This 20-year follow-up study examined the physical, psychological, and social outcomes, and social supports of 49 survivors of an original sample of 418 rural adults who were aged 65 years and older in 1976. The majority of adults lived alone but received regular assistance. Families, especially adult children, were their primary social supports. Very few formal supports were used. Psychological well-being among the very-old was good as expressed through life satisfaction and morale, despite multiple health problems and moderate levels of dependence on others for activities of daily living and instrumental activities of daily living. Both the cross-sectional and the longitudinal data from this study support the need to rethink issues of social support, independence, and family relationships in very-old age.
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References
1.
Baltes, P. B.
, & Baltes, M. M. (1987). Successful aging: Perspectives from the behavioral sciences. New York: Cambridge University Press.
2.
Bould, S.
, Sanborn, B., & Reif, L. (1989). Eighty-five plus: The oldest old. Belmont, CA: Wadsworth.
3.
Brock, D. B.
, Guralnik, J. M.,& Brody, J. A. (1990). Demography and epidemiology of aging in the United States. In E. L. Schneider& J. W. Rowe (Eds.), Handbook of the biology of aging (pp. 3-23). New York: Academic Press.
4.
Cantril, H.
(1965). The pattern of human concerns. New Brunswick, NJ: Rutgers University Press.
5.
Carlton-LaNey, I.
(1991). Some considerations of the rural elderly Black's underuse of social services. Journal of Gerontological Social Work, 16(1, 2), 3-17.
6.
Carstensen, L. L.
(1991). Socioemotional selectivity theory: Social activity in life-span context. Annual Review of Gerontology and Geriatrics, 11, 195-217.
7.
Chatters, L.
, Taylor, R., & Jackson, J. (1985). Size and composition of the informal helping networks of elderly Blacks. Journal of Gerontology, 40, 605-614.
8.
Clark, D. O.
, Maddox, G. L.,& Steinhauser, K. (1993). Race, aging, and functional health. Journal of Aging and Health, 5(4), 536-553.
9.
Coward, R. T.
, Cutler, S. J.,& Mullens, R. A. (1990). Residential differences in the composition of the helping networks of impaired elders. Family Relations, 39, 44-50.
10.
Coward, R. T.
, Netzer, J. K.,& Peek, C. W. (1996). Obstacles to creating high-quality long-term care services to rural elders. In G. D. Rowles, J. E. Beaulieu, and W. W. Myers (Eds.), Longterm care for the rural elderly(pp. 10-34). New York: Springer.
11.
Darney, A. J.
(1994). Statistical record of older Americans. Detroit, MI: Gale Research.
12.
Field, D.
, & Minkler, M. (1988). Continuity and change in social support between young and old-old or very-old age. Journal of Gerontology: Psychological Sciences, 43(4), 100-106.
13.
Fischer, L. R.
(1993). The oldest-old in rural Minnesota. In C. N. Bull (Ed.), Aging in rural America(pp. 30-42). Newbury Park, CA: Sage.
14.
Howell, D. C.
(1992). Nonparametric and distribution-free statistical tests. In D. C. Howell (Ed.), Statistical methods for psychology(pp. 611-626). Belmont, CA: Duxbury Press.
15.
Jackson, J. J.
, & Perry, C. (1989). Physical health conditions of middle-aged Blacks. In K. S. Markides (Ed.), Aging and health: Perspectives on gender, race, ethnicity, and class (pp. 111-176). Newbury Park, CA: Sage.
16.
Johnson, C. L.
(1994a). Differential expectations and realities: Race, socioeconomic status and health of the oldest-old. International Journal of Aging and Human Development, 38(1), 13-27.
17.
Johnson, C. L.
(1994b). Introduction: Social and cultural diversity of the oldest-old. International Journal of Aging and Human Development, 38(1), 1-12.
18.
Kane, R. A.
, & Kane, R. L. (1981). Assessing the elderly: A practical guide to measurement. Lexington, MA: Lexington Books.
19.
Kivett, V. R.
,& McCulloch, B. J. (1989). Support networks of the very old: Caregivers and carereceivers (Caswell III). Final report to the AARP Andrus Foundation. Greensboro: University of North Carolina.
20.
Kivett, V. R.
,& McCulloch, B. J. (1992). Older rural nonsurvivors: Their prediction and terminal care. Journal of Applied Gerontology, 11(4), 407-424.
21.
Kivett, V. R.
,& Scott, J. P. (1979). The rural by-passed elderly: Perspectives on status and needs. Technical Bulletin No. 260, North Carolina Agricultural Research Service, University of North Carolina at Greensboro.
22.
Kivett, V. R.
, Stevenson, M. L., Zwane, C. H., Cachaper, C. D.,& Moxley, S. C. (1997). The rural by-passed elderly: A 20-year follow-up on the outcomes and needs of the very-old. Final report to the AARP Andrus Foundation. Greensboro: University of North Carolina.
23.
Kivett, V. R.
, & Suggs, P. K. (1986). Caswell revisited: A ten-year follow-up on the rural bypassed elderly. Final report to the AARP Andrus Foundation. Greensboro: University of North Carolina.
24.
Lang, F. R.
, & Carstensen, L. L. (1994). Close emotional relationships in late life: Further support for proactive aging in the social domain. Psychology and Aging, 9(2), 315-324.
25.
Lawton, M. P.
(1975). The Philadelphia Geriatric Morale Scale: Arevision. Journal of Gerontology, 30, 85-89.
26.
Longino, C. R., Jr.
(1988). Who are the oldest Americans?The Gerontologist, 28, 515-523.
27.
Manton, K. G.
, & Stallard, E. (1991). Cross-sectional estimates of active life expectancy for the U.S. elderly and the oldest-old populations. Journal of Gerontology: Social Sciences, 46(3), S170-S182.
28.
McCulloch, B. J.
(1990). The relationship of intergenerational reciprocity of aid to the morale of older parents: Equity and exchange theory comparisons. Journal of Gerontology, 45(4), S150-S155.
29.
Pearlin, L. L.
(1994). The study of the oldest old: Some promises and puzzles. International Journal of Aging and Human Development, 38(1), 91-98.
30.
Powers, E. A.
,& Kivett, V. R. (1992). Kin expectations and kin support among rural older adults. Rural Sociology, 57, 194-215.
31.
Shenk, D.
(1987). Someone to lend a hand: The lives of older women in central Minnesota. St. Cloud, MN: Central Minnesota Council on Aging.
32.
Siegler, J. E.
(1995). Profile of rural older Americans. Washington, DC: National Council on Aging.
33.
Stoller, E. P.
(1996). The role of the family in rural long-term care. In G. D. Rowles, J. E. Beaulieu, and W. W. Myers (Eds.), Long-term care for the rural elderly(pp. 35-63). New York: Springer.
34.
Troll, L.
(1994). Family-embeddedness vs. family deprived oldest-old: A study of contrasts. International Journal of Aging and Human Development, 8, 51-63.
35.
U.S. Bureau of the Census
. (1973). 1970 Census of the population: Characteristics of the population: Part 35, North Carolina. Washington, DC: Government Printing Office.
36.
U.S. Bureau of the Census
. (1992). 1990 Census of the population: General population characteristics (CP-1-1, Table 14). Washington, DC: Government Printing Office.
37.
U.S. Bureau of the Census
. (1996). Current population reports, special studies (P23-190), 65+ in the United States. Washington, DC: Government Printing Office.
