{"title":"Country Differences in Older Men's Hearing Difficulty Disadvantage.","authors":"Shane D Burns, Jessica S West","doi":"10.1177/08982643241251939","DOIUrl":"10.1177/08982643241251939","url":null,"abstract":"<p><p><b>Objectives:</b> Hearing difficulty is prevalent in older adulthood and projected to increase via global aging, particularly among men. Currently, there is limited research on how this gender disparity might vary by country. <b>Methods:</b> Using 2018 data (<i>n</i> = 29,480) from the Health and Retirement Study (HRS) international family of studies, we investigate gender disparities in hearing difficulty among respondents ages 55-89 from the United States (<i>n</i> = 12,566), Mexico (<i>n</i> = 10,762), and Korea (<i>n</i> = 6152) with country-specific ordinal logistic regression models that progressively adjust for demographic, social, and health indicators. <b>Results:</b> In the United States, men's hearing difficulty disadvantage was consistently observed. In Mexico, men's hearing difficulty disadvantage was explained by the interactive effect of gender and age group but resurfaced after adjusting for comorbidities. In Korea, there was consistently no gender difference in hearing difficulty. <b>Discussion:</b> Our results highlight the heterogeneity in older men's hearing difficulty disadvantage among a diverse group of aging countries.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643241251939"},"PeriodicalIF":2.2,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861261","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":"Regional Variation in Lifetime Probability of Admission to Residential Aged Care in Australia.","authors":"Mark Cooper-Stanbury","doi":"10.1177/08982643241248207","DOIUrl":"https://doi.org/10.1177/08982643241248207","url":null,"abstract":"<p><strong>Objectives: </strong>This paper aims to apply a novel demographic technique to update - and extend to sub-national regions - estimates of the lifetime probability of admission to residential aged care.</p><p><strong>Methods: </strong>Making optimal use of Australian data sources on aged care usage, mortality and population, this study adopts a two-population life table approach to produce an updated set of national probability estimates and first-time regional estimates.</p><p><strong>Results: </strong>The probability of admission generally increases with age: nationally, lifetime probability at age 65 is 50% for women and 37% for men, rising to 55% and 46%, respectively, at age 85. This general pattern varied somewhat across regions.</p><p><strong>Discussion: </strong>The regional results point to inequities in the uptake of care, thereby informing providers, governments, aged care advocates and anyone interested in equity of access.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643241248207"},"PeriodicalIF":2.8,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141072072","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}
Anna-Maria Lahti, Tuija M Mikkola, Niko S Wasenius, Timo Törmäkangas, Jenni N Ikonen, Sini Siltanen, Johan G Eriksson, Mikaela B von Bonsdorff
{"title":"Social Mobility and Health-Related Quality of Life Trajectory Classes Among Older Women and Men.","authors":"Anna-Maria Lahti, Tuija M Mikkola, Niko S Wasenius, Timo Törmäkangas, Jenni N Ikonen, Sini Siltanen, Johan G Eriksson, Mikaela B von Bonsdorff","doi":"10.1177/08982643241242513","DOIUrl":"https://doi.org/10.1177/08982643241242513","url":null,"abstract":"<p><strong>Objectives: </strong>Changes in socioeconomic status (SES) during life may impact health in old age. We investigated whether social mobility and childhood and adulthood SES are associated with trajectories of health-related quality of life (HrQoL) over a 17-year period.</p><p><strong>Methods: </strong>We used data from the Helsinki Birth Cohort Study (<i>n</i> = 2003, 46% men, mean age 61.5 years). Social mobility was derived from childhood SES, obtained from healthcare records, and register-based adulthood SES.</p><p><strong>Results: </strong>Logistic regression models showed that lower adulthood SES was associated with lower physical HrQoL trajectories. Among men low (OR 3.95, <i>p</i> < .001), middle (OR 2.20, <i>p</i> = .006), and declining lifetime SES (OR 2.41, <i>p</i> = .001) were associated with lower physical HrQoL trajectories compared to men with high SES. Socioeconomic status was not associated with mental HrQoL trajectories.</p><p><strong>Discussion: </strong>Declining SES during life course may have negative health consequences, while improving SES is potentially as beneficial as high SES to later-life health among men.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643241242513"},"PeriodicalIF":2.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337627","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}
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":"https://doi.org/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":"8982643241242512"},"PeriodicalIF":2.8,"publicationDate":"2024-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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":"8982643241242518"},"PeriodicalIF":2.8,"publicationDate":"2024-03-28","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":"https://doi.org/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":"8982643241238253"},"PeriodicalIF":2.8,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","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":"https://doi.org/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":"8982643241239086"},"PeriodicalIF":2.8,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","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":"https://doi.org/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":"8982643241238789"},"PeriodicalIF":2.8,"publicationDate":"2024-03-13","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}
Julia L Sheffler, Zhuo Meng, Natalie Sachs-Ericsson, Viviana G Caimary, Juhi Patel, Scott Pickett
{"title":"Sleep Quality as a Critical Pathway Between Adverse Childhood Experiences and Multimorbidity and the Impact of Lifestyle.","authors":"Julia L Sheffler, Zhuo Meng, Natalie Sachs-Ericsson, Viviana G Caimary, Juhi Patel, Scott Pickett","doi":"10.1177/08982643241237832","DOIUrl":"https://doi.org/10.1177/08982643241237832","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to establish the effects of ACEs on multimorbidity through sleep quality and investigate whether lifestyle factors (e.g., eating habits and exercise) may influence this relationship among middle-aged and older adults.</p><p><strong>Methods: </strong>Participants were drawn from a cross-sectional sample of community dwelling older adults (<i>N</i> = 276, 55+) and three waves of data from the Midlife in the United States study (MIDUS, <i>N</i> = 843). We examined the direct and indirect effects of ACEs, sleep quality, and health conditions, as well as the conditional effects of physical activity and eating habits.</p><p><strong>Results: </strong>Across both samples, sleep quality mediated the relationship between ACEs and chronic health conditions. Moderating effects of unhealthy eating and physical activity differed between samples.</p><p><strong>Discussion: </strong>Sleep quality is an important pathway connecting ACEs and adult multimorbidity, and health behaviors may provide targets for intervention particularly in older adults.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643241237832"},"PeriodicalIF":2.8,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140050954","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}
Yulin Yang, Kendra D Sims, Nancy E Lane, Kate A Duchowny, Jacqueline M Torres
{"title":"Perceived Neighborhood Characteristics and Later-Life Pain Outcomes: Evidence From the Health and Retirement Study.","authors":"Yulin Yang, Kendra D Sims, Nancy E Lane, Kate A Duchowny, Jacqueline M Torres","doi":"10.1177/08982643231185382","DOIUrl":"10.1177/08982643231185382","url":null,"abstract":"<p><p><b>Objectives:</b> This study examines whether perceived neighborhood characteristics relate to pain outcomes among middle-aged and older adults. <b>Methods:</b> Data were from the Health and Retirement Study (2006-2014; <i>n</i> = 18,814). Perceived neighborhood characteristics were physical disorder, social cohesion, safety, and social ties. We fitted adjusted generalized estimating equation models to evaluate prevalence, incidence, and recovery of moderate-to-severe limiting pain 2 years later. <b>Results:</b> The mean age of our sample was 65.3 years; 54.6% were female and 24.2% reported moderate-to-severe limiting pain at baseline. Positive neighborhood characteristics were associated with low prevalence (e.g., prevalence ratio [PR]: .71 for <i>disorder</i>) and reduced incidence (e.g., PR: .63 for <i>disorder</i>) of moderate-to-severe limiting pain. Positive neighborhood characteristics were associated with a high recovery rate from moderate-to-severe limiting pain (e.g., PR = 1.15 for <i>safety</i>), though the 95% CIs for disorder and cohesion crossed the null. <b>Discussion:</b> Neighborhood characteristics may be important determinants in predicting pain in later life.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"246-256"},"PeriodicalIF":2.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10739572/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9680397","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}