Drawing from interviews with dementia experts and middle-aged adults in Canada, the authors propose 'aging affordances' as the particular ways mid-life adults construct, make sense of, and act toward their aging process as they navigate expectations of dementia prevention amidst competing tensions.
Key Findings
Background
Dementia prevention discourse focuses on individual lifestyle choices as loci of intervention for delaying or preventing cognitive impairment.
The current prevention paradigm positions individual behavioral choices as the primary targets of intervention.
Prevention is framed around the hope of delaying or preventing cognitive impairment in aging.
The study draws on interviews with both dementia experts and middle-aged adults in Canada to examine this framing.
Results
Enacting dementia prevention in everyday life is not straightforward but is fraught with tensions between prevention expectations and adults' lived experiences.
Prevention expectations were found to compete with middle-aged adults' actual experiences of aging.
The study used qualitative interviews with dementia experts and middle-aged adults in Canada as its empirical basis.
The paper characterizes prevention as 'not simple but rather fraught with tensions.'
Discussion
The authors propose the concept of 'aging affordances' to describe how mid-life adults construct, make sense of, and act toward their aging process.
Aging affordances are defined as 'the particular ways mid-life adults construct, make sense of, and act toward their aging process.'
The concept includes how adults navigate expectations of prevention amidst tensions that shape their relationships with their environment.
The environment is taken 'in a broad sense to include social and cultural systems of values and discourses, such as dementia prevention recommendations.'
Discussion
The aging affordances framework redirects attention from normative behavioral prescriptions of prevention to the range of possibilities mid-life adults strive for as they age.
The authors describe this as turning 'the preventive focus on its head.'
Rather than evaluating compliance with prevention recommendations, the framework examines the range of possibilities adults actively pursue.
The approach positions middle-aged adults as active agents navigating a complex social and cultural environment rather than passive recipients of prevention guidelines.
Lazzaroni C, Leibing A. (2026). Aging affordances: Navigating expectations of dementia prevention for aging adults in Canada.. Medical anthropology quarterly. https://doi.org/10.1111/maq.70027