Gerontologist最新文献

{"title":"The Association of Individual Characteristics with Count of Important Recreational Preferences for Nursing Home Residents.","authors":"Maura Clarke, Allison R Heid, Karen Eshraghi, Katherine M Abbott, Kimberly Van Haitsma","doi":"10.1093/geront/gnaf211","DOIUrl":"https://doi.org/10.1093/geront/gnaf211","url":null,"abstract":"<p><strong>Background and objectives: </strong>Nursing homes (NH) are mandated to provide person-centered care (PCC). One way PCC is operationalized is through residents' expressions of preferences for daily care. Honoring recreational care preferences is particularly key to promoting well-being. How individuals differ in their count of important preferences could affect how easy or hard it is to have their daily recreational care preferences met. Research is needed to determine what factors (demographic and clinical) may be related to individuals having more or fewer recreational preferences.</p><p><strong>Research design and methods: </strong>Minimum Dataset (MDS 3.0) data and count of important recreational preferences (34-items from the Preferences for Everyday Living Inventory; PELI-NH) were collected from 591 NH residents. Descriptive statistics and correlations were run among demographic (gender, marital status, age, length of stay) and clinical characteristics (hearing/vision impairment, cognitive impairment, depressive symptoms, functional disability, pain). Stepwise regression examined the characteristics associated with count of important recreational preferences.</p><p><strong>Results: </strong>NH Residents reported on average 21.48 important recreational preferences (Range: 1 to 34). Females reported a higher count of important preferences than males. Cognitive and vision impairment were negatively associated with the count of important preferences.</p><p><strong>Discussion and implications: </strong>Identifying characteristics of NH residents that are associated with the count of important recreational preferences a person has can help clinicians better tailor individualized care. Knowing that females and those with greater cognitive and visual ability have more preferences, may mean that more recreational options are needed to achieve preferent congruent care for these individuals.</p>","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092977","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":"Discrimination Among Black Women: The Role of Age.","authors":"Brionna Colson-Fearon, H Shellae Versey","doi":"10.1093/geront/gnaf205","DOIUrl":"https://doi.org/10.1093/geront/gnaf205","url":null,"abstract":"<p><strong>Background and objectives: </strong>Experiences of discrimination vary across the life course. However, few studies have explored how attributions for discrimination differ in early adulthood, midlife, and older age. Moreover, whether discrimination from multiple sources is recognized and reported is an ongoing question. The present study examines relationships between age, domains of discrimination (e.g., item-level endorsements), and discrimination attributions among a sample of Black women.</p><p><strong>Research design and methods: </strong>Data were drawn from a national sample of Black women (N = 944, M  age = 44.79) recruited in 2020. Logistic regression analyses and independent samples t-tests were used to examine main effects.</p><p><strong>Results: </strong>Findings indicate domain-specific differences in reports of discrimination and discrimination attributions by age, such that older women report less discrimination and are less likely to report intersectional attributions for discrimination.</p><p><strong>Discussion and implications: </strong>The current study has implications for policy interventions aimed at reducing discrimination and improving mental and physical health outcomes of minoritized populations generally, and Black women specifically.</p>","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145093000","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":"Conceptualizing Black Feminist Womanist Gerontology: Applying a Critical Framework for Research on Black Women in Menopause.","authors":"Brandy Harris Wallace, Tamara A Baker, Cassandra Ford","doi":"10.1093/geront/gnaf209","DOIUrl":"https://doi.org/10.1093/geront/gnaf209","url":null,"abstract":"<p><p>Recent scholarship has questioned the lack of culturally responsive, theory-guided research addressing the connections between aging, minority communities, and what is needed to advance health equity. Models that utilize traditional theories of aging often do not account for cultural context that undergirds the aging experience, and this is especially the case for older Black women. To understand the ways in which Black women thrive, we must consider various approaches that define their well-being. Dichotomizing aging into concrete categories as healthy/unhealthy may unintentionally isolate this group where aging successfully presents as a contradiction, thus perpetuating further marginalization. It is important that scholarship and intervention projects reflect cultural humility in dissemination. Therefore, we propose Black-Feminist-Womanist Gerontology, a curation of thought that creates a foundation by which Black women survive, live, and age, despite the 'gold standard' of aging being dominated by white ethnocentric context that pathologizes older Black women's lived experiences. In this forum article, we summarize the principles of Black Feminist-Womanist Gerontology, a culturally relevant model for studying Black women's health as they age. Factors of the model and recommendations of its use will be discussed and applied to the study of Black women in menopause.</p>","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092974","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":"Offspring Education and Parents' Cognitive Health: Nativity Differences among Older Hispanic Adults.","authors":"Jenjira Yahirun, Jaycob Applegate, Krysia Mossakowski, Mark D Hayward","doi":"10.1093/geront/gnaf208","DOIUrl":"https://doi.org/10.1093/geront/gnaf208","url":null,"abstract":"<p><strong>Background and objectives: </strong>Studies that examine the correlates of cognitive health among U.S. Hispanic older adults have not sufficiently explored the role of offspring resources. Given recent evidence of the importance of offspring education for older parents' cognitive health, this study assesses whether the relationship between offspring education and Hispanic parents' cognitive trajectories varies by nativity status.</p><p><strong>Research design and methods: </strong>Data come from the U.S. Health and Retirement Study (2000-2018). Multi-level models are used to evaluate the relationship between adult children's college education and parents' cognitive trajectories for Hispanic parents over age 50. We also determine whether the link between offspring schooling and parents' cognitive trajectories differs in magnitude for foreign- versus native-born parents.</p><p><strong>Results: </strong>The results show that offspring college completion is associated with Hispanic parents' initial cognitive scores, but not parents' cognitive score trajectories. Moreover, the cognitive health of native-born parents is more sensitive to children's college completion than foreign-born parents. These results are robust to controls for certain explanatory pathways, including offspring social support to parents, parents' depressive symptoms, and parents' health behaviors.</p><p><strong>Discussion and implications: </strong>Children's educational resources remain a hidden source of health disparities among older parents. Although our findings confirm this general relationship for older Hispanic adults' cognitive health, significant diversity within the Hispanic community also suggests that children's resources may play different roles for native- versus foreign-born parents. Future research is needed to clarify how nativity status and ethnicity jointly shape the relationship between family members' resources and older adult cognitive health.</p>","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092930","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":"From Diagnosis to Dialogue: a call for support of older adults with a late autism diagnosis.","authors":"Marije Blok, Frans W Jacobs, Arjan C Videler, Hilde M Geurts, Jan Pieter Teunisse","doi":"10.1093/geront/gnaf181","DOIUrl":"https://doi.org/10.1093/geront/gnaf181","url":null,"abstract":"<p><p>Although both in autism and gerontological research the attention for aging well with autism is growing, little attention has been paid to the impact of receiving an autism diagnosis in later life. This is unfortunate, as nowadays many of the older adults on the autism spectrum have spent most of their lives being unaware of their autism. Drawing on previous research, our combined personal and professional experiences, and the narratives of eighteen older adults diagnosed later in life (aged 60-77, 50% female), we argue that a late autism diagnosis necessitates a fundamental rethinking of aging, identity, personal relationships and appropriate support. Effective interventions must be tailored to the specific needs and strengths of this population, ensuring that late-diagnosed older adults with autism receive the recognition, understanding, and tools they require to navigate their lives with confidence and self-awareness. Our findings highlight the need for a conceptual shift in how gerontology understands and addresses autism among older adults. In addition, the narratives of the older adults informed the (co-)creation of a conversational tool designed to help older adults with autism articulate personal boundaries and aspirations. By fostering understanding and dialogue, this initiative extends beyond individual transformation to promote broader societal awareness and support.</p>","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092979","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":"Comparison of Caregivers of Older Adults in State and National Surveys to Those seeking Help in California's Caregiver Resource Centers.","authors":"Janice F Bell, Robin L Whitney, Tina R Kilaberia, Benjamin M Link, Orly Tonkikh, Heather M Young","doi":"10.1093/geront/gnaf192","DOIUrl":"https://doi.org/10.1093/geront/gnaf192","url":null,"abstract":"<p><strong>Background and objectives: </strong>Large population-based surveys are often used in caregiver research and to support policy, while caregivers seeking help and resources-key targets of the 2022 National Strategy to Support Family Caregivers-have not been fully described. We describe and compare caregiver attributes in a California-wide population seeking support to those in state and national surveys.</p><p><strong>Research design and methods: </strong>This descriptive comparative study harmonized and compared variables across four data sources (2020-2022): Caregiving in the US (CGUS; n = 1,089); National Study of Caregiving (NSOC; n = 1,885) California Health Interview Survey (CHIS; n = 2,159); and CareNav™, a web-based application supporting services in California-based Caregiver Resource Centers (CRC; n = 5,967).</p><p><strong>Results: </strong>More CRC caregivers were female, older, married or partnered, and caring for someone with Alzheimer's disease or dementia. They were more likely to provide care for ≥40 hours/week (74% vs. 10% CHIS; 22% CGUS; 16% NSOC); support activities of daily living (94% vs. 68% CGUS), perform medical/nursing tasks (83% vs. 59% CGUS; 10% NSOC) and provide high-intensity care (90% vs. 40% CGUS). More CRC caregivers reported fair/poor health (34% vs. 18% CHIS; 18% CGUS; 21% NSOC), loneliness (21% vs. 2% CHIS), and worse health due to caregiving (31% vs. 15% CHIS; 21% NSOC).</p><p><strong>Discussion and implications: </strong>Caregivers seeking help and resources provide more full-time, high intensity care with more impact on well-being compared to caregivers in large probabilistic samples. Reliance solely on population-based surveys to set targets to support caregivers, monitor progress, or allocate resources may miss the caregivers that need help the most.</p>","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092838","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":"Understanding how social context shapes decisions to seek institutional care: a qualitative study of experiences of progressive cognitive decline among latinx families.","authors":"Ignacia Arteaga, Alma Hernandez de Jesus, Brandi Ginn, Corey M Abramson, Daniel Dohan","doi":"10.1093/geront/gnaf207","DOIUrl":"https://doi.org/10.1093/geront/gnaf207","url":null,"abstract":"<p><strong>Background and objectives: </strong>Latinx individuals in the United States experience elevated risk of cognitive impairment, less access to institutional care, and more caregiver strain. Cultural orientations have been emphasized as a factor in caregiving decisions in Latinx families but rarely in the context of community structural position and institutional circumstances. This ethnographic case study illustrates how cultural, institutional, and structural factors shape Latinx families' deliberations and decisions about institutional care for members experiencing cognitive decline.</p><p><strong>Research design and methods: </strong>We use comparative ethnography to examine experiences of older adults with cognitive decline and their care partners. Analysis focuses on ten care partners and nine older adults in urban and rural Northern California. Drawing on analytical memos that integrate data from semi-structured interviews and participant observation in community settings, we explore how older adults and care partners make decisions to pursue institutional care.</p><p><strong>Results: </strong>Among our Latinx respondents, decisions to relocate from private to institutional care is complex and context-dependent. These decisions reflect cultural orientations including values of familism and individuality as well as access to resources that reflect structural circumstances and support networks that assist in navigating local institutions. Familism is enacted in diverse ways, with family involvement playing a role before, during, and beyond institutionalization.</p><p><strong>Discussion and implications: </strong>This study illustrates how social factors contextualize culturally-mediated decisions regarding older adult caregiving in Latinx families. Its results imply that navigational assistance could support decision-making in Latinx communities. it highlights the utility of fine-grained data for accurately capturing this dynamic process.</p>","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092957","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":"Concurrent and convergent construct validities of the 5-item 'World Health Organization Ageism Experiences Scale' in older French Canadians.","authors":"Mélanie Levasseur, Daniel Naud, Aja L Murray","doi":"10.1093/geront/gnaf202","DOIUrl":"https://doi.org/10.1093/geront/gnaf202","url":null,"abstract":"<p><strong>Background and objectives: </strong>Few instruments have a multi-faceted scope designed to capture several ageism across diverse contexts, known psychometrics qualities, and are available in multiple languages. The World Health Organization developed the Ageism Scale (WHO-ageism), a 5-item multi-faceted instrument, but its psychometrics qualities and French version are lacking. This study aimed to document the French translation of the WHO-ageism, verify its factor structure and internal consistency, and examine its concurrent construct validity with the Everyday Ageism Scale (EAS) and its convergent validity with social participation and life satisfaction, among older adults living in conventional dwellings (CD) and independent living facilities (ILF).</p><p><strong>Research design and methods: </strong>The WHO-ageism was translated according to the Translation, Review, Adjudication, Pretest, and Documentation approach. A cross-sectional survey was carried out with French-speaking adults aged 75 + (n = 979). The concurrent and convergent construct validities of the WHO-ageism were examined with correlations with the EAS, social participation and life satisfaction scales.</p><p><strong>Results: </strong>Translation was finalized without disagreements. Respondents averaged 82.2 years (s.d.=5.4), with two-thirds women. The 5-item version presented a single-factor structure and a minimally acceptable internal consistency. WHO-ageism presented satisfactory convergent validity with the EAS (r = 0.40; p < 0.001), among women and men (r = 0.29 and 0.43; p < 0.001), and in CD and ILF (r = 0.43 and 0.28; p < 0.001). It correlated weakly with social participation (r=-0.09; p < 0.01) and life satisfaction (r=-0.28; p < 0.001).</p><p><strong>Discussion and implications: </strong>These results demonstrate the WHO-ageism's single-factor structure, internal consistency and construct validity, supporting its use in large population surveys to inform strategies addressing ageism.</p>","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092997","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 Association Between Childlessness and Loneliness in Later Life: Does Friendship Play a Moderating Role?","authors":"Alison C Rataj, Andrew Alberth, Yan-Jhu Su, Elisabeth J Stam, Jeffrey E Stokes","doi":"10.1093/geront/gnaf204","DOIUrl":"https://doi.org/10.1093/geront/gnaf204","url":null,"abstract":"<p><strong>Background and objectives: </strong>While loneliness is a common experience among midlife and older adults, those without children may be more vulnerable. Childless adults may place more emphasis on friendships to alleviate feelings of loneliness compared to parents. This study explored the association between parental status and loneliness among adults aged 50+, and whether this association was moderated by perceived friendship quality.</p><p><strong>Research design and methods: </strong>Using combined data from the 2016 and 2018 waves of the Health and Retirement Study, the sample included 11,670 adults aged 50 and older. Loneliness was measured using the 11-item UCLA loneliness scale. Parental status was operationalized as having any living children. Friend support (3-item scale) and friend strain (4-item scale) were included as moderating variables. Multiple imputation was used to address missingness and ordinary least squares regression was conducted.</p><p><strong>Results: </strong>Bivariate and multivariate regression analysis indicated that childless adults were lonelier than adults with one or more living children. Findings indicated that friendships characterized by support were associated with lower loneliness, and friend support was more strongly linked with reduced loneliness among adults without any children.</p><p><strong>Discussion and implications: </strong>Adults aged 50+ without children may not reap the positive social benefits of having children, including the provision of emotional companionship, leading to increased loneliness. However, having friendships characterized by higher levels of support and lower levels of strain are best for reducing loneliness among adults aged 50+ without children. Future research should further explore whether friendships reduce loneliness among childless older adults.</p>","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092984","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 Poetics of Decline in Julian Barnes's The Lemon Table.","authors":"Chen Su","doi":"10.1093/geront/gnaf201","DOIUrl":"https://doi.org/10.1093/geront/gnaf201","url":null,"abstract":"<p><p>This study explores Julian Barnes's The Lemon Table, offering a critical examination of how the text engages with and interrogates dominant cultural narratives surrounding aging. Through close reading and literary analysis, informed by philosophies of aging and the broader critical humanities, the paper argues that Barnes challenges the commonly idealized notion of \"successful aging,\" which prioritizes sustained cognitive, physical, and social vitality. The fragmented narrative structure of Barnes's work highlights themes such as cognitive decline, physical frailty, and social isolation-elements central to critical gerontology's concept of the \"Fourth Age.\" Rather than functioning solely as a representation of old age, Barnes's use of episodic forms and corporeal focalization mirrors the fragmented and multifaceted experiences associated with aging. By employing these strategies, Barnes critiques sanitized cultural depictions of later life, encouraging readers to confront its complexities and discomforts. This analysis ultimately positions The Lemon Table as an important contribution to literary and gerontological discourse, advocating for a more comprehensive and authentic understanding of aging.</p>","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092911","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}