Journal of Applied Gerontology最新文献

Predicting Older Adults' Characteristics Using SARs Through Conversational Interaction: A Mixed-Methods Study. 通过会话交互使用SARs预测老年人特征：一项混合方法研究

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-11-01 Epub Date: 2025-11-21 DOI: 10.1177/07334648251398604

Narae Choi, Do-Hyung Park

引用次数: 0

Cognitive Function, Diabetes, and Recurrent Falls: From the Health ABC Study. 认知功能、糖尿病和复发性跌倒：来自健康ABC研究。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-11-01 Epub Date: 2025-11-12 DOI: 10.1177/07334648251395793

Amy C Ellis, Chuong Bui, Andrea L Rosso, Avani Shah, A Lynn Snow, Sheila R Black, Edward Sazonov, Pamela Payne-Foster, Elsa S Strotmeyer

{"title":"Cognitive Function, Diabetes, and Recurrent Falls: From the Health ABC Study.","authors":"Amy C Ellis, Chuong Bui, Andrea L Rosso, Avani Shah, A Lynn Snow, Sheila R Black, Edward Sazonov, Pamela Payne-Foster, Elsa S Strotmeyer","doi":"10.1177/07334648251395793","DOIUrl":"10.1177/07334648251395793","url":null,"abstract":"We examined interrelationships between diabetes, cognitive performance, and recurrent falls among community-dwelling older adults. The Health, Aging and Body Composition study enrolled men and women ages 70-79, free of mobility limitation. Diabetes was determined at baseline. Recurrent falls, cognitive scores on the Digit Symbol Substitution Test (DSST), and physical performance were assessed over 10 years. Participants with diabetes had higher odds of recurrent falls (OR = 1.38; 95% CI = [1.10; 1.72]; p = .005). After controlling for physical function, the association between diabetes and falls was not significant (OR = 1.23; 95% CI = [0.98; 1.55]; p = .074). Those with higher cognitive scores had lower odds of recurrent falls, irrespective of physical function (OR = 0.96; 95% CI = [0.95; 0.98]; p < .001). Associations between cognition and recurrent falls were similar for participants with and without diabetes. Results suggest physical function may influence the relationship between diabetes and recurrent falls, but maintaining cognitive function is associated with reduced fall risk regardless of diabetes status.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"2200-2209"},"PeriodicalIF":2.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12626401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145507389","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

Cognitive Decline and Dementia Trajectories by Dizziness Status in Older Adults. 老年人头昏状态的认知衰退和痴呆轨迹。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-11-01 Epub Date: 2025-11-20 DOI: 10.1177/07334648251398097

Jung Ki Kim, Eileen M Crimmins

引用次数: 0

Can Age-Friendly Communities Also be Disability Friendly: What do Surveys of Older Adults and People With Disabilities Tell Us? 对老年人友好的社区也能对残疾人友好吗？对老年人和残疾人的调查告诉我们什么？

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-11-01 Epub Date: 2025-11-29 DOI: 10.1177/07334648251400881

Howard B Degenholtz, Nathan Lampenfeld, Keri Kastner, John Yauch, Heather Mentch, Gabrielle Szymanski, Jessica Pierce, Kevin Hancock, Steven M Albert

{"title":"Can Age-Friendly Communities Also be Disability Friendly: What do Surveys of Older Adults and People With Disabilities Tell Us?","authors":"Howard B Degenholtz, Nathan Lampenfeld, Keri Kastner, John Yauch, Heather Mentch, Gabrielle Szymanski, Jessica Pierce, Kevin Hancock, Steven M Albert","doi":"10.1177/07334648251400881","DOIUrl":"10.1177/07334648251400881","url":null,"abstract":"Pennsylvania recently developed \"Aging Our Way\" to guide age-friendly policies and programs. Age-friendly policies reduce physical and social barriers to participation, but little information is available on how older people and younger people with disabilities characterize the age-friendliness of their environments. This study assessed the perceptions of adults with disabilities across the life course using a web-based survey based on the Age-friendly Community framework. The survey was available online, promoted at public meetings conducted by Pennsylvania Department on Aging (PDA) staff, and distributed via affiliate organizations. Results (n = 5,072) show that younger adults with disabilities (age 21-59) report lower levels of participation in social and community activities than older adults (age 60 +). Older and younger people with disabilities face similar barriers (e.g., transportation and accessibility). Age-friendly features were consistently associated with better physical health and lower social isolation. Including younger adults with disabilities is important for informing the design and impact of age-friendly policies.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"2330-2341"},"PeriodicalIF":2.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145641266","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

Subjective Financial Strain and Objective Financial Impacts Among Informal Caregivers in the United States. 美国非正式照顾者的主观财务压力和客观财务影响。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-11-01 Epub Date: 2025-11-20 DOI: 10.1177/07334648251398117

Yujun Zhu, Francesca Falzarano, Susanna Mage, Donna Benton, Kathleen Wilber, Susan Enguidanos

{"title":"Subjective Financial Strain and Objective Financial Impacts Among Informal Caregivers in the United States.","authors":"Yujun Zhu, Francesca Falzarano, Susanna Mage, Donna Benton, Kathleen Wilber, Susan Enguidanos","doi":"10.1177/07334648251398117","DOIUrl":"10.1177/07334648251398117","url":null,"abstract":"Informal caregivers provide critical unpaid care while facing significant financial, emotional, and physical challenges. This study examined factors associated with subjective financial strain and objective financial impacts among informal caregivers of older adults in the United States. Using data from the \"Caregiving in the U.S. 2020\" with 1,333 informal caregivers who reported caring for an adult aged 50+. Findings indicate that providing assistance with a greater number of instrumental activities of daily living (IADLs) and seeking information about financial help are both significantly associated with increased odds of experiencing subjective financial strain and objective financial impacts. Findings underscore the need for targeted financial support for informal caregivers heavily involved in assisting with IADLs. Financial assistance programs should consider the additional costs associated with these tasks. Policies should ensure that informal caregivers receive adequate and timely support once they request assistance to mitigate both objective and subjective aspects of financial burden.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"2247-2257"},"PeriodicalIF":2.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12863012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565936","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

Coordinating and Integrating Long-Term Services and Supports With Medical Services to Reduce Long-Stay Nursing Facility Use for Dually Eligible Medicare-Medicaid Beneficiaries. 协调和整合长期服务和支持与医疗服务，以减少长期护理机构使用双重合格的医疗补助受益人。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-11-01 Epub Date: 2025-11-18 DOI: 10.1177/07334648251398601

Lauren A M Palmer, Galina Khatutsky, Edith Walsh, Matthew Toth, Gerrit Boldt, Zhanlian Feng, Angela M Greene, Gregory Boyer

{"title":"Coordinating and Integrating Long-Term Services and Supports With Medical Services to Reduce Long-Stay Nursing Facility Use for Dually Eligible Medicare-Medicaid Beneficiaries.","authors":"Lauren A M Palmer, Galina Khatutsky, Edith Walsh, Matthew Toth, Gerrit Boldt, Zhanlian Feng, Angela M Greene, Gregory Boyer","doi":"10.1177/07334648251398601","DOIUrl":"10.1177/07334648251398601","url":null,"abstract":"The Centers for Medicare & Medicaid Services' Financial Alignment Initiative conducted its demonstration across multiple states to test the impact of integrating care and financing for medical, behavioral, and long-term services and supports (LTSS) for dually eligible Medicare-Medicaid beneficiaries. We analyzed the demonstration's impact on long-stay nursing facility (NF) use in eight states. All states implemented approaches to improve integration and reduce NF use but only five states favorably impacted long-stay NF utilization. Ohio, Washington, Texas, South Carolina, and Colorado had a 4.22, 3.50, 1.82, 1.46, and 1.30 percentage point decrease in the annual probability of long-stay NF use, respectively, relative to each state's comparison group. Effective approaches to integration included robust connections between health care systems and LTSS providers, leveraging existing state LTSS infrastructure, and utilizing Area Agencies on Aging for care coordination. Barriers to effective integration included complex waiver programs, service carve outs, and weak collaborative relationships.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"2007-2018"},"PeriodicalIF":2.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543274","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

Cross-Sector Partnerships and Emergency Department Use Among Older Adults: Evidence From Colorado's Accountable Health Communities Model. 跨部门伙伴关系和急诊科在老年人中的使用：来自科罗拉多州负责任的健康社区模型的证据。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-11-01 Epub Date: 2025-11-04 DOI: 10.1177/07334648251394490

Erblin Shehu, Brian Kaskie, Kanika Arora

引用次数: 0

Intimacy in Later Life: How Self- and Partner Health Shape Sexual Behavior and Satisfaction in Adults 50. 晚年的亲密关系：自我和伴侣健康如何影响成年人的性行为和性满足

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-11-01 Epub Date: 2025-10-30 DOI: 10.1177/07334648251394654

Juan C Meléndez, Jesus González-Moreno, Lucia Valverde García-Otermin, Encarnacion Satorres, Iraida Delhom

{"title":"Intimacy in Later Life: How Self- and Partner Health Shape Sexual Behavior and Satisfaction in Adults 50.","authors":"Juan C Meléndez, Jesus González-Moreno, Lucia Valverde García-Otermin, Encarnacion Satorres, Iraida Delhom","doi":"10.1177/07334648251394654","DOIUrl":"10.1177/07334648251394654","url":null,"abstract":"Sexuality remains central to well-being in later life, yet how individual factors operate within dyadic health contexts is unclear. We examined whether age, gender, and attitudes toward sexuality (ASKAS) predict sexual behavior and sexual satisfaction and whether self-rated health (SRH) and perceived partner health (PPH) moderate these links. Cross-sectional Structural Equation Modeling (SEM) was conducted with 185 adults aged 50-90 years. Outcomes were two latent variables: Sexual Behavior (intimate activity, sexual talk, vaginal sex, or oral sex) and Sexual Satisfaction (physical and emotional pleasure). Age and gender predicted lower behavior and satisfaction; attitudes showed no direct effects. Moderation tests showed that better SRH buffered the negative associations of age and gender with sexual satisfaction and that higher PPH reduced gender differences in sexual behavior. The health of both partners shapes sexual outcomes in later life. Clinically, supporting vitality and addressing partner health may help mitigate age- and gender-linked disparities in sexual well-being.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"2151-2158"},"PeriodicalIF":2.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145410427","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

Formal and Informal Volunteerism in Mid- and Later-Life: Examining Ethnoracial Differences Among Asian Americans and Other Groups. 中晚年的正式与非正式志愿服务：亚裔美国人和其他群体的种族差异研究。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-11-01 Epub Date: 2025-12-05 DOI: 10.1177/07334648251398891

Patrick Ho Lam Lai, Christina Matz, Cal Halvorsen

{"title":"Formal and Informal Volunteerism in Mid- and Later-Life: Examining Ethnoracial Differences Among Asian Americans and Other Groups.","authors":"Patrick Ho Lam Lai, Christina Matz, Cal Halvorsen","doi":"10.1177/07334648251398891","DOIUrl":"10.1177/07334648251398891","url":null,"abstract":"Volunteering generally enhances the health and well-being of midlife and older adults, yet patterns among Asian Americans, particularly for informal volunteerism, remain underexplored. This study analyzed data from the 2019 and 2021 Current Population Survey's Civic Engagement and Volunteering Supplement (N = 9,537; age range: 50-75). Results show Asian Americans in this sample had the lowest odds of volunteering compared to other groups, even after accounting for socioeconomic resources. Education's positive effect on formal volunteering was weaker for Hawaiians/Pacific Islanders and Hispanics compared to Asians. For informal volunteering, higher education had a weaker effect for Blacks, American Indian/Alaska Natives, and Hispanics, while higher income had a stronger effect for American Indian/Alaska Natives and Hawaiians/Pacific Islanders, compared to Asians. These findings highlight the need for culturally tailored interventions to address barriers, such as providing translation services and skill-based training for Asians with lower education. This dataset is limited in capturing cultural and immigration-related factors; hence, future research should examine intra-ethnic differences as well as cultural and structural factors shaping volunteering.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"2292-2307"},"PeriodicalIF":2.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145688413","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

Reducing the Chasm in Behavioral Health Care for Older Adults With Cancer: Application of a Logic Model and Needs Assessment to Develop the Center for Implementation Research in Cancer in Later Life (CIRCL). 减少老年癌症患者行为健康护理的鸿沟：应用逻辑模型和需求评估来发展晚年癌症实施研究中心（CIRCL）

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-11-01 Epub Date: 2025-12-08 DOI: 10.1177/07334648251400894

Kelly M McConnell, Lisbeth Rubi, Rebecca Saracino, Rachel C Shelton, William Trochim, Sara Czaja, M Carrington Reid

{"title":"Reducing the Chasm in Behavioral Health Care for Older Adults With Cancer: Application of a Logic Model and Needs Assessment to Develop the Center for Implementation Research in Cancer in Later Life (CIRCL).","authors":"Kelly M McConnell, Lisbeth Rubi, Rebecca Saracino, Rachel C Shelton, William Trochim, Sara Czaja, M Carrington Reid","doi":"10.1177/07334648251400894","DOIUrl":"10.1177/07334648251400894","url":null,"abstract":"Older adults with cancer (OACs) are a large and growing population with high rates of unmet behavioral health needs. Dissemination and implementation (D&I) science provides methods for integrating effective interventions into routine care, but few researchers have formal D&I training. The Center for Implementation Research in Cancer in Later Life (CIRCL) was developed to address this need. This project describes two CIRCL development activities: (1) Administration of a D&I research needs assessment and (2) Creation of a logic model. Approximately two-thirds of the national needs assessment sample (N = 103) reported current engagement in D&I science (n = 67, 65.7%). Yet, the sample reported only a moderate level of D&I science knowledge. The logic model provided an organizing framework for CIRCL which led to the identification of metrics to evaluate the impact of CIRCL over time. These complementary activities inform efficient allocation of CIRCL resources to activities preferred by the target audience.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"2342-2351"},"PeriodicalIF":2.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12695026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145709883","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