{"title":"Racial/Ethnic Group Differences in the Incidence of Self-Neglect: Variation Across Metropolitan and Rural Regions.","authors":"Kenneth J Steinman, Jim Pellerin","doi":"10.1080/01634372.2025.2513498","DOIUrl":"https://doi.org/10.1080/01634372.2025.2513498","url":null,"abstract":"<p><p>This study describes how racial/ethnic group differences in self-neglect incidence varied across metropolitan and rural regions of Texas. The data included 134,538 cases of self-neglect validated by adult protective services among people 65+ years old from 2020 to 2023. We aggregated county population figures from US Census Bureau estimates and used negative binomial regression models to estimate the association of race/ethnicity, gender, and region type with self-neglect case counts. Self-neglect incidence among Black older adults was about twice that of White older adults, a difference that persisted across metropolitan regions. Black-White differences were more pronounced in Northwest rural regions but were absent in the El Paso region. Hispanic-White differences varied across both metropolitan and rural regions. In the Arlington region, for example, self-neglect incidence among Hispanic older adults was less than that of White older adults, whereas in San Antonio it was greater. Addressing self-neglect among Black and Hispanic older adults should anticipate that different communities may require distinct approaches. Future studies with more geographic units should build on this descriptive study to explain variation in racial/ethnic group differences in self-neglect incidence.</p>","PeriodicalId":47579,"journal":{"name":"Journal of Gerontological Social Work","volume":" ","pages":"1-14"},"PeriodicalIF":1.5,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Melodies of Well-Being: Examining the Influence of Community Music Care on Older Adults' Well-Being.","authors":"Liang-Ru Lin, Li-Fen Wang","doi":"10.1080/01634372.2025.2510585","DOIUrl":"https://doi.org/10.1080/01634372.2025.2510585","url":null,"abstract":"<p><p>Community music care is an innovative social practice that integrates community music therapy and music care to enhance the well-being of older adults. However, existing studies rarely present a comprehensive view of well-being from this perspective. This study explores the impact of community music care on older adults' well-being using a mixed-method approach. The qualitative part involved semi-structured interviews with 10 community-dwelling older adults to understand their experiences and perceptions. The quantitative part surveyed 166 older adults in Penghu County, Taiwan-an area with a high aging population-to examine the correlation between music care and well-being. The results indicate that community music care significantly improves mental health, social interaction, and overall well-being. Interviews also revealed that music care strengthens emotional connections and alleviates loneliness. These findings offer practical insights for communities and long-term care institutions in designing music-based activities and provide a strategic foundation for policymakers to enhance older adults' well-being through long-term care initiatives.</p>","PeriodicalId":47579,"journal":{"name":"Journal of Gerontological Social Work","volume":" ","pages":"1-28"},"PeriodicalIF":1.5,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sexuality in Residential Aged Care: The Resident´s Perspective.","authors":"Klara Le, Maria Bennich, Thomas Strandberg","doi":"10.1080/01634372.2025.2517308","DOIUrl":"https://doi.org/10.1080/01634372.2025.2517308","url":null,"abstract":"<p><p>This study investigates how older adults in Residential Aged Care (RAC) perceive and navigate their sexuality. Employing a qualitative approach with semi-structured interviews, it examines older adults' perceptions of sexuality while living in RAC, the barriers they encounter, and the ways they maintain or adapt their sexuality. Data were collected from 15 participants in Swedish RAC facilities. Nine identified as women and six as men, with a mean age of 87.3. The analysis identified three principal themes: The Sexual Script for Older Adults, Co-creating the Script, and Navigating the Script. These themes highlight how older adults articulate their sexuality, respond to institutional norms, and sometimes resist expectations. The findings suggest that sexuality remains a substantial aspect of life for many older adults, even when they face age-related stigma or institutional limitations. This study underscores the need for RAC to better support the sexuality of older adults and advocates for policies that recognize and facilitate their sexual autonomy and well-being.</p>","PeriodicalId":47579,"journal":{"name":"Journal of Gerontological Social Work","volume":" ","pages":"1-22"},"PeriodicalIF":1.5,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kathleen Abrahamson, Tetyana Shippee, Heather Davila, Greg Arling, Rosalie Kane
{"title":"Community Discharge Among Long-Stay Nursing Home Residents: The Discharge Planner Perspective.","authors":"Kathleen Abrahamson, Tetyana Shippee, Heather Davila, Greg Arling, Rosalie Kane","doi":"10.1080/01634372.2025.2516260","DOIUrl":"https://doi.org/10.1080/01634372.2025.2516260","url":null,"abstract":"<p><p>Planning for discharge is common among nursing-home residents who enter the facility for a short-term rehabilitative stay. More challenging is community discharge among long-stay residents who have been in a nursing-home beyond the Medicare funded rehabilitation period. The current manuscript describes an analysis of interviews conducted with 42 nursing-home discharge planners in the context of a statewide policy to promote nursing-home to community discharge among long-stay residents. Identified themes from the analysis include a focus on newly admitted residents, starting early, multi-disciplinary planning, lack of available community services, financial concerns, and balancing resident safety with the desire to return home.</p>","PeriodicalId":47579,"journal":{"name":"Journal of Gerontological Social Work","volume":" ","pages":"1-17"},"PeriodicalIF":1.5,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Internet Use and Life Satisfaction Among Chinese Middle-Aged and Older Adults: The Role of Volunteering and Social Trust.","authors":"Wei-Kang Jiang, Jun-Feng Kuang, Kai-Peng Gan","doi":"10.1080/01634372.2025.2515603","DOIUrl":"https://doi.org/10.1080/01634372.2025.2515603","url":null,"abstract":"<p><p>Using data from 1,484 participants in the Chinese Social Survey (CSS), we analyzed the relationships among internet use, social trust, volunteer engagement, and life satisfaction. Our findings indicate that greater internet use correlates with enhanced older adults' life satisfaction. Volunteering positively mediates the relationship between internet use and life satisfaction. Furthermore, social trust moderates the relationship between internet use and volunteering. Internet use and social trust are significant factors affecting volunteering and life satisfaction among older Chinese adults. Policymakers should foster equitable internet access and support initiatives that encourage online engagement and build trust among older adults.</p>","PeriodicalId":47579,"journal":{"name":"Journal of Gerontological Social Work","volume":" ","pages":"1-17"},"PeriodicalIF":1.5,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mutual Support Makes Everyone Happy: Triad Perspectives from Care Recipients, Family Caregivers, and Migrant Care Workers in Taiwan.","authors":"Hui-Chuan Hsu, Chen-Fen Chen","doi":"10.1080/01634372.2025.2515145","DOIUrl":"https://doi.org/10.1080/01634372.2025.2515145","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine mutual relationships and to compare satisfaction among care receivers, family carers, and migrant care workers in Taiwanese households.</p><p><strong>Research design and methods: </strong>Data were gathered in two stages (2019-2020) from 855 households and 638 households resectively, using face-to-face and telephone interviews. Analysis included descriptive, linear, and logistic regression.</p><p><strong>Results: </strong>Family carers' satisfaction was influenced by health burden, cultural support toward migrants, and caregiver experience. Migrant workers' satisfaction correlated with private quarters, ample rest, positive caregiving experiences, and employer support.</p><p><strong>Discussion: </strong>Fostering respectful relationships and providing welfare, cultural support, and support are crucial for improving home care quality and working conditions. Governments must support caregivers' physical and mental health and provide services.</p>","PeriodicalId":47579,"journal":{"name":"Journal of Gerontological Social Work","volume":" ","pages":"1-19"},"PeriodicalIF":1.5,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
David R Hodge, Lin Jiang, Robin P Bonifas, Fei Sun
{"title":"Administrators in Chinese Faith-Based Nursing Homes Providing Dementia Care: Ascertaining Their Primary Stressors and Coping Strategies.","authors":"David R Hodge, Lin Jiang, Robin P Bonifas, Fei Sun","doi":"10.1080/01634372.2025.2512065","DOIUrl":"https://doi.org/10.1080/01634372.2025.2512065","url":null,"abstract":"<p><p>The Chinese population of older adults is the largest in the world and growing rapidly. Faith-based nursing homes are key players in the provision of care to the most vulnerable aging groups, including adults with dementia. Yet, little is known about the challenges administrators of these facilities encounter. The present study addresses this knowledge gap by identifying the primary stressors administrators of faith-based nursing home experience and the strategies they deploy to cope with the challenges. Semi-structured interviews were conducted with 21 administrators located in 14 Chinese provinces. The findings indicate the two most prominent stressors are: managing residents with dementia, and procuring sufficient staff, followed by financial pressures, dealing with governmental regulations, and interacting with difficult family members. The most common coping strategy was operationalizing spiritual practices (e.g. prayer), followed by addressing the cited stressors (e.g. recruiting staff continuously) and using personalized strategies (e.g. walking in nature). The mean level of salience assigned to spiritual coping was 9.43 (<i>SD</i> = 1.40) on the 0-10 scale, indicating spirituality was a critical resource for most respondents. The findings underscore the importance of supporting administrators' spirituality to help mitigate burnout and maintain a high level of functioning in the face of significant challenges.</p>","PeriodicalId":47579,"journal":{"name":"Journal of Gerontological Social Work","volume":" ","pages":"1-20"},"PeriodicalIF":1.5,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"From Policy to Culture: How Restraint-Free Care Became Organizational Practice in Long-Term Care Settings in South Korea.","authors":"Soyoung Kwon, Seok In Nam","doi":"10.1080/01634372.2025.2512064","DOIUrl":"https://doi.org/10.1080/01634372.2025.2512064","url":null,"abstract":"<p><p>Despite ethical concerns, physical restraint (PR) remains common in aged care. This study examines how \"Restraint Zero\" practices were developed and sustained in two South Korean facilities through a multiple case study. Using interviews with staff and leadership, we explored organizational strategies enabling PR elimination. Both sites implemented staff training, policy reforms, and cross-departmental collaboration to support personalized care. While workload increased, caregivers expressed pride in PR-Zero care, which upheld the dignity of both older adults and staff. Sustaining such efforts requires broader institutional and policy support to improve long-term care environments.</p>","PeriodicalId":47579,"journal":{"name":"Journal of Gerontological Social Work","volume":" ","pages":"1-21"},"PeriodicalIF":1.5,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mapping the Language of Social Isolation and Loneliness Among Racialized Older Adults in Canada: A Critical Discourse Analysis of Qualitative Studies.","authors":"Blessing Ugochi Ojembe","doi":"10.1080/01634372.2025.2509837","DOIUrl":"https://doi.org/10.1080/01634372.2025.2509837","url":null,"abstract":"<p><p>Social isolation and Loneliness (SIL) are devastating experiences in later life. However, the wide disparity in the experiences of SIL among racialized older adults (ROAs) is underreported, with little attention given to the language that ROAs use when narrating their experience of SIL. With its unique focus on the language used within existing qualitative research in describing SIL among ROAs in Canada, this paper aims to shed light on how the discourse informs ideas about ROAs' lives. Using a critical discourse analysis guided by critical race theory, data was generated from 10 purposively selected qualitative articles conducted with ROAs across four provinces in Canada: Ontario, Quebec, Alberta and British Columbia. Participants identified as Chinese, Black Africans and Caribbeans, Koreans, Spanish, Filipinos, former Yugoslavians, Iranians and Indians. Discourses of barriers, loss and vulnerability, struggles and resistance, (dis)connection, and settlement experience were dominant themes. The findings highlight the interrelated and linked aging experiences among diverse ROAs regardless of ethnicity, race, culture, province of residence, and country of birth. Therefore, to mitigate their overall experience of SIL, a conducive and enabling environment encompassing research, policy, and practice that promotes the thriving of ROAs in Canada is warranted.</p>","PeriodicalId":47579,"journal":{"name":"Journal of Gerontological Social Work","volume":" ","pages":"1-27"},"PeriodicalIF":1.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Trajectories of Health Screening Uptake: Focusing on Perceived Barriers Among Middle-Aged and Older Adults in Korea.","authors":"Sunha Choi","doi":"10.1080/01634372.2025.2511294","DOIUrl":"https://doi.org/10.1080/01634372.2025.2511294","url":null,"abstract":"<p><p>Health screening rates remain low even in countries like Korea with universal health coverage. This study examined how perceived barriers among nonusers in 2006 were associated with screening uptake in subsequent years (2008-2020) among 4,846 Koreans (45+), using Korean Longitudinal Study of Aging data. At baseline, 47.2% hadn't received recommended screenings. The most common perceived barriers were <i>unnecessary</i> (42.3%) and <i>lack of time</i> (21.7%). While the overall likelihood of health screening uptake increased over time, longitudinal trajectories differed by perceived barriers identified at baseline. Significant interactions between time and perceived barriers also underscored the need for tailored health promotion efforts.</p>","PeriodicalId":47579,"journal":{"name":"Journal of Gerontological Social Work","volume":" ","pages":"1-19"},"PeriodicalIF":1.5,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}