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Journal of Aging and Health最新文献

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Sex Differences in Healthcare Utilization in Persons Living with Dementia Between 2000 and 2017: A Population-Based Study in Quebec, Canada. 2000 年至 2017 年间痴呆症患者使用医疗服务的性别差异：加拿大魁北克人口研究》。
IF 2.2 3区 医学
Journal of Aging and Health Pub Date : 2025-03-01 Epub Date: 2024-03-30 DOI: 10.1177/08982643241242512
Genevieve Arsenault-Lapierre, Tammy Bui, Claire Godard-Sebillotte, Nia Kang, Nadia Sourial, Louis Rochette, Victoria Massamba, Amélie Quesnel-Vallée, Isabelle Vedel
{"title":"Sex Differences in Healthcare Utilization in Persons Living with Dementia Between 2000 and 2017: A Population-Based Study in Quebec, Canada.","authors":"Genevieve Arsenault-Lapierre, Tammy Bui, Claire Godard-Sebillotte, Nia Kang, Nadia Sourial, Louis Rochette, Victoria Massamba, Amélie Quesnel-Vallée, Isabelle Vedel","doi":"10.1177/08982643241242512","DOIUrl":"10.1177/08982643241242512","url":null,"abstract":"<p><p><b>Objectives:</b> Describe sex differences in healthcare utilization and mortality in persons with new dementia in Quebec, Canada. <b>Methods:</b> We conducted a repeated cohort study from 2000 to 2017 using health administrative databases. Community-dwelling persons aged 65+ with a new diagnosis of dementia were included. We measured 23 indicators of healthcare use across five care settings: ambulatory care, pharmacological care, acute hospital care, long-term care, and mortality. Clinically meaningful sex differences in age-standardized rates were determined graphically through expert consultations. <b>Results:</b> Women with dementia had higher rates of ambulatory care and pharmacological care, while men with dementia had higher acute hospital care, admission to long-term care, and mortality. There was no meaningful difference in visits to cognition specialists, antipsychotic prescriptions, and hospital death. <b>Discussion:</b> Men and women with dementia demonstrate differences in healthcare utilization and mortality. Addressing these differences will inform decision-makers, care providers and researchers and guide more equitable policy and interventions in dementia care.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"243-254"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140330315","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}
引用次数: 0
Race and Incident Dementia Among Older Black and Older White Men. 老年黑人和老年白人男性的种族和偶发性痴呆。
IF 2.2 3区 医学
Journal of Aging and Health Pub Date : 2025-03-01 Epub Date: 2025-03-23 DOI: 10.1177/08982643241310296
Bosola Jerry-Asooto, Boeun Kim, Alison Huang, Joseph J Gallo, Keith E Whitfield, Robert W Turner, Roland J Thorpe
{"title":"Race and Incident Dementia Among Older Black and Older White Men.","authors":"Bosola Jerry-Asooto, Boeun Kim, Alison Huang, Joseph J Gallo, Keith E Whitfield, Robert W Turner, Roland J Thorpe","doi":"10.1177/08982643241310296","DOIUrl":"10.1177/08982643241310296","url":null,"abstract":"<p><p>The objective of this study was to determine if racial differences exist between older Non-Hispanic Black (NHB) and White (NHW) men in incident dementia over 11 years (2011-2022) in the National Health and Aging Trends Study (NHATS). The analytic sample included 2395 community-dwelling NHB and NHW men free of dementia at baseline who self-identified as Non-Hispanic Black (NHB) and White (NHW). Dementia was assessed at each visit using a validated algorithm developed by NHATS. After adjusting for demographics, place, and health-related characteristics in the Cox proportional hazard models, older NHB men had an increased risk of dementia (hazard ratio: 1.63, 95% confidence interval: [1.22-2.17]) compared to older NHW men. There may be unique factors such as stressors, patterns of genes, or perhaps nutrition that older NHB men possess and experience throughout their lives that contribute to the increased incident dementia.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":"37 3-4_suppl","pages":"32S-39S"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694367","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}
引用次数: 0
Bridging the Access Gap: A Decade of Narrowing the Digital Divide for Hispanic Older Adults in the United States. 缩小接入差距：美国缩小西班牙裔老年人数字鸿沟的十年。
IF 2.2 3区 医学
Journal of Aging and Health Pub Date : 2025-03-01 Epub Date: 2024-03-13 DOI: 10.1177/08982643241238789
Kun Wang, Xiayu Summer Chen, Yanjun Dong, Karla G Sanabria Véaz, Danan Gu
{"title":"Bridging the Access Gap: A Decade of Narrowing the Digital Divide for Hispanic Older Adults in the United States.","authors":"Kun Wang, Xiayu Summer Chen, Yanjun Dong, Karla G Sanabria Véaz, Danan Gu","doi":"10.1177/08982643241238789","DOIUrl":"10.1177/08982643241238789","url":null,"abstract":"<p><p><b>Objectives:</b> This study examines the digital divide between Hispanic and non-Hispanic White older adults in the United States from 2011 to 2021, using an intersectionality perspective. <b>Methods:</b> Eleven waves of data from the National Health and Aging Trend were analyzed through multilevel logistic regression, focusing on the intersection between race/ethnicity and time (measured by survey waves) within gender, education, and income subgroups. The digital divide was measured by Internet access. <b>Results:</b> Despite the enduring digital access gap, the longitudinal analysis revealed a narrowing digital divide between Hispanic and non-Hispanic White older adults, especially those with low education and income. <b>Discussion:</b> The observed trend signifies progress in digital inclusivity initiatives yet highlights ongoing challenges in fully bridging the divide for the Hispanic older adult community. Future efforts should not only focus on access but also on enhancing the effective usage of digital technologies to promote health equity and well-being.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"182-191"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140121358","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}
引用次数: 0
Impact of Care-Recipient Health Conditions on Employed Caregiver Well-Being: Measure Development and Validation. 护理受助人健康状况对就业护理人员幸福感的影响：测量方法的开发与验证。
IF 2.2 3区 医学
Journal of Aging and Health Pub Date : 2025-03-01 Epub Date: 2024-03-15 DOI: 10.1177/08982643241239086
Linda Duxbury, Regina Ding, Margaret Stevenson, Joel Sadavoy
{"title":"Impact of Care-Recipient Health Conditions on Employed Caregiver Well-Being: Measure Development and Validation.","authors":"Linda Duxbury, Regina Ding, Margaret Stevenson, Joel Sadavoy","doi":"10.1177/08982643241239086","DOIUrl":"10.1177/08982643241239086","url":null,"abstract":"<p><p><b>Purpose:</b> The research was designed to help our understanding of the relationship between care-recipient health and caregiver well-being. <b>Design:</b> To achieve this goal, we followed the measurement development steps outlined by Hinkin. We began by identifying 18 care-recipient health conditions that encapsulated the breath of caregiver duties pertaining to specific recipient health conditions. <b>Methods:</b> Using a sample of n = 1696 employed caregivers, we then developed and empirically validated a research instrument that allows researchers and practitioners to (1) identify whether the caregiver was providing care to an individual who suffered from one or more of 18 health conditions and (2) quantify the demands imposed on the caregiver of caring for someone with this health issue. <b>Results:</b> Factor analysis identified four different constructs each of which measures the demands placed on the caregiver of caring for someone suffering from several closely related health conditions: problems with daily functioning, mental health problems, cardiovascular problems, and cancer/immune system issues.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"192-209"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133243","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}
引用次数: 0
Neighborhood Walkability, Third Place Engagement, and Their Impact on Physical Activity and Social Capital for Older Adults Living Alone and With Others. 社区步行能力、第三名参与及其对独居和与他人一起生活的老年人身体活动和社会资本的影响
IF 2.2 3区 医学
Journal of Aging and Health Pub Date : 2025-02-24 DOI: 10.1177/08982643251323301
Chia-Yuan Yu
{"title":"Neighborhood Walkability, Third Place Engagement, and Their Impact on Physical Activity and Social Capital for Older Adults Living Alone and With Others.","authors":"Chia-Yuan Yu","doi":"10.1177/08982643251323301","DOIUrl":"https://doi.org/10.1177/08982643251323301","url":null,"abstract":"<p><p>This study examines how neighborhood walkability, third place engagement, and socio-demographic characteristics affect leisure-time physical activity and social capital among older adults. It also investigates how these relationships differ between those living alone and those living with others. Data for this study were collected via an online survey administered to 638 older adults, aged 65 and above, residing in Orlando, Florida. Ordinary least squares (OLS) regression models were employed. Frequent visits to third places significantly increased moderate leisure-time physical activity and social capital. Neighborhood walkability also played a crucial role in promoting physical activity and social capital. The availability and condition of sidewalks also played a positive role in promoting physical activity. Enhancing neighborhood walkability and promoting third place engagement can be key strategies for improving both physical and social well-being among older adults, especially those living alone.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643251323301"},"PeriodicalIF":2.2,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484383","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}
引用次数: 0
Examining Differences in the Predictive Capacity of Educational Polygenic Scores on Physical Limitations Among Older Adults With European or African Ancestry. 研究欧洲或非洲血统老年人身体限制的教育多基因评分预测能力的差异。
IF 2.2 3区 医学
Journal of Aging and Health Pub Date : 2025-02-11 DOI: 10.1177/08982643251320426
Kenzie Latham-Mintus, Micah Azariah Williams, Wade Catt
{"title":"Examining Differences in the Predictive Capacity of Educational Polygenic Scores on Physical Limitations Among Older Adults With European or African Ancestry.","authors":"Kenzie Latham-Mintus, Micah Azariah Williams, Wade Catt","doi":"10.1177/08982643251320426","DOIUrl":"https://doi.org/10.1177/08982643251320426","url":null,"abstract":"<p><p>This research examined whether educational polygenic scores were associated with physical limitations among older adults with European or African ancestry. In the European ancestry sample, we found that education polygenic scores were significantly associated with physical limitations, net of age, sex, and current socioeconomic status. In the African ancestry sample, education polygenic scores were not associated with physical limitations in any of the models. Observed educational attainment was a robust predictor of physical limitations in both samples. This research demonstrates the inequalities in the predictive capacity of educational polygenic scores for physical health. We hypothesize that this disparity is a result of structural barriers to educational attainment by race, selection bias, and/or racial inequities in data collection. All of these explanations stem from structural racism and highlight the limited usefulness of polygenic scores for clinical decision-making.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643251320426"},"PeriodicalIF":2.2,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400481","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}
引用次数: 0
Unpacking the Association Between Food Insecurity and Mental Health Disorders Among Older Adults. 揭示老年人食品不安全与心理健康障碍之间的关系。
IF 2.2 3区 医学
Journal of Aging and Health Pub Date : 2025-02-04 DOI: 10.1177/08982643251314066
Lei Chai, Xiangnan Chai
{"title":"Unpacking the Association Between Food Insecurity and Mental Health Disorders Among Older Adults.","authors":"Lei Chai, Xiangnan Chai","doi":"10.1177/08982643251314066","DOIUrl":"10.1177/08982643251314066","url":null,"abstract":"<p><strong>Objectives: </strong>Previous research shows a negative correlation between food insecurity and mental health, but limited exploration exists among older adults. This study examines this association in Canadian adults aged 65 and older, focusing on the mediating roles of perceived life stress and community belonging, and the moderating role of gender.</p><p><strong>Methods: </strong>Cross-sectional data from the 2017-2018 Canadian Community Health Survey (<i>n</i> = 28,044) were analyzed using logistic regression.</p><p><strong>Results: </strong>The associations between food insecurity and both anxiety and mood disorders were partially mediated by high life stress and low community belonging. The adverse associations of food insecurity, high life stress, and low community belonging with an anxiety disorder were more pronounced in women than in men. Similar patterns were observed for a mood disorder.</p><p><strong>Discussion: </strong>Interventions should address food insecurity, life stress, and community belonging, with particular attention to the unique challenges faced by older women to improve mental health.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643251314066"},"PeriodicalIF":2.2,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123140","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}
引用次数: 0
Health Behaviors and Executive Function in Late Adulthood: A Time-Varying Effect Modeling Analysis. 成年后期健康行为与执行功能：一个时变效应模型分析。
IF 2.2 3区 医学
Journal of Aging and Health Pub Date : 2025-02-03 DOI: 10.1177/08982643251319089
Myungjin Jung, Heontae Kim, Zakary Patrick, Seomgyun Lee
{"title":"Health Behaviors and Executive Function in Late Adulthood: A Time-Varying Effect Modeling Analysis.","authors":"Myungjin Jung, Heontae Kim, Zakary Patrick, Seomgyun Lee","doi":"10.1177/08982643251319089","DOIUrl":"https://doi.org/10.1177/08982643251319089","url":null,"abstract":"<p><strong>Objective: </strong>Cognitive decline in older adults is a public health issue, with modifiable factors like obesity and sleep potentially influencing this trajectory. Previous research on their relationship with executive function has shown mixed results, particularly across older adulthood.</p><p><strong>Methods: </strong>This study utilized time-varying effect modeling (TVEM) to assess the impact of body mass index (BMI) and sleep on executive function in older adults aged 60 to 79, using data from the National Health and Nutrition Examination Survey (NHANES) 2011-2012 and 2013-2014 cycles (<i>N</i> = 2543). Executive function was evaluated using the Digit Symbol Substitution Test (DSST).</p><p><strong>Results: </strong>Findings indicated that while BMI did not significantly affect cognition, adequate sleep (7-8 hours) was linked to better executive function, especially in individuals aged 63 to 65.</p><p><strong>Conclusion: </strong>These results highlight sleep's importance for cognitive health and suggest interventions focusing on sleep and weight management to mitigate age-related cognitive decline.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643251319089"},"PeriodicalIF":2.2,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123038","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}
引用次数: 0
Factors Associated With Physical Activity in Alzheimer's Disease: A Cross-Sectional Study of Individuals and Their Caregivers. 阿尔茨海默病中与身体活动相关的因素：一项针对个体及其照顾者的横断面研究
IF 2.2 3区 医学
Journal of Aging and Health Pub Date : 2025-02-02 DOI: 10.1177/08982643251318766
Julianne G Clina, Amy E Bodde, Joy Chang, Brian C Helsel, Joseph R Sherman, Eric D Vidoni, Kristine N Williams, Richard A Washburn, Joseph E Donnelly, Lauren T Ptomey
{"title":"Factors Associated With Physical Activity in Alzheimer's Disease: A Cross-Sectional Study of Individuals and Their Caregivers.","authors":"Julianne G Clina, Amy E Bodde, Joy Chang, Brian C Helsel, Joseph R Sherman, Eric D Vidoni, Kristine N Williams, Richard A Washburn, Joseph E Donnelly, Lauren T Ptomey","doi":"10.1177/08982643251318766","DOIUrl":"https://doi.org/10.1177/08982643251318766","url":null,"abstract":"<p><strong>Introduction: </strong>Physical activity (PA) is associated with better outcomes in individuals living with Alzheimer's and related dementia (ADRD). We examined environmental, intra-, and interpersonal correlates of PA for persons living with ADRD.</p><p><strong>Methods: </strong>PA (accelerometry), cognitive function, physical function, and sociodemographic factors were collected in adults with ADRD and their caregivers. Spearman's correlations and generalized linear models were used to evaluate factors associated with PA of persons living with ADRD.</p><p><strong>Results: </strong>Valid data were obtained from 65 pairs of adults living with ADRD (73.6 ± 8.4 years, 39.4% female) and caregivers (69.4 ± 9.4 years, 69.2% female, 93.8% spouse). Moderate-to-vigorous PA (MVPA) and light PA of persons living with ADRD were correlated with upper and lower body strength, aerobic fitness, and agility. MVPA and sedentary time of persons living with ADRD were associated with that of their caregiver.</p><p><strong>Conclusion: </strong>Physical function and caregiver PA may be targets for interventions in those living with ADRD.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643251318766"},"PeriodicalIF":2.2,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081920","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}
引用次数: 0
Living in Historically Redlined Neighborhoods and the Cognitive Function of Black and White Adults. 生活在历史上的红线社区和黑人和白人成年人的认知功能。
IF 2.2 3区 医学
Journal of Aging and Health Pub Date : 2025-01-18 DOI: 10.1177/08982643251315020
Calley E Fisk, Jennifer A Ailshire, Katrina M Walsemann
{"title":"Living in Historically Redlined Neighborhoods and the Cognitive Function of Black and White Adults.","authors":"Calley E Fisk, Jennifer A Ailshire, Katrina M Walsemann","doi":"10.1177/08982643251315020","DOIUrl":"10.1177/08982643251315020","url":null,"abstract":"<p><strong>Objectives: </strong>We determined if living in historically redlined neighborhoods was associated with level and change in cognitive functioning and if this association differed for Black and White older adults.</p><p><strong>Methods: </strong>We linked the Health and Retirement Study 1998-2018 data to redlining scores from the Historic Redlining Indicator data. Our sample included adults aged 50 years and older (24,230 respondents, 129,618 person-period observations). Using three-level linear mixed models, we estimated the relationship between living in historically redlined neighborhoods on level and change in cognitive functioning for pooled and race-stratified samples.</p><p><strong>Results: </strong>Residents of historically redlined \"Declining\" and \"Hazardous\" neighborhoods had lower cognitive functioning scores compared to residents of \"Best/Desirable\" neighborhoods. Among Black adults, living in \"Hazardous\" neighborhoods was associated with slower declines in cognitive functioning compared to living in \"Best/Desirable\" neighborhoods.</p><p><strong>Discussion: </strong>Historical redlining is associated with older adults' cognitive functioning, underscoring the importance of sociohistorical context for the neighborhood-cognition relationship.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643251315020"},"PeriodicalIF":2.2,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015909","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}
引用次数: 0
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