Maria João Barata, Jeroen Dikken, Joost van Hoof, Alexandre Gomes da Silva, Fernanda Daniel
{"title":"Is Coimbra an Age-Friendly City? The Portuguese Validation of the Age-Friendly Cities and Communities Questionnaire (AFCCQ-PT).","authors":"Maria João Barata, Jeroen Dikken, Joost van Hoof, Alexandre Gomes da Silva, Fernanda Daniel","doi":"10.1080/08959420.2025.2568455","DOIUrl":"10.1080/08959420.2025.2568455","url":null,"abstract":"<p><p>The Age-Friendly Cities and Communities Questionnaire (AFCCQ) is a tool for assessing and contributing to improving the urban living conditions of older citizens. The objective of this research is to validate the AFCCQ for Portugal's language and culture (AFCCQ-PT). The psychometric validation was conducted through a quantitative, cross-sectional study with a sample of 242 participants, living in Coimbra. Confirmatory Factor Analysis supported a nine-factor structure for the AFCCQ-PT and demonstrated strong internal consistency. Coimbra performed best on Housing accessibility and worst on Outdoor spaces and buildings. The AFCCQ-PT is a reliable and valid tool, useful for urban planning and social policy-making.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"597-616"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309569","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}
{"title":"Older Adults' Policy Preferences for Home and Community-Based Care Services in China.","authors":"Peifeng Chen, Fandi Xu","doi":"10.1080/08959420.2025.2561426","DOIUrl":"10.1080/08959420.2025.2561426","url":null,"abstract":"<p><p>China is vigorously implementing home and community-based care (HCBC) policies; however, the accessibility of HCBC service is low. Some studies point out that an imbalance between supply and demand of HCBS policies inhibits the accessibility of HCBC services. A discrete choice experiment was conducted to elicit 520 Chinese older adults' preferences regarding HCBC. The results show that older adults have different preferences related to five HCBC policy factors: community aged care facilities, medical service provision, aged care service price, older adult-family support approach, and workforce development. Further analysis yields that characteristics of HCBC policy preferences include older adults' friendly community building, health care functions, and physical support. However, the analysis also highlights that important aspects such as family support, HCBC pricing, and caregivers, are often neglected in these preferences. Accordingly, it is recommended to create friendly communities for older adults, improve the utilization of medical services, establish nonpublic and nonprofit social organizations, and set up reasonable economic subsidies.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"435-450"},"PeriodicalIF":2.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076308","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}
{"title":"Correction.","authors":"","doi":"10.1080/08959420.2025.2610594","DOIUrl":"10.1080/08959420.2025.2610594","url":null,"abstract":"","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"574"},"PeriodicalIF":2.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145901275","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}
Ah-Reum Lee, Yulin Yang, Thomas Rapp, Jacqueline M Torres
{"title":"Racial and Ethnic Inequities in the Relationship Between State Home and Community-Based Services Expenditures and Long-Term Care Utilization in the United States: A Fixed-Effects Analysis.","authors":"Ah-Reum Lee, Yulin Yang, Thomas Rapp, Jacqueline M Torres","doi":"10.1080/08959420.2025.2568430","DOIUrl":"10.1080/08959420.2025.2568430","url":null,"abstract":"<p><p>Despite decades of increased spending on home and community-based services (HCBS) under Medicaid, the impact of these expenditures on long-term services and supports (LTSS) utilization across racial and ethnic groups remains unclear. This study analyzes state-level HCBS expenditures from 1996 to 2016, linked to individual-level data from the Health and Retirement Study (HRS; 1998-2018). The sample includes 3,097 Medicaid beneficiaries aged 65 and older with difficulties in daily living (6,750 person-wave observations). Multivariate logit models were employed, controlling for individual socio-demographic factors, state and time fixed effects, and time-varying state-level characteristics. Among non-Hispanic White older adults, higher state-level HCBS spending was associated with a greater use of home health care services (β: 0.13, 95% CI: 0.02, 0.25) and specialized health facilities (β: 0.24, 95% CI: 0.14, 0.34). These protective effects were less evident for Black and Hispanic older adults, though limited statistical power may have prevented detecting significant effects in these subgroups. The findings suggest inequities in the benefits of increased HCBS funding, with the benefits primarily concentrated among White older adults. Further research is needed to explore mechanisms behind these patterns, including structural barriers to LTSS access.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"926-942"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233748","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}
Joan F Brazier, Aseel Rafat, Amy Meehan, Elizabeth M White, Renee R Shield, David C Grabowski, Momotazur Rahman, Courtney Hawes, Emily A Gadbois
{"title":"Administrator Perspectives on Skilled Nursing Facility Building Design for Managing COVID-19 Infections and Outbreaks.","authors":"Joan F Brazier, Aseel Rafat, Amy Meehan, Elizabeth M White, Renee R Shield, David C Grabowski, Momotazur Rahman, Courtney Hawes, Emily A Gadbois","doi":"10.1080/08959420.2025.2568451","DOIUrl":"10.1080/08959420.2025.2568451","url":null,"abstract":"<p><p>The COVID-19 pandemic highlighted the importance of infection control practices in skilled nursing facilities (SNFs). This study examined SNF administrator perspectives on implementing built environment strategies to manage and mitigate COVID-19 transmission into and within their facility. Semi-structured interviews with SNF administrators were conducted between July 2020-December 2021. Administrators emphasized (1) the effective implementation of built environment strategies for quarantine and isolation protocols, (2) facility-level modifications used to manage and mitigate COVID-19 transmission, and (3) the challenges posed by outdated or high-density building layouts. Insights from this study's findings suggest important considerations for SNF architectural modifications and design as a mechanism for infection control. Thoughtful SNF architectural planning and design are critically important for the long-term care industry to expand and successfully meet the future challenges of pandemics, severe weather events, and other public health emergencies.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"813-835"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259616","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}
{"title":"Health Effect of Elderly Family Planning Subsidy on Older Chinese with Only One Child.","authors":"Peiyi Lu, Dexia Kong, Mack Shelley, Chihua Li","doi":"10.1080/08959420.2024.2422659","DOIUrl":"10.1080/08959420.2024.2422659","url":null,"abstract":"<p><p>The decades-long one-child policy in China has led to a growing number of older individuals with only one child. The Elderly Family Planning Subsidy (EFPS) policy was introduced to provide extra financial support to this group and was expanded nationwide in 2012. This study investigated the relationship between EFPS use and health among EFPS-eligible older Chinese using data from the China Health and Retirement Longitudinal Study. A total of 1,981 respondents were eligible for EFPS (i.e. aged 60 and above, had only one child, or were rural residents with two daughters). Respondents self-reported if they received EFPS in 2011, 2013, and 2015 and were followed up to 2018. Propensity score matching was used to match EFPS non-users with users based on their probability of using EFPS. Among the EFPS-eligible respondents, 256 (12.92%) used the benefit. Analysis revealed no significant differences between EFPS users and non-users with respect to mortality and other health outcomes (i.e. self-reported health, cognition, activities of daily living, chronic diseases, and depressive symptoms). Findings do not provide evidence that EFPS improved the short-term health of older Chinese with only one child.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"240-258"},"PeriodicalIF":2.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569947","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}
{"title":"\"Should I Willingly Show Weakness?\": Exploring the Emotional Needs of Older Adults in Adapting to Life in Residential Care Facilities in China by Following the Traces of Stress.","authors":"Xilai Wang, Zaiyu Ma, Xiaofei Zhang, Qiuhui Zhang","doi":"10.1080/08959420.2026.2618142","DOIUrl":"10.1080/08959420.2026.2618142","url":null,"abstract":"<p><p>Residential care facilities in China often prioritize material needs over emotional well-being, leaving gaps in understanding psychological adaptation processes. This study aimed to explore the dynamic process by which older adults adapt emotionally to residential care facilities, focusing on how their needs and stressors evolve over time. Using a grounded theory methodology, semi-structured interviews were conducted with 30 residents from a large residential care facility in China, with data analyzed through open, axial, and selective coding. Findings revealed a three-stage adaptation process: (1) The adaptation stage, driven by security needs and familial burden reduction, where older adults primarily seek a comfortable environment; (2) The integration stage, addressing loneliness and fostering collective belonging, where older adults primarily seek to establish connections with others properly; and (3) The sublimation stage, focusing on self-identity, autonomy, and social value, where older adults primarily seek to find value and meaning in the remaining life. Emotional needs and stressors evolved dynamically across stages, reflecting shifts from external pressures to internal self-actualization. The study underscores the need for residential care facilities to adopt stage-specific interventions - ensuring safety, promoting group cohesion, and enabling self-directed engagement - to support holistic well-being and positive aging in China's rapidly aging society.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"553-573"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020042","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}
{"title":"\"I Can Be Liberated Now\":The Impact of Long-Term Care Insurance in China on Spouses' Care Burden.","authors":"Huimin Zhang, Wenhui Li, Wenwei Liu, Zitao Chen","doi":"10.1080/08959420.2025.2589303","DOIUrl":"10.1080/08959420.2025.2589303","url":null,"abstract":"<p><p>Long-term care insurance (LTCI) serves as a pivotal policy instrument in addressing long-term care needs globally, yet its impact on spousal caregiver's burdens remains underexplored. This study investigates China's LTCI pilot policy, focusing on its influence on co-residential spousal caregivers. Using data from four periods of the China Health and Retirement Longitudinal Study (CHARLS) spanning 2011-2018, LTCI pilots are employed as a natural experiment to evaluate changes in caregivers' emotional, physical, and social burdens. The quantitative results indicate that LTCI significantly reduces emotional and physical health burdens among spousal caregivers of people with disabilities in China, along limited effect on social burdens. Heterogeneity tests reveal that LTCI's effects are most pronounced in rural areas and among spouses with lower education levels. These findings underscore the need for policy refinements targeting spousal caregivers, with particular emphasis on socioeconomically disadvantaged groups.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"495-515"},"PeriodicalIF":2.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543087","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}
Rajean P Moone, Megan Hakanson, Tetyana Pylypiv Shippee
{"title":"Minnesota's Assisted Living License: Engagement of Small Assisted Living Providers.","authors":"Rajean P Moone, Megan Hakanson, Tetyana Pylypiv Shippee","doi":"10.1080/08959420.2025.2568273","DOIUrl":"10.1080/08959420.2025.2568273","url":null,"abstract":"<p><p>When Minnesota passed State Statute 144 G in 2019, it fundamentally changed the licensure of assisted living facilities in the state. This new regulatory framework was developed by a group of stakeholders representing consumer advocates, provider advocates, and state government. However, assisted living providers who served culturally specific communities (Black, Indigenous, and other People of Color) in small facilities were largely absent from the development of this new license. As a result, several unintended consequences and challenges have emerged in implementation in these settings. We interviewed a sample of 14 licensed assisted living directors operating small, culturally specific communities to understand their experiences with the regulatory framework. After a qualitative analysis, four main themes emerged: (1) lack of participation in the initial license development, (2) challenges to implementation of license requirements, (3) inconsistency in and preparation for survey inspections, and (4) inadequate reimbursement and funding. To address these concerns, a number of recommendations were identified, which ranged from ensuring all stakeholders are engaged in policy development to developing a new rate setting methodology for Medicaid waivers. Although these recommendations are specific to Minnesota, they do have implications for other states and agencies who are developing similar regulations.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"894-910"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233733","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}
Kar Him Mo, Esther Ng, Jean Woo, Yi Izzy Jian, Weixuan Chen
{"title":"Revisiting the Implementation and Effectiveness of Age-Friendly Neighborhood Initiatives in Hong Kong: A Strengths-Based Perspective.","authors":"Kar Him Mo, Esther Ng, Jean Woo, Yi Izzy Jian, Weixuan Chen","doi":"10.1080/08959420.2025.2476762","DOIUrl":"10.1080/08959420.2025.2476762","url":null,"abstract":"<p><p>In an era where urban environments increasingly grapple with the challenges of an aging population, the necessity for age-friendly neighborhoods (AFNs) has never been more acute. This study investigates the implementation and effectiveness of AFN initiatives in Hong Kong, examining the alignment between policy intentions and their actual impact on the ground. Utilizing a strengths-based perspective, documentary and thematic analysis for gray literature, semi-structured interviews, and focus groups are employed to bridge existing research gaps by highlighting the subjective agency of older adults. The findings reveal that while policies are robustly designed, their execution often fails to align with older adults' actual demands and expectations. Although public policies are generally well-intentioned, they often lack specificity and fail to accommodate the unique needs of the older population fully. Serving as active agents, older adults have the potential to contribute significantly to the making of AFNs, challenging the traditional view of them as mere beneficiaries.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"575-596"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634862","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}