Innovation in Aging最新文献

{"title":"Oral Health Problems Among Flemish and Dutch Nursing Home Residents Assessed by Nondental Caregivers Using the Novel Oral Health Section for Inclusion in interRAI.","authors":"Emilie Schoebrechts, Johanna de Almeida Mello, Patricia A I Vandenbulcke, Ellen E Palmers, Hein P J van Hout, Jan De Lepeleire, Anja Declercq, Dominique Declerck, Joke Duyck","doi":"10.1093/geroni/igae090","DOIUrl":"10.1093/geroni/igae090","url":null,"abstract":"<p><strong>Background and objectives: </strong>Oral health of older adults in nursing homes is poor, which can negatively affect general health and well-being. Most oral health problems are preventable with good oral hygiene and regular dental check-ups. Caregivers can help improve residents' oral health through regular oral health assessments. The interRAI instrument used in Long-Term Care Facilities to evaluate older adults' health and well-being, has the potential to integrate oral care into general care planning. The recently optimized Oral Health Section for inclusion in the interRAI instruments (OHS-interRAI) enables nondental caregivers to identify residents requiring help with oral hygiene and/or a dental referral. This study reports the first data obtained using the OHS-interRAI, describing the oral health situation of older adults in Flemish and Dutch nursing homes.</p><p><strong>Research design and methods: </strong>In this cross-sectional study, interRAI Long-Term Care Facilities data, including OHS-interRAI data, were collected from October 2020 to January 2023 and analyzed from 417 and 795 persons aged 65 years or older in Flemish and Dutch nursing homes, respectively.</p><p><strong>Results: </strong>Most common oral health problems were poor oral hygiene and compromised teeth. Differences in oral health were found between Flemish and Dutch residents. Flemish residents had significantly more problems with chewing, dry mouth, oral and denture hygiene, and tongue condition than their Dutch counterparts. They also had a higher need for help with oral hygiene (19.4% vs 14.0%), and a dental referral (36.8% vs 20.9%). Older adults in Flemish nursing homes (20.3%) had significantly fewer dental check-ups than those in Dutch nursing homes (73.5%).</p><p><strong>Discussion and implications: </strong>The use of the OHS-interRAI by nondental caregivers identified at least one-third of the residents requiring help with oral hygiene and/or a dental referral. By means of trigger algorithms (Collaborative Action Points), the OHS-interRAI enables the integration of oral care into general care planning.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"8 10","pages":"igae090"},"PeriodicalIF":4.9,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11511908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Seeking Dental Healthcare in the Context of COVID-19 Pandemic: A Study Examining the Health Belief Model.","authors":"Aviv Goldstein, Shlomo Matalon, Na'ama Fridenberg, Hagay Slutzky","doi":"10.1093/geroni/igae089","DOIUrl":"https://doi.org/10.1093/geroni/igae089","url":null,"abstract":"<p><strong>Background and objectives: </strong>The main purpose of the study was to examine the factors influencing older adults' seeking dental care, in the context of coronavirus disease 2019 (COVID-19) pandemic, based on the Health Belief Model (HBM).</p><p><strong>Research design and methods: </strong>Phone interviews were conducted using a structured questionnaire, among 200 older adults aged 65 and above, who are members of the Israeli largest sick fund Clalit Health Services, that were sampled through a systematic random sample. The data were collected between January 2022 and March 2022 and during September 2022.</p><p><strong>Results: </strong>Our findings indicate that since the outbreak of COVID-19 in Israel, 61.5% and 55% of the participants reported visiting a dentist and a dental hygienist, respectively, and about a fifth of the participants have foregone care at both. Seeking dental care was associated with an increase in perceived threat, benefits, willingness to seek care, and with a decrease in perceived barriers. The HBM was found to be a suitable framework for illuminating older adults' dental behavior, which explains 43% of the variance.</p><p><strong>Discussion and implications: </strong>The results of the study provided first-hand findings regarding seeking dental care during the COVID-19 pandemic. These findings emphasize the importance of providing dental services with clear recommendations about dental care and appropriate protective equipment, even under conditions of health concern, to enhance oral health services utilization.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"8 10","pages":"igae089"},"PeriodicalIF":4.9,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11500717/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Pilot Randomized Controlled Trial to Examine the Impact of a Therapy Dog Intervention on Loneliness in Hospitalized Older Adults.","authors":"Nancy R Gee, Lisa Townsend, Erika Friedmann, Sandra B Barker, Megan K Mueller","doi":"10.1093/geroni/igae085","DOIUrl":"10.1093/geroni/igae085","url":null,"abstract":"<p><strong>Background and objectives: </strong>Loneliness is linked to significant health threats and is potentially more dangerous than obesity; it affects as many as 29% of noninstitutionalized older adults. Loneliness is exacerbated for those who require inpatient rehabilitation, are displaced from their social networks, spend little time receiving therapy, and are physically inactive and socially isolated. Emerging evidence suggests that companion animals provide a number of health and well-being benefits and that interacting with a trained therapy dog may reduce loneliness.</p><p><strong>Research design and methods: </strong>Older adult (59+ years) medical inpatients (<i>N</i> = 42) were randomly assigned to receive 1 of 3 conditions: dog and handler interaction (animal-assisted interaction [AAI]), handler only conversational control (CC), or usual care (UC) for 20 min per day over 3 days. The UCLA Loneliness Scale (UCLA-LS) and Short Form (UCLA-SF) as well as an analog rating scale were used to assess loneliness. Linear mixed models with random intercepts were applied to examine differences in the changes from before to after the conditions.</p><p><strong>Results: </strong>Changes in the UCLA-SF [<i>t</i> (200.356) = 1.851, <i>p</i> = .033] and the analog loneliness scale [<i>t</i> (194.407) = 2.651, <i>p</i> = .004], differed significantly between the AAI condition and the UC conditions but not between the CC and UC conditions (<i>p</i> = .175). Trajectories of changes in loneliness showed more improvement in the AAI than in the UC condition.</p><p><strong>Discussion and implications: </strong>These results indicate that AAI was effective for reducing loneliness in hospitalized older adults. Human handler only visits did not result in similar findings, indicating that there is something unique and beneficial about the presence of the dog.</p><p><strong>Clinical trial registration: </strong>NCT05089201.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"8 11","pages":"igae085"},"PeriodicalIF":4.9,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11714157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142948139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"New Evidence of Healthier Aging: Positive Cohort Effects on Verbal Fluency.","authors":"Fernando Massa, Alejandra Marroig, Joe Rodgers, Scott M Hoffer, Graciela Muniz-Terrera","doi":"10.1093/geroni/igae082","DOIUrl":"https://doi.org/10.1093/geroni/igae082","url":null,"abstract":"<p><strong>Background and objectives: </strong>Cross-sectional studies have shown improvements in cognition in later-born cohorts. However, it remains unclear whether these cohort effects extend beyond cognitive levels and are also detectable in the rate of age-related cognitive decline. Additionally, evidence is scarce on the presence and consistency of cohort effects throughout different segments of the distribution of cognitive trajectories.</p><p><strong>Research design and methods: </strong>This study evaluates the existence and variability of cohort effects across the entire distribution of aging-related trajectories of verbal fluency. With this purpose, we develop sex and education-adjusted longitudinal norms of verbal fluency using data from 9 waves of the English Longitudinal Study of Aging (ELSA) by fitting quantile mixed models. The effect of age was modeled using splines to assess birth cohort effects, after grouping individuals in 5-year groups from 1920 to 1950 according to their age at study entry. To test for possible cohort effects across the 10th, 50th, and 90th quantiles, the coefficients associated with the splines were allowed to vary among cohorts.</p><p><strong>Results: </strong>Our results suggest that, consistently across longitudinal quantiles, decline in verbal fluency across age is less pronounced for later-born individuals (<i>p</i> < .001), supporting the hypothesis of cohort effects. Additionally, we also found that quantiles of verbal fluency at any age are shifted upwards in later-born cohorts compared to those in earlier-born cohorts.</p><p><strong>Discussion and implications: </strong>These results enhance our understanding of cognitive decline in older adults by demonstrating that cohort effects on cognition are observable both cross-sectionally and longitudinally, affecting the entire range of verbal fluency trajectories.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"8 10","pages":"igae082"},"PeriodicalIF":4.9,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11481014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142464317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social Isolation and Healthcare Utilization in Older Adults Living With Dementia and Mild Cognitive Impairment in the United States.","authors":"Mairead M Bartley, Jennifer L St Sauver, Darrell R Schroeder, Nandita Khera, Joan M Griffin","doi":"10.1093/geroni/igae081","DOIUrl":"10.1093/geroni/igae081","url":null,"abstract":"<p><strong>Background and objectives: </strong>Social isolation is commonly experienced by older people and is associated with adverse health outcomes. Little is known about the influence of social isolation on the risk of acute care utilization among people living with mild cognitive impairment (MCI) or dementia. Our objective was to investigate the impact of social isolation on the risk of death, hospitalization, and emergency department (ED) use among people living with MCI or dementia who are followed in our Community Internal Medicine practice at Mayo Clinic, Rochester, Minnesota.</p><p><strong>Research design and methods: </strong>We included people living with MCI or dementia, 55 years and older, who had a clinic visit between June 1, 2019, and June 30, 2021, and who had completed questions about social connections. The risk of death, hospitalization, and ED use was examined by levels of social connection (socially isolated, moderately isolated, moderately integrated, or socially integrated).</p><p><strong>Results: </strong>Of 2,320 people included (1,010 with MCI and 1,310 with dementia), 455 (19.6%) were classified as socially isolated and 591 (25.5%) were moderately isolated. Compared with those who were socially integrated, people who were socially isolated were at higher risk of death, hospitalization, and ED visits (<i>p</i> < .001).</p><p><strong>Discussion and implications: </strong>Social isolation is associated with an increased risk of acute health care utilization and death in people living with MCI or dementia. Interventions to address social isolation in this population are needed.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"8 10","pages":"igae081"},"PeriodicalIF":4.9,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11489869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142464318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The High Prevalence and Complexity of Over-the-Counter Medication Misuse in Older Adults.","authors":"Jason S Chladek, Aaron M Gilson, Jamie A Stone, Maria E Berbakov, Taylor L Watterson, Elin C Lehnbom, Emily L Hoffins, Katherine A Hemesath, Jukrin Moon, Lauren L Welch, Denise L Walbrandt Pigarelli, Edward C Portillo, Stephanie M Resendiz, Shiying Mai, Michelle A Chui","doi":"10.1093/geroni/igae083","DOIUrl":"10.1093/geroni/igae083","url":null,"abstract":"<p><strong>Background and objectives: </strong>Older adults (≥65 years) are the largest consumers of over-the-counter (OTC) medications and exceptionally vulnerable to the risks of these medications, including adverse drug events (ADEs). However, little is known about how older adults select and use OTCs. This is the first multisite study designed to prospectively quantify the type and intended use of OTCs selected by older adults in community pharmacies where products are purchased.</p><p><strong>Research design and methods: </strong>Older adults (<i>n</i> = 144) were recruited from 10 community pharmacies from a Midwestern health system. Participants were given hypothetical symptoms and asked to select one or more OTCs for self-treatment. They were asked to report how they would use the products at symptom onset and when symptoms persisted or worsened. They also reported their current medication list and health conditions. Participants' OTC selections were evaluated for 4 types of misuse: drug-age, drug-drug, drug-disease, and drug-label.</p><p><strong>Results: </strong>Of the 144 participants, 114 (79%) demonstrated at least one type of misuse when describing how they would use their OTC selections at symptom onset. Drug-drug and drug-label misuse had the highest prevalence. Overall, 26 (18%) and 28 (19%) participants showed only drug-drug or drug-label misuse, respectively. Notably, 55 (38%) of participants demonstrated misuse in 2 or more misuse categories. Misuse potential was exacerbated when participants described treating persistent or worsening symptoms.</p><p><strong>Discussion and implications: </strong>The results highlight the high prevalence and complexity of OTC misuse in older adults and the need for additional work to improve OTC safety.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"8 10","pages":"igae083"},"PeriodicalIF":4.9,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11511907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating Challenges and Opportunities in Community-Based Interventions for Promoting Active Aging: A Systematic Review of the Roles of Technology.","authors":"Fangyuan Chang, Gubing Wang, Zhenyu Gu","doi":"10.1093/geroni/igae077","DOIUrl":"10.1093/geroni/igae077","url":null,"abstract":"<p><strong>Background and objectives: </strong>Researchers from different fields are increasingly interested in incorporating technology into community-based interventions that promote active aging. Yet, there lacks a comprehensive understanding of technology roles, posing challenges for designers seeking to maximize the intended impacts of such interventions. This systematic review aims to fill the gap by examining existing community-based interventions that integrate digital technologies to promote active aging.</p><p><strong>Research design and methods: </strong>Thirteen studies were screened, with a total of 14 interventions examined, following the PRISMA Guideline.</p><p><strong>Results: </strong>The challenges in designing and operating community-based interventions, the roles of technology in the interventions, and the caveats of utilizing technology during the process were identified. The review emphasizes the importance of overcoming challenges in community-based interventions and leveraging technology to enhance the intended impacts.</p><p><strong>Discussion and implications: </strong>The findings underscore the need to understand technology's nuanced roles in community-based interventions for active aging. The article provides a starting point for accumulating knowledge and practice in utilizing technology to navigate the challenges and opportunities encountered in such interventions. It also sheds light on a notable gap: the lack of innovative and strategic approaches that harness digital interventions appropriately in community-based interventions. This emphasizes a crucial requirement for guidelines to assist designers, policymakers, and community staff in integrating technology appropriately into community-based interventions or implementing interventions that incorporate digital technologies at the community level.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"8 10","pages":"igae077"},"PeriodicalIF":4.9,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11464989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142400167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Smartphone-Based Sit-to-Stand Analysis for Mobility Assessment in Middle Age.","authors":"Roee Hayek, Itai Gutman, Guy Baranes, Yaniv Nudelman, Shmuel Springer","doi":"10.1093/geroni/igae079","DOIUrl":"10.1093/geroni/igae079","url":null,"abstract":"<p><strong>Background and objectives: </strong>Mobility can decline in middle age and growing evidence highlights the importance of assessing mobility at this stage of life. Smartphone-based accelerometry during sit-to-stand has been shown to identify mobility impairments, but its utility in detecting subtle mobility deterioration in middle age has not been tested. This study aimed to examine whether smartphone-based accelerometry data measured during sit-to-stand tests performed on a regular chair and a cushioned sofa could be useful for detecting subtle changes in mobility in middle age.</p><p><strong>Research design and methods: </strong>Twenty-three young (25.0 ± 2.5 years), 25 middle-aged (52.0 ± 5.2 years), and 17 older adults (70.0 ± 4.1 years) performed the 5-times sit-to-stand test on both a standard chair and a sofa. A smartphone attached to the participants' lower back was used to measure lower-limb muscle power, maximal vertical velocity (MVV) during rising, the duration of the total task and the subphase of transition from sitting to standing (SiToSt), and repetition variability using the dynamic time warping method.</p><p><strong>Results: </strong>Middle-aged adults had reduced lower-limb muscle power compared to young adults (5.25 ± 1.08 vs 6.19 ± 1.38 W/kg, <i>p</i> = .034), being more pronounced on the sofa (6.23 ± 1.61 vs 8.08 ± 2.17 W/kg, <i>p</i> = .004). Differences between middle-aged and young adults in terms of MVV (<i>p</i> = .011) and SiToSt duration (<i>p</i> = .038) were only detected on the sofa, and the middle-aged adults showed less variability compared to the older adults on the chair (<i>p</i> = .018). There was no difference in total task duration between the middle-aged group and the young or older adults in either condition.</p><p><strong>Discussion and implications: </strong>Most common tests are limited in their ability to detect early mobility deterioration in midlife due to a ceiling effect. Our results, which show the potential of smartphone-based sit-to-stand assessment in detecting subtle mobility decline in midlife, could serve as a screening tool for this purpose.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"8 10","pages":"igae079"},"PeriodicalIF":4.9,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11465189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142400168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Polysocial Approach in Exploring Racial and Ethnic Differences in Dementia and Cognitive Decline Among U.S. Older Adults: Health and Retirement Study.","authors":"Yongjing Ping, Michelle C Odden, Xi Chen, Matthew Prina, Hanzhang Xu, Hao Xiang, Chenkai Wu","doi":"10.1093/geroni/igae078","DOIUrl":"https://doi.org/10.1093/geroni/igae078","url":null,"abstract":"<p><strong>Background and objectives: </strong>The racial or ethnic disparity in the burden of dementia exists among older adults in the United States, whereas gaps remain in understanding the synergic effect of multiple social determinants of health on diminishing this disparity. We aim to build a polysocial score for dementia and investigate the racial or ethnic difference in dementia risk among older persons with different polysocial score categories.</p><p><strong>Research design and methods: </strong>In this prospective cohort study, we utilized longitudinal data from the Health and Retirement Study in the United States recruiting 6 945 participants aged ≥65 years who had data on 24 social determinants of health in 2006/2008. The dementia status of participants was measured by a modified version of the Telephone Interview of Cognitive Status. The stepwise Cox regression was applied to select social determinants of health associated with incident dementia to construct a polysocial score. The multivariable Poisson model and linear mixed model were utilized to investigate the associations between polysocial score and incident dementia and cognitive decline, respectively.</p><p><strong>Results: </strong>Eight social determinants of health were used to build the polysocial score. Non-Hispanic Black older participants had a higher incidence rate (incidence rate difference [IRD] = 22.7; 95% confident interval [95% CI] = 12.7-32.8) than non-Hispanic White older adults in the low polysocial score, while this difference was substantially attenuated in the high polysocial score category (IRD = 0.5; 95% CI = -6.4 to -7.5). The cognitive decline of non-Hispanic older Black adults with high polysocial score was 84.6% slower (averaged cognitive decline: non-Hispanic White: -2.4 [95% CI = -2.5 to -2.3] vs non-Hispanic Black: -1.3 [95% CI = -1.9 to -0.8]) than that of non-Hispanic older White persons.</p><p><strong>Discussion and implications: </strong>These findings may help comprehensively understand and address racial and ethnic disparities in dementia risk and may be integrated into existing dementia prevention programs to provide targeted interventions for community-dwelling older adults with differentiated social disadvantages.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"8 10","pages":"igae078"},"PeriodicalIF":4.9,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11481015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142464285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Asymmetric Spillover Effects of Retirement on Disability: Evidence From China.","authors":"Anying Bai, Zhuang Hao, Huihui Cheng, Simiao Chen, Yu Jiang","doi":"10.1093/geroni/igae074","DOIUrl":"10.1093/geroni/igae074","url":null,"abstract":"<p><strong>Background and objectives: </strong>Recent research has explored the spillover effects of retirement on spousal well-being, yet limited attention has been given to the short-term impact on spousal disability. This study explored the asymmetric spillover impact of retirement on spouses' disability severity among a national cohort of urban residents in China.</p><p><strong>Research design and methods: </strong>Utilizing 4 waves of data (2011-2018) from the China Health and Retirement Longitudinal Survey, we employ a nonparametric regression discontinuity design to estimate the short-term effect of retirement on spousal disability severity. Disability is assessed based on their ability to perform activities of daily living (ADLs) and instrumental activities of daily living (IADLs). Furthermore, we conduct heterogeneity analysis stratified by factors such as the husband's retirement status, health conditions, lifestyle behaviors, and the wife's educational level. Additionally, we explore potential mechanisms including changes in health behaviors, emotions, and disease diagnoses.</p><p><strong>Results: </strong>Our findings indicate that wives' retirement has a significant favorable short-term effect on husbands' ADL scores, with a magnitude of -0.644 points (-9.78% relative to baseline). A significant beneficial effect of wives' retirement on the prevalence of husbands' difficulty in dressing, bathing, and eating was observed with substantial magnitudes of 0.075, 0.201, and 0.051 points, respectively. Various heterogeneity analyses and sensitivity tests confirmed the robustness of our results. The positive spillover effect of wives' retirement likely results from reduced negative emotions in husbands. In contrast, husbands' retirement does not affect the prevalence of ADL/IADL disability in their wives.</p><p><strong>Discussion and implications: </strong>Underscoring the gender asymmetry in the effects of spousal retirement on disability, this study emphasizes the need for tailored policies considering men's and women's distinct disability experiences.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"8 9","pages":"igae074"},"PeriodicalIF":4.9,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11441369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142345925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}