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Using Two-Step Cluster Analysis and Latent Class Analysis to Construct a Typology of Internet Users Among Community-Dwelling Older People. 利用两步聚类分析和潜类分析法构建社区老年人中的互联网用户类型。
IF 1.5 4区 医学 Q3 GERONTOLOGY Pub Date : 2024-08-01 Epub Date: 2024-04-26 DOI: 10.1080/01634372.2024.2346661
Jorrit Campens, Anina Vercruyssen, Willem De Keyzer, Nico De Witte

This study utilizes data, spanning 2016-2021, from the Belgian Ageing Studies and presents a typology of older internet users based on nine internet activities. Two-step Cluster Analysis and Latent Class Analysis revealed three groups: (1) "Basic users" primarily engage in information search and mailing, (2) "Allrounders" participate in nearly all internet activities and (3) "Selective users" are intermediary, predominantly using the internet for information search, mailing, e-banking and communication with (grand)children. These clusters varied in sociodemographic characteristics, with "Allrounders" being younger, more educated, wealthier and predominantly male, compared to "Selective users" and "Basic users," respectively.

本研究利用比利时老龄化研究(Belgian Ageing Studies)2016-2021 年的数据,根据九项互联网活动对老年互联网用户进行了分类。两步聚类分析和潜类分析揭示了三个群体:(1)"基本用户 "主要从事信息搜索和邮件发送;(2)"全能用户 "几乎参与所有互联网活动;(3)"选择性用户 "是中间群体,主要使用互联网进行信息搜索、邮件发送、电子银行和与(孙)子女沟通。这些群组的社会人口特征各不相同,与 "选择性用户 "和 "基本用户 "相比,"全能 用户 "分别更年轻、受教育程度更高、更富裕和以男性为主。
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引用次数: 0
Service Provider Perspectives on Advance Care Planning Use in Rural Dementia Patients and Caregivers: A Qualitative Study. 服务提供者对农村痴呆症患者和护理者使用预先护理计划的看法:定性研究。
IF 1.5 4区 医学 Q3 GERONTOLOGY Pub Date : 2024-08-01 Epub Date: 2024-05-06 DOI: 10.1080/01634372.2024.2351071
Peiyuan Zhang, Ebow Nketsiah, Hyunjin Noh

Advanced care planning (ACP) utilization remains very limited in rural communities compared to urban areas. ACP earlier in the disease trajectory is particularly important for people with dementia (PWD) due to its progressive nature affecting their decision-making ability. Considering the well-documented benefits of ACP in improving the quality of end-of-life (EOL) care, the rural vs. urban disparity may indicate poorer EOL quality for rural PWD. This study aimed to explore barriers and current resources for ACP of PWD from the perspectives of health or social service providers serving rural communities. Using a qualitative approach, semi-structured face-to-face interviews were conducted with 11 health or social service professionals serving older adults and their caregivers in rural Alabama. Thematic analysis revealed three major barriers: (1) lack of knowledge, (2) psychosocial barriers, and (3) limited access to healthcare. Participants also showed misconception that a lawyer or a notary is required for ACP. Two themes arose in the participants' recommendations to address the barriers: (1) providing ACP-relevant information and (2) addressing psychosocial stressors about ACP. This study highlighted an urgent need for social policy in ACP education for caregivers and service providers in rural settings.

与城市地区相比,农村社区对预先护理规划(ACP)的利用仍然非常有限。由于痴呆症(PWD)的渐进性会影响患者的决策能力,因此在疾病发展轨迹的早期进行 ACP 对痴呆症患者尤为重要。考虑到 ACP 在提高临终关怀质量方面的益处已得到充分证实,农村与城市之间的差异可能表明农村的 PWD 临终关怀质量较差。本研究旨在从服务于农村社区的医疗或社会服务提供者的角度,探讨残疾人临终关怀的障碍和现有资源。采用定性方法,对阿拉巴马州农村地区为老年人及其照顾者提供服务的 11 名卫生或社会服务专业人员进行了半结构化面对面访谈。专题分析显示了三大障碍:(1)缺乏知识;(2)社会心理障碍;(3)获得医疗保健的途径有限。参与者还误认为 ACP 需要律师或公证人。在参与者提出的解决障碍的建议中,有两个主题:(1)提供与 ACP 相关的信息;(2)解决有关 ACP 的社会心理压力。本研究强调了在农村环境中对护理人员和服务提供者进行 ACP 教育的社会政策的迫切需要。
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引用次数: 0
Prevalence and Correlates of Food Insecurity Among Older Adults in the United States. 美国老年人中粮食不安全的普遍性及其相关因素》(Prevalence and Correlates of Food Insecurity Among Older Adults in the United States)。
IF 1.5 4区 医学 Q3 GERONTOLOGY Pub Date : 2024-08-01 Epub Date: 2024-05-13 DOI: 10.1080/01634372.2024.2339975
Megumi Inoue, Rainier Masa, Lucas Prieto, Dicky Baruah, Kaitlyn Kellermeyer, Emma Booker, Grace Sweeney

This study analyzed the 2021 National Health Interview Survey (NHIS) to assess food insecurity among adults aged 65 and older. Among 8,877 older adults, 4 percent (N=287) reported low or very low food security levels. Those who identified as Black or African American and Hispanic or Latino were more likely to experience food insecurity compared to White individuals. The study found that merely surpassing the poverty threshold might not be sufficient to protect against food insecurity. It also underscored socioemotional support's protective role in older adults' food security. Social workers must recognize various factors influencing food security among older adults.

本研究分析了 2021 年全国健康访谈调查 (NHIS),以评估 65 岁及以上成年人的粮食不安全状况。在 8877 名老年人中,4%(N=287)报告了较低或非常低的食品安全水平。与白人相比,那些被认定为黑人或非裔美国人以及西班牙裔或拉丁裔的人更有可能遭遇粮食不安全问题。研究发现,仅仅超过贫困线可能不足以防止粮食不安全。研究还强调了社会情感支持对老年人粮食安全的保护作用。社会工作者必须认识到影响老年人粮食安全的各种因素。
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引用次数: 0
Transportation, Routine Activities, and Unmet Travel Needs Among Older Vietnamese Immigrants in the United States. 美国越南裔老年移民的交通、日常活动和未满足的旅行需求。
IF 1.5 4区 医学 Q3 GERONTOLOGY Pub Date : 2024-07-05 DOI: 10.1080/01634372.2024.2375757
Rebecca L Mauldin, Rupal Parekh, Priyanjali Chakraborty, Jill T Messing, Stephen Mattingly

Introduction: Transportation barriers can affect travel needs and quality of life.

Methods: This survey examined transportation, routine activities, and unmet travel needs among older Vietnamese immigrants, focusing on gender differences.

Results: Women were more likely to ride with others, less likely to drive, had fewer types of routine activities, and went out for activities less than men. Over 1/4 of the sample had at least one unmet travel need in the previous month (the most common was for visiting family and friends).

Discussion: Interventions to enhance mobility should address age- and gender-based transportation differences and assess for unmet travel needs.

简介:交通障碍会影响出行需求和生活质量:交通障碍会影响旅行需求和生活质量:这项调查研究了越南老年移民的交通、日常活动和未得到满足的旅行需求,重点关注性别差异:结果:与男性相比,女性更有可能与他人一起乘车,开车的可能性较小,日常活动种类较少,外出活动较少。超过 1/4 的样本在上个月至少有一项出行需求未得到满足(最常见的是探亲访友):讨论:为提高流动性而采取的干预措施应考虑到年龄和性别在交通方面的差异,并对未满足的出行需求进行评估。
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引用次数: 0
Successful Aging Through Financial Empowerment (SAFE): Financial Coaching with Older Adult Victims of Financial Exploitation. 通过财务赋权实现成功老龄化 (SAFE):为遭受经济剥削的老年人提供财务辅导。
IF 1.5 4区 医学 Q3 GERONTOLOGY Pub Date : 2024-07-03 DOI: 10.1080/01634372.2024.2373288
LaToya Hall, Peter A Lichtenberg

Financial exploitation (FE) of older adults is a growing public health problem. Current estimates of financial exploitation show between 5% and 11% of older adults are victimized each year. This study examined an empowerment-centered financial coaching intervention. Program records and participant baseline and follow-up assessment data were used to detail program dynamics and investigate participant outcomes. Most SAFE participants were very satisfied or satisfied (91%) with the services they received. Participants also reported significantly less stress at the six-month follow-up. These findings demonstrate that empowerment-centered financial coaching interventions can successfully address FE in older adult populations.

对老年人的经济剥削(FE)是一个日益严重的公共健康问题。目前对金融剥削的估计显示,每年有 5% 到 11% 的老年人成为受害者。本研究考察了一项以赋权为中心的财务辅导干预措施。项目记录、参与者基线和后续评估数据被用来详细说明项目动态并调查参与者的结果。大多数 SAFE 参与者对所获得的服务非常满意或满意(91%)。在六个月的随访中,参与者也表示压力明显减少。这些研究结果表明,以赋权为中心的财务辅导干预措施可以成功解决老年人群的 FE 问题。
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引用次数: 0
A Qualitative Study of Adult Protective Services Practitioners Responding to Allegations of Elder Abuse and Self-Neglect. 对成人保护服务从业人员应对老年人虐待和自我忽视指控的定性研究。
IF 1.5 4区 医学 Q3 GERONTOLOGY Pub Date : 2024-07-03 DOI: 10.1080/01634372.2024.2373289
Andie MacNeil, Erin Salvo, David Burnes

Adult Protective Services (APS) practitioners play an essential role in supporting older adults experiencing elder abuse and self-neglect (EASN), however, very little research has examined their experiences, from their perspectives. The purpose of this study was to examine the experiences of APS practitioners responding to allegations of EASN. Qualitative interviews were conducted with APS practitioners (n = 14) from the state of Maine. A descriptive phenomenological approach involving two independent assessors was used to code transcripts into themes. Two domains, each with various subthemes, were identified: (1) rewarding elements of role and (2) challenging aspects of role. The findings of this study emphasize how APS practitioners are motivated by their capacity to help elicit positive change in the lives of their clients and support the well-being of older adults experiencing EASN. However, APS practitioners must navigate numerous challenges and barriers in their role, including time constraints, high and complex caseloads, limited resources, and broader misconceptions on APS. These findings highlight the importance of addressing these stressors to support the well-being of APS practitioners, which, in turn, can help support the vulnerable older adults they serve.

成人保护服务机构(APS)的从业人员在为遭受虐待和自我忽视(EASN)的老年人提供支持方面发挥着至关重要的作用,然而,很少有研究从他们的角度对他们的经历进行研究。本研究的目的是考察美国老年人保护协会(APS)从业人员在应对老年人虐待和自我忽视指控时的经验。对缅因州的 APS 从业人员(n=14)进行了定性访谈。访谈采用描述性现象学方法,由两名独立评估员对访谈记录进行主题编码。确定了两个领域,每个领域都有不同的次主题:(1) 角色的奖励性要素和 (2) 角色的挑战性方面。本研究的结果强调了 APS 从业人员是如何被他们的能力所激励,帮助客户的生活发生积极的变化,并支持经历 EASN 的老年人的福祉。然而,APS 从业人员在履行其职责时必须克服许多挑战和障碍,包括时间限制、繁重复杂的工作量、有限的资源以及对 APS 的广泛误解。这些研究结果突显了解决这些压力因素以支持 APS 从业人员福祉的重要性,反过来,这也有助于支持他们所服务的弱势老年人。
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引用次数: 0
The Holocaust Experience and Its Role in the Association Between Meaning in Life, Depressive Symptoms and Life Satisfaction. 大屠杀经历及其在人生意义、抑郁症状和生活满意度之间的关联中的作用。
IF 3.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2024-05-17 DOI: 10.1080/01634372.2024.2351070
Ruth Maytles, Lee Greenblatt-Kimron, Sharon Avidor, Yoav S Bergman, Yuval Palgi

Holocaust survivors often reveal long-term depressive symptoms, while demonstrating life satisfaction. The present study examined the role of meaning in life (MIL) of Holocaust survivors in this context. Survivors (n = 44) and comparisons (n = 51) provided background information and completed MIL, depressive symptoms, and life satisfaction scales. MIL was associated with lower depressive symptoms and higher life satisfaction. Moreover, the MIL-depressive symptoms/life satisfaction links were stronger among Holocaust survivors. Results provide insight for tailoring treatment interventions for older adults who have been exposed to prolonged traumatic experiences or genocide, that focus on MIL, to enhance mental health.

大屠杀幸存者往往表现出长期抑郁症状,同时又对生活感到满意。本研究探讨了大屠杀幸存者的人生意义(MIL)在这种情况下的作用。幸存者(44 人)和对比者(51 人)提供了背景信息,并填写了 MIL、抑郁症状和生活满意度量表。MIL 与较低的抑郁症状和较高的生活满意度相关。此外,大屠杀幸存者的 MIL 与抑郁症状/生活满意度的联系更为紧密。研究结果为我们提供了深刻的见解,有助于我们为那些曾遭受长期创伤经历或种族灭绝的老年人量身定制以 MIL 为重点的治疗干预措施,从而提高他们的心理健康水平。
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引用次数: 0
Proud but Powerless: A Qualitative Study of Homecare Workers´ Work Experiences and Their Suggestions for How Care for Homebound Older Adults Can Be Improved. 自豪却无能为力:关于家庭护理工作者工作经历的定性研究,以及他们对如何改善居家老年人护理工作的建议。
IF 3.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2024-05-16 DOI: 10.1080/01634372.2024.2355154
Monica Bergqvist, Pia Bastholm-Rahmner, Karin Modig, Lars L Gustafsson, Katharina Schmidt-Mende

Many older adults with complex care needs live at home due to ageing-in-place policies. This study explored homecare workers' experiences and suggestions for improvements of care. Twelve semi-structured interviews were analyzed thematically, and revealed pride, capability, and satisfaction in their work, yet they feel undervalued and lack support. They advocate for integrated care models, recognition of their competence, flexible work approaches, and committed leadership. This would enhance patient care and address their own working conditions, addressing concerns from being relegated to the bottom of the hierarchy. They emphasize the need for comprehensive approaches, spanning from housekeeping to end-of-life palliative care.

由于居家养老政策的实施,许多有复杂护理需求的老年人都住在家里。本研究探讨了居家护理工作者的经验和改善护理工作的建议。我们对 12 个半结构式访谈进行了专题分析,结果显示,他们对自己的工作感到自豪、有能力和满意,但他们感到价值被低估,缺乏支持。他们主张采用综合护理模式,承认他们的能力,采取灵活的工作方法,并配备尽职尽责的领导。这样既能加强对病人的护理,又能解决他们自身的工作条件问题,消除他们被降到最底层的担忧。她们强调需要采取全面的方法,从内务管理到临终姑息治疗。
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引用次数: 0
Social Workers’ Perspectives on Socially Isolated Older Adults Living with a Robot Companion 社会工作者对与机器人伴侣生活在一起的与社会隔离的老年人的看法
IF 3.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2024-04-21 DOI: 10.1080/01634372.2024.2339974
Othelia EunKyoung Lee, Heesun Shin
Addressing depression and social isolation among solo-living older adults in South Korea requires a multi-faceted approach. This study aims to explore the advantages and obstacles of a robotic elde...
解决韩国独居老年人的抑郁和社会隔离问题需要采取多方面的方法。本研究旨在探索老年人机器人的优势和障碍,并为韩国的老年人提供一种新的解决方案。
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引用次数: 0
Mental Health Impact of Bullying by Ethnic Peers in Senior Housing: A Study with Older Korean American Residents in the Greater Los Angeles Area 老年公寓中同族欺凌对心理健康的影响:大洛杉矶地区韩裔美国老年居民研究
IF 3.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2024-04-16 DOI: 10.1080/01634372.2024.2338071
Yuri Jang, Juyoung Park, Min-Kyoung Rhee, Hi-Woo Lee, Nan Sook Park, Yeonwoo Kim, Soondool Chung, Miyong T. Kim
Using data from Korean-American residents (N = 343) in subsidized senior housing in the Los Angeles area, we examined the effect of peer bullying on mental health. About 18% of the sample had been ...
我们利用洛杉矶地区老年补贴住房中的韩裔美国居民(人数=343)的数据,研究了同伴欺凌对心理健康的影响。样本中约有 18% 的人曾被...
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引用次数: 0
期刊
Journal of Gerontological Social Work
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