Journal of Applied Gerontology最新文献_第7页

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Active profile (40.7%), characterized by high participation and more regular non-kin contacts, and the Emotionally Withdrawn profile (59.3%), characterized by elevated depressive symptoms, fewer regular non-kin contacts, and entertainment-oriented use.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

Does the Pilot Long-Term Care Insurance Work as Expected in China? Examining its Impact on Hospital Utilizations, Medical Expenses, and Health. 中国长期护理保险试点效果如何？检查其对医院利用，医疗费用和健康的影响。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-10-08 DOI: 10.1177/07334648261488576

Jing Liu, Heying Jenny Zhan, Weidong Dai, Wenwen Fu

引用次数: 0

Multimorbidity, Polypharmacy, and Neighborhood Disadvantage as Determinants of Cognitive Performance in the ARCHES Cohort. 在arch队列中，多病、多药和邻里劣势是认知表现的决定因素。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-10-07 DOI: 10.1177/07334648261491344

Dagem Gebremichael, Semere Bekena, Ramkrishna K Singh, Alexis I B Walker, Mario Millsap, Christian F Banks, Bisrat Bekele, Yiqi Zhu, Jean-Francois Trani, Ganesh M Babulal

{"title":"Multimorbidity, Polypharmacy, and Neighborhood Disadvantage as Determinants of Cognitive Performance in the ARCHES Cohort.","authors":"Dagem Gebremichael, Semere Bekena, Ramkrishna K Singh, Alexis I B Walker, Mario Millsap, Christian F Banks, Bisrat Bekele, Yiqi Zhu, Jean-Francois Trani, Ganesh M Babulal","doi":"10.1177/07334648261491344","DOIUrl":"10.1177/07334648261491344","url":null,"abstract":"BackgroundAfrican American adults experience a disproportionate burden of dementia, shaped by structural and clinical factors that remain unclear.ObjectiveTo quantify associations between multimorbidity, polypharmacy, and cognition in the context of neighborhood disadvantage.MethodsThis study is a cross-sectional analysis of 348 African American adults aged 45-92 years (mean 64.3 years; 73.6% female) from the Aging Research Characterizing Health Exposome via Social drivers (ARCHES) cohort. Comorbidity burden was assessed using a modified Charlson Comorbidity Index (CCI), polypharmacy as ≥5 medications, and neighborhood disadvantage using the Area Deprivation Index (ADI). Linear regression estimated associations with a Preclinical Alzheimer's Cognitive Composite (PACC). The polypharmacy model included modified CCI as a covariate, and effect modification by ADI was assessed using an interaction term between polypharmacy and ADI.ResultsHigher modified CCI was associated with lower cognitive performance (B = -0.071; 95% CI: -0.130, -0.012). Polypharmacy was not independently associated with cognition after modified CCI adjustment (B = -0.081; β = -0.057; p = 0.257). No significant ADI interaction was found (p = 0.064).","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648261491344"},"PeriodicalIF":2.0,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13647303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128804","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

Emergency Preparedness in Older Adults With and Without COPD During Power Outages and Natural Disasters. 停电和自然灾害期间有和没有COPD的老年人的应急准备

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-10-01 Epub Date: 2026-03-04 DOI: 10.1177/07334648261431433

Alejandro P Comellas, Emma M Stapleton, Brandi Janssen, Hans-Joachim Lehmler, Peter S Thorne, Jacqueline Curnick, Kimberly Sprenger, Deborah O'Connell, Eric Garcia, Eric Bruening, Aniket Mittal, Sato Ashida

{"title":"Emergency Preparedness in Older Adults With and Without COPD During Power Outages and Natural Disasters.","authors":"Alejandro P Comellas, Emma M Stapleton, Brandi Janssen, Hans-Joachim Lehmler, Peter S Thorne, Jacqueline Curnick, Kimberly Sprenger, Deborah O'Connell, Eric Garcia, Eric Bruening, Aniket Mittal, Sato Ashida","doi":"10.1177/07334648261431433","DOIUrl":"10.1177/07334648261431433","url":null,"abstract":"Rural older adults, particularly those with Chronic Obstructive Pulmonary Disease (COPD), face significant risks to medical care during power outages caused by natural disasters. This cross-sectional study surveyed 222 Iowan adults aged 45-80 between March and May 2024 to assess disaster preparedness for power outages. Nearly nine in 10 participants experienced recent outages, yet 42% maintained a specific medical care plan for such events. Those with COPD exhibited moderately greater levels of preparedness, including higher rates of saving extra medication and establishing emergency communication plans. They were also twice as likely to have a care plan or emergency medication. Despite these gains, comprehensive preparedness remained low. The study highlights that recurrent disasters, such as windstorms and wildfire smoke, expose critical gaps in medical and emergency planning in rural communities. These results underscore the urgent need for tailored, disease-specific strategies and educational interventions to strengthen disaster resilience among rural populations.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"1932-1940"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13082437/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147356469","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

Evaluating Differences in Disaster-Related Staffing for Nursing Homes by Ownership Status. 不同所有制疗养院灾害相关人员配置差异评估。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-10-01 Epub Date: 2026-09-11 DOI: 10.1177/07334648261420498

Natalia Festa, Kelsey Alexovitz, Kendra Davis-Plourde, David Dosa, Andrew B Cohen, Thomas M Gill

{"title":"Evaluating Differences in Disaster-Related Staffing for Nursing Homes by Ownership Status.","authors":"Natalia Festa, Kelsey Alexovitz, Kendra Davis-Plourde, David Dosa, Andrew B Cohen, Thomas M Gill","doi":"10.1177/07334648261420498","DOIUrl":"10.1177/07334648261420498","url":null,"abstract":"For-profit ownership has been linked to lower levels and skill composition of nursing home staffing, yet it is unclear whether disasters exacerbate these differences. We identified 914 nursing homes in Hurricane Ian's path (September 2022), of which 665 (72.8%) were for-profit. We applied a comparative interrupted time series design to compare staffing hours per resident per day (HPRPD) before and after landfall. Before the storm, for-profit facilities staffed 9% fewer total HPRPD than not-for-profits (95% confidence interval (CI) 0.87-0.95), with similar deficits in the employed (permanent staff) (0.88, 95% CI 0.83-0.93) and licensed (0.90, 95% CI 0.86-0.94) categories. Both for-profit (1.04; 95% CI 1.03-1.05) and not-for-profit facilities (1.03; 95% CI 1.02-1.04) increased total staffing in the post-disaster period, driven by employed personnel; the difference in the magnitude of their responses (1%) was not statistically significant. Baseline staffing differences may affect nursing homes' capacity to meet disaster-related needs.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":"45 10","pages":"1924-1931"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13603801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931310","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

Compound Disaster Exposure and Preparedness Among Older Adults: The Amplifying Role of Caregiving Responsibility. 老年人的复合灾害暴露和准备：照顾责任的放大作用。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-10-01 Epub Date: 2026-09-11 DOI: 10.1177/07334648251415046

Yanjun Dong, Kun Wang, Victoria M Rizzo, Min Zhang

{"title":"Compound Disaster Exposure and Preparedness Among Older Adults: The Amplifying Role of Caregiving Responsibility.","authors":"Yanjun Dong, Kun Wang, Victoria M Rizzo, Min Zhang","doi":"10.1177/07334648251415046","DOIUrl":"https://doi.org/10.1177/07334648251415046","url":null,"abstract":"Older adults are especially vulnerable during disasters, yet the factors influencing their preparedness remain underexamined. This study investigates whether exposure to compound disasters (multiple, overlapping hazard events within a year) is associated with greater preparedness among older adults and whether caregiving responsibilities moderate this relationship. Using data from the 2022 and 2023 FEMA National Household Surveys (N = 4,075), we employed multivariable logistic regression to assess the impact of compound exposure and its interaction with caregiving status on preparedness. Results show that compound exposure increased the likelihood of being well-prepared, and caregiving responsibilities intensified this effect. These associations remained robust after controlling for demographic, socioeconomic, and psychosocial factors, including coping appraisal and information-seeking behavior. The findings suggest that caregiving may function as a motivator, enhancing protective action in high-risk contexts. Tailored preparedness initiatives that engage older caregivers may be critical for advancing disaster resilience in aging communities.","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":"45 10","pages":"1941-1952"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931369","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

Multidimensional Losses and Mental Health of Older Adults in Puerto Rico in the Aftermath of Hurricane Mária. 飓风过后波多黎各老年人的多维损失和心理健康Mária。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-10-01 Epub Date: 2026-09-11 DOI: 10.1177/07334648261426731

Kyeongmo Kim, Denise Burnette, Seon Kim

引用次数: 0

Age, Resilience, and Hope Predict Daily Functioning After a Flood. 年龄，恢复力和希望预测洪水后的日常功能。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-10-01 Epub Date: 2026-09-11 DOI: 10.1177/07334648251414459

Katie E Cherry, Matthew R Calamia, Emily M Elliott, Piper J Bordes, Laura Sampson, Sandro Galea

引用次数: 0

Complex Emergencies and the Effects on Older Populations. 复杂紧急情况及其对老年人口的影响。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-10-01 Epub Date: 2026-09-11 DOI: 10.1177/07334648261472656

Lindsay Peterson

引用次数: 0

Associations Among Natural Disaster Exposure, Childhood Adversity, and Cognitive Functioning in Older Americans in the Health and Retirement Study. 自然灾害暴露、童年逆境和认知功能在美国老年人健康与退休研究中的关联。

IF 2 3区医学

Journal of Applied Gerontology Pub Date : 2026-10-01 Epub Date: 2026-04-16 DOI: 10.1177/07334648261442266

Karen A Lawrence, Yeon Jin Choi

引用次数: 0