, or county to get information on various services.
‡ This percentage is based on fewer than 20 respondents (Unweighted N<20) and should be interpreted with caution.
§ Area 6 includes Blackford, Delaware, Grant, Henry, Jay, Madison, & Randolph Counties.
Source: AdvantAge Initiative Community Survey in Indiana 2008
Figure 15.1, Indiana-Area 6§
Percentage of people age 69+ who participate
in regular leisure time activity*
No activity
35%
14,962
Regular leisure
time activity
47%
Some
activity
17%
Unweighted N=300
Weighted N=88,016
DK/RF
1%‡
Note: Percentages may not add up to 100% due to rounding and/or missing information.
*“Regular leisure time activity” is defined as 1) light or moderate activity that causes light sweating or a light to moderate increase in breathing or heart rate and occurs
five or more times per week for at least 30 minutes each time, and/or 2) vigorous activity that causes heavy sweating or large increases in breathing or heart rate and
occurs three or more times per week for at least 20 minutes each time. People who engage in other combinations of the two types of physical activities described above
are included in the category “some activity.” Those who are unable to or do not engage or seldom engage in physical activity are included in the category “no activity.”
‡
This percentage is based on fewer than 20 respondents (Unweighted N<20) and should be interpreted with caution.
6 includes Blackford, Delaware, Grant, Henry, Jay, Madison, & Randolph Counties.
Source: AdvantAge Initiative Community Survey in Indiana 2008
§ Area
Percentage of people age 60+ who socialized
with friends or neighbors in the past week*
Did not
socialize
39%
DK/RF
‡
<1%
Socialized
61%
Unweighted N=4,509
Weighted N=973,489
Note: Percentages may not add up to 100% due to rounding and/or missing information.
*People were asked if they got together with friends or neighbors during the past week.
‡
This percentage is based on fewer than 20 respondents (Unweighted N<20) and should be interpreted with caution.
§ Excludes
Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in 2006.
Source: AdvantAge Initiative Community Survey in Indiana 2008
Figure 29.1, Indiana-Area 6§
Percentage of people age 60+ who attended movies,
sports events, clubs, or group events in the past week*
Did not
attend
35%
Attended
65%
Unweighted N=300
Weighted N=88,016
Note: Percentages may not add up to 100% due to rounding and/or missing information.
*People were asked if they went to a movie, play, concert, restaurant, sporting event, club meeting, card game, or other social activity during the past week.
§ Area
6 includes Blackford, Delaware, Grant, Henry, Jay, Madison, & Randolph Counties.
Source: AdvantAge Initiative Community Survey in Indiana 2008
Figure 30.1, Indiana-Area 6§
Percentage of people age 60+ who engaged in at least one
social, religious, or cultural activity in the past week
None
16%
Engaged in one or
more activity
84%
Unweighted N=300
Weighted N=88,016
Note: Percentages may not add up to 100% due to rounding and/or missing information.
§ Area
6 includes Blackford, Delaware, Grant, Henry, Jay, Madison, & Randolph Counties.
Source: AdvantAge Initiative Community Survey in Indiana 2008
Figure 12.1, Indiana-Area 6§
Percentage of people age 60+ who thought they needed the
help of a health care professional because they felt depressed
or anxious and have not seen one (for those symptoms)*
Did not need
professional
help
91%
Needed
professional
help
Has not seen
a health
professional
38% ‡
9%
Has seen a
health
professional
‡
62%
Unweighted N=25
Weighted N=7,596
Unweighted N=300
Weighted N=88,016
*People were asked whether in the past year, there was a time when they
thought they needed the help of a health professional or a counselor
because they felt depressed or anxious.
*People who answered “yes” were asked whether they obtained the
professional help or counseling they thought they needed.
Note: Percentages may not add up to 100% due to rounding and/or missing information.
‡
This percentage is based on fewer than 20 respondents (Unweighted N<20) and should be interpreted with caution.
§ Area
6 includes Blackford, Delaware, Grant, Henry, Jay, Madison, & Randolph Counties.
Source: AdvantAge Initiative Community Survey in Indiana 2008
Figure 33.1, Indiana-Area 6§
Percentage of people age 60+ who would like to be
working for pay*
DK/RF
‡
1%
Would like to
work for pay
27%
Working
part time
7%
11%
Working
full time
Not working
82%
Would not
like to work
for pay
72%
#1
Unweighted N=300
Weighted N=88,016
*People were asked what their current employment status is.
Unweighted N=243
Weighted N=71,892
*People who were not working were asked whether they would
like to be working for pay.
Note: Percentages may not add up to 100% due to rounding and/or missing information.
‡
This percentage is based on fewer than 20 respondents (Unweighted N<20) and should be interpreted with caution.
§ Area
#2
6 includes Blackford, Delaware, Grant, Henry, Jay, Madison, & Randolph Counties.
Source: AdvantAge Initiative Community Survey in Indiana 2008
Flu Shot in the Past 12 Months
Among People Aged 65 and Older
National1
Indiana2,3
Area 82,4
Martindale/
Brightwood NNORC2,5
1
Federal Interagency Forum on Aging-Related Statistics. Older Americans 2008: Key Indicators of Well-Being. Federal Interagency Forum on AgingRelated Statistics. Washington, DC: U.S. Government Printing Office. March 2008. Data for 2006.
2
AdvantAge Initiative Community Survey in Indiana, 2008
3
Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in 2006 (Unweighted N=3,337; Weighted N=734,461).
4
Area 8 includes Boone, Hamilton, Hancock, Hendricks, Johnson, Marion, Morgan, and Shelby Counties (Unweighted N=227; Weighted N=182,961).
5
Unweighted N=85; Weighted N=1,533.
Mammogram1
Among Women Aged 65 and Older
66%
64%
60%
56%
50%
33%
0%
National2
Indiana3,4
Area 33,5
Huntington NNORC3,6
1
The AdvantAge Initiative survey refers to mammogram in the past 12 months. National figure refers to mammogram in the past 2 years (data for 2005).
Federal Interagency Forum on Aging-Related Statistics. Older Americans 2008: Key Indicators of Well-Being. Federal Interagency Forum on AgingRelated Statistics. Washington, DC: U.S. Government Printing Office. March 2008.
2
3
AdvantAge Initiative Community Survey in Indiana, 2008
4
Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in 2006 (Unweighted N=1,786; Weighted N=423,327).
5
Area 3 includes Adams, Allen, De Kalb, Huntington, Lagrange, Noble, Steuben, Wells, and Whitley Counties (Unweighted N=109; Weighted N=43,306).
6
Unweighted N=45; Weighted N=297.
Diabetes1
Among People Aged 65 and Older
31%
32%
22%
23%
Indiana3,4
Area 83,5
18%
16%
0%
National2
Martindale/
Brightwood NNORC3,6
The AdvantAge Initiative survey asked, “In the past five years, has a doctor told you that you have … Diabetes.” National data are based on a 2-year
average (2005-2006).
2 Federal Interagency Forum on Aging-Related Statistics. Older Americans 2008: Key Indicators of Well-Being. Federal Interagency Forum on AgingRelated Statistics. Washington, DC: U.S. Government Printing Office. March 2008.
1
3
AdvantAge Initiative Community Survey in Indiana, 2008
4
Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in 2006 (Unweighted N=3,337; Weighted N=734,461).
5
Area 8 includes Boone, Hamilton, Hancock, Hendricks, Johnson, Marion, Morgan, and Shelby Counties (Unweighted N=227; Weighted N=182,961).
6
Unweighted N=85; Weighted N=1,533.
Active and Contributing!





85% voted in last
election
37% contacted an
elected representative
89% made donation of
goods or services to
charity
22% provide help to
frail or disabled friend
and family
7% live with
grandchildren





23% non-working
would like to work for
pay
39% participated in
volunteer work
81% report good to
excellent health
48% engage in regular
physical activity
88% engaged in at
least one social,
religious or cultural
activity last week
Indiana Partnerships for Lifespan
Communities
Next Steps
Area plans feed into 2010 state plan
•New partnerships:
•
Indiana Grantmakers Alliance
•Indiana Chamber of Commerce
•WFYI / State Policymakers
•Communities for Life
•
•
New national tools:
Educational modules
•Social marketing
•Evaluation
•
www.agingindiana.org
Contact Information






Philip B. Stafford, Ph.D.
Director, Center on
Aging and Community,
Indiana Institute on
Disability & Community
2853 East Tenth,
Bloomington, IN, 47408
(812) 855-2163
staffor@indiana.edu
www.agingindiana.org






National AdvantAge
Initiative
Mia Oberlink
Center for Home Care
Policy and Research
107 East 70th, New York,
New York 10021
212-609-1537
www.advantageinitiative.org