{"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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12509085/pdf/","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":"OA","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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353421/pdf/","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":"OA","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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353209/pdf/","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":"OA","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}
Heather R Farmer, Jeffrey E Stokes, Alexis Z Ambroise, Valerie A Earnshaw
{"title":"An Investigation Into the Role of Attributions of Discrimination and Cognitive Functioning in Older Adults.","authors":"Heather R Farmer, Jeffrey E Stokes, Alexis Z Ambroise, Valerie A Earnshaw","doi":"10.1177/08982643251327506","DOIUrl":"https://doi.org/10.1177/08982643251327506","url":null,"abstract":"<p><p>ObjectiveLimited research has explored how the attributions of discrimination in later life are related to cognitive functioning.MethodsWe analyzed responses from 12,279 adults ages 65+ in the 2008 to 2018 waves of the Health and Retirement Study. Multilevel mixed models assessed whether cognitive functioning was associated with (1) everyday discrimination (without reference to attribution) and (2) frequency of 11 attributions of discrimination.ResultsDescriptive analyses highlighted variability in the characteristics associated with specific attributions of discrimination. We found that age was the most reported attribution of discrimination, followed by gender. Discrimination was associated with worse cognitive functioning, and frequent reports of certain attributions of discrimination (e.g., disability, sexual orientation) were associated with cognitive functioning.DiscussionThese results suggested that discrimination was harmful for cognitive health and that the perceived reasons for discrimination may have unique and negative implications for cognitive functioning among older adults.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643251327506"},"PeriodicalIF":2.2,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702278","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}
Ogochukwu Kelechi Onyeso, Chiedozie James Alumona, Akin Ojagbemi, Kelechi Mirabel Onyeso, Adesola C Odole, Janice Victor, Jon Doan, Toyin Bello, Oye Gureje, Oluwagbohunmi A Awosoga
{"title":"Sociodemographic Factors in Older Adults' Gait Speed Decline: A Gender Disaggregate Growth Curve Analysis of the Ibadan Longitudinal Study of Ageing.","authors":"Ogochukwu Kelechi Onyeso, Chiedozie James Alumona, Akin Ojagbemi, Kelechi Mirabel Onyeso, Adesola C Odole, Janice Victor, Jon Doan, Toyin Bello, Oye Gureje, Oluwagbohunmi A Awosoga","doi":"10.1177/08982643251329431","DOIUrl":"https://doi.org/10.1177/08982643251329431","url":null,"abstract":"<p><p>BackgroundGait speed is an important predictor of older adults' well-being. We estimated the influence of sociodemographic factors on the gait speed decline of community-dwelling older Nigerians.MethodsUsing the Ibadan Study of Ageing (2007, 2008, and 2009 cycles), we completed a gender disaggregate analysis of sociodemographic influences on participants' gait speed trajectory using mixed-design ANOVA and growth curve analysis.ResultsAt baseline, 53.2% of participants were female, 61.9% were married, with an average age of 75.5 ± 6.8 years and gait speed of 0.96 ± 0.32 m/s. Gender-specific models showed slower gait speed decline in men (β = -0.05, <i>p</i> < .001) compared to women (β = -0.09, <i>p</i> < .001). Widowhood (β = -0.07, <i>p</i> = .001) for women, high socioeconomic status (β = -0.01, <i>p</i> = .009) for men, and chronic disease burden for women (β = -0.02, <i>p</i> = .010) and men (β = -0.03, <i>p</i> = .008) were significant predictors of gait speed decline.ConclusionAddressing culture-related widowhood and women's vulnerabilities, improving health coverage, and promoting lifestyle modifications may mitigate mobility decline among older Nigerians.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643251329431"},"PeriodicalIF":2.2,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671591","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}
Elizabeth W Regan, Kathleen Cameron, Angelica Herrera-Venson, Gardenia A Juarez, Subashan Perera, Jennifer Vincenzo, Jennifer S Brach
{"title":"Characteristics of Evidenced-Based Falls Prevention Program Completers and Non-Completers and Difference in Outcomes.","authors":"Elizabeth W Regan, Kathleen Cameron, Angelica Herrera-Venson, Gardenia A Juarez, Subashan Perera, Jennifer Vincenzo, Jennifer S Brach","doi":"10.1177/08982643251327032","DOIUrl":"10.1177/08982643251327032","url":null,"abstract":"<p><p>Evidenced-based community falls prevention programs can reduce falls in older adults. We sought to (1) describe the characteristics of program participants who met completion criteria by receiving the full program dose (completers) versus those who did not (non-completers), and (2) determine the differences in outcomes (falls, fear of falling and physical function) between the two groups. Data from ten programs from 2014-2019 were evaluated. Completers were older and reported more fear of falling and lower perceived health at baseline. A higher proportion of completers had reduced falls, decreased fear of falling, and were more likely to take actions to reduce fall risk. Both groups improved in physical function with no evidence of a difference between groups. While completers gained a greater benefit, both groups demonstrated a fall risk reduction. A larger loss of non-completers to follow-up may have impacted results. Targeting programs for individuals may improve completion rates.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643251327032"},"PeriodicalIF":2.2,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651874","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}
Yannick Stephan, Angelina R Sutin, Brice Canada, André Hajek, Tiia Kekäläinen, Antonio Terracciano
{"title":"Personality and Markers of Lower Extremity Function: Findings From Six Samples.","authors":"Yannick Stephan, Angelina R Sutin, Brice Canada, André Hajek, Tiia Kekäläinen, Antonio Terracciano","doi":"10.1177/08982643241296995","DOIUrl":"10.1177/08982643241296995","url":null,"abstract":"<p><p>ObjectivesThis study investigated the associations between Five-Factor Model personality traits and balance impairment and lower limb strength.MethodsMiddle-aged and older adults (Age range: 34-104 years; <i>N</i> >27,000) from six large samples from the US and England were assessed for standing balance, lower limb strength, personality traits, sociodemographic, and health-related variables.ResultsHigher extraversion, openness, agreeableness, and conscientiousness were related to lower balance impairment risk and better lower limb strength. Higher neuroticism was associated with higher risk of balance impairment and with weaker lower limb strength. Biological, clinical, behavioral, and psychological factors partially accounted for these associations between personality and risk of balance impairment. Depressive symptoms and physical activity partially mediated the associations between personality traits and limb strength.DiscussionPersonality traits have replicable associations with lower extremity functions. The study identifies potential moderators and mediators of these associations.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643241296995"},"PeriodicalIF":2.2,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617773","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}