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Utilizing Consumer-Directed Care Among Older Adults: Identifying Barriers From Behavioral Economics Perspectives. 在老年人中使用消费者指导护理：从行为经济学角度识别障碍。
IF 1.8 3区 社会学
Research on Aging Pub Date : 2024-05-01 Epub Date: 2024-01-08 DOI: 10.1177/01640275231226228
Jinbao Zhang, Julia Shu-Huah Wang, Wing Kit Chan
{"title":"Utilizing Consumer-Directed Care Among Older Adults: Identifying Barriers From Behavioral Economics Perspectives.","authors":"Jinbao Zhang, Julia Shu-Huah Wang, Wing Kit Chan","doi":"10.1177/01640275231226228","DOIUrl":"10.1177/01640275231226228","url":null,"abstract":"<p><p>Consumer-directed Care (CDC) empowers older people to flexibly arrange services and enhances their well-being. Prior studies have suggested that limited attention and hassle costs are major demand-side barriers to using CDC. However, many other psychosocial factors were unexplored. In this study, we explore associations between CDC utilization and a wider range of psychosocial factors based on behavioral economics theories. A cross-sectional telephone survey of older persons (or family members that represent them) was conducted in Guangzhou, China in 2021. We adopted a two-stage sampling method based on administrative records and analyzed the data using multivariate logistic models. Procedural literacy, hassle costs, and social norms regarding CDC were associated with using CDC. The findings reveal nuances in the decision-making process, and people are not unboundedly rational in making care-related decisions. Policymakers could employ cost-effective tools to facilitate CDC utilization and optimize resources to address the most crucial service barriers.</p>","PeriodicalId":47983,"journal":{"name":"Research on Aging","volume":" ","pages":"275-286"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378562","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
Trajectories of Intergenerational Emotional Closeness in Multi-Child Aging Families in China. 中国多子女老龄化家庭代际情感亲近的轨迹。
IF 1.8 3区 社会学
Research on Aging Pub Date : 2024-05-01 Epub Date: 2024-01-19 DOI: 10.1177/01640275241229683
Jia Chen, Mengni Chen
{"title":"Trajectories of Intergenerational Emotional Closeness in Multi-Child Aging Families in China.","authors":"Jia Chen, Mengni Chen","doi":"10.1177/01640275241229683","DOIUrl":"10.1177/01640275241229683","url":null,"abstract":"<p><p>Intergenerational emotional closeness (IEC) in multi-child families manifests not only in the overall parent-child relationship but also by the extent of its within-family differentiation. This study aimed to identify distinct trajectories of collective IEC in multi-child families and to examine its potential associated factors. The study used four waves of the China Family Panel Studies (2010-2018). Based on a sample of 3474 older adults (age >60), growth mixture modelling and logistic regression were conducted. Two latent trajectory patterns of IEC were identified: increasingly tight-knit (93%) and persistently collectively ambivalent (7%). Compared to the latter trajectory, older adults who had a married/cohabiting partner, had better health and received support from all children, were more likely to have increasingly tight-knit trajectories of IEC. The study tells a story more about emotional cohesion between Chinese older adults and multiple offspring over time. Aging families experiencing persistently collectively ambivalent IEC deserve more attention.</p>","PeriodicalId":47983,"journal":{"name":"Research on Aging","volume":" ","pages":"314-326"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139503133","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
Barriers to Advance Care Planning in Older Adults With Dementia, Their Families and Healthcare Professionals: An Umbrella Review of Qualitative Evidence. 老年痴呆症患者、其家人和医疗保健专业人员预先护理规划的障碍：定性证据综述》。
IF 1.8 3区 社会学
Research on Aging Pub Date : 2024-05-01 Epub Date: 2024-01-19 DOI: 10.1177/01640275241227909
Rie Konno, Kumiyo Inoue, Yumiko Matsushita, Kokoro Hashimoto, Richard Wiechula, Timothy To, Timothy J Schultz
{"title":"Barriers to Advance Care Planning in Older Adults With Dementia, Their Families and Healthcare Professionals: An Umbrella Review of Qualitative Evidence.","authors":"Rie Konno, Kumiyo Inoue, Yumiko Matsushita, Kokoro Hashimoto, Richard Wiechula, Timothy To, Timothy J Schultz","doi":"10.1177/01640275241227909","DOIUrl":"10.1177/01640275241227909","url":null,"abstract":"<p><p>This umbrella review aimed to examine and synthesize qualitative studies that explored the barriers and facilitators of advance care planning for persons with dementia, their families, and their healthcare professionals and caregivers. The modified umbrella review approach developed by the Joanna Briggs Institute was followed. Five major English databases were searched. Four reviews based on 38 primary qualitative studies were included. The methodological quality of the included reviews was moderate to high. The synthesis yielded 16 descriptive themes and five analytical themes: making the wishes/preferences of persons with dementia visible; constructive collaboration based on stakeholders having positive relationships; emotional chaos in facing end-of-life substitute decision-making; initiating the advance care planning process; and preparedness and commitment of healthcare providers to advance care planning. Comprehensive and workable strategies are required to overcome complex and interrelated barriers involving not only healthcare professionals but also organizational and systemic challenges.</p>","PeriodicalId":47983,"journal":{"name":"Research on Aging","volume":" ","pages":"339-358"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139503132","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
Longitudinal Care Network Changes and Associated Healthcare Utilization Among Care Recipients. 纵向护理网络变化与护理对象的相关医疗保健使用情况。
IF 1.8 3区 社会学
Research on Aging Pub Date : 2024-05-01 Epub Date: 2024-01-23 DOI: 10.1177/01640275241229162
Ruotong Liu, Brent Vander Wyk, Ana R Quiñones, Heather G Allore
{"title":"Longitudinal Care Network Changes and Associated Healthcare Utilization Among Care Recipients.","authors":"Ruotong Liu, Brent Vander Wyk, Ana R Quiñones, Heather G Allore","doi":"10.1177/01640275241229162","DOIUrl":"10.1177/01640275241229162","url":null,"abstract":"<p><p>This study examines caregiver networks, including size, composition, and stability, and their associations with the likelihood of hospitalization and skilled-nursing facility (SNF) admissions. Data from the National Health and Aging Trends Study linked to Center for Medicare and Medicaid Services data were analyzed for 3855 older adults across five survey waves. Generalized estimating equation models assessed the associations. The findings indicate each additional paid caregiver was associated with higher adjusted risk ratios (aRR) for hospitalization (aRR = 1.24, 95% CI 1.10-1.41) and SNF admission (aRR = 1.28, 95% CI 1.06-1.54) among care recipients, a pattern that is also observed with the addition of unpaid caregivers (hospitalization: aRR = 1.13, 95% CI 1.06-1.20; SNF: aRR = 1.12, 95% CI 1.02-1.23). These results suggest that policies and approaches to enhance the quality and coordination of caregivers may be warranted to support improved outcomes for care recipients.</p>","PeriodicalId":47983,"journal":{"name":"Research on Aging","volume":" ","pages":"327-338"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11472584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139543288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Qualitative Exploration of Rural Older Adults’ Experiences With Pain From Chronic Illnesses and Its Treatment 对农村老年人慢性病疼痛及其治疗经历的定性研究
IF 2.6 3区 社会学
Research on Aging Pub Date : 2024-04-13 DOI: 10.1177/01640275241246279
Hyunjin Noh, Zainab Suntai, Chorong Won, Haelim Jeong, Lewis H. Lee
{"title":"A Qualitative Exploration of Rural Older Adults’ Experiences With Pain From Chronic Illnesses and Its Treatment","authors":"Hyunjin Noh, Zainab Suntai, Chorong Won, Haelim Jeong, Lewis H. Lee","doi":"10.1177/01640275241246279","DOIUrl":"https://doi.org/10.1177/01640275241246279","url":null,"abstract":"Pain is one of the most common concerns among chronically ill older adults. However, access to pain management is not equitable among certain populations, including rural residents. This qualitative study explored rural older adults’ experiences with pain and its treatment. Eighteen participants were recruited from rural counties of Alabama, who were age 60+, cognitively intact, community-dwelling, had one or more chronic/serious illnesses, and experienced pain. Open-ended questions were asked in individual interviews, and inductive, thematic analysis was used for data analysis. Findings revealed the impact of pain (physical limitations, psychological distress, and coping strategies), the impact of COVID-19 (physical/mental health and pain management), challenges in pain management in rural areas (lack of provider and healthcare resources, transportation-related issues, mistrust, and limited insurance coverage) and suggestions to address these challenges. Program and policy-level interventions are crucial in improving the resources and education/training needed for effective pain management for rural older adults.","PeriodicalId":47983,"journal":{"name":"Research on Aging","volume":"27 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140568809","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
Household Environments and Functional Decline Among Middle-Aged and Older Adults in China: Variations by Gender, Age, and Residence 中国中老年人的家庭环境与功能衰退：不同性别、年龄和居住地的差异
IF 2.6 3区 社会学
Research on Aging Pub Date : 2024-04-12 DOI: 10.1177/01640275241246051
Dandan Zhao, Ye Luo, Karen A. Kemper, Lingling Zhang, Xi Pan
{"title":"Household Environments and Functional Decline Among Middle-Aged and Older Adults in China: Variations by Gender, Age, and Residence","authors":"Dandan Zhao, Ye Luo, Karen A. Kemper, Lingling Zhang, Xi Pan","doi":"10.1177/01640275241246051","DOIUrl":"https://doi.org/10.1177/01640275241246051","url":null,"abstract":"This study examined the associations between household social, economic, and physical environments and the trajectory of functional limitations over time among middle-aged and older adults in China, and how this relationship differs by gender, age, and residence. Linear growth curve models were applied to a sample of 13,564 respondents aged 45 years and older from four waves of the China Health and Retirement Longitudinal Study (CHARLS 2011–2018). Living alone, particularly for rural, female, and older respondents, was associated with a faster functional decline when compared to living with a spouse and without children. Improved housing quality was associated with a slower functional decline. Living with young descendants and without adult children for urban residents and a lower expenditure per capita for younger respondents were associated with a faster functional decline. These findings suggest that policies aimed at enhancing living conditions have the potential to improve physical functioning of older adults.","PeriodicalId":47983,"journal":{"name":"Research on Aging","volume":"6 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140568853","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
Associations Between Ultra-processed Food Consumption and Cardiometabolic Health Among Older US Adults: Comparing Older Asian Americans to Older Adults From Other Major Race-Ethnic Groups. 美国老年人超加工食品摄入量与心脏代谢健康之间的关系：亚裔美国老人与其他主要种族-族裔群体老人的比较。
IF 1.8 3区 社会学
Research on Aging Pub Date : 2024-03-01 Epub Date: 2023-12-21 DOI: 10.1177/01640275231222928
Tali Elfassy, Filippa Juul, Robert A Mesa, Latha Palaniappan, Malathi Srinivasan, Stella S Yi
{"title":"Associations Between Ultra-processed Food Consumption and Cardiometabolic Health Among Older US Adults: Comparing Older Asian Americans to Older Adults From Other Major Race-Ethnic Groups.","authors":"Tali Elfassy, Filippa Juul, Robert A Mesa, Latha Palaniappan, Malathi Srinivasan, Stella S Yi","doi":"10.1177/01640275231222928","DOIUrl":"10.1177/01640275231222928","url":null,"abstract":"<p><p>Using data from the National Health and Nutrition Examination Survey (2001-2018; <i>N</i> = 19,602), this study examined whether ultra-processed food (UPF) consumption is associated with cardiometabolic health (obesity, hypertension, high cholesterol, and diabetes), among White, Black, Hispanic, and Asian Americans (AA) US adults 50 or older. Diet was assessed using 24 hour dietary recall. NOVA dietary classification system was used to calculate the percentage of caloric intake derived from UPFs. Cardiometabolic information was assessed through physical examination, blood tests, and self-reported medication information. A median of 54% (IQR: 40%, 68%) of caloric intake was attributed to UPFs and was lowest for AAs (34%, IQR: 20%, 49%) and highest for White adults (56%; IQR: 42, 69%). In multivariable adjusted models, UPF consumption was associated with greater odds of obesity, high cholesterol, and diabetes. UPF consumption is associated with poor cardiometabolic health among all US older adults. For AAs, UPFs may be particularly obesogenic.</p>","PeriodicalId":47983,"journal":{"name":"Research on Aging","volume":" ","pages":"228-240"},"PeriodicalIF":1.8,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138832335","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
Place Attachment and Aging in Place: Preferences and Disruptions. 把依恋和衰老放在适当的位置：偏好和干扰。
IF 1.8 3区 社会学
Research on Aging Pub Date : 2024-03-01 Epub Date: 2023-11-01 DOI: 10.1177/01640275231209683
William A V Clark, Rachel Ong ViforJ, Christopher Phelps
{"title":"Place Attachment and Aging in Place: Preferences and Disruptions.","authors":"William A V Clark, Rachel Ong ViforJ, Christopher Phelps","doi":"10.1177/01640275231209683","DOIUrl":"10.1177/01640275231209683","url":null,"abstract":"<p><p>This paper examines the links between place attachment and older persons' preferences to age in place, and factors that disrupt these preferences. We use data from the 2001-2021 Household, Income and Labour Dynamics in Australia Survey and panel-data modelling to confirm strong associations between several place attachment dimensions and aging-in-place preferences. Strong ties to children, strong social capital, residence in social housing, homeownership status, housing wealth, and home and neighborhood satisfaction are all positively linked to a stronger preference to age in place. Our findings reveal important differences between older homeowners and older non-owners. For owners, closeness to children is a strong predictor of aging-in-place preferences, although mortgage debt can trigger involuntary moves. For non-owners, tenure security achieved through longer durations at one's address of residence is linked to stronger aging-in-place preferences. However, private renters are more often exposed to involuntary moves. We discuss the policy implications of these disruptions.</p>","PeriodicalId":47983,"journal":{"name":"Research on Aging","volume":" ","pages":"179-196"},"PeriodicalIF":1.8,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10868147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71427916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
New Role, New Paycheck: The Impact on Women's Wages When Becoming a Caregiver for an Aging Parent. 新角色，新薪水:照顾年迈父母对女性工资的影响。
IF 1.8 3区 社会学
Research on Aging Pub Date : 2024-03-01 Epub Date: 2023-11-17 DOI: 10.1177/01640275231217297
Samantha Brady
{"title":"New Role, New Paycheck: The Impact on Women's Wages When Becoming a Caregiver for an Aging Parent.","authors":"Samantha Brady","doi":"10.1177/01640275231217297","DOIUrl":"10.1177/01640275231217297","url":null,"abstract":"<p><p><b>Objectives:</b> While prior research demonstrates the negative impacts of adult caregiving on women's employment, less research examines how women's employment changes when beginning a new caregiving role. <b>Methods:</b> Using data from eight waves of the Health and Retirement Study (2004-2018), I examine changes in women's employment when first transitioning into parental caregiving between the ages of 50-60, by analyzing changes in labor force participation, work hours, and hourly wages. <b>Results:</b> The transition into parental caregiving was not associated with women exiting the workforce or decreasing their work hours. However, caregivers did experience a decrease in inflation-adjusted hourly wages compared to non-caregivers, with the greatest wage penalties associated with high-intensity caregiving situations. <b>Conclusion:</b> Results demonstrate how parental caregiving may act as a shock to women's financial health at a critical career stage. This study highlights the less visible, but detrimental, financial consequences women experience when taking on a family caregiving role.</p>","PeriodicalId":47983,"journal":{"name":"Research on Aging","volume":" ","pages":"197-209"},"PeriodicalIF":1.8,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927769/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136399712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Within-Family Differences in Intergenerational Contact: The Role of Gender Norms in a Patrilineal Society. 代际接触中的家庭内部差异：父系社会中性别规范的作用》。
IF 1.8 3区 社会学
Research on Aging Pub Date : 2024-03-01 Epub Date: 2024-01-05 DOI: 10.1177/01640275231225379
Jeremy Lim-Soh, Dahye Kim, Kyungmin Kim
{"title":"Within-Family Differences in Intergenerational Contact: The Role of Gender Norms in a Patrilineal Society.","authors":"Jeremy Lim-Soh, Dahye Kim, Kyungmin Kim","doi":"10.1177/01640275231225379","DOIUrl":"10.1177/01640275231225379","url":null,"abstract":"<p><p>Intergenerational contact is important to older adults' quality of life, but less is known about within-family differences in older parents' contact between sons and daughters, especially in countries with patrilineal traditions. Applying latent profile analysis to data on 3,228 Korean older adults' frequency of meeting and communication with each of their children, this study identified within-family patterns of intergenerational contact. Nearly half of parents exhibited gender-balanced patterns of meeting across children, while 13% reported \"more frequent contact with daughters\" and 39% reported \"more frequent contact with sons.\" On the other hand, \"equally high contact\" (77%) was the most common pattern for communication. Multinomial regression results showed that the derived patterns were differentiated by parents' education, marital status, region, economic satisfaction, health, and depressive symptoms. The results highlighted the enduring nature of patrilineal traditions as well as the differing patterns of contact that Korean older adults have with their children.</p>","PeriodicalId":47983,"journal":{"name":"Research on Aging","volume":" ","pages":"258-270"},"PeriodicalIF":1.8,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139098991","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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