Aging well is new, again. The recent interest is part of a 50-year period of research. Contradictory conceptualizations of aging well create an opportunity to consider assumptions that underlie the concept. In this paper, through the construction of an aging-well, theorizing narrative, an underlying assumption is identified in past aging-well conceptual frameworks: to age well is to achieve self-integration in relation to particular sets of resources or forms of engagement. The narrative relates how more recent aging-well theorizing is being shaped by a growing interest in later-life meaning-making. Evidence is presented of a contemporary shift toward describing aging well as the negotiation of the co-construction and reconstruction of multiple selves in an ongoing, open-ended process of meaning-making amid later-life events and transitions. The paper concludes with implications for future research.

This study aimed to identify factors affecting older adults' quality of life in urban environments and to compare older adults' and professionals' perspectives on the issue. Eleven focus groups were conducted (eight involving older adults, three involving professionals), each discussing a wide range of issues related to determinants of health and quality of life. The most salient themes were health and independence, financial security, social integration, health care services, housing, accessibility of community services, and decision-making power. Older adults' and professionals' comments strongly converged, with specific issues also raised by each. Older adults provided the richest and most in-depth data on intrapersonal factors, such as personal growth, personal qualities, and spirituality. Professionals discussed community environment issues in greater depth. Health promotion interventions to maximize older adults' quality of life are needed. These results contribute to building a knowledge base to guide such efforts, by identifying a variety of possible intervention sectors for future programs.

Differences occur in the demographic, health, and social network contexts of men and women, all of which are associated with successful aging. The objectives of this study were to determine whether differences exist in satisfaction in specific domains, in general life satisfaction and in the paths for life satisfaction for men and women. A secondary data analysis was conducted on selected variables from the Aging in the Community data set (Béland et al., 1998). The responses of 958 older Canadian francophone adults were examined. There were no differences in general or domain life satisfaction between women and men. Path analyses revealed good model fit for separate models for both male and female samples. For men, life satisfaction is explained positively by age, income, and perceived control, and negatively by recall errors, illness, and functional limitations. For women, life satisfaction is explained positively by age, education, income, social support, perceived control, and physical activity, and negatively by illness and functional limitations. The results suggest that social support had direct positive effects on life satisfaction but reduced perceived control for women. As hypothesized, although there are similarities in paths to life satisfaction for older men and women, the path models indicated that there are also important differences.

In this study, we examine trends in the patterns of time use of seniors in Canada since the 1980s. In particular, we ask whether today's seniors devote more, or less, time to productive activities than 20 years ago. Our inquiry is motivated by the claims that today's seniors are not engaged in ‘active aging.’ This study uses data from a series of time-use surveys carried out in Canada since 1981 to empirically test the validity of this claim. Our results suggest that some shift towards active aging has taken place in Canada since the 1980s; however, this shift involves a complex pattern of reallocation of time that varies by gender and age.

This paper draws a socio-demographic, physical, psychosocial, and behavioural profile of housebound older adults with arthritis and compares older adults with rheumatoid arthritis to those with osteoarthritis. Data from 125 housebound older adults with osteoarthritis (65%) or rheumatoid arthritis (35%) were compared to published samples and to population data using appropriate weighting. Respondents were mainly women, living alone, mean age 77 years (SD = 10.50). Symptoms of stiffness, fatigue, and pain intensity were moderate to severe, and a substantial proportion (51.4%) reported depression. Participants reported low levels of health behaviours such as exercise. Overall, older adults with rheumatoid arthritis were significantly younger, reported less pain and limitations, were more optimistic and satisfied with their social life, and had a higher self-efficacy than older adults with osteoarthritis. Home-based pain self-management programs should be constructed considering the unique profiles and needs of this population.

We provide descriptive statistics for data collected via the Residential Care Facilities Survey (RCFS), from long-term care (LTC) facilities operating in Ontario between 1996 and 2002. The LTC sector in Ontario is dominated by large, proprietary for-profit facilities. The proportion of residents receiving extended care has increased from 53 per cent in 1996 to over 61 per cent in 2002. Government-owned facilities are significantly larger than both for-profit proprietary facilities and lay non-profit facilities. Religious and lay non-profit facilities provide care to more residents 85 years of age and older than do for-profit and government-owned facilities, while government-owned facilities provide care to a greater proportion of higher needs residents. Government-owned facilities have higher nursing intensity levels and higher direct care staffing levels than other ownership types, while for-profit facilities have significantly lower levels than other facility types. Non-profit operators have higher ratios of administrative to care staff than proprietary and government-owned facilities.

Published by é ditions Autrement under the direction of Sophie Aurenche, this book examines euthanasia as a current subject of discussion in France. The January 2000 decision rendered by the Comité consultative national d'éthique (CCNE) accepting euthanasia in extenuating circumstances, and the passing of the March 2002 law on the rights of patients, including the right to a dignified death, have reopened the debate on the subject of euthanasia. No longer discussed only in the back rooms of the hospital or among those practising within the ethical and juridical spheres, euthanasia has emerged into the public domain. Journalist Sophie Aurenche has facilitated the debate by giving voice to speakers from a number of disciplines; each brings expertise and knowledge to the discussion and each examines the following question: is euthanasia a humanist duty or an inhumane practice? In the first section of the book, the texts address the question based on the meaning of the term euthanasia and its related concepts. The second half is dedicated to testimonies and reflections on the experience and practice of euthanasia. This book is a must for those interested in the study and repercussions of euthanasia and palliative care. The studies brought together in this volume as well as the realities they describe should be consulted in any future research on possible solutions envisioned on the issue of euthanasia.