{"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13559192/pdf/","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":"OA","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}
{"title":"Racial-Ethnic Differences in Healthcare Experience Among Middle-Aged and Older Adults in the United States: Evidence From Four Waves of the Health and Retirement Study.","authors":"Yaqi Yuan, Rui Huang, Yulin Yang","doi":"10.1177/08982643261492103","DOIUrl":"https://doi.org/10.1177/08982643261492103","url":null,"abstract":"<p><p>ObjectivesRacial and ethnic inequities in U.S. healthcare extend beyond insurance and access, yet less is known about how they vary across domains of healthcare experience and whether public insurance mitigates these inequities.MethodsUsing four waves (2014-2020) of Health and Retirement Study data (<i>n</i> = 16,088), this study examines disparities in satisfaction, affordability, accessibility, and preference concordance among middle-aged and older adults.ResultsResults show domain-specific disparities: Black, Hispanic, and \"Other\" respondents had higher odds of unmet healthcare preferences than non-Hispanic White respondents, while affordability gaps persisted. Differences in overall satisfaction were largely attenuated after adjustment, whereas Black respondents reported fewer accessibility barriers. Medicaid mitigated some disparities, particularly for Hispanic respondents in affordability and preference concordance, whereas Medicare showed limited moderating effects, with gains in satisfaction being more evident among non-Hispanic White respondents.DiscussionOverall, inequities persist beyond socioeconomic and health differences, highlighting structural and interpersonal factors in shaping healthcare experiences.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643261492103"},"PeriodicalIF":2.2,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149032014","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":"Life-Course Adversity, Adult Socioeconomic Position, and Possible Sarcopenia Among Older Adults in Postwar Vietnam.","authors":"Sahlil Ahmed, Kim Korinek","doi":"10.1177/08982643261490269","DOIUrl":"10.1177/08982643261490269","url":null,"abstract":"<p><p>ObjectivesThis study examines how early-life hardship, wartime exposure, military service, and adult socioeconomic position are associated with grip strength-based possible sarcopenia among older adults in postwar Vietnam.MethodsWe analyzed data from the Wave 1 Vietnam Health and Aging Study among 2,166 adults aged 59 and older. Possible sarcopenia was defined using Asian Working Group for Sarcopenia 2019 grip-strength thresholds; survey-adjusted logistic regression models were used.ResultsPossible sarcopenia prevalence was 46.86%. Childhood hunger and poor childhood health showed limited associations; wartime stress exposure and military service were not significant in fully adjusted models. Lower odds were associated with higher household assets (OR = 0.91), secondary education or higher (OR = 0.56), professional occupations (OR = 0.60), and other non-agricultural occupations (OR = 0.70).ConclusionsPossible sarcopenia in Vietnam reflects not only age-related muscle decline but also the social patterning of later-life vulnerability through adult socioeconomic resources.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643261490269"},"PeriodicalIF":2.2,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013066","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}
Roland J Thorpe, Darlingtina Esiaka, Siddhi Surawkar, Candidus Nwakasi, Boeun Kim
{"title":"Correlates of Subjective Cognitive Impairment Among Community Dwelling Older Non-Hispanic Black and Non-Hispanic White Men.","authors":"Roland J Thorpe, Darlingtina Esiaka, Siddhi Surawkar, Candidus Nwakasi, Boeun Kim","doi":"10.1177/08982643261490956","DOIUrl":"https://doi.org/10.1177/08982643261490956","url":null,"abstract":"<p><p>BackgroundSubjective cognitive impairment (SCI) predicts Alzheimer's disease and related dementias (ADRD). Identifying SCI correlates may identify cognitive risk earlier in the ADRD continuum. We examined SCI correlates among older non-Hispanic Black (NHB) and non-Hispanic White (NHW) men.MethodCross-sectional data were from 669 men in the 2012 National Health and Aging Trends Study. Logistic regression was used to identify SCI correlates, accounting for complex sampling and attrition.ResultHigher education (OR = 0.33, 95% CI: 0.13-0.87) and former smoking (OR = 0.38, 95% CI: 0.16-0.91) were associated with lower SCI odds. Sleep difficulties (OR = 2.81, 95% CI: 1.22-6.47), multimorbidity (OR = 2.16, 95% CI: 1.09-4.29), and ADL disability (OR = 4.19, 95% CI: 2.03-8.61) were associated with higher odds.DiscussionEducation, smoking status, sleep, multimorbidity, and functional status may be important SCI correlates among older NHB and NHW men. Addressing modifiable correlates may support cognitive health earlier in the ADRD continuum.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643261490956"},"PeriodicalIF":2.2,"publicationDate":"2026-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009324","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}
Huabin Luo, Natalie R Sanfratello, Rashmita Basu, Gloria Mejia, Mark E Moss
{"title":"Dental Coverage and Dental Care Utilization Among Medicare Advantage Beneficiaries With and Without Diabetes United States.","authors":"Huabin Luo, Natalie R Sanfratello, Rashmita Basu, Gloria Mejia, Mark E Moss","doi":"10.1177/08982643261486557","DOIUrl":"https://doi.org/10.1177/08982643261486557","url":null,"abstract":"<p><p>ObjectivesTo examine dental visits, dental coverage, and out-of-pocket (OOP) dental expenditures among Medicare Advantage (MA) enrollees with and without diabetes.MethodsWe analyzed 2015-2019 Medicare Current Beneficiary Survey data for MA enrollees aged ≥65 years (<i>N</i> = 12,312). Outcomes included any dental visit, any OOP expenditure, and total OOP spending among those with positive expenditures. Multivariable regression models examined associations between diabetes, dental coverage, and utilization outcomes.ResultsDiabetes was associated with lower odds of having a dental visit (AOR = 0.84), whereas dental coverage was associated with higher odds of dental visits (AOR = 1.85) and zero OOP expenditures (AOR = 3.36). No significant interaction effects were observed between diabetes and dental coverage.ConclusionsDental coverage alone may be insufficient to improve dental care utilization among adults with diabetes. Integrating oral health into chronic disease management may improve dental utilization among older adults with diabetes.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643261486557"},"PeriodicalIF":2.2,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992553","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":"Life Course Neighborhood Socioeconomic Disadvantage and Chronic Disease Accumulation in Mid- to Late Adulthood.","authors":"Ying Huang, Fernando Riosmena, Solveig Cunningham","doi":"10.1177/08982643261486556","DOIUrl":"https://doi.org/10.1177/08982643261486556","url":null,"abstract":"<p><p>ObjectiveThis study examines associations between neighborhood socioeconomic disadvantage during adolescence and early adulthood and chronic disease accumulation in mid- to late life.MethodsUsing Panel Study of Income Dynamics data linked to U.S. Census and American Community Survey data, we identify four trajectories of neighborhood disadvantage, namely persistent disadvantage, increasing disadvantage, decreasing disadvantage, and persistent advantage, and estimate their associations with chronic and cardiometabolic conditions diagnosed between ages 40 and 75.ResultsCompared with persistent neighborhood advantage, persistent and increasing disadvantage are associated with chronic disease burden, net of individual and contemporaneous neighborhood socioeconomic conditions. Associations between decreasing disadvantage and multimorbidity are largely attenuated after adjustment for individual socioeconomic characteristics.ConclusionsPersistent neighborhood disadvantage is associated with greater chronic disease accumulation, while worsening disadvantage is particularly associated with cardiometabolic burden, highlighting the relevance of earlier-life inequality for aging. Adolescence and early adulthood may represent sensitive periods, with early adulthood potentially more consequential for chronic disease burden.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643261486556"},"PeriodicalIF":2.2,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148984166","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":"Living Arrangements and Life Without and With Depression in Japan: A Longitudinal Analysis.","authors":"Yuka Minagawa, Yasuhiko Saito","doi":"10.1177/08982643261488075","DOIUrl":"https://doi.org/10.1177/08982643261488075","url":null,"abstract":"<p><p>ObjectiveThis study examines how life expectancy (LE) without and with depression differs by living arrangement among older adults in Japan, with particular attention to gender differences.MethodsData were drawn from the Nihon University Japanese Longitudinal Study of Aging (1999-2009). Multistate life table methods were used to estimate LE spent without and with depression among adults aged 65 years and older across different living arrangements.ResultsPronounced gender differences were observed in the relationship between living arrangements and depression-based health expectancy. Men living alone experienced the longest duration and the highest proportion of their remaining lives with depression, whereas among women, these patterns were observed among those living with their spouse.DiscussionLiving arrangements shape depression-based health expectancy differently for older men and women in Japan, highlighting the need for gender-sensitive policies that address the social contexts in which they are embedded.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643261488075"},"PeriodicalIF":2.2,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921891","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}
James Macinko, Híram Beltrán-Sánchez, Flávia Cristina Drumond Andrade, Hisrael Passarelli-Araujo, Maria Fernanda Lima Costa
{"title":"Amenable Mortality Among Older Brazilians: Evidence From the Brazilian Longitudinal Study of Aging (ELSI-Brazil).","authors":"James Macinko, Híram Beltrán-Sánchez, Flávia Cristina Drumond Andrade, Hisrael Passarelli-Araujo, Maria Fernanda Lima Costa","doi":"10.1177/08982643261476542","DOIUrl":"https://doi.org/10.1177/08982643261476542","url":null,"abstract":"<p><p>BackgroundAmenable mortality, deaths preventable through timely and effective healthcare, is a widely used indicator of health system performance, yet evidence is lacking on its individual-level determinants in Brazil.MethodsWe used data from the Brazilian Longitudinal Study of Aging (ELSI-Brazil), a representative cohort of adults aged 50 and older. Deaths were classified as amenable using both the Brazilian and the Pan American Health Organization's definitions. Semi-parametric competing risks regression modeled the hazard of amenable death while accounting for non-amenable death as a competing event and adjusting for covariates.ResultsAmong 872 deaths during follow-up, 30% to 39% were classified as amenable, with rates ranging from 2.5 (50-59 yrs) to 32.3 (80+) per 1,000 person-years. Older age, male sex, unpartnered status, lower income, multi-morbidity, and tobacco use were associated with higher risk of amenable mortality.ConclusionsAmenable mortality constitutes a substantial and inequitably distributed share of deaths among older Brazilians.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643261476542"},"PeriodicalIF":2.2,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708399","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}