Journal of Applied Gerontology最新文献_第5页

Chair-Rise Difficulty as a Functional Correlate in the Longitudinal Association Between Loneliness and Incident Osteoarthritis in Older Adults. 在孤独感和老年人骨关节炎的纵向关联中，椅子起身困难是一个功能相关因素。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-10-22 DOI: 10.1177/07334648261500729

Asima Karim, M Azhar Hussain, Rizwan Qaisar

{"title":"Chair-Rise Difficulty as a Functional Correlate in the Longitudinal Association Between Loneliness and Incident Osteoarthritis in Older Adults.","authors":"Asima Karim, M Azhar Hussain, Rizwan Qaisar","doi":"10.1177/07334648261500729","DOIUrl":"https://doi.org/10.1177/07334648261500729","url":null,"abstract":"ObjectiveTo examine whether chair-rise difficulty functions as a functional mediator in the association between loneliness/social isolation and incident osteoarthritis (OA).MethodsData from 6,232 adults ≥50 in 12 European countries (SHARE waves 7-9, 2017-2022). Social isolation and loneliness were exposures; depression, physical inactivity, and chair-rise difficulty were mediators; OA onset was the outcome. Structural equation modeling tested mediation, adjusting for covariates.ResultsNo direct associations were found; both exposures had significant indirect effects via depression and functional decline. Chair-rise difficulty was the strongest mediator (β = 0.74, p < 0.001), followed by depression (β = 0.04, p = 0.033). Physical inactivity acted indirectly through chair-rise difficulty (β = 0.26, p < 0.001). Female sex and older-age independently increased OA incidence.ConclusionLoneliness and social isolation were indirectly linked to incident OA via psychological, behavioral, and functional mechanisms. Chair-rise difficulty is a functional intermediary linking psychosocial distress to physical vulnerability and increased OA incidence, not a direct cause of joint-degeneration.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648261500729"},"PeriodicalIF":2.0,"publicationDate":"2026-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149246889","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

Network Analysis of Depressive Symptoms Among Chinese Older Adults Across Different Intergenerational Support Patterns. 不同代际支持模式下中国老年人抑郁症状的网络分析

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-10-21 DOI: 10.1177/07334648261493695

Chang Wang, Zheng Wang, Yuan Yin

{"title":"Network Analysis of Depressive Symptoms Among Chinese Older Adults Across Different Intergenerational Support Patterns.","authors":"Chang Wang, Zheng Wang, Yuan Yin","doi":"10.1177/07334648261493695","DOIUrl":"https://doi.org/10.1177/07334648261493695","url":null,"abstract":"BackgroundIntergenerational support plays a crucial role in mental health in later life, yet both the heterogeneity of support patterns and the symptom-level interplay among depressive symptoms remain underexplored.MethodsUsing data from the China Health and Retirement Longitudinal Study (CHARLS 2020, N = 7,444), Latent Class Analysis (LCA) identified intergenerational support patterns. Network analysis and the Network Comparison Test (NCT) were utilized to estimate and compare depressive symptom networks (CESD-10) across subgroups.ResultsThree patterns emerged: Distant-Supportive (55.9%), Proximate-Interactive (24.2%), and Traditional Co-resident (19.9%). While \"sadness\" and \"being bothered\" were universal core symptoms, NCT revealed distinct structural disparities. The Proximate-Interactive group exhibited a uniquely strong \"bothered-fearful\" connection. The Distant-Supportive group showed pronounced \"effort-cannot get going\" pathways, whereas the Traditional Co-resident group displayed a stronger \"bothered-trouble focusing\" link.ConclusionsIntergenerational support patterns are not only associated with overall depression severity but also with differences in the network topology of depressive symptoms. Differentiated interventions tailored to specific family structures are essential for geriatric mental health.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648261493695"},"PeriodicalIF":2.0,"publicationDate":"2026-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149239951","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

Patterns of Social Participation Among Community-Dwelling People With Dementia in Japan: Individual and Neighborhood Correlates. 日本社区居住的痴呆症患者的社会参与模式：个人和社区的相关性

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-10-20 DOI: 10.1177/07334648261498305

Satoko Fujihara, Taiji Noguchi, Kenjiro Kawaguchi, Katsunori Kondo

{"title":"Patterns of Social Participation Among Community-Dwelling People With Dementia in Japan: Individual and Neighborhood Correlates.","authors":"Satoko Fujihara, Taiji Noguchi, Kenjiro Kawaguchi, Katsunori Kondo","doi":"10.1177/07334648261498305","DOIUrl":"https://doi.org/10.1177/07334648261498305","url":null,"abstract":"BackgroundSocial participation supports quality of life among people with dementia, yet participation patterns and their correlates remain poorly understood.ObjectiveTo identify patterns of leisure activities, community group participation, and social contact and their individual and neighborhood correlates.MethodsWe analyzed cross-sectional data from the Japan Gerontological Evaluation Study-Home Care linked with Long-Term Care Insurance records (n = 1,604; aged ≥65 years with dementia). Fourteen participation-related indicators were analyzed using latent class analysis. Correlates were examined using bias-adjusted multinomial logistic regression adjusted for sex and age.ResultsThree classes were identified: Broad (10.1%), Relationship-based (21.9%), and Limited (68.0%). Compared with Limited participation, both other classes were associated with younger age, living alone, greater functional independence, lower dementia severity, and more favorable perceived walkability and availability of parks or walking paths.ConclusionsFindings suggest that participation support should consider individual characteristics and perceived characteristics of the neighborhood physical environment.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648261498305"},"PeriodicalIF":2.0,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229055","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

Providers' Perspective on Barriers and Solutions to Adult Day Services Provision in Ohio. 提供者对俄亥俄州成人日间服务提供的障碍和解决方案的看法。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-10-20 DOI: 10.1177/07334648261497993

Kingsley C Udeh, Molly Noble, Heather Menne, Sara J McLaughlin

{"title":"Providers' Perspective on Barriers and Solutions to Adult Day Services Provision in Ohio.","authors":"Kingsley C Udeh, Molly Noble, Heather Menne, Sara J McLaughlin","doi":"10.1177/07334648261497993","DOIUrl":"https://doi.org/10.1177/07334648261497993","url":null,"abstract":"BackgroundAdult day services (ADS) are essential home- and community-based supports, yet providers continue to face significant post-COVID operational and engagement challenges. Limited state-level evidence constrains efforts to strengthen ADS capacity.ObjectiveTo identify barriers experienced by ADS providers in Ohio and provider-driven solutions to sustain and strengthen services in the post-COVID environment.MethodsA sequential mixed-methods design integrated pre-survey focus groups (n = 17), a statewide provider survey (n = 28), and post-survey focus groups (n = 11). Descriptive statistics and thematic analysis were used to synthesize findings.ResultsTwo themes emerged: (1) Participants, Family, and Community Engagement, characterized by limited public awareness, caregiver hesitation, and unstable referral pathways; and (2) Operational Challenges and Limited Resources, including financial strain, staffing shortages, transportation barriers, administrative burden, and facility limitations. Providers identified solutions such as statewide education, workforce development, shared transportation models, and regulatory streamlining.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648261497993"},"PeriodicalIF":2.0,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229019","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

Levels of Digital Engagement Among Older Adults in South Korea: A Latent Profile Analysis and Implications for Digital Inclusion. 韩国老年人的数字参与水平：潜在特征分析及其对数字包容的影响。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-10-20 DOI: 10.1177/07334648261499936

Aran Kim, Ki Young Lee, Sojeong Lee, Yeong Ju Lee, Hansol Kim

引用次数: 0

Anticipated Gerontechnology Needs in Later Life: eHealth Literacy, Adult Children's Support, and Age-Group Variation in Urban China. 老年生活中预期的老年技术需求：中国城市电子健康素养、成年子女支持和年龄组差异

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-10-19 DOI: 10.1177/07334648261499909

Yuhan Gao, Yajun Song

{"title":"Anticipated Gerontechnology Needs in Later Life: eHealth Literacy, Adult Children's Support, and Age-Group Variation in Urban China.","authors":"Yuhan Gao, Yajun Song","doi":"10.1177/07334648261499909","DOIUrl":"https://doi.org/10.1177/07334648261499909","url":null,"abstract":"BackgroundGerontechnology supports ageing in place, but older adults' anticipated needs before adoption remain understudied.ObjectiveWe examined anticipated gerontechnology needs among community-dwelling older adults in urban China.MethodsA cross-sectional Shanghai survey (N = 869, aged 60+) used multi-group path analysis to examine safety-monitoring, health-management, and daily-life-convenience needs against eHealth literacy, three types of adult-child support, self-rated health, and sociodemographic factors across three age bands.ResultseHealth literacy was positively associated with safety monitoring (b = .126, p = .002), health management (b = .140, p < .001), and daily-life convenience (b = .158, p < .001), with invariant paths across age bands. Instrumental support was negatively associated with health management (b = -.175, p = .004) and daily-life convenience (b = -.145, p = .019), but not safety monitoring. Emotional support to daily-life convenience differed across age bands (omnibus p = .004), but no within-band coefficient was significant.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648261499909"},"PeriodicalIF":2.0,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149220889","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

Grounded in Experience: Designing the Financial Empowerment Scale Through Community Dialogues. 基于经验：通过社区对话设计金融赋权量表。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-10-19 DOI: 10.1177/07334648261500610

Carson M De Fries, Riley Coyne, M Pilar Ingle, Briana Kohlbrenner, Ingrid Backes, Eric Chess

{"title":"Grounded in Experience: Designing the Financial Empowerment Scale Through Community Dialogues.","authors":"Carson M De Fries, Riley Coyne, M Pilar Ingle, Briana Kohlbrenner, Ingrid Backes, Eric Chess","doi":"10.1177/07334648261500610","DOIUrl":"https://doi.org/10.1177/07334648261500610","url":null,"abstract":"BackgroundFinancial fraud and exploitation (FFE) are associated with billions of dollars lost annually and have significant adverse effects on older adults.ObjectiveGiven the challenges and complexities of FFE identification and response, this study aimed to identify domains associated with elder FFE risk from a multidisciplinary perspective.MethodsThis qualitative study interviewed experts within the field through six qualitative focus groups conducted in 2024. A thematic analysis approach was used to identify themes.ResultsFive domains were identified encompassing intersecting factors associated with elder FFE: cognitive health, individual behaviors, social health, financial well-being, and health and environment considerations. These findings demonstrate nuanced FFE risk considerations and the need to approach assessment models from a multidisciplinary, accessible perspective to enhance financial empowerment in older adulthood. Findings will be used to inform development of a financial tool to assess potential risk for FFE among older adults.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648261500610"},"PeriodicalIF":2.0,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149220913","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

Turnover of Housekeeping, Dietary, Laundry, and Maintenance Staff in Nursing Homes. 养老院的家政、饮食、洗衣和维修人员的流动率。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-10-19 DOI: 10.1177/07334648261499908

Hari Sharma

引用次数: 0

Beyond BMI: The Role of Abdominal Obesity in Hypertension Risk Among Adults Aged 45 Years and Older in India. 超过BMI：腹部肥胖在印度45岁及以上成年人高血压风险中的作用。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-10-14 DOI: 10.1177/07334648261497261

Alok Roy

引用次数: 0

Incentives for Access: Changes in Admissions and Care Delivery for Metastatic Cancer Patients in Medicare Skilled Nursing Facilities, After the Patient-Driven Payment Model. 获取的动机：在患者驱动的支付模式后，医疗保险熟练护理机构中转移性癌症患者入院和护理服务的变化。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-10-14 DOI: 10.1177/07334648261494384

Harsha Amaravadi, Rachel A Prusynski, Paul Fishman, Amanda I Phipps, Natalie E Leland, Tracy M Mroz

{"title":"Incentives for Access: Changes in Admissions and Care Delivery for Metastatic Cancer Patients in Medicare Skilled Nursing Facilities, After the Patient-Driven Payment Model.","authors":"Harsha Amaravadi, Rachel A Prusynski, Paul Fishman, Amanda I Phipps, Natalie E Leland, Tracy M Mroz","doi":"10.1177/07334648261494384","DOIUrl":"10.1177/07334648261494384","url":null,"abstract":"BackgroundCancer patients experience suboptimal care in skilled nursing facilities (SNFs). Medicare's Patient-Driven Payment Model (PDPM) incentivized SNFs to admit complex patients, potentially promoting admissions without appropriate changes in care delivery.ObjectiveTo evaluate changes in SNF admissions, rehabilitation therapy volume, and chemotherapy/radiation around admission or discharge, following PDPM and COVID-19.MethodsAdjusted interrupted time series examining 1,125,782 hospital stays from metastatic cancer patients, using 100% Traditional Medicare claims (2018-2021).ResultsPDPM was associated with increased SNF admissions (0.47 pp/month; 95% CI: [0.17, 0.76]) and an immediate reduction in therapy volume (-24.95 minutes per day, 95% CI: [-26.40, -23.48]). Chemotherapy use remained low, but increased by 21% at PDPM implementation, without subsequent slope change (RR: 1.21; 95% CI: [1.01, 1.46]); radiation was unchanged. COVID-19 reversed admission gains. SNF admissions for metastatic cancer patients increased without sustained changes in cancer-relevant care delivery, warranting investigation of health outcomes and outcome-driven policy.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648261494384"},"PeriodicalIF":2.0,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185484","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