Journals of Gerontology Series B-Psychological Sciences and Social Sciences最新文献

Childlessness and Mental Health Among U.S. Older Adults: Do Associations Differ by Marital Status and Gender? 美国老年人的无子女与心理健康：婚姻状况和性别是否不同？

IF 4.8 2区医学

Journals of Gerontology Series B-Psychological Sciences and Social Sciences Pub Date : 2025-05-18 DOI: 10.1093/geronb/gbaf073

Deborah Carr, Shinae L Choi

{"title":"Childlessness and Mental Health Among U.S. Older Adults: Do Associations Differ by Marital Status and Gender?","authors":"Deborah Carr, Shinae L Choi","doi":"10.1093/geronb/gbaf073","DOIUrl":"https://doi.org/10.1093/geronb/gbaf073","url":null,"abstract":"Objectives: An estimated 17 percent of U.S. adults ages 55+ are childless, a fraction that has increased across recent cohorts. Most studies find no or negligible mental health consequences of childlessness for older adults, yet studies typically compare broad categories of childless persons and parents, neglecting potentially important sources of heterogeneity. We evaluate associations between parental status (childless, biological children, stepchildren only, no living children) and three dimensions of mental health (depressive symptoms, and social and emotional loneliness) and how these patterns differ by marital status and gender.Methods: Data are from the pooled 2016 and 2018 waves of the Health and Retirement Study (N = 19,354). We estimated OLS regression models and tested two- and three-way interaction terms to evaluate the association between parental status and mental health, and the extent to which these associations are moderated by marital status and gender. Multivariable analyses are adjusted for sociodemographic, social integration, and health covariates.Results: Parental status is not a significant predictor of depressive symptoms in fully adjusted models, and patterns do not differ by marital status and gender. However, men with step-children or biological children report significantly less emotional loneliness relative to childless men, and relative to their female counterparts. Women who have lost all children to death have significantly more emotional loneliness than both their male counterparts and childless women.Discussion: Parental statuses have negligible effects on older adults' mental health; policies and practices to mitigate social isolation should enhance non-familial ties and community engagement.","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Transforming Mortality Prediction: A Transformer-based Mortality Prediction Model. 转换死亡率预测：基于变压器的死亡率预测模型。

IF 4.8 2区医学

Journals of Gerontology Series B-Psychological Sciences and Social Sciences Pub Date : 2025-05-17 DOI: 10.1093/geronb/gbaf089

Jordan Weiss, Alaleh Azhir, Nilam Ram, David H Rehkopf

{"title":"Transforming Mortality Prediction: A Transformer-based Mortality Prediction Model.","authors":"Jordan Weiss, Alaleh Azhir, Nilam Ram, David H Rehkopf","doi":"10.1093/geronb/gbaf089","DOIUrl":"https://doi.org/10.1093/geronb/gbaf089","url":null,"abstract":"Objectives: Mortality prediction and the identification of mortality risks are central to social and biological sciences. Traditional models often assess linear associations between single risk factors and mortality. Transformer models, capable of capturing long-term dependencies across multiple variables, offer a novel approach to mortality prediction. This study introduces a transformer-based model applied to data from the Health and Retirement Study (HRS).Methods: We analyzed data provided by 38,193 adults aged ≥50 years participating in the HRS, a longitudinal US study surveyed biennially since 1992. Linked mortality data were obtained from the National Death Index and postmortem interviews. Using the transformer architecture, we modeled changes in 126 risk factors spanning financial, physical, and mental health domains manifesting over 29 years. Prediction performance was assessed across multiple settings, with traditional statistical and machine learning models serving as benchmarks.Results: Over a median follow-up of 9 years, 17,448 deaths occurred (crude rate: 39.6 per 1,000 person-years). The transformer model consistently outperformed traditional and machine learning methods, achieving a twofold improvement in average precision scores (APS) for next-wave mortality prediction relative to the best benchmark model.Discussion: Transformer-based models, such as BEHRT, significantly enhance mortality prediction compared with traditional approaches. These findings highlight the potential of transformer neural network models in social science-focused population health research on aging.","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of Views on Aging and Self-Perceptions of Aging Between Dementia Caregivers and Non-Caregivers. 痴呆照护者与非照护者老年观及老年自我认知的比较

IF 4.8 2区医学

Journals of Gerontology Series B-Psychological Sciences and Social Sciences Pub Date : 2025-05-15 DOI: 10.1093/geronb/gbaf083

Serena Sabatini, Shelbie G Turner, Blossom Stephan

{"title":"Comparison of Views on Aging and Self-Perceptions of Aging Between Dementia Caregivers and Non-Caregivers.","authors":"Serena Sabatini, Shelbie G Turner, Blossom Stephan","doi":"10.1093/geronb/gbaf083","DOIUrl":"https://doi.org/10.1093/geronb/gbaf083","url":null,"abstract":"Objectives: Positive general views on and self-perceptions of aging are important for active and healthy aging. This cross-sectional study compared the general views on aging and self-perceptions of aging of dementia caregivers with those of non-caregivers. Methods: Data from the German Aging Study comprising 190 caregivers (Mean age= 65.69 years; SD= 10.11) and 4,480 non-caregivers (Mean age= 68.81 years; SD= 10.49) were used. The onset of old age was used to assess general views on aging. Estimated own reachable age, felt age, attitudes towards own aging, and aging-related cognitions were used to assess self-perceptions of aging. Sociodemographic variables, health conditions, and depressive symptoms were used as covariates. Unadjusted and adjusted linear regression models were used.Results: Onset of old age did not differ between dementia caregivers and non-caregivers. Dementia caregivers and non-caregivers had similar felt age, attitudes towards own aging, expected own reachable age, and aging-related cognitions on physical losses, ongoing development, and self-knowledge. Compared to non-caregivers, caregivers reported lower negative aging-related cognitions on social losses (Adjusted B= -0.60; 95% CI: -0.93, -0.73; standardized beta = -0.05).Discussion: Except from aging-related cognitions on social losses, dementia caregivers and non-caregivers had similar general views on aging and self-perceptions of aging. Hence, despite close contact with people who have complex conditions such as dementia, dementia caregivers may not be at greater risk of negative general views of aging and self-perceptions of aging.","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

U.S.-born Older Asians' Diminishing Health Advantage Relative to Other Racial Groups, 2005-2022. 2005-2022年，美国出生的亚洲老年人相对于其他种族群体的健康优势正在减弱。

IF 4.8 2区医学

Journals of Gerontology Series B-Psychological Sciences and Social Sciences Pub Date : 2025-05-15 DOI: 10.1093/geronb/gbaf088

Leafia Zi Ye, Hui Zheng

{"title":"U.S.-born Older Asians' Diminishing Health Advantage Relative to Other Racial Groups, 2005-2022.","authors":"Leafia Zi Ye, Hui Zheng","doi":"10.1093/geronb/gbaf088","DOIUrl":"https://doi.org/10.1093/geronb/gbaf088","url":null,"abstract":"Objectives: Previous studies have shown that Asian Americans have lower disability and mortality rates than other racial/ethnic groups, indicating a more favorable health profile. This phenomenon is often attributed to the large proportion of Asians being foreign-born and positively selected. However, the health status of U.S.-born older Asians and its trend over time remain unclear.Methods: We used data from the American Community Survey to describe changes in age-adjusted disability prevalence among native-born older Asians relative to other racial/ethnic groups since 2005.Results: Although U.S.-born Asians aged 50 and older had lower disability prevalence than other racial/ethnic groups in 2005-09, their prevalence stagnated over time, while other groups experienced reductions. Consequently, the health advantage of U.S.-born older Asians diminished between 2005 and 2022. A key explanation for this phenomenon is a relative decline in socioeconomic status (SES) among older Asians compared to Whites over time. Asians experienced stagnation in high school attainment and a clear decline in the proportion of the population above the bottom income quintile, while Whites (and most others) experienced improvement in both SES measures. Furthermore, U.S.-born older Asians with low SES experienced an increase in disability, a trend not observed in any other racial or nativity group. We found suggestive evidence that declining community and family support among native-born older Asians may have also eroded their health advantage.Discussion: The \"model minority\" stereotype increasingly misrepresents the well-being of U.S.-born older Asians, a population that requires further research attention.","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How Often and Why Do People Manage Their Emotions in Older Adulthood? 人们在成年后管理情绪的频率和原因是什么？

IF 4.8 2区医学

Journals of Gerontology Series B-Psychological Sciences and Social Sciences Pub Date : 2025-05-08 DOI: 10.1093/geronb/gbaf031

Tabea Springstein, Tammy English

{"title":"How Often and Why Do People Manage Their Emotions in Older Adulthood?","authors":"Tabea Springstein, Tammy English","doi":"10.1093/geronb/gbaf031","DOIUrl":"10.1093/geronb/gbaf031","url":null,"abstract":"Objectives: Prominent theories of adult development suggest individuals increasingly prioritize emotional goals and social relationships as they age. Accordingly, older adults are expected to invest more in maintaining their emotional well-being compared with younger adults. Prior work suggests older adults may accomplish this goal by structuring their lives in ways that reduce the need to actively manage unwanted emotion. We tested the hypotheses that (a) older adults regulate their emotions less often in daily life compared with younger adults, and (b) when emotion regulation occurs, older adults are more motivated than younger adults by prohedonic and social concerns.Method: Using experience sampling (7x/day for 9 days), we assessed emotion regulation frequency and motives in younger adults (n = 75), cognitively normal older adults (n = 93), and older adults with mild cognitive impairment (MCI; n = 63).Results: Emotion regulation was less frequent for older adults with MCI (16%) and without MCI (18%) compared with younger adults (43%), even when controlling for emotional experience. However, few differences in emotion regulation motives emerged and they were not robust to controlling for age group differences in emotion.Discussion: These findings extend previous work on emotion regulation in aging, which largely has focused on strategies, by documenting age differences in how often, but not why, people regulate. Future work is needed to explore how age-related differences in life contexts might result in less need for emotion regulation in older adults. Conserving effort directed toward emotion regulation could be particularly beneficial among older adults with more limited cognitive resources.","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12079368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Balancing Formal and Informal Caregiving Resources for Older Adults: The Role of Spatial Proximity of Family. 平衡老年人的正式和非正式照顾资源：家庭空间邻近的作用。

IF 4.8 2区医学

Journals of Gerontology Series B-Psychological Sciences and Social Sciences Pub Date : 2025-05-08 DOI: 10.1093/geronb/gbaf025

Gyeongrim Oh, Samsik Lee

{"title":"Balancing Formal and Informal Caregiving Resources for Older Adults: The Role of Spatial Proximity of Family.","authors":"Gyeongrim Oh, Samsik Lee","doi":"10.1093/geronb/gbaf025","DOIUrl":"10.1093/geronb/gbaf025","url":null,"abstract":"Objectives: To explore how informal and formal home care was balanced for older adults under the weakening informal caregiving systems due to sociodemographic changes in South Korea, this study examined the relationship between the two types of care and the effects of proximity to family caregivers on them.Methods: We analyzed adults aged 65 years and older from the 7th wave of the Korean Longitudinal Study of Aging (n = 722) with limitations in activities of daily living or instrumental activities of daily living or dementia. Multinomial logistic regression was adopted to analyze the impact of family structure on the choice of informal caregivers. Two-stage least squares, Heckman, and IV-Heckman models were applied to address endogeneity and sample selection biases.Results: The results demonstrated that spouses and children close to older parents appeared to be primary caregivers. According to the IV-Heckman model, informal care substitutes for formal home care (b = -0.416, p < .01), and both being married (b = 0.715, p < .01) and proximity to children within 1 hr (b = 0.888, p < .01) appeared to facilitate formal home care use.Discussion: This study reveals that informal and formal home care are inextricably linked. Spouses and adult children close to parents play a pivotal role in directly providing informal care and indirectly facilitating formal home care. Balancing informal/formal home care should be considered in medium- and long-term plans to improve older adults' well-being and reduce formal care's financial burden.","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Long-term Effects of Local Area New Deal Work Relief in Childhood on Late-Life Depression. 地方新政童年工作救济对晚年抑郁症的长期影响。

IF 4.8 2区医学

Journals of Gerontology Series B-Psychological Sciences and Social Sciences Pub Date : 2025-05-08 DOI: 10.1093/geronb/gbae207

Sepideh Modrek, David H Rehkopf

{"title":"Long-term Effects of Local Area New Deal Work Relief in Childhood on Late-Life Depression.","authors":"Sepideh Modrek, David H Rehkopf","doi":"10.1093/geronb/gbae207","DOIUrl":"10.1093/geronb/gbae207","url":null,"abstract":"Objective: To investigate whether childhood exposure to local area New Deal emergency employment work relief activity was associated with lower depressive symptoms in late life.Methods: This study utilized individual-level data from the Wisconsin Longitudinal Study (WLS) linked to the full count 1940 census. New Deal emergency employment programs were the largest nonwartime expansion in government-led infrastructure, services, and employment policy in U.S. history. We used within-county variation in WLS participants' exposure to emergency employment work relief activity during childhood (aged 0-3) to examine its association with depressive symptoms in late life. We examined depressive symptoms at 3 ages, 53-55, 65-67, and 72-74 but with a focus on depressive symptoms at ages 72-74 as a marker for late-life depression.Results: Children who lived in neighborhoods with moderate or high levels of emergency employment work relief activity exhibited 14%-18% lower depressive symptom scores at ages 72-74 compared with those from neighborhoods with low activity. These findings were consistent across various measures of late-life depressive symptoms, different model specifications, and after accounting for prior depressive symptoms.Discussion: The study highlights the long-term mental health benefits of economic policies aimed at mitigating concentrated economic downturns among the most impacted individuals. Childhood exposure to New Deal work relief reduced depressive symptoms in older age, particularly new onsets of depressive symptoms at ages 72-74. These results suggest social policies aimed at maintaining economic activity in downturns can have long-term positive impacts on the population mental health.","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12084827/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Daily Stress and Cortisol Patterns in Midlife and Older Parents of Children With Developmental Disabilities. 发育障碍儿童中老年父母的日常压力和皮质醇模式。

IF 4.8 2区医学

Journals of Gerontology Series B-Psychological Sciences and Social Sciences Pub Date : 2025-05-08 DOI: 10.1093/geronb/gbaf067

Jooyoung Kong, Marsha R Mailick, David M Almeida, Jinkuk Hong, Jieun Song, Robert S Dembo

{"title":"Daily Stress and Cortisol Patterns in Midlife and Older Parents of Children With Developmental Disabilities.","authors":"Jooyoung Kong, Marsha R Mailick, David M Almeida, Jinkuk Hong, Jieun Song, Robert S Dembo","doi":"10.1093/geronb/gbaf067","DOIUrl":"10.1093/geronb/gbaf067","url":null,"abstract":"Objectives: The current study aims to investigate the association between daily stressful experiences and daily diurnal cortisol in midlife and older parents of children with developmental disabilities (DD) and a matched sample of parents of children without DD.Methods: Analyses were employed using data from the third wave of the National Study of Daily Experiences (NSDE 3) within the Midlife in the United States (MIDUS) study, a population-based sample. The study sample included 55 parents of children with DD and 591 comparison parents who provided diurnal cortisol data.Results: Multilevel modeling showed that parents of children with DD exhibited a less pronounced cortisol awakening response (CAR) on days when the severity of daily stressors was higher than their average level across days, a pattern that was different than in the comparison group. This finding may suggest a blunted CAR, which aligns with previous research on parents of children with DD and other groups facing chronic stress.Discussion: The current study describes a distinct pattern of cortisol response to stressful parenting, evident in midlife and older age, reflecting the lifelong impacts of parenting children with DD.","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Empathy and Psychological Outcomes in Informal Caregivers of Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis. 社区老年人非正式照护者的共情和心理结果：系统回顾和荟萃分析。

IF 4.8 2区医学

Journals of Gerontology Series B-Psychological Sciences and Social Sciences Pub Date : 2025-05-08 DOI: 10.1093/geronb/gbaf018

Meng Huo, Thi Vu, Tomiko Yoneda, Jingkai Wei, Bruce Abbott, Joan K Monin

{"title":"Empathy and Psychological Outcomes in Informal Caregivers of Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis.","authors":"Meng Huo, Thi Vu, Tomiko Yoneda, Jingkai Wei, Bruce Abbott, Joan K Monin","doi":"10.1093/geronb/gbaf018","DOIUrl":"10.1093/geronb/gbaf018","url":null,"abstract":"Objectives: Scholars have increasingly recognized the crucial role that empathy plays as informal caregivers provide unpaid care to their older family and friends (i.e., care recipients). Yet, the existing literature exhibits substantial variability in study approaches and results, which limits the extent to which this literature can inform interventions intended to benefit informal caregivers. We sought to address this critical gap by synthesizing research that examined how caregivers' and care recipients' empathy were associated with caregivers' psychological health.Methods: We conducted a literature search using PubMed, PsycInfo, CINAHL (Cumulative Index to Nursing and Allied Health Literature), EMBASE, and Scopus databases and systematically reviewed 21 peer-reviewed studies that were eligible for the current study. We utilized a multilevel random-effects approach and meta-analyzed 17 studies focused on caregivers' negative psychological outcomes (e.g., depressive symptoms, anxiety, burden, burnout, stress).Results: We observed small, nonsignificant associations linking caregivers' emotional and cognitive empathy to their negative psychological outcomes. Yet, there were moderate, significant associations between greater emotional and cognitive empathy in care recipients and less negative psychological outcomes in caregivers. We also ran sensitivity tests for different aspects of emotional and cognitive empathy.Discussion: This review reveals considerable heterogeneity in extant research but still offers robust evidence linking care recipients' empathy to caregivers' psychological health. Findings highlight the importance of engaging care recipients in interventions targeting caregivers and call for more consistent and nuanced investigations of empathy in caregiving.","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12125626/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Gay Men as Caregivers for Spouses with Dementia: Intersections of Gender and Sexual Orientation. 男同性恋者作为痴呆症配偶的照顾者：性别和性取向的交叉点。

IF 4.8 2区医学

Journals of Gerontology Series B-Psychological Sciences and Social Sciences Pub Date : 2025-05-08 DOI: 10.1093/geronb/gbaf026

Toni Calasanti, Sadie Snow, Brian de Vries, Jing Geng

{"title":"Gay Men as Caregivers for Spouses with Dementia: Intersections of Gender and Sexual Orientation.","authors":"Toni Calasanti, Sadie Snow, Brian de Vries, Jing Geng","doi":"10.1093/geronb/gbaf026","DOIUrl":"10.1093/geronb/gbaf026","url":null,"abstract":"Objectives: Despite the importance of spousal caregiving, and the increase in same-sex marriages concomitant to its legalization in 2015, few studies have examined the experiences of same-sex spousal caregivers. We use an intersectional approach to explore how gender and sexual orientation shape gay men's particular caregiving approaches for their spouses living with dementia.Methods: We focused on a subsample of gay (N = 13) contrasted with straight husbands (N = 15) from a national study of spousal dementia caregivers. Data were obtained through in-depth interviews and analyzed thematically by a team.Results: We find that sexual minority status and gender interact to shape gay men's caregiving approaches. Gay men's broader division of labor in households combines with experiences of discrimination based on sexuality and HIV/AIDS, as well as being a part of a same-sex couple to influence their caregiving approaches in unique ways. Specifically, they combine a task-oriented approach with concern for the personhood of the care receiver; bring strength and empathy borne of struggle; and what they feel is a deeper understanding of the care receiver given their shared status as gay men.Discussion: Our findings indicate that gay men's flexibility in divisions of labor results in variable sets of skills, resources, and identities they bring to and approach their caregiving. In addition, some of the many negative experiences borne of HIV/AIDS and discrimination are reframed as sources of strength and guide caregiving efforts. Together, these findings highlight the intersecting effects of gender and sexual orientation on spousal caregiving.","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0