Funders Regional RoundtableSept. 21, 2009 , New Albany, Indiana

Philip B. Stafford, Ph.D.Center on Aging & Community, Indiana University

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

County % growth in general pop.2000-2006

% growth in the 65+ pop.2000-2006

Harrison 7.77 12.2

Floyd 2.47 4.6

Clark 7.36 8.3

Scott 3.24 13

Jefferson 3.04 8.7

Switzerland 7.23 13.4

Ohio 3.61 3.1

Dearborn 7.71 11.7

Ripley 4.62 7

Crawford 3.67 3.3

Orange 1.83 3.0

Washington 3.08 7

Lawrence 1.07 6.8

Jackson 2.59 5.5

Jennings 3.34 8.1

Decatur 1.6 2.7

Bartholomew 4.21 14.6

Negligible growth/Rapid 65+

Rapid growth (*) / Equivalent 65+

Rapid growth/ Even more rapid 64+

Modest growth / Even more rapid 65+

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

The first application of the AdvantAge Initiative on a statewide basis

Three year Administration on Aging Planning Demonstration Site

“…a comprehensive, participatory, and data driven initiative to create good places to

grow up and grow old in Indiana.”

Reproduced by permission of The AdvantAge Initiative

Center for Home Care Policy & Research Visiting Nurse Service of New York

Optimizes Physical and Mental Health and

Well Being

Promotes healthy behaviors

Supports community activities that enhance well being

Provides ready access to preventative health services

Provides access to medical, social, and palliative services

Addresses Basic Needs

Provides appropriate and

affordable housing

Promotes safety at home and in the neighborhood

Assures no one goes hungry

Provides useful information about available services

Promotes Social and Civic Engagement

Fosters meaningful connections

with family, neighbors, and friends

Promotes active engagement in community life

Provides opportunities for meaningful paid and voluntary work

Makes aging issues a community-wide priority The Four

Domains of An Elder-Friendly

Community

Maximizes Independence for Frail

and Disabled

Mobilizes resources to facilitate “living at home”

Provides accessible transportation

Supports family and other caregivers

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

Maricopa County, AZ

Orange County, FL

Puyallup, WA

Santa Clarita, CA

Upper West Side, NYC

Yonkers, NY

National Survey

Grand Rapids, MI

Contra Costa County, CA

Parsippany, NJ

Newaygo County, MI

State of Indiana El Paso County, TX

Chinatown, NY

14 grantee-communities of the Robert Wood Johnson Foundation Community Partnerships for Older Adults program (CPOA)

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

Unweighted N=4,272Weighted N=918,078

Unweighted N=4,509Weighted N=973,489

Disagree5%

Agree*94%

VeryConfident

61%

Not VeryConfident**

39%

Neither/DK/RF

1%

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.

*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.

Figure 2.1, Indiana§

Note: Percentages may not add up to 100% due to rounding and/or missing information.

Source: AdvantAge Initiative Community Survey in Indiana 2008

§ Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in 2006.

Area 15=45%#1

Percentage of people age 60+ who do not know whom to call if they need information about services in their

community*

Unweighted N=4,509Weighted N=973,489

Note: Percentages may not add up to 100% due to rounding and/or missing information.

Figure 8.1, Indiana§

*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.

Do Not Know Whom to Call

25% Family/Neighbors

City/County/Office of Aging/Social Services/Other Agency

27%

Church/Synagogue

3%

Other

Internet/Phone Book/Other Media

2%

Senior Center12%

Source: AdvantAge Initiative Community Survey in Indiana 2008

5%

Medical Center/Health Professional

16%

10%

§ Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in 2006.

Area 12= 17% (lowest in state)Area 14= 35% (highest in state)

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)*

Unweighted N=317Weighted N=72,242

Unweighted N=4,509Weighted N=973,489

7%

Has seen a health

professional70%

Has not seen a health

professional30%

Did not need professional

help92%

Figure 12.1, Indiana§

Note: Percentages may not add up to 100% due to rounding and/or missing information.

*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.

Source: AdvantAge Initiative Community Survey in Indiana 2008

Needed professional

help

§ Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in 2006.

DK/RF1%

Area 11=53%(#1)

Percentage of people age 69+ who participate in regular leisure time activity*

Unweighted N=4,509Weighted N=973,489

Note: Percentages may not add up to 100% due to rounding and/or missing information.

Figure 15.1, Indiana§

*“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.”

No activity33%

Regular leisure time activity

48%

Some activity

19%

Source: AdvantAge Initiative Community Survey in Indiana 2008

§ Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in 2006.

DK/RF1%

12= 29%(#1)

Area 15= 25%(#1) - potential

Percentage of people age 60+ who participate in volunteer work*

Do not participate in volunteer work

61%

Participate in volunteer work

39%

Unweighted N=4,509Weighted N=973,489

Note: Percentages may not add up to 100% due to rounding and/or missing information.

Figure 31.1, Indiana§

*People were asked if they do volunteer work and if so what type of volunteer work they do.

Source: AdvantAge Initiative Community Survey in Indiana 2008

§ Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in 2006.

DK/RF<1%

‡

‡ This percentage is based on fewer than 20 respondents (Unweighted N<20) and should be interpreted with caution.

Area 12=48%(#1)

Percentage of people age 60+ who would like to be working for pay*

Unweighted N=3,254Weighted N=708,611

Unweighted N=4,509Weighted N=973,489

Not working73%

Would not like to work

for pay75%

Figure 33.1, Indiana§

Note: Percentages may not add up to 100% due to rounding and/or missing information.

*People were asked what their current employment status is. *People who were not working were asked whether they would like to be working for pay.

Working part time 13%

23%

Source: AdvantAge Initiative Community Survey in Indiana 2008

Working full time

14%

Would like to work for pay

§ Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in 2006.

DK/RF2%

DK/RF<1% ‡

‡ This percentage is based on fewer than 20 respondents (Unweighted N<20) and should be interpreted with caution.

Area 15=30%(#1)

Mammogram1 Among Women Aged 65 and Older

64%60%

56%50%

54%

0%

33%

66%

Huntington NNORC3,6Area 33,5Indiana3,4National2

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).

4 Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in 2006 (Unweighted N=1,786; Weighted N=423,327).

2 Federal Interagency Forum on Aging-Related Statistics. Older Americans 2008: Key Indicators of Well-Being. Federal Interagency Forum on Aging-Related Statistics. Washington, DC: U.S. Government Printing Office. March 2008.

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.

3 AdvantAge Initiative Community Survey in Indiana, 2008

Area 15

Percentage of householders age 60+ in housing units with home modification needs*

Unweighted N=667Weighted N=147,283

Unweighted N=4,509Weighted N=973,489

One or more modification

needed15%

No modifications

needed85%

Planning to modify

79%

Not planning to modify

*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.

*People who said that their homes need modification were asked if they plan to make the change over the next five years.

Figure 3.1, Indiana§

Note: Percentages may not add up to 100% due to rounding and/or missing information.

17%

4%DK/RF

Source: AdvantAge Initiative Community Survey in Indiana 2008

§ Excludes Area 2 (Elkhart, Kosciusko, LaPorte, Marshall & St. Joseph Counties) which was surveyed in 2006.

12=90%(#1)14=69%(#15)

Area 1417%= 6927

Type of modification needed

3%

4%

5%

6%

7%

7%

8%

9%Cosmetic/minor repairs

Medical emergency response system

Bathroom modification

Structural changes/ major repairs

Better cooling in the summer

Fix problem with insects/rodents

Accommodations for disabilities

Other

Better heating in the winter

Figure 3.2, Indiana-Area 14§

Unweighted N=302Weighted N=41,845

Source: AdvantAge Initiative Community Survey in Indiana 2008

§ Area 14 includes Clark, Floyd, Harrison & Scott Counties.

‡ This percentage is based on fewer than 20 respondents (Unweighted N<20) and should be interpreted with caution.

‡

‡

‡

‡

‡

<1%

3347

2755

1673

# with bathroom modification need

# planning to modify

# not planning to modify

Can’t afford it

2755 1295 881 590

Average cost of bathroom modification

Cost x total need Annual over five years

$500 $295,000 $59,000 +10%

= $64,900/4=$16,225

Safe Bath Program

Active and Contributing!85% voted in last

election37% contacted an

elected representative89% 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

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 InformationPhilip B. Stafford, Ph.D.Director, Center on

Aging and Community, Indiana Institute on Disability & Community

2853 East Tenth, Bloomington, IN, 47408

(812) 855-2163staffor@indiana.edu www.agingindiana.org

National AdvantAge Initiative

Mia OberlinkCenter for Home Care

Policy and Research107 East 70th, New York,

New York 10021212-609-1537 www.advantageinitiative.

org