Shu Xu, Jeffrey A Burr, Qian Song, Joshua R Ehrlich
{"title":"Sensory Difficulty, Social and Physical Activity, and Dementia Risk Among Older Adults.","authors":"Shu Xu, Jeffrey A Burr, Qian Song, Joshua R Ehrlich","doi":"10.1177/08982643251364364","DOIUrl":"10.1177/08982643251364364","url":null,"abstract":"<p><p>ObjectivesSensory loss is associated with increased dementia risk, yet the underlying mechanisms remain unclear. This longitudinal study examined the association between self-reported sensory difficulty (vision, hearing, dual), social and physical activity, and dementia risk among older U.S. adults.MethodsData were drawn from the 2015-2020 National Health and Aging Trends Study (<i>N</i> = 6,295). Discrete-time survival mediation models with a structural equation modeling-based approach were estimated to examine the associations.ResultsDementia incidence was highest among those with dual sensory difficulty (21.8%), followed by visual (18.8%) and hearing (13.2%) difficulties. Visual difficulty and dual sensory difficulty were associated with decreased social activities and incident dementia in subsequent waves. Social activity, but not physical activity, significantly mediated the visual difficulty-dementia link and the dual sensory difficulty-dementia link.DiscussionOlder adults with sensory difficulty were at a higher risk of incident dementia. Future research should investigate other factors underlying the sensory loss-dementia link.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"491-503"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12911503/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762264","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}
Navasuja Kumar, Mohammed Kabeto, Andrzej T Galecki, Carrie A Karvonen-Gutierrez, Joshua R Ehrlich
{"title":"Contrast Sensitivity Impairment Is Associated With Limitations of Physical Functioning and Activities of Daily Living Among Older Adults.","authors":"Navasuja Kumar, Mohammed Kabeto, Andrzej T Galecki, Carrie A Karvonen-Gutierrez, Joshua R Ehrlich","doi":"10.1177/08982643251375113","DOIUrl":"10.1177/08982643251375113","url":null,"abstract":"<p><p><b>Purpose:</b> Contrast sensitivity (CS), the ability to see objects against their background, is an important component of visual function. The effect of contrast sensitivity impairment (CSI) on physical functioning (PF) is not well documented. <b>Methods:</b> This study obtained data from the Aging, Demographics, and Memory Study. Baseline CS was measured, and self-reported PF, activities of daily living (ADLs), and instrumental activities of daily living (IADLs) were assessed biennially. <b>Results:</b> The sample included 263 individuals with a mean (SD) age: 82.1(5.3). Participants with severe CSI had PF limitation scores 1.05 points higher (95% CI: 0.07, 2.04) than those without CSI. Odds of ADL/IADL limitations were 4.45 times (95% CI: 2.00, 9.92) and 74% (95% CI: 1.24, 2.45) higher for those with severe CSI and moderate CSI. Older adults with severe CSI had 2.79 times (95% CI: 1.21, 6.43) higher hazard of incident ADL/IADL limitations. <b>Conclusions:</b> CSI is associated with PF and ADL/IADL limitations.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"535-545"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12677139/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978004","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}
Angelica Lopez, Connor M Sheehan, Joseph Saenz, Nekehia T Quashie, Mateo P Farina
{"title":"Does the Association Between Educational Attainment and Cognition Differ Between Indigenous Language Speakers and Non-Indigenous Language Speakers in Mexico?","authors":"Angelica Lopez, Connor M Sheehan, Joseph Saenz, Nekehia T Quashie, Mateo P Farina","doi":"10.1177/08982643251362382","DOIUrl":"10.1177/08982643251362382","url":null,"abstract":"<p><p>ObjectivesIndigenous populations in Mexico, comprising roughly one-fifth of the population, face significant unique cognitive health challenges in older adulthood. This study examines cognitive performance differences between Indigenous and non-Indigenous language speakers and evaluates whether the cognitive benefits of educational attainment differs between these populations.MethodsWe analyzed the 2018 Mexican Health and Aging Study (MHAS, <i>n</i> = 16,199), a nationally representative study of Mexicans 50+. We assessed the association between educational attainment and cognitive performance, both general and domain-specific, for Indigenous and non-Indigenous language speakers.FindingsWhile Indigenous language speakers scored lower overall, they experienced significantly greater improvement with more years of education in Verbal Learning, Visual Scanning, and Visuospatial Ability.ConclusionsIncreasing educational attainment may improve cognitive functioning in Mexico, but especially for Indigenous populations. Further research is needed to explore mechanisms driving these stronger returns for Indigenous populations and to inform culturally responsive interventions and policies.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"479-490"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735224","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":"Education, Acculturation, and Network Diversity as Promoters of Cognitive Function: A Study of Older Chinese, Korean, and Vietnamese Americans in Southern California.","authors":"Yuri Jang, Ichiro Kawachi, Sunmin Lee","doi":"10.1177/08982643251370411","DOIUrl":"10.1177/08982643251370411","url":null,"abstract":"<p><p>ObjectivesThis study examined the role of education, acculturation, and network characteristics (size and diversity) in the cognitive function of older Chinese, Korean, and Vietnamese Americans.MethodsData were drawn from 158 participants aged 60 or older in the DREAMS study-a study on Asian Americans' sleep and health conducted in Southern California.ResultsMultivariate models of cognitive function showed significant effects of education (B [SE] = 0.28 [0.07], <i>p</i> < .001), acculturation (B [SE] = 0.17 [0.06], <i>p</i> < .01), and network diversity (B [SE] = 0.26 [0.12], <i>p</i> < .05).ConclusionsOur findings support the role of education as a general cognitive reserve factor and acculturation as an immigrant-specific one. We also observed cognitive health benefits associated with diverse social networks, underscoring the importance of fostering opportunities for varied social interactions.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"515-522"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977952","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":"Neighborhood Social Cohesion, Physical Disorder, and Multiple Chronic Conditions in Older Adults: An Examination of Racial/Ethnic Differences.","authors":"Jeein Law","doi":"10.1177/08982643251374220","DOIUrl":"10.1177/08982643251374220","url":null,"abstract":"<p><p>This study examines how neighborhood social cohesion and physical disorder, measured at baseline and as change over time, are associated with multiple chronic conditions (MCCs) among older adults and whether these associations vary by race/ethnicity. Using 6 years of data from the National Health and Aging Trends Study (2015-2021), mixed-effects Poisson regression models were applied to a sample of 3,389 community-dwelling older adults. Higher social cohesion at baseline and increases in cohesion over time were associated with greater MCC burden. No significant associations were found for physical disorder, either at baseline or in changes over time. A significant interaction indicated that non-Hispanic Black older adults had lower MCC scores than non-Hispanic White adults in neighborhoods with higher baseline levels of physical disorder. No significant interactions were observed for social cohesion. It highlights the importance of public health strategies that combine environmental improvements with culturally responsive approaches to address group-specific resilience.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"523-534"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977971","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}
Tracy Lam-Hine, Michelle C Odden, Bryan D James, David H Rehkopf
{"title":"Prevalence of Subjective Cognitive Decline Among Older Multiracial Adults, 2019-2023.","authors":"Tracy Lam-Hine, Michelle C Odden, Bryan D James, David H Rehkopf","doi":"10.1177/08982643251377230","DOIUrl":"10.1177/08982643251377230","url":null,"abstract":"<p><p><b>Background:</b> The Multiracial population is the fastest-growing racial group in the United States but remains underrepresented in cognitive aging research. No national estimates exist for subjective cognitive decline (SCD)-a self-reported indicator of worsening memory associated with dementia risk-among older Multiracial adults. <b>Methods:</b> We used 2019-2023 Behavioral Risk Factor Surveillance System data from states that administered the optional cognitive decline module (<i>n</i> = 599,874 adults aged ≥45). We estimated crude and age/sex-adjusted SCD prevalence by race and Hispanic ethnicity using survey-weighted logistic regression with predictive marginal standardization. Results: Adjusted SCD prevalence was highest among American Indian or Alaska Native (16.3%) and Multiracial (16.0%) adults, twice that of Asian adults (7.9%). Among Multiracial adults, state-level adjusted prevalence showed low variation (IQR: 18.5%-19.2%). <b>Conclusions:</b> These are the first national estimates of SCD for the Multiracial population, highlighting the need for inclusion in cognitive aging and dementia research.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"555-563"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056073","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":"Possible and Probable Dementia and Depressive/Anxiety Symptoms in U.S. Older Adults: One-Year Follow-Up.","authors":"Namkee G Choi, Yuanjin Zhou, C Nathan Marti","doi":"10.1177/08982643251369347","DOIUrl":"10.1177/08982643251369347","url":null,"abstract":"<p><p>Using data from the 2022 and 2023 U.S. National Aging and Health Trends Studies (<i>N</i> = 4,942 sample persons interviewed in both years), we examined cross-sectional and one-year lagged bidirectional relationships between the severity of cognitive impairment and depressive/anxiety symptoms. We fitted multinomial logistic and linear regression models for cross-sectional associations and a path model for one-year cross-lagged associations. Depressive/anxiety symptoms were cross-sectionally associated with a higher likelihood of both possible (mild) and probable (advanced) dementia compared to no dementia, with an even greater likelihood for probable dementia. Depressive/anxiety symptoms in 2022 were significantly associated with 2023 probable dementia, and probable dementia in 2022 was significantly associated with depressive/anxiety symptoms in 2023. The findings underscore the importance of early identification and concurrent management of both cognitive decline and depressive/anxiety symptoms in older adults.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"504-514"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884285","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}
Yuri Jang, Juyoung Park, Seo-Yun Choi, Nan Sook Park, David A Chiriboga, Soondool Chung, Jung In Park, Sunmin Lee
{"title":"The Role of Perceived Sleep Quality in Mental and Cognitive Health: A Study of Older Korean Americans Living in Subsidized Senior Housing.","authors":"Yuri Jang, Juyoung Park, Seo-Yun Choi, Nan Sook Park, David A Chiriboga, Soondool Chung, Jung In Park, Sunmin Lee","doi":"10.1177/08982643251379971","DOIUrl":"10.1177/08982643251379971","url":null,"abstract":"<p><p>This study examined the association between perceived sleep quality and mental and cognitive health among older Korean Americans residing in subsidized senior housing. Survey data from 318 participants (Mean age = 79.5, SD = 6.66) were analyzed. Sleep quality was measured using a single-item self-rating (excellent/very good/good vs. fair/poor). Both screening tools and self-ratings were used for outcomes: mental health with the Patient Health Questionnaire-9 (PHQ-9) and self-rated mental health and cognitive health with the Mini-Mental State Examination (MMSE) and self-rated cognitive health. Logistic regression models showed that poor sleep quality was associated with both probable depression (PHQ-9≥ 10) and fair/poor ratings of mental health. It was also associated with poorer ratings of cognitive health but not with MMSE-based cognitive impairment. Our findings suggest that efforts to promote health and well-being in senior housing should specifically address sleep.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"546-554"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145031150","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}
Jiahui Dai, Andrew Thais, Yuxi Shi, Wenjun Fan, Erin M Poole, Spero M Manson, Luohua Jiang
{"title":"Associations of Social Engagement and Perceived Interpersonal Connectedness With Cognitive, Mental, and Physical Health in American Indian and Alaska Native Adults.","authors":"Jiahui Dai, Andrew Thais, Yuxi Shi, Wenjun Fan, Erin M Poole, Spero M Manson, Luohua Jiang","doi":"10.1177/08982643251381438","DOIUrl":"10.1177/08982643251381438","url":null,"abstract":"<p><p>ObjectivesWe examined associations of social engagement and interpersonal connectedness with cognitive function, distress, and mental and physical health in middle-aged and older American Indian and Alaska Native (AI/AN) adults.MethodsData from 552 AI/ANs aged 55+ in the Rocky Mountain region (2019-2023). Social engagement and interpersonal connectedness were assessed using validated scales. Outcomes included cognitive impairment (adapted AD8), distress (K6 scale), and self-reported mental and physical health. Poisson regression models examined associations.ResultsGreater social engagement was significantly associated with a lower risk of cognitive impairment, lower odds of suboptimal mental, and physical health among AI/AN females, while greater interpersonal connectedness was significantly associated with lower risk of cognitive impairment and reduced odds of the other outcomes among AI/AN males. Associations were stronger in urban than rural areas.DiscussionCulturally tailored interventions that promote social connectedness may enhance well-being in this underserved population. Further research on sex and residence differences is warranted.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"564-576"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13542388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145103154","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":"Psychometric Properties of the Everyday Ageism Scale: Results from the Experiences of Aging in Society Project.","authors":"Julie Ober Allen","doi":"10.1177/08982643251378211","DOIUrl":"10.1177/08982643251378211","url":null,"abstract":"<p><p><b>Objective:</b> To comprehensively evaluate the psychometric properties of the relatively new Everyday Ageism Scale. <b>Methods:</b> Data were from the 2021-2023 <i>Experiences of Aging in Society</i> project (<i>N</i> = 237, ages 50+, multiracial/multiethnic, 72.6% female). We assessed the multidimensional structure, reliability, and validity of the Everyday Ageism Scale. <b>Results:</b> Confirmatory factor analysis generally substantiated the three-factor structure of the Everyday Ageism Scale: exposure to ageist messages, ageism in interpersonal interactions, and internalized ageism. Internal consistency and test-retest reliability were satisfactory for the full scale and two of the three subscales. The scale demonstrated acceptable validity for convergence within measure, convergence criterion with three other scales used to measure ageism, and prediction of concurrent health (number of chronic physical health conditions, mental health condition). <b>Discussion:</b> Findings establish the Everyday Ageism Scale as a valid and reliable, multidimensional scale, while recommending ongoing attention to messages subscale limitations.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"577-588"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12915507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145093105","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}