Innovation in Aging最新文献_第10页

AGE DIFFERENCES AMONG WITHIN-PERSON INDICATORS OF STRESS AND DEPRESSION 人内压力和抑郁指标的年龄差异

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.0078

Jessica M. Blaxton, C. Bergeman

{"title":"AGE DIFFERENCES AMONG WITHIN-PERSON INDICATORS OF STRESS AND DEPRESSION","authors":"Jessica M. Blaxton, C. Bergeman","doi":"10.1093/geroni/igad104.0078","DOIUrl":"https://doi.org/10.1093/geroni/igad104.0078","url":null,"abstract":"Abstract Although older adults tend to regulate their emotions and resist stress better than midlife or younger adults (Charles & Carstensen, 2007), research suggests that when older adults do negatively react to stress they may have more difficulty recovering (Charles, 2010). Research reveals that various indicators of stress relate to greater depression – even suggesting that stress causes the depression (van Praag, 2004). Individual perceived stress (PS) as well as perceived stress reactivity (PSR) influence how stress impacts well-being (Folkman et al., 1986). Thus, we examined age differences in the within-person relationships among PS, PSR, and depression, and potential causal determinants of depression with a longitudinal mediation model. We used data from 572 participants in the Notre Dame Study of Health & Well-being (M(age) = 59.77; sd(age) = 14.22) who completed two to four waves of yearly assessments. Sequentially built multilevel models, in which year was nested within person, illustrated that only midlife adults experience an exacerbated effect of within-person fluctuations in PSR on the relationship between within-person PS and depressive levels (gamma41 = -0.004, p < .01). The longitudinal mediation model revealed that PSR at Time 2 mediated the relationship between PS at Time 1 and Depression at Time 3. Findings suggest that older adults illustrate successful emotion regulation strategies at the yearly level --resisting the negative ramifications of years of greater PS and PSR, whereas midlife adults who experience years of greater PSR would particularly benefit from stress management interventions and monitoring of depressive levels.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"264 1","pages":"23 - 24"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138991240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

EXPLORING THE SOCIO-SPIRITUAL MEANING AND COPING STRATEGIES OF OLDER ADULTS LIVING WITH CANCER IN NIGERIA 探索尼日利亚老年人癌症患者的社会精神意义和应对策略

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.3337

Obinna Odo, Kingsly Udeh, Jonathan Okolie, Runcie C W Chidebe

{"title":"EXPLORING THE SOCIO-SPIRITUAL MEANING AND COPING STRATEGIES OF OLDER ADULTS LIVING WITH CANCER IN NIGERIA","authors":"Obinna Odo, Kingsly Udeh, Jonathan Okolie, Runcie C W Chidebe","doi":"10.1093/geroni/igad104.3337","DOIUrl":"https://doi.org/10.1093/geroni/igad104.3337","url":null,"abstract":"Abstract The growing cancer mortality, poor access to palliative care, treatment hesitancy, poor survivorship, and limited oncology healthcare infrastructure have been investigated in Sub-Saharan Africa. In Nigeria, the orthodox treatment and management of cancer is still greatly influenced by superstitious belief and spiritual connotations. Yet, the socio-spiritual and culturally sensitive meanings attached to cancer and treatment are still lacking in the literature. This study explored the socio-spiritual strategies of older adults living with cancer in Nigeria. The study adopted a qualitative approach and data were collected through a semi-structured interview with 15 older adults from the Oncology unit, University of Nigeria Teaching Hospital (UNTH) Enugu State, Nigeria. The data were managed and inductively coded using NVivo 12 and analyzed thematically. The findings of our study show that cancer is traditionally conceptualized as the aftermath of a disconnection with supernatural/ancestral forces. By implication, such misconceptions affect the level of dispositions and steps taken toward diagnosis and treatment. To this end, our study argues that blending spiritual needs, social support, and culturally sensitive cancer education could improve the quality of life and coping capacity of older adults living with cancer. The study recommends the infusion of socio-spiritual interventions to cancer treatment for older adults in Nigeria.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"211 1","pages":"1038 - 1038"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138991292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

SEQUENTIAL ANALYSIS OF DEMENTIA FAMILY DYADIC COMMUNICATION: EFFECT OF CAREGIVER DISABLING COMMUNICATION 痴呆症家庭双向交流的序列分析：照顾者失能性交流的影响

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.3586

Sohyun Kim, Will Chen, Shan Sun-Mitchell

{"title":"SEQUENTIAL ANALYSIS OF DEMENTIA FAMILY DYADIC COMMUNICATION: EFFECT OF CAREGIVER DISABLING COMMUNICATION","authors":"Sohyun Kim, Will Chen, Shan Sun-Mitchell","doi":"10.1093/geroni/igad104.3586","DOIUrl":"https://doi.org/10.1093/geroni/igad104.3586","url":null,"abstract":"Abstract This study examined temporal relationships between antecedent family caregiver disabling communication and subsequent care recipient (persons living with dementia) communication during 75 in-home care video observations. Secondary analysis of 5-, 10-, 15-, 20-, 25-, and 30-second timed-window analysis was conducted. 95% confidence intervals, p-values, and Yule’s Q statistics were used. The results showed that care recipient engaging, challenging, and neutral communication occurred at differing frequencies within each time window following disabling communication by family caregivers. Care recipient challenging verbal communication was more likely to occur within all time widows after caregiver challenging verbal communication preceded (OR = 1.51 – 1.77, p <.001, Yule’s Q = 0.204 – 0.277). Care recipient engaging verbal communication was more likely to occur with weaker chance within all time widows except 30-second window after caregiver disabling verbal communication preceded (OR = 1.11 – 1.17, p = .001 - .028, Yule’s Q = 0.151 – 0.080). Care recipient neutral communication was more likely to occur within all time widows after caregiver disabling verbal communication preceded (OR = 1.34 – 1.39, p <.001, Yule’s Q = 0.144 – 0.162). Care recipient neutral communication more likely occurred within all time widows except 5-second and 10-second windows after caregiver disabling nonverbal communication preceded (OR = 1.28 – 1.34, p =.009 - .029, Yule’s Q = 0.123 – 0.144). Caregiver disabling communication was associated with more likely subsequent care recipient communication. Future research can further explore how participant characteristics and types and frequencies of caregiver communication influence care recipient communication.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"218 2","pages":"1117 - 1117"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138991507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

WORK PRECARITY AND THE AGING WORKFORCE: TRENDS IN HEALTH DISPARITY AMONG OLDER SERVICE SECTOR WORKERS 工作不稳定与劳动力老龄化：服务行业老年工人的健康差异趋势

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.2356

Renada Goldberg, Janette Dill, Jiyeon Kim

引用次数: 0

DIVERSE ENVIRONMENTAL CONTEXTS AND LINKS TO LATER-LIFE WELL-BEING 不同的环境背景以及与晚年生活的联系

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.0170

Noah Webster, Markus Schafer

{"title":"DIVERSE ENVIRONMENTAL CONTEXTS AND LINKS TO LATER-LIFE WELL-BEING","authors":"Noah Webster, Markus Schafer","doi":"10.1093/geroni/igad104.0170","DOIUrl":"https://doi.org/10.1093/geroni/igad104.0170","url":null,"abstract":"Abstract The places older adults spend time have profound impacts on their well-being. As new sources of data and methods become available it is imperative to refine work in this area to guide development of interventions with the precision necessary to address persistent disparities in well-being. This symposium brings together four complementary papers that focus on diverse environmental contexts and well-being using multiple methodological approaches. Perzynski, Berg, and Dalton discuss the potential of Digital Twin Neighborhoods, i.e., digital replicas of real communities, to address health inequalities. They present findings from engagement sessions with community members about priorities, preferences, and concerns with regard to use of digital twins. Sol, Clarke and Zahodne link data from the Detroit-area Michigan Cognitive Aging Project with data from the National Neighborhood Data Archive to examine the association between neighborhood disadvantage and cognitive reserve. They show how this association differs between Black and White participants. Cho, Dunkle, and Smith use data from the Health and Retirement Study (HRS) to examine the association between later life relocation and contact frequency with adult children. They illustrate the importance of proximity and mode of contact in this association. Morris and colleagues also use HRS data to examine the extent to which stressors operating at multiple levels (interpersonal, community, and society) explain racial disparities in memory. They show these contexts together explain 11% of the racial disparity in baseline memory. These papers will be discussed by Markus Schafer who will provide an outlook for future research in this area.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"339 ","pages":"53 - 53"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138991730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

PHYSICAL CAPACITY AS MARKER FOR RATE OF AGING IN MID LIFE 体能是中年衰老速度的标志

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.0913

Roy Tzemah-Shahar, M. Agmon

{"title":"PHYSICAL CAPACITY AS MARKER FOR RATE OF AGING IN MID LIFE","authors":"Roy Tzemah-Shahar, M. Agmon","doi":"10.1093/geroni/igad104.0913","DOIUrl":"https://doi.org/10.1093/geroni/igad104.0913","url":null,"abstract":"Abstract Biological age captures the heterogeneity of aging by providing an estimation for rate of aging. As an alternative to the widely investigated laboratory biomarkers of aging, behavioral functional markers of physical capacity may offer a feasible alternative for identifying individuals at risk for negative aging trajectory. We aimed to examine the associations of different functional tests both together and as a composite score of physical capacity with rate of aging. We conducted a cross-sectional study, with midlife adults (age ~45) reporting being able to perform leisure physical exercise. Biological age was estimated using the Klemera-Doubal method and a set of physiological biomarkers; rate of aging, ∆Age, was defined as the difference between age and estimated biological age. Physical capacity was measured using a testing battery of 15 functional tests linked with six physical capacity domains. 116 participants completed the testing battery. For women, better results in terms of strength, flexibility, cardiorespiratory fitness, and balance tests were negatively correlated with ∆Age (r=0.38-0.29, p<0.05); for men, beyond these tests, agility was also negatively correlated with ∆Age (r=0.27-0.59, p<0.05). A sex-standardized composite score of physical capacity was negatively associated with ∆Age after controlling for chronological age, smoking, and education (r=-0.437, p=0.007; r=-0.491, p<0.001 for women and men respectively). The suggested physical capacity battery offers a functional assessment for ∆Age. Higher physical capacity metrics correlate with smaller ∆Age, corresponding with younger biological age. Measuring physical capacity may help to assess aging trajectory and offer a suitable behavioral intervention goal.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"228 ","pages":"274 - 275"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138991830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

COMPARISON OF STEREOLOGY METHODS FOR ASSESSING AGE-RELATED EFFECTS ON IMMUNOSTAINED BRAIN CELLS 比较立体学方法，评估年龄对免疫染色脑细胞的影响

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.2232

Grant Denham, Saeed S. Alahmari, Aiden Anderson, Krystal Sanchez, Dominick Dag, Lawrence Hall, Dmitry Goldgof, Peter Mouton

{"title":"COMPARISON OF STEREOLOGY METHODS FOR ASSESSING AGE-RELATED EFFECTS ON IMMUNOSTAINED BRAIN CELLS","authors":"Grant Denham, Saeed S. Alahmari, Aiden Anderson, Krystal Sanchez, Dominick Dag, Lawrence Hall, Dmitry Goldgof, Peter Mouton","doi":"10.1093/geroni/igad104.2232","DOIUrl":"https://doi.org/10.1093/geroni/igad104.2232","url":null,"abstract":"Abstract The primary benefit of stereology methods is quantification of well-stained biological objects in tissue sections with the ability to adjust sampling intensity to achieve desired levels of precision. The advent of hand-crafted algorithms and artificial intelligence-based deep learning (DL) provides an opportunity for more standardized collection of stereology data with enhanced efficiency and higher reproducibility compared to state-of-the-art manual stereology. We contrasted and compared the performance of four manual, semi-automatic, and fully automatic approaches for generating data for total number of Neu-N immunostained neurons in neocortex (NCTX) in the mouse brain. The gold standard for these studies was manual counts using the state-of-the-art optical fractionator method on 3-D reconstructed serial z-axis image stacks through a known tissue volume (disector stacks). To allow for direct methodological comparisons on the same images, disector stacks were automatically converted into extended depth of field (EDF) images in which all neurons in the disector stack were imaged at each cell’s maximal plane of focus. Total number of Neu-N neurons on the same EDF images were counted by a fully automatic hand-crafted method [automatic segmentation algorithm (ASA)] and a semi-automatic method [ASA counts manually corrected for false positives and negatives]. All comparison counts were done using unbiased frames and counting rules with total counts of NeuN-immunostained neurons by the optical fractionator method. The results were comparable across methods with wide variations in throughput efficiency and inter-rater agreement. These results are discussed with respect to applications to experimental studies of brain aging, neuroinflammation and neurodegenerative disease.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"184 ","pages":"687 - 687"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138992122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

OLDER WOMEN ENTREPRENEURS ARE DRIVEN BY WANT RATHER THAN NEED 老年女企业家的动力来自需求而非需要

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.1920

L. Choi-allum

{"title":"OLDER WOMEN ENTREPRENEURS ARE DRIVEN BY WANT RATHER THAN NEED","authors":"L. Choi-allum","doi":"10.1093/geroni/igad104.1920","DOIUrl":"https://doi.org/10.1093/geroni/igad104.1920","url":null,"abstract":"Abstract During the COVID-19 pandemic, women ages 50+ pursued their dream of starting a business. This study contacted 278 women ages 50-plus by phone and online, examining the drivers and barriers of women entrepreneurs. Over a quarter (27%) of women said they always wanted to start a business, and 19% said they did it to follow their passion; another 17% were pursuing additional income, and 11% wanted flexible work options. Age, and perhaps the value of experience, has been an advantage in business ownership. Women entrepreneurs age 50-plus were less likely to have faced financial challenges since starting their business, with over two in five (45%) avoiding such challenges, compared to 29% of women entrepreneurs in their 40s. Nearly seven in 10 women (69%) surveyed poured their personal savings into their start-up. In addition, two in three agree that they face unique challenges in trying to access capital for their business that are different from men. Despite these challenges, most women were optimistic about their entrepreneurial path. The majority of women (97%) agreed that they made the right decision in starting their business – with about two in five (39%) saying their business is doing better than expected compared to when they first started. Respondents say they need resources on marketing, recruiting and hiring staff, and financing. And over two in five say they have not taken any type of training. Increasing awareness of business supports, funding sources, and training opportunities will help women as they grow their business.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"174 ","pages":"586 - 587"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138992125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

INTRINSIC CAPACITY OF OLDER ADULTS IN SINGAPORE USING WHO INTEGRATED CARE FOR OLDER PEOPLE (ICOPE) FRAMEWORK 利用老年人综合护理（ICOPE）框架研究新加坡老年人的内在能力

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.2875

Carol Ma, Angela Y M Leung, Denise Chua, Wai Choo Teo, Laura Bee Gek Tay, Wai Chong Ng

{"title":"INTRINSIC CAPACITY OF OLDER ADULTS IN SINGAPORE USING WHO INTEGRATED CARE FOR OLDER PEOPLE (ICOPE) FRAMEWORK","authors":"Carol Ma, Angela Y M Leung, Denise Chua, Wai Choo Teo, Laura Bee Gek Tay, Wai Chong Ng","doi":"10.1093/geroni/igad104.2875","DOIUrl":"https://doi.org/10.1093/geroni/igad104.2875","url":null,"abstract":"Abstract The World Health Organization (WHO) proposed the Integrated Care for Older People (ICOPE) approach to guide health systems in better supporting the intrinsic capacity and functional ability of older adults to enable healthy aging (Briggs et al., 2018; de Carvalho et al., 2019). This approach is aligned with Singapore’s Healthier SG initiative, which aims to build a good healthcare system that promotes better health and quality of life for everyone. Recent studies have shown that older adults experience intrinsic capacity decline in various countries, including Singapore, highlighting the importance of targeted interventions to maintain functionality and quality of life in old age (Beard et al., 2019; Liu et al., 2021; Tay et al., 2022). In this cross-sectional study, 367 participants were assessed by 43 ICOPE assessors, of whom 77.4% (n=284) had impairments in intrinsic capacity. The three most prevalent intrinsic capacity impairments were visual impairment (42%), hearing loss (33.5%), and cognitive decline (31.3%), followed by limited mobility (24.3%), malnutrition (16.1%), and depressive symptoms (16.1%). Furthermore, 22.6% of participants were unaware of any elderly care services available in the community, and 8.2% did not know where to seek help in case of problems. These findings emphasize the need for ICOPE assessments at the community level to promote early detection of intrinsic capacity impairments and interventions. More discussion of the care pathway, together with health professionals, older adults, and caregivers, should be the next step to offer diagnostic assessment and guide self-management of intrinsic capacity impairment for among older adults.","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"58 12","pages":"893 - 894"},"PeriodicalIF":7.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138992195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

CAREER SELF-MANAGEMENT OF LATE LIFE WORK 晚年工作的职业自我管理

IF 7 3区医学

Innovation in Aging Pub Date : 2023-12-01 DOI: 10.1093/geroni/igad104.1105

Laura K. M. Donorfio

引用次数: 0