Gerontologist最新文献_第2页

From the 4Ms to a Disability-Friendly Healthcare System.

IF 4.6 2区医学

Gerontologist Pub Date : 2025-02-17 DOI: 10.1093/geront/gnaf060

Teresa Moro, Jacqueline McGinley, Bonnie Ewald

{"title":"From the 4Ms to a Disability-Friendly Healthcare System.","authors":"Teresa Moro, Jacqueline McGinley, Bonnie Ewald","doi":"10.1093/geront/gnaf060","DOIUrl":"https://doi.org/10.1093/geront/gnaf060","url":null,"abstract":"There are approximately 3,922 Age-Friendly Health Systems (AFHS) sites in the United States (US). These systems promote better healthcare for adults age 65 and older by implementing the following four elements, referred to as the \"4Ms\", into care provision: 1) What Matters; 2) Medication; 3) Mentation; and 4) Mobility. There are no equivalent parameters to ensure high-quality care for adults with disabilities. This is problematic because many individuals with disabilities experience conditions associated with aging well before their 65th birthday. For example, adults with Down syndrome are more likely to develop earlier onset dementia and many will be diagnosed with Alzheimer's disease in their early 50s. While AFHS are of critical importance, by focusing solely on adults over age 65, we are missing an opportunity to improve the health and well-being of people with disabilities. Many adults living with disabilities would likely benefit from providers deliberately and thoughtfully addressing what matters, medication, mentation, and mobility. In this paper, we posit that implementing the 4Ms framework with younger adults with disabilities has the potential to both enhance compliance with the ADA and lay the ground work for making an equitable, disability-friendly health system a reality.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

People With Dementia Disclosing Their Diagnosis to Social Networks: A Systematic Review and Meta-Synthesis. 痴呆症患者向社交网络披露他们的诊断：一个系统的回顾和综合。

IF 4.6 2区医学

Gerontologist Pub Date : 2025-02-17 DOI: 10.1093/geront/gnae186

Gianna Kohl, Mauricio Molinari Ulate, Jem Bhatt, Jennifer Lynch, Katrina Scior, Georgina Charlesworth

{"title":"People With Dementia Disclosing Their Diagnosis to Social Networks: A Systematic Review and Meta-Synthesis.","authors":"Gianna Kohl, Mauricio Molinari Ulate, Jem Bhatt, Jennifer Lynch, Katrina Scior, Georgina Charlesworth","doi":"10.1093/geront/gnae186","DOIUrl":"10.1093/geront/gnae186","url":null,"abstract":"Background and objectives: Given the stigma of dementia, individuals with the condition may be wary to disclose their diagnosis to other people, both in face-to-face and digital settings. While sharing one's dementia diagnosis with others is essential for accessing valuable support for social, cognitive, and physical well-being, this area of research has largely been neglected. In this meta-synthesis, we aimed to systematically review qualitative research on the factors associated with online and offline self-disclosure in people with dementia.Research design and methods: We conducted a systematic search in 6 electronic databases. Inclusion criteria comprised qualitative and mixed-methods studies describing experiences with self-disclosure in people with any type of dementia. Quality of the included studies was assessed using the Mixed Methods Appraisal Tool. The meta-synthesis was conducted in NVivo using a thematic synthesis approach.Results: 28 studies were included. 3 analytical themes were generated: \"Concealment,\" \"Stigma and fear,\" and \"Taking control,\" the latter 2 with subthemes. Findings from this review were corroborated with people with dementia and family carers as part of Patient and Public Involvement meetings. Our findings reveal that while stigma plays a pivotal role, people with dementia can take control of the meaning of their diagnosis through self-disclosure.Discussion and implications: Self-disclosure is complex and multifaceted. People with dementia, particularly those experiencing stigma, can benefit from post-diagnostic support that encompasses resources and interventions for self-disclosure. Further research is required to investigate people with dementia's disclosure decision-making process.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11833486/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Older LGBTQ+ Canadians' Experiences of Prejudice and Discrimination over the Life Course.

IF 4.6 2区医学

Gerontologist Pub Date : 2025-02-17 DOI: 10.1093/geront/gnaf074

Laura Hurd, Raveena Mahal

{"title":"Older LGBTQ+ Canadians' Experiences of Prejudice and Discrimination over the Life Course.","authors":"Laura Hurd, Raveena Mahal","doi":"10.1093/geront/gnaf074","DOIUrl":"https://doi.org/10.1093/geront/gnaf074","url":null,"abstract":"Background and objectives: Amidst the growing global visibility of older lesbian, gay, bisexual, transgender, queer, and gender and sexually diverse (LGBTQ+) individuals, the predominantly American research has established that they face continued prejudice and discrimination. Yet, few studies outside of the United States have examined their life course experiences, including those related to adverse events. Building on the existing research, the present qualitative study uses a life-course perspective to explore older LGBTQ+ Canadians' experiences of prejudice and discrimination.Research design and methods: We recruited and conducted multiple, in-depth, semi-structured qualitative interviews with 30 LGBTQ+ Canadian individuals, aged 65 to 83, about their life course experiences, including if and how they had been treated differently because of their gender identities, sexual orientations, and ages. Interview transcriptions were coded and analyzed using descriptive thematic analysis.Results: All 30 participants reported traumatic and adverse experiences in patterned ways across the life course. Whereas they often faced abuse and harassment in childhood and young adulthood, they frequently reported institutionally situated prejudice and discrimination in mid-life. Despite changing laws and social norms, in later life participants were subjected to targeted mistreatment and systemic neglect and exclusion as a result of their gender identities, sexual orientations, and ages.Discussion and implications: Findings from this study corroborate previous research and shed light on the ways that prejudice and discrimination have often permeated the lives of older LGBTQ+ Canadians. The research also points to the continued and urgent need to fight bigotry through education, policy, and progressive legislation.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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 Relations of Older Adults with Intellectual Disabilities from a Life Course Perspective.

IF 4.6 2区医学

Gerontologist Pub Date : 2025-02-17 DOI: 10.1093/geront/gnaf065

Lieke van Heumen, Tamar Heller, Claire van den Helder

{"title":"Social Relations of Older Adults with Intellectual Disabilities from a Life Course Perspective.","authors":"Lieke van Heumen, Tamar Heller, Claire van den Helder","doi":"10.1093/geront/gnaf065","DOIUrl":"https://doi.org/10.1093/geront/gnaf065","url":null,"abstract":"Background and objectives: Research has yet to seek a more complete understanding of how people aging with intellectual disabilities experience their social relations, and how their earlier life experiences impact the development of their social relations. This study investigated the experiences of older adults with intellectual disabilities with their social relations from a life course perspective.Research design and methods: A process of paired recruitment generated a sample of 12 adults with intellectual disabilities age 50 and over with at least one key support person each. Data collection consisted of in-depth qualitative life history interviews with the participants and their key support persons using lifelines.Results: Thematic analysis of the interview transcripts demonstrated that the participants' social relations facilitated positive experiences in the first parts of their lives. The participants felt their lives were disrupted by several transitions as they reached young and middle adulthood such as moving out of the family home, parental divorce and the deaths of parents. Challenging social encounters such as abuse, bullying and conflicts caused distress and negatively impacted the participants' well-being at various points in their lives. Finally, participants simultaneously expressed feelings of belonging and longing as central to their social well-being in late life.Discussion and implications: Study findings highlight complex experiences of adults with intellectual disabilities with their social relations across their lives. They promote further development of strategies for person centered planning such as social network mapping and life story work to better support adults with intellectual disabilities as they age.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Psychological resilience and cognitive functioning in Black and White men and women.

IF 4.6 2区医学

Gerontologist Pub Date : 2025-02-17 DOI: 10.1093/geront/gnaf075

Kiana A Scambray, Emily P Morris, Jordan D Palms, Ji Hyun Lee, Ketlyne Sol, Laura B Zahodne

{"title":"Psychological resilience and cognitive functioning in Black and White men and women.","authors":"Kiana A Scambray, Emily P Morris, Jordan D Palms, Ji Hyun Lee, Ketlyne Sol, Laura B Zahodne","doi":"10.1093/geront/gnaf075","DOIUrl":"https://doi.org/10.1093/geront/gnaf075","url":null,"abstract":"Background and objectives: Psychological resilience is associated with better physical and mental health, but little is known about its role in cognitive health from an intersectional perspective. This study aimed to assess the relationship between psychological resilience and cognitive function across subgroups of older non-Hispanic Black and White men and women while taking stress exposure into account.Research design and methods: 453 participants (Black men=87; Black women=147; White men=98; White women=121) from the Michigan Cognitive Aging Project completed the Brief Resilience Scale and a neuropsychological battery. ANOVAs were used to assess differences in psychological resilience across the intersection of gender and race. Linear regressions assessed relationships between psychological resilience and global cognition, controlling for sociodemographics and discrimination. Interaction terms and stratified regressions characterized these relationships across intersectional groups.Results: Level of psychological resilience did not differ across intersectional groups despite differences in stress exposure. Higher resilience was associated with better global cognition in the whole sample (β= 0.12, p=.002), but this association was found only among Black men (β=0.40, p<.001).Discussion and implications: Levels of resilience did not differ between Black and White older adults, despite disproportionate stress exposure among Black older adults. Links between psychological resilience and cognition may depend on stressors and resources that are differentially patterned across intersectional groups. Psychological resilience may be particularly important for cognitive health among Black men, who are frequently underrepresented in cognitive aging research.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

New-to-the-Field Analysis for Alzheimer's Disease and Related Dementias Focused Administrative Supplements.

IF 4.6 2区医学

Gerontologist Pub Date : 2025-02-17 DOI: 10.1093/geront/gnaf073

Melissa Espinoza, René Etcheberrigaray, Alyssa Tonsing-Carter

{"title":"New-to-the-Field Analysis for Alzheimer's Disease and Related Dementias Focused Administrative Supplements.","authors":"Melissa Espinoza, René Etcheberrigaray, Alyssa Tonsing-Carter","doi":"10.1093/geront/gnaf073","DOIUrl":"https://doi.org/10.1093/geront/gnaf073","url":null,"abstract":"Background and objectives: The \"Alzheimer's Disease and related dementias (AD/ADRD) Focused Administrative Supplements for National Institutes of Health (NIH) Grants that are not Focused on Alzheimer's Disease (AD Supplements to Non-AD awards)\" program provides funded investigators from scientific areas other than AD/ADRD with administrative supplements to parent NIH grant awards to expand their current work into AD/ADRD.Research design and methods: This analysis reviewed awardees of the supplement from fiscal years (FY) 2018 to 2022 using data obtained from NIH's internal grants administration data. The goal was to identify awardees who were new to the field (NTF) of AD/ADRD and assess outcome measures of success (subsequent applications, awards, and publications).Results: 1,555 AD Supplements to Non-AD awards were awarded (16% awarded to National Institute on Aging [NIA] grants; 84% to all other NIH Institutes and Centers [ICs]). 72% of all awards went to awardees considered NTF. At the time of this analysis, administrative supplements to NTFs were awarded, on average, 3.42 years ago, so some projects have had little time to have substantial outcomes. The total awardee subsequent funding rate for all ICs was 60% (62% for NIA-only). Regarding subsequent publications across all IC NTFs, 2.8% of NIH grants led by an NTF investigator had associated publications on an AD/ADRD-relevant topic after the supplement. For NIA-only administrative supplements, 5.4% of parent grants led by NTFs had associated subsequent AD/ADRD publications.Discussion and implications: The findings suggest that AD Supplements to non-AD awards have stimulated scientific interest among investigators who were new to AD/ADRD research at the time of application and may facilitate interdisciplinary research by bringing investigators into new and/or growing areas of research.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Healthy Aging in Subsidized Housing in the United States: Exploring Older Adults' Views of Service Coordination.

IF 4.6 2区医学

Gerontologist Pub Date : 2025-02-15 DOI: 10.1093/geront/gnaf063

Alia Abiad, Jeffrey Graupner, Renée Kroplewski, Lauren J Gleason, Katherine Thompson

{"title":"Healthy Aging in Subsidized Housing in the United States: Exploring Older Adults' Views of Service Coordination.","authors":"Alia Abiad, Jeffrey Graupner, Renée Kroplewski, Lauren J Gleason, Katherine Thompson","doi":"10.1093/geront/gnaf063","DOIUrl":"https://doi.org/10.1093/geront/gnaf063","url":null,"abstract":"Background and objectives: Low-income older adults face many barriers to healthy aging, including housing cost burden. Publicly subsidized rental units for older adults are one affordable housing option; these typically have a service coordinator who helps tenants access community resources. Previous research has indicated that service coordinators can support resident health. However, little is known about older adults' perspectives on service coordination. Our study aimed to explore how older adults living in subsidized housing perceive the relationship between service coordinators and healthy aging.Research design and methods: We conducted five focus group discussions with residents of three subsidized housing communities for older adults, all in medically underserved urban areas. Participants, 48 in total, were asked about barriers to healthy aging, resources for healthy aging, and what role, if any, service coordinators play in supporting healthy aging. Content analysis was used to identify themes emerging from the data.Results: Data analysis yielded 90 codes and sub-codes falling under four themes: challenges in healthy aging, assets for healthy aging, perceptions of service coordinator role, and suggestions for improvement. Across focus groups, participants highlighted that service coordinators can connect residents to health-related assets. Participants also desired future opportunities to make their perspectives on healthy aging heard.Discussion and implications: Service coordinators are important, under-recognized collaborators for older adult health. Future healthcare interventions and policies should seek to support service coordinators and leverage their ability to connect older adults with healthcare professionals and community services.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

A Phenomenological Understanding of Aging 'Well' with Multiple Sclerosis.

IF 4.6 2区医学

Gerontologist Pub Date : 2025-02-15 DOI: 10.1093/geront/gnaf072

Emma V Richardson, Robert W Motl

{"title":"A Phenomenological Understanding of Aging 'Well' with Multiple Sclerosis.","authors":"Emma V Richardson, Robert W Motl","doi":"10.1093/geront/gnaf072","DOIUrl":"https://doi.org/10.1093/geront/gnaf072","url":null,"abstract":"Background and objectives: As the life expectancy of the multiple sclerosis (MS) community increases, new innovations and understandings of what it is to age 'well' are needed. Building on a line of work exploring the meaning and experiences of aging with a disabling condition, and showing how and why people aging with MS experience this phenomenon differently, this paper progresses aging and disability literature by (re)conceptualizing what 'wellbeing' means to people aging with MS, and how wellbeing may be enhanced or compromised.Research design and methods: Working with 40 persons with MS over the age of 60, we used a Heideggerian phenomenological framework to co-construct what wellbeing meant among persons aging with MS.Results: Emphasizing the importance of the 'everdayness' of wellbeing experiences, persons aging with MS discussed how wellbeing was related to 'doing, being, and becoming; the ability to do the things they wanted to do, be the person they wanted to be, and the autonomy, opportunity, and ability to do something, or become someone, different'. The ability to be, do or become was, however, dependent on, 'the power of people', 'sociocultural privilege' and 'writing one's own health narrative'.Discussion and implications: These findings, that are contextualized within the socio-cultural boundaries of participants' situations, can help support persons with MS, families and friends, caregivers, health care professionals and interventionists that are working towards enhancing quality of life among persons aging with MS.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Facilitating Informal Support Among Older People Through Community-Based Initiatives: Identifying Underlying Mechanisms.

IF 4.6 2区医学

Gerontologist Pub Date : 2025-02-15 DOI: 10.1093/geront/gnaf070

Wenran Xia, Martina Buljac-Samardžić, Robbert Huijsman, Jan Smelik, Jeroen D H van Wijngaarden

{"title":"Facilitating Informal Support Among Older People Through Community-Based Initiatives: Identifying Underlying Mechanisms.","authors":"Wenran Xia, Martina Buljac-Samardžić, Robbert Huijsman, Jan Smelik, Jeroen D H van Wijngaarden","doi":"10.1093/geront/gnaf070","DOIUrl":"https://doi.org/10.1093/geront/gnaf070","url":null,"abstract":"Background and objectives: In the context of accelerated global aging and increasing insufficiencies in long-term care delivery, older people are encouraged to provide informal support to each other within their communities. However, the mechanisms facilitating such informal support among older people remain unclear. This study aims to address this gap by investigating the perspectives and experiences of various stakeholders involved in initiatives aimed at stimulating informal support in the community.Research design and methods: A qualitative multiple-case study was conducted in five Dutch initiatives stimulating informal support. Semi-structured interviews were conducted with a total of 23 different stakeholders and relevant documents were analyzed. An abductive thematic analysis approach was used for data analysis.Results: Our analysis shows that community-based initiatives stimulate mutual support among older people by providing a coherent set of activities and facilities that indirectly, through community building, and directly influence individual behavior. On the community level, initiatives strengthen social cohesion, in terms of for example shared values and feelings of belonging. On the individual level initiatives create opportunities to provide support, help individuals to recognise and strengthen their abilities to give support and stimulate individual motivation.Discussion and implications: Our findings underscore the need for policies that support informal care through complementary processes, which work in tandem with formal care systems. Policies and practices taking the identified mechanisms into account are likely to stimulate older people to provide informal support to each other in the community, thus enhancing aging in place.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Safety using public buses in naturally occurring retirement communities: An exploratory study in two North American cities.

IF 4.6 2区医学

Gerontologist Pub Date : 2025-02-15 DOI: 10.1093/geront/gnaf067

Tracy Chippendale, Ruheena Sangrar, Shlomit Rotenberg, Angela Curl, Natisha Baig, Lisa Suzuki

{"title":"Safety using public buses in naturally occurring retirement communities: An exploratory study in two North American cities.","authors":"Tracy Chippendale, Ruheena Sangrar, Shlomit Rotenberg, Angela Curl, Natisha Baig, Lisa Suzuki","doi":"10.1093/geront/gnaf067","DOIUrl":"https://doi.org/10.1093/geront/gnaf067","url":null,"abstract":"Background and objectives: Safe community mobility is critical to support aging-in-place. For older adults living in low-and moderate-income urban settings, driving may not be an option due to costs associated with car ownership or a lack of driving history. Some older adults retire from driving due to changes in their health. Public transportation is critical to support community engagement. However, little is known about transportation challenges in naturally occurring retirement communities (NORC). Therefore, the purpose of this Ecological theory informed study was to explore supports and limitations regarding safe public bus use in NORCs.Research design and methods: A multiple qualitative case study design was used with purposive sampling of representative cases consisting of four bus routes in NORC neighborhoods. Field observations and in-depth semi-structed interviews were conducted. Participants were: 1) Age 60 and older 2) English speaking 3) Ride the bus on average 2 or more times per month 4) Ambulatory with or without a walking aid and 5) Residents of one of the four NORC neighborhoods. A descriptive, thematic approach was used for data coding and analyses, and data was organized according to the Framework Method.Results: Seventeen NORC residents were interviewed, and 45 hours of field observations were conducted. Results revealed four major themes: Impact of other people's behavior, Obstructed passageways, Older riders impact their own safety, and Space and time orientation. Several subthemes were also uncovered.Discussion and implications: Results suggest education and policy changes are needed to increase the safety of older adults who use public buses.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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