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• W2783143142 abstract "Aging Americans residing in rural communities have the reputation of being a particularly stoic and fiercely independent lot. They number in the millions and represent a sizable and often overlooked cohort of older adults compared to their urban counterparts. Unfortunately, the struggles they have meeting the challenges that can accompany the aging experience may be overlooked or else underestimated due to the limited attention they receive from a policy and planning perspective. One such challenge is protecting themselves against the potentially devastating consequences of living a socially isolated and lonely life. This article argues that while older adults residing in a variety of geographic settings are facing an increasing risk of becoming disengaged from the communities in which they live, the risk faced by non-urban elders in this regard is particularly high. A point of clarification is needed at the outset. While the two terms—isolated and lonely—are often used interchangeably and are significantly associated with each other, they are distinct concepts that should not be equated. Ciolfi and Jimenez (2017) offer a thoughtful analysis of the differences between the concepts in terms of definitions, indicated interventions, and expected personal health impacts, especially as they apply to older adults residing in rural settings. They emphasize that our capacity to better distinguish between conditions of social isolation and loneliness will result in our ability to both recognize them earlier and engage in the development of specialized interventions that are maximally effective. Social isolation is best defined as an “objective condition of physical isolation that prevents or limits the development and expansion of a diverse social network, resulting in minimal contact with other individuals and community” (Ciolfi and Jimenez, 2017, p. 3) and has been objectively defined as the quantity of one’s social contacts (Berkman, 1983; Ciolfi & Jimenez, 2017). Nicholson (2009) advocates a definition of social isolation that emphasizes conditions where individuals lack a sense of social belonging and engagement, reflected in a minimal number of social contacts. Loneliness, on the other hand, is subjectively defined as a sense of emotional deficiency, either quantitatively or qualitatively, in one’s social relationships. Loneliness therefore has a strong psychological component reflecting a person’s feeling of the lack of fit between the desired and the actual level or quality or personal satisfaction derived from social contact (Ciolfi & Jimenez, 2017)." @default.
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• W2783143142 date "2017-01-01" @default.
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• W2783143142 title "Older Adults, Rural Living, and the Escalating Risk of Social Isolation" @default.
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• W2783143142 doi "https://doi.org/10.1093/ppar/prx029" @default.
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