Australasian Journal on Ageing最新文献

{"title":"Characterising Informal Care in Older Individuals Receiving Long-Term Home Care Support: A National Epidemiological Study","authors":"Tesfahun C. Eshetie,&nbsp;Alana R. Cuthbert,&nbsp;Janet K. Sluggett,&nbsp;Solomon Yu,&nbsp;Carolyn Dawkins,&nbsp;Marjorie Schulze,&nbsp;Gillian E. Caughey,&nbsp;Maria C. Inacio","doi":"10.1111/ajag.70128","DOIUrl":"10.1111/ajag.70128","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To examine the prevalence, trends and geographic variation of informal care reported by individuals accessing long-term home care support between 2012 and 2019 in Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Population-based national cross-sectional study using the Registry of Senior Australians (ROSA) National Historical cohort. Non-Indigenous individuals 65–105 years old who accessed long-term home care through a Home Care Package between 01 January 2012 and 31 December 2019 in Australia were included. Informal carer availability was ascertained from individuals' aged care eligibility assessments. Informal carers are individuals who provide unpaid care and support to others. Socio-demographic and clinical characteristics of those with and without informal carers were examined. Yearly trends and geographic variation in the proportion of individuals reporting a carer were examined. The effect of a 1-year increase in receiving initial long-term home care on the probability of having a carer over time was described using an odds ratio (OR) and 95% confidence interval (95% CI) from a logistic regression model, adjusted for age, sex and dementia status.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Overall, 233,567 long-term home care recipients with known carer status were studied. The proportion of care recipients with an informal carer decreased from 86% in 2012 to 78% in 2019 (adjusted OR: 0.95, 95% CI 0.95–0.95). The decrease in informal care reported over time was more pronounced in females (OR: 0.96, 95% CI 0.95–0.97) than in males and in individuals without dementia (OR: 0.95, 95% CI 0.94–0.95). Visualisations of informal care prevalence showed substantial geographical (range: 60%–98%) variation nationally.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>There was a decline in reported informal care availability for older Australians entering long-term home care between 2012 and 2019, with substantial national variation. Lower informal carer availability likely translates in greater formal care needs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12824823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"LGBTIQA+ Inclusion in Aged Care: Perspectives From Providers and Community Stakeholders","authors":"Daniel Tissot,&nbsp;Sara Karacsony,&nbsp;Sharon Andrews,&nbsp;Russell James","doi":"10.1111/ajag.70129","DOIUrl":"10.1111/ajag.70129","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Experiences across aged care services for older LGBTIQA+ individuals vary, with some receiving affirming care and others having unmet needs. Given the growing demand from this population, it is essential to examine both effective care aspects and ongoing challenges. This study aimed to explore the perspectives of aged care providers, carers and community stakeholders on opportunities and barriers to the consistent implementation of culturally safe care for older LGBTIQA+ Australians.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Adopting an interpretive descriptive methodology, a thematic analysis using Braun and Clarke's six-step framework was conducted on LGBTIQA+-specific transcripts from the Royal Commission into Aged Care Quality and Safety Diversity Hearing (October 2019) in Melbourne, Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thematic analysis identified two main themes: Inclusive and Culturally Safe Care and Robust Governance for Inclusive Care. Findings revealed that engagement with aged care is severely undermined by historical trauma and a profound mistrust of formal services by some LGBTQIA+ older people. Systemic barriers persisted due to inconsistencies in governance and a lack of accountability for diversity standards. Stakeholders highlighted the critical necessity of mandatory, identity-affirming LGBTIQA+ workforce training and the vital role of advocacy and community connections in bridging access gaps and ensuring cultural safety.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>While policy frameworks and ‘special needs’ recognition exist, genuine inclusion for older LGBTIQA+ Australians hinges on operationalising cultural safety through consistent governance, stronger compliance mechanisms and a mandatory, well-resourced training regimen for the aged care workforce. These findings provide critical implications for policy reform and practice improvement under Australia's evolving aged care standards.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12814923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145999740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient Perspectives of Early Interventions for Healthy Ageing in General Practice: A Qualitative Study","authors":"Heather Block,&nbsp;Michael Lawless,&nbsp;Alexandra Stevens,&nbsp;Helen Exley,&nbsp;Stacey George","doi":"10.1111/ajag.70132","DOIUrl":"10.1111/ajag.70132","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>As the population ages more people are experiencing chronic conditions, placing substantial burden on the healthcare system. General practice plays a crucial role in managing chronic health conditions and early interventions to support healthy ageing. This study explored patients' perceptions of early intervention initiatives to support healthy ageing in Australian general practice settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using a qualitative descriptive design, semi-structured interviews were conducted with general practice patients aged 40 years and older living with chronic conditions, in Adelaide, South Australia. Interview data were analysed using inductive content analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty participants from eight general practices were interviewed. Three themes were developed: (1) General practice consultations enable management planning but show gaps in ageing-related support; (2) Management plans promote early problem identification, reinforce self-management and foster positive healthcare relationships; and (3) Addressing gaps in management plans requires improved access, affordability and more comprehensive support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Patients perceive their general practice enables care and management of chronic conditions for healthy ageing. There is a need for proactive healthy ageing interventions including increased uptake of chronic disease management Medicare Benefit Schedule (MBS) items into routine general practice care. Primary care policies should address multidisciplinary team-based care to facilitate optimal comprehensive care for healthy ageing. Further exploration and strategies to address barriers to proactive, comprehensive care for chronic conditions earlier in the ageing trajectory are needed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12811994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145992055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Will ‘Support at Home’ Deliver What Older People Want?","authors":"Carmel Laragy,&nbsp;Keith McVilly","doi":"10.1111/ajag.70130","DOIUrl":"10.1111/ajag.70130","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This paper reviews Australia's aged care <i>Home Care Package</i> program to assess the ability of its replacement, the <i>Support at Home</i> program, to deliver on its stated principles of independence, autonomy, empowerment and freedom of choice for older people. The program is reviewed from the perspective of older people who wanted maximum independence and control over their support packages.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The findings from a qualitative study of the <i>Home Care Package</i> program in 2023–2024 involving 30 participants are used as a lens to review the <i>Support at Home</i> program. The two programs are sufficiently similar that findings based on the earlier program are relevant to the latter one. Semi-structured online interviews were conducted with older people who self-managed, their family representatives, support workers, service providers and aged care professionals. A combination of inductive and deductive analytical methods was used.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Older people wanted programs that promoted their autonomy and allowed them to select support workers and negotiate services. However, structural barriers limited opportunities. Insufficient funding, workforce shortages and restrictive regulations were constraining factors. Restrictive regulations limited service providers from giving older people the agency they wanted over their lives.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The <i>Support at Home</i> program's legislation and guidelines are constraining the independence, autonomy and empowerment of older people who want greater agency over their lives. Reforms are needed to address an absence of rights, funding shortfalls, workforce shortages, and policy and regulatory inflexibility. Although inadequate funding and workforce shortages are structural constraints difficult to overcome, a renewed focus on the rights of older people is feasible and necessary. A more flexible and client-focused approach will help the program give older people what they want.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12808851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145992106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to ‘Osteopathic Health Care in Aged Care Facilities: The Experience of Practitioners in an Emerging Practice Setting’","authors":"","doi":"10.1111/ajag.70131","DOIUrl":"10.1111/ajag.70131","url":null,"abstract":"<p>M. Amorim, J. Bennett, D. McGarry, B. Moore, P. Orrock, L. Whitton, S. Dullard. ‘Osteopathic Health Care in Aged Care Facilities: The Experience of Practitioners in an Emerging Practice Setting’, <i>Australasian Journal of Ageing</i> 43, no. 4 (2024): 828–836, https://doi.org/10.1111/ajag.13362.</p><p>Ya-Ling Huang was omitted from the author list of this paper. The Editor in Chief has confirmed that she meets the criteria for authorship. The authors apologise for this error.</p><p>The corrected citation is:</p><p>M. Amorim, J. Bennett, D. McGarry, B. More, P. Orrock, L. Whitton, Y. Huang, S. Dullard. ‘Osteopathic Health Care in Aged Care Facilities: The Experience of Practitioners in an Emerging Practice Setting’, <i>Australasian Journal of Ageing</i> 43, no. 4 (2024): 828–836, https://doi.org/10.1111/ajag.13362.</p>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70131","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Potentially Suboptimal Prescribing for Older First Nations Peoples: A Scoping Review","authors":"Nicola Franks,&nbsp;Karl McDermott,&nbsp;Karen Carlisle,&nbsp;Sarah Russell,&nbsp;Valda Wallace,&nbsp;Edward Strivens","doi":"10.1111/ajag.70126","DOIUrl":"10.1111/ajag.70126","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To explore current literature regarding appropriate prescribing for older First Nations Peoples from Australia, the United States of America (USA), Canada and New Zealand residing in the community or residential care facilities (RACF).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Electronic databases and grey literature sources were searched for literature that focussed on holistic appropriate prescribing and/or potential suboptimal prescribing. Inclusion criteria were First Nations Peoples aged 45 years or older who were community dwelling or residing in RACFs from Australia, the United States, Canada and New Zealand.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Sixteen articles were included for analysis. Heterogeneity exists across the findings of potentially suboptimal prescribing concepts. Despite this heterogeneity, this review revealed that potential prescribing omissions appear to have the greatest impact on morbidity and mortality. Factors that increased the risk of potentially suboptimal prescribing included regionality, number of medical conditions, certain disease states and residing in a RACF.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Health equity and ‘closing the gap’ for First Nations Peoples is a global issue. This scoping review has shown that potentially suboptimal prescribing and the associated morbidity and mortality are a concern for First Nations Peoples internationally.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145954053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Approaches to Enhance Medication Adherence in Older People With Cognitive Impairment: A Systematic Review","authors":"Erik Cornelisse,&nbsp;Rachel Julian,&nbsp;Georgie Tucker,&nbsp;Kate Laver","doi":"10.1111/ajag.70125","DOIUrl":"10.1111/ajag.70125","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Older people with cognitive impairment face challenges in adhering to medication regimes, resulting in a risk of adverse events. The aim of this systematic review was to determine the effectiveness of interventions to increase medication adherence in older people with cognitive impairment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>MEDLINE, CINAHL and PsycInfo databases were searched in December 2024. The protocol was registered using Open Science Framework (https://doi.org/10.17605). Inclusion criteria were randomised, controlled trials involving community-dwelling older adults with cognitive impairment testing an intervention, which aimed to improve medication adherence. Exclusion criteria were articles written in a language other than English. Risk of bias was assessed using the Cochrane Risk of Bias Tool. Meta-analysis was not undertaken due to clinical heterogeneity, and therefore, narrative analysis was used to synthesise results.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seven studies with 350 participants were included. Sample sizes of the included studies were relatively small, ranging from 16 to 101 participants, and the average age of participants was mid-70 years. Level of cognitive impairment varied but most studies focused on those with mild impairment. Intervention types were reminder systems (<i>n</i> = 3), educational interventions (<i>n</i> = 3) and health professional supported behaviour change interventions (<i>n</i> = 2). One study was a three-armed trial, including two intervention types.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>All intervention types reported positive outcomes, but most were not statistically significant. Reminder systems appeared to show the most promise of the intervention types. Further high-quality studies with larger sample sizes, including commonly used medication administration aids and approaches are recommended.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145936501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are We Ready? Ageing of People Living With HIV in Aotearoa New Zealand: HIV Knowledge and Attitudes Among Staff in Aged Care Facilities","authors":"Regan Gilchrist,&nbsp;Margaret Pickles,&nbsp;Andrew R. Gray,&nbsp;Helen Harcombe,&nbsp;Lorraine Ritchie,&nbsp;Raewyn Lesa,&nbsp;Susan McAllister","doi":"10.1111/ajag.70121","DOIUrl":"10.1111/ajag.70121","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Treatments for human immunodeficiency virus (HIV) have advanced considerably and people living with HIV have longer life expectancies, yet many continue to experience stigma and discrimination. Our research examines HIV-related knowledge and attitudes in aged residential care (ARC) staff.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Aged Residential Care facilities in one urban area in New Zealand were involved in (1) a staff survey, and (2) qualitative interviews with nurse managers. Survey questions included the HIV-K18 knowledge questionnaire scaled from 0 (low) to 13 (high), 30-item Health Care Provider Stigma Scale from 30 (low) to 180 (high), worry about HIV scaled from 4 (low) to 16 (high), and demographic characteristics. Analysis used multiple imputation and regression models accounting for clustering within facilities. Thematic analysis was employed for qualitative interviews.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eleven of 26 eligible facilities participated and 184 staff completed the survey. The mean knowledge score was 7.6 (SD 2.6), stigma 82.2 (SD 29.3), and worry 7.6 (SD 3.0). In adjusted analysis, higher education and experience caring for someone with HIV were favourably associated with higher HIV knowledge, which was in turn associated with a lower stigma score, which was in turn associated with less worry about HIV. Five nurse managers were interviewed. Most expressed hesitation in caring for someone with HIV; however, overriding this was acknowledgement of the importance of delivering good holistic care in a respectful manner.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Ongoing professional development for ARC staff about HIV and increased collaboration between the HIV and ARC sectors at the organisational level could increase their HIV knowledge and improve their care for residents with HIV.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145936518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and Factors Associated With Self-Reported Difficulty in Seeing Among Older Persons in Malaysia: A Cross-Sectional Study From the National Health and Morbidity Survey 2023","authors":"Jun Fai Yap,&nbsp;Hazwa Harith,&nbsp;Kishwen Kanna Yoga Ratnam,&nbsp;Halizah Mat Rifin,&nbsp;Hamizatul Akmal Abd Hamid,&nbsp;Mohd Ruhaizie Riyadzi,&nbsp;Filza Noor Asari,&nbsp;Norzawati Yoep,&nbsp;Yee Mang Chan,&nbsp;Zhuo Lin Chong","doi":"10.1111/ajag.70113","DOIUrl":"10.1111/ajag.70113","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Although evidence on the ophthalmic impact of social determinants of health is growing, population-based data—particularly among older persons who may face unique barriers to eye care—remain limited. This study aimed to address this gap by determining the prevalence of and factors associated with difficulty in seeing among older persons in Malaysia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data from adults aged 60 years and older were analysed using the National Health and Morbidity Survey 2023, a cross-sectional survey with a two-stage stratified random sampling design. Self-reported difficulty in seeing (defined as those reporting ‘some difficulty’, ‘a lot of difficulty’ or being ‘unable to see at all’), despite using corrective lenses, was assessed using the Washington Group Short Set on Functioning. Those reporting ‘a lot of difficulty’ or being ‘unable to see at all’ were classified as having a visual disability. Multivariable logistic regression was conducted for complex survey design.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among 2979 older persons, 25% reported difficulty in seeing, and 2% had a visual disability. Minority ethnic groups had higher odds of difficulty in seeing compared to Malays (aOR = 2.69; 95% CI: 1.85, 3.91). Rural residence (aOR = 1.63; 95% CI: 1.07, 2.49) and diabetes (aOR = 1.46; 95% CI: 1.10, 1.93) were also associated with increased odds.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>One in four older persons in Malaysia experiences visual difficulties, with Indigenous people, rural residence and diabetes as associated factors. Public health strategies should address these disparities through mobile outreach and enhanced diabetic eye screening to improve ocular health for Malaysia's ageing population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145914124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exercise and Forest Therapy Programs for Improving Cognitive Function and Physical Health in Older Adults With Mild Cognitive Impairment","authors":"Ji-Hoon Cho,&nbsp;Seung-Taek Lim","doi":"10.1111/ajag.70127","DOIUrl":"10.1111/ajag.70127","url":null,"abstract":"","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145914114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}