Gerontologist最新文献_第7页

Two roads successful aging model: a new paradigm. 两条路成功的老龄化模式：一个新范式。

IF 3.2 2区医学

Gerontologist Pub Date : 2025-09-08 DOI: 10.1093/geront/gnaf173

Feng Huang, Ka Ho Mok

{"title":"Two roads successful aging model: a new paradigm.","authors":"Feng Huang, Ka Ho Mok","doi":"10.1093/geront/gnaf173","DOIUrl":"10.1093/geront/gnaf173","url":null,"abstract":"Successful aging is a central theme in social gerontology. However, two perspectives have been drawing rebuttals: the paradox of de-ageism in successful aging and the dualist thinking of successful aging theories. This study aims to address the paradox of de-ageism in successful aging and the dualist thinking of successful aging theories. Drawing on critiques on successful aging theories and analysis of the chapter titled, Equalizing Assessments of Things from Zhuangzi's Taoist philosophy, this study proposes a new paradigm called, two roads successful aging, juxtaposed against Eastern and Western theories of aging. The two roads successful aging model claims that everyone can age successfully when they employ the two roads approach. Three principles, with three related attributes, namely, equality, freedom, and being, govern the use of the two roads successful aging paradigm. The implications of the two roads successful aging paradigm can be synthesized as follows: it debunks the myth of the paradox of de-ageism in successful aging; serves as an inclusive East-West paradigm to address the dilemma of dualism in aging theories; and provides a new two roads approach for intergenerational interactions, a two roads successful aging welfare model, and a feasible two roads outlook for coping with aging and aging-related stressors.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745930","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

Late style, new starts, and Malamud's God's Grace. 晚期风格，新开始，马拉默德的上帝的恩典。

IF 3.2 2区医学

Gerontologist Pub Date : 2025-09-08 DOI: 10.1093/geront/gnaf180

L Lamar Nisly

引用次数: 0

"God will prosper you for doing this for me": A Phenomenological Exploration of Older Carers' Experiences of Informal Caregiving in Nigeria. “上帝会保佑你为我做这件事”：对尼日利亚老年护理人员非正式护理经历的现象学探索。

IF 3.2 2区医学

Gerontologist Pub Date : 2025-08-19 DOI: 10.1093/geront/gnaf186

Juliet Chigozie Donatus Ezulike, Shiyu Lu, Marcus Yu Lung Chiu

{"title":"\"God will prosper you for doing this for me\": A Phenomenological Exploration of Older Carers' Experiences of Informal Caregiving in Nigeria.","authors":"Juliet Chigozie Donatus Ezulike, Shiyu Lu, Marcus Yu Lung Chiu","doi":"10.1093/geront/gnaf186","DOIUrl":"10.1093/geront/gnaf186","url":null,"abstract":"Background and objectives: Many studies on informal caregiving experiences recruited samples from clinical settings or pre-existing datasets, resulting in suspected selection biases. There is also a limited understanding of how culture shapes the perceptions of positive caregiving beyond the Asian context. In Nigeria, existing studies on older adults' care primarily focus on young and middle-aged caregivers. This study fills existing gaps by investigating the experiences of informal caregiving among community-dwelling older carers in Nigeria.Research design and methods: Thirty in-depth interviews were conducted with community-dwelling older informal caregivers aged 54-88 years against the backdrop of a life expectancy of 53 years in Nigeria. Van Manen's hermeneutic phenomenological design guided this study. We managed the qualitative data with QSR NVivo 12 software.Results: Our findings include themes of financial constraint, poor health, a crowded-out personal life, a mismatch between care recipients' expectations and caregivers' capacity, blessings from God, benefits elicited by reciprocity, and individuals' perception of the intrinsic worth of caregiving.Discussion and implications: Our findings highlight both the challenging and rewarding aspects of informal caregiving. In the absence of formal support systems, the demands of caregiving may have a more pronounced impact on caregivers in Nigeria. Moreover, the nuances in our participants' experience of positive caregiving outcomes are shaped by their adherence to Afrocentric cultural norms. Our findings highlight the need to develop tailored support programs and a deeper level of work to fortify cultural norms that promote the wellbeing of older people in the family in Nigeria.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884280","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

Love and Connection in the Storm of Dementia. 痴呆风暴中的爱与联系。

IF 3.2 2区医学

Gerontologist Pub Date : 2025-08-09 DOI: 10.1093/geront/gnaf183

Jim VandenBosch

引用次数: 0

Using the "Thrills and Pleasures of Horror" to Explore Aging and Old Age in Fear of Aging. 用“恐怖的刺激和乐趣”在对衰老的恐惧中探索衰老和老年。

IF 3.2 2区医学

Gerontologist Pub Date : 2025-08-06 DOI: 10.1093/geront/gnaf182

Ronald W Berkowsky

引用次数: 0

Role shifts and transformations: theater-based participatory action research with women caring for spouses with dementia. 角色转换和转变：以戏剧为基础的参与行动研究与照顾痴呆症配偶的妇女。

IF 3.2 2区医学

Gerontologist Pub Date : 2025-08-04 DOI: 10.1093/geront/gnaf160

Meira Medina-Junge, Dovrat Harel, Shoshi Keisari

{"title":"Role shifts and transformations: theater-based participatory action research with women caring for spouses with dementia.","authors":"Meira Medina-Junge, Dovrat Harel, Shoshi Keisari","doi":"10.1093/geront/gnaf160","DOIUrl":"10.1093/geront/gnaf160","url":null,"abstract":"Spouses caring for their partners with dementia face multifaceted challenges influenced by their marital life course. The current study employed theater-based participatory action research to explore and understand the lived experiences of women caring for spouses with dementia. Over 10 sessions, seven caregiver-women engaged in theatrical methods to explore the personal, familial, and social transformations they were facing. Individual guided recall interviews were conducted while reviewing segments from the videotaped sessions. The data which included video recordings of the sessions and post-interviews were analyzed using an inductive reflexive thematic approach integrated with the Six-Keys model for analyzing the dramatic scenes. Three main themes emerged from the analysis: (a) redefining roles within the couple's relationship, (b) redefining roles within the close environment, and (c) redefining roles in relation to state health care institutions and authority figures. The discussion centers on the three lived continua that captured the findings: (a) integration versus splitting; (b) loneliness versus shared experiences, and (c) suppression versus activism. It is shown how the theatrical methods enabled the caregiver-women to explore their life-course experiences and their changing roles and rehearse new strategies for coping and communicating.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12393904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499172","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

Perceived neighborhood characteristics and activity engagement among racially and ethnically diverse older adults. 感知邻里特征和活动参与在种族和民族不同的老年人。

IF 3.2 2区医学

Gerontologist Pub Date : 2025-08-04 DOI: 10.1093/geront/gnaf152

Jeein Law, Jeffrey E Stokes, Jeffrey A Burr, Jaqueline C Avila

{"title":"Perceived neighborhood characteristics and activity engagement among racially and ethnically diverse older adults.","authors":"Jeein Law, Jeffrey E Stokes, Jeffrey A Burr, Jaqueline C Avila","doi":"10.1093/geront/gnaf152","DOIUrl":"10.1093/geront/gnaf152","url":null,"abstract":"Background and objectives: This study investigated whether perceived neighborhood social cohesion and physical disorder are associated with activity engagement among older adults, with a focus on racial and ethnic differences.Research design and methods: We employed data from the 2018 and 2020 waves of the Health and Retirement Study (N = 8,036 adults aged 50 and above). Activity engagement was measured as the total number of activities in which older adults participated on a monthly basis. The independent variables were perceived neighborhood social cohesion and physical disorder. We used Poisson regression to examine the associations between neighborhood characteristics and activity engagement, including the interaction between these characteristics and race/ethnicity.Results: Both neighborhood social cohesion and physical disorder were positively associated with overall activity engagement. The effect of social cohesion on overall activity engagement was weaker among Hispanic older adults compared to older non-Hispanic White older adults, but the effect of physical disorder on activity engagement was stronger among Hispanic older adults compared to older non-Hispanic White adults. No significant interaction results were found for non-Hispanic Black older adults.Discussion and implications: Older adults in neighborhoods with high physical disorder were more likely to engage in activities than those living in neighborhoods with less physical disorder. These older adults may belong to tight-knit social networks with strong bonds, working together to reduce the negative impact of physical disorder. The benefits of social cohesion were less pronounced for Hispanic older adults, who may prioritize individual or family activities over neighborhood activities.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295362","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

Use of cognitive screening among older adults who care for people with dementia: a national survey. 在照顾痴呆症患者的老年人中使用认知筛查：一项全国调查。

IF 3.2 2区医学

Gerontologist Pub Date : 2025-08-04 DOI: 10.1093/geront/gnaf150

Ying Liu, Wei Ye, Soeren Mattke

{"title":"Use of cognitive screening among older adults who care for people with dementia: a national survey.","authors":"Ying Liu, Wei Ye, Soeren Mattke","doi":"10.1093/geront/gnaf150","DOIUrl":"10.1093/geront/gnaf150","url":null,"abstract":"Background and objectives: Older adults caring for people with dementia experience substantial burden and bear higher risk of cognitive decline themselves. Little is known on their uptake of cognitive screening.Research design and methods: Between December 19, 2023, and February 28, 2024, US residents aged 65+ from a nationally representative, probability-based internet panel were surveyed on their experience with cognitive screening in the past 12 months. Self-reported caregiving status, including the health conditions of the care recipients, was collected between 2011 and 2023. Multivariable logistic regression examined the association between the probability of taking a cognitive test and the caregiver status (dementia caregiver, non-dementia caregiver, or non--caregiver), after accounting for the demographics, whether having subjective memory concerns, and whether having a usual source of care.Results: Among the 2,272 participants (74% of eligibles), 19.7% reported having undergone a cognitive test during a doctor's visit: 25.2% of dementia caregivers, 19.2% of non-dementia caregivers, and 19.1% of non-caregivers. After regression adjustment, dementia caregivers had a 6 percentage points higher rate of screening (adjusted odds ratio [AOR] = 1.44, 95% CI = 1.01, 2.07), whereas no difference was found between non-dementia caregivers and non-caregivers (AOR = 1.03, 95% CI = 0.82, 1.30).Discussion and implications: This study provides evidence that older dementia caregivers are significantly but only marginally more likely to undergo cognitive screening than their non-dementia caregiver and non-caregiver counterparts, despite their increased risk of cognitive impairment. These findings call for attention to this potential gap in care, and interventions to address the barriers faced by older dementia caregivers.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12319532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295363","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

Equitable formal care access: examining processes for Hispanic/Latino family dementia caregivers' decision-making. 公平的正规护理机会：西班牙裔/拉丁裔家庭痴呆症护理人员决策的检查过程。

IF 3.2 2区医学

Gerontologist Pub Date : 2025-08-04 DOI: 10.1093/geront/gnaf168

Alma A Manzo, Joahana Segundo, Maggie Britton, Ashley J Housten, Zachary G Baker

{"title":"Equitable formal care access: examining processes for Hispanic/Latino family dementia caregivers' decision-making.","authors":"Alma A Manzo, Joahana Segundo, Maggie Britton, Ashley J Housten, Zachary G Baker","doi":"10.1093/geront/gnaf168","DOIUrl":"10.1093/geront/gnaf168","url":null,"abstract":"Background and objectives: Although there are benefits to formal care, Hispanic/Latino family caregivers of people with dementia face multiple barriers to access. Moreover, the decision-making processes Hispanic/Latino family caregivers use when considering formal care are unclear. The present study examines how Hispanic/Latino family caregivers make formal care decisions, explores why they choose to use or avoid formal care, and identifies accessible methods of disseminating information about formal care options.Research design and methods: We conducted virtual interviews with 14 Hispanic/Latino caregivers of people with dementia in the United States. These interviews were guided by the Ottawa Decision Support Framework, conducted in English and Spanish, and analyzed deductively using thematic analysis.Results: Four main themes were identified: (1) reasons family caregivers may not choose formal care, (2) perceived benefits of formal care, (3) how family caregivers choose formal care, and (4) recommendations for delivering information about formal care options. Although Hispanic/Latino family caregivers recognize formal care provides respite and support, many prefer to use it when their caregiving responsibilities become overwhelming. Researchers also found that participants' ability to embrace Hispanic/Latino culture and Spanish proficiency were crucial. Participants expressed the importance of guidance from doctors and the efficiency of online methods in disseminating information.Discussion and implications: This study provides a foundation for addressing ethnic disparities in access to formal care. It also lays crucial groundwork for the future development of decision-support interventions by examining decisional needs, identifying accessible methods for disseminating information, and centering the Hispanic/Latino experience.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144719061","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

"I love public transport, but now I'm too afraid to use it": a qualitative study of public transport use cessation among older adults. “我喜欢公共交通，但现在我太害怕使用它了”：一项关于老年人停止使用公共交通的定性研究。

IF 3.2 2区医学

Gerontologist Pub Date : 2025-08-04 DOI: 10.1093/geront/gnaf153

Omer Dilian, Nadav Davidovitch, Karel Martens

{"title":"\"I love public transport, but now I'm too afraid to use it\": a qualitative study of public transport use cessation among older adults.","authors":"Omer Dilian, Nadav Davidovitch, Karel Martens","doi":"10.1093/geront/gnaf153","DOIUrl":"10.1093/geront/gnaf153","url":null,"abstract":"Background and objectives: Mobility is a hallmark of functional aging and a major health determinant in older adults. Mobility is known to decline with age, yet, except for research on driving cessation, little is known about the role of giving up other transport modes in this decline. This exploratory qualitative research focusses on public transport use, and aims to describe the process of ceasing to use public transport, its causes, and its effects on health and mobility.Research design and methods: This is a qualitative study, using semi-structured in-depth interviews. Participants were 23 older adults living in urbanized areas in Israel, aged 67-88 (mean 80.4 ± 6.5), in various stages of public transport use cessation. Interviews were recorded and transcribed verbatim, with transcripts thematically analyzed inductively and deductively.Results: Public transport use cessation is described in terms of a semi-linear process beginning with slow mobility declines that lead to difficulties using particular public transport services. Coping mechanisms are sometimes used to maintain or regain public transport use, but eventually are not enough. Public transport use cessation then leads to a further decline in mobility and loss of independence.Discussion and implications: Public transport use cessation is an important aspect of age-related mobility decline among older adults who use public transport. It has significant detrimental mobility outcomes, and in some cases leads to complete loss of independence, potentially accelerating age-related health decline. Future research should focus on quantitative analyses and investigate interventions to maintain independence further into the aging process.","PeriodicalId":51347,"journal":{"name":"Gerontologist","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12319531/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295360","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