Older adults report stress and joy during pandemic

"Older adults, and all of us, need to find that balance between protecting ourselves and being overly hesitant to engage in activities that can bring us the kind of joy that supports our physical and emotional well-being," Preeti Malani says. (Credit: Getty Images)

A sizable minority of people over 50 are feeling lots of stress, including about their risk of getting COVID-19, a recent poll shows.

While most people polled are finding joy and staying resilient amid the pandemic, women and those in their 50s and early 60s are more likely to report feeling a lot of stress. Those stress levels were highest—and joy levels lowest—among people who say their overall physical or mental health is fair or poor and those with the lowest incomes.

And 27% of people over 50 say that just thinking about leaving their house caused them stress about the possibility of catching the coronavirus, while 58% say thinking about going to a crowded indoor space made them feel stressed for the same reason.

The findings from the National Poll on Healthy Aging shine a light on which older adults may need more attention from family, friends, and health providers as the pandemic continues. The poll also shows what activities and social connections are bringing joy to older people.

The poll is based at the University of Michigan Institute for Healthcare Policy and Innovation and has support from the AARP and Michigan Medicine, the University of Michigan’s academic medical center.

The poll authors, who include two researchers from the University of Michigan School of Public Health and Institute for Social Research (ISR) call for clear public health messaging about local COVID risk levels for different activities, and about specific steps older adults can take to reduce their risk as the pandemic continues.

“The clear differences in ability to find joy during these times, and in experiences of stress, based on health status, shows the importance of focusing on those in poor health,” says poll report author Lindsay Kobayashi, assistant professor of epidemiology at the University of Michigan School of Public Health. “But for all older adults, we know that alterations in daily life impact emotional and mental health, so finding safe ways to enjoy favorite activities is important.”

The poll was taken before widespread availability of booster doses of COVID-19 vaccine for older adults. Now that all adults can get a booster shot after a certain time has passed from their original vaccination, added protection could help reduce stress, says poll director Preeti Malani, an infectious disease physician with training in geriatrics at Michigan Medicine.

“Older adults, and all of us, need to find that balance between protecting ourselves and being overly hesitant to engage in activities that can bring us the kind of joy that supports our physical and emotional well-being,” Malani says.

“This poll shows this may be especially important for those who have developed a stress-based response to activities that once were indeed very risky before vaccines, boosters, and increased access to rapid testing, but now can be safely navigated by most people. This includes small gatherings of fully vaccinated people or attending events with vaccination, testing, and requirements for masks.”

The poll’s finding of more ability to find joy and less experiences of stress among adults age 65 to 80 builds on previous research about the impact of older age on resilience, says coauthor Jessica Finlay, a postdoctoral researcher at ISR. “While aging can involve loss and stress, older age can also be a period of immense strength, growth, wisdom, and resilience.”

Of the older adults polled, 15% say they’ve become more resilient and able to “bounce back” or overcome challenges during the pandemic, while 71% say they are just as resilient as they were before the pandemic.

In addition to their work on the new poll report, Kobayashi and Finlay head the COVID-19 Coping Study, which is studying the impact of the pandemic on the mental health and well-being of older adults.

Other poll findings:

  • About half (47%) of poll respondents reported a mixed experience of joy and stress.
  • 37% of older adults who say their health is poor reported feeling a lot of stress, compared with just 12% of those who say their health is excellent or very good.
  • 62% of those who say their mental health is poor reported feeling a lot of stress, compared with just 8% of those who called their health excellent or very good.
  • 26% of those in the lowest household income bracket say they feel a lot of stress, compared with 18% of those in the highest.
  • 20% of older adults say they feel a lot of stress these days, while 38% say they have little to no stress. Those aged 50 to 65 were nearly twice as likely as those aged 65 to 80 to say they experience a lot of stress (25% vs. 13%).
  • 17% of older adults polled say they feel little or no joy these days, but 53% say they feel some joy and 30% say they are feeling a lot of joy.
  • The most common sources of joy cited by poll respondents were being outdoors (87%), physical activity (72%), hobbies or projects (72%), being alone (58%), and pets (56%).
  • Relationships with others are important sources of joy, including friends (cited by 80% of poll respondents), children (70%), spouses or partners (64%), and coworkers (61%). A nearly equal percentage say they got joy out of in-person and virtual connections with others, at 83% and 79%, respectively. Other sources of joy: volunteering (43%), faith-related activities (39%), social media (37%), and attending online events (22%).

“It’s no surprise that many older adults have felt stress during the COVID-19 pandemic, which profoundly changed our daily lives,” says Alison Bryant, senior vice president of research for AARP. “It’s encouraging that most older adults also report finding sources of joy like being outdoors and connecting with friends and family, whether in-person or virtually.”

The poll report is based on findings from a nationally representative survey conducted by NORC at the University of Chicago for IHPI, and administered online and via phone in August 2021 among 2,110 older adults aged 50-80. The sample was subsequently weighted to reflect the US population.

Source: University of Michigan