Journal of Aging & Social Policy最新文献_第2页

Regional Disparities and Loneliness Among Older Adults in South Korea: The Role of Subjective Health. 韩国老年人的地区差异和孤独感：主观健康的作用。

IF 1.8 3区社会学

Journal of Aging & Social Policy Pub Date : 2026-09-16 DOI: 10.1080/08959420.2026.2729027

Jaeyoon Kim, Meejung Chin

引用次数: 0

Informing Policies on Digital Equity Among Older Adults Using Evidence from the 2023 Current Population Survey. 利用2023年当前人口调查的证据，为老年人的数字公平政策提供信息。

IF 1.8 3区社会学

Journal of Aging & Social Policy Pub Date : 2026-09-15 DOI: 10.1080/08959420.2026.2729028

Xiayu Summer Chen, Christian E Vazquez

{"title":"Informing Policies on Digital Equity Among Older Adults Using Evidence from the 2023 Current Population Survey.","authors":"Xiayu Summer Chen, Christian E Vazquez","doi":"10.1080/08959420.2026.2729028","DOIUrl":"https://doi.org/10.1080/08959420.2026.2729028","url":null,"abstract":"The rapid expansion of digital technology has transformed how older adults communicate, access resources, and maintain independence. Federal policies such as the Digital Equity Act have sought to address disparities in digital technology across the United States (U.S.), yet barriers persist, particularly for marginalized communities. This study examines patterns of digital technology use and barriers to digital inclusion among older adults in the U.S. using nationally representative data from the 2023 Current Population Survey (N = 21,152). Descriptive statistics and multivariate logistic regression models were employed to analyze digital access, usage patterns, and barriers to use. Findings indicate that while 80.47% of older adults (aged 65 and above) reported digital technology use at home, 19.53% of older adults remained digitally excluded. Among users, smartphones were the most common access device, and communication, e-commerce/financial activities, and health-related uses were highly prevalent. Among non-users, the most frequently reported barriers were lack of need or interest. These barriers were pronounced among older adults with historically marginalized identities, underscoring how structural inequities intersect with digital exclusion. These findings highlight the need for targeted interventions at individual, community, and policy levels, including expanded affordability initiatives, accessibility improvements, and tailored digital literacy programs to ensure equitable digital access.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-19"},"PeriodicalIF":1.8,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Who Keeps on Learning? Understanding Heterogeneity in Resource Profiles of Older Learners to Promote Recurrent Engagement in Learning. 谁在不断学习？了解老年学习者资源概况的异质性以促进经常性的学习参与。

IF 1.8 3区社会学

Journal of Aging & Social Policy Pub Date : 2026-09-15 DOI: 10.1080/08959420.2026.2729020

Pildoo Sung, Ad Maulod, Angelique Chan, Rahul Malhotra

{"title":"Who Keeps on Learning? Understanding Heterogeneity in Resource Profiles of Older Learners to Promote Recurrent Engagement in Learning.","authors":"Pildoo Sung, Ad Maulod, Angelique Chan, Rahul Malhotra","doi":"10.1080/08959420.2026.2729020","DOIUrl":"https://doi.org/10.1080/08959420.2026.2729020","url":null,"abstract":"Understanding the characteristics of recurrent learners at older ages is important for designing tailored interventions that promote lifelong learning beyond initial participation. This study investigated heterogeneous resource profiles - comprising education, income, self-rated health, perceived social support, civic attitudes, civic behaviors, and motivation to learn - and their implications for recurrent engagement in learning among older learners. Latent profile analysis and multivariable regression were applied to longitudinal data from 558 learners aged 50 years and older who engaged in lifelong learning courses in Singapore in 2017-2018. Four resource profiles were identified: (1) Resource-rich (39.2%); (2) Materially resourced (16.6%); (3) Psychosocially resourced (19.5%); and (4) Resource-restricted (24.7%). Compared to resource-rich learners, those in the materially resourced and resource-restricted profiles had significantly lower odds of recurrent engagement in learning, whereas psychosocially resourced learners had odds of reengagement that did not differ significantly from those of resource-rich learners. These findings suggest that enhancing older learners' psychosocial resources, including perceived social support, civic-mindedness, and motivation to learn, may facilitate recurrent engagement in learning.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-19"},"PeriodicalIF":1.8,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Institutional Dispersion: Have Government Subsidies Reduced Pension Inequality in China? 制度分散：政府补贴是否减少了中国的养老金不平等？

IF 1.8 3区社会学

Journal of Aging & Social Policy Pub Date : 2026-09-14 DOI: 10.1080/08959420.2026.2729029

Zhonghan Wang, Bingqin Li

{"title":"Institutional Dispersion: Have Government Subsidies Reduced Pension Inequality in China?","authors":"Zhonghan Wang, Bingqin Li","doi":"10.1080/08959420.2026.2729029","DOIUrl":"https://doi.org/10.1080/08959420.2026.2729029","url":null,"abstract":"Fiscal transfers are central to reducing inequality in multi-level pension systems, but their redistributive impact depends on how they are filtered through existing governance structures. Drawing on national data from 1998 to 2022, this study examines how central subsidies to basic pensions are allocated and whether they achieve equalization in a large, decentralized system. The analysis finds that substantial increases in central support have produced only modest reductions in intergroup and interprovincial inequality. Transfers continue to reinforce the institutional priority given to schemes serving formal employees, and provinces with stronger fiscal capacity remain better positioned to sustain higher levels of pension support. To explain these patterns, the study develops institutional dispersion, a concept capturing how authority configurations, fiscal asymmetries, and administrative capability shape subsidy outcomes. The findings show that redistributive impact depends less on transfer volume than on the institutional channels through which funds move, indicating the need for stronger coordination and targeted administrative support.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-18"},"PeriodicalIF":1.8,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pension Participation and Willingness to Increase Contribution Levels Among Rural Households in China: Evidence from the Chengdu-Chongqing Economic Circle. 中国农村家庭养老保险参与与缴费意愿：来自成渝经济圈的证据。

IF 1.8 3区社会学

Journal of Aging & Social Policy Pub Date : 2026-09-12 DOI: 10.1080/08959420.2026.2730364

Haotian Cheng, Yunayuan Liu, Ryan Feuz, Xiaohua Wang, Lin Zhang, Tao Wen

{"title":"Pension Participation and Willingness to Increase Contribution Levels Among Rural Households in China: Evidence from the Chengdu-Chongqing Economic Circle.","authors":"Haotian Cheng, Yunayuan Liu, Ryan Feuz, Xiaohua Wang, Lin Zhang, Tao Wen","doi":"10.1080/08959420.2026.2730364","DOIUrl":"https://doi.org/10.1080/08959420.2026.2730364","url":null,"abstract":"Against the background of China's recent rural pension policy environment, this study uses in-person survey data from over 800 rural households in the Chengdu-Chongqing Economic Circle (CCEC) to examine two distinct outcomes: pension participation (current enrollment in the pension scheme) and willingness to increase contribution levels among enrolled respondents. The results show that household income is positively associated with both pension participation and willingness to increase contribution levels. Age, emotional state, and confidence in the future are also important correlates of pension participation, while perceived payment adequacy is closely associated with willingness to increase contribution levels. The findings suggest that improving rural pension participation and contribution incentives requires more than raising minimum benefits alone. Policy should focus on deepening engagement through income-based incentives, emotional status, and enhanced trust in long-term returns. The study contributes timely evidence for designing sustainable, regionally responsive rural pension policies in the face of China's demographic transition.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-24"},"PeriodicalIF":1.8,"publicationDate":"2026-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148956573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Impact of Medicaid Managed Long-Term Services and Supports on Nursing Home Staffing and Care Diversion: A Staggered Difference-In-Differences Approach. 医疗补助管理的长期服务和支持对养老院人员配备和护理转移的影响：一个交错的差异方法。

IF 1.8 3区社会学

Journal of Aging & Social Policy Pub Date : 2026-09-12 DOI: 10.1080/08959420.2026.2729016

Jennifer L Choi, Alison Trinkoff, Michael Lepore

{"title":"The Impact of Medicaid Managed Long-Term Services and Supports on Nursing Home Staffing and Care Diversion: A Staggered Difference-In-Differences Approach.","authors":"Jennifer L Choi, Alison Trinkoff, Michael Lepore","doi":"10.1080/08959420.2026.2729016","DOIUrl":"https://doi.org/10.1080/08959420.2026.2729016","url":null,"abstract":"State governments have increasingly adopted Medicaid managed long-term services and supports (MLTSS) programs. Drawing on data from nursing homes in six states that implemented mandatory statewide MLTSS between 2010 and 2014, this study examines MLTSS impacts on care diversion and staffing. A staggered difference-in-differences event study framework is used to capture dynamic effects over time after MLTSS implementation. Results indicate a curvilinear decline in the proportion of Medicaid residents, a curvilinear increase in the proportion of residents with other payer sources, and a monotonic rise in total nurse hours per resident day, during the five years following mandatory statewide MLTSS implementation. We find suggestive evidence of a transitory increase in CNA HPRD. Given no significant change occurred in the total number of nursing home residents, findings suggest a shift in resident composition, potentially reflecting diversion of Medicaid beneficiaries from nursing homes. Moreover, because no single nursing staff category experienced an increase large enough to account for the rise in total HPRD, the observed linear increase appears to result from cumulative modest gains across staffing categories. This multistate study offers robust new evidence on the effects of MLTSS over the five-year period following mandatory statewide implementation.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-23"},"PeriodicalIF":1.8,"publicationDate":"2026-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148956754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Embracing the DIGNITY of Resident Relationships: A Case Study of the Decision-Making in Aging and Dementia for Autonomy (DIGNITY) Protocol. 拥抱居民关系的尊严：老龄和痴呆自治（尊严）协议决策的案例研究。

IF 1.8 3区社会学

Journal of Aging & Social Policy Pub Date : 2026-09-12 DOI: 10.1080/08959420.2026.2729026

Liza Behrens, Karolus Wangi, Caroline Madrigal, Mary Lou Ciolfi, Joanne Roman Jones, Susan Ryan, Nicole Osevala, Betsy Kemeny, Allison Myers, Nicole Sarver

{"title":"Embracing the DIGNITY of Resident Relationships: A Case Study of the Decision-Making in Aging and Dementia for Autonomy (DIGNITY) Protocol.","authors":"Liza Behrens, Karolus Wangi, Caroline Madrigal, Mary Lou Ciolfi, Joanne Roman Jones, Susan Ryan, Nicole Osevala, Betsy Kemeny, Allison Myers, Nicole Sarver","doi":"10.1080/08959420.2026.2729026","DOIUrl":"10.1080/08959420.2026.2729026","url":null,"abstract":"Public policies governing U.S. nursing homes emphasize resident rights, autonomy, and person-centered care, yet translating these principles into everyday practice remains challenging - particularly for residents living with dementia whose preferences involve perceived risk. Regulatory requirements, liability concerns, and inconsistent interpretations of decision-making capacity often constrain staff ability to honor resident choice. This case study examines the application of the Decision-making in Aging and Dementia for Autonomy (DIGNITY) protocol, a structured, evidence-based framework designed to support shared decision-making within regulated long-term care environments. Using a resident-to-resident relationship preference as an illustrative case, the study demonstrates how the DIGNITY protocol guides interdisciplinary decision-making through systematic preference assessment, decision-specific capacity evaluation, risk-benefit analysis, documentation, family engagement, and collaboration with organizational leadership and regulators. The case highlights policy-relevant challenges, including the inappropriate reliance on cognitive screening tools such as the Brief Interview for Mental Status (BIMS) as proxies for decision-making capacity. Findings underscore the importance of clear organizational policies, staff training, and leadership engagement to align person-centered care with regulatory expectations. This case study illustrates how structured decision-making protocols can operationalize resident rights, support autonomy, and mitigate risk, offering a practical model for policy implementation in nursing home dementia care.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-19"},"PeriodicalIF":1.8,"publicationDate":"2026-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13622978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148956510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Does Welfare Participation Reduce Health-Related Financial Hardship Among Older Adults: Evidence from Rural China. 福利参与是否能减少老年人健康相关的经济困难：来自中国农村的证据？

IF 1.8 3区社会学

Journal of Aging & Social Policy Pub Date : 2026-09-10 DOI: 10.1080/08959420.2026.2729024

Yaping Luo, Huawei Han

{"title":"Does Welfare Participation Reduce Health-Related Financial Hardship Among Older Adults: Evidence from Rural China.","authors":"Yaping Luo, Huawei Han","doi":"10.1080/08959420.2026.2729024","DOIUrl":"https://doi.org/10.1080/08959420.2026.2729024","url":null,"abstract":"Health-related financial hardship threatens older adults' economic security in low- and middle-income countries. Using data from four waves (2011-2018) of the China Health and Retirement Longitudinal Study (CHARLS) and employing a fuzzy regression discontinuity design, the study examines the effect of rural Dibao - one of the world's largest social assistance programs - on catastrophic medical expenditure and poverty with adjustment of out-of-pocket (OOP) medical expenditure. The findings show that Dibao receipt reduces the probability of catastrophic medical expenditure and the likelihood of falling into OOP-adjusted poverty among older adults near the eligibility cutoff. Higher benefit levels and more sustained Dibao receipt are associated with greater reductions in OOP-adjusted poverty. Heterogeneity analyses reveal stronger effects on catastrophic medical expenditure among the older-old, individuals with disabilities, and those living with a spouse or children. Our findings suggest that means-tested social assistance programs, such as rural Dibao, have the potential to mitigate health-related financial hardship among older adults in some low- and middle-income settings.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-21"},"PeriodicalIF":1.8,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

General Revenue Financing of Social Security: Has the Time Come? 社会保障一般收入融资：时机到了吗？

IF 1.8 3区社会学

Journal of Aging & Social Policy Pub Date : 2026-09-10 DOI: 10.1080/08959420.2026.2729023

Alexander Gelber, Louise Sheiner

{"title":"General Revenue Financing of Social Security: Has the Time Come?","authors":"Alexander Gelber, Louise Sheiner","doi":"10.1080/08959420.2026.2729023","DOIUrl":"https://doi.org/10.1080/08959420.2026.2729023","url":null,"abstract":"Policymakers have contemplated multiple Social Security reform plans as the combined OASDI Trust Fund approaches depletion in 2034, when tax revenues will fund only 81% of scheduled benefits. The authors argue that as the depletion date approaches without meaningful reform efforts, general revenue financing for Social Security - at least for a period of time - becomes increasingly likely. The magnitude of required adjustments far exceeds historical precedent: restoring 75-year solvency would require an immediate and permanent 22% benefit cut or 29% payroll tax increase (3.65% points). Absent reform, benefits would be cut by 19% upon depletion in 2034, rising to 28% by 2099. Since 1977, the maximum benefit decrease averaged across all beneficiaries has been just 0.7%, while the payroll tax rate has remained fixed at 12.4% since 1990. Using novel stochastic simulations, the authors demonstrate that even reforms eliminating the 75-year actuarial deficit would leave the system vulnerable to repeated depletion threats. Without building a substantial buffer stock - requiring even larger changes than typically proposed - Social Security faces a 40-50% probability of Trust Fund exhaustion within decades under plausible economic scenarios. The authors present implementation options for using general revenues, including temporary versus permanent financing mechanisms and redirecting existing revenue streams. They provide a conceptual analysis of the efficiency and equity consequences, weighing intergenerational fairness and political sustainability against otherwise unavoidable benefit disruptions.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-20"},"PeriodicalIF":1.8,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Does Community Health Services Affect Life Satisfaction Among Older Adults? Evidence from China Longitudinal Aging Social Survey. 社区卫生服务是否影响老年人的生活满意度？来自中国纵向老龄化社会调查的证据。

IF 1.8 3区社会学

Journal of Aging & Social Policy Pub Date : 2026-09-09 DOI: 10.1080/08959420.2026.2730374

Zeyu Kong, Anqin Zhu

{"title":"Does Community Health Services Affect Life Satisfaction Among Older Adults? Evidence from China Longitudinal Aging Social Survey.","authors":"Zeyu Kong, Anqin Zhu","doi":"10.1080/08959420.2026.2730374","DOIUrl":"https://doi.org/10.1080/08959420.2026.2730374","url":null,"abstract":"As population aging intensifies, community health services have become a crucial mechanism for enhancing the quality of life among older adults. This study examined the impact of community health services utilization on life satisfaction among older adults. The results show that life satisfaction among users of community health services is significantly higher than that of non-users, and this positive association is consistent with a causal interpretation. However, the returns to community health services utilization are heterogeneous: individuals who are more likely to use community health services tend to benefit more, indicating a pattern of positive selection on gains. Policy simulations suggest that policy interventions aimed at increasing community health services utilization among individuals with initially lower utilization propensity are more effective in improving life satisfaction. These findings support a causal interpretation of the relationship between community health services utilization and life satisfaction among older adults and provide practical implications for policymakers seeking to improve the provision of community health services and promote life satisfaction in the older population.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-30"},"PeriodicalIF":1.8,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0