Encyclopedia of Gerontology and Population Aging

Living Edition
| Editors: Danan Gu, Matthew E. Dupre

Volunteering and Health Outcomes Among Older Adults

  • Ernest GonzalesEmail author
  • Zainab Suntai
  • Jenna Abrams
Living reference work entry
DOI: https://doi.org/10.1007/978-3-319-69892-2_649-1



Formal volunteering is defined as an activity undertaken by an individual that is uncoerced, unpaid (or minimal compensation to offset costs), structured by an organization, and directed toward a community concern (Cnaan, Handy, and Wadsworth 1996), whereas helping others not coordinated by an organization is referred to as informal volunteering.


Volunteering in later life has captured the attention of scholars, social scientists, policymakers, practitioners, and the public due to a growing body of research documenting the health, social, and economic benefits for older adults, families, communities, and society. There are a number of volunteer roles throughout the United States. Older adults volunteer for religious, educational, health-related, or other charitable organizations. In 2012, the Independent Sector (2010) valued volunteer time by adults aged 65+ at $40 billion annually and $62 billion annually for baby boomers. Others have demonstrated that volunteering helps older adults gain employment (Gonzales and Nowell 2016) and may reduce healthcare utilization (Kim and Konrath 2016).

Key Research Findings

The gerontological literature has shown high levels of consistency regarding the many health benefits of volunteering among older adults. Stemming from theories of generativity (Erikson 1986) and role theory (Chambre 1984; Kim and Moen 2002), volunteering offers a sense of purpose, social status, and social resources (Musick and Wilson 2003; Simon and Wang 2002). There is a large and consistent body of research suggesting volunteering yields improvements in psychological well-being (Morrow-Howell et al. 2003; Ho 2017), life satisfaction (Abu-Bader, Rogers and Barusch 2003; Van Willigen 2000), purpose and meaning in life (Heo et al. 2016), positive affect (Greenfield and Marks 2004), self-efficacy (Li 2007), and higher levels of happiness (Baker et al. 2005; Borgonovi 2008). Shen et al. (2013) found that volunteering improved the mental health among African American women caregivers. Jang et al. (2018) also found that volunteering can protect psychological well-being against unplanned events, such as the death of a family member or friend. Research also indicates that volunteers are more likely to be surrounded by a larger social network with access to greater resources, more power, and more prestige (Hunter and Linn 1981; Lum and Lightfoot 2005; Morrow-Howell 2010) which affect mental and emotional health. Li and Ferraro (2005) evaluated the relationship between volunteering and depression, particularly whether depression affects volunteer participation and/or if volunteer participation influences depression levels; and they found that volunteering was a long-term antidote for depression.

The social model for health promotion (Fried et al. 2004) suggests volunteering evokes a generative role for performance and requires older adults to engage in physical activity, social engagement, and cognitive stimulation. Similarly, Matz-Costa et al. (2016) found a synergistic effect of volunteer roles that require the use of body, mind, social interaction, and benefit of others with health outcomes. These theories are supported with research on physical health (Paggi, Jopp, and Hertzog 2016; Varma et al. 2016). Tang (2009) evaluated the longitudinal relationship between volunteering engagement in terms of volunteer status and volunteer hours and trajectories of self-rated health, functional dependency, and number of chronic conditions using data from three waves of data from the Americans’ Changing Lives survey. The results of the study support the relationship between volunteering and improved physical health. The study also offered evidence intensity, and duration of volunteering is associated with self-rated health and functional dependency after controlling for previous levels of health. In a community-based intervention, Hong and Morrow-Howell (2010) evaluated the health outcomes of participating in the Experience Corps volunteer program, using a quasi-experimental two-group pretest-posttest design. The results showed that volunteering did produce increased health outcomes, with intensity of volunteering possibly being an important factor to the quantity of health outcomes (e.g., physical activity, social participations, and cognitive functionality).

In addition to the social model for health promotion and theories on productive engagement (Matz-Costa et al. 2016; Morrow-Howell et al. 2001), others have suggested that intellectually challenging and complex volunteer activities can improve cognitive reserve and brain health (Anderson et al. 2014; Guiney and Machado 2017; Gupta 2018; Infurna, Okun, and Grimm 2016). Proulx, Curl, and Ermer (2017) longitudinal study with Health and Retirement Study data found that formal volunteering improved cognitive functioning over time – working memory and processing, specifically – after controlling for factors that are often associated with cognitive functioning. There is also some evidence from community interventions that volunteering can improve executive functioning and enhance brain plasticity in later life (Carlson et al. 2009).

Research has further shown that volunteering improves self-rated health (Lum and Lightfoot 2005; Ho et al. 2012). Barron et al. (2009) study revealed volunteers who reported being in fair health before participating in the program had greater outcome improvements than those in good health, suggesting that the health outcomes of volunteering can be attained by people in both good and fair health. A quasi-experimental design study using data from the HRS (Gonzales et al. 2018) revealed that volunteers experienced improvements in self-rated health and fewer instrumental activities of daily living (e.g., cleaning and maintaining the house, managing money, preparing meals, shopping for groceries) after moving from one residence to another and that volunteering was particularly beneficial for women and older Whites after relocation.

Volunteering is also associated with a reduced risk in mortality (Lum and Lightfoot 2005; Musick et al. 1999; Oman et al. 1999). Luoh and Herzog (2002) found that older adults who engaged in 100 annual hours or more of volunteering had a significant protective effect against subsequent poor health and death. Interestingly, Konrath et al. (2012) found that those who volunteered for self-oriented reasons had the same mortality risk as non-volunteers, while those who volunteered for other-oriented reasons had significantly reduced mortality risk compared to non-volunteers. In another longitudinal study of 10.5 years from the English Longitudinal Study of Ageing (Rogers et al. 2016), researchers found that volunteering was positively associated with reduced mortality, but upon further analysis this effect was only found to be applicable with volunteers who reported no disabilities, suggesting that volunteering as a catalyst to reduced mortality is more effective with able-bodied volunteers.

Ecological Factors that Shape the Volunteer Experience

There are a number of ecological factors associated with volunteering among older adults. At the individual level, older adults with more formal education, income, baseline health, and religious involvement are more likely to volunteer. Women volunteer at higher rates than men, while Whites volunteer at higher rates than Blacks, Asians, or Hispanics (Bureau of Labor Statistics, U.S. Department of Labor 2013). Inequities in economic and health resources experienced in later life, and often triggered earlier in the life course, may account for these differences (McBride 2007; Tang 2006) as well as structural barriers such as lack of knowledge about volunteer opportunities, lack of skills, time constraints, and role strain with informal caregiving (Center for Health Communication 2004).

At the family level, longitudinal analyses from the Health and Retirement Study reveal that married individuals who liked to spend time with their volunteer spouses were more likely to start to volunteer, volunteer at higher intensities, and less likely to stop volunteering (McNamara and Gonzales 2011). The same study also revealed that caring for a family member with limitations in activities of daily living (e.g., dressing, toileting, getting in and out of bed without assistance) and instrumental activities of daily living limited the number of volunteer hours and increased the odds to cessation. Similarly, Butrica et al. (2004) found that providing care to a parent reduced the likelihood of volunteering.

While most of the research has focused on individual and family characteristics, others have pointed to influential factors in the broader environment (Warburton et al. 2007). At the organizational level, McBride et al. (2011) revealed that a small non-taxed stipend ($2.77/h) reduced the financial barriers associated with volunteering and subsequently expanded volunteer access to non-Caucasian and members with less household income when compared to volunteers without a stipend. Their study also revealed that the stipend served as a social contract in that stipended volunteers served more hours per week (15+ hours per week) and more months (7+ months per year) and were more likely to complete the academic year (80% completion rate), compared to non-stipended volunteers (8 h/week, 5 months/year, 55% completion rate, respectively). Their study was important because it also documented that there were no motivational differences to volunteer between stipended and non-stipended: each group had motivations to help children and teachers improve literacy and give back (68%), while a third (32%) volunteered for self-benefits and material and practical reasons and were attracted to the program. Neighborhood characteristics also act as barriers or facilitators to volunteer. Johnson et al. (2018) revealed that a one-unit increase in neighborhood social cohesion increased the odds of moderate- and high-intensity volunteering. Their study on the importance of neighborhood characters is similar to primary data collection gathered among older adults in St. Louis where Gonzales et al. (2016) found that two dimensions of the quality of neighborhoods (social and built environment) were positively associated with volunteering among older Blacks and African Americans but that only individual characteristics influenced volunteering among older Whites. The number and quality of volunteer roles is expected to increase as more municipalities and counties adopt principles and guidelines of Age-Friendly Cities and Communities (Gonzales and Morrow-Howell 2009; World Health Organization 2007).

Future Directions of Research

Many of the latest studies have offered important nuance to mediating and moderating variables, often uncovering subpopulations that benefit the most from volunteering, while some evidence suggests other populations are unaffected (such as Barron et al. 2009; Gonzales et al. 2016; Gupta 2018; Konrath et al. 2012; Rogers et al. 2016; Shen et al. 2013). Additional research is needed to verify these initial findings before altering public policies and practices. More research is needed to determine the outcomes of volunteering, especially as they relate to cognitive health, neighborhood conditions, organizational practices and policies, and research that incorporates life-course trajectories by social determinants of health such as gender, race, ethnicity, socioeconomic status, occupational status, and family structure and the quality and quantity of the social network. Many of these factors should be tested as moderators and mediators (see Matz-Costa et al. 2016; Fried et al. 2013). These types of research can bring clarity and precision to the volunteer sector. The research on cognitive health is compelling (Karp et al., 2009) but methodologically limited. The essential question is how can volunteering delay, if not prevent, the onset and severity of cognitive impairment including mild cognitive impairment, Alzheimer’s disease and related dementias? While population data have revealed important thresholds to improve various dimensions of health, this will clearly vary on individual circumstances and capacity in the real world. Practitioners should reflect on finding a sweet spot for individual volunteers given their person-environment fit reflected by the environmental press (Lawton 1985; Matz-Costa et al. 2016; Papa et al. 2019). Another area for improvement is to develop qualitative and quantitative research, possibly psychometric measures, that tap multiple dimensions of the volunteer role given the importance of unique and synergistic effects of physical, social, cognitive, and psychological engagement. Most of the extant research relies heavily on a single gross indicator, which is insufficient. For example, in the Health and Retirement Study and sister datasets, there are only a few question related to formal volunteer engagement: “In the past 12 months, have you done volunteer work totaling 100 hours or more for religious or other charitable organizations?” Subsequent queries tap into the intensity and panel data offer the ability to capture duration in years. Clearly, there is much work to be done on exploring the nature and complexity of the volunteer role in linkage with health outcomes at old age.


The evidence on the many health outcomes of volunteering in later life are compelling, and the research underscores formal volunteering as a feasible and meaningful strategy to improve population health and longevity. The scholarship also suggests that not every volunteer role will yield health benefits. Factors such as intensity (hours per week, annual hours), duration (number of weeks, months, years), motivations, and volunteer assignments that are cognitively, socially, emotionally challenging and complex shape mental, emotional, physical, cognitive, and overall health. There are a number of social policies that can expand access to volunteer and improve the quality of the experience to maximize the health outcomes (Gonzales et al. 2015; Morrow-Howell et al. 2001, 2015, 2017), such as reducing barriers to volunteering by providing stipends to offset associated costs; strengthening the volunteer assignments and commitment through social contracts, training, acknowledgement, and supervision; facilitating the transition of retirement to volunteering or enabling the co-occurrence of work and civic engagement; and improving neighborhood conditions such as the social and built environment.



  1. Abu-Bader SH, Rogers A, Barusch AS (2003) Predictors of life satisfaction in frail elderly. J Gerontol Soc Work, 38(3):3–17.  https://doi.org/10.1300/J083v38n03_02CrossRefGoogle Scholar
  2. Anderson N, Damianakis T, Kröger E et al (2014) The benefits associated with volunteering among seniors: a critical review and recommendations for future research. Psychol Bull 140(6):1505.  https://doi.org/10.1037/a0037610CrossRefGoogle Scholar
  3. Baker LA, Cahalin LP, Gerst K, Burr JA (2005) Productive activities and subjective well-being among older adults: The influence of number of activities and time commitment. Social Indicators Research 73(3):431–458CrossRefGoogle Scholar
  4. Barron JS, Tan EJ, Yu Q, Song M, McGill S, Fried LP (2009) Potential for intensive volunteering to promote the health of older adults in fair health. J Urban Health 86(4):641–653CrossRefGoogle Scholar
  5. Borgonovi F (2008) Doing well by doing good. The relationship between formal volunteering and self-reported health and happiness. Soc Sci Med 66(11):2321–2334.  https://doi.org/10.1016/j.socscimed.2008.01.011CrossRefGoogle Scholar
  6. Bureau of Labor Statistics U.S. Department of Labor (2013) Volunteering in the United States, 2013. Retrieved from http://www.bls.gov/news.release/volun.nr0.htm
  7. Butrica BA, Uccello UE (2004) How will boomers fare at retirement? Washington, DC: AARP Public Policy Institute.Google Scholar
  8. Carlson M, Erickson K, Kramer A et al (2009) Evidence for neurocognitive plasticity in at-risk older adults: the experience corps program. J Gerontol Ser A Biomed Sci Med Sci 64(12):1275–1282.  https://doi.org/10.1093/gerona/glp117CrossRefGoogle Scholar
  9. Center for Health Communication (2004) Reinventing aging: Baby boomers and civic engagement. Boston, MA: Harvard School of Public Health.Google Scholar
  10. Chambre S (1984) Is volunteering a substitute for role loss in old age? An empirical test of activity theory. Gerontologist 24(3):292–298.  https://doi.org/10.1093/geront/24.3.292CrossRefGoogle Scholar
  11. Cnaan RA, Handy F, & Wadsworth M (1996) Defining who is a volunteer: Conceptual and empirical considerations. Nonprofit and Voluntary Sector Quarterly 25:364–383Google Scholar
  12. Erikson E (1986) Vital involvement in old age. W.W. Norton, New YorkGoogle Scholar
  13. Fried LP, Carlson MC, Freedman M et al (2004) A social model for health promotion for an aging population: initial evidence of the experience corps model. J Urban Health 81(1):64–78CrossRefGoogle Scholar
  14. Fried LP, Carlson MC, McGill S et al (2013) Experience corps: a dual trial to promote the health of older adults and children’s academic success. Contemp Clin Trials 36(1):1–13.  https://doi.org/10.1016/j.cct.2013.05.003CrossRefGoogle Scholar
  15. Gonzales E, Morrow-Howell N (2009) Productive engagement in aging-friendly communities. Generations 33(2):51–58Google Scholar
  16. Gonzales E, Nowell N (2016) Social capital and unretirement: exploring the bonding, bridging, and linking aspects of social relationships. Res Aging 39:1–18.  https://doi.org/10.1177/0164027516664569CrossRefGoogle Scholar
  17. Gonzales E, Matz-Costa C, Morrow-Howell N (2015) Increasing opportunities for the productive engagement of older adults: a response to population aging. Gerontologist 55(2):252–261.  https://doi.org/10.1093/geront/gnu176CrossRefGoogle Scholar
  18. Gonzales E, Shen H, Wang Y et al (2016) Race and place: exploring the intersection of inequity and volunteerism among older black and white adults. Special issue on community and neighborhoods in J Gerontol Soc Work 59(5):381–400.  https://doi.org/10.1080/01634372.2016.1224787CrossRefGoogle Scholar
  19. Gonzales E, Perry T, Shen H et al (2018) Intersections of home, health and social engagement in old age: formal volunteering as a protective factor to health after relocation. Res Aging 41:31.  https://doi.org/10.1177/0164027518773125CrossRefGoogle Scholar
  20. Greenfield E, Marks N (2004) Formal volunteering as a protective factor for older adults’ psychological well-being. J Gerontol Ser B Psychol Sci Soc Sci 59(5):S258–S264.  https://doi.org/10.1093/geronb/59.5.S258CrossRefGoogle Scholar
  21. Guiney H, Machado L (2017) Volunteering in the community: Potential benefits for cognitive aging. J Gerontol: Series B 73(3):399–408.CrossRefGoogle Scholar
  22. Gupta S (2018) Impact of volunteering on cognitive decline of the elderly. J Econ Ageing 12:46–60.  https://doi.org/10.1016/j.jeoa.2018.01.002CrossRefGoogle Scholar
  23. Heo J, Chun S, Lee S, Kim, J (2016) Life satisfaction and psychological well-being of older adults with cancer experience: The role of optimism and volunteering. Int J Aging Hum Dev 83(3):274–289.CrossRefGoogle Scholar
  24. Ho H (2017) Elderly volunteering and psychological well-being. Int Soc Work 60(4):1028–1038.  https://doi.org/10.1177/0020872815595111CrossRefGoogle Scholar
  25. Ho Y, Yu J, Fung H (2012) The moderating role of age in the relationship between volunteering motives and well-being. Eur J Ageing 9(4):319–327.  https://doi.org/10.1007/s10433-012-0245-5CrossRefGoogle Scholar
  26. Hunter K, Linn M (1981) Psychosocial differences between elderly volunteers and non-volunteers. Int J Aging Hum Dev 12(3):205–213.  https://doi.org/10.2190/0H6V-QPPP-7JK4-LR38CrossRefGoogle Scholar
  27. Infurna FJ, Okun MA, Grimm KJ (2016) Volunteering is associated with lower risk of cognitive impairment. J AM Geriat Soc 64(11):2263–2269.CrossRefGoogle Scholar
  28. Jang H, Fengyan T, Gonzales E et al (2018) Formal volunteering as a protector of health in the context of social losses. J Gerontol Soc Work 12(3):205–213.  https://doi.org/10.1080/01634372.2018/1476945CrossRefGoogle Scholar
  29. Johnson K, Latham-Mintus K, Poey J (2018) Productive aging via volunteering: does social cohesion influence level of engagement. J Gerontol Soc Work 61(8): 817–833.  https://doi.org/10.1080/01634372.2018.1467523CrossRefGoogle Scholar
  30. Karp A, Andel R, Parker M et al (2009) Mentally stimulating activities at work during midlife and dementia risk after age 75: follow-up study from the Kungsholmen Project. Am J Geriatr Psychiatry 17(3):227–236.  https://doi.org/10.1097/JGP.0b013e318190b691CrossRefGoogle Scholar
  31. Kim ES, Konrath SH (2016) Volunteering is prospectively associated with health care use among older adults. Social Science & Medicine, 149:122–129Google Scholar
  32. Kim J, Moen P (2002) Retirement transitions, gender, and psychological well-being: a life-course, ecological model. J Gerontol Ser B Psychol Sci Soc Sci 57(3):P212–P222.  https://doi.org/10.1093/geronb/57.3.P212CrossRefGoogle Scholar
  33. Konrath S, Fuhrel-Forbis A, Lou A, Brown S (2012) Motives for volunteering are associated with mortality risk in older adults. Health Psychol 31(1):87–96. http://doi.org/10.1037/a0025226CrossRefGoogle Scholar
  34. Lawton M (1985) The elderly in context perspectives from environmental psychology and gerontology. Environ Behav 17:501–519.  https://doi.org/10.1177/0013916585174005CrossRefGoogle Scholar
  35. Li Y, Ferraro KF (2005) Volunteering and depression in later life: Social benefit or selection processes? J Health Soc Behav 46(1):68–84.CrossRefGoogle Scholar
  36. Lum T, Lightfoot E (2005) The effects of volunteering on the physical and mental health of older people. Res Aging 27(1):31–55.  https://doi.org/10.1177/0164027504271349CrossRefGoogle Scholar
  37. Luoh MC, Herzog RA (2002) Individual consequences of volunteer and paid work in old age: Health and mortality. Journal of Health and Social Behavior 43(4):490–509.  https://doi.org/10.2307/3090239CrossRefGoogle Scholar
  38. Matz-Costa C, Carr D, McNamara T et al (2016) Physical, cognitive, social, and emotional mediators of activity involvement and health in later life. Res Aging 38(7):791–815.  https://doi.org/10.1177/0164027515606182CrossRefGoogle Scholar
  39. McBride, A. M. (2007). Civic engagement, older adults, and inclusion. Generations, xxx(4):66–71Google Scholar
  40. McBride AM, Gonzales E, Morrow-Howell N, McCrary S (2011) Stipends in Volunteer Civic Service: Inclusion, Retention, and Volunteer Benefits. Public Administration Review 71(6):850–858.  https://doi.org/10.1111/j.1540-6210.2011.02419.xCrossRefGoogle Scholar
  41. McNamara T, Gonzales E (2011) Volunteer transitions among older adults: the role of human, social, and cultural capital in later life. J Gerontol B Psychol Sci Soc Sci 66(4):490–501.  https://doi.org/10.1093/geronb/gbr055CrossRefGoogle Scholar
  42. Morrow-Howell N (2010) Volunteering in later life: research frontiers. J Gerontol Ser B 65(4):461–469.  https://doi.org/10.1093/geronb/gbq024CrossRefGoogle Scholar
  43. Morrow-Howell N, Hinterlong J, Sherraden M (eds) (2001) Productive aging: concepts and controversies. John Hopkins University Press, BaltimoreGoogle Scholar
  44. Morrow-Howell N, Hinterlong J, Rozario P et al (2003) Effects of volunteering on the well- being of older adults. J Gerontol Ser B Psychol Sci Soc Sci 58(3):S137–S145.  https://doi.org/10.1093/geronb/58.3.S137CrossRefGoogle Scholar
  45. Morrow-Howell N, Gonzales E, Matz-Costa C et al (2015) Increasing productive aging in later life. Grand challenges for social work initiative working paper no. 8. American Academy of Social Work and Social Welfare, ClevelandGoogle Scholar
  46. Morrow-Howell N, Gonzales E, Harootyan B et al (2017) Approaches, policies, and practices to support the productive engagement of older adults. J Gerontol Soc Work 60:193–200.  https://doi.org/10.1080/01634372.2016.1275912CrossRefGoogle Scholar
  47. Musick M, Wilson J (2003) Volunteering and depression: the role of psychological and social resources in different age groups. Soc Sci Med 56(2):259–269.  https://doi.org/10.1016/S0277-9536(02)00025-4CrossRefGoogle Scholar
  48. Musick M, Herzog A, House J (1999) Volunteering and mortality among older adults: findings from a national sample. J Gerontol Ser B Psychol Sci Soc Sci 54(3):S173–S180.  https://doi.org/10.1093/geronb/54B.3.S173CrossRefGoogle Scholar
  49. Oman D, Thoresen C, McMahon K (1999) Volunteerism and mortality among the community-dwelling elderly. J Health Psychol 4(3):301–316.  https://doi.org/10.1177/135910539900400301CrossRefGoogle Scholar
  50. Papa R, Cutuli G, Principi A (2019) Health and volunteering in Europe: a longitudinal study. Res Aging.  https://doi.org/10.1177/0164027519834939CrossRefGoogle Scholar
  51. Rogers NT, Demakakos P, Taylor MS, Steptoe A, Hamer M, Shankar A (2016) Volunteering is associated with increased survival in able-bodied participants of the English Longitudinal Study of Ageing. J Epidemiol Community Health, jech-2015.Google Scholar
  52. Shen HW, Pickard J, Johnson S (2013) Self-esteem mediates the relationship between volunteering and depression for African American caregivers. J Gerontol Soc Work 56(5):438–451.  https://doi.org/10.1080/01634372.2013.791907CrossRefGoogle Scholar
  53. Simon C, Wang C (2002) The impact of Americorps service on volunteer participants: results from a 2-year study in four western states. Adm Soc 34(5):522–540.  https://doi.org/10.1177/009539902237274CrossRefGoogle Scholar
  54. Tang F (2006) What resources are needed for volunteerism? A life course perspective. J Appl Gerontol 25(5):375–390.  https://doi.org/10.1177/0733464806292858CrossRefGoogle Scholar
  55. Tang F (2009) Late-life volunteering and trajectories of physical health. J Appl Gerontol 28(4):524–533.  https://doi.org/10.1177/0733464808327454CrossRefGoogle Scholar
  56. Van Willigen M (2000) Differential benefits of volunteering across the life course. J Gerontol Ser B Psychol Sci Soc Sci 55(5):S308–S318.  https://doi.org/10.1093/geronb/55.5.S308CrossRefGoogle Scholar
  57. Warburton J, Paynter J, Petriwskyj A (2007) Volunteering as a productive aging activity: incentives and barriers to volunteering by Australian seniors. J Appl Gerontol 26(4):333–354.  https://doi.org/10.1177/0733464807304568CrossRefGoogle Scholar
  58. World Health Organization (2007) Global age-friendly cities: a guide. Author, GenevaGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Silver School of Social WorkNew York UniversityNew YorkUSA

Section editors and affiliations

  • Danan Gu
    • 1
  1. 1.Population Division, Department of Economic and Social AffairsUnited NationsNew YorkUSA