European Journal of Ageing最新文献

{"title":"Concurrent changes in sleep and cognitive function during retirement transition: the Finnish retirement and aging study.","authors":"Tea Teräs, Saana Myllyntausta, Jaana Pentti, Jesse Pasanen, Suvi Rovio, Sari Stenholm","doi":"10.1007/s10433-025-00876-8","DOIUrl":"10.1007/s10433-025-00876-8","url":null,"abstract":"<p><p>The transition to retirement has been shown to be accompanied by increased sleep duration and improved sleep quality. In addition, some studies suggest accelerated decline in cognitive function in post-retirement years. However, less is known about their interconnectedness. The aim of this study was to examine the concurrent changes in sleep and cognitive function during retirement transition. The study population consisted of 250 public sector workers (mean age before retirement 63.1 years, standard deviation 1.4) from the Finnish Retirement and Aging study. The participants used a wrist-worn ActiGraph accelerometer, responded to the Jenkins Sleep Problem Scale and underwent cognitive testing annually before and after retirement. Computerized Cambridge Neuropsychological Test Automated Battery (CANTAB®) was used to evaluate learning and memory, working memory, sustained attention and information processing, executive function and cognitive flexibility, and reaction time. Cognitive function improved in all cognitive domains, except for reaction time, during 1-year retirement transition period. The improvement was temporary in learning and memory, working memory and executive function and cognitive flexibility, which plateaued in post-retirement years. The participants were categorized into constantly short (49%), increasing (20%), decreasing (6%), and constantly mid-range (25%) sleep duration; and constantly without (36%), increasing (10%), decreasing (16%), and constantly with (38%) sleep difficulties. There were no associations between changes in sleep duration or sleep difficulties and cognitive function during retirement transition. Cognitive function improves temporarily during transition to retirement, but the improvement is independent of changes in sleep characteristics.</p>","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":"22 1","pages":"40"},"PeriodicalIF":3.5,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12331549/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795856","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 association between widowhood duration and depressive symptoms among Chinese older adults: mediation role of sleeping duration and dietary diversity.","authors":"Yuexuan Mu, Ru Wang, Zhao Li, Qingshuai Liu, Jiao Peng","doi":"10.1007/s10433-025-00873-x","DOIUrl":"10.1007/s10433-025-00873-x","url":null,"abstract":"<p><p>Widowhood represents a major life transition that can profoundly impact the mental health of older adults. However, limited research has explored how the duration of widowhood relates to depressive symptoms. This study examines the mediating roles of sleep duration and dietary diversity in the association between widowhood duration and depressive symptoms. Data were drawn from 2008 adults aged 65 and older participating in the 2018 wave of the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Linear regression-based mediation analysis was conducted to test the hypothesized pathways. Results revealed a significant positive association between widowhood duration and depressive symptoms. Specifically, among individuals widowed for more than 10 years, both sleep duration and dietary diversity served as mediators-albeit in gender-specific ways. Dietary diversity mediated the association in men, whereas sleep duration exhibited a suppression effect in women. These findings underscore the importance of tailored interventions to support the psychological well-being of widowed older adults. Family and community-based caregivers should prioritize improving dietary quality among long-term widowed men and enhancing sleep health among widowed women. Gender-sensitive strategies may be critical in mitigating the long-term psychological consequences of widowhood in later life.</p>","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":"22 1","pages":"38"},"PeriodicalIF":3.5,"publicationDate":"2025-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12317929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769192","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":"Measurement invariance of a general cognitive performance measure across 27 European countries and Israel.","authors":"Adrián García-Mollá, Irene Fernández, Amparo Oliver, José M Tomás, Mireia Abella","doi":"10.1007/s10433-025-00872-y","DOIUrl":"10.1007/s10433-025-00872-y","url":null,"abstract":"<p><p>The use of global or composite cognitive measures is extended in both clinical and academic settings. In this line, several population-based surveys include measures of cognition that have frequently been combined into a single score. However, some methodological aspects of this practice have gone unnoticed. One of such aspects has been to provide evidence of the measurement invariance of the combined measure across countries involved in the surveys. Using data from the Survey of Health, Ageing and Retirement in Europe (SHARE), this study aims at providing evidence of the factor structure of a Global Cognitive Performance (GCP) measure and testing whether this structure remains invariant across 27 European countries and Israel. The sample was composed of 55,569 adults aged between 60 and 102 years old (M = 72.07, SD = 7.97). 56.58% were female. Confirmatory Factor Analysis was used to establish the measurement model of GCP in the general sample and within each country. Afterwards, measurement invariance across countries was evaluated using the traditional as well as the alignment approach. The unidimensional model of GCP deemed an adequate fit to the data in the general sample as well as within each country, except for Malta, which was excluded from further analyses. After dismissing full measurement invariance, we studied approximate measurement invariance using alignment. 31.85% of factor loading estimates were noninvariant, while 54.81% of item intercept estimates showed deviations from invariance. Given evidence of items' intercepts and factor loadings noninvariance, researchers working with SHARE data should abstain from making cross-country comparisons of GCP. Some plausible explanations for noninvariance of items' intercepts are further discussed.</p>","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":"22 1","pages":"37"},"PeriodicalIF":3.5,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12307830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733983","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":"Changing self-perceptions of aging in China: a cohort analysis.","authors":"Donghui Wang, Leif Jensen","doi":"10.1007/s10433-025-00870-0","DOIUrl":"10.1007/s10433-025-00870-0","url":null,"abstract":"<p><p>Self-perceptions of aging are important predictors of health and longevity. These perceptions are shaped by internal developmental processes and broader social contexts. Using eight waves of pooled panel data from the Chinese Longitudinal Healthy Longevity Survey (1998-2018), this study examines inter- and intra-cohort variations in older adults' self-perceptions of aging among a sample of older adults aged between 65 and 99 at baseline survey (baseline mean age = 80, N = 38,663), born between 1898 and 1949. The results show an overall cohort-based decline in positive self-perceptions of aging, with a potential reversal for the latest-born cohort (1945-1949). Net of cohort effects, older adults experience a decline in positive self-perceptions of aging as they age. Better socioeconomic status is associated with more positive self-perceptions of aging, but it does not slow down age-related declines. These patterns remain after adjusting for demographic characteristics, life course events (e.g., marriage, living arrangements, place of residence), attrition, and health. The findings highlight the interplay between historical contexts and internal development processes in shaping self-perceptions of aging. It also underscores the need for tailored intervention programs addressing different stages of aging.</p>","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":"22 1","pages":"36"},"PeriodicalIF":3.7,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12286907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692008","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":"Changes in cognitive functioning and quality of life after relocation to a nursing home: a prospective longitudinal study of Swiss nursing home residents.","authors":"Emmie A M Verspeek, Maximilian Haas, Yvonne Brehmer, Manon A van Scheppingen, Nadine Bender, Matthias Kliegel, Alexandra Hering","doi":"10.1007/s10433-025-00869-7","DOIUrl":"10.1007/s10433-025-00869-7","url":null,"abstract":"<p><p>A relocation to a nursing home is a major life transition in older age, with potential impacts on cognitive functioning and quality of life. In line with psychosocial models of successful aging, we investigated how older adults adapted to this major life transition. Using data collected at nine nursing homes in Geneva, Switzerland, we studied changes in cognitive functioning (i.e., short-term, long-term, and working memory, verbal fluency, prospective memory, and inductive reasoning) and quality of life (i.e., emotional and social loneliness, depressive symptoms, and purpose in life) in cognitively healthy older adults. Moreover, we exploratorily studied whether relational resources (e.g., participation in activities) impacted these changes. Forty-seven nursing home residents, aged 59 to 99 years (M = 85.55, SD = 9.43, 36 women), completed a neuropsychological test battery and self-report questionnaires approximately one, three, and six months after relocation. Repeated Measures ANOVAs indicated that short-term and long-term memory declined and (emotional) loneliness increased during the first three months after relocation. Yet, no differences were found between the first and last assessment of those indicators. Other factors did not show significant changes over time. Exploratory analyses revealed that visits of friends and participation in activities may play an important role in the impact of- and adaptation to this life transition. Although our results suggest preserved psychosocial adaptational capacities in nursing home residents, we should remain vigilant for the potential negative short-term and long-term impacts of major life transitions in this vulnerable population of older adults.</p>","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":"22 1","pages":"35"},"PeriodicalIF":3.5,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692007","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":"Change over time in characteristics and survival of residents newly admitted to nursing homes: an analysis of health insurance claims data from 2011 to 2020 in Germany.","authors":"Hannes Jacobs, Stephanie Stiel, Anna Völkel, Tanja Schleef, Birte Burger, Jona Theodor Stahmeyer, Kathrin Wandscher, Anna Levke Brütt, Falk Hoffmann","doi":"10.1007/s10433-025-00871-z","DOIUrl":"10.1007/s10433-025-00871-z","url":null,"abstract":"<p><strong>Background: </strong>Studies on changes in characteristics and survival of nursing home residents (NHRs) are rare. Therefore, this study aims to analyze ten-year trends in newly admitted German NHRs.</p><p><strong>Methods: </strong>For this retrospective cohort study, claims data of a regional German health insurance fund was used to identify all residents aged 65 years and older newly admitted to a nursing home between 2011 and 2020 (with a follow-up period ending on December 31, 2021). Characteristics of NHRs were analysed descriptively and stratified by 5 two-year cohorts. Survival times and mortality were assessed by applying the Kaplan-Meier-method and a cox regression was used.</p><p><strong>Results: </strong>A total of 113,929 residents were newly admitted between 2011 and 2020 (69% female; mean age 83.8 years). Over the years, the proportion of men and the mean age slightly increased. Prevalence of dementia remained nearly stable (45-48%) while cancer prevalence raised from 30 to 37%. Overall, median survival time decreased from 745 days in 2011/2012 to 615 days in 2019/2020. Survival times in residents with dementia decreased significantly (median survival from 790 to 651 days) while it remained nearly unchanged in cancer patients (from 444 to 410 days).</p><p><strong>Conclusions: </strong>We found that survival after nursing home admission decreased in Germany from 2011 to 2020, which was accompanied by shorter survival in residents with dementia and by an increasing proportion of those with cancer, who already experience higher mortality. There is a growing need to integrate palliative care in nursing homes and to also provide appropriate care for older patients with cancer outside nursing homes.</p>","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":"22 1","pages":"34"},"PeriodicalIF":3.5,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12279626/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676115","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":"Associations between objective hearing function and subjective views of aging.","authors":"Jana Koch, Brooke Brady, Lidan Zheng, Kaarin J Anstey","doi":"10.1007/s10433-025-00868-8","DOIUrl":"10.1007/s10433-025-00868-8","url":null,"abstract":"<p><p>Hearing loss, a common age-related health condition, has been linked to adverse health outcomes, including changes in social participation and cognitive function. As subjective views of aging are influenced by changes in health and functional abilities, we hypothesized that people with poor hearing would exhibit less favorable generalized and personal Views of Aging. Additionally, we explored whether these associations varied by age. Data were analyzed from 148 participants (aged 40-84) who completed an app-based research study: Labs without Walls. Participants completed a validated, app-based hearing task, and a pure-tone average was calculated in the better-hearing ear. Generalized Views of Aging were measured using the Expectations Regarding Aging Scale (with subscales on physical health, mental health, and cognitive function). Personal Views of Aging were measured using the Self-perceptions of Aging Scale. Structural equation modeling was conducted to explore the relative contributions of hearing function to Views of Aging constructs while controlling for chronological age, sex-at-birth, sociodemographic status, loneliness, and cognition. Cross sectionally, poorer hearing was associated with negative age expectations regarding maintaining physical health and with negative self-perceptions of aging. Contrary to our hypothesis, hearing function did not predict age expectations about mental health or cognitive function. No significant age moderation effects were observed. Overall, these findings offer preliminary evidence for distinct associations between hearing and individual Views of Aging constructs and domains. The novel insight into the association between objectively measured hearing and Views of Aging highlights the importance of addressing hearing health early in the aging process to prevent negative outcomes linked to Views of Aging.</p>","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":"22 1","pages":"33"},"PeriodicalIF":3.7,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12267798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643832","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":"Normative values and psychometric properties of the Oslo Social Support Scale-3 (OSSS-3) for adults aged 60 to 85 years.","authors":"Nikolay Dimitrov, Elmar Brähler, Thomas Hering, Heide Glaesmer, Markus Zenger","doi":"10.1007/s10433-025-00867-9","DOIUrl":"10.1007/s10433-025-00867-9","url":null,"abstract":"<p><p>The main objective of the current study was to investigate the psychometric properties of the Oslo Social Support Scale (OSSS-3) and establish detailed normative values for older adults aged between 60 and 85 years. The representative sample analyzed consists of German residents aged between 60 and 85 living in private households (N = 1659). The analysis of the psychometric properties of the OSSS-3 involved reliability and validity testing as well as an EFA and a CFA. We provide age-specific normative data for the OSSS-3 for the German population aged between 60 and 85. The EFA resulted in a one-factor model for OSSS-3, and the CFA confirmed that this model fits the data well. In accordance with previous studies on this topic, we found that the OSSS-3 is a reliable and valid instrument for assessing perceived levels of social support among older adults. The generated percentile norms allow the direct comparison of individual scores of older adults on the OSSS-3 to an age-corresponding reference sample. Exploring the levels of perceived social support among older adults is important, given the low levels of perceived social support experienced by approximately 25% of older adults in Germany. The risk factors for social isolation and its consequences for the mental and physical health of older adults are discussed. If the population continues to age as expected, an even greater number of older adults in the future could face low levels of perceived social support.</p>","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":"22 1","pages":"32"},"PeriodicalIF":3.7,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12238707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585285","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 hidden crisis: classifying unmet healthcare needs in European older adults during COVID-19.","authors":"Šime Smolić, Petra Međimurec, Ivan Čipin, Stipica Mudražija, Dario Mustač, Margareta Fabijančić","doi":"10.1007/s10433-025-00866-w","DOIUrl":"10.1007/s10433-025-00866-w","url":null,"abstract":"<p><p>This study investigates the unmet healthcare needs of older adults during the COVID-19 pandemic, leveraging data from the Survey of Health, Ageing and Retirement in Europe (SHARE) and the two waves of the SHARE Corona Survey (SCS) conducted in 2020 and 2021. Using latent class analysis (LCA) with covariates, we identified distinct groups based on experiences of forgoing medical treatments due to fear of infection, postponed medical appointments, and denied care, while examining socio-demographic, economic, and health-related differences in class membership. The two-wave data provide insights into patterns of unmet healthcare needs across time, highlighting groups whose situations appeared to either improve or deteriorate. Our findings reveal six distinct classes of healthcare needs: no unmet needs, high early postponement with rapid improvement, rising barriers, high early fear-based barriers, high denial with persistent postponement, and persistently high fear-based barriers. We observe significant disparities in class membership based on age, gender, living arrangements, rural/urban residence, education, employment status, financial hardship, self-rated health, changes in health, and the number of chronic conditions. High-risk groups, particularly women, those with lower education, those experiencing financial hardship, and individuals with multiple chronic conditions, were identified as especially vulnerable to unmet healthcare needs during the pandemic. Our findings offer targeted insights for intervention and policy, aiming to address healthcare access disparities among older adults during such crises.</p>","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":"22 1","pages":"31"},"PeriodicalIF":3.7,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12222597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545490","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":"BRAIN-Diabetes: a randomised trial to test the feasibility of an adapted FINGER multidomain intervention in adults with type 2 diabetes living in rural border regions of Ireland.","authors":"Claire T McEvoy, Geraldine McCarthy, Rebecca F Townsend, Catherine Dolan, Joanne Regan-Moriarty, Christopher Cardwell, Bernadette McGuinness, Seán P Kennelly, Jim Kelly, Catherine McHugh, Frank Kee, John Bartlett, Caroline Bradshaw, Orla Reynolds, Valerie Mortland, Christina O'Neill, Ingrid McLoughlin, Noel McCaffrey, Margaret Heffernan, Cabrini Nolan, Peter A Passmore","doi":"10.1007/s10433-025-00862-0","DOIUrl":"10.1007/s10433-025-00862-0","url":null,"abstract":"<p><strong>Background: </strong>The Border Region Area lifestyle INtervention for healthy cognitive ageing in Diabetes' (BRAIN-Diabetes) trial aimed to test the feasibility of an adapted version of the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER) multidomain intervention in cognitively healthy adults at risk of dementia living in border regions of Ireland.</p><p><strong>Methods: </strong>BRAIN-Diabetes was a 6-month randomised controlled pilot trial involving adults living in rural border regions who were ≥ 50 years old, without existing dementia but had a diagnosis of type 2 diabetes and access to a computer. Individuals were randomised to either the multidomain intervention or the standard care control group. The intervention included diet counselling, physical exercise and computerised cognitive training which were delivered remotely and cardiometabolic risk monitoring which was delivered in person. The primary outcomes assessed feasibility of recruitment/retention and adherence to the intervention. Other outcomes explored intervention effects on cognitive, metabolic and health-related quality of life.</p><p><strong>Results: </strong>In total, 156 individuals were assessed for eligibility, and 79 (51%) were recruited (mean age 61.6 ± 6.9 (range 60-75) years; 68% male). After 6 months, retention was 81% (72% in intervention versus 90% control). Adherence rate was high with most participants attending > 50% of the scheduled intervention sessions. There was greater improvement in diet quality (p < 0.001), daily step count (p = 0.04), triglyceride levels (p = 0.02) and health-related quality of life (p < 0.05) in the intervention group compared to control. There were no observed intervention effects on cognitive performance over 6 months.</p><p><strong>Conclusions: </strong>The BRAIN-Diabetes pilot trial demonstrated that an adapted FINGER model was feasible to deliver and efficacious in supporting lifestyle behavioural changes among a unique at-risk rural population. There were also indicative benefits for metabolic health and health-related quality of life over a short time frame. Trial registration ClinicalTrials.gov (registration ref: NCT05304975 accepted 31st March 2022).</p>","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":"22 1","pages":"30"},"PeriodicalIF":3.7,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12185793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477326","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}