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":"https://doi.org/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":"8982643251364364"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","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":"https://doi.org/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":"8982643251362382"},"PeriodicalIF":2.2,"publicationDate":"2025-07-29","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}
Shane D Burns, Elizabeth H Baker, Connor M Sheehan, Kyriakos S Markides
{"title":"Disability Among Middle Aged and Older Immigrants: Differences by Citizenship, English Proficiency, and Years in United States.","authors":"Shane D Burns, Elizabeth H Baker, Connor M Sheehan, Kyriakos S Markides","doi":"10.1177/08982643251359389","DOIUrl":"10.1177/08982643251359389","url":null,"abstract":"<p><p>ObjectivesUnited States (U.S.) immigrants are rapidly aging, although little is known on how acculturation influences their disability risk.MethodsWe pooled 2000-2018 data (<i>n</i> = 50,075) from the National Health Interview Survey (NHIS) to examine odds of activities of daily living (ADL) disability among middle aged (40-64) and older (65+) immigrants based on three acculturation indicators while accounting for various measures.ResultsAmong middle aged immigrants, citizenship was associated with <i>higher</i> odds of ADL disability after accounting for socioeconomic factors. Among both middle aged and older immigrants, English proficiency was associated with <i>lower</i> odds of ADL disability until accounting for socioeconomic factors. Among older immigrants, <i>lower</i> ADL disability odds were observed among those with English proficiency <i>and</i> greater U.S. duration.DiscussionAcculturation had heterogenous influences on ADL disability risk among aging U.S. immigrants, while the interplay of these mechanisms shaped varied outcomes.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643251359389"},"PeriodicalIF":2.2,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621170","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}
Charity T Lewis, Samantha Malak, Fumiko Hamada, Julia Toman
{"title":"Racial and Ethnic Differences in Loneliness and Social Isolation Among Older Adults With Hearing Loss: Findings From the Health and Retirement Study.","authors":"Charity T Lewis, Samantha Malak, Fumiko Hamada, Julia Toman","doi":"10.1177/08982643251360309","DOIUrl":"https://doi.org/10.1177/08982643251360309","url":null,"abstract":"<p><p>ObjectiveOur study examines racial/ethnic differences in loneliness and social isolation among older adults with hearing loss.MethodsData were drawn from the 2022 Health and Retirement Study, including participants ages ≥50 with objectively determined hearing loss (<i>N</i> = 1817). Linear models were employed to analyze the association between race/ethnicity and both loneliness and social isolation.ResultsInitially, Black adults reported higher loneliness scores than White adults, but this trend reversed after controlling for contextual factors. Hispanic adults consistently showed lower loneliness scores across all models compared to both Black and White adults. Black adults reported significantly lower levels of social isolation compared to White adults, whereas Hispanic adults consistently exhibited higher levels than Black adults throughout the analysis.ConclusionThese findings reveal distinct patterns of loneliness and social isolation across racial/ethnic groups among adults with hearing loss, highlighting the interplay between these outcomes and social, cultural, and societal factors.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643251360309"},"PeriodicalIF":2.2,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621171","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":"Impacts of Perceived Discrimination During the COVID-19 Pandemic on Depression Among Older Chinese Immigrants in Aotearoa New Zealand.","authors":"Polly Yeung, Christine Stephens, Gloria Gao, Rachel Huang","doi":"10.1177/08982643251359150","DOIUrl":"https://doi.org/10.1177/08982643251359150","url":null,"abstract":"<p><p>Racial discrimination against Chinese immigrants to various countries worldwide has risen sharply during the COVID-19 pandemic, but limited research exists regarding the pathways through which racial discrimination impacts older immigrants' mental health. This study explored the relationship of perceived discrimination to depression among older Chinese immigrants living in Aotearoa New Zealand, through pathways of chronic health conditions, language barriers, and COVID-19 risks while taking into account the effects of anxiety and loneliness. Descriptive and regression analysis was conducted from a convenience sample of 1159 older Chinese immigrants aged between 55 and 80. While there was no significant direct effect of perceived discrimination to depression, the results showed a significant indirect effect of perceived discrimination, chronic illnesses, COVID-19 risks, and language barriers on depression, which was mediated by anxiety and loneliness. Ageing policies and interventions must address anti-racism to reduce the social and health inequalities faced by older ethnic people.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643251359150"},"PeriodicalIF":2.2,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576849","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}
Angelo d'Errico, Michelangelo Filippi, Giacomo Pietro Vigezzi, Anna Odone, Chiara Ardito
{"title":"Transition to Retirement Impact on Caregiving, Grandparenting, and Volunteering: Analysis From a Nationwide Italian Cohort.","authors":"Angelo d'Errico, Michelangelo Filippi, Giacomo Pietro Vigezzi, Anna Odone, Chiara Ardito","doi":"10.1177/08982643251358027","DOIUrl":"https://doi.org/10.1177/08982643251358027","url":null,"abstract":"<p><p>BackgroundRetirement often increases time availability, promoting unpaid activities. Reforms delaying retirement may unintentionally reduce such contributions, with social and public health implications. This study examines how the retirement transition affects unpaid caregiving, grandparenting, and volunteering, with attention to sex differences.MethodsWe used 5-year panel data from the Italian Survey on Participation, Employment and Unemployment, focusing on individuals aged 55-65, employed at baseline. Adjusted logistic regression and propensity score matching were applied. Analyses included 4180 participants for caregiving, 658 for grandparenting, and 1026 for volunteering.ResultsRetirement was associated with increased grandparenting (OR = 2.08, 95% CI: 1.40-3.10) and volunteering (OR = 2.87, 95% CI: 1.75-4.70). No association was found with caregiving for people with disabilities. No significant sex differences emerged. Robustness checks supported the main findings.ConclusionRetirement is associated to greater involvement in grandparenting and volunteering. Policymakers should consider the potential social and health costs of reduced unpaid care when designing pension reforms.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643251358027"},"PeriodicalIF":2.2,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576850","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":"Perceived Neighborhood Disorder, Health Behaviors, and Inflammation Among Older Adults: A Mediation Analysis.","authors":"Weidi Qin, Jiao Yu, Tatyana Brown","doi":"10.1177/08982643251356732","DOIUrl":"https://doi.org/10.1177/08982643251356732","url":null,"abstract":"<p><p>ObjectivesThis study investigates whether neighborhood disorder has indirect effects on inflammation via health behaviors and whether the pathways vary by race and ethnicity.MethodsThe study sample came from the Health and Retirement Study in 2014 and 2016. Inflammation level was assessed with C-reactive protein. Neighborhood disorder and health behaviors were self-reported. Structural equation modeling was conducted to test the objectives.ResultsFindings revealed significant direct effects of neighborhood disorder on inflammation (B = 0.034, 95% CI: 0.009, 0.058) and indirect effects via physical activity (B = 0.010, 95% CI: 0.006, 0.014). Neighborhood disorder was linked to inflammation through physical activity among older White adults, but not among older Black and Hispanic adults.DiscussionInterventions to provide opportunities for physical activity may reduce inflammation levels among older adults living in neighborhoods with disorders. Future research may consider unique social experiences influencing inflammation among older Black and Hispanic adults.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643251356732"},"PeriodicalIF":2.2,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531025","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}
Edina Yi-Qin Tan, Hanzhang Xu, Rahul Malhotra, Mark Ryan B Paguirigan, Grace Trinidad Cruz, Yasuhiko Saito, Truls Østbye
{"title":"Development and Validation of a Social Frailty Index Among Older Adults in the Philippines.","authors":"Edina Yi-Qin Tan, Hanzhang Xu, Rahul Malhotra, Mark Ryan B Paguirigan, Grace Trinidad Cruz, Yasuhiko Saito, Truls Østbye","doi":"10.1177/08982643251356716","DOIUrl":"https://doi.org/10.1177/08982643251356716","url":null,"abstract":"<p><p>BackgroundSocial frailty has not been studied in the Philippines, a Southeast Asian country with distinct sociocultural characteristics.ObjectiveTo (i) develop and validate the Social Frailty Index-Philippines (SFI-Phil), using all-cause mortality (up to 4 years) as the outcome and (ii) evaluate performance of SFI-Phil across age, sex, and residence.MethodsPerforming regression analyses on baseline and 4-year follow-up data from 5153 older adults aged 60+ from the nationally representative Longitudinal Study of Ageing and Health in the Philippines (LSAHP), we selected and validated a parsimonious model of social predictors.ResultsThe resulting 6-item SFI-Phil demonstrated satisfactory accuracy in predicting mortality up to 4 years (C-statistic 0.640, 95% confidence interval [CI]: 0.608-0.673) in a validation sample and across demographic strata, although better amongst 60-69 year olds, men, and urban residents.ConclusionSFI-Phil, developed considering Philippines's sociocultural context, can be used to assess social frailty among older adults in the Philippines.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643251356716"},"PeriodicalIF":2.2,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531024","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":"Functional Disability and Depressive Symptoms in Middle-Aged and Older Couples: A Dyadic Examination of Bidirectional Influences and Temporal Dynamics.","authors":"Dexia Kong, Xiaomin Li, Yaxin Lan, Meng Huo, Xiaoling Xiang","doi":"10.1177/08982643251355055","DOIUrl":"https://doi.org/10.1177/08982643251355055","url":null,"abstract":"<p><p>ObjectivesThis study examines the bidirectional influences between functional disability and depressive symptoms in middle-aged and older couples, emphasizing the temporal dynamics and co-development of partners' experiences.MethodsLongitudinal data were drawn from the <i>Health and Retirement Study</i> (2002-2020), focusing on married couples (<i>N</i> = 4109 couples). Dyadic cross-lagged panel models and latent trajectory analyses were employed.ResultsFunctional disability had a stronger influence on depressive symptoms than the reverse. Spouses' disability trajectories were synchronized with similar baseline levels and rates of change, but synchrony did not predict depressive symptoms. Husbands' disability disproportionately affected wives' mental health compared to the reverse.ConclusionsThe findings elucidate the directionality underlying the relationship between depressive symptoms and functional limitations. Couples' functional disability development was synchronous. Tailored and targeted disability preventive interventions may have mental health benefits for both partners.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643251355055"},"PeriodicalIF":2.2,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499177","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}
Jason T Newsom, Jennifer Saucedo, Mallory R Kroeck, AnnaMarie S O'Neill, Heather G Allore, Corey L Nagel, Anda Botoseneanu, Em F Trubits, David A Dorr, Ana R Quiñones
{"title":"Social Support and Social Strain Sources as Predictors of Multimorbidity Changes in Middle-Aged and Older Adults.","authors":"Jason T Newsom, Jennifer Saucedo, Mallory R Kroeck, AnnaMarie S O'Neill, Heather G Allore, Corey L Nagel, Anda Botoseneanu, Em F Trubits, David A Dorr, Ana R Quiñones","doi":"10.1177/08982643251351090","DOIUrl":"10.1177/08982643251351090","url":null,"abstract":"<p><p>ObjectivesThis study examines whether social strain and support from various sources are associated with accumulation of chronic conditions in older adults.MethodsGrowth mixture modeling was used to investigate which network sources of support and strain were related to morbidity accumulation over 12 years among 5,321 individuals over age 50 in the Health and Retirement Study.ResultsHigher overall social support-comfort provided by others-was associated with a greater likelihood of belonging to the low morbidity trajectory class versus the high and increasing morbidity classes, but overall social strain-tense or conflictual interactions-was not. The source of support/strain mattered, and support from children was a more consistent predictor of trajectory classes than support from other sources.DiscussionThe importance of social support, particularly from children, suggests that psychosocial interventions could be developed and tailored to the children of older adults to promote healthier aging.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643251351090"},"PeriodicalIF":2.2,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486958","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}