Hanne R Dolan, Janet Pohl, Keenan Pituch, David W Coon
{"title":"Perceived Balance, Balance Performance, and Falls Among Community-Dwelling Older Adults: A Retrospective, Cross-Sectional Study.","authors":"Hanne R Dolan, Janet Pohl, Keenan Pituch, David W Coon","doi":"10.1177/08982643241242518","DOIUrl":"10.1177/08982643241242518","url":null,"abstract":"<p><p><b>Objectives:</b> To examine the extent to which older adults' perceived balance, a balance performance test, and fear of falling (FOF) were associated with falls in the last month. <b>Methods:</b> The Health Belief Model served as the theoretical framework. A retrospective, cross-sectional, secondary analysis using data from the National Health and Aging Trends Study was conducted (<i>N</i> = 7499). <b>Results:</b> Multiple logistic regression analysis revealed that the odds of reporting a fall in the past month were 3.3 times (<i>p</i> < .001) greater for participants who self-reported having a balance problem compared to those who did not. The Short Physical Performance Battery and FOF were not uniquely associated with falls. <b>Discussion:</b> Our findings support limited evidence suggesting that older adults' perceived balance is a better predictor of falls than balance performance. Assessing older adults' perceived balance may be a new way to assess older adults' fall risk to prevent future falls.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"233-242"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307756","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}
Emma Hooper, Laura J E Brown, Piers Dawes, Iracema Leroi, Christopher J Armitage
{"title":"What are the Correlates of Hearing Aid Use for People Living With Dementia?","authors":"Emma Hooper, Laura J E Brown, Piers Dawes, Iracema Leroi, Christopher J Armitage","doi":"10.1177/08982643241238253","DOIUrl":"10.1177/08982643241238253","url":null,"abstract":"<p><strong>Objectives: </strong>To identify correlates of hearing aid use in people with dementia and age-related hearing loss.</p><p><strong>Methods: </strong>Bivariate and multivariate logistic regression analyses of predictor variables from 239 participants with dementia and hearing loss in the European SENSE-Cog Randomized Controlled Trial (Cyprus, England, France, Greece, and Ireland).</p><p><strong>Results: </strong>In multivariate analysis, four variables were significantly associated with hearing aid use: greater self-perceived hearing difficulties (OR 2.61 [CI 1.04-6.55]), lower hearing acuity (OR .39 [CI .2-.56]), higher cognitive ability (OR 1.19 [CI 1.08-1.31]), and country of residence. Participants in England had significantly increased odds of use compared to Cyprus (OR .36 [CI .14-.96]), France (OR .12 [CI .04-.34]) or Ireland (OR .05 [CI .01-.56]) but not Greece (OR 1.13 [CI .42-3.00]).</p><p><strong>Conclusions: </strong>Adapting interventions to account for cognitive ability, country of residence, self-perceived hearing difficulties, and hearing acuity may support hearing aid use in people with dementia.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"210-219"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144590","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}
Gail Wallace, Tyler R Bell, Roland J Thorpe, George W Rebok
{"title":"Subjective Memory Problems and Social Determinants of Health on Timed Instrumental Activities of Daily Living With Older Adults in the ACTIVE Study.","authors":"Gail Wallace, Tyler R Bell, Roland J Thorpe, George W Rebok","doi":"10.1177/08982643241310997","DOIUrl":"10.1177/08982643241310997","url":null,"abstract":"<p><p>ObjectiveThis study examines the longitudinal relationship between subjective memory problems (SMPs) and timed instrumental activity of daily living (IADL) performance while considering the effects of depressive symptoms and the moderating role of the social determinants of health (SDHs).MethodsData from 2622 older adults in the Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) randomized control trial were analyzed longitudinally, spanning up to 10 years. SMPs and timed IADL performance were assessed at each wave. The SDHs were captured using validated factors incorporating US Census data and person-level data from the ACTIVE Study. Multilevel mixed models examined associations, adjusting for demographics and the effects of depressive symptoms.ResultsMore SMPs at baseline were associated with slower timed IADL performance which rapidly became slower over time. Those older adults who experienced SMPs as they aged also experienced declines in timed IADL. These associations were influenced by socially determined health outcomes such as neighborhood and built environment, healthcare access and quality, and social and community context. Living in a better neighborhood and built environment and having access to quality healthcare weakened relationships over time between baseline SMPs and slower timed IADL performance. Better healthcare access and quality weakened the association of increases in SMPs with the slowing of timed IADL. Contrary to our prediction, living in a better social and community context, which fostered social engagement and decreased social isolation, strengthened relationships over time between baseline SMPs and slower timed IADL performance as well as the association of increases in SMPs with slower timed IADL performance over time.DiscussionMore SMPs at baseline were significantly related to slower rates of timed IADL performance over time, especially in older adults living in worse neighborhoods and built environments as well as areas with better social and community contexts. Increases in SMPs as one aged were also related to the slowing of timed IADL performance, especially in older adults living in areas with worse healthcare access and quality. Finally, our study found that higher scores on SMPs were related to slower timed IADL performance-independent of major confounds such as depressive symptoms.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":"37 3-4_suppl","pages":"91S-103S"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694378","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}
Emmanuel F Drabo, Jennifer L Wolff, Linda C Chyr, Julie Zissimopoulos, Bryan Lau
{"title":"Subjective Cognitive Impairment (SCI) and Future Dementia Risk in the National Health and Aging Trends Study (NHATS) During 2012-2019.","authors":"Emmanuel F Drabo, Jennifer L Wolff, Linda C Chyr, Julie Zissimopoulos, Bryan Lau","doi":"10.1177/08982643241308450","DOIUrl":"10.1177/08982643241308450","url":null,"abstract":"<p><p>BackgroundSubjective cognitive impairment (SCI), assessed in national surveys, offers potential for dementia monitoring and early detection. However, its causal link to dementia risk remains unclear.ObjectiveTo evaluate whether SCI causally affects dementia risk in U.S. older adults (≥65 years), considering mortality as a competing risk.MethodsUsing data from 1622 dementia-free older adults in the National Health and Aging Trends Study (NHATS) during 2011-2019, we estimated total, direct, and separable effects of SCI on dementia and mortality risks.ResultsSCI was reported by 7.6% at baseline and associated with a twofold increased dementia risk over 8 years (RR: 1.95, 95% CI: 1.07-3.07) and lower mortality risk (RR: 0.31, 95% CI: 0.10-0.67). Direct effect analysis indicated a potential direct causal link between SCI and dementia.ConclusionsSCI predicts dementia onset and inversely affects mortality, highlighting the importance of early detection and precise analytic approaches.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":"37 3-4_suppl","pages":"76S-90S"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694376","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}
Roger Wong, Tatiana Mikhailova, Darrell Hudson, Sojung Park, Shenyang Guo
{"title":"Longitudinal Engagement in Modifiable Lifestyle Behaviors and Racial-Ethnic Differences in Dementia Risk.","authors":"Roger Wong, Tatiana Mikhailova, Darrell Hudson, Sojung Park, Shenyang Guo","doi":"10.1177/08982643241308938","DOIUrl":"10.1177/08982643241308938","url":null,"abstract":"<p><p>ObjectivesThe objective was to examine racial-ethnic differences in longitudinal engagement for lifestyle behaviors and moderating role of race-ethnicity between lifestyle behaviors and dementia risk.MethodsWe analyzed 2011-2021 National Health and Aging Trends Study data, a nationally representative U.S. sample of 6155 White, Black, Hispanic, and Asian older adults aged 65+. Cox models regressed dementia on the interaction between lifestyle behaviors (physical activity, smoking, and social contacts) and race-ethnicity.ResultsOnly smoking was associated with about a 45% higher dementia risk (aHR = 1.45, 95% CI = 1.11-1.89). On average, Black and Hispanic respondents exhibited less frequent physical activity and social contacts, along with more frequent smoking. There was one significant interaction; more social contacts were associated with lower dementia risk among Asian respondents (aHR = 0.16, 95% CI = 0.05-0.55).DiscussionRacial-ethnic differences in lifestyle behaviors should be considered when addressing dementia disparities. Future research needs to explore the relationship between social contacts and lower dementia risk among Asian older adults.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":"37 3-4_suppl","pages":"22S-31S"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694363","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}
Marino A Bruce, Bettina M Beech, Gillian Marshall, Nicole Phillips, Harlan P Jones, Corinne Pettigrew, Janice V Bowie, Keith E Whitfield, Roland J Thorpe
{"title":"Religiosity, Religious Beliefs, and Cognitive Impairment Among Black and White Men With Modest Incomes.","authors":"Marino A Bruce, Bettina M Beech, Gillian Marshall, Nicole Phillips, Harlan P Jones, Corinne Pettigrew, Janice V Bowie, Keith E Whitfield, Roland J Thorpe","doi":"10.1177/08982643241309722","DOIUrl":"10.1177/08982643241309722","url":null,"abstract":"<p><p>ObjectiveThe objective of this study was to examine the association between religious practices, beliefs, and cognitive impairment among Black and White men with modest incomes in the 2016 Health and Retirement Study.MethodsData were drawn from Black and White men who reported annual incomes at or below $50,000 (<i>n</i> = 926). The primary outcome was any cognitive impairment, a dichotomous variable derived from a modified version of the Telephone Interview for Cognitive Status. The religious variables were religious service attendance, private prayer frequency, and religious beliefs.ResultsResults from regression models indicated that religious service attendance was inversely related with cognitive impairment among White men (PR = 0.64, CI: 0.48-0.87). Private prayer (PR = 0.67, CI: 0.47-0.97) and religious beliefs (PR = 0.91, CI: 0.84-1.00) were inversely related to cognitive impairment among Black men.DiscussionOur results suggest that religious practices and beliefs may contribute to cognitive preservation among Black and White men, but longitudinal studies are needed to examine these associations further.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":"37 3-4_suppl","pages":"9S-21S"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694369","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}
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}
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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12100542/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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}
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}