Michelle Brear, Themby Nkovana, Guy Harling, Lenore Manderson
{"title":"Variation in Health Status Reports: Triangulating Mixed Methods Data to Assess the Health and Wellbeing of Primary Caregivers to Older Rural South Africans.","authors":"Michelle Brear, Themby Nkovana, Guy Harling, Lenore Manderson","doi":"10.1007/s10823-025-09545-w","DOIUrl":"https://doi.org/10.1007/s10823-025-09545-w","url":null,"abstract":"<p><p>Caregivers' health status is important, given its importance for their own wellbeing and capacity to provide quality care. While single item self-rated health questions in surveys are an efficient measure, responses limit understanding of what people mean when they rate their health in a particular way, and do not address reporting heterogeneity. We draw on data collected in a mixed-method study on the informal caregiving of older people in rural northeast South Africa, which including a standard cross-sectional quantitative survey, an ethnographic survey, and longitudinal ethnographic observations. Results indicate that who becomes the caregiver, and the form of care provided, are influenced primarily by conventional expectations of gender, age, and kinship, and of caregiving alternatives. Caregivers invoke the social circumstances in which they provide care when describing and rating their own health and ability to care, and in determining what conditions they include or dismiss as indicators of health or illness. Social context influences respondents' evaluation of own health and capacity to care, future ability and needs, including as reported in response to different methods. We advocate carefully constructing health condition response categories to include functional impairments and to be informed by context.</p>","PeriodicalId":46921,"journal":{"name":"Journal of Cross-Cultural Gerontology","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145303458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eva S van der Ploeg, Yvonne S Handajani, Elisabeth Schröder-Butterfill
{"title":"Dementia Care in Indonesia: Care Networks, Awareness & Perception.","authors":"Eva S van der Ploeg, Yvonne S Handajani, Elisabeth Schröder-Butterfill","doi":"10.1007/s10823-025-09544-x","DOIUrl":"https://doi.org/10.1007/s10823-025-09544-x","url":null,"abstract":"","PeriodicalId":46921,"journal":{"name":"Journal of Cross-Cultural Gerontology","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gideon Dzando, Paul R Ward, Dennis Asante, Eunice Okyere, Rachel C Ambagtsheer
{"title":"Aging Perceptions and Experiences Among Older Migrants from Low-and Middle-Income Countries to High-Income Countries: a Qualitative Systematic Review.","authors":"Gideon Dzando, Paul R Ward, Dennis Asante, Eunice Okyere, Rachel C Ambagtsheer","doi":"10.1007/s10823-025-09542-z","DOIUrl":"https://doi.org/10.1007/s10823-025-09542-z","url":null,"abstract":"<p><p>Contemporary societies are increasingly becoming diverse, and the needs of older people continue to emerge as a public health priority. Older migrants from low-and middle-income countries to high-income countries have been noted to have poorer health, ultimately affecting their quality of life. While social policymakers strive to achieve inclusivity in framing and implementing policies for older people, older migrants from low-and middle-income countries continue to be underrepresented in research, therefore, limiting their contribution to policy decisions regarding their well-being. Older migrants from low- and middle-income countries have unique experiences that can contribute to policy towards their welfare. The aim of this review is to explore the perceptions and experiences of aging among older migrants from low- and middle-income countries to high-income countries. Five databases were systematically searched for published literature. Twenty-four studies were included in the final synthesis. The included studies were synthesized using an overlapping three-phase approach of inductive coding, developing descriptive themes, and merging the descriptive themes into analytic themes. Five main analytic themes emerged: social support and network as facilitators and barriers to aging, aging between two worlds, fostering health and well-being, resilience of identity, and ensuring economic stability and empowerment. Older migrants can benefit from policy interventions that consider their experiences.</p>","PeriodicalId":46921,"journal":{"name":"Journal of Cross-Cultural Gerontology","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Regret Experiences and Coping in Old Age? A Case of Indian Older Adults.","authors":"Rhicha Raman, Saurabh Maheshwari","doi":"10.1007/s10823-025-09536-x","DOIUrl":"10.1007/s10823-025-09536-x","url":null,"abstract":"<p><p>This study aimed to understand regret from the perspective of Indian older adults. It specifically examined what they regretted and how they coped with their regrets. The study followed the interview method, where biographical accounts of participants' lives were collected. Sixty older adults (30 males and 30 females; M<sub>age</sub>= 67.5) participated in the study. The analysis of the 157 major regret incidents narrated by participants showed that two-thirds of regrets in old age stemmed from their inactions, while one-third resulted from their actions. Results showed that Indian older adults most frequently regretted their careers, relationships, education, health, marriage, parenting, and financial matters. Although males and females reported similar levels of regret, the sources of regret differed. The study further revealed that while these life regrets never disappeared, whenever they resurfaced, older adults employed various strategies to cope with their life regrets, such as reappraisal, downward comparison, and justification/rationalization. The results and implications of the study are discussed.</p>","PeriodicalId":46921,"journal":{"name":"Journal of Cross-Cultural Gerontology","volume":" ","pages":"325-355"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sunshine Rote, Phil Cantu, Jacqueline Angel, Heehyul Moon, Felipe Antequera, Kyriakos Markides
{"title":"Financial Strain, Mental Health, and Sleep Disruption Among Racially and Ethnically Diverse Family Caregivers During the COVID-19 Pandemic.","authors":"Sunshine Rote, Phil Cantu, Jacqueline Angel, Heehyul Moon, Felipe Antequera, Kyriakos Markides","doi":"10.1007/s10823-025-09543-y","DOIUrl":"10.1007/s10823-025-09543-y","url":null,"abstract":"<p><p>During the COVID-19 pandemic, older adults and their caregivers reported reduced autonomy and disruptions in medical care and community-based services such as adult day centers, and these disruptions likely had the greatest impact on caregivers from health disparity populations. We utilize data on adult child caregivers to the oldest-old from two complementary datasets, the Hispanic Establish Population for the Epidemiologic Study of the Elderly Caregiver Supplement (HEPESE CG, 2021) and the National Health and Aging Trends COVID-19 Family Members and Friends Dataset (NHATS FF, 2020-2021). We identify the relationship between financial strain and both mental well-being and sleep health for non-Hispanic White (NH White, n = 198), non-Hispanic Black (NH Black, n = 44), and Mexican American (n = 66) caregivers. Most caregivers reported frequent loneliness, depression, and emotional strain during the pandemic. Caregiving-related financial strain was significantly related to mental health and sleep health for Mexican American caregivers and to emotional strain for NH White caregivers. General financial strain due to the pandemic was related to changes in sleep patterns for both NH Black and Mexican American caregivers. ADL assistance, co-residence, and memory care were related to poorer outcomes for NH White caregivers while co-residence was associated with better outcomes for Mexican American caregivers. Taken together, this work provides valuable insight into the impacts of financial strain for adult child caregivers to the oldest-old during public health shocks like the COVID-19 pandemic.</p>","PeriodicalId":46921,"journal":{"name":"Journal of Cross-Cultural Gerontology","volume":" ","pages":"289-305"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Socio-Economic Correlates of time Use of Older Population in India.","authors":"Harchand Ram","doi":"10.1007/s10823-025-09540-1","DOIUrl":"10.1007/s10823-025-09540-1","url":null,"abstract":"<p><p>This study examines the time allocation of older individuals in India across paid, unpaid household domestic, unpaid caregiving, and residual activities throughout 24 hours and the factors that are associated with it. The nationally representative first Time-Use Survey (2019), conducted by the National Sample Survey Organization (NSSO), is used in this study. The results from multivariate linear regression revealed that the expected probability of spending time on paid activities was significantly lower for older females, the oldest-old age groups (80 years and above), and widowed/divorced/never-married older adults compared to their respective counterparts. The results of this study emphasize the significance of a person's socioeconomic status in determining how much time they spend on various activities in their daily lives. It is crucial to change the perception that the older people depend on younger people by acknowledging the contribution made by older people through their participation in paid labour, unpaid domestic work, and caregiving.</p>","PeriodicalId":46921,"journal":{"name":"Journal of Cross-Cultural Gerontology","volume":" ","pages":"409-440"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sahar Khanizadeh, Mohammad Ehsani, Rasool Norouzi Seyed Hosseini, Safar Ghaedrahmati, Young Jin Yoon
{"title":"Culture of Active Aging in the Neighborhood Environment in Iran: An Ethnographic Approach.","authors":"Sahar Khanizadeh, Mohammad Ehsani, Rasool Norouzi Seyed Hosseini, Safar Ghaedrahmati, Young Jin Yoon","doi":"10.1007/s10823-025-09534-z","DOIUrl":"10.1007/s10823-025-09534-z","url":null,"abstract":"<p><p>This study explores the culture of active aging among older adults in the Ekhtiarieh neighborhood of Tehran, using an ethnographic approach. The research addresses four key questions: the common physical activity norms, factors influencing physical activity, cultural norms, and the role of perceived neighborhood in shaping physical activity behaviors among older adults. Ethnographic data were collected through observations, interviews, and document reviews from December 2020 to February 2022. The findings reveal one main themes: Body Culture (including Healthy Bodies, Social Bodies, Retired Bodies and Female Bodies), Affordances (including political, physical, and temporal aspects). The results underscore the interplay between older adults' perceptions of their neighborhood and their physical activity patterns. While the level of physical activity among older adults in Iran is generally low, the cultural context of local communities holds the potential to transform behaviors and social attitudes towards active aging. Key strategies include fostering awareness about the body during activities, addressing social perceptions of aging, leveraging the capacities of older adults, and implementing policies aligned with societal needs. The study's interdisciplinary insights offer valuable implications for sports management professionals and urban planners aiming to enhance active aging in neighborhood environments.</p>","PeriodicalId":46921,"journal":{"name":"Journal of Cross-Cultural Gerontology","volume":" ","pages":"395-407"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
David Camacho, Matthew R Morgan, Julia Vazquez, Jerad H Moxley, Denise Burnette
{"title":"Psychological Distress in Older Adults Living in Puerto Rico during COVID-19.","authors":"David Camacho, Matthew R Morgan, Julia Vazquez, Jerad H Moxley, Denise Burnette","doi":"10.1007/s10823-025-09539-8","DOIUrl":"10.1007/s10823-025-09539-8","url":null,"abstract":"<p><p>Few studies have addressed the impact of COVID-19 on mental health in low resource settings. This study examines the association of COVID-19-related stressors with psychological distress in older adults in Puerto Rico. Data are from a 2021 Knowledge, Attitudes and Practices survey about COVID-19 with adults aged 60 + in Puerto Rico (n = 213). We used the Self-Reporting Questionnaire-20 (SRQ-20) to assess distress. Stressors included COVID-19 diagnosis, hospitalization, or death of someone close, treatment delays, and loneliness. We used negative binomial regression with a log linear link function to model the effects of demographics and pandemic-related social and health stressors on distress. Almost one-third (31%) of participants reported clinically significant distress; 44.3% reported a loved one diagnosed with COVID-19, 32.4% had lost someone close, 25.8% reported treatment delays, and 39.4% experienced loneliness. A COVID-19 diagnosis of someone close without hospitalization [Adjusted Incidence Rate Ratio (AIRR) = 1.55; 95% CI 1.08, 2.22] and loneliness [AIRR = 1.20; 95% CI 1.09, 1.32] were associated with greater SRQ-20 scores. We consider the nexus of cultural and contextual factors (e.g., outmigration, under-resourced healthcare system, fatalism etc.) that are likely to influence short- and longer-term effects of COVID-19-related distress among older adults in Puerto Rico. Interdisciplinary collaborations are needed to enhance Covid-19-related support and to implement culturally appropriate and contextually feasible evidence-based interventions that will reduce high rates of mental health challenges and prevent their long-term effects.</p>","PeriodicalId":46921,"journal":{"name":"Journal of Cross-Cultural Gerontology","volume":" ","pages":"307-323"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12491365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477275","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}
Taofeek Kolawole Aliyu, Tajudeen Ade Akinsooto, Bonke Adepeju Omoteso, Catherine Olajumoke Oyetunji-Alemede, Akinjide Gabriel Akintomide, Oyeyemi Bukola Babalola, Michael Adeniyi Omoyemiju, Richard Ebereonwu Ebeh, Dorcas Oluremi Fareo, Ademola Lateef Adisa
{"title":"Thriving at Eighties: A Multidimensional Study of the Quality of Life Among Octogenarians in Nigeria.","authors":"Taofeek Kolawole Aliyu, Tajudeen Ade Akinsooto, Bonke Adepeju Omoteso, Catherine Olajumoke Oyetunji-Alemede, Akinjide Gabriel Akintomide, Oyeyemi Bukola Babalola, Michael Adeniyi Omoyemiju, Richard Ebereonwu Ebeh, Dorcas Oluremi Fareo, Ademola Lateef Adisa","doi":"10.1007/s10823-025-09535-y","DOIUrl":"10.1007/s10823-025-09535-y","url":null,"abstract":"<p><p>This study examines the multidimensional aspects of quality of life (QoL) among octogenarians in Nigeria, with a view to understanding their levels of satisfaction across different domains. Conducted in four states, namely Osun, Oyo, Imo, and Benue, the research employed a cross-sectional, community-based design to gather primary data from 1,774 octogenarians. The World Health Organisation's pre-designed questionnaire for older individuals was adapted and utilised to capture various dimensions of QoL, including physical, psychological, social, environmental, and spiritual aspects. Findings reveal significant differences in QoL across demographic factors such as sex, religion, marital status, and location. Factors like disability, sex, religion, marital status, and locality were identified as significant determinants impacting octogenarians' QoL in different dimensions. Notably, octogenarians generally reported average to high satisfaction levels across various dimensions of their QoL, particularly in social relationships and environmental conditions. The study underscores the importance of community and interpersonal connections in promoting positive QoL among octogenarians. Furthermore, it highlights the need for personalised approaches to address psychological well-being and spirituality, as these dimensions exhibit varying levels of satisfaction among respondents. Overall, the findings suggest a generally positive QoL among octogenarians in Nigeria, with opportunities for enhancing psychological support and tailoring interventions to individual spiritual needs. This research contributes to understanding the nuanced dynamics of QoL among octogenarians in Nigeria, providing insights for policymakers and healthcare professionals to develop targeted interventions that promote holistic well-being in this age group.</p>","PeriodicalId":46921,"journal":{"name":"Journal of Cross-Cultural Gerontology","volume":" ","pages":"357-376"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tochukwu Jonathan Okolie, Patricia Uju Agbawodikeizu, Prince Chiagozie Ekoh, Ngozi Eucharia Chukwu
{"title":"Distinguishing Abuse from Caregiving in Rural Nigeria: Older Adults' Perspectives.","authors":"Tochukwu Jonathan Okolie, Patricia Uju Agbawodikeizu, Prince Chiagozie Ekoh, Ngozi Eucharia Chukwu","doi":"10.1007/s10823-025-09538-9","DOIUrl":"10.1007/s10823-025-09538-9","url":null,"abstract":"<p><p>In Nigeria, older adults face numerous challenges that undermine their well-being and overall life satisfaction. These challenges include but are not limited to health challenges due to biological consequences of ageing, ageing stereotypes, abuse, and neglect. This study explored abuse of rural-dwelling older persons within informal caregiving settings, focusing on older adults' perspectives of some caregiving styles adopted by their caregivers. Data were obtained using semi-structured interviews with 16 older adults 60 years and above, in a rural community in Awgu Local Government Area (LGA), Enugu state. The data were analysed thematically. Findings revealed that some abusive behaviours that pass as appropriate caregiving styles include restricted movements, forcing older people to eat or take medications and collecting their money/properties. Most of the sampled older adults were found to have negative perceptions about these caregiving styles, while other participants downplayed them as a regular caregiving pattern. The study recommends that caregivers undergo training on appropriate styles for caring for their older adults in rural Nigeria.</p>","PeriodicalId":46921,"journal":{"name":"Journal of Cross-Cultural Gerontology","volume":" ","pages":"377-394"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12491357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340447","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}