{"title":"Regional Variation in Lifetime Probability of Admission to Residential Aged Care in Australia.","authors":"Mark Cooper-Stanbury","doi":"10.1177/08982643241248207","DOIUrl":"10.1177/08982643241248207","url":null,"abstract":"<p><p>ObjectivesThis paper aims to apply a novel demographic technique to update - and extend to sub-national regions - estimates of the lifetime probability of admission to residential aged care.MethodsMaking optimal use of Australian data sources on aged care usage, mortality and population, this study adopts a two-population life table approach to produce an updated set of national probability estimates and first-time regional estimates.ResultsThe probability of admission generally increases with age: nationally, lifetime probability at age 65 is 50% for women and 37% for men, rising to 55% and 46%, respectively, at age 85. This general pattern varied somewhat across regions.DiscussionThe regional results point to inequities in the uptake of care, thereby informing providers, governments, aged care advocates and anyone interested in equity of access.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"347-355"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12018721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141072072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Country Differences in Older Men's Hearing Difficulty Disadvantage.","authors":"Shane D Burns, Jessica S West","doi":"10.1177/08982643241251939","DOIUrl":"10.1177/08982643241251939","url":null,"abstract":"<p><p><b>Objectives:</b> Hearing difficulty is prevalent in older adulthood and projected to increase via global aging, particularly among men. Currently, there is limited research on how this gender disparity might vary by country. <b>Methods:</b> Using 2018 data (<i>n</i> = 29,480) from the Health and Retirement Study (HRS) international family of studies, we investigate gender disparities in hearing difficulty among respondents ages 55-89 from the United States (<i>n</i> = 12,566), Mexico (<i>n</i> = 10,762), and Korea (<i>n</i> = 6152) with country-specific ordinal logistic regression models that progressively adjust for demographic, social, and health indicators. <b>Results:</b> In the United States, men's hearing difficulty disadvantage was consistently observed. In Mexico, men's hearing difficulty disadvantage was explained by the interactive effect of gender and age group but resurfaced after adjusting for comorbidities. In Korea, there was consistently no gender difference in hearing difficulty. <b>Discussion:</b> Our results highlight the heterogeneity in older men's hearing difficulty disadvantage among a diverse group of aging countries.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"356-367"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tiina Pesonen, Heidi Siira, Visa Väisänen, Johanna Edgren, Mari Aaltonen, Sinikka Lotvonen, Satu Elo
{"title":"Changes in Home Care Clients' Sensory Impairment Status and Its Association With Functioning Over 18 Months: A Longitudinal Register-Based Study.","authors":"Tiina Pesonen, Heidi Siira, Visa Väisänen, Johanna Edgren, Mari Aaltonen, Sinikka Lotvonen, Satu Elo","doi":"10.1177/08982643251344053","DOIUrl":"https://doi.org/10.1177/08982643251344053","url":null,"abstract":"<p><p>We investigated the changes in home care clients' vision and hearing over 18 months and examined the role of sensory impairments in maintaining their functioning. We used data from the Finnish Resident Assessment Instrument (RAI) database (<i>n</i> = 7013). Sensory impairment status was categorized by type (single or dual) and severity (mild or moderate/severe). The association between sensory impairment and functioning over 18 months was examined using binary logistic regression analysis with generalized estimating equations. Of 7013 home care clients, 48% had sensory impairment at baseline. Over 18 months, sensory impairment improved in 7% (<i>n</i> = 482) and worsened in 23% (<i>n</i> = 1605) of the clients. Sensory impairments were associated with impaired physical, cognitive, and psychosocial functioning at baseline. Especially moderate to severe dual impairment was associated with increased impairment in cognitive and physical functioning over time. Sensory impairments should be considered as an integral part of maintaining home care clients' overall health and well-being.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643251344053"},"PeriodicalIF":2.2,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lauren W Y McLester-Davis, Derek Norton, Ligia A Papale, Taryn T James, Hector Salazar, Sanjay Asthana, Sterling C Johnson, Diane C Gooding, Trevor R Roy, Reid S Alisch, Kirk J Hogan, Stacy S Drury, Carey E Gleason, Megan Zuelsdorff
{"title":"Telomere Length and Cognitive Function Among Middle-Aged and Older Participants From Communities Underrepresented in Aging Research: A Preliminary Study.","authors":"Lauren W Y McLester-Davis, Derek Norton, Ligia A Papale, Taryn T James, Hector Salazar, Sanjay Asthana, Sterling C Johnson, Diane C Gooding, Trevor R Roy, Reid S Alisch, Kirk J Hogan, Stacy S Drury, Carey E Gleason, Megan Zuelsdorff","doi":"10.1177/08982643251331260","DOIUrl":"https://doi.org/10.1177/08982643251331260","url":null,"abstract":"<p><p>ObjectiveAccelerated biological aging is a plausible and modifiable determinant of dementia burden facing minoritized communities but is not well-studied in these historically underrepresented populations. Our objective was to preliminarily characterize relationships between telomere length and cognitive health among American Indian/Alaska Native (AI/AN) and Black/African American (B/AA) middle-aged and older adults.MethodsThis study included data on telomere length and neuropsychological test performance from 187 participants, enrolled in one of two community-based cognitive aging cohorts and who identified their primary race as AI/AN or B/AA.ResultsNested multivariable regression models revealed preliminary evidence for associations between telomere length and cognitive performance, and these associations were partially independent of chronological age.DiscussionSmall sample size limited estimate precision; however, findings suggest future work on telomere length and cognitive health in underrepresented populations at high risk for dementia is feasible and valuable as a foundation for social and behavioral intervention research.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643251331260"},"PeriodicalIF":2.2,"publicationDate":"2025-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Role of Technology Accessibility in Social Connectedness and Health-Related Quality of Life for Rural Older Adults.","authors":"Yulri Kim, Mack Shelley, Jeong Eun Lee","doi":"10.1177/08982643251336801","DOIUrl":"https://doi.org/10.1177/08982643251336801","url":null,"abstract":"<p><p>ObjectivesThis study aims to examine the relationship between social connectedness and health-related quality of life (HRQoL) among older adults, focusing on the impact of technology accessibility and geographic context (urban vs. rural).MethodsData from the 2021 National Health and Aging Trends Study (NHATS) with 2303 participants aged 65 and older were used. Confirmatory factor analysis validated measures of social connectedness and HRQoL, followed by regression analysis to explore their relationship, including the moderating roles of technology accessibility and geographic context.ResultsThe findings indicate a significant positive relationship between social connectedness and HRQoL. However, technology accessibility moderates this relationship only in rural areas, where lower technology access enhances the positive effects of social connectedness on HRQoL.DiscussionThe results suggest that interventions to improve HRQoL among older adults should consider different geographical locations. Notably, promoting in-person interactions is crucial for enhancing the HRQoL of rural older adults.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643251336801"},"PeriodicalIF":2.2,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alan F Villarreal Rizzo, Joe Camarillo, Wissam I Khalife, M Kristen Peek, Brian Downer
{"title":"Hospitalization and Mortality Among Mexican Adults With Arthritis: Findings From the Mexican Health and Aging Study.","authors":"Alan F Villarreal Rizzo, Joe Camarillo, Wissam I Khalife, M Kristen Peek, Brian Downer","doi":"10.1177/08982643251335529","DOIUrl":"https://doi.org/10.1177/08982643251335529","url":null,"abstract":"<p><p>ObjectivesFew studies have investigated health outcomes associated with arthritis in low-middle-income countries. Our objective was to examine the association between arthritis and all-cause hospitalization and mortality among middle-aged and older adults in Mexico.MethodsOur sample included 12,106 participants aged >50 years from the 2012, 2015, and 2018 waves of the Mexican Health and Aging Study. Logistic regression was used for the associations between arthritis and hospitalization. Kaplan-Meier and Cox proportional hazard models were used for the association between arthritis and mortality.ResultsArthritis was associated with higher odds of hospitalization (OR = 1.23; 95% CI = 1.09-1.38), but not mortality. Arthritis with physical limitations had the highest odds of hospitalization (OR = 1.48; 95% CI = 1.27-1.73). Arthritis with joint pain (OR = 1.24; 95% CI = 1.10-1.41) and medication use (OR = 1.28; 95% CI = 1.11-1.48) had higher odds of hospitalization.ConclusionAmong middle-aged and older adults in Mexico, arthritis was associated with a high risk of hospitalization.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643251335529"},"PeriodicalIF":2.2,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Madeline Farron, Lindsay H Ryan, Jennifer J Manly, Deborah A Levine, Brenda L Plassman, Bruno J Giordani, Richard N Jones, Kenneth M Langa
{"title":"Assessing Cognitive Impairment in the Health and Retirement Study Harmonized Cognitive Assessment Protocol Project: Comparing a Diagnostic Algorithm With a Diagnostic Consensus Panel.","authors":"Madeline Farron, Lindsay H Ryan, Jennifer J Manly, Deborah A Levine, Brenda L Plassman, Bruno J Giordani, Richard N Jones, Kenneth M Langa","doi":"10.1177/08982643251335370","DOIUrl":"https://doi.org/10.1177/08982643251335370","url":null,"abstract":"<p><p>BackgroundAccurate classification of cognitive impairment in population studies is challenging.ObjectiveTo compare the performance of a diagnostic algorithm with a clinical consensus panel.SampleIn 2016, the Health and Retirement Study (HRS) implemented the Harmonized Cognitive Assessment Protocol Project (HRS-HCAP) to streamline cognitive assessments for select HRS participants.MethodsThe Manly-Jones HCAP diagnostic classification was used to classify cognitive status as normal, mild cognitive impairment (MCI), or dementia. For this analysis, a consensus panel of five clinicians reviewed 50 cases with high diagnostic uncertainty, each reviewing 30 cases, blinded to the algorithm's classifications.AnalysisDiagnostic concordance was assessed using unweighted and weighted Cohen's kappa (κ).ResultsUnweighted concordance was 70% (35/50), with discordance mostly among MCI cases. Weighted concordance was 84%. Unweighted κ was 0.56 (95% CI 0.30-0.81) and weighted κ was 0.75 (95% CI 0.49-0.91), indicating moderate to substantial agreement between the two methods.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643251335370"},"PeriodicalIF":2.2,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shelbie G Turner, M Carrington Reid, Karl A Pillemer
{"title":"Pain Prevalence and Intensity Among Older Family Caregivers Versus Non-Caregivers in the United States.","authors":"Shelbie G Turner, M Carrington Reid, Karl A Pillemer","doi":"10.1177/08982643251331247","DOIUrl":"https://doi.org/10.1177/08982643251331247","url":null,"abstract":"<p><p>ObjectiveWe compared pain prevalence and intensity between caregivers and non-caregivers, as well as between different types of caregivers.MethodUsing two rounds of data from the National Social Life, Health, and Aging Project, we used regression models to analyze differences in pain prevalence and intensity between caregivers and non-caregivers at baseline (2010-2011) and follow-up (2015-2016). The sample consisted of 2332 participants aged 62 and older (352 caregivers and 1980 non-caregivers).ResultsCross-sectionally, caregivers were more likely than non-caregivers to report pain. Longitudinally, caregivers with pain at baseline were more likely to report the presence of pain and greater pain intensity five years later compared to non-caregivers who also reported pain at baseline. More hours of care per week was associated with greater pain intensity at baseline and follow-up among caregivers with pain.DiscussionCaregivers' pain is a public health concern, with efforts to mitigate the effects of caregiving on pain needed.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643251331247"},"PeriodicalIF":2.2,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eric M Vogelsang, Sara M Moorman, Zackary Zanotelli
{"title":"High-Impact Participation? Social Activities, Activity Frequency, and Older Adult Cognition.","authors":"Eric M Vogelsang, Sara M Moorman, Zackary Zanotelli","doi":"10.1177/08982643251331808","DOIUrl":"https://doi.org/10.1177/08982643251331808","url":null,"abstract":"<p><p>ObjectivesThere is growing recognition that social participation may help attenuate cognitive decline in older ages. Unfortunately, previous research often relies on participation index measures, which may obfuscate associations among cognition, specific activities, and the frequency of partaking in those activities.MethodsData are from six waves of the Health and Retirement Study (<i>N</i> = 20,696). Regression models test how associations between social participation and cognition vary by social activity and by multiple specifications of activity frequency.ResultsUsing a participation index, any new activity or increase in activity frequency was positively associated with cognition. When segregating activities, only three activities had positive associations: meeting friends, volunteering, and being a part of community organizations. We find limited evidence that activity frequency is an important moderator.DiscussionSocial activities likely have heterogeneous associations with older adult cognition. The frequency threshold linking social participation to cognition may be \"any\" regular participation in select activities.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643251331808"},"PeriodicalIF":2.2,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Factors Associated With Length of Stay and Readmission Rates for Older Hospital in the Home Patients: A Systematic Review.","authors":"Kerry de Vent, Joanne E Porter, Jo-Ann Larkins","doi":"10.1177/08982643251329425","DOIUrl":"https://doi.org/10.1177/08982643251329425","url":null,"abstract":"<p><p>ObjectiveThe aim of this study is to conduct a systematic review of published literature to examine factors associated with Length of Stay (LOS) and Readmission Rates for older Hospital in the Home (HITH) patients.MethodIn accordance with PRISMA guidelines, seven databases were searched for peer-reviewed articles relating to HITH, older patients, LOS and readmissions.ResultsTwenty-nine studies met the inclusion criteria. Risk factors associated with increased readmissions and LOS were age, prior hospitalisations, illness severity, geriatric-related complications, and cognitive impairment. Most studies found that patients participating in HITH had a shorter initial acute hospitalisation LOS than patients transferred to a subacute hospital or rehabilitation ward. However, LOS and readmissions, comparing HITH to traditional in-hospital care, were inconsistent.ConclusionsOverall, LOS and readmission rates (comparing home-based care to hospital care) were inconsistent but appear related to patient demographics and disease profile and require further study.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643251329425"},"PeriodicalIF":2.2,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}