Journal of Applied Gerontology最新文献

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Direct and Indirect Effects of Nutritional Status on Subjective Well-Being in Community-Dwelling Older Adults-the Yilan Study, Taiwan. 营养状况对社区老年人主观幸福感的直接与间接影响——宜兰研究,台湾。
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-05-05 DOI: 10.1177/07334648251338304
Yu-Wen Lin, Hsi-Chung Chen, Po-Jung Pan, Hsuan-Ming Tsao, Hsueh-Ping Chiang, Pesus Chou, Nai-Wei Hsu
{"title":"Direct and Indirect Effects of Nutritional Status on Subjective Well-Being in Community-Dwelling Older Adults-the Yilan Study, Taiwan.","authors":"Yu-Wen Lin, Hsi-Chung Chen, Po-Jung Pan, Hsuan-Ming Tsao, Hsueh-Ping Chiang, Pesus Chou, Nai-Wei Hsu","doi":"10.1177/07334648251338304","DOIUrl":"https://doi.org/10.1177/07334648251338304","url":null,"abstract":"<p><p>This study aimed to investigate the direct effects of nutritional status and indirect effects of physiological factors on the relationship between nutritional status and subjective well-being (SWB) in older adults. A cross-sectional study involved 1119 community-dwelling residents aged ≥65. SWB was assessed using single items on self-rated health and happiness, while nutritional status was evaluated with the Mini Nutritional Assessment. In multiple linear regression models, nutritional status, handgrip strength, and physical activity significantly correlated with self-rated health, while nutritional status significantly correlated with self-rated happiness. In multiple mediation models, nutritional status exerted positive direct effects on both self-rated health and happiness. Meanwhile, handgrip strength also conferred positive indirect effects from nutritional status to both domains of the SWB. Physical activity positively intervened the relationship between nutritional status and self-rated health. These findings illustrate that nutritional status had a direct effect on SWB and was indirectly intervened by physiological factors.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251338304"},"PeriodicalIF":2.2,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022204","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
Longitudinal Associations Between Friendship and Cognitive Function Among Older Chinese Adults: Will Gender Make a Difference? 中国老年人友谊与认知功能的纵向关联:性别会有影响吗?
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-05-02 DOI: 10.1177/07334648251338568
Jia Li
{"title":"Longitudinal Associations Between Friendship and Cognitive Function Among Older Chinese Adults: Will Gender Make a Difference?","authors":"Jia Li","doi":"10.1177/07334648251338568","DOIUrl":"https://doi.org/10.1177/07334648251338568","url":null,"abstract":"<p><p>This study aims to understand the influence of friendship ties on the cognitive function in older Chinese population aged 60+ and the moderating role of gender. Three waves of the Chinese Longitudinal Aging Social Survey (CLASS) (2014, 2016, and 2018) data were adopted (<i>n</i> = 2145). A latent class growth modelling (LCGM) was conducted to examine friendship trajectories from 2014 to 2018. Four friendship trajectories were identified: (1) stable and strong, (2) steady decline, (3) recovery after decline, and (4) decline after growth. After controlling the cognitive function at baseline, compared to the \"stable and strong\" group, the \"steady decline\" group reported significantly lower cognitive function in 2018 (B = -0.79, β = -0.27, 95% CI [-0.42, -0.11]). Recovering friendship ties after decline is associated with a higher increase in cognitive function among males than females. This study highlights the protective effects of friendship on later-life cognitive function.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251338568"},"PeriodicalIF":2.2,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003667","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
A Community-Based Approach to Refining the Enhancing Active Caregiver Training (EnACT) Intervention. 以社区为基础的改进积极照护者培训(EnACT)干预的方法。
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-05-02 DOI: 10.1177/07334648251336536
Jacqueline Eaton, Sarah A Neller, Moroni Fernandez Cajavilca, Julene K Johnson, Lee Ellington
{"title":"A Community-Based Approach to Refining the Enhancing Active Caregiver Training (EnACT) Intervention.","authors":"Jacqueline Eaton, Sarah A Neller, Moroni Fernandez Cajavilca, Julene K Johnson, Lee Ellington","doi":"10.1177/07334648251336536","DOIUrl":"https://doi.org/10.1177/07334648251336536","url":null,"abstract":"<p><p>Several interventions for care partners of persons living with dementia target the negative effects of behavioral symptoms. Evidence suggests that actively engaging care partners improves outcomes. However, there is little information on the best approaches to optimize active engagement. Enhancing Active Caregiver Training (EnACT) is an arts-based intervention designed to help care partners address the behavioral symptoms of dementia. The purpose of this study is to describe the process of partnering with care partners of persons living with dementia (<i>n</i> = 9) to refine EnACT. We conducted a series of three iterative focus groups to (1) identify video vignettes, (2) test intervention activities, and (3) gather feedback. Focus groups were analyzed in three cycles using structural, descriptive, and pattern coding. Intervention revisions focused on narrowing vignette topics, removing confusing components, enhancing accessibility, and adding facilitator training. Partnering with care partners improved intervention feasibility in preparation for future testing.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251336536"},"PeriodicalIF":2.2,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042297","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
Exploring Indoor Home Environment Factors Influencing Fear of Falling: A Systematic Review. 探索影响跌倒恐惧的室内家居环境因素:系统回顾
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-05-01 Epub Date: 2024-10-16 DOI: 10.1177/07334648241286332
Kaustubh V Parab, Ashita Arora, Jaewon Kang, Harshal P Mahajan
{"title":"Exploring Indoor Home Environment Factors Influencing Fear of Falling: A Systematic Review.","authors":"Kaustubh V Parab, Ashita Arora, Jaewon Kang, Harshal P Mahajan","doi":"10.1177/07334648241286332","DOIUrl":"10.1177/07334648241286332","url":null,"abstract":"<p><p>In-home falls and fear of falling (FOF) are significant concerns among older adults and people with disabilities (PwD), impacting independence in daily lives. The indoor home environment (IHE) plays an important role in influencing FOF, as it is influenced by barriers and facilitators within the home. This systematic review provides an evidence-based list of IHE factors and investigates their association with FOF, especially in older adults, PwD, and wheelchair users. Examining 24 studies, we found associations between IHE factors and FOF, suggesting the importance of home modifications to live in a supportive environment to reduce FOF. Most studies were experimental and intervened for either single or multiple IHE factors, indicating reasonably strong evidence. Our findings highlight the importance of considering psychological factors when evaluating home environments to reduce FOF. The list of barriers and facilitators we provide can help healthcare professionals conduct evidence-based home assessments.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"702-714"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12000378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477732","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
Aging With Emerging Social Welfare and Disappearing Filial Piety: Chinese Migrant Workers' Pathways Toward Financial Retirement Planning. 随着社会福利的兴起和孝道的消失而老去:中国农民工的退休财务规划之路》。
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-05-01 Epub Date: 2024-10-03 DOI: 10.1177/07334648241288753
Jing Liu, Heying Jenny Zhan, Fengxian Qiu, Anna Catherine Setar
{"title":"Aging With Emerging Social Welfare and Disappearing Filial Piety: Chinese Migrant Workers' Pathways Toward Financial Retirement Planning.","authors":"Jing Liu, Heying Jenny Zhan, Fengxian Qiu, Anna Catherine Setar","doi":"10.1177/07334648241288753","DOIUrl":"10.1177/07334648241288753","url":null,"abstract":"<p><p>This study examines the pathways and mechanisms linking Chinese migrant workers' migration experiences and their financial retirement planning. Using a mixed-methods approach with 1083 surveys and 32 interviews, this study finds that having a good financial status and social support system and maintaining a hopeful attitude toward retirement are direct pathways toward good financial retirement planning. Good health and hope for retirement are further enhanced by a good financial status and social support. Conversely, poor health and negative employment experiences are linked to poor financial retirement planning. The qualitative findings provide a contextual understanding of the pathways identified in the quantitative analyses. Migrant workers often face a dilemma between self-reliance for retirement and relying on filial piety. These findings apply not only to Chinese migrant workers but also to all migrant workers with limited access to healthcare and public pensions for retirement.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"792-803"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373254","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
Association Between Three Levels of Social Exclusion and Quality of Life in the Oldest Old Australians: An Analysis of the Household, Income and Labour Dynamics in Australia Data. 三个层次的社会排斥与澳大利亚高龄老人生活质量之间的关系:澳大利亚家庭、收入和劳动力动态数据分析》。
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-05-01 Epub Date: 2024-10-19 DOI: 10.1177/07334648241286976
Mami Sakuda, John Oldroyd
{"title":"Association Between Three Levels of Social Exclusion and Quality of Life in the Oldest Old Australians: An Analysis of the Household, Income and Labour Dynamics in Australia Data.","authors":"Mami Sakuda, John Oldroyd","doi":"10.1177/07334648241286976","DOIUrl":"10.1177/07334648241286976","url":null,"abstract":"<p><p>This study examined associations between three levels of social exclusion and quality of life in the Australian oldest old. We performed cross-sectional analyses of the Household, Income and Labour Dynamics in Australia data using 203 participants aged ≥85. Principal component analysis was used to construct social exclusion variables at an individual level (lack of supportive relationships), neighborhood level (disadvantaged neighborhood social climates), and community level (community disengagement). Quality of life was assessed using physical and mental component summary scores of SF-36. Multiple linear regression analysis was performed separately for men and women. Lack of supportive relationships was negatively associated with physical and mental quality of life in all participants. Among men, community disengagement was associated with low physical quality of life. Policies to reduce social exclusion in this age group should focus on improving supportive relationships to enhance quality of life, rather than neighborhood or community levels.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"737-746"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11997282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477718","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
Immigrant Status, Social Support From Children, and Resilience for Older Parents' Perceived Oral Health Among Chinese Americans. 美籍华人的移民身份、子女的社会支持以及年长父母对口腔健康认知的复原力。
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-05-01 Epub Date: 2024-10-16 DOI: 10.1177/07334648241288665
Nan Jiang, Bei Wu, Wei Zhang
{"title":"Immigrant Status, Social Support From Children, and Resilience for Older Parents' Perceived Oral Health Among Chinese Americans.","authors":"Nan Jiang, Bei Wu, Wei Zhang","doi":"10.1177/07334648241288665","DOIUrl":"10.1177/07334648241288665","url":null,"abstract":"<p><p><b>Background:</b> Improving the oral health of older immigrants is an important public health priority in the United States, but the role of children's support has received little attention. This study investigated the relationship between support from adult children and perceived oral health among foreign-born and U.S.-born Chinese Americans. We also examined the mediating role of resilience. <b>Methods:</b> Data were derived from a sample of 377 Chinese American older adults aged 55 or older in Honolulu, Hawai'i. Using a path analysis with structural equation models, we conducted a comparison of self-rated oral health and oral health problems between foreign-born and U.S.-born Chinese Americans. <b>Results:</b> For foreign-born participants, more emotional support from children was directly associated with better perceived oral health and indirectly linked to perceived oral health via resilience. For U.S.-born Chinese Americans, financial support from children was directly related to worse perceived oral health. <b>Conclusions:</b> This study provides evidence for resilience pathways linking social support from children and older immigrants' oral health, which can help health professionals and family counselors develop culturally tailored interventions.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"747-758"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477733","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
Race Differences in Purpose in Life Among Family Caregivers: Findings From the Caregiving Transitions Study. 家庭照顾者在人生目标方面的种族差异:护理过渡研究的结果。
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-05-01 Epub Date: 2024-10-25 DOI: 10.1177/07334648241288986
Martha Abshire Saylor, Yiqing Qian, Melissa Hladek, Marcela D Blinka, Sarah L Szanton, Chanee D Fabius, William E Haley, David L Roth
{"title":"Race Differences in Purpose in Life Among Family Caregivers: Findings From the Caregiving Transitions Study.","authors":"Martha Abshire Saylor, Yiqing Qian, Melissa Hladek, Marcela D Blinka, Sarah L Szanton, Chanee D Fabius, William E Haley, David L Roth","doi":"10.1177/07334648241288986","DOIUrl":"10.1177/07334648241288986","url":null,"abstract":"<p><p>Family caregiving may affect purpose in life, defined as the sense that life has meaning and intentionality. Few studies have compared caregivers to non-caregivers or examined the characteristics of caregivers associated with purpose in life. Using data from the Caregiving Transitions Study (<i>n</i> = 486), we conducted multiple linear regression analyses to test the effects of caregiver status, age, gender, social network, and physical and mental health on purpose in life. We also tested whether the effect of caregiver status differed by race and, among caregivers (<i>n</i> = 241), the associations between caregiving characteristics and purpose in life. Caregivers did not differ significantly from non-caregivers in purpose in life in adjusted analysis. Among caregivers, significantly greater purpose of life was observed among Black caregivers and those reporting higher positive aspects of caregiving. Future research should examine these issues longitudinally, and caregiver interventions should consider addressing purpose in life and positive aspects of caregiving.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"804-814"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12014374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510434","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
Leading by Example: Identity Leadership and Mental Health in Men's Sheds Members. 以身作则:男舍成员的身份领导力与心理健康。
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-05-01 Epub Date: 2024-09-30 DOI: 10.1177/07334648241289020
James J Clarke, S Alexander Haslam, Leah S Sharman, Briana Guerrini, Kirsten Holmes, Rebecca Talbot, James Wild, Peter M McEvoy
{"title":"Leading by Example: Identity Leadership and Mental Health in Men's Sheds Members.","authors":"James J Clarke, S Alexander Haslam, Leah S Sharman, Briana Guerrini, Kirsten Holmes, Rebecca Talbot, James Wild, Peter M McEvoy","doi":"10.1177/07334648241289020","DOIUrl":"10.1177/07334648241289020","url":null,"abstract":"<p><p>The impact of leadership on members' mental health outcomes in community-based mutual-aid organizations such as Men's Shed is unknown. We analyzed (a) whether identity leadership is associated with Shed members' mental health, and (b) whether these links are mediated by psychological safety, social network quality, and social identity. Path analysis on data collected from 162 Australian Men's Shed members revealed statistically significant associations between identity leadership and each mechanism, and our model accounted for significant variance in mental health outcomes (14%-24%, <i>p</i>s < .001). Only social network quality and psychological safety were associated with unique variance in mental health outcomes. All indirect effects via social network quality and psychological safety were significant. These findings suggest the proposed mechanisms explain the relationship between identity leadership mental health outcomes in mutual-aid organizations such as Men's Sheds.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"815-824"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11997286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142336988","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
Behavioral, Cognitive, and Functional Risk Factors for Repeat Hospital Episodes Among Medicare-Medicaid Dually Eligible Adults Receiving Long-Term Services and Supports. 接受长期服务和支持的符合医疗保险和医疗补助双重资格的成年人重复住院的行为、认知和功能风险因素。
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-05-01 Epub Date: 2024-09-26 DOI: 10.1177/07334648241286608
Oludolapo Fakeye, Prashant Rana, Fei Han, Morgan Henderson, Ian Stockwell
{"title":"Behavioral, Cognitive, and Functional Risk Factors for Repeat Hospital Episodes Among Medicare-Medicaid Dually Eligible Adults Receiving Long-Term Services and Supports.","authors":"Oludolapo Fakeye, Prashant Rana, Fei Han, Morgan Henderson, Ian Stockwell","doi":"10.1177/07334648241286608","DOIUrl":"10.1177/07334648241286608","url":null,"abstract":"<p><p>Repeat hospitalizations adversely impact the well-being of adults dually eligible for Medicare and Medicaid in the United States. This study aimed to identify behavioral, cognitive, and functional characteristics associated with the risk of a repeat hospital episode (HE) among the statewide population of dually eligible adults in Maryland receiving long-term services and supports prior to an HE between July 2018 and May 2020. The odds of experiencing a repeat HE within 30 days after an initial HE were positively associated with reporting difficulty with hearing (adjusted odds ratio, AOR: 1.10 [95% confidence interval: 1.02-1.19]), being easily distractible (AOR: 1.09 [1.00-1.18]), being self-injurious (AOR: 1.33 [1.09-1.63]), and exhibiting verbal abuse (AOR: 1.15 [1.02-1.30]). Conversely, displaying inappropriate public behavior (AOR: 0.62 [0.42-0.92]) and being dependent for eating (AOR: 0.91 [0.83-0.99]) or bathing (AOR: 0.79 [0.67-0.92]) were associated with reduced odds of a repeat HE. We also observed differences in the magnitude and direction of these associations among adults 65 years of age or older relative to younger counterparts.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"688-701"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142336986","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
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