Archives of Gerontology and Geriatrics Plus最新文献_第2页

The silver lining: A decade of improvement in disability-free living among older Americans (2008–2017)

Archives of Gerontology and Geriatrics Plus Pub Date : 2024-12-26 DOI: 10.1016/j.aggp.2024.100113

Deirdre Kelly-Adams , Esme Fuller-Thomson

{"title":"The silver lining: A decade of improvement in disability-free living among older Americans (2008–2017)","authors":"Deirdre Kelly-Adams , Esme Fuller-Thomson","doi":"10.1016/j.aggp.2024.100113","DOIUrl":"10.1016/j.aggp.2024.100113","url":null,"abstract":"<div><div>Recent research indicates that there has been a decline in the prevalence of many types of disabilities among older Americans. Less is known about temporal trends in disability-free life among older Americans. This study aims to: (1) detect temporal trends in the prevalence and odds of being free of disabilities among Americans aged 65+; 2) establish if these temporal trends differ by gender and age cohort (65–74; 75–84; 85 and older); 3) examine if these temporal trends are attenuated by generational differences in educational attainment. We conducted a secondary analysis of 10 years of annual nationally representative data from the American Community Survey with 5.4 million community-dwelling and institutionalized older adults. Individuals were defined as free from disability if they did not have serious memory problems, hearing problems, serious vision problems, limitations in activities of daily living (i.e., bathing, dressing), or functional limitations (i.e., walking, climbing stairs). The prevalence of being free of all disabilities among the US population aged 65 and older increased from 60.8 % to 64.9 % between 2008 and 2017. Had the prevalence remained at the 2008 levels, there would have been an additional 2.07 million older Americans living with one or more disabilities in 2017. The improvements in the odds of being free of disabilities across the decade was higher for women (26 %) than for men (18 %). Much of the improvement was due to higher levels of education. Improvements among baby boomers (aged 65–74) were much more modest than among older cohorts.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 1","pages":"Article 100113"},"PeriodicalIF":0.0,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143091891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Heart rate reserve effects on brain activation and cognitive-motor performance while doing an instrumented trail walking task in middle-aged to older adults

Archives of Gerontology and Geriatrics Plus Pub Date : 2024-12-26 DOI: 10.1016/j.aggp.2024.100115

Alka Bishnoi , Manuel E. Hernandez

{"title":"Heart rate reserve effects on brain activation and cognitive-motor performance while doing an instrumented trail walking task in middle-aged to older adults","authors":"Alka Bishnoi , Manuel E. Hernandez","doi":"10.1016/j.aggp.2024.100115","DOIUrl":"10.1016/j.aggp.2024.100115","url":null,"abstract":"<div><div>Heart rate reserve (HRR) has been associated with cardiovascular risk in older adults. Previous studies have shown a decrease in HRR associated with decrease in motor and cognitive function in older adults while doing Stroop walking task. However, the link between HRR and changes in cognitive-motor function while dual tasking merit needs further exploration. The objective of this study was to evaluate the effects of HRR on prefrontal cortex (PFC) activation and on cognitive-motor performance during instrumented trail walking task (TWT). We hypothesized that there will be an increase in PFC activation and better cognitive-motor performance with increase in HRR during TWT. This cross-sectional study included 30 middle-aged to older adults who walked at a comfortable walking speed on an instrumented treadmill. Functional near-infrared spectroscopy was used to quantify relative PFC oxyhemoglobin (HbO<sub>2</sub>) and deoxyhemoglobin (Hb) levels. Cognitive performance calculated using error rate (ER) and motor performance calculated using stride length (SL), stride width (SW), stride time (ST). A linear mixed effect was conducted to investigate the effects of HRR, task, and their interaction on primary measures after controlling for covariates. Our results showed that HbO<sub>2</sub> and Hb levels differed significantly, showing increases in PFC activation, i.e. higher HbO<sub>2</sub> and lower Hb during TWT with increase in HRR. This increase in PFC activation was associated with increased speed and higher cognitive-motor performance, suggesting these tasks can distinguish changes in automaticity in adults with varying HRR. We also found a decrease in ST association with a higher HRR.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 1","pages":"Article 100115"},"PeriodicalIF":0.0,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143091892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Neighborhood racial/ethnic composition and depressive symptoms of later life: The moderation effects of individual race/ethnicity

Archives of Gerontology and Geriatrics Plus Pub Date : 2024-12-26 DOI: 10.1016/j.aggp.2024.100114

Seungjong Cho Ph.D. , Tyrone C. Hamler Ph.D.

{"title":"Neighborhood racial/ethnic composition and depressive symptoms of later life: The moderation effects of individual race/ethnicity","authors":"Seungjong Cho Ph.D. , Tyrone C. Hamler Ph.D.","doi":"10.1016/j.aggp.2024.100114","DOIUrl":"10.1016/j.aggp.2024.100114","url":null,"abstract":"<div><h3>Purpose</h3><div>Existing research indicates a complex relationship between the racial/ethnic composition of neighborhoods, individuals' own race/ethnicity, and depressive symptoms. To fill this gap, this study aims to test whether race/ethnicity moderates the relationship between neighborhood racial/ethnic composition and depressive symptoms.</div></div><div><h3>Materials and Methods</h3><div>This study used merged data from the Health and Retirement Study 2016 and the American Community Survey 2014–2018 Data (N = 5,241). This study applied a mixed-effects negative binomial regression model.</div></div><div><h3>Results</h3><div>Non-Hispanic Black respondents tended to have higher counts of depressive symptoms, compared to non-Hispanic Whites. However, the moderation effect of individuals’ own race/ethnicity was significant for non-Hispanic Blacks. Specifically, non-Hispanic Blacks experienced lower predicted counts of depressive symptoms when living in neighborhoods with a higher proportion of Black residents, suggesting a protective effect of racial concordance.</div></div><div><h3>Discussion</h3><div>These findings highlight the importance of considering the dynamics of depressive symptomatology and race at both the individual and neighborhood levels. Interventions targeting vulnerable older adults can be more effectively designed by incorporating individual and neighborhood racial contexts.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 1","pages":"Article 100114"},"PeriodicalIF":0.0,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143091927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Groove into ageing: Exploring the effects of rhythmic exercise on the well-being of older adults

Archives of Gerontology and Geriatrics Plus Pub Date : 2024-12-20 DOI: 10.1016/j.aggp.2024.100111

Kelvin Tan Cheng Kian , Sonia Chang

{"title":"Groove into ageing: Exploring the effects of rhythmic exercise on the well-being of older adults","authors":"Kelvin Tan Cheng Kian , Sonia Chang","doi":"10.1016/j.aggp.2024.100111","DOIUrl":"10.1016/j.aggp.2024.100111","url":null,"abstract":"<div><div>As the global population of older adults is increasing, it is increasingly important to address the well-being of this demographic. This paper presents a review of the literature on the efficacy of rhythmic exercise programmes that incorporate elements of physical movement and for enhancing the well-being of healthy older adults. Sixteen studies were identified for in-depth review. A systematic review of the literature following the PRISMA guidelines revealed promising outcomes across multiple domains. The results revealed that rhythmic exercise programmes demonstrate significant improvements in physical capabilities, cognitivefunctioning, psychological well-being, social connections, and physiological parameters. Gaps and limitations in the research to date, such as a lack of studies on the social benefits, limited variation in the types of exercise studied, skewed gender ratios, age-related differences, and the impact of music types and preferences, highlight avenues for future investigation. By addressing these gaps, future research can provide a more nuanced understanding of the effectiveness of rhythmic exercise programmes and inform the development of tailored interventions to meet the diverse needs of older adult populations.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 1","pages":"Article 100111"},"PeriodicalIF":0.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143091929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Feminization of aging, instability, exclusion cycles, and policy imperatives in Iran

Archives of Gerontology and Geriatrics Plus Pub Date : 2024-12-07 DOI: 10.1016/j.aggp.2024.100106

Maryam Koosha (PhD in Social Welfare) , Hesameddin Allameh (Aging Researcher)

{"title":"Feminization of aging, instability, exclusion cycles, and policy imperatives in Iran","authors":"Maryam Koosha (PhD in Social Welfare) , Hesameddin Allameh (Aging Researcher)","doi":"10.1016/j.aggp.2024.100106","DOIUrl":"10.1016/j.aggp.2024.100106","url":null,"abstract":"<div><h3>Introduction</h3><div>With increased life expectancy and demographic changes, aging has become a major challenge in policymaking, especially concerning elderly women, who face specific issues due to longer life spans and socio-economic differences. This research examines the current policies supporting elderly women, identifies the challenges and needs of this group, and proposes practical recommendations to improve their quality of life.</div></div><div><h3>Method</h3><div>This study utilizes a qualitative approach and document content analysis to review the policies and laws relevant to elderly women in Iran. Social theories, such as the theory of social inequality and the theory of social exclusion, aid in a more thorough analysis of the issues and challenges facing elderly women, revealing that this group encounters serious problems due to entrenched social inequalities and age- and gender-based discrimination.</div></div><div><h3>Findings</h3><div>The results indicate that the current laws and policies fail to meet the specific needs of elderly women, who struggle with social and economic inequalities as well as psychological and social challenges. There is a clear need for comprehensive and actionable policies to enhance the quality of life for elderly women.</div></div><div><h3>Discussion and Conclusion</h3><div>Given the social, economic, and cultural challenges faced by elderly women, comprehensive supportive policies are essential. Creating supportive frameworks, increasing access to health and social services, and implementing empowerment programs can improve their quality of life and reduce social isolation. Through these policies, it is possible to enhance the status of elderly women in Iran.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 1","pages":"Article 100106"},"PeriodicalIF":0.0,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143100975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

What is the evidence for using antidepressants to reduce anxiety for people with dementia?

Archives of Gerontology and Geriatrics Plus Pub Date : 2024-12-05 DOI: 10.1016/j.aggp.2024.100108

Joe Bingley , Amanda Young , Terence W.H. Chong

{"title":"What is the evidence for using antidepressants to reduce anxiety for people with dementia?","authors":"Joe Bingley , Amanda Young , Terence W.H. Chong","doi":"10.1016/j.aggp.2024.100108","DOIUrl":"10.1016/j.aggp.2024.100108","url":null,"abstract":"<div><h3>Background</h3><div>Antidepressants are frequently prescribed to alleviate the behavioural and psychological symptoms of dementia, including anxiety. However, their therapeutic value is uncertain. This review sought to clarify the evidence for the efficacy of antidepressants in reducing anxiety for people with dementia.</div></div><div><h3>Methods</h3><div>A systematic search of Medline, EMBASE, APA PsycINFO, and the Cochrane Library was conducted on 25 July 2023 with keywords related to “antidepressants”, “dementia”, “anxiety”, and “Behavioral and Psychological Symptoms of Dementia” (BPSD). Included studies were randomised control trials, involved an antidepressant treatment arm, and reported pre- and post-treatment anxiety for people with dementia. Data were extracted from seven included studies, with major themes synthesised and described as a narrative review.</div></div><div><h3>Results</h3><div>Five of seven trials found either no improvement in anxiety after antidepressant treatment, or no improvement compared to placebo. While two recent studies provide qualified support for citalopram, the generalisability of these findings is unclear, and target doses exceeded standard recommendations for prescribing in older adults. There is substantial heterogeneity between studies and just one used a specific measure of anxiety to detect changes.</div></div><div><h3>Conclusions</h3><div>There is a paucity of evidence regarding the value of antidepressants for reducing anxiety in people with dementia. Qualified evidence suggests that citalopram, escitalopram, and other SSRIs may be most promising and warrant further investigation. Clinicians are encouraged to prescribe carefully and prioritise non-pharmacological approaches. Researchers are implored to systematically pursue effective, practical interventions for alleviating anxiety in people with dementia.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 1","pages":"Article 100108"},"PeriodicalIF":0.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143091930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Late-Life Divorce and well-being of older people: A systematic review

Archives of Gerontology and Geriatrics Plus Pub Date : 2024-12-03 DOI: 10.1016/j.aggp.2024.100107

Gideon Dzando , Dennis Asante , Solomon Yabila , Vitalis Mwinyuri Suuron , Johnpaul Amenu , Seidu Salifu , Sherrif Kwame Awiagah

{"title":"Late-Life Divorce and well-being of older people: A systematic review","authors":"Gideon Dzando , Dennis Asante , Solomon Yabila , Vitalis Mwinyuri Suuron , Johnpaul Amenu , Seidu Salifu , Sherrif Kwame Awiagah","doi":"10.1016/j.aggp.2024.100107","DOIUrl":"10.1016/j.aggp.2024.100107","url":null,"abstract":"<div><h3>Background</h3><div>As the global population of older people continue to increase, Late-Life Divorce has emerged as an important public health concern. This systematic review aimed to explore the impact of Late-Life Divorce on the well-being of older people.</div></div><div><h3>Methods</h3><div>The review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis. Five databases (PubMed, Scopus, Web of Science, Google Scholar, and PsycINFO were searched for articles published between January 1, 2005, and July 31, 2024. Both quantitative, qualitative and mixed method studies were included in the review. The findings were synthesized using Schlossberg's transition theory as a framework.</div></div><div><h3>Results</h3><div>The search for literature yielded 468 papers. Seven studies conducted in four countries among 13,878 older people were included in this review. Late-Life Divorce had a significant impact on older people across multiple domains. Women were disproportionately affected, particularly regarding financial losses and economic insecurity. The coping strategies adopted varied among men and women. Women engaged in problem-focused techniques, while men engaged in maladaptive strategies. Social support emerged as an important factor in mitigating the negative effects of divorce, though those facing estrangement or health issues experienced greater challenges in accessing support.</div></div><div><h3>Conclusion</h3><div>There is the need for gender-sensitive interventions, financial counselling, and expanded social support services to promote post-divorce well-being of older people. Further research is required to understand the experiences of older divorced men, and individuals in Lower- and Middle-Income settings, where cultural norms and economic systems may shape different outcomes.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"2 1","pages":"Article 100107"},"PeriodicalIF":0.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143091913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ferritin at admission as a prognostic marker in older adults hospitalized for COVID-19: A retrospective cohort study 入院时铁蛋白作为COVID-19住院老年人的预后标志物：一项回顾性队列研究

Archives of Gerontology and Geriatrics Plus Pub Date : 2024-12-01 DOI: 10.1016/j.aggp.2024.100105

Janet Ramírez Torres , Ana Luisa Sanchez Arizmendi , César J. Serrano Andrade , Carlos D. Coronado-Alvarado

{"title":"Ferritin at admission as a prognostic marker in older adults hospitalized for COVID-19: A retrospective cohort study","authors":"Janet Ramírez Torres , Ana Luisa Sanchez Arizmendi , César J. Serrano Andrade , Carlos D. Coronado-Alvarado","doi":"10.1016/j.aggp.2024.100105","DOIUrl":"10.1016/j.aggp.2024.100105","url":null,"abstract":"<div><div><em>Background:</em> Older adults remain vulnerable to COVID-19 waves, particularly in low-income countries with health disparities, so the discovery and validation of accessible clinical tools are required. Despite the expected changes associated with aging, little has been studied on ferritinemia as a prognostic marker, specifically in this population. <em>Objective:</em> Evaluate the use of serum ferritin levels at hospital admission as a prognostic marker in older adults hospitalized for COVID-19. <em>Material and methods:</em> This monocentric study included people over 60 hospitalized for COVID-19 between 2021 and 2022. Disease presence was assessed with polymerase chain reaction and ferritin with spectrophotometry. Multiple logistic regression models, as well as ROC and Kaplan-Meier curves, were used. <em>Results:</em> In 239 older adults, the association between serum ferritin and mortality was modified by the presence of clinical severity data at admission, being a poor prognosis factor only for those with severe COVID-19 (OR=2.82, <em>p</em> = 0.028, controlling for age and immunization doses). The best cut-off point was 355 ng/dl (Sensitivity: 88.3 %; Specificity: 27.4 %). However, there were no differences in survival curves. <em>Conclusions:</em> Serum ferritin levels could help guide therapeutic decisions in older adults with severe COVID-19 but do not predict mortality independently.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"1 4","pages":"Article 100105"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142758796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dance programme for older adults with pre-frailty: A mixed-methods feasibility study 舞蹈节目为老年人与前期虚弱：一个混合方法的可行性研究

Archives of Gerontology and Geriatrics Plus Pub Date : 2024-12-01 DOI: 10.1016/j.aggp.2024.100104

Tianma Xu, Vivian Soo, Hui Yi Clara Chang, Maegan Leong, Nur Haidi Hakim Bin Mahmod, Jing Shi

{"title":"Dance programme for older adults with pre-frailty: A mixed-methods feasibility study","authors":"Tianma Xu, Vivian Soo, Hui Yi Clara Chang, Maegan Leong, Nur Haidi Hakim Bin Mahmod, Jing Shi","doi":"10.1016/j.aggp.2024.100104","DOIUrl":"10.1016/j.aggp.2024.100104","url":null,"abstract":"<div><div>The prevalence of older adults with frailty and pre-frailty is increasing with the rapidly ageing population in Singapore. This study aimed to evaluate the feasibility of a 12-week Dance-Up program and test its effects on the physical and psychosocial well-being of older adults with pre-frailty in the community setting in Singapore. A mixed-method approach was used. Pre-post assessments in physical and mobility functions, fear of falling, pain and goal achievements were statistically analysed to detect any changes. Participants’ attendance, drop-out rate, and perception of the program via semi-structured interviews were gathered post-intervention to determine its feasibility. Thirteen eligible participants (mean age: 78.7 years) with mild frailty (Clinical Frailty Scale scored 3 and 4) enrolled in the program and nine completed the 12-week intervention. The majority (<em>n</em> = 8) were female. The average attendance rate was 83 %. Only some assessment tools (e.g. Dynamic Gait Index, Goal Attainment Scale) were sensitive to detect changes pre-/post-intervention. Thematic analysis of the interviews revealed: 1) the acceptance of the program among participants; 2) both positive factors (e.g. self-belief of the importance of regular dance practice) and negative factors (e.g. functional limitations and other commitments) may have influenced the program's outcomes. Participants provided recommendations for future implementation. The <em>Dance-up</em> programme was well received by participants but requires fine-tuning and other assessment tools should be explored in future studies.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"1 4","pages":"Article 100104"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142757458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of dual caregiving on well-being and loneliness among ever-married women in Japan: A pre- and post-COVID-19 pandemic comparison 双重照顾对日本已婚女性幸福感和孤独感的影响：covid -19大流行前后的比较

Archives of Gerontology and Geriatrics Plus Pub Date : 2024-12-01 DOI: 10.1016/j.aggp.2024.100101

Makiko Kawabe , Yoko Moriyama , Takehiro Sugiyama , Nanako Tamiya

{"title":"Impact of dual caregiving on well-being and loneliness among ever-married women in Japan: A pre- and post-COVID-19 pandemic comparison","authors":"Makiko Kawabe , Yoko Moriyama , Takehiro Sugiyama , Nanako Tamiya","doi":"10.1016/j.aggp.2024.100101","DOIUrl":"10.1016/j.aggp.2024.100101","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic has significantly impacted people involved in a combination of childcare and elderly care (dual caregivers). As their number is expected to rise in some countries, there remains limited research on the impact of the pandemic on their well-being and loneliness.</div></div><div><h3>Methods</h3><div>We utilized repeated cross-sectional data from a large internet survey conducted between 2019 and 2021 to examine the association between informal caregiving status (no care, childcare only, elderly care only, and dual care) and the deterioration of well-being and loneliness among married women aged 20–59.</div></div><div><h3>Results</h3><div>In 2019, the total sample size was 7,357 (60 dual care, 3,630 elderly care only, 3,470 childcare only, and 3,197 no care). In 2021, the sample comprised 6,645 (77 dual care, 3,164 elderly care only, 148 childcare only, and 3,256 no care). In 2019, the adjusted odds ratio (95 % confidence interval [CI]) for lower well-being and higher loneliness in informal caregiving statuses (childcare only, elderly care only, and dual care) compared to no care was 1.38 (1.03–1.86), significant only for elderly care only. In 2021, elderly care only remained significant, with an odds ratio of 1.84 (1.15–2.97), while dual care was associated with lower well-being (1.55 (1.11–2.20) and higher loneliness (2.08 (1.24–3.49).</div></div><div><h3>Conclusions</h3><div>Our study found that dual caregivers experienced greater declines in well-being and increased loneliness following the pandemic than non-caregivers. This highlights the importance of enhancing support for dual caregivers during current and future crises to prevent worsening well-being and loneliness.</div></div>","PeriodicalId":100119,"journal":{"name":"Archives of Gerontology and Geriatrics Plus","volume":"1 4","pages":"Article 100101"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0