Journal of Aging & Social Policy最新文献_第4页

Demographic and Health Sorting Among Nursing Home Residents. 疗养院居民的人口统计与健康分类。

IF 2.1 3区社会学

Journal of Aging & Social Policy Pub Date : 2026-05-31 DOI: 10.1080/08959420.2026.2673822

Megdalynn Fisher, M Mustaine, K Simon, J R Bowblis

{"title":"Demographic and Health Sorting Among Nursing Home Residents.","authors":"Megdalynn Fisher, M Mustaine, K Simon, J R Bowblis","doi":"10.1080/08959420.2026.2673822","DOIUrl":"https://doi.org/10.1080/08959420.2026.2673822","url":null,"abstract":"Despite major policy and societal changes over two decades, trends in the demographic and health sorting of nursing home residents remain underexplored. This study focuses on sorting by one demographic factor - race - over time between nursing homes and local communities, and within nursing homes, by another demographic factor - age - as well as health status. Racial sorting is measured using the dissimilarity index, including novel measures of Black, Indigenous, and people of color (BIPOC)/white and Hispanic/white comparisons alongside the established Black/white measure. Racial sorting is higher in nursing homes than in the community for Hispanic/white comparisons, whereas for Black/white and BIPOC/white comparisons, community racial sorting exceeds that in nursing homes. Within nursing homes, racial sorting is highest for Black/white comparisons, higher among older than younger residents, and lowest for those with serious mental illness - possibly reflecting payment source heterogeneity among older residents. Over the study period, overall racial sorting decreased, yet increased within age and health subgroups. These findings underscore the need to understand drivers and consequences of multidimensional sorting in long-term care.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-16"},"PeriodicalIF":2.1,"publicationDate":"2026-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139351","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

Association Between Loneliness, Stress, and Access to Healthcare in Older Adults: The Mediating Role of Social Determinants of Health. 老年人孤独感、压力和医疗服务可及性之间的关系：健康社会决定因素的中介作用

IF 1.8 3区社会学

Journal of Aging & Social Policy Pub Date : 2026-05-28 DOI: 10.1080/08959420.2026.2673821

Yeonju Jin, Susanne Schmidt, Ickpyo Hong, Timothy Reistetter

{"title":"Association Between Loneliness, Stress, and Access to Healthcare in Older Adults: The Mediating Role of Social Determinants of Health.","authors":"Yeonju Jin, Susanne Schmidt, Ickpyo Hong, Timothy Reistetter","doi":"10.1080/08959420.2026.2673821","DOIUrl":"10.1080/08959420.2026.2673821","url":null,"abstract":"Loneliness and stress are increasingly prevalent among aged 65 years and older and have been linked to poor health outcomes and limited access to care. These psychological factors often intersect with social determinants of health (SDH), yet little is known about how SDH mediate their effects on healthcare utilization. This study used 2023 Behavioral Risk Factor Surveillance System (BRFSS) data to examine the relationships between loneliness, stress, and healthcare access among U.S. adults aged 65 and older (N = 62,878). Key outcomes included having a personal healthcare provider and attending a routine checkup. Ten SDH indicators, including income, education, emotional support, and transportation stability, were examined as mediators using logistic regression and path analysis. Older adults without loneliness or stress were significantly more likely to report better healthcare access. However, higher income, education, and lack of food assistance exhibited suppressor effects, weakening the positive relationship between emotional well-being and provider access. In contrast, transportation stability enhanced this association. Emotional support and life satisfaction fully mediated the relationship between loneliness, stress, and routine checkups. These findings highlight the complex role of SDH in healthcare access, suggesting that both emotional and structural supports are needed to reduce disparities among aging populations.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-21"},"PeriodicalIF":1.8,"publicationDate":"2026-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044152","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

From Evidence to Action: A Bibliometric Analysis of Global Research on Urban Green Spaces and Healthy Aging (2002-2024). 从证据到行动：2002-2024年全球城市绿地与健康老龄化研究的文献计量分析。

IF 2.1 3区社会学

Journal of Aging & Social Policy Pub Date : 2026-05-25 DOI: 10.1080/08959420.2026.2673824

Bijun Jiang, Yuanbi Li, Qinghai Zhang

引用次数: 0

The Limits of Signposting: Financial Capacity and Responsibility in Later Life Social Care. 路标的限制：晚年社会关怀的经济能力与责任。

IF 2.1 3区社会学

Journal of Aging & Social Policy Pub Date : 2026-05-22 DOI: 10.1080/08959420.2026.2673826

Alex Hall, Debora Price, Christina Straub, Nicola Glover-Thomas

{"title":"The Limits of Signposting: Financial Capacity and Responsibility in Later Life Social Care.","authors":"Alex Hall, Debora Price, Christina Straub, Nicola Glover-Thomas","doi":"10.1080/08959420.2026.2673826","DOIUrl":"https://doi.org/10.1080/08959420.2026.2673826","url":null,"abstract":"The ability to manage money is crucial for independent living in later life, yet financial capacity often declines with age and cognitive impairment. This study explored how social care practitioners in England understand and enact responsibilities when older people experience difficulties managing money. Data from 28 semi-structured interviews with practitioners across local authorities, housing, homecare and voluntary organizations were analyzed via thematic analysis and triangulated with 19 professional guidance documents. Practitioners commonly recognized financial difficulties but felt untrained and uncertain about their role. Most reported \"signposting,\" i.e. directing older people elsewhere rather than offering support, despite often not knowing which services could help. Professional guidance emphasized empowerment and safeguarding but provided little practical direction for routine financial support. The paper argues that signposting functions as an institutional mechanism that deflects responsibility for financial wellbeing, leaving many older people in a \"missing middle\" between financial inclusion policy and safeguarding. Strength-based approaches risk reinforcing this neglect. Policies should clarify practitioner roles, expand workforce training on financial capacity, and integrate social care with financial inclusion and consumer protection agendas. Supporting financial capability in the presence of cognitive decline must become a core element of aging and social care policy.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-24"},"PeriodicalIF":2.1,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989493","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

Supporting and Representing Older Adults in Healthcare and Financial Matters: Experiences of Informal Caregivers in the Netherlands with Decision-Making and Legal Measures. 在医疗保健和财务问题上支持和代表老年人：荷兰非正式护理人员的决策和法律措施的经验。

IF 2.1 3区社会学

Journal of Aging & Social Policy Pub Date : 2026-05-17 DOI: 10.1080/08959420.2026.2673828

R Nieuwboer, T C Peetoom, C C J H Bijleveld, S Teunisse, E M Sizoo

{"title":"Supporting and Representing Older Adults in Healthcare and Financial Matters: Experiences of Informal Caregivers in the Netherlands with Decision-Making and Legal Measures.","authors":"R Nieuwboer, T C Peetoom, C C J H Bijleveld, S Teunisse, E M Sizoo","doi":"10.1080/08959420.2026.2673828","DOIUrl":"10.1080/08959420.2026.2673828","url":null,"abstract":"As populations age, more older adults require support with decision-making, often relying on informal caregivers. This multi-methods study explores how informal caregivers in the Netherlands participate in healthcare and financial decision-making for older adults, what factors are associated with their involvement in the decision-making process, and how different legal measures facilitate their participation in decision-making. Drawing on survey data from 815 caregivers and 13 in-depth interviews, the study identifies various types of involvement - from supported to substituted decision-making - with mutual decision-making as a distinct category. Participation is affected by the type, complexity and impact of decisions, the older adult's decision-making abilities, wishes and preferences, and the involvement of others. The need for legal authority varies by relationship and caregiving role. While ex lege measures generally suffice for medical decisions, financial matters often require voluntary measures, which appear inconsistently recognized in practice. When voluntary arrangements are not feasible, adult guardianship measures may offer legal clarity. Although some international rights bodies call for the abolition of substituted decision-making regimes like adult guardianship, this study highlights their practicality in certain contexts. The findings call for legal and policy frameworks that both empower informal caregivers and safeguard the well-being of older adults.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-25"},"PeriodicalIF":2.1,"publicationDate":"2026-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965132","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

Why Do Family Caregivers Provide Insurance-Funded Long-Term Care in China? Empirical Evidence from Guangzhou City. 为什么中国家庭照护者提供保险资助的长期照护？来自广州市的经验证据。

IF 2.1 3区社会学

Journal of Aging & Social Policy Pub Date : 2026-05-11 DOI: 10.1080/08959420.2026.2653873

Jiayu Zhang

引用次数: 0

Correction. 修正。

IF 2.1 3区社会学

Journal of Aging & Social Policy Pub Date : 2026-04-26 DOI: 10.1080/08959420.2026.2664368

引用次数: 0

Municipal Allowance and Compensation Satisfaction : Moderating Effects on the Burnout-Turnover Link Among Korean Long-Term Care Workers. 城市津贴和薪酬满意度：对韩国长期护理员倦怠-离职关系的调节作用。

IF 2.1 3区社会学

Journal of Aging & Social Policy Pub Date : 2026-04-13 DOI: 10.1080/08959420.2026.2655889

Shin Myoung Sung, Yukyeong Oh, Chanwoo Jung

引用次数: 0

Stakeholders' Views on the Barriers and Facilitators to Enhancing Care for Older People in the Kingdom of Saudi Arabia. 利益相关者对沙特阿拉伯王国加强老年人护理的障碍和促进因素的看法。

IF 2.1 3区社会学

Journal of Aging & Social Policy Pub Date : 2026-04-07 DOI: 10.1080/08959420.2026.2653874

Shadi Alruthea, David Lim, Jed Montayre, Abdulrahman Almujaidel, Angus Lam

{"title":"Stakeholders' Views on the Barriers and Facilitators to Enhancing Care for Older People in the Kingdom of Saudi Arabia.","authors":"Shadi Alruthea, David Lim, Jed Montayre, Abdulrahman Almujaidel, Angus Lam","doi":"10.1080/08959420.2026.2653874","DOIUrl":"https://doi.org/10.1080/08959420.2026.2653874","url":null,"abstract":"As Saudi Arabia experiences demographic shifts due to rising life expectancy and declining fertility rates, its health and social care systems face challenges in meeting aging population needs. These challenges are accompanied by high prevalence of chronic diseases, changing family structure, and limited aged-care infrastructure. This qualitative descriptive study explored stakeholders' perspectives on barriers and facilitators to improving care for older people in Saudi Arabia. Sixteen semi-structured interviews were conducted with academics, policymakers, health professionals, administrators, and service providers across health, social, private, and nonprofit sectors. Reflexive thematic analysis identified seven themes. Barriers included workforce shortages and skills gaps, resource limitations, infrastructure and accessibility challenges, and sociocultural and family-related issues. Facilitators include optimizing infrastructure, workforce development and training, and implementing flexible and culturally appropriate care models. Recommendations include expanding geriatric training programs, establishing long-term care facilities within hospitals, integrating virtual medicine services, developing financial support and workplace policies for family caregivers, and developing culturally sensitive respite care models. Findings suggest that improving care for older people in Saudi Arabia requires an integrated approach that balances formal services with community and family support. Implementing practical, context-specific interventions is essential to enhance quality of life while preserving cultural values and social cohesion.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-21"},"PeriodicalIF":2.1,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634074","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

Challenges of Paid Caregiving in China: Enhancing Integration Through Social Network Theory. 中国有偿养老面临的挑战：通过社会网络理论加强整合。

IF 2.1 3区社会学

Journal of Aging & Social Policy Pub Date : 2026-04-04 DOI: 10.1080/08959420.2026.2653867

Zixuan Wu, Qingwei Wang, Bei Wu, Zhanlian Feng

{"title":"Challenges of Paid Caregiving in China: Enhancing Integration Through Social Network Theory.","authors":"Zixuan Wu, Qingwei Wang, Bei Wu, Zhanlian Feng","doi":"10.1080/08959420.2026.2653867","DOIUrl":"10.1080/08959420.2026.2653867","url":null,"abstract":"China's aging population has intensified reliance on paid caregivers, yet systemic neglect in policy and research perpetuates workforce vulnerabilities. This study employs Social Network Theory to analyze how fragmented structural and relational networks shape the experiences of rural-to-urban migrant caregivers in Shanghai. A qualitative multiple case study approach was utilized, incorporating interviews and observations with paid caregivers (n = 26), care recipients (n = 22), family caregivers (n = 22), and supervisors (n = 4). Findings reveal that caregiving outcomes are shaped by the interplay between upstream factors (cultural expectations, migration patterns) and downstream factors (social support, agency resources). Cultural incompatibilities, such as dietary practices and dialect differences, strain caregiver-family trust, while live-in work conditions limit caregivers' social networks and exacerbate emotional stress. Despite institutional efforts like digital platform use, rural migrant caregivers face technological barriers due to uneven literacy. Policy gaps in standardized training and labor protections further marginalize this workforce, undermining China's elder care sustainability. Recommendations include culturally adaptive training programs, equitable migration policies, and technology upskilling to bridge structural divides. These findings offer a blueprint for aging societies worldwide to realign long-term care systems around human-centered networks, emphasizing caregiver well-being to enhance elder care quality and equity.","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-19"},"PeriodicalIF":2.1,"publicationDate":"2026-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147616931","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