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Key Informants' Visions and Solutions to Improve Home- and Community-Based Services for Older Adults and Persons With Dementia. 主要信息提供者对改善老年人和痴呆症患者家庭和社区服务的看法和解决方案。
IF 1.8 3区 社会学
Research on Aging Pub Date : 2025-02-01 Epub Date: 2024-08-04 DOI: 10.1177/01640275241269991
Daniel Siconolfi, Molly Waymouth, Esther M Friedman, Debra Saliba, Regina A Shih
{"title":"Key Informants' Visions and Solutions to Improve Home- and Community-Based Services for Older Adults and Persons With Dementia.","authors":"Daniel Siconolfi, Molly Waymouth, Esther M Friedman, Debra Saliba, Regina A Shih","doi":"10.1177/01640275241269991","DOIUrl":"10.1177/01640275241269991","url":null,"abstract":"<p><p>Recent decades have seen state successes in rebalancing Medicaid long-term care from institutional care (e.g., nursing homes) into home and community settings. However, significant barriers can prevent access to home and community-based services (HCBS) among older adults and persons with dementia. Qualitative research on potential innovations and solutions in the contemporary context with attention to a wider range of state-level policy contexts is limited. Drawing on interviews with 49 key informants including state Medicaid officials, HCBS providers, and advocates for persons with dementia across 11 states, we examined perceived solutions to barriers. Key informants articulated a range of potential solutions and innovations, ranging from tangible or realized policy changes to 'magic wand' solutions. Policy research has typically focused on the former; excluding the latter may miss opportunities to envision and design a more effective long-term care system for persons living with dementia and older adults.</p>","PeriodicalId":47983,"journal":{"name":"Research on Aging","volume":" ","pages":"103-115"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Linking Multi-Dimensional Religiosity in Childhood and Later Adulthood: Implications for Later Life Health. 将童年和成年后的多维宗教信仰联系起来：对以后生活健康的影响。
IF 1.8 3区 社会学
Research on Aging Pub Date : 2025-02-01 Epub Date: 2024-08-01 DOI: 10.1177/01640275241267298
Sara I Hamm, Zachary Zimmer, Mary Beth Ofstedal
{"title":"Linking Multi-Dimensional Religiosity in Childhood and Later Adulthood: Implications for Later Life Health.","authors":"Sara I Hamm, Zachary Zimmer, Mary Beth Ofstedal","doi":"10.1177/01640275241267298","DOIUrl":"10.1177/01640275241267298","url":null,"abstract":"<p><p>This study examines religiosity patterns across childhood and later adulthood and their associations with later-life health using an experimental module from the 2016 Health and Retirement Study (<i>N</i> = 1649; Mean Age = 64.0). Latent class analysis is used to categorize individuals by commonalities in religious attendance, religious identity, and spiritual identity. Cross-sectional and longitudinal associations are then explored using probable depression, disability, and mortality as health indicators. Results reveal complex patterns, often characterized by declining attendance and fluctuating identity. Relationships with health appear stronger in cross-sectional analyses, suggesting that some associations may be non-causal. Individuals with consistently strong religiosity show significantly better psychological health compared to their relatively non-religious counterparts. Moreover, the absence of religiosity in later adulthood is associated with an increased risk of mortality. Overall, the findings support the promotion of religiosity whilst acknowledging individual variations and highlighting the need for more individualistic approaches to the study of religion and health.</p>","PeriodicalId":47983,"journal":{"name":"Research on Aging","volume":" ","pages":"91-102"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Volunteering and Risk of Heart Attack in Later Life: The Moderating Role of Purpose in Life? 志愿服务与晚年心脏病发作风险：人生目标的调节作用？
IF 1.8 3区 社会学
Research on Aging Pub Date : 2025-02-01 Epub Date: 2024-08-30 DOI: 10.1177/01640275241274316
Mallory J Bell, Kenneth F Ferraro
{"title":"Volunteering and Risk of Heart Attack in Later Life: The Moderating Role of Purpose in Life?","authors":"Mallory J Bell, Kenneth F Ferraro","doi":"10.1177/01640275241274316","DOIUrl":"10.1177/01640275241274316","url":null,"abstract":"<p><p><b>Objectives:</b> We investigate whether volunteering is associated with a reduced risk of first heart attack in later life and whether purpose in life moderates this relationship. <b>Methods:</b> Cox proportional hazards were used to examine seven waves of data (2006-2018) from the Health and Retirement Study-a nationally representative survey of adults 50 years and older (<i>N</i> = 5,079). <b>Results:</b> Volunteering a moderate number of hours was associated with a 46% lower risk of heart attack compared to non-volunteers. The association between high time-commitment volunteering and heart attack risk was contingent on level of purpose in life: compared to non-volunteers, people with high purpose in life who volunteered 100 + hours had the lowest risk of heart attack. <b>Discussion:</b> Meaningful volunteer activities may be one way for older adults to reduce their risk of heart attack.</p>","PeriodicalId":47983,"journal":{"name":"Research on Aging","volume":" ","pages":"140-150"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Religious Involvement and Cognitive Function Among White, Black, and Hispanic Older Adults. 白人、黑人和西班牙裔老年人的宗教参与和认知功能。
IF 1.8 3区 社会学
Research on Aging Pub Date : 2025-02-01 Epub Date: 2024-08-07 DOI: 10.1177/01640275241269949
Madison R Sauerteig-Rolston, Lisa L Barnes, Patricia A Thomas, Jacqueline L Angel, Kenneth F Ferraro
{"title":"Religious Involvement and Cognitive Function Among White, Black, and Hispanic Older Adults.","authors":"Madison R Sauerteig-Rolston, Lisa L Barnes, Patricia A Thomas, Jacqueline L Angel, Kenneth F Ferraro","doi":"10.1177/01640275241269949","DOIUrl":"10.1177/01640275241269949","url":null,"abstract":"<p><p>We examined whether religious involvement was associated with cognitive function among older adults in the 2006-2020 waves of the Health and Retirement Study. Using growth curve analysis, we found the association between religious involvement and cognition varied by facet of religious involvement and race and Hispanic ethnicity. Attending religious services with friends was associated with higher initial levels of cognitive function (b = 0.22, <i>p</i> < .05). For Hispanic older adults, frequent attendance at religious services was associated with a slower rate of cognitive decline (b = 0.16, <i>p</i> < .01). Stratified models by race and Hispanic ethnicity demonstrated that religious salience was associated with lower initial levels of cognitive function among non-Hispanic White adults (b = -0.19, <i>p</i> < .01). We found no association between religious involvement and cognitive function among non-Hispanic Black respondents. In sum, elements of religious involvement are positively or negatively related to cognitive function in later life and vary by race and ethnicity.</p>","PeriodicalId":47983,"journal":{"name":"Research on Aging","volume":" ","pages":"116-127"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dyadic Appraisals of Family Decisions and Health Tasks in Midlife-Older Couples. 中年老年夫妇对家庭决策和健康任务的双向评估》（Dyadic Appraisals of Family Decisions and Health Tasks in Midlife-Older Couples）。
IF 1.8 3区 社会学
Research on Aging Pub Date : 2025-02-01 Epub Date: 2024-09-02 DOI: 10.1177/01640275241280691
Karen S Lyons, Sae Hwang Han, Kyungmin Kim, Lyndsey M Miller
{"title":"Dyadic Appraisals of Family Decisions and Health Tasks in Midlife-Older Couples.","authors":"Karen S Lyons, Sae Hwang Han, Kyungmin Kim, Lyndsey M Miller","doi":"10.1177/01640275241280691","DOIUrl":"10.1177/01640275241280691","url":null,"abstract":"<p><p>Shared appraisals and collaboration within couples play important roles in optimizing health. Less is known about concordance regarding collaboration, factors associated with concordance, and implications for health. Data from 2,761 couples from the <i>Health and Retirement Study</i> (2014/2016 and 2016/2018 waves) were examined to determine within-couple concordance in completion of two tasks (family decisions and medical forms). The majority of couples were concordant regarding who makes family decisions (69.7%) and who completes medical forms (64.4%); 62% agreed they make family decisions collaboratively versus 25.5% completing medical forms collaboratively. Concordance was significantly associated with greater marital support and longer marital duration. Concordance was not significantly associated with depressive symptoms 2 years later, but the link between concordance in making major family decisions and self-rated health differed by age and gender. Future research at the intersection of concordance and collaboration may shed important light on how older couples navigate tasks and decisions.</p>","PeriodicalId":47983,"journal":{"name":"Research on Aging","volume":" ","pages":"151-162"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preferences for Features of Current and Future Residential Environments Among Korean Middle-Aged Adults. 韩国中年人对当前和未来居住环境特征的偏好。
IF 1.8 3区 社会学
Research on Aging Pub Date : 2025-02-01 Epub Date: 2024-08-31 DOI: 10.1177/01640275241279922
Eunju Lee, Meng Huo, Kyungmin Kim
{"title":"Preferences for Features of Current and Future Residential Environments Among Korean Middle-Aged Adults.","authors":"Eunju Lee, Meng Huo, Kyungmin Kim","doi":"10.1177/01640275241279922","DOIUrl":"10.1177/01640275241279922","url":null,"abstract":"<p><p>This study examined differences in middle-aged adults' preferred features of their current versus future residential environments and how these differences varied by health and social characteristics. A sample of 1,651 Korean middle-aged adults (aged 49-64) rated their preferences for each of 12 features (e.g., proximity to family/relatives, house price) regarding current and future residential environments, separately. Respondents considered \"accessibility to health services\" and \"opportunity for leisure activities\" more important for future residential environments than for current ones. Respondents with poorer health considered features that help them compensate for health decline more important, while those who contacted friends/neighbors more frequently and participated in more cultural activities considered features that help them maintain their social interactions more important for future residential environments than the past. Our findings identified middle-aged adults' various demands for residential features after retirement, which reflect their strategic reactions to future needs for successful adaptation in later years.</p>","PeriodicalId":47983,"journal":{"name":"Research on Aging","volume":" ","pages":"128-139"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Caregiving Appraisals and Emotional Valence: Moderating Effects of Activity Participation. 护理评价和情绪价值：活动参与的调节作用。
IF 16.4 3区 社会学
Research on Aging Pub Date : 2025-01-01 Epub Date: 2024-07-19 DOI: 10.1177/01640275241263770
Jeong Eun Lee, Natasha Lina Nemmers, Joseph Svec, Jinmyoung Cho
{"title":"Caregiving Appraisals and Emotional Valence: Moderating Effects of Activity Participation.","authors":"Jeong Eun Lee, Natasha Lina Nemmers, Joseph Svec, Jinmyoung Cho","doi":"10.1177/01640275241263770","DOIUrl":"10.1177/01640275241263770","url":null,"abstract":"<p><p>The present study examines the extent to which a two-factor model of affect explains how caregiving appraisals experienced by caregivers influence their own well-being. We used data from three waves of Nation Study of Caregiving (NSOC) to conduct latent growth curve models with the time-varying predictors to investigate the effect of between-person (BP) and within-person (WP) caregiving appraisals on positive and negative affect. Furthermore, we simultaneously modeled WP differences in activity participation and affective experience with multilevel modeling. Then, we tested the moderating effect of activity participation in the association between WP caregiving appraisals and emotional valence. We found that BP and WP caregiving negative appraisal also contribute to caregiver positive affect similar to that of negative affect. Time-varying effects of negative appraisals and emotional valence are consistent with the two-factor model. Future longitudinal investigations could target WP and BP activity participation to alleviate caregiving cognitive appraisal among caregivers.</p>","PeriodicalId":47983,"journal":{"name":"Research on Aging","volume":" ","pages":"77-88"},"PeriodicalIF":16.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intergenerational Relations and Well-being Among Older Middle Eastern/Arab American Immigrants During the COVID-19 Pandemic. COVID-19 大流行期间中东/阿拉伯裔美国老年移民的代际关系和福祉。
IF 1.8 3区 社会学
Research on Aging Pub Date : 2025-01-01 Epub Date: 2024-06-19 DOI: 10.1177/01640275241256990
Linda Sayed, Mohammed Alanazi, Kristine J Ajrouch
{"title":"Intergenerational Relations and Well-being Among Older Middle Eastern/Arab American Immigrants During the COVID-19 Pandemic.","authors":"Linda Sayed, Mohammed Alanazi, Kristine J Ajrouch","doi":"10.1177/01640275241256990","DOIUrl":"10.1177/01640275241256990","url":null,"abstract":"<p><p>This study aimed to examine the consequences of COVID-19 socialization restrictions on familial and social support systems of older Middle Eastern/Arab immigrants in Michigan, home to the largest, most visible concentration of Middle Eastern/Arab Americans in the United States. Six focus group (<i>N</i> = 45) interviews were conducted with Middle Eastern/Arab American immigrants aged 60 and older to assess difficulties faced during the pandemic as it related to familial, social, and medical care. Inductive analysis identified two major themes to advance meanings of intergenerational relations among older immigrants (a) the breakdown of family relations, which describes a shift in both the experience and expectations of intergenerational relations in Middle Eastern/Arab families; and (b) cultural sources of increased stress, illustrating how the pandemic interfered with valued family interactions to affect well-being. These findings indicated social and cultural sources of heightened stress linked to shifts in intergenerational relations among Middle Eastern/Arab American older immigrants.</p>","PeriodicalId":47983,"journal":{"name":"Research on Aging","volume":" ","pages":"66-76"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141427965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Differential Costs of Raising Grandchildren on Older Mother-Adult Child Relations in Black and White Families. 黑人和白人家庭抚养孙辈对年长母亲与成年子女关系的不同成本。
IF 1.8 3区 社会学
Research on Aging Pub Date : 2025-01-01 Epub Date: 2024-06-14 DOI: 10.1177/01640275241259463
Yifei Hou, J Jill Suitor, Megan Gilligan, Destiny Ogle, Catherine Stepniak
{"title":"Differential Costs of Raising Grandchildren on Older Mother-Adult Child Relations in Black and White Families.","authors":"Yifei Hou, J Jill Suitor, Megan Gilligan, Destiny Ogle, Catherine Stepniak","doi":"10.1177/01640275241259463","DOIUrl":"10.1177/01640275241259463","url":null,"abstract":"<p><p>Drawing from theories of affect, role strain and stress processes, we studied the impact of raising grandchildren on older mothers' relationships with the adult offspring whose children they raised, with particular attention to how these patterns differ by race and ethnicity. We used mixed-methods data collected from 531 older mothers regarding their relationships with 1935 of their adult children as part of the Within-Family Differences Study. Multilevel regression analyses showed that raising grandchildren was associated with greater mother-adult child closeness in Black families; however, in White families, raising grandchildren was associated with greater mother-adult child conflict. Qualitative analyses revealed that these differences could be explained by the tendency of Black grandmothers to emphasize positive aspects of raising grandchildren, compared to White grandmothers, who viewed raising grandchildren as demanding and who described their exchanges with their adult children as unequal. Overall, our findings reflect racial and ethnic differences in intergenerational solidarity.</p>","PeriodicalId":47983,"journal":{"name":"Research on Aging","volume":" ","pages":"21-32"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141318651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Effects of Spousal Caregiving on Middle-Age and Older Caregivers' Health and Well-Being: Evidence From Vietnam. 配偶照料对中老年照料者健康和福祉的影响：来自越南的证据
IF 1.8 3区 社会学
Research on Aging Pub Date : 2025-01-01 Epub Date: 2024-06-19 DOI: 10.1177/01640275241263622
Dung Duc Le, Truc Ngoc Hoang Dang, Long Thanh Giang
{"title":"The Effects of Spousal Caregiving on Middle-Age and Older Caregivers' Health and Well-Being: Evidence From Vietnam.","authors":"Dung Duc Le, Truc Ngoc Hoang Dang, Long Thanh Giang","doi":"10.1177/01640275241263622","DOIUrl":"https://doi.org/10.1177/01640275241263622","url":null,"abstract":"<p><p><b>Background:</b> Population aging is escalating globally, intensifying the demand for long-term care (LTC), primarily met by informal caregivers, notably spouses. Evidence from developed countries suggests potential adverse effects on caregivers' well-being. Yet, research on this topic is scarce in developing nations. We investigate the effect of informal caregiving on older spousal caregivers' health and well-being in Vietnam, a rapidly aging country with an early stage of LTC system development. <b>Methods:</b> Utilizing the national survey on aging in Vietnam with propensity score matching estimations to mitigate potential endogenous problems of the decision to provide care between caregivers and non-caregivers. <b>Results:</b> Findings showed caregiving increased poor psychological well-being, life dissatisfaction, and functional limitations by 7.3%, 9.7%, and 8.6%, respectively. The caregiving effects are heterogenous by demographic characteristics. <b>Conclusions:</b> We are the first to examine spousal caregiving in Vietnam, highlighting the urgency of addressing its negative impacts and suggesting several potential policy interventions.</p>","PeriodicalId":47983,"journal":{"name":"Research on Aging","volume":"47 1","pages":"47-65"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","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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