Amber D Thompson, Catharine Sparks, Bob Wong, Eli Iacob, Alexandra L Terrill, Michael Caserta, Rebecca L Utz
{"title":"Using Digital Inequality Framework to Evaluate a Technology-Delivered Intervention for Caregivers: Age, Education, and Computer Proficiency.","authors":"Amber D Thompson, Catharine Sparks, Bob Wong, Eli Iacob, Alexandra L Terrill, Michael Caserta, Rebecca L Utz","doi":"10.1177/08982643241232173","DOIUrl":"10.1177/08982643241232173","url":null,"abstract":"<p><p><b>Objectives:</b> Using \"digital inequality\" as a conceptual framework, this study evaluates the feasibility and usability of a technology-delivered intervention (an \"app\") for Alzheimer's and related dementia family caregivers. Time for Living and Caring (TLC) is an on-line intervention that provides virtual coaching and self-administered education and resources. <b>Methods:</b> A sample of family caregivers (<i>n</i> = 163) used the tool for 16 weeks, which included completing the Computer Proficiency Questionnaire (CPQ-12) at baseline. Analyses investigate the relationship between age, CPQ scores, intervention use, appraisal, and caregiver outcomes. <b>Results:</b> Age was inversely associated with CPQ; however, CPQ scores did not have a significant relationship with participant's self-perceived benefits or intervention appraisal. Computer Proficiency Questionnaire scores provided insight regarding research feasibility, with lower scores associated with greater odds of discontinuing engagement. <b>Discussion:</b> CPQ-12 scores can be used as a screening tool to identify those who may need additional support to engage with and benefit from technology-delivered interventions.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"106-116"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11303596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139703982","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":"Coping with Discrimination: A Longitudinal Study of Health Outcomes in Lesbian, Gay, and Bisexual and Heterosexual Midlife and Older Adults.","authors":"Christi L Nelson","doi":"10.1177/08982643231218474","DOIUrl":"10.1177/08982643231218474","url":null,"abstract":"<p><strong>Objectives: </strong>This study explored how coping moderates the association between discrimination and health outcomes in lesbian, gay, and bisexual (LGB) and heterosexual midlife and older adults.</p><p><strong>Methods: </strong>This study analyzed longitudinal data from 163 LGB and 326 propensity-matched heterosexual midlife and older adults over approximately 20 years, using the Midlife in the United States study.</p><p><strong>Results: </strong>Discrimination was associated with slower chronic condition accumulation over time for LGB individuals. Problem-focused and avoidance coping moderated discrimination's impact on mental health in LGB participants over time, and in heterosexual participants, they moderated the association between discrimination and chronic conditions.</p><p><strong>Discussion: </strong>The results suggest a potential \"steeling\" effect in LGB midlife and older adults facing higher discrimination levels. Furthermore, the findings suggest that effective coping strategies for mitigating the adverse impacts of discrimination on physical and mental health may vary by sexual orientation.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"18-30"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138441722","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":"Exploring the Characteristics of Men Aged 55+ Who Use Mental Health Community Care and Support Services: A Secondary Analysis of the Adult Psychiatric Morbidity Study in England.","authors":"Alex Vickery","doi":"10.1177/08982643241227251","DOIUrl":"10.1177/08982643241227251","url":null,"abstract":"<p><p>ObjectivesThe aim of this study is to understand the demographic and situational characteristics of men over 55 who have used a community support service. <b>Method:</b> Hierarchical multivariable logistic regression was conducted using anonymised data from the Adult Psychiatric Morbidity Study 2014. <b>Results:</b> Need factors such as having a common mental disorder (CMD), poor general health and having counselling/therapy were the most relevant to use of a community support service. It was more common for older men (85+), single men, and those who reported experiencing several traumatic life events to have used a community support service. <b>Discussion:</b> The results are critically discussed by considering the roles of gender, ageing, and social support, which might influence the use of community support services. There is a need for more awareness of categories such as age and previous service use, and how they might influence community support help seeking.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"64-74"},"PeriodicalIF":4.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11566065/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139485684","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}
Gillian Fennell, Theresa Andrasfay, Hanna Grol-Prokopczyk, Jennifer Ailshire
{"title":"A Painful Reality Check? Examining the Accuracy of Subjective Survival Probabilities by Pain Interference and Depression Status.","authors":"Gillian Fennell, Theresa Andrasfay, Hanna Grol-Prokopczyk, Jennifer Ailshire","doi":"10.1177/08982643241307454","DOIUrl":"https://doi.org/10.1177/08982643241307454","url":null,"abstract":"<p><strong>Purpose: </strong>Pain and depression are linked to higher mortality risk and lower subjective survival probabilities (SSPs). We examine if SSPs for individuals with pain and depression match their actual lifespans.</p><p><strong>Methods: </strong>Using data on 12,745 Health and Retirement Study respondents aged 57-89 in 2000 with follow-up through 2018, we assessed whether respondents' SSPs were \"correct,\" \"underestimated,\" or \"overestimated\" relative to their lifespans. Adjusted multinomial logistic regressions predicted SSP accuracy based on pain interference, depression, and their interaction.</p><p><strong>Results: </strong>Severe or interfering pain (i.e., high impact pain) was associated with a 25% higher risk of underestimating SSPs (RRR = 1.25, <i>p</i> = .04), and depression increased the risk by 49% (RRR = 1.49, <i>p</i> < .001). High impact pain and depression also corresponded with lower average SSPs and higher mortality risk.</p><p><strong>Conclusion: </strong>High impact pain and depression increase the risk of underestimating longevity. Future research should explore the impact on health and financial decisions in older adults.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643241307454"},"PeriodicalIF":2.2,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856615","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":"Retirement, Social Engagement, and Post-Retirement Changes in Cognitive Function.","authors":"Lilian Cabrera-Haro, Carlos F Mendes de Leon","doi":"10.1177/08982643241308311","DOIUrl":"https://doi.org/10.1177/08982643241308311","url":null,"abstract":"<p><strong>Objectives: </strong>This study examines whether social engagement at the time of retirement is associated with better cognitive function and slower cognitive decline.</p><p><strong>Methods: </strong>Data come from 10 waves of the Health and Retirement Study, linked with data from the Consumption and Activities Mail Survey (CAMS). Respondents included those who had transitioned from working full-time to partial or full retirement. Social engagement was measured across 5 social activities and grouped into 4 categories.</p><p><strong>Results: </strong>In fully adjusted regression models, higher frequency of participation in social activities was associated with higher cognitive function at the time of retirement but not with slower cognitive decline after retirement. An increase in social activities after retirement was not associated with better cognitive function or slower cognitive decline.</p><p><strong>Discussion: </strong>These findings do not offer evidence that higher frequency of social engagement or increases in social engagement after retirement protect against post-retirement cognitive decline.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643241308311"},"PeriodicalIF":2.2,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866228","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}
Yuzi Zhang, Laura F DeFina, David Leonard, Baojiang Chen, Emily T Hébert, Carolyn E Barlow, Andjelka Pavlovic, Harold W Kohl
{"title":"Associations of Muscle-Strengthening Activity and Cognitive Function in Community-Dwelling Middle-Aged and Older Adults.","authors":"Yuzi Zhang, Laura F DeFina, David Leonard, Baojiang Chen, Emily T Hébert, Carolyn E Barlow, Andjelka Pavlovic, Harold W Kohl","doi":"10.1177/08982643241307757","DOIUrl":"https://doi.org/10.1177/08982643241307757","url":null,"abstract":"<p><strong>Objective: </strong>To determine the associations between muscle-strengthening activity (MSA) and cognitive function among middle-aged and older adults.</p><p><strong>Methods: </strong>This cross-sectional study included 2973 participants aged ≥55 in the Cooper Center Longitudinal Study. Participants self-reported leisure-time physical activity. Cognitive function was assessed using the Montreal Cognitive Assessment (MoCA). The associations of reported MSA frequency (0-1 vs. ≥2 sessions/week) and volume (zero, low: ≤250, medium: 250-420, high: >420 MET minutes/week) with mild cognitive impairment (MCI, defined as MoCA<26) and MoCA total score were examined using logistic and linear regression.</p><p><strong>Results: </strong>Individuals who participated in ≥2 MSA sessions/week had a significantly higher MoCA total score. Participants with medium MSA volume were significantly associated with lower odds of being classified as MCI and associated with a higher MoCA total score than those with zero volume.</p><p><strong>Conclusions: </strong>Engaging in MSA is associated with cognitive health among middle-aged and older adults independent of aerobic exercise.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643241307757"},"PeriodicalIF":2.2,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830815","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 Limitations and Depressive Symptoms Among Older Adults in Korea: Gender Differences in the Moderating Roles of Relationship Satisfaction With Family, Friends, and Neighbors.","authors":"Ji-Young Choi, Pildoo Sung","doi":"10.1177/08982643241304884","DOIUrl":"https://doi.org/10.1177/08982643241304884","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigated the association between functional limitations and depressive symptoms among older adults in South Korea, focusing on gender differences in the moderating roles of relationship satisfaction with family, friends, and neighbors.</p><p><strong>Methods: </strong>Fixed-effect models were applied to five waves of data from the Korean Retirement and Income Study, encompassing 19,180 observations.</p><p><strong>Results: </strong>Increases in functional limitations were associated with higher levels of depressive symptoms, regardless of gender. However, the moderating effects of relationship satisfaction differed by gender: For older women, satisfaction with family moderated the association, whereas for older men, satisfaction with friends played a moderating role.</p><p><strong>Discussion: </strong>The findings suggest tailoring interventions to improve family relationships for women and friendships for men in mitigating depressive symptoms among functionally vulnerable older adults in Korea, where rapid population aging poses significant challenges to protect functional and mental health among older adults.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643241304884"},"PeriodicalIF":2.2,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787702","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}
Patricia A Thomas, Elizabeth Teas, Elliot Friedman, Lisa L Barnes, Madison R Sauerteig-Rolston, Kenneth F Ferraro
{"title":"Early-Life Parental Affection, Social Relationships in Adulthood, and Later-Life Cognitive Function.","authors":"Patricia A Thomas, Elizabeth Teas, Elliot Friedman, Lisa L Barnes, Madison R Sauerteig-Rolston, Kenneth F Ferraro","doi":"10.1177/08982643241303589","DOIUrl":"10.1177/08982643241303589","url":null,"abstract":"<p><strong>Objective: </strong>Although research has demonstrated the long-term health consequences of childhood adversities, less is known about the long-term impact of positive childhood experiences, such as parental affection.</p><p><strong>Method: </strong>Using longitudinal data (1995-2014) from the Midlife in the United States (MIDUS) study, we analyze structural equation models estimating direct and indirect pathways from early-life parental affection to changes in later-life cognitive function through relationship quality in adulthood among Black and White older adults (<i>N</i> = 1983).</p><p><strong>Results: </strong>Analyses revealed significant indirect effects of parental affection on better cognitive function through higher levels of social support (both average social support and family social support) in adulthood in the full sample and among Black respondents. Indirect pathways through relationship strain and through friend support were not significant.</p><p><strong>Discussion: </strong>This work elevates the importance of promoting positive parental relationships during childhood, with implications for better social relationships in adulthood and cognitive function in later life.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643241303589"},"PeriodicalIF":2.2,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774580","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}
Ana R Quiñones, Gail McAvay, Brent Vander Wyk, Ling Han, Corey Nagel, Heather G Allore
{"title":"A Joint Model for Disability, Self-Rated Health, and Mortality Among Medicare Beneficiaries-Differences by Chronic Disease and Race/Ethnicity.","authors":"Ana R Quiñones, Gail McAvay, Brent Vander Wyk, Ling Han, Corey Nagel, Heather G Allore","doi":"10.1177/08982643231210027","DOIUrl":"10.1177/08982643231210027","url":null,"abstract":"<p><strong>Objectives: </strong>Quantifying interdependence in multiple patient-centered outcomes is important for understanding health declines among older adults.</p><p><strong>Methods: </strong>Medicare-linked National Health and Aging Trends Study data (2011-2015) were used to estimate a joint longitudinal logistic regression model of disability in activities of daily living (ADL), fair/poor self-rated health (SRH), and mortality. We calculated personalized concurrent risk (PCR) and typical concurrent risk (TCR) using regression coefficients.</p><p><strong>Results: </strong>For fair/poor SRH, highest odds were associated with COPD. For mortality, highest odds were associated with dementia, hip fracture, and kidney disease. Dementia and hip fracture were associated with highest odds of ADL disability. Hispanic respondents had highest odds of ADL disability. Hispanic and NH Black respondents had higher odds of fair/poor SRH, ADL disability, and mortality. PCRs/TCRs demonstrated wide variability for respondents with similar sociodemographic-multimorbidity profiles.</p><p><strong>Discussion: </strong>These findings highlight the variability of personalized risk in examining interdependent outcomes among older adults.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"642-653"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11446605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50163726","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}
Wuyang Zhang, Danielle S Powell, Emmanuel E Garcia Morales, Jennifer A Deal, Nicholas S Reed
{"title":"Caregiving Time of Unpaid Family Caregivers Assisting Older Adults With Hearing Difficulty.","authors":"Wuyang Zhang, Danielle S Powell, Emmanuel E Garcia Morales, Jennifer A Deal, Nicholas S Reed","doi":"10.1177/08982643231208240","DOIUrl":"10.1177/08982643231208240","url":null,"abstract":"<p><p><b>Objectives:</b> We aimed to investigate the association of older adults' hearing difficulty status with caregiving time. <b>Methods:</b> We used data from two linked surveys of Medicare beneficiaries and family caregivers. Hearing difficulty was defined by hearing aid use and hearing capacity in functional settings. Weighted multivariable linear regression examined the association between hearing difficulty and caregiving time. Stratified analyses were conducted to investigate the moderation effects of caregiving networks and care recipient's dementia status. <b>Results:</b> Among 3003 caregivers, those who assisted older adults with hearing difficulty were observed to spend greater time providing care (β = 1.18, 95% Confidence Interval [CI]: 1.04, 1.32). Stronger associations in magnitude were observed among caregivers without caregiving networks (β = 1.35, 95% CI: 1.13, 1.56) and assisting older adults without dementia (β = 1.22; 95% CI = 1.06, 1.37). <b>Discussion:</b> Hearing difficulty may contribute to greater caregiving time and remains a potential target for caregiver support programs.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"610-618"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49684836","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}