Professional Documents
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The Gerontologist
cite as: Gerontologist, 2016, Vol. 00, No. 00, 1–7
doi:10.1093/geront/gnw116
Advance Access publication August 10, 2016
Forum
Abstract
The population of older adults is growing worldwide. Negative ageism (negative attitudes and behavior toward older
adults) is a serious international concern that negatively influences not only older adults but also individuals across the
age continuum. This article proposes and examines the application of an integrative theoretical model across empirical
evidence in the literature on ageism in psychology, medicine, social work, and sociology. The proposed Positive Education
about Aging and Contact Experiences (PEACE) model focuses on 2 key contributing factors expected to reduce negative
ageism: (a) education about aging including facts on aging along with positive older role models that dispel negative and
inaccurate images of older adulthood; and (b) positive contact experiences with older adults that are individualized, provide
or promote equal status, are cooperative, involve sharing of personal information, and are sanctioned within the setting.
These 2 key contributing factors have the potential to be interconnected and work together to reduce negative stereotypes,
aging anxiety, prejudice, and discrimination associated with older adults and aging. This model has implications for policies
and programs that can improve the health and well-being of individuals, as well as expand the residential, educational, and
career options of individuals across the age continuum.
Keywords: Ageism, Education and training, Contact, Health, Intergenerational relationships
The population of older adults is growing worldwide Ageism has far-reaching effects, as captured by the senti-
(World Health Organization, 2015). “About one in every ment in the mass media that the growing older population
seven, or 14.1%, of the population is an older American; is a burden and “natural disaster” (Wilińska & Cedersund,
The population 65 and over has increased from 35.9 mil- 2010, p.339). Reviews of the literature indicate nega-
lion in 2003 to 44.7 million in 2013…and is projected to tive attitudes toward older adults from children to older
more than double to 98 million in 2060” (Administration adults themselves (Ng, Allore, Trentalange, Monin, &
on Aging, 2014, p.1). Yet, the United States and other coun- Levy, 2015; Palmore, 1982; Robinson & Howatson-Jones,
tries have increasingly become more youth-centered with, 2014; Schigelone, 2003). Older adults are stereotyped as
for example, rampant anti-aging campaigns. Ageism (nega- cranky, forgetful, incompetent, lonely, sickly, and unattrac-
tive attitudes and behavior toward older adults) continues tive (Ng et al., 2015; Palmore, 1990) and are sometimes
to be a “serious national problem” since it was first dis- avoided, bullied, disrespected, discriminated against, and
cussed in 1969 (Butler, 1969, p.243) with concerns that the physically abused (Breckman & Pillemer, 2014, Dong,
relatively small literature on reducing ageism is due to the 2014; Equal Employment Opportunity Commission, 2013;
institutionalism and acceptance of ageism (Nelson, 2005; Palmore, 1990; Pillemer, Connolly, Breckman, Spreng, &
Palmore, 1990). Lachs, 2015). Ageism seems to contribute to low interest
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2 The Gerontologist, 2016, Vol. 00, No. 00
Importantly, studies do find that greater accurate Ageism unfortunately contributes to negative behavior
knowledge of aging is associated with more positive atti- toward older persons including disrespectful, avoidant, and
tudes toward older adults (Wurtele & Maruyama, 2013). patronizing behavior from community and family mem-
Negative attitudes toward older adults can be improved bers, as well as bullying, muggings, and increasing rates of
through education about the actual rates of Alzheimer’s workplace discrimination (Equal Employment Opportunity
disease, depression, employment, and poverty of older Commission, 2013; North & Fiske, 2012; Palmore, 1990).
adults. College students enrolled in gerontology courses There is an increase in reporting of elder abuse, including by
report more positive views of older adults and aging family (Breckman & Pillemer, 2014, Dong, 2014; Pillemer
(Wurtele, 2009; Wurtele & Maruyama, 2013). Also, college et al., 2015). Ageism also plays a role in health care profes-
students involved in a psychology department subject pool sionals minimizing interactions with older patients and not
or enrolled in advanced psychology courses who were ran- sufficiently involving them in care decisions (Brown et al.,
domly assigned to an aging education intervention reported 2011; Butler, 1963; Clarke, Hanson, & Ross, 2003; Perry &
more positive attitudes toward older adults from pretest to Paterson, 2005).
posttest (Ragan & Bowen, 2001). To understand and examine ways to reduce negative
Education about aging can include facts on aging, as intergenerational interactions, researchers in fields includ-
partners),” (Roodin et al., 2013, p. 6) and presumably Forstmeier, 2012) and to those listening (health care pro-
involving some one-to-one interactions (suggesting condi- viders, children in schools) in terms of receiving impor-
tions 1, 2, and 3). Instructors are sometimes described as tant life advice and improving their attitudes toward older
volunteering for or leading these programs, suggesting that adults (Gaggioli et al., 2014; McKeown et al., 2006).
they sanction the intergeneration interaction (condition 5). Similar to life-review studies that focus on self-disclo-
As an example, Knapp and Stubblefield (2000) studied 10 sure by older adults, intergroup contact researchers focus
older adults and 22 traditional age undergraduate students on principles of friendship and self-disclosure (for a review,
enrolled in a semester long Psychology of Aging course that see Davies, Tropp, Aron, Pettigrew, & Wright, 2011),
was described as including intergenerational cooperation showing that grandchildren who disclose more personal
on a community service project (condition 3) facilitated information to grandparents have more positive attitudes
by the instructor (condition 5). Qualitative responses from toward older adults (Harwood et al., 2005; Tam et al.,
participants suggest that the other conditions were met for 2006). Taken together, these findings highlight that positive
at least some participants: “greatest thing about this course and mutually valuable interactions may grow from both
has been the interaction between the younger and older younger and older individuals sharing personally signifi-
adults…If this harmonious working together of young and cant information with each other.
settings, juvenile correctional institutions, and in hospitals. expands beyond negative attitudes toward aging (World
In addition to being a source of positive intergenerational Health Organization, 2015). The lower left of Figure 1
contact, the older adult tutors may serve as positive role highlights that ageism can contribute to poorer cognitive
models of aging who are active and competent, thereby and physical health of older adults and contribute to earlier
dispelling mischaracterizations of older adults as sickly, retirement (Abrams et al., 2006; Levy, 2009; Levy et al.,
incompetent, and not productive in society. 2002; North & Fiske, 2012). For example, Abrams et al.
Several interventions in the literature seem to include the (2006) found that when older adult study participants were
combination of aging education and positive contact with reminded of ageism (the stereotype of younger adults’ per-
older adults with encouraging support for reduced ageism forming better on intelligence tasks), they performed worse
(McCleary, 2014; Perry & Paterson, 2005; also see Brown on intelligence tests involving comprehension, memory,
et al., 2011). As an example, Perry and Paterson (2005) and recall than those who were not reminded of ageism;
developed an educational course for nurses having “an inno- interestingly, participants who reported more (vs less) posi-
vative variation of bedside teaching rounds” (p. 64), which tive intergenerational contact (such as with grandchildren)
involves experienced practitioners teaching nurses about performed better on the test, suggesting that positive inter-
the dementia experienced by their older adult patients, generational contact can reduce negative cognitive effects
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