Aging Well and the Intersection of Flourishing, Connectedness, and Sense of Meaningfulness in a Changing World: Implications for Personal and Societal Responsibility

Abstract

Countries worldwide are now facing a multitude of challenges emanating from population aging, along with increases in human longevity. This demographic transition to older populations globally has created interest in the concept of aging well, with implications for a reconceptualization of the life course. In this study, insights, perspectives, and research findings surrounding human flourishing, social connectedness, and sense of meaningfulness are introduced for the purpose of drawing attention to their respective associations either independently or collectively with aging well. This study by way of a random search of the literature, provides contemporary insights for building a knowledge platform centered on aging well. Societal aspirations for promoting aging well will require a priority focus that promotes the adoption of healthy lifestyles across all ages. To apprehend and confront the challenges surrounding aging well will require new forms of communication and partnership undertakings involving the government, policymakers, health professionals, the general public and especially people destined to live into older age. Consequently, a deeper understanding of aging well and its promotion throughout the life course is urgently needed, including the existential aspects of aging well and the social, political, economic, and environmental forces that influence the level of health and well-being of people.

Keywords

• Existential health
• narrative on aging
• resilient aging
• self-care
• social embeddedness

References

1. Adams, R. G; & Bleiszner, R. (1995). Aging well with friends and family. American Behavioral Scientist, 39(2), 209-224. https://doi.org/10.1177/000276429503900200 google scholar
2. Andrews, G. J; Gavin, N; Begley, S; & Brodie, D. (2003). Assisting friendships and combating loneliness: Users’ views on a ‘befriending’ scheme. Ageing & Society, 23(3), 349-362. doi: 10.1017/S014468X03001156 google scholar
3. Andrews, G. J; Milligan, C; Phillips, D. R; & Skinner, M.W. (2009). Geographical gerontology: Mapping a disciplinary intersection. Geography Compass, 3(5), 1641-1659. doi:10.1111/j.1749-8198.2009.00270. x google scholar
4. Angus, J; & Reeve, P. (2006). Ageism: A threat to “ageing well” in the 21st century. Journal of Applied Gerontology, 25(2), 137-152. https://doi.org/10.1177/0733464805285745 google scholar
5. Aung, M. N., Koyanagi, Y., Nagamine, Y., Nam, E. W., Mulati, N., Kyaw, M. Y., Moolphate, S., Shirayama, Y., Nonaka, K., Field, M., Cheung, P., & Yuasa, M. (2022). Digitally inclusive, healthy aging communities (DIHAC): A cross-cultural study in Japan, Republic of Korea, Singapore, and Thailand. International Journal of Environmental Research and Public Health, 19(12), 6976. https://doi.org/10.3390/ijerph19126976 google scholar
6. Baars, J; & Phillipson, C. (2014). Connecting meaning with social structure: Theoretical foundations. In J. Baars, J. Dohmen, A. Grenier & C. Phillipson (Eds.), Ageing, meaning and social structure: Connecting critical and humanistic gerontology. Bristol, UK: Policy Press. google scholar
7. Barbaccia, V., Bravi, L., Murmura, F., Savelli, E., & Vigano, E. (2022). Mature and older adults’ perception of active ageing and the need for supporting services: Insights from a qualitative study. International Journal of Environmental Research and Public Health, 19(13), 7660. MDPI AG. Retrieved from http://dx.doi.org/10.3390/ijerph19137660 google scholar
8. Barlin H., Korkmaz Yaylagul N. & Mercan M. A. (2023). Decision to Extend Working Life in Turkey and Its Relation to Subjective Well-being: A Qualitative Analysis from a Gender Perspective. In Well-Being and Extended Working Life (pp. 159-176). Routledge. google scholar

9. Bartlett, H. P., & Carroll, M. (2015). Connected environments for healthy aging. In M. W. Kazer, & K. Murphy (Eds.), Nursing Case Studies on Improving Health-Related Quality of Life in Older Adults (1st ed., pp. 213-222). New York: Springer. google scholar
10. Bar-Tur, L. (2021) Fostering well-being in the elderly: Translating theories on positive aging to practical approaches. Front. Med. 8:517226. doi: 10.3389/fmed.2021.517226 google scholar
11. Baumeister, R. F., & Vohs, K. D. (2002). The pursuit of meaningfulness in life. In C. R. Snyder, & S. J. Lopez (Eds.), Handbook of positive psychology (pp. 608-618). Oxford University Press. google scholar
12. Ben-Harush, A., Shiovitz-Ezra, S., Doron, I., Alon, S., Leibovitz, A., Golander, H., Haron, Y., & Ayalon, L. (2016). Ageism among physicians, nurses, and social workers: Findings from a qualitative study. European Journal of Ageing, 14(1), 39-48. https://doi.org/10.1007/s10433-016-0389-9 google scholar
13. Beswick, A. D., Rees, K., Dieppe, P., Ayis, S., Gooberman-Hill, R., Horwood, J., & Ebrahim, S. (2008). Complex interventions to improve physical function and maintain independent living in elderly people: A systematic review and meta-analysis. Lancet (London, England), 371(9614), 725-735. https://doi.org/10.1016/S0140-6736(08)60342- google scholar
14. Blackberry, I. (2022, August 4). Rural aged-care crisis is just getting worse. Herald Sun, p. 23. google scholar
15. Bland, J. S. (2018). Age as a modifiable risk factor for chronic disease. Integrative Medicine (Encinitas, Calif.), 17(4), 16-19. - PMCID: PMC6469457 google scholar
16. Bhattacharyya, K.K. (2021). Healthy Aging and Aging Well. In: Rethinking the Aging Transition. Springer, Cham. https://doi.org/10.1007/978-3-030-88870-1_4 google scholar
17. Bradfield, E. (2020). Creative ageing: Participation, connection and flourishing: A mixed -methods research study exploring experiences of participatory arts engagement in later life through a systematic review of literature and focus groups with older people. Doctoral dissertation, College of Health and Social Care, University of Derby, UK. google scholar
18. Britts, L. T. (2016). The book of hygge: The Danish art of living well. London: Ebury Press. google scholar
19. Bugental, D. B; & Hehman. J. A. (2007). Ageism: A review of research and policy implications. Social Issues and Review, 1(1), 173-216. https://doi.org/10.1111/j.1751-2409.2007.00007.x google scholar
20. Burnes, D., Sheppard, C., Henderson, C. R., Jr, Wassel, M., Cope, R., Barber, C., & Pillemer, K. (2019). Interventions to reduce ageism against older adults: A systematic review and meta-analysis. American Journal of Public Health, 109(8), e1-e9. https://doi.org/10.2105/AJPH.2019.305123 google scholar
21. Burr, J. A; Caro, F.G; & Moorhead, J. (2002). Productive aging and civic participation. Journal of Aging Studies, 16, 87-105. google scholar
22. Carlsen, M. B. (1991). Creative Aging: A meaning-making perspective. New York: W.W. Norton & Company. google scholar
23. Cebral-Loureda, M; Tames-Munoz, E; & Hernandez-Baqueiro; A. (2022). The fertility of a concept: A bibliographic review of human flourishing. International Journal of Environmental Research and Public Health, 19,2586. https://doi.org/10.3390/ijerph19052586 google scholar
24. Chang, E. S., Kannoth, S., Levy, S., Wang, S. Y., Lee, J. E., & Levy, B. R. (2020). Global reach of ageism on older persons’ health: A systematic review. PloS ONE 15(1): e0220857. https://doi.org/10.1371/journal.pone.0220857 google scholar
25. Chapman, S. A. (2005). Theorizing about aging well. Constructing a narrative. Canadian Journal on Aging. 24(1), 9-18. doi:10.1353/cja.2005.0004 google scholar
26. Charles, S. T., & Carstensen, L. L. (2010). Social and emotional aging. Annual Review of Psychology, 6(3), 383-409. doi: 10.1146/annurev.psych.093008.100448 google scholar
27. Chen, J; Zheng. K; Xia, W; Wang, Q; Liao, Z; & Zheng. Y. (2018). Does inside equal outside? Relations between older adults’ implicit and explicit aging attitudes and self-esteem. Front. Psychol. 9:2313. doi: 10.3389/fpsyg.2018.02313 google scholar
28. Chen, M. (2019). The impact of expatriates’ cross-cultural adjustment on work stress and job involvement in the high-tech industry. Front. Psychol. 10:2228. doi: 10.3389/fpsyg.2019.02228 google scholar Commissioner for Senior Victorians. (2020). Ageing well in a changing world. Melbourne: State Government of Victoria. google scholar
29. Corley, J; Okley, J. A; Taylor, A. M; Page, D; Welstead, M; Skarabela, B; Redmond, P; Cox, S. R; & Russ, T. C. (2021). Home gardening use during COVID-19: Associations with physical and mental wellbeing in older adults. Journal of Environmental Psychology, 73, Article 101545. https://doi.org/10.1016/j.jenvp.2020.101545 google scholar
30. Craciun, I. C. (2019). Positive aging theories and views on aging. In: Positive aging and precarity. International Perspectives on Aging, vol 21. Springer, Cham. https://doi.org/10.1007/978-3-030-14255-1_2 google scholar
31. Curtis, S; & Jones, I. R. (2008). Is there a place for geography in the analysis of health inequality? Sociology of Health & Illness, 20(5), 645-672. https://doi.org/10.1111/1467.9566.00123 google scholar
32. Danielsbacka, M; Kfenkova, L; & Tanskanen, A. O. (2022). Grandparenting, health, and well-being: A systematic literature review. European Journal of Ageing, 1-28. https://doi.org/10.1007/s10433-021-00674-y google scholar
33. Dannefer, D; Lin, J; & Gonos, G. (2021). Age-differentiated vs age-integrated: Neoliberal policy and the future of life course. Journal of Elder Policy, 1(2), 59-82. doi: 10.18278/jep.123 google scholar
34. Davidson, W. (1991). Metaphors of health and aging: Geriatrics as metaphor. In G. M. Kenyon, J. E. Birren, J. E, & J. F. Schroots (Eds.), Metaphors of aging in science and the humanities. New York: Springer Publishing Company. google scholar
35. De Beauvoir, S. (1977). Old age. New York: Penguin Books. google scholar
36. Dewitte, L; & Dezutter, J. (2021). Meaning reflectivity in later life: The relationship between reflecting on meaning in life, presence and search for meaning, and depressive symptoms in older adults over the age of 75. Front. Psychol. 12:726150. doi: 10.3389/fpsyg.2021.726150 google scholar
37. Diehl, M; Smeyer, M. A; & Mehrotra, C. M. (2020). Optimizing aging A call for a new narrative. American Psychologist, 75(4),577-589. google scholar
38. Douglas, H; Georgiou, A; & Westbrook, J. (2017). Social participation as an indicator of successful aging: An overview of concepts and their association with health. Australian Health Review. 41, 455-462. http://dx.doi.org/10.1071/AH16038 google scholar
39. Ekman, E; & Simon-Thomas, E. (2021). Teaching the science of human flourishing, unlocking connection, positivity, and resilience for the greater good. Global Advances in Health and Medicine, 10, 1-11. doi: 10.1177/21649561211023097 google scholar
40. Fernandez-Ballesteros, R; Garcia, L; Abarca, D; Blanc, E; Efklides, A; Moraitou, D; Kornfeld, A;... Orosa, T. (2010). The concept of ‘ageing well’ in ten Latin American and European countries. Ageing and Society. 30. 41 - 56. 10.1017/S0144686X09008587. google scholar
41. Ferraro, K. F., & Shippee, T. P. (2009). Aging and cumulative inequality: How does inequality get under the skin? The Gerontologist, 49(3), 333-343. https://doi.org/10.1093/geront/gnp034 google scholar
42. Fineman, M. A. (2012). Elderly as vulnerable: Rethinking the nature of individual and social responsibility. Emory Legal Studies Research Paper No: 12-224, Volume 20. Emory University School of Law, Atlanta, Georgia, United States. Available at: SSRN: https://ssrn.com/abstract=2088159 google scholar
43. Flett, G. L; & Heisel, M. J. (2021). Aging and feeling valued versus expendable during the COVID-19 pandemic and beyond A review and commentary of why mattering is fundamental to the health and well-being of older adults. International Journal of Mental health and Addiction, 19, 2443-2469. https://doi.org/10.1007/s11469-020-00339-4 google scholar
44. Foster, L; & Walker, A. (2015). Active and successful aging: A European policy perspective. The Gerontologist, 55(1), 83-90. doi:10.1093/geront/gnu028 google scholar
45. Foster, L., & Walker, A. (2021). Active ageing across the life course: Towards a comprehensive approach to prevention. BioMedR Research International, 2021, 6650414. https://doi.org/10.1155/2021/6650414 google scholar
46. Frankl. V. (1961). Man’s search for meaning. New York: Simon & Schuster. google scholar
47. Gebremariam, K. M., Sadana, R. (2019). On the ethics of healthy ageing: Setting impermissible trade-offs relating to the health and well-being of older adults on the path to universal health coverage. IntJ Equity Health 18, 140. https://doi.org/10.1186/s12939-019-0997-z google scholar
48. Gewirth, A. (1998). Self-fulfillment. Princeton, NJ: Princeton University. google scholar
49. Giddens, A. (1991). Modernity and Self-Identity, Polity Press, Cambridge google scholar
50. Gil-Lacruz, M; Saz-Gil, M. I; & Gil-Lacruz, A. I. (2019). Benefits of older volunteering on wellbeing: An international comparison. Front. Psychol. 10:2647. doi: 10.3389/fpsyg.2019.02647 google scholar
51. Gilleard, C; & Higgs, P. (2014). Cultures of ageing: Self, citizen and body. New York: Routledge. google scholar
52. Gilroy, R. (2008) Places that support human flourishing: Lessons from later life. Planning Theory & Practice, 9(2), 145-163. doi: 10.1080/14649350802041548 google scholar
53. Goetzel, R.Z; Reynolds, K; Breslow, L; Roper, W. L; Shechter, D; Stapelton, D. C; lapin, P. J; & McInnis, J. M. (2007). Health promotion in later life: It’s never too late. American Journal of Health Promotion, 21(4), 1-8. doi; 10.4278/0890-1171-21.4.TAHP-1 google scholar
54. Halaweh, H., Dahlin-Ivanoff, S., Svantesson, U., & Willen, C. (2018). Perspectives of Older Adults on Aging Well: A Focus Group Study. Journal of aging research, 2018, 9858252. https://doi.org/10.1155/2018/9858252 google scholar
55. Harari, Y. N. (2018). 21 Lessons for the 21st century. London: Jonathan Cape. google scholar
56. Hawkins B. A. (2005). Aging well: Toward a way of life for all people. Preventing Chronic Disease, 2(3), 1-3. google scholar
57. Hayslip, B. (2014). Lifelong learning: A dyadic ecological perspective. Journal of Intergenerational Relationships, 12(4), 368-380. doi: 10.1080/15350770.2014.961826 google scholar
58. Hemberg, J.A., Forsman, A.K., & Nordmyr, J. (2017). One day at a time: being in the present experienced as optimal health by older adults; the existential health dimension as a health-promoting potential. Nursing and Palliative Care, 292), 1-7. doi: 10.15761/NPC.1000148 google scholar
59. Higo, M., & Khan, H. T. (2015). Global population aging: Unequal distribution of risks in later life between developed and developing countries. Global Social Policy, 15(2), 146-166. https://doi.org/10.1177/1468018114543157 google scholar
60. Hillman, J. (1999). The force of character: And the lasting life. New York: Ballantine Books. google scholar
61. Höltge, J; Cowden, R. G; Lee, M. T; Bechara, A. O; S. Joynt, S; Kamble, S; . . . VanderWeele, T. J. (2022). A systems perspective on human flourishing: Exploring crosscountry similarities and differences of a multisystemic flourishing network, The Journal of Positive Psychology, https://doi.org/ 10.1080/17439760.2022.2093784 google scholar
62. Hooyman, N. R; & Kiyak, H. A. (1992). Social gerontology: A multidisciplinary Perspective (3rd ed.). London: Allyn and Bacon. google scholar
63. Howell, B. M., & Peterson, J. R. (2020). “With age comes wisdom”: A qualitative review of elder perspectives on healthy aging in the Circumpolar North. Journal of cross-cultural gerontology, 35(2), 113-131. https://doi.org/10.1007/s10823-020-09399-4 google scholar
64. H0y, B; Wagner, L; & Hall, E. O. C. (2007). Self-care as a health resource; An integrated review of the concept. 21, 456-466. doi: 10.1111/j.1471-6712.2006.00491. x google scholar
65. Huppert, F. A., & So, T. T. C. (2013). Flourishing across Europe: Application of a new conceptual framework for defining well-being. Soc. Indic. Res. 110, 837-861. doi: 10.1007/s11205-011-9966-7 google scholar
66. Huta, V; & Waterman, A. S. (2014). Eudaimonia and its distinction from hedonia: Developing a classification and terminology for understanding conceptual and operational definitions. Journal of Happiness Studies, 15(6), 1425-1456. google scholar
67. International Telecommunications Union (ITU). (2021). Ageing in a digital world: from vulnerable to valuable. Development Centre, Geneva: International Telecommunications Union. google scholar
68. Johnson, T. F. (1995). Aging well in contemporary society. American Behavioral Scientist, 39(2), 120-130. google scholar
69. Katz R. (2009). Intergenerational family relations and subjective well-being in old age: A cross-national study. European Journal of Ageing, 6(2), 79-90. https://doi.org/10.1007/s10433-009-0113-0 google scholar
70. Kenyon, G. M. (1991). Homo viator: Metaphors of aging, authenticity, and meaning. In G. M. Kenyon, J. E. Birren, J. E., & J. F. Schroots (Eds.), Metaphors of aging in science and the humanities. New York: Springer Publishing Company. google scholar
71. Kim, E. S; Tkatch, R; & Martin, D. (2021). Resilient aging: Psychological well-being and social well-being as targets for the promotion of healthy aging. öGerontology and Geriatric Medicine, 7, 1-12. https:/doi.org/10.1177/23337214211002957 google scholar
72. Korkmaz Yaylagul, N., Seedsman, T. (2012). Ageing: The Common denominator. Population Ageing, 5(4), 257-279. doi: 10.1007/s12062-012-9072-x google scholar
73. Kuh, D; Karunananthan, S; Bergman, H; & Cooper, R. (2014). A life-course approach to healthy ageing: Maintaining physical capability. Proceedings of the Nutrition Society, 73(2), 237-248. doi: 10.10.1017/S0029665113003923 google scholar
74. Laceulle, H. (2014). Self-realization and ageing: A spiritual perspective. In J. Baars, J. Dohmen, A. Grenier & C. Phillipson (Eds.), Ageing, meaning and social structure: Connecting critical and humanistic gerontology. Bristol, UK: Policy Press. google scholar
75. Laceulle, H. (2018). Aging and self-realization. Cultural narratives about later life. Bielefeld, Germany: Transcript Verlag. google scholar
76. Lerner, M. (1990). Wrestling with an angel: A memoir of my triumph over illness. New York: Norton. google scholar
77. Levin-Zamir, D; Leung, A.Y.M; Dodson, S; & Rowlands, G. (2017). Health literacy innselected populations: Individuals, families and communities from the international and cultural perspective. Information Services & Use, 37, 131-151. doi: 10.3233/ISU-170834 google scholar
78. Levinger, P., Cerin, E., Milner, C., & Hill, K. D. (2022). Older people and nature: The benefits of outdoors, parks and nature in light of COVID-19 and beyond- where to from here? International Journal of Environmental Health Research, 32(6), 1329-1336. https://doi.org/10.1080/09603123.2021.1879739 google scholar
79. Levy, B.R; Slade, M. D; Chang, E-S; Kannoth, S; & Wang, S-Y. (2020). Ageism amplifies cost and prevalence of health conditions. The Gerontologist, 60(1), 174-181. https://doi.org/10.1093/geront/gny131 google scholar
80. Lin, V; Sindall, C; Williams, C; & Capon, T. (2022). Launching a global movement for societal wellbeing. Public Health Research & Practice, 32(2), e3222209. https://doi.org/10.17061/phrp3222209 google scholar
81. Machielse, A; & Hortulanus, R. (2014). Social ability or social frailty? The balance between autonomy and connectedness in the lives of older people. In J. Baars, J. Dohmen, A. Grenier & C. Phillipson (Eds.), Ageing, meaning and social structure: Connecting critical and humanistic gerontology. Bristol, UK: Policy Press. google scholar
82. Maddox, G. L. (1992). Aging and well-being. In N. E. Cutler, D. W. Gregg, M. P. Lawton (Eds.). Aging, money, and life satisfaction; Aspects of financial gerontology. New York: Springer Publishing Company. google scholar
83. Magnussen, I.-L., Alteren, J., & Bondas, T. (2021). “Human flourishing with dignity”: A meta-ethnography of the meaning of gardens for elderly in nursing homes and residential care ettings. Global Qualitative Nursing Research. https://doi.org/10.1177/23333936211035743 google scholar
84. Manchana, V. (2021). Interrelationships of physical activity, loneliness and social support among older adults: Health and wellbeing in later life. Academia Letters, Article 3478. https://doi.org/10.20935/AL3478. google scholar
85. Martela, F., & Pessi, A. B. (2018). Significant work Is about self-realization and broader purpose: Defining the key dimensions of meaningful work. Frontiers in Psychology, 9, 363. https://doi.org/10.3389/fpsyg.2018.00363 google scholar
86. Matos M, McEwan K, Kanovsky M, Halamova J, Steindl SR, Ferreira N, et al. (2021) The role of social connection on the experience of COVID-19 related post-traumatic growth and stress. PLoS ONE 16(12): e0261384. https://doi.org/10.1371/journal.pone.0261384 google scholar
87. Matthews, K; & Nazoo, J. (2021). The impact of volunteering and its characteristics on well-being after state pension age: Longitudinal evidence from the English longitudinal study of ageing, Journals of Gerontology Series B Psychological Sciences and Social Sciences, 76(3), 632-641. https://doi.org/10.1093/geronb/gbaa146 google scholar
88. McConnell, A; & Hart, P. T. (2019). Inaction and public policy: Understanding why policy makers ‘do nothing’. Policy Sciences, 52, 645-661. https://doi.org/10.1007/s11077-019-09362-2 google scholar
89. McLaughlin, S. J., Connell, C. M., Heeringa, S. G., Li, L. W., & Roberts, J. S. (2010). Successful aging in the United States: Prevalence estimates from a national sample of older adults. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 65(2), 216-226. https://doi.org/10.1093/geronb/gbp101 google scholar
90. Michel, J. P; Dreux, C; & Vacheron, A. (2016). Healthy ageing: Evidence that improvement is possible at any age. European Geriatric Medicine, 7(4), 298-305. https://doi.org/10.1016/j.eurger.2016.04.014 google scholar
91. Mielenz, T. J; Kannoth, S; & Xue, Q-L. (2021). Patterns of self-care behaviors and their influence on maintaining independence: The national health and aging trends study. Front. Aging 2:770476. doi: 10.3389/fragi.2021.770476 google scholar
92. Minkler, M; & Cole, T. R. (1991). Political and moral economy: Not such strange bedfellows. In M. Minkler & T. R. Estes (Eds.). Critical perspectives on aging; The political and moral economy of growing old. New York: Cambridge University Press. google scholar
93. Minkler, M. (1999). Personal responsibility for health? A review of the arguments and the evidence at century’s end. Health Education & Behavior, 26(10. 121-140. https://doi.10.org/1177/109019819902600110 google scholar
94. Minney, M. J; Ranzijn, R. (2016). “We had a beautiful home . . . but I think I’m happier here”: A good or better life in residential aged care, The Gerontologist, 56(5), 919-927, https://doi.org/10.1093/geront/gnu169 google scholar
95. Moulaert, T; & Biggs, S. (2012). Internationalnand European policy on work and retirement: Reinventing critical perspective on active and mature subjectivity. Human Relations, 64(1), 23-43. doi:10.1177/0018726711435180 google scholar
96. Musich, S., Wang, S. S., Kraemer, S., Hawkins, K., & Wicker, E. (2018). Purpose in Life and Positive Health Outcomes Among Older Adults. Population health management, 21(2), 139-147. https://doi.org/10.1089/pop.2017.0063 google scholar
97. Narushima, M; Liu, J; & Diestelkamp, N. (2018). Lifelong learning in active ageing discourse: Its conserving effect on wellbeing, health and vulnerability. Ageing and Society, 38(4). 651-677. doi:10.1017/S0144686X16001136 google scholar
98. Neel, R; & Lassetter, B. (2019). The stigma of perceived irrelevance: An affordance-management theory of interpersonal invisibility. Psychological Review, 126(5), 634-659. https://doi.org/10.1037/rev0000143 google scholar
99. Pachana, N.A; & Baumeister, R. F. (2021) Better later than never: Meaning in late life. Front. Psychol. 12:693116. doi: 10.3389/fpsyg.2021.693116 google scholar
100. Palmberger, M. (2017). Social ties and embeddedness in old age: Older Turkish labour migrants in Vienna, Journal of Ethnic and Migration Studies, 43(2), 235-249, doi: 10.1080/1369183X.2016.1238907 google scholar
101. Pinquart, M. (2002). Creating and maintaining purpose in life in old age: A meta-analysis. Ageing international, 27(2), 90-114. google scholar
102. Prince, R. J. (2020, April 20th). Utopian aspirations in a dystopian world: ‘Health for all’ and the universal health coverage agenda. Somatosphere, Retrieved from http://somatosphere.net/2020/universal-health-coverage.html/ google scholar
103. Rhodenizer, M. (2014). Flourishing in later life: A positive psychology training for care workers. Master of Education (Counselling Psychology), University of Lethbridge, Alberta-Canada. google scholar
104. Riley, M. W. (1992) Aging in the twenty -first century In N. E. Cutler, D. W. Gregg, & M. P. Lawton (Eds.). Aging, money, and life satisfaction: Aspects of financial gerontology. New York: Springer Publishing Company. google scholar
105. Rinnan, E; Andre, B; Drageset, J; Garasen, H; Espnes, G. A; & Haugan, G. (2018). Joy of life in nursing homes: A qualitative study of what constitutes the essence of joy of life in elderly individuals living in Norwegian nursing homes. Scandinavian Journal of Caring Sciences, 32(4), 1468-1476. https://doi.org/10.1111/scs.12598 google scholar
106. Roberts, Y. (2012). One hundred not out: Resilience and active aging. London: Young Foundation. google scholar
107. Roe, J; Blythe, M; Oliver, C; & Roe, A. (2022). Flourishing ‘older-old (80+) adults: Personal projects and their enabling places. Wellbeing, Space and Society, 3(1), 1-11. https:/doi.org/10.1016/j.wss.2022.100072 google scholar
108. Sander, M., Oxlund, B., Jespersen, A., Krasnik, A., Mortensen, E. L., Westendorp, R. G., & Rasmussen, L. J. (2015). The challenges of human population ageing. Age and Ageing, 44(2), 185-187. https://doi.org/10.1093/ageing/afu189 google scholar
109. Schlossberg, N. K. (1989). Marginality and mattering: Key issues in building community. New Directions for Student Services, 48, 5-15. https://doi.org/10.1002/ss.37119894803 google scholar
110. Schlossberg, N. K. (2009). Revitalizing retirement: reshaping your identity, relationships, and purpose. Washington, DC: American Psychological Association. google scholar
111. Schotanus-Dijkstra, M., Pieterse, M. E., Drossaert, C. H. C., Westerhof, G. J., de Graaf, R., ten Have, M., Walburg, J. A., & Bohlmeijer, E. T. (2016). What factors are associated with flourishing? Results from a large representative national sample. Journal of Happiness Studies: An Interdisciplinary Forum on Subjective Well-Being, 17(4), 1351-1370. https://doi.org/10.1007/s10902-015-9647-3 google scholar
112. Schoultz, M; Öhman, J; & Quennerstedt, M. (2020): A review of research on the relationship between learning and health for older adults. International Journal of Lifelong Education. https://doi.org/10.1080/02601370.2020.1819905 google scholar
113. Seedsman, T. A. (1994) Ageing is negotiable: A prospectus for living in the third age. St Kilda, Melbourne: Employ Working Effectively Publications Inc. google scholar
114. Seedsman, T., & Seedsman, B. (2019). ‘Leaving-but not yet: A rejection of the perception ‘God’s waiting room in favour of humanistic residential aged care. International Journal of Studies in Nursing, 4(3), 94-104. https://doi.org/10.20849/ijsn.v4i3.625 google scholar
115. Seedsman, T. (2021). Mitigating the existential suffering of older people transitioning through loss and grief: Understanding the liberating influence of compassionate care. Journal of Aging and Long-Term Care, 4(2), 19-30. doi: 10.51819/jaltc.2021.1063924 google scholar
116. Seligman, M. (2012). Flourish: A visionary new understanding of happiness and well-being. Sydney: William Heinemann google scholar
117. Seligman, M. E. (2021). Foreword. In L. Tay & J. O. Pawelski (Eds.), The Oxford handbook of the positive humanities. Oxford, UK: Oxford University Press. google scholar
118. Sorrell, J. M. (2017). Promoting human flourishing in aging. Journal of Psychosocial and Mental Health Services, 55(10), 27-30. https://doi.org/10.3928/02793659-20170919-03 google scholar
119. Steger, M. F. (2012). Making meaning in life. Psychological Inquiry, 23, 381-385. doi. 10.1080/1047840X.2012.720832 google scholar
120. Steptoe, A; & Fancourt, D. (2019). Leading a meaningful life at older ages and its relationship with social engagement, prosperity, health, biology, and time use. Proceedings of the National Academy of Social Sciences, 116(4), 1207-1212. https://doi.org/10.1073/pnas.1814723116 google scholar
121. Taylor, R. (1981). The meaning of life. In E. D. Klemke (Ed.), The meaning of life. New York: Oxford University Press. google scholar
122. Torres, S. (1999). A culturally-relevant theoretical framework for the study of successful aging. Ageing & Society, 19(1), 33-51. doi;10.1017/S0144686X99007242 google scholar
123. Tosato, M., Zamboni, V., Ferrini, A., & Cesari, M. (2007). The aging process and potential interventions to extend life expectancy. Clinical Interventions in Aging, 2(3), 401-412.-PMCID: PMC2685272 google scholar
124. Younkins, E. W. (2008). Toward the development of a paradigm of human flourishing in a free society. The Journal of Ayn Rand Studies, 9(2), 253-304. http://www.jstor.org/stable/41560362 google scholar
125. Valiant, G. (2007). Aging well. American Journal of Geriatric Psych, 15, 181-183. 10.1097/JCP.0b013e3180319e0 google scholar
126. VanderWeele, T. J. (2017). On the promotion of human flourishing. Proceedings of the National Academy of Sciences (PNAS), 114(31), 8148-8156. https://doi.org/10.1073/pnas.1702996114 google scholar
127. von Humboldt, S., Leal, I., & Pimenta, F. (2014). What predicts older adults’ adjustment to aging in later life? The impact of sense of coherence, subjective well-being and socio-demographic, lifestyle and health-related factors. Educational Gerontology, 40(9), 641-654. http://dx.doi.org/10.1080/03601277.2013.860757. google scholar
128. Visser, M; Wijnhoven, H; Comijs, H; Thomese, F; Twisk, J; & Deeg, D. (2019). A healthy lifestyle in old age and prospective change in four dimensions of functioning. Journal of Aging and Health, 3(7), 1297-1314. doi: 10.1177/0898264318774430 google scholar
129. Wahl. H-W; Iwarsson, S; & Oswald, F. (2012). Aging well and the environment: Toward an integrative model and research agenda for the future. The Gerontologist, 52(3), 306-316. https://doi.org/10.1093/geront/gnr154 google scholar
130. Weiss, D. (2018). On the inevitability of aging: Essentialist beliefs moderate the impact of negative age stereotypes on older adults’ memory performance and physiological reactivity. J Gerontol B Psychol Sci Soc Sci, 73(6), 925-933. doi: 10.1093/geronb/gbw087 google scholar
131. Weziak-Bialowolska, D; McNeely, E; & VanderWeele, T. J. (2019). Human flourishing in cross-cultural settings, evidence from the United States, China, Sri Lanka, Cambodia, and Mexico. Frontiers in Psychology, 10, Article 1269. doi.10.3389/fpsyg.2019.01269 google scholar
132. Windsor, T. D., Curtis, R. G., & Luszcz, M. A. (2015). Sense of purpose as a psychological resource for aging well. Developmental Psychology, 51(7), 975-986. https://doi.org/10.1037/dev0000023 google scholar
133. Wolbert, L. S., de Ruyter, D. J., & Schinkel, A. (2019). Child rearing, risk, and striving for human flourishing. Educational Theory, 68(4-5), 529-545. google scholar
134. Wong, P. T. P. (1989). Personal meaning and successful aging. Canadian Psychology, 30(3), 516-525. doi: 10.1037/h0079829 google scholar
135. Woods, N. F; Rillamas-Sun, E; Cochrane, B. B; La Croix, A. Z; Seeman, T. E; Tindle, H. A; Zaslavsky, O; Bird, C. E; Johnson, K. C; Manson, J. E; Ockene, J. K; Seguin, R. A; Wallace, R. B. (2016). Aging well: Observations from the women’s health initiative study. J Gerontol a Biol Sci Med Sci, 71 (Suppl 1), S3-S12. doi:10.1093/gerona/glv054 google scholar
136. World health Organization (2002). Active ageing: A policy framework. Geneva: World Health Organization. google scholar