Aging in a Healthy Community
By Max B. Rothman
Although Miami-Dade
County is no longer perceived as a “retirement”
destination, it is home to approximately 400,000
older adults (60+). Another 260,000 people will
join them by 2020. However, retirees migrating
from the north no longer fuel these dramatic numbers.
Rather, this projected growth reflects the aging
of a diverse local population.
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| Max Rothman, left. discusses
an issue at the Southeast Florida Center on
Aging. |
According to the 2000
census, Hispanics represent 62 percent of the
older population, white non-Hispanics 25 percent,
and black non-Hispanics 11 percent. They are equally
as diverse in terms of socioeconomic status, age,
religion, levels of activity, family support,
and geographic location. Many are immigrants who
have experienced varying degrees of integration
into the larger community. The population 85 and
above, at greatest risk of increased frailty,
has more than doubled since 1970, and will continue
to increase through 2020. These data have ramifications
for students, working professionals, and the community-at-large.
Community demographics
influence employment options for graduates as
well as the broader marketplace. In an aging society,
the most obvious area that will be affected is
health and long-term care. Many experienced professionals
are discovering opportunities and benefits from
working with an older population that they never
considered as students. For example, professional
care management, a field that did not exist 20
years ago, has attracted significant numbers of
social workers and nurses in Miami and throughout
the United States. Similarly, nutritionists, occupational
and physical therapists, psychologists, recreational
specialists, and administrators in many organizations
that serve elders are experiencing increased opportunity.
Furthermore, healthcare
and social services are not the only markets with
opportunities available for working with a diverse
community of older adults. The marketplace dictates
that other professionals also understand and possess
the personal skills to work effectively with older
consumers of: financial services, including banking,
investments, and insurance; leisure services,
including hotels, restaurants, and the cruise
and airline industries; and many other products
and services. Lawyers, accountants, clergy, journalists,
and professionals of all types will find that
diverse groups of older adults constitute a significant
percentage of their clients.
Today’s students
will reside in an urban community that is in the
vanguard of learning how to adjust to unprecedented
numbers of older Hispanics and African Americans.
Indeed, the aging of this diverse population will
affect the community and its quality of life in
many different and yet unknown ways. Given differences
in perceptions among them about important issues
of civic concern, including education, transportation,
housing, property taxation, crime, arts and culture,
and the environment, we need to learn much more
about how this older population will respond.
The “healthy community” of the future
will be challenged to proactively address these
and other issues in the years ahead.
Fundamentally, this
diverse older population will desire opportunities
to participate in and contribute to the life of
their community. They expect to live long, healthy
lives, but want access to quality, affordable
health and long-term care services. They wish
to remain in their own homes as long as possible.
When they require assistance, they want options
so they can choose which services they want and
who will deliver them.
As middle-aged and
older adults contemplate retirement, they will
be much more focused on quality of life than the
previous generation. They are interested in pursuing
work, volunteerism, education and culture and
leisure and recreation, as well as financial security
and good health. They also want meaningful social
roles and opportunities—they fully intend
to be engaged in the mainstream. Many, particularly
those with education, professional experience,
and substantial resources, will choose to remain
in Miami-Dade County if the community is prepared
to address issues of importance to them. Others,
without resources, inevitably will have little
choice. Thus, the community–individuals
and their families–needs to plan for the
aging of its own population. How effectively Miami-Dade
County prepares will determine the continuing
health of the community well into the 21st Century.
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