Gerontologist最新文献

{"title":"Does caregiver stress get under the skin? Associations with care recipient inflammation.","authors":"Sophia Tsuker, Yin Liu, Lauren Bangerter, Elaina Baker, Hannah Lee, Amanda Leggett","doi":"10.1093/geront/gnaf175","DOIUrl":"10.1093/geront/gnaf175","url":null,"abstract":"<p><strong>Background and objectives: </strong>A wealth of research has focused on the caregiving stress process, while less is devoted to understanding how caregiver stress may impact health outcomes in the care recipient. We examine whether higher levels of caregiver role overload will be associated with care recipients' C-reactive protein (CRP) concentrations, an inflammatory biohormone. Additionally, this study observed whether caregivers' positive and negative appraisals of caregiving moderated this association.</p><p><strong>Research design and methods: </strong>Data are drawn from the 2017 National Health and Aging Trends Study (NHATS) and associated National Study of Caregiving (NSOC). CRP levels were assessed via dried blood spot sample. We examine the main effect of caregiver role overload on care recipient CRP, adjusting for care recipient demographics and care context. Separate models were run on the interaction of overload with emotional difficulty of care and caregiving gains to test whether appraisal of care moderates the association between caregiving overload and care recipient CRP.</p><p><strong>Results: </strong>Care recipients were predominantly female (63.72%) and averaged 78.32 years old. Caregiving role overload was positively associated with care recipient CRP concentrations (B = 0.06, β = 0.08, SE = 0.25, p = .02). No significant interaction was observed between caregiving gains or caregiving emotional difficulty in predicting CRP.</p><p><strong>Discussion and implications: </strong>Care recipients demonstrated greater CRP concentrations when their caregiver reported higher role overload, regardless of their appraisal of the care context. Efforts to help caregivers delegate tasks or offer respite may reduce overload and have positive impact on care recipients' physiological health.</p>","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12470654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745928","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}

{"title":"Active aging activities and genetic determinants of cognitive health: findings from the Kuakini Honolulu-Asia Aging Study.","authors":"Yeonjung J Lee, Kamal H Masaki, Randi Chen, Peter Martin, Ernest Gonzales, Cliff Whetung, Katsumi Takemoto, Bradley J Willcox","doi":"10.1093/geront/gnaf174","DOIUrl":"https://doi.org/10.1093/geront/gnaf174","url":null,"abstract":"<p><strong>Background and objectives: </strong>The role of an active lifestyle and genetic factors in promoting cognitive health is critical. However, few have simultaneously considered both lifestyle and genetic influences to assess how these factors are associated with cognitive health. Informed by the productive aging framework and the cognitive reserve theory, the present study investigates productive and leisure activities, apolipoprotein E epsilon 4 (APOE-ε4), and Forkhead box O3 (FOXO3) genotypes, with cognitive health among older Japanese-American men.</p><p><strong>Research design and methods: </strong>The Kuakini Honolulu Heart Program/Honolulu-Asia Aging Study, a prospective cohort study of Japanese-American men, was used to perform multivariate multinomial logistic regression models.</p><p><strong>Results: </strong>Relative to nonvolunteers, respondents engaged in volunteering had lower odds of cognitive impairment. Higher-intensity physical activity engagement was associated with decreased odds of cognitive impairment and intermediate cognitive function. However, being engaged in work was not significantly associated with odds of cognitive impairment or intermediate cognitive function. When work, volunteering, and physical leisure activities were all entered into the model, volunteers had about 54% lower odds of cognitive impairment compared to nonvolunteers, and an increase in physical leisure activity levels was related to lower odds of cognitive impairment and intermediate cognitive function. The presence of any APOE-ε4 alleles was associated with higher odds of intermediate cognitive function, but FOXO3 was not significant. All the models adjusted for the covariates. The interaction between activities and genetic factors was not significant.</p><p><strong>Discussion and implications: </strong>This study confirms the importance of social and physical activities for cognitive health promotion. Future implications are discussed.</p>","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":"65 10","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145180348","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}

{"title":"Pre-relocation evaluation of the physical environment of a traditional care home before transitioning to a dementia village.","authors":"Habib Chaudhury, Ziying Zhang, Amy Salmon","doi":"10.1093/geront/gnaf167","DOIUrl":"10.1093/geront/gnaf167","url":null,"abstract":"<p><strong>Background and objectives: </strong>The physical environment in long-term care homes is a critical component for providing quality care and support to residents with dementia. The first publicly funded \"dementia village\" model-inspired care home in Canada will offer a neighborhood environment for the residents. This study provides a baseline assessment of the physical environment's influence in a traditional dementia care unit before residents relocate to the new care village, as part of a pre and post transfer evaluation project.</p><p><strong>Research design and methods: </strong>Multi-method evaluation approaches were used, including standardized physical environmental assessments, behavioral observations of residents and staff, and staff focus groups to generate findings for a comprehensive and in-depth understanding of the role of the physical environment on residents' functioning and engagement in the selected care setting.</p><p><strong>Results: </strong>The pre-relocation baseline evaluation in the existing care unit revealed challenges arising from the unit's physical design, space use, and care practices. Three themes emerged from observations and focus group findings: \"Main Common Area: Managing Environmental Stimulation,\" \"Corridor: Wayfinding and Mobility Autonomy,\" and \"Lack of Engagement Opportunities.\"</p><p><strong>Discussion and implications: </strong>The study provided evidence on how a large, institutional care setting can pose challenges to residents' well-being and staff practices. It also highlighted the interrelations among the physical environment, residents, and staff in both positive and negative aspects.</p>","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144719062","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}

{"title":"Mushrooms and moral relativism in Francois Ozon's When Fall is Coming.","authors":"Rose Capp","doi":"10.1093/geront/gnaf218","DOIUrl":"https://doi.org/10.1093/geront/gnaf218","url":null,"abstract":"","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151752","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}

{"title":"Association Between Contextual Isolation and Self-Reported Pain among US Nursing Home Residents.","authors":"Kate L Lapane, Jonggyu Baek, Heeyoon Jung, Bill M Jesdale","doi":"10.1093/geront/gnaf212","DOIUrl":"https://doi.org/10.1093/geront/gnaf212","url":null,"abstract":"<p><strong>Background and objectives: </strong>Despite living in congregate settings, residents may not feel a sense of belonging. Contextual isolation measures the extent to which a resident does not share socially salient characteristics with others in the nursing home (e.g., sex). Because the experience of pain may be impacted by emotional factors, we quantified the association between contextual isolation and five self-reported pain measures.</p><p><strong>Research design and methods: </strong>Using a cross-sectional study design, we identified long-stay residents without dementia using national 2022 Minimum Data Set 3.0. Five self-reported pain measures were used. Residents were categorized as being contextually isolated on multiple, one, or no characteristics. Poisson and ordinal multinomial models were used to estimate adjusted prevalence ratios (aPR) and odds ratios (aOR), respectively, with generalized estimating equations to account for clustering of residents within nursing homes.</p><p><strong>Results: </strong>Among the 255,462 residents, 22.5% were contextually isolated on multiple characteristics and 32% reporting pain in the past five days. Relative to residents not contextually isolated, residents contextually isolated on multiple characteristics were less likely to report any pain (aPR: 0.98, 95% CI: 0.96-0.99) and pain that limits daily activities (aPR : 0.92, 95% CI: 0.88-0.96) Residents contextually isolated on multiple characteristics had decreased odds of higher pain frequency (aOR: 0.96, 95% CI: 0.93-0.98) and pain severity (aOR: 0.96, 95% CI: 0.93-0.99) than residents without contextual isolation.</p><p><strong>Discussion and implications: </strong>Interventions to improve welcoming and inclusive nursing home environments may reduce the potential adverse effects of contextual isolation on pain underreporting among long-stay residents without dementia.</p>","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126169","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}

{"title":"The Potential Negative Effects of Ageism on Digital Engagement of Older Adults: A Meta-Analysis.","authors":"HaiYang Huang, LiJun Chen","doi":"10.1093/geront/gnaf217","DOIUrl":"https://doi.org/10.1093/geront/gnaf217","url":null,"abstract":"<p><strong>Background and objectives: </strong>Older adults, often referred to as \"digital immigrants,\" face persistent digital exclusion. Despite growing attention, ageism's role in shaping their digital engagement remains unclear with inconsistent findings. Applying the Ageism Generation Model, this meta-analysis examines ageism-digital participation linkages to address critical psychological barriers, and further to improve the old people's digital participation.</p><p><strong>Research design and methods: </strong>We meta-analyzed 21 studies (72 effect size, N = 194,468) on adults aged 60+, using a random-effects mode. Eligible publications provided empirical data on ageism-digital participation links. To explore the potential moderators, meta-regression and subgroup analyses were conducted.</p><p><strong>Results: </strong>Relatively weak negative association was observed between ageism and digital service usage among older adults (r = -0.13, 95% CI [-0.18, -0.09]). Further analysis revealed that this relationship was moderated by education level, chronological age, and cultural background, suggesting that sociodemographic factors shaped the impact of ageism on digital exclusion. While gender failed to independently moderate the ageism-digital participation linkage among old adults, it interacted with cultural context and age demonstrated significant moderation.</p><p><strong>Discussion and implications: </strong>This study observed a weak but significant associations between digital participation and both self- and other-directed ageism among older adults, underscoring the operationalization of self-fulfilling prophecies within the Ageism Generation Model framework. The study clarified the psychological mechanisms behind the digital divide and provided a foundation for interventions aimed at fostering positive attitudes toward technology among older adults. These insights are critical for policymakers and practitioners seeking to promote equitable digital inclusion in an aging society.</p>","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126236","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}

{"title":"Memories on the Move: Development and Feasibility of Social Reminiscence Walking for Older Black Adults in Seattle.","authors":"Raina Croff, Lia Kaluna, Boeun Kim, Marigrace Becker, Basia Belza, Najma Abdi, Meshack Otewa, Harison Lagat, Anthony Cryer, Karen Winston, Stephanie Johnson-Toliver, Dian Ferguson, Tamara Keefe, Beverly Kimmons, Jonathan Lee, Juell Towns","doi":"10.1093/geront/gnaf213","DOIUrl":"https://doi.org/10.1093/geront/gnaf213","url":null,"abstract":"<p><strong>Background and objectives: </strong>For long-term older Black residents, gentrification-related cultural changes to a neighborhood can decrease the person-environment fit and increase risk of sedentism and disconnectedness. Community and academic partners piloted the Sharing History through Active Reminiscence and Photo-imagery (SHARP) approach to promote physical and social activity among older Black adults in Seattle's gentrifying Central District.</p><p><strong>Research design and methods: </strong>A focus group with 10 older Black adults provided historically and culturally significant places, events, people, and themes for developing 12 localized reminiscence routes. Twelve triads walked 1-mile routes with history-based conversation prompts, three times per week for four weeks, and completed a post-study focus group.</p><p><strong>Results: </strong>Thirty-one participants completed the pilot. Mean age was 71.8 years. Participants reported better self-rated health and fewer depressive symptoms, and felt the program was good for their mood, cognitive health, and social connectedness. Participants prioritized social engagement but found physical activity motivating and walk dose and duration appropriate. Image prompts generated good discussion and community-based memories and facilitated social engagement outside the program. Sharing and recording place-based history was deemed an important program aspect and expanded a sense of community pride and urgency to preserve its history amidst forced displacement of the Black community. Scheduling, sidewalk conditions, construction, technology malfunctions, and incongruously placed or confusing prompts were frustrating.</p><p><strong>Discussion and implications: </strong>Where gentrification can disengage long-term older Black residents from neighborhood-based walking and socializing, SHARP leverages the changing cityscape to engage them in these healthy behaviors, honoring their health and history.</p>","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092954","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}

{"title":"Routinized Violence: Examining Long-term Residential Care Workers' Perspectives on Involuntary Treatment.","authors":"MacGregor Goodman, Laura M Funk, Rachel V Herron, Sheila Novek","doi":"10.1093/geront/gnaf215","DOIUrl":"https://doi.org/10.1093/geront/gnaf215","url":null,"abstract":"<p><strong>Background and objectives: </strong>In long-term residential care (LTRC), sometimes workers provide treatment that residents refuse or resist, which can cause harm to both workers and residents. In this analysis, we explored how and when workers provide involuntary treatment, when they accept or see this practice as necessary and when they reject this practice.</p><p><strong>Research design and methods: </strong>Following a qualitative research design, data were collected through interviews with nurses, health care aides, recreation, and housekeeping staff in two Canadian provinces and observations in two LTRC facilities in the province of Manitoba. Using an interpretive coding approach and guided by Foucauldian concepts of power and structural violence, we examined descriptions of violent situations and everyday interactions with a particular focus on involuntary treatment.</p><p><strong>Results: </strong>Beliefs about the potential for physical harm toward workers influenced the perceived acceptability, or rejection, of involuntary treatment. However, workers often expressed ambivalence about the acceptability of certain practices (e.g., using multiple workers to hold down a resident to provide personal care). The potential for worker injury and risk of being reprimanded were frequently identified by workers as shaping their decisions about whether to proceed with treatment to which the resident had not consented. At times, workers also expressed obligation to provide involuntary treatment for biomedical reasons, or because there seemed to be no good alternative.</p><p><strong>Discussion and implications: </strong>Workers' narratives about involuntary treatment reflect a lack of interpersonal and organizational safety that undermines the autonomy and dignity of those for whom they provide care.</p>","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092939","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}

{"title":"Older men who care: Representations of caring masculinities in Updike's, Saunders's and Kureishi's short fiction.","authors":"Àngels Llurda-Marí","doi":"10.1093/geront/gnaf216","DOIUrl":"https://doi.org/10.1093/geront/gnaf216","url":null,"abstract":"<p><p>The intersection of old age, masculinities, and care remains largely overlooked in academic literature, reflecting society's invisibility and devaluation of care and ageing. While research on caring masculinities has expanded since Elliott's (2016) influential formulation, later life caring masculinities remain underexplored. This study adopts a literary gerontology approach, integrating masculinity studies and a feminist ethics of care, to analyse representations of older male caregivers in short stories by John Updike, George Saunders, and Hanif Kureishi. Through their protagonists' caring practices, these stories reveal care's potential to renegotiate aging and masculine identities, while also exposing the ambivalences of structural privilege in caring masculinities. Moreover, while the protagonists' status as older men entails a decline in social and cultural power, it also opens spaces to reimagine masculinity beyond dominant and hegemonic forms and to challenge reductive portrayals of older adults as dependent, passive, or voiceless.</p>","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145093006","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}

{"title":"Catching up with stagnation: cause-specific dynamics of change in life expectancy at age 65 in the United States, Canada and Latin America, 2000-2019.","authors":"Octavio Bramajo, Neil Mehta, Mikko Myrskylä","doi":"10.1093/geront/gnaf214","DOIUrl":"https://doi.org/10.1093/geront/gnaf214","url":null,"abstract":"<p><strong>Background and objectives: </strong>Recent focus on United States longevity stagnation at higher ages has focused on comparisons with other high-income countries, with less attention paid to its performance relative to peer nations in the Americas. This study examines changes in life expectancy at age 65 (LE65) in the United States, Canada, and seven Latin American countries-Argentina, Brazil, Chile, Costa Rica, Colombia, Mexico, and Peru-between 2000 and 2019, disaggregated by sex and cause of death.</p><p><strong>Research design and methods: </strong>This observational study used United Nations World Population Prospects life tables and World Health Organization death causes data, applying decomposition methods to assess the contribution of death causes to changes in LE65.</p><p><strong>Results: </strong>United States, Canada, and Costa Rica experienced substantial increases in LE65 during 2000-2010 in both sexes, with gains ranging from 1.3 to 2 years. These gains were primarily driven by reductions in cardiovascular disease (CVD) mortality, which contributed between 1 and 1.3 years to LE65 growth, widening the gap with some Latin American countries. From 2010-2019, the contribution of CVD to LE65 more than halved (and the relative contribution of CVD to gains in LE65 diminished in the United States, Canada and Mexico), and total gains in LE65 stagnated between 0.5 and 1 years. Females presented a higher relative contribution of CVD to changes in LE65 than males.</p><p><strong>Discussion and implications: </strong>Thestagnation in LE65 observed across the Americas during 2010-2019 highlights the need for developing national, sex-specific strategies to reduce cardiovascular mortality across countries in the region.</p>","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092820","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}