European Journal of Ageing最新文献

{"title":"Changes in life satisfaction and leisure-time physical activity across retirement transition: the FIREA cohort study.","authors":"Miika Tuominen, Säde Stenlund, Kristin Suorsa, Jaana Pentti, Jussi Vahtera, Tuija Leskinen, Pasi Koski, Sari Stenholm","doi":"10.1007/s10433-025-00865-x","DOIUrl":"10.1007/s10433-025-00865-x","url":null,"abstract":"<p><p>Retirement brings changes in daily life, which may have implications for life satisfaction and leisure-time physical activity (LTPA). This study sought to examine associations between concurrent changes in life satisfaction and LTPA across retirement, addressing gaps in understanding how life satisfaction influences physical activity in retirees. Study included 3535 public sector workers (83% women) from the Finnish Retirement and Aging study with annual surveys before and after retirement. Participants were categorized based on their Life Satisfaction Scale responses before and after retirement into Stable Low, Low-Increasing, Intermediate-Decreasing, Stable Intermediate, Intermediate-Increasing, High-Decreasing, and Stable High life satisfaction. Self-reported weekly LTPA during past 12 months was summarized as metabolic equivalent hours (METh/week). Generalized estimating equations were used to examine changes in LTPA across retirement transition among these groups, adjusting for sociodemographic and health-related factors. Compared to Stable Low, Low-Increasing life satisfaction was associated with increasing LTPA (mean difference 4.16 METh/week, 95%CI 0.85 to7.47). Compared to Stable Intermediate, Intermediate-Increasing life satisfaction was associated with increasing LTPA (mean difference 1.96 METh/week, 95%CI 0.03 to 3.88), while Intermediate-Decreasing life satisfaction was linked to decreasing LTPA (mean difference  -3 .79 METh/week, 95%CI -7.62 to 0.04). No differences were observed between Stable High and High-Decreasing life satisfaction. Changes in life satisfaction during retirement transition are associated with changes in LTPA, especially among those with low or intermediate life satisfaction before retirement. Further research is needed to assess, whether supporting life satisfaction in retirees could foster greater engagement in LTPA.</p>","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":"22 1","pages":"29"},"PeriodicalIF":3.7,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12173991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep at home for older persons with dementia and their caregivers: a qualitative study of their experiences and challenges.","authors":"C A M Huisman, E R C M Huisman, R G A Brankaert, H S M Kort","doi":"10.1007/s10433-025-00858-w","DOIUrl":"10.1007/s10433-025-00858-w","url":null,"abstract":"<p><p>Most people with dementia (PwD) live with the support of their caregiver. Sleep issues are common among all types of dementia and increase the burden on the IC. Disturbed nights may lead to earlier admission to nursing homes. This study explored the experiences and challenges related to the sleep of PwD and IC. A qualitative study using semi-structured interviews was performed. The target groups were PwD, ICs, and care professionals. The sample comprised 20 informal caregivers, 2 PwD, and 9 care professionals. Thematic analysis was used to identify patterns within and across data concerning the experiences and challenges of participants. In total, 31 participants were interviewed in 28 sessions. Three themes were identified, namely, (a) challenges in maintaining time orientation and day/night routines, (b) irregularities and concerns of informal caregivers at night, and (c) environmental cues that support or disturb sleep. The results provide insight into the experiences of IC at home regarding their sleep and the sleep of PwD at home. Our results may guide the development of non-pharmacological interventions to support sleep and day structure with a certain balance in activities.</p>","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":"22 1","pages":"28"},"PeriodicalIF":3.7,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12170493/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Socio-economic differences in receiving care by the over-80s in Germany and England: intensity of care needs as a moderator.","authors":"Ursula Henz, Michael Wagner","doi":"10.1007/s10433-025-00864-y","DOIUrl":"10.1007/s10433-025-00864-y","url":null,"abstract":"<p><p>The growing number of people aged 80 or older living in the community has raised concerns about meeting their care needs and about socio-economic inequalities in their care use. The study examines socio-economic status (SES) patterns in informal and formal care use, as well as unmet care needs, of people aged 80 or older living in the community in Germany and England. We propose that SES patterns in care use change with the intensity of care needs. The analyses use data from the Survey of Quality of Life and Well-Being of the Very Old in North Rhine-Westphalia and the English Longitudinal Study of Ageing. Despite the differences in the long-term care systems (LTCSs) and cultural norms around filial obligations, we find a consistent pattern of association between socio-economic status (SES) and care use for older people with only few care needs in both countries. In this group, people with a higher SES have the highest likelihood of experiencing unmet care needs. For older people with many care needs, we find country-specific SES patterns that we link to cultural differences and the design of the LTCSs. In Germany, SES is negatively associated with using informal care and positively with using formal care. In England, care use shows little SES variation for older people with many care needs. The findings underscore the importance of considering the intensity of care needs when assessing inequalities in care access.</p>","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":"22 1","pages":"27"},"PeriodicalIF":3.7,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12165915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of slow breathing on cardiovascular and electromyographic responses during standing perturbations in older adults.","authors":"Patrick Siedlecki, Tanya D Ivanova, S Jayne Garland","doi":"10.1007/s10433-025-00863-z","DOIUrl":"10.1007/s10433-025-00863-z","url":null,"abstract":"<p><p>A bi-directional interaction between the cardiovascular and postural control systems has been previously reported in young adults; however, limited data exist in older populations where physiological alternations in these systems are well known. The purpose of this study was to determine: (1) the effect of slow breathing on heart rate (HR) and systolic blood pressure (SBP) responses following surface support postural perturbations in older adults and (2) the effect of slow breathing on lower limb muscle burst onset and burst amplitude during postural perturbations of the support surface in older adults. Twenty community-dwelling older adults experienced posteriorly directed accelerations of treadmill belts during quiet standing while breathing spontaneously (SPON) or breathing at 6 breaths per minute (SLOW). SBP, HR, and muscle burst onset and burst amplitude were analyzed for 7 s from each perturbation's onset. Post-perturbation comparison of SLOW and SPON showed that SBP was significantly higher during SPON over the entire analyzed time period (0-7 s) (p < 0.001), while there was no difference in HR throughout the same analysis window (0-7 s) (p > 0.05). The muscle burst onset was shortened in the SLOW compared to SPON task (p < 0.001), while muscle burst amplitude was not significantly different between SPON and SLOW (p = 0.353). Although slow breathing affected cardiovascular and muscle activation onset responses during postural perturbations in older adults, they differed from the responses in younger adults reported previously. The findings highlight the physiological adaptations that may occur to maintain postural stability in older adults.</p>","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":"22 1","pages":"26"},"PeriodicalIF":3.7,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12141172/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can long-term care insurance reduce catastrophic health and long-term care expenditures among older adults? A quasi-experimental study in China.","authors":"Chengxu Long, Wei Yang, Karen Glaser","doi":"10.1007/s10433-025-00861-1","DOIUrl":"10.1007/s10433-025-00861-1","url":null,"abstract":"<p><p>Older adults with cognitive and/or physical limitations often face excessive health and long-term care (LTC) costs, which significantly affect their living standards. However, current measures of catastrophic health expenditure primarily focus on healthcare costs, overlooking the substantial burden of LTC costs. Our study is among the first to introduce the concept of catastrophic health and long-term care expenditures (CHLTCE) to comprehensively capture the economic burden of health and LTC costs associated with functional limitations. Drawing data from 2011, 2013, 2015, and 2018 waves of China Health and Retirement Longitudinal Study, we employed a staggered difference-in-differences approach to assess the impact of long-term care insurance (LTCI) on alleviating CHLTCE. We found that after accounting for LTC costs, both total health and LTC expenditures and CHLTCE risk significantly increased compared to when only healthcare costs were considered. Furthermore, LTCI coverage significantly reduced CHLTCE risks among older adults with cognitive and/or physical limitations. This effect was more pronounced among those with severe cognitive impairments and those with physical limitations and chronic diseases. In addition, its effectiveness in reducing CHLTCE risks for individuals with complex care needs was observed only at the high threshold, but not at lower thresholds. Our findings offer empirical contributions by incorporating both health and LTC costs into catastrophic expenditures analysis. We recommend that policymakers refine LTCI eligibility criteria and implement tiered coverage options based on various levels and dimensions of cognitive and physical function-beyond activities of daily living-to offer targeted protection for individuals with complex care needs.</p>","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":"22 1","pages":"25"},"PeriodicalIF":3.7,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12134244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Care provision and social participation among older adults in Europe: longitudinal evidence from the Survey of Health, Ageing and Retirement in Europe and the English Longitudinal Study of Ageing.","authors":"Pamela Almeida-Meza, Giorgio Di Gessa, Rebecca Lacey, Anne McMunn, Baowen Xue","doi":"10.1007/s10433-025-00856-y","DOIUrl":"10.1007/s10433-025-00856-y","url":null,"abstract":"<p><p>Providing care to family members and friends in older age is common, but it can impact the carers' time and energy for social participation. This study explores the relationship between care and social participation in 16 European countries, considering factors like care status, care frequency, relationship to the care recipient, gender, socioeconomic status, and country care regimes. The study utilised pooled data from the Survey of Health Ageing and Retirement in Europe and the English Longitudinal Study of Ageing. Multiple regression models assessed the association between care status (non-carer, carer, and former carer) and social participation measured through volunteering frequency and group membership. The models adjusted for various demographic and socioeconomic covariates. The study found that carers, especially those doing so more frequently (daily and weekly care), were more likely to volunteer and belong to groups compared to non-carers. Furthermore, compared to non-carers individuals caring for their partner, parent, or non-relatives were more likely to engage in social participation. The association between care and social participation appeared stronger for carers in countries with supportive care regimes. The findings support the idea that care and social participation are complementary activities, where engagement in one represents an avenue for greater participation in the other.</p>","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":"22 1","pages":"24"},"PeriodicalIF":3.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12127247/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non-medical barriers and facilitators of ageing in place: a cohort study in the Netherlands.","authors":"Fatima Amankour, Yvonne Krabbe-Alkemade, Xander Koolman, Marjolein Broese van Groenou, France Portrait","doi":"10.1007/s10433-025-00859-9","DOIUrl":"10.1007/s10433-025-00859-9","url":null,"abstract":"<p><p>Most western countries lack the capacity to maintain institutional care levels for the ageing baby boom generation. To date, the non-medical drivers of the decision to \"age in place\" versus using expensive institutional long-term care (LTC) have not been comprehensively studied. This study, based on data from the Longitudinal Aging Study Amsterdam, aims to better understand why some individuals, with comparable medical needs, decide or are able to remain living independently longer than others.The sample included a representative cohort of Dutch adults aged 58 and older (n = 1,792), followed from 2005-06 to January 1, 2024. Cox Proportional Hazard models were used to better understand the relationship between potential non-medical barriers and facilitators and the duration of ageing in place.Several factors that facilitate ageing in place were identified. Individuals with comparable medical needs, but who are homeowners, who have a strong social network, or who have been living longer in their neighbourhood were less likely to be granted access to institutional care. This was also the case for those who value independence more or feel in control of their care. In contrast, emotional loneliness or having a partner living separately (typically in a nursing home) were associated with a higher likelihood of being granted institutional care. The actual move to a nursing home was delayed for those who feel that they receive sufficient home help. Developing community-based care approaches that address these factors may improve the ability to age in place.</p>","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":"22 1","pages":"23"},"PeriodicalIF":3.7,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12125428/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of impaired vision and declined cognition in falls and fall-related risk factors among older people receiving home care in Finland-a cross-sectional register study.","authors":"Tiina Pesonen, Heidi Siira, Visa Väisänen, Johanna Edgren, Satu Elo","doi":"10.1007/s10433-025-00860-2","DOIUrl":"10.1007/s10433-025-00860-2","url":null,"abstract":"<p><p>The risk of vision impairment and cognitive decline increases with age and can jeopardize safe ageing at home. Our aim was to investigate the association of impaired vision and cognitive decline with falls among older adults receiving home care. Additionally, we examined how previously identified fall-related risk factors are linked to vision impairment and cognitive decline. We used register data (n = 26 353) from the Finnish Resident Assessment Instrument (RAI) database. Four groups were created based on vision and cognition status: 1) no vision impairment or cognitive decline, 2) vision impairment alone, 3) cognitive decline alone, and 4) co-occurring vision impairment and cognitive decline. Multinomial logistic regression was used to examine the association of impaired vision and cognitive decline with falls. Based on results among older adults receiving home care, 12% had vision impairment alone, 37% had cognitive decline alone, and 18% had co-occurring vision impairment and cognitive decline. Vision impairment and cognitive decline, both individually and when co-occurring, were associated with experienced falls. Previously identified fall-related risk factors appeared to accumulate especially for older adults with co-occurring vision impairment and cognitive decline. Our study showed that vision impairment and cognitive decline play a significant role in the ability to live safely at home, particularly when they co-occur. Special attention should be paid to this vulnerable group to ensure safe and independent ageing in place. Timely identification and management of vision impairment may be crucial in preventing co-occurring vision impairment and cognitive decline.</p>","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":"22 1","pages":"22"},"PeriodicalIF":3.7,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12106257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of providing intensive care and practical help in mid-life on employment transitions in Europe.","authors":"Jeroen J A Spijker, Maike van Damme, Bruno Arpino","doi":"10.1007/s10433-025-00857-x","DOIUrl":"https://doi.org/10.1007/s10433-025-00857-x","url":null,"abstract":"<p><p>This paper examines how caregiving influences employment transitions among employed mid-life adults (50-69 years) who began providing non-professional care on a daily basis to someone inside or outside their household. Using data from the Survey of Health Ageing and Retirement in Europe (SHARE) from 2004 to 2017, we apply a difference-in-difference model with propensity score weighting to estimate probabilities of various employment change outcomes for each care status. These outcomes include reducing working hours, exiting the labour market, and retiring. Results are compared to those who continue to work. We assess heterogeneities by gender, income and three empirically identified care regime types from the first article in this special collection: strong defamilialism/supported familialism (strong DF/SF), moderate DF/SF and familialism-by-default (FbD). Results show that overall and for each gender and care regime, retiring is the most likely employment transition for new caregivers. However, low-income persons that make the transition into co-resident care in moderate DF/SF care regime countries are more likely to reduce working hours than non-carers. Regarding labour market exits, no significant overall effect was found. Nonetheless, exit was less likely among men in FbD regime countries when care occurred outside their household. This pattern may reflect financial pressures to stay in employment in contexts of limited state support (hence, an income effect). Women, on the other hand, are less likely to exit in strong DF/SF countries, which might be an income effect in that context. To conclude, caregiving significantly affects employment transitions, with notable differences across gender, income levels, and care regimes. These results underscore the importance of policies that support caregivers-particularly in familialist contexts-by providing affordable formal care options and flexible workplace arrangements to help them remain in employment.</p>","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":"22 1","pages":"21"},"PeriodicalIF":3.7,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12066390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A care regime typology of elder, long-term care institutions.","authors":"Maike van Damme, Jeroen Spijker, Dimitris Pavlopoulos","doi":"10.1007/s10433-025-00854-0","DOIUrl":"https://doi.org/10.1007/s10433-025-00854-0","url":null,"abstract":"<p><p>This study generates a classification of 26 European OECD countries with respect to care regimes. Care regimes are 'social joins' on the nexus between the state and the family, grouping countries into 'types' that have similar characteristics with respect to state care institutions. The latter are formal arrangements by the state that may alleviate citizens' care burdens either financially, in kind, or both. We build upon the literature on the dimensions of defamilialisation and familialism and empirically test how these two dimensions indicate different types of care regimes. We expect to find at least three different regime types that combine either high reliance on defamilialisation or on supported familialism, or the lack of both. We collected macro-data of 26 countries on five indicators of elder care institutions from various sources and subsequently performed latent profile analysis to group these countries into classes of similar state care arrangements. The results reveal three care regime types: 'strong Defamilialisation/Supported Familialism'; 'moderate Defamilialisation/Supported Familialism'; and 'Familialism-by-Default'. This classification contributes to developing a theoretical framework of care institutions and can guide other scholars in understanding contextual differences in socio-economic causes and consequences of elder care in Europe.</p>","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":"22 1","pages":"20"},"PeriodicalIF":3.7,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}