Journal of Applied Gerontology最新文献

Prevalence and Determinants of Loneliness Among Older Adults Living Alone: Evidence From a National Survey Conducted During the COVID-19 Lockdown in Mexico. 独居老人孤独感的普遍性和决定因素：墨西哥 COVID-19 封锁期间开展的全国调查所提供的证据。

IF 2.2 3区医学

Journal of Applied Gerontology Pub Date : 2025-04-03 DOI: 10.1177/07334648251323689

Angélica Ángeles-Llerenas, Rocío Rodríguez-Valentín, Martín Romero-Martínez, Gregorio Katz-Guss, Eduardo Madrigal-de León, Luis Salvador-Carulla, Eduardo Lazcano-Ponce

{"title":"Prevalence and Determinants of Loneliness Among Older Adults Living Alone: Evidence From a National Survey Conducted During the COVID-19 Lockdown in Mexico.","authors":"Angélica Ángeles-Llerenas, Rocío Rodríguez-Valentín, Martín Romero-Martínez, Gregorio Katz-Guss, Eduardo Madrigal-de León, Luis Salvador-Carulla, Eduardo Lazcano-Ponce","doi":"10.1177/07334648251323689","DOIUrl":"https://doi.org/10.1177/07334648251323689","url":null,"abstract":"Older people living alone are particularly vulnerable to loneliness. To contribute to the understanding of this issue in the Global South, we estimated the prevalence of loneliness and analyzed the association between sociodemographic characteristics, digital social isolation, and loneliness in older adults living alone, during the COVID-19 lockdown in Mexico. Data were drawn from the National Health and Nutrition Survey (ENSANUT) Continua COVID-19 conducted in 2020. The prevalence of loneliness was 49.8% (95% confidence interval [CI] 44.7-54.8); while the prevalence of digital social isolation was 45.3% (95% CI 40.5-50.2). A multivariate logistic regression model demonstrated that lack of education (odds ratio [OR] = 2.40, 95% CI 1.23-4.69; p = .011) and widowhood (OR = 2.51, 95% CI 1.54-4.10; p < .001) were significantly associated with loneliness. Identifying the sociodemographic characteristics of older adults living alone who are most likely to feel lonely can inform the designing of targeted interventions and policies to address loneliness in this vulnerable group.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251323689"},"PeriodicalIF":2.2,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Retirement, Leisure Activities, and Depressive Symptoms Among Older Adults: Evidence From China Longitudinal Aging Social Survey Data.

IF 2.2 3区医学

Journal of Applied Gerontology Pub Date : 2025-04-03 DOI: 10.1177/07334648251328139

Jieqiong Wang, Liming Li

{"title":"Retirement, Leisure Activities, and Depressive Symptoms Among Older Adults: Evidence From China Longitudinal Aging Social Survey Data.","authors":"Jieqiong Wang, Liming Li","doi":"10.1177/07334648251328139","DOIUrl":"https://doi.org/10.1177/07334648251328139","url":null,"abstract":"Previous research has reported both positive and negative associations between retirement and depressive symptoms; however, little is known about the actual situation in Chinese society, as well as potential mediators in this association. Drawing from the 2020 China Longitudinal Aging Social Survey data (CLASS) (N = 9,883), we employed OLS regression models and the bootstrap approach to assess the association between retirement and depressive symptoms and the mediating effect of engagement in leisure activities. Results showed that retirement is associated with reduced depressive symptoms among older adults in China. Besides, engagement in leisure activities including group and individual activities partially mediated the average association between retirement and depressive symptoms, and individual activities exert stronger mediating effects than group activities. China should take small steps to raise the retirement age and implement its flexibility. A promising strategy to prevent depressive symptoms entails encouraging retirees to engage more in leisure activities, especially individual activities.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251328139"},"PeriodicalIF":2.2,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Recruiting Spousal Caregivers of People Living With Alzheimer's or a Related Dementia for Caregiver Intervention Research: Lessons Learned From a Feasibility Study.

IF 2.2 3区医学

Journal of Applied Gerontology Pub Date : 2025-04-03 DOI: 10.1177/07334648251326621

Alexandria Henderson, Samantha Weiss, Katherine Harris, Valentina I Maza, Olivia L Carney, Sierra Wickline, Trudy Widjaja, Brighton Garrett, Katherine Beach, Angie S LeRoy

{"title":"Recruiting Spousal Caregivers of People Living With Alzheimer's or a Related Dementia for Caregiver Intervention Research: Lessons Learned From a Feasibility Study.","authors":"Alexandria Henderson, Samantha Weiss, Katherine Harris, Valentina I Maza, Olivia L Carney, Sierra Wickline, Trudy Widjaja, Brighton Garrett, Katherine Beach, Angie S LeRoy","doi":"10.1177/07334648251326621","DOIUrl":"https://doi.org/10.1177/07334648251326621","url":null,"abstract":"Improving caregivers' quality of life begins with conducting research that aims to understand caregiver's needs. However, caregivers may be reluctant to participate in research studies, adding to the importance of developing, tracking, and evaluating recruitment strategies. Here, we review the nationwide community outreach practices we implemented as our lab embarked on a program of research to develop an online intervention tailored for those caring for a spouse with Alzheimer's Disease or a Related Dementia (ADRD). We made hundreds of \"cold\" calls and e-mails to organizations across the US who may have access to caregivers, but whom we had no prior relationship with. It took 36.5 contact attempts to possible recruitment sites for every 1 enrolled caregiver. While time consuming, this low-cost recruitment method may offer a route for research teams to recruit caregivers into research studies without access to a medical center or collaborating physician(s).","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251326621"},"PeriodicalIF":2.2,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Association Between Cognitive Behavioral Therapy for Insomnia and Incident Cognitive Impairment Among Older Veterans.

IF 2.2 3区医学

Journal of Applied Gerontology Pub Date : 2025-04-02 DOI: 10.1177/07334648251330666

Hana Kusumoto, Anjali Khakharia, Adam D Bramoweth, Lawrence Phillips, Constance H Fung, Rina Eisenstein, Camille P Vaughan

{"title":"The Association Between Cognitive Behavioral Therapy for Insomnia and Incident Cognitive Impairment Among Older Veterans.","authors":"Hana Kusumoto, Anjali Khakharia, Adam D Bramoweth, Lawrence Phillips, Constance H Fung, Rina Eisenstein, Camille P Vaughan","doi":"10.1177/07334648251330666","DOIUrl":"https://doi.org/10.1177/07334648251330666","url":null,"abstract":"Among older adults, chronic insomnia is a risk factor for cognitive decline. Cognitive behavioral therapy for insomnia (CBT-I) is recommended as the initial treatment. We conducted a retrospective cohort study of 84,739 Veterans, using national Veterans Health Administration data, to evaluate the association between CBT-I completion and incident cognitive impairment among older Veterans. Veterans were classified as administration of Any CBT-I versus Referral only using electronic documented notes. Incident cognitive impairment was defined by dementia-related diagnosis codes or an associated medication prescription. Among Veterans not using sedative-hypnotics, there was a decreased incidence of cognitive impairment for Veterans completing Any CBT-I compared to Referral only, RR= 0.87 (95% CI: 0.80-0.98). Yet, for Veterans taking sedative-hypnotic medications, there was an increased incidence of cognitive impairment between groups, RR= 1.18 (95% CI: 1.07-1.30). CBT-I may offer a protective effect from incident cognitive impairment; however, the presence of sedative-hypnotics reverses this trend.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251330666"},"PeriodicalIF":2.2,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Paramedic Roles, Purpose, and Practices When Responding to Older Adults in Abusive Contexts: A Systematic Review.

IF 2.2 3区医学

Journal of Applied Gerontology Pub Date : 2025-04-02 DOI: 10.1177/07334648251330347

Megan De Silva, Aidan Peters, Benjamin De Waal, Lloyd Christopher, Navindhra Naidoo

引用次数: 0

A Study on Health-Promoting Effects of Assistive Technology. 辅助技术对促进健康的影响研究。

IF 2.2 3区医学

Journal of Applied Gerontology Pub Date : 2025-04-01 Epub Date: 2024-10-21 DOI: 10.1177/07334648241285975

Hua Jiang, Minlu Zhou, Liquan Dong, Mei Yan

引用次数: 0

Nursing Home Palliative Care Referral Process, Barriers, and Proposed Solutions: A Qualitative Study. 养老院姑息关怀转介流程、障碍和建议解决方案：定性研究。

IF 2.2 3区医学

Journal of Applied Gerontology Pub Date : 2025-04-01 Epub Date: 2024-10-21 DOI: 10.1177/07334648241286326

Connie S Cole, Amy Jackson, C Robert Bennett, Regina M Fink, Kathleen T Unroe, Cari R Levy, Joan G Carpenter

引用次数: 0

Correlates of Positive and Negative Marital Quality Among Older Hispanic Adults in the United States.

IF 2.2 3区医学

Journal of Applied Gerontology Pub Date : 2025-04-01 DOI: 10.1177/07334648251324999

Jaminette M Nazario-Acevedo, Takashi Yamashita, Jennifer Roebuck Bulanda, J Scott Brown

{"title":"Correlates of Positive and Negative Marital Quality Among Older Hispanic Adults in the United States.","authors":"Jaminette M Nazario-Acevedo, Takashi Yamashita, Jennifer Roebuck Bulanda, J Scott Brown","doi":"10.1177/07334648251324999","DOIUrl":"https://doi.org/10.1177/07334648251324999","url":null,"abstract":"Marital quality is linked to the well-being of older adults. Social networks tend to shrink in later life, and older adults often rely on their spouses for social support. A better understanding of subpopulations with distinctive sociocultural characteristics, such as older Hispanic adults, is warranted. Hispanic cultural values represented as familismo-the value placed on family relationships-make marital relationships even more critical. The present study investigated the correlates of positive and negative marital quality constructs among older Hispanic adults aged 51 years and older. Regression analysis of the 2016/2018 Health and Retirement Study (HRS) data (n = 1012) showed that women (b = -0.25, p < .05) reported lower positive marital quality than men. Also, depressive symptoms (b = -0.14, p < .05) were associated with greater negative marital quality. The present study evaluated marital quality correlates among unique and understudied older Hispanic populations and explored possible theoretical explanations.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251324999"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Physical Activity and Acute Care Utilization Among Older Adults With Mild Cognitive Impairment and Dementia. 患有轻度认知障碍和痴呆症的老年人的体育锻炼和急症护理使用情况。

IF 2.2 3区医学

Journal of Applied Gerontology Pub Date : 2025-04-01 Epub Date: 2024-10-22 DOI: 10.1177/07334648241284828

Mairead M Bartley, Jennifer L St Sauver, Darrell R Schroeder, Nandita Khera, Emma Fortune, Joan M Griffin

{"title":"Physical Activity and Acute Care Utilization Among Older Adults With Mild Cognitive Impairment and Dementia.","authors":"Mairead M Bartley, Jennifer L St Sauver, Darrell R Schroeder, Nandita Khera, Emma Fortune, Joan M Griffin","doi":"10.1177/07334648241284828","DOIUrl":"10.1177/07334648241284828","url":null,"abstract":"People living with dementia have high rates of hospitalizations. Identifying factors that influence hospitalization is important. This study examines the influence of physical activity levels on risk of hospitalization and emergency department (ED) use among older people living with mild cognitive impairment (MCI) or dementia followed in our primary care practice in Rochester, Minnesota, United States. We included those age 55 years and older, who had a clinic visit between June 1, 2019 and June 30, 2021 and completed a social determinants of health questionnaire about physical activity levels (n = 3090). Physical activity was classified as sufficiently active, insufficiently active, or physically inactive. Risk of hospitalization and ED visits by physical activity levels were examined. People who were physically inactive were at higher risk of hospitalization and ED visits (p < .001) compared with those who were sufficiently active. This highlights an area for health promotion in people living with MCI and dementia.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"571-581"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11903203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Urbanicity and Disparities in the Functional and Physical Abilities of Older Adults Using the Health and Retirement Study: A Cross-Sectional Study.

IF 2.2 3区医学

Journal of Applied Gerontology Pub Date : 2025-04-01 DOI: 10.1177/07334648251326654

Amal Alzahmi, Kenneth Covinsky, Claire Ankuda, Irena Cenzer

{"title":"Urbanicity and Disparities in the Functional and Physical Abilities of Older Adults Using the Health and Retirement Study: A Cross-Sectional Study.","authors":"Amal Alzahmi, Kenneth Covinsky, Claire Ankuda, Irena Cenzer","doi":"10.1177/07334648251326654","DOIUrl":"https://doi.org/10.1177/07334648251326654","url":null,"abstract":"This study investigates disparities between older adults based on urbanicity in the United States. We analyzed data from 8259 participants aged 65+ from the 2018 Health and Retirement Study. The mean age was 74 (SD 8). Low-urbanicity participants (29%) were more likely white (88% vs. 77%, p < .001), and had lower education (20% vs. 16%, p-value = .017), higher rates of hypertension (69% vs. 66.3%, p = .035), lung disease (15% vs. 11%, p=<.001), and cognitive impairment (24% vs. 19%, p < .001). After adjustment for demographics, they were less physically active (60% vs. 55%, p = .021) and more dependent on IADLs (19% vs. 16%, p = .018). Urbanicity significantly affects physical abilities (i.e., jogging, climbing stairs, and handling objects) more in younger participants (65-75) than older ones (75+) (p for interaction = .003, .007, and .012, respectively). Significant urbanicity-based disparities in older adults' physical and functional abilities must be addressed to tailor interventions that improve their quality of life.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251326654"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0