When asked how likely they would be to get a COVID-19 vaccine when available and if no cost to them, 58% of older adults indicated they would be likely to get a COVID-19 vaccine (33% very likely, 25% somewhat likely), 28% said they were unlikely (11% somewhat unlikely, 17% very unlikely), and 14% were unsure or did not know.
About two in three older adults (63%) indicated they received a flu shot last flu season. Seven in ten either received one since August 2020 (34%) or intended to get one this flu season (38%). Nearly half of adults age 50–80 (49%) believed that getting a flu vaccine is more important this year compared to other years, 44% said it is just as important, and 7% said it was less important.
Interest in getting a COVID-19 vaccine was more common among those age 65–80 compared with those 50–64 (63% vs. 54%), men compared with women (64% vs. 52%), and Whites compared with Hispanics and Blacks (63% vs. 51% vs. 40%). Individuals who lived with others, had higher household incomes, or had more education were also more likely to report they would get a COVID vaccine.
Half of adults age 50–80 (52%) said they personally knew someone who had COVID-19, and 2% reported having had it themselves. One in five older adults (19%) indicated they personally knew someone who died from COVID-19. The likelihood of getting a COVID-19 vaccine did not differ based on whether respondents knew someone who had COVID-19 or who died from it.
In deciding whether to get a COVID-19 vaccine, older adults rated the following as very important: how well it works (80%), their own research (56%), and if it was recommended by their doctor (52%), public health officials (42%), or family and friends (13%). Cost was rated as very important by 30% of older adults.
From 2019 to 2020, there was a substantial increase in the proportion of older adults who reported that their health care providers offered telehealth visits. In May 2019, 14% of older adults said that their health care providers offered telehealth visits, compared to 62% in June 2020.
Similarly, the percentage of older adults who had ever participated in a telehealth visit rose sharply from 4% in May 2019 to 30% in June 2020. Of those surveyed in 2020, 6% reported having a telehealth visit prior to March 2020, while 26% reported having a telehealth visit in the period from March to June 2020.
Over the past year, some concerns about telehealth visits decreased among adults age 50–80 whether or not they had a telehealth visit. Older adults’ concerns about privacy in telehealth visits decreased from 49% in May 2019 to 24% in June 2020, and concerns about having difficulty seeing or hearing health care providers in telehealth visits decreased from 39% in May 2019 to 25% in June 2020. Concerns about not feeling personally connected to the health care provider decreased slightly (49% to 45%).
Becoming an Age-Friendly Health System entails reliably acting on a set of four evidence-based elements of high-quality care and services, known as the “4Ms,” for all older adults. When implemented together, the 4Ms represent a broad shift to focus on the needs of older adults:
(1) What Matters: Know and align care with each older adult’s specific health outcome goals and care preferences including, but not limited to, end-of-life care and across settings of care;
(2) Medication: If medication is necessary, use Age-Friendly medication that does not interfere with What Matters to the older adult, Mobility, or Mentation across settings of care;
(3) Mentation: Prevent, identify, treat, and manage dementia, depression, and delirium across settings of care; and
(4) Mobility: Ensure that older adults move safely every day to maintain function and do What Matters
The Age-Friendly Health Systems movement, initiated in 2017, recognizes that an all-in, national response is needed to embrace the health and well-being of the growing older adult population. Like public health, health systems, including payers, hospitals, clinics, community-based organizations, nursing homes, and home health care, need to adopt a new way of thinking that replaces unwanted care and services with aligned interventions that respect older adults’ goals and preferences. Becoming an Age-Friendly Health System entails reliably acting on a set of four evidence-based elements of high-quality care and services, known as the “4Ms,” for all older adults.
From a USC Dornsife Magazine article by Susan Bell:
Not a Slippery Slope after all
Contrary to popular opinion, when it comes to well-being, our lives do not represent an inevitable decline from the sunny uplands of youth to the valley of death. Instead, the opposite is true — we can confidently look forward to old age as the happiest time of our lives.
More than 50 years have passed since The Who’s Pete Townshend penned these immortal lines on his 20th birthday, resulting in the band’s iconic ode to rebellious youth, “My Generation.” These days there is no hint that the rock star, now a spritely septuagenarian, is entertaining any regrets that his youthful wish didn’t come true.
So why do people grow happier as they age? Is it an absence of stress, or are they able to focus more on what brings them joy?
But as a young man, Townshend certainly wasn’t alone in dreading old age, and while his suggested remedy for avoiding the unavoidable may have been extreme, he also wasn’t alone in wanting to dodge what we tend to believe will be the miseries of aging.