Shane D Burns, Eileen M Crimmins, Mutian Zhang, Jennifer A Ailshire
{"title":"Psychosocial Well-Being Differences Between the Young Old, Old-Old, and Oldest Old: A Global Comparison.","authors":"Shane D Burns, Eileen M Crimmins, Mutian Zhang, Jennifer A Ailshire","doi":"10.1177/08982643241264587","DOIUrl":"10.1177/08982643241264587","url":null,"abstract":"<p><strong>Objectives: </strong>We investigate global differences in psychosocial well-being between older adult age groups.</p><p><strong>Methods: </strong>Using multinomial logistic regression, we analyzed 2018 data (<i>n</i> = 93,663) from 9 countries/regions in the Health and Retirement Study international family of studies to compare age group differences in depression, loneliness, and happiness.</p><p><strong>Results: </strong>Compared to the young old, the old-old reported more depression in Southern Europe, while the oldest old had higher risk in India and Southern Europe but lower risk in the United States. The old-old reported less loneliness in the United States but more in Southern Europe, while the oldest old had greater risk in Southern Europe. The old-old reported less happiness in Korea, while the oldest old had lower reports in Korea but higher reports in the United States.</p><p><strong>Discussion: </strong>The psychosocial well-being of the oldest old is exceptionally good in the United States but exceptionally poor in Southern Europe.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643241264587"},"PeriodicalIF":2.2,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141731629","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}
Anja Gysin-Maillart, David Bettschen, Pascale Annaheim, Stella Brogna, Sebastian Walther, Margda Waern, Martin Müller, Aristomenis K Exadaktylos, Jolanta Klukowska-Rötzler
{"title":"Sociodemographic and Clinical Characteristics of Older Adults With Suicide-Related Emergency Department Presentations.","authors":"Anja Gysin-Maillart, David Bettschen, Pascale Annaheim, Stella Brogna, Sebastian Walther, Margda Waern, Martin Müller, Aristomenis K Exadaktylos, Jolanta Klukowska-Rötzler","doi":"10.1177/08982643241261094","DOIUrl":"https://doi.org/10.1177/08982643241261094","url":null,"abstract":"<p><strong>Objectives: </strong>To identify characteristics of older adult emergency department (ED) patients aged ≥65 with suicidal ideation and/or behavior.</p><p><strong>Methods: </strong>A single center retrospective chart review analyzed 392 patients (≥65) with suicidal ideation and/or behavior (2013-2019). Comprehensive full-text searches were used. Subgroup analyses for age and gender were conducted.</p><p><strong>Results: </strong>Depressive disorder was documented in 50% of cases. Notably, 54% of all women were prescribed antidepressants, compared to only 31% of men. Most patients had general medical conditions (74.5%) and chronic multimorbidity (71.2%). Social stress affected 40.1%; 35.7% were intoxicated upon presentation. Alcohol abuse was more common in the 65-74 age group, while dementia impacted 20% of those ≥75. Men had a six-fold higher 30-day post-discharge mortality.</p><p><strong>Discussion: </strong>Older ED patients with suicidal ideation and/or behavior exhibit typical characteristics. The dementia prevalence suggests tailored care for those ≥75, and the heightened post-discharge mortality rate in older men requires further research.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643241261094"},"PeriodicalIF":2.2,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141731643","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":"Barriers Experienced by Community-Dwelling Older Adults Navigating Formal Care: Evidence From an Australian Population-Based National Survey.","authors":"Yuchen Xie, Craig Sinclair, Myra Hamilton, Carmelle Peisah, Jeromey Temple, Kaarin J Anstey","doi":"10.1177/08982643241263132","DOIUrl":"10.1177/08982643241263132","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to identify the relationship between psychosocial factors and unmet needs among community-dwelling older adults who have received or who expect to receive formal home-based aged care services.</p><p><strong>Methods: </strong>A subsample of the national Survey of Disability, Ageing and Carers was used to examine the prevalence of having any unmet needs among older adults navigating care. We also examined associations between older adults' psychosocial factors and their unmet needs using logistic regression.</p><p><strong>Results: </strong>Regression analyses highlighted that perceived social isolation (OR = 1.62, 95% CI: 1.30-2.01), high/very high psychological distress (OR = 2.11, 95% CI: 1.52-2.93), and occasional assistance from informal support (OR = 1.92, 95% CI: 1.22-3.05) were associated with increased odds of having unmet needs, after adjusting for other covariates.</p><p><strong>Discussion: </strong>Our study suggests that older adults facing psychosocial difficulties or lacking informal support are more likely to encounter barriers in accessing formal care. Future policy should address the psychosocial needs and support networks of older adults.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643241263132"},"PeriodicalIF":2.2,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447583","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}
Nils Bernd Koesters, Renu Minhas, Walter Wittich, Andrena McMenemy, Christine Johnson
{"title":"Visualizing Worldwide Prevalence of Age-Related Dual Sensory Loss.","authors":"Nils Bernd Koesters, Renu Minhas, Walter Wittich, Andrena McMenemy, Christine Johnson","doi":"10.1177/08982643241263879","DOIUrl":"https://doi.org/10.1177/08982643241263879","url":null,"abstract":"<p><p><b>Objectives:</b> This study aims to create a first visualization of global prevalence of age-related dual sensory loss (DSL), significantly affecting older people's quality of life. <b>Methods:</b> Data from World Health Organization (WHO) regions, particularly African, American, and European, were analyzed. The study focused on DSL onset and prevalence, using adjusted life expectancy for regional comparison. <b>Results:</b> There were notable regional variations in DSL onset and prevalence. The African region showed consistent data, thanks to standardized methods from the World Federation of the Deafblind. However, global patterns varied when adjusted for life expectancy, hinting at possible DSL prevalence stabilization at older ages. <b>Discussion:</b> The study identifies a lack of standardization in DSL prevalence research regarding definitions, methodologies, and reporting. It calls for more uniform and thorough research methods for accurate global DSL understanding. The research highlights the complexity and challenges in determining DSL prevalence worldwide.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643241263879"},"PeriodicalIF":2.2,"publicationDate":"2024-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443691","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}
Leah R Abrams, Yuan S Zhang, Ayisha D Munsey, Muna A Farah, Lauren L Brown
{"title":"Working Through It: Lifetime Experiences of Employment Discrimination Among Older Black Americans and Implications for Labor Force Participation, Job Dissatisfaction, and Mental Health in Older Adulthood.","authors":"Leah R Abrams, Yuan S Zhang, Ayisha D Munsey, Muna A Farah, Lauren L Brown","doi":"10.1177/08982643241259781","DOIUrl":"10.1177/08982643241259781","url":null,"abstract":"<p><strong>Objectives: </strong>To examine lifetime experiences of employment discrimination and their association with Black older adults' employment status and well-being.</p><p><strong>Methods: </strong>We use data from the Health and Retirement Study's leave-behind questionnaire to characterize lifetime experiences of being unfairly fired, not hired, or not promoted among Black older adults (<i>N</i> = 2948) and test associations with labor force status at age 62, job satisfaction among those working, and depressive symptoms.</p><p><strong>Results: </strong>Employment discrimination was commonly reported by Black older adults, especially among men and those with college educations. Employment discrimination was not associated with employment status at age 62 but was associated with job dissatisfaction (OR = 2.00, <i>p</i> = .001) and depressive symptoms (Beta = 0.34, <i>p</i> < .001).</p><p><strong>Discussion: </strong>Findings suggest a negative association between employment discrimination at any point in the life course and Black older adults' well-being. Employment discrimination is an obstacle to healthy aging, yet improved discrimination survey items are needed to fully capture its impact on Black Americans.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643241259781"},"PeriodicalIF":2.2,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332512","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}
Pildoo Sung, Jeremy Lim-Soh, June May-Ling Lee, Angelique Chan
{"title":"Stress and Loneliness Among Family Caregivers of Older Persons With Cognitive Impairment: The Mediating Role of Social Isolation and the Moderating Role of Personal Mastery.","authors":"Pildoo Sung, Jeremy Lim-Soh, June May-Ling Lee, Angelique Chan","doi":"10.1177/08982643241262374","DOIUrl":"https://doi.org/10.1177/08982643241262374","url":null,"abstract":"<p><strong>Objectives: </strong>Relatively little attention has been paid to the underlying processes and conditions leading to loneliness among caregivers of older persons with cognitive impairment (PCI). Drawing upon the caregiver stress-process model and the social relationship expectations framework, this study examined the mediating role of social isolation and the moderating role of caregiver personal mastery in the association between PCI memory and behavioral problems and caregiver loneliness.</p><p><strong>Methods: </strong>Structural equation modeling was applied to cross-sectional data from 266 caregivers in Singapore.</p><p><strong>Results: </strong>Caregiver-reported PCI memory and behavioral problems were associated with increased levels of caregiver loneliness. Caregiver social isolation partially mediated the association and caregiver personal mastery moderated the association.</p><p><strong>Discussion: </strong>Caregivers with low mastery were more likely to experience loneliness due in part to social isolation resulting from their PCI's memory and behavioral problems. Tailored interventions should address caregiver social isolation and foster caregiver personal mastery.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643241262374"},"PeriodicalIF":2.8,"publicationDate":"2024-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332511","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}
Kellia J Hansmann, Ronald Gangnon, Carolyn McAndrews, Stephanie Robert
{"title":"Social and Environmental Characteristics Associated With Older Drivers' Use of Non-driving Transportation Modes.","authors":"Kellia J Hansmann, Ronald Gangnon, Carolyn McAndrews, Stephanie Robert","doi":"10.1177/08982643241258901","DOIUrl":"https://doi.org/10.1177/08982643241258901","url":null,"abstract":"<p><p><b>Objective:</b> We examined associations between older drivers' social and environmental characteristics and odds of using non-driving transportation modes. <b>Methods:</b> Using 2015 National Health and Aging Trends Study data for community-dwelling drivers (<i>n</i> = 5102), we estimated logistic regression models of associations between social characteristics, environmental characteristics, and odds of using non-driving transportation modes three years later. <b>Results:</b> Drivers had 20% increase in odds of getting rides three years later for each additional confidante (adjusted odds ratio [aOR] = 1.20, 95% confidence interval [CI]: 1.11-1.30). Drivers living in more walkable neighborhoods were more likely to walk to get places (National Walkability Index [NWI] score of 18 vs. 2 aOR = 1.71, 95% CI: 1.02-2.90) and take public transit three years later (NWI 18 vs. 2 aOR = 7.47, 95% CI: 1.69-33.0). <b>Discussion:</b> Identifying modifiable social and environmental characteristics can inform future interventions supporting older adults' health during the transition to non-driving.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643241258901"},"PeriodicalIF":2.8,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238715","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}
Essi-Mari Tuomola, Kirsi E Keskinen, Anne Viljanen, Taina Rantanen, Erja Portegijs
{"title":"Neighborhood Walkability, Walking Difficulties, and Participation in Leisure Activities Among Older People: A Cross-Sectional Study and 4-Year Follow-Up of a Subsample.","authors":"Essi-Mari Tuomola, Kirsi E Keskinen, Anne Viljanen, Taina Rantanen, Erja Portegijs","doi":"10.1177/08982643231191444","DOIUrl":"10.1177/08982643231191444","url":null,"abstract":"<p><p><b>Objectives:</b> To study cross-sectional and longitudinal associations between objectively assessed neighborhood walkability, walking difficulties, and participation in leisure activities among older people. <b>Methods:</b> Self-reported 2 km walking difficulty (intact, modifications, difficulties) at baseline and participating in organized group, outdoor recreation and cultural activities at baseline and follow-up were studied in community-dwelling persons (<i>N</i> = 848) aged 75-90. A walkability index, calculated using a geographic information system, was categorized into tertiles (lowest, middle, highest). <b>Results:</b> Residence in the highest walkability areas was associated with higher participation in cultural activities and lower participation in outdoor recreation, while the latter was most frequently reported by residents in the lowest walkability areas. Those reporting no difficulties were more likely than those reporting difficulties to participate in all studied activities. Residence in the middle or highest walkability areas predicted higher participation in cultural activities at follow-up. <b>Discussion:</b> Older persons activity profiles associate with neighborhood walkability and walking difficulties.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"367-378"},"PeriodicalIF":2.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11025300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9912195","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":"Age as a Moderator of Health Outcomes and Trust in Physicians.","authors":"Emma Katz, Barry Edelstein, Nicholas A Turiano","doi":"10.1177/08982643231187104","DOIUrl":"10.1177/08982643231187104","url":null,"abstract":"<p><p><b>Objectives:</b> Patient trust in physicians is associated with patient satisfaction with healthcare, patients engaging in follow-up care, and positive health-related outcomes. The current study investigated whether age moderated the relation between trust in physicians and four health outcome variables, including patient satisfaction, doctor visits, emergency room visits, and hospital admissions. <b>Methods:</b> 398 English-speaking, community-dwelling adults completed measures of physician trust and important health outcome variables via Amazon Mechanical Turk. <b>Results:</b> Age significantly moderated relations between trust in physicians and hospital admissions, and trust in physicians and patient satisfaction, with both positive relations becoming stronger with increasing age. <b>Discussion:</b> The results highlight the need for a lifespan approach to the study of physician trust and related health outcomes. They offer an avenue for increasing physician trust, engagement with the healthcare system prior to the need for hospitalization, and the reduction of healthcare costs.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"308-319"},"PeriodicalIF":2.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9737162","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}
Marisa Shenk, Bernadette Hicks, Ana Quiñones, Amal Harrati
{"title":"Racial Disparities in COVID-19 Experiences Among Older Adults With Disabling Conditions.","authors":"Marisa Shenk, Bernadette Hicks, Ana Quiñones, Amal Harrati","doi":"10.1177/08982643231185689","DOIUrl":"10.1177/08982643231185689","url":null,"abstract":"<p><strong>Objectives: </strong>This paper examines the health, work, and financial experiences of older adults with disabling conditions during the COVID-19 pandemic. It also explores the role of county- and state-level conditions in these experiences.</p><p><strong>Methods: </strong>Using data from the 2020 Health and Retirement Study, we estimated regression models to assess differences in outcomes between those with and without disabling conditions and by race/ethnicity. We used multilevel modeling to assess whether and how county or state factors might be associated with the differences in these effects.</p><p><strong>Results: </strong>Older adults with disabilities were more likely to report experiencing financial hardships, delaying health care, and experiencing effects on work than those without disabilities; these differences are heighted between race and ethnicity. Older adults with disabilities were more likely to live in counties with greater social vulnerability.</p><p><strong>Discussion: </strong>This work underscores the importance of developing a robust, disability-inclusive public health response that protects older adults.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"320-336"},"PeriodicalIF":2.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10315517/pdf/10.1177_08982643231185689.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10103546","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}