Journal of Applied Gerontology最新文献_第6页

Multi-Domain Intrinsic Capacity Decline and Fall History Among Community-Dwelling Older Adults in Rural Taiwan: Implications for ICOPE-Based Community Screening. 台湾农村社区居住老年人多领域内在能力下降及下降史：icope社区筛查的意义。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-10-13 DOI: 10.1177/07334648261497792

Ching-Chu Liao, Heng-Shun Chen, Mei-Yin Liu, Yi-Chun Hung, Kai-Lin Liang

{"title":"Multi-Domain Intrinsic Capacity Decline and Fall History Among Community-Dwelling Older Adults in Rural Taiwan: Implications for ICOPE-Based Community Screening.","authors":"Ching-Chu Liao, Heng-Shun Chen, Mei-Yin Liu, Yi-Chun Hung, Kai-Lin Liang","doi":"10.1177/07334648261497792","DOIUrl":"https://doi.org/10.1177/07334648261497792","url":null,"abstract":"BackgroundWhile WHO ICOPE screening is routine, the association between multi-domain intrinsic capacity (IC) decline and falls remains understudied in community-based gerontology practice.MethodsThis study analysed 775 rural older adults (mean age 79.4) with ≥1 IC abnormality using multivariable logistic regression and dose-response analysis to evaluate fall risk.ResultsNutrition (aOR = 5.10), mobility (aOR = 2.60), depression (aOR = 2.34), and vision (aOR = 2.21) impairments were independently associated with falls. Fall rates rose monotonically from 4.6% (one domain) to 29.1% (≥4 domains; ptrend <.001). Clusters involving depression with mobility or vision identified the highest-risk subgroups (34-36% fall rate).ConclusionAn IC impairment count of ≥3, or specific clusters (nutrition, mobility, depression), provides practical triage criteria for community-based fall-prevention. These findings facilitate person-centred risk stratification and resource allocation within integrated care systems for super-aging societies.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648261497792"},"PeriodicalIF":2.0,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185459","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 Optimal Dose of Weekly Physical Activity for Cardiometabolic Health Among U.S. Younger and Older Adults: HINTS 2018-2022. 美国年轻人和老年人每周身体活动对心脏代谢健康的最佳剂量：提示2018-2022

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-10-13 DOI: 10.1177/07334648261495874

Jingxin Yao, Haeley Peters, Otávio Amaral de Andrade Leão, Emerson Sebastião, Minakshi Raj

引用次数: 0

Structural Vulnerability and the Pandemic: Widening Gaps in Nursing Home Antipsychotic Prescribing. 结构脆弱性和流行病：养老院抗精神病药物处方的差距日益扩大。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-10-11 DOI: 10.1177/07334648261496578

Adam J Funk, Roy T Sabo, Stephen Petterson, J William Kerns, Danya M Qato, Katherine M Winter, Nicole Brandt, Linda Wastila, YoonKyung Chung, Yu-Hua Fu, Rebecca Etz, Alex H Krist, Jonathan D Winter

{"title":"Structural Vulnerability and the Pandemic: Widening Gaps in Nursing Home Antipsychotic Prescribing.","authors":"Adam J Funk, Roy T Sabo, Stephen Petterson, J William Kerns, Danya M Qato, Katherine M Winter, Nicole Brandt, Linda Wastila, YoonKyung Chung, Yu-Hua Fu, Rebecca Etz, Alex H Krist, Jonathan D Winter","doi":"10.1177/07334648261496578","DOIUrl":"10.1177/07334648261496578","url":null,"abstract":"To assess whether national reductions in antipsychotic prescribing in U.S. nursing homes were shared equitably or masked widening gaps between top and bottom performers, we examined distributional trends across facilities from 2013 to 2023 using national facility-level data (CMS Provider Data Catalog; LTCFocus). We modeled long-stay antipsychotic measure performance using linear quantile mixed regression, assessed mobility across performance quartiles with transition matrices, and evaluated facility characteristics associated with trajectories. From 2013 to 2019, prescribing fell across all quantiles, with the steepest reductions among the worst performers, narrowing gaps with the best. After 2020, progress diverged: lower-performing facilities experienced sharp setbacks while top performers maintained gains. Mobility analyses showed entrenched disadvantage, with bottom-quartile facilities disproportionately likely to remain there. Higher Medicaid share predicted decline, whereas higher star ratings predicted improvement. The pandemic reversed earlier equity gains, amplifying structural disparities and exposing unequal capacity to sustain improvement.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648261496578"},"PeriodicalIF":2.0,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13671298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149172057","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

Location, Location, Location: How Community Distress Shapes Physical and Mental Health Outcomes for Caregiving Grandparents. 位置，位置，位置：社区困扰如何影响照顾祖父母的身心健康结果。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-10-11 DOI: 10.1177/07334648261496747

Margaret Ralston, Danielle Kristen Nadorff, Amara Mason, Laura Shillingsburg

{"title":"Location, Location, Location: How Community Distress Shapes Physical and Mental Health Outcomes for Caregiving Grandparents.","authors":"Margaret Ralston, Danielle Kristen Nadorff, Amara Mason, Laura Shillingsburg","doi":"10.1177/07334648261496747","DOIUrl":"https://doi.org/10.1177/07334648261496747","url":null,"abstract":"BackgroundThe health of caregiving grandparents is a critical area of research. Financial strain is a well-established predictor of health and a common issue for caregiving grandparents.ObjectiveWe sought to understand how community context influences this relationship between financial strain and health. Specifically, we examined two dimensions of community context: community distress and perceived access to key resources for caregiving.MethodsUsing a sample of caregiving grandparents (N = 439), we first conducted Latent Class Analysis to identify distinct profiles of resource access. We then used moderated mediation analyses to test whether financial well-being mediated the relationship between community distress and health, and whether this indirect effect varied by resource access profile.ResultsWe found the relation between community distress and health through financial well-being varies depending on the grandparents' perceived resource access. This research points to the importance of community context in the lives of grandparent caregivers.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648261496747"},"PeriodicalIF":2.0,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149169613","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

Social Engagement Programs of Area Agencies on Aging: Understanding Efforts to Reduce Social Isolation and Loneliness Among Older Adults. 老龄地区机构的社会参与项目：了解老年人减少社会孤立和孤独的努力。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-10-11 DOI: 10.1177/07334648261496751

Prayas Gautam, Heather L Menne, Katelyn J Singer, Traci Wilson, Meredith Hanley

{"title":"Social Engagement Programs of Area Agencies on Aging: Understanding Efforts to Reduce Social Isolation and Loneliness Among Older Adults.","authors":"Prayas Gautam, Heather L Menne, Katelyn J Singer, Traci Wilson, Meredith Hanley","doi":"10.1177/07334648261496751","DOIUrl":"https://doi.org/10.1177/07334648261496751","url":null,"abstract":"BackgroundSocial isolation and loneliness in later life are major public health concerns associated with increased morbidity and premature mortality. Area Agencies on Aging (AAAs) constitute the primary local infrastructure for aging services in the US.ObjectiveTo describe social engagement program types and partnership structures among AAAs and to examine rural-non-rural differences.MethodsWe analyzed data from the 2025 National Survey of AAAs (n = 449). Descriptive statistics summarized program and partnership prevalence; item-level Pearson chi-square tests with Bonferroni adjustments compared rural and non-rural agencies.ResultsMost AAAs offered multiple social engagement programs; volunteer engagement (66.0%), arts and creative activities (62.2%), visiting/calling programs (57.7%), and technology engagement (55.5%) were common. Non-rural AAAs were more likely to offer visiting/calling, technology-based activities, and memory cafes, while rural AAAs were more likely to partner with public health units. Rural-non-rural differences suggest context-specific influences of resources and infrastructure on program availability.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648261496751"},"PeriodicalIF":2.0,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168444","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

Transportation Use, Trip Taking, and Trip Purposes Among Older Adults Not in the Labor Force: Evidence From the 2022 National Household Travel Survey. 非劳动力老年人的交通工具使用、旅行和旅行目的：来自2022年全国家庭旅行调查的证据。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-10-10 DOI: 10.1177/07334648261494310

Namkee G Choi, C Nathan Marti

{"title":"Transportation Use, Trip Taking, and Trip Purposes Among Older Adults Not in the Labor Force: Evidence From the 2022 National Household Travel Survey.","authors":"Namkee G Choi, C Nathan Marti","doi":"10.1177/07334648261494310","DOIUrl":"10.1177/07334648261494310","url":null,"abstract":"BackgroundTransportation needs may differ by labor-force participation status, yet little is known about travel behavior among older adults not in the labor force.ObjectiveTo examine alternative transportation use, trip taking, and trip purposes among older adults not in the labor force.MethodsData came from the 2022 National Household Travel Survey (N = 3,474; aged ≥65; not in the labor force). Logistic regression models examined factors associated with transportation mode, taking any trip on the assigned reporting day, and trip purposes.ResultsNearly 87% drove, 5%-7% used rideshare/taxi, public transit, or bicycles, and one-third walked for transportation. Transportation use and trip-taking varied by socioeconomic characteristics, living arrangements, and digital engagement. Drivers, transportation walkers, and college graduates were more likely to travel. Social/recreational trips were more common among those living alone and among college graduates.ConclusionsImproving transportation accessibility, affordability, and digital literacy may support late-life mobility and community participation.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648261494310"},"PeriodicalIF":2.0,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168627","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

Perceived Care Among Rural Left-Behind Older Adults in China: A Network Analysis. 中国农村留守老年人护理感知的网络分析

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-10-09 DOI: 10.1177/07334648261494388

Qishan Zheng, Anqi Zhu, Jinyu Zhang, Yida Yu, Xinjing Liu, Jianhong Zheng, Bi Ying Hu, Chuanhua Gu

{"title":"Perceived Care Among Rural Left-Behind Older Adults in China: A Network Analysis.","authors":"Qishan Zheng, Anqi Zhu, Jinyu Zhang, Yida Yu, Xinjing Liu, Jianhong Zheng, Bi Ying Hu, Chuanhua Gu","doi":"10.1177/07334648261494388","DOIUrl":"https://doi.org/10.1177/07334648261494388","url":null,"abstract":"BackgroundRural-to-urban migration separates many rural older adults from adult children and changes how care is received and experienced. Rural left-behind older adults remain in their rural places of origin after family members migrate for work.ObjectiveThis study examined conditional associations among reported care items and compared care networks by number of children and gender.MethodsCross-sectional data were obtained from 836 rural left-behind older adults aged 55 to 95 who completed the 14-item CSS-RLE. EBIC-LASSO Gaussian graphical models estimated item-level networks, expected influence summarized net signed connectivity, and network comparison tests assessed subgroup differences.ResultsVillage care and visits had the highest expected influence in the overall, male, and three-or-more-child networks. Holiday gifts from offspring ranked highest in the one- and two-child networks, whereas living expenses from children ranked highest in the female network. Network structure differed between one-child and larger-family groups and between men and women.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648261494388"},"PeriodicalIF":2.0,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138829","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 Stress in Caregivers of People With Dementia in Psychiatric Care: A Proof-of-Concept Evaluation of an Emotion-Focused Group Intervention. 减轻精神科护理中痴呆症患者照顾者的压力：一项以情绪为中心的群体干预的概念验证评估。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-10-09 DOI: 10.1177/07334648261492966

Laura Muehlich, Emanuel Wiese, Alexander Lassner, Jan Haeckert, Giulia Zerbini, Philipp Reicherts, Miriam Kunz, Alkomiet Hasan, Benjamin Pross

{"title":"Reducing Stress in Caregivers of People With Dementia in Psychiatric Care: A Proof-of-Concept Evaluation of an Emotion-Focused Group Intervention.","authors":"Laura Muehlich, Emanuel Wiese, Alexander Lassner, Jan Haeckert, Giulia Zerbini, Philipp Reicherts, Miriam Kunz, Alkomiet Hasan, Benjamin Pross","doi":"10.1177/07334648261492966","DOIUrl":"https://doi.org/10.1177/07334648261492966","url":null,"abstract":"BackgroundCaregivers of people with dementia (CPwD) are at higher risk for psychological stress and mental health issues.ObjectiveThis study evaluated the effectiveness of a brief, four-session group intervention combining socio-medical education, mindfulness and emotion-focused support in reducing stress and improving psychological outcomes in an acute psychiatric hospital setting.MethodsA within-subject waiting-period control design with repeated measures was conducted with N = 52 CPwD. Assessments were performed at baseline, pre-intervention, post-intervention and follow-up. Changes across phases were analyzed using subsequent contrast analyses.ResultsFollowing the intervention, perceived stress decreased significantly (p = .038) and general functioning improved (p = .002) at follow-up. No significant changes were found for depressive symptoms or subjective well-being. The study protocol was designed in accordance with the Declaration of Helsinki and was approved by the joint Ethics Committee of the medical faculty at the Ludwig-Maximilians-University of Munich (project number 22-0995).","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648261492966"},"PeriodicalIF":2.0,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138844","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

Ageism and Quality of Life in Older Adults: The Roles of Self-Disgust and Psychological Distress. 年龄歧视与老年人生活质量：自我厌恶和心理困扰的作用。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-10-09 DOI: 10.1177/07334648261493694

Ana María Chamorro Coneo, María Camila Navarro Segura, Stefano Vinaccia Alpi, Breiner Hernández Vargas, Dayana Restrepo, Nataly Díaz Aguilar

{"title":"Ageism and Quality of Life in Older Adults: The Roles of Self-Disgust and Psychological Distress.","authors":"Ana María Chamorro Coneo, María Camila Navarro Segura, Stefano Vinaccia Alpi, Breiner Hernández Vargas, Dayana Restrepo, Nataly Díaz Aguilar","doi":"10.1177/07334648261493694","DOIUrl":"https://doi.org/10.1177/07334648261493694","url":null,"abstract":"This study examined psychological correlates of quality of life (QoL) among older adults in a Latin American context, focussing on the roles of ageism, self-disgust, and psychological distress. Hierarchical multiple regression analyses were used to examine the incremental contribution of sociodemographic factors, three dimensions of ageism, self-disgust, and psychological distress to QoL among 272 Colombian older adults (mean age = 68.40, SD = 6.80). Findings indicated that interpersonal experiences of ageism, but not exposure to ageist messages or self-ageism, were associated with poorer QoL. Higher self-disgust and psychological distress were independently associated with lower QoL and formed part of a significant indirect association between interpersonal ageism and QoL. These findings suggest that quality of life in later adulthood is associated not only with structural and sociodemographic conditions, but also with psychological processes through which age-related stigma may be experienced and internalised. Interventions that reduce interpersonal ageism while promoting self-acceptance and more positive views of ageing may represent promising avenues for supporting wellbeing and quality of life in older adults.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648261493694"},"PeriodicalIF":2.0,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148864","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 Heterogeneity in Smartphone Addiction Risk Among Community-Dwelling Older Adults in Guangzhou: A Machine Learning Analysis. 广州社区老年人智能手机成瘾风险异质性研究：机器学习分析

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-10-08 DOI: 10.1177/07334648261492194

Sheng Chen, Yue Song, Chien-Chung Huang

{"title":"Exploring Heterogeneity in Smartphone Addiction Risk Among Community-Dwelling Older Adults in Guangzhou: A Machine Learning Analysis.","authors":"Sheng Chen, Yue Song, Chien-Chung Huang","doi":"10.1177/07334648261492194","DOIUrl":"https://doi.org/10.1177/07334648261492194","url":null,"abstract":"Smartphone addiction risk is an underexamined concern in later life, and prior research often treats older adults as a homogeneous group. Using cross-sectional survey data from 2,275 community-dwelling adults aged 60 years or older in Guangzhou, this exploratory study applied XGBoost with SHAP analysis to identify predictive correlates, followed by K-means clustering to examine subgroup heterogeneity among participants classified as high risk. Social participation and depressive symptoms were associated with the risk with nonlinear patterns. Two exploratory profiles were identified: the Socially Active profile (40.7%), characterized by high participation and more regular non-kin contacts, and the Emotionally Withdrawn profile (59.3%), characterized by elevated depressive symptoms, fewer regular non-kin contacts, and entertainment-oriented use. The findings lend credence to the paradigms of social overload and emotional compensation and suggest that digital inclusion among older adults must be coupled with support for digital self-regulation, psychological well-being, and social and family engagements.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648261492194"},"PeriodicalIF":2.0,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138771","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