Australasian Journal on Ageing最新文献_第4页

Hot Stuff: Exploring the Association Between Hot Days and Emergency Department Presentations Amongst Older Patients 热的东西：探索炎热天气和急诊科在老年患者中的表现之间的关系。

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2025-10-09 DOI: 10.1111/ajag.70100

Carol Lu Hunter, Nicholas Moore, Paul Middleton, Danielle Ni Chróinín

Objective

Climate change has contributed to fluctuating temperature extremes over recent years. Higher temperatures increase mortality and morbidity in older patients. This study aimed to investigate temporal trends over the week and the association between hot temperatures and emergency department (ED) presentations amongst older patients.

Methods

We conducted a retrospective observational study using ED presentation data of persons aged 65 years or older from 2010 to 2021 attending at multi-centre secondary and tertiary referral institutions (n = 6) within South Western Sydney Health District, serving a population of ~820,000. The primary outcome was the rate of ED presentations amongst older patients on hot/very hot days/nights, compared to non-hot days/nights.

Results

There were 693,620 ED presentations of people aged 65 years or older across study sites over the study period. During this time, there were 160 hot days and 331 hot nights. The seasonal Auto Regressive Integrated Moving Average (ARIMA) model (adjusted for weekends/public holidays/Mondays/Fridays) showed an inconsistent effect across the sites studied for hot days (estimate range −0.11 to 1.37) and hot nights (estimate range −0.81 to 1.17). There were also significantly decreased presentations on weekends/public holidays and increased presentations on Mondays (p = 0.003).

Conclusions

Although we did not observe an association between heat and presentations, this may reflect regional variation and thus the broader risks of climate change for older people remain undetermined. Factors that influence reduced weekend presentations and Monday surges, irrespective of temperature variations, should be further investigated to identify opportunities for intervention.

目的：近年来，气候变化导致了极端温度的波动。高温会增加老年患者的死亡率和发病率。本研究旨在调查一周内的时间趋势以及高温与老年患者急诊科（ED）表现之间的关系。方法：我们进行了一项回顾性观察性研究，使用2010年至2021年在悉尼西南卫生区多中心二级和三级转诊机构就诊的65岁及以上患者的ED表现资料（n = 6），服务人群约为82万人。主要结果是老年患者在炎热/非常炎热的日子/晚上与非炎热的日子/晚上的ED发生率。结果：在整个研究期间，共有693,620例65岁及以上的ED患者。在这段时间里，有160个炎热的白天和331个炎热的夜晚。季节性自动回归综合移动平均（ARIMA）模型（对周末/公共假期/周一/周五进行了调整）显示，在研究的各个站点中，炎热的白天（估计范围为-0.11至1.37）和炎热的夜晚（估计范围为-0.81至1.17）的影响不一致。周末/公共假期的报告也显著减少，周一的报告增加（p = 0.003）。结论：虽然我们没有观察到热量和表现之间的关联，但这可能反映了区域差异，因此气候变化对老年人的更广泛风险仍未确定。应进一步调查影响周末病例减少和周一病例激增的因素，无论温度变化如何，以确定干预的机会。

{"title":"Hot Stuff: Exploring the Association Between Hot Days and Emergency Department Presentations Amongst Older Patients","authors":"Carol Lu Hunter, Nicholas Moore, Paul Middleton, Danielle Ni Chróinín","doi":"10.1111/ajag.70100","DOIUrl":"10.1111/ajag.70100","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Climate change has contributed to fluctuating temperature extremes over recent years. Higher temperatures increase mortality and morbidity in older patients. This study aimed to investigate temporal trends over the week and the association between hot temperatures and emergency department (ED) presentations amongst older patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a retrospective observational study using ED presentation data of persons aged 65 years or older from 2010 to 2021 attending at multi-centre secondary and tertiary referral institutions (<i>n</i> = 6) within South Western Sydney Health District, serving a population of ~820,000. The primary outcome was the rate of ED presentations amongst older patients on hot/very hot days/nights, compared to non-hot days/nights.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There were 693,620 ED presentations of people aged 65 years or older across study sites over the study period. During this time, there were 160 hot days and 331 hot nights. The seasonal Auto Regressive Integrated Moving Average (ARIMA) model (adjusted for weekends/public holidays/Mondays/Fridays) showed an inconsistent effect across the sites studied for hot days (estimate range −0.11 to 1.37) and hot nights (estimate range −0.81 to 1.17). There were also significantly decreased presentations on weekends/public holidays and increased presentations on Mondays (<i>p</i> = 0.003).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Although we did not observe an association between heat and presentations, this may reflect regional variation and thus the broader risks of climate change for older people remain undetermined. Factors that influence reduced weekend presentations and Monday surges, irrespective of temperature variations, should be further investigated to identify opportunities for intervention.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253959","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}

引用次数: 0

Associations of Handgrip Strength and Body Mass Index With All-Cause Mortality: A 14-Year Follow-Up of the Korea Longitudinal Study of Aging 握力和体重指数与全因死亡率的关系：韩国老龄化纵向研究的14年随访。

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2025-10-08 DOI: 10.1111/ajag.70098

Jaehyuck Lee, Duk-Hee Lee

Objective

The associations of handgrip strength and body mass index (BMI) with mortality vary across age groups. This study aimed to investigate whether these associations differ between middle-aged and older adults in the Korean population. Additionally, we assessed whether handgrip strength had the potential to affect the relationship between obesity and mortality.

Methods

A total of 9311 individuals aged 45–84 years from the Korean Longitudinal Study on Aging were followed up for 14 years. Hazard ratios for all-cause mortality were estimated separately for the middle-aged (less than 65 years) and older (65 years or older) groups using age- and sex-specific tertiles of handgrip strength and Korean obesity criteria.

Results

The relationships between handgrip strength or BMI with mortality did not materially differ across age groups. Both age groups exhibited the highest mortality rates among the individuals with low handgrip strength or a BMI < 18.5 kg/m². Conversely, the lowest mortality was found in those with high handgrip strength or a BMI from 23.0 to 29.9 kg/m². When stratified by handgrip strength, the BMI level associated with the lowest mortality risk shifted towards a higher BMI category in the low-strength group compared to the high-strength group.

Conclusions

While the associations between handgrip strength, BMI and mortality were similar across age groups, the pattern of the BMI–mortality relationship was clearly modified by handgrip strength. This suggests that muscle strength should be considered when evaluating the health risks of obesity.

目的：握力和体重指数（BMI）与死亡率的关系在不同年龄组有所不同。这项研究的目的是调查这些关联是否在韩国人口中的中年和老年人之间有所不同。此外，我们评估了握力是否有可能影响肥胖和死亡率之间的关系。方法：对来自韩国老年纵向研究的9311例45 ~ 84岁的老年人进行为期14年的随访。使用年龄和性别特定的握力分位数和韩国肥胖标准，分别估计了中年（小于65岁）和老年（65岁或以上）组全因死亡率的风险比。结果：握力或BMI与死亡率之间的关系在不同年龄组之间没有实质性差异。在这两个年龄组中，握力低或BMI为2的人的死亡率最高。相反，那些握力大或BMI在23.0到29.9 kg/m2之间的人死亡率最低。当按握力进行分层时，与高握力组相比，低握力组中与最低死亡风险相关的BMI水平向更高的BMI类别转移。结论：虽然握力、BMI和死亡率之间的关联在各年龄组中是相似的，但握力明显改变了BMI-死亡率关系的模式。这表明，在评估肥胖的健康风险时，应该考虑肌肉力量。

{"title":"Associations of Handgrip Strength and Body Mass Index With All-Cause Mortality: A 14-Year Follow-Up of the Korea Longitudinal Study of Aging","authors":"Jaehyuck Lee, Duk-Hee Lee","doi":"10.1111/ajag.70098","DOIUrl":"10.1111/ajag.70098","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The associations of handgrip strength and body mass index (BMI) with mortality vary across age groups. This study aimed to investigate whether these associations differ between middle-aged and older adults in the Korean population. Additionally, we assessed whether handgrip strength had the potential to affect the relationship between obesity and mortality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 9311 individuals aged 45–84 years from the Korean Longitudinal Study on Aging were followed up for 14 years. Hazard ratios for all-cause mortality were estimated separately for the middle-aged (less than 65 years) and older (65 years or older) groups using age- and sex-specific tertiles of handgrip strength and Korean obesity criteria.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The relationships between handgrip strength or BMI with mortality did not materially differ across age groups. Both age groups exhibited the highest mortality rates among the individuals with low handgrip strength or a BMI < 18.5 kg/m<sup>2</sup>. Conversely, the lowest mortality was found in those with high handgrip strength or a BMI from 23.0 to 29.9 kg/m<sup>2</sup>. When stratified by handgrip strength, the BMI level associated with the lowest mortality risk shifted towards a higher BMI category in the low-strength group compared to the high-strength group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>While the associations between handgrip strength, BMI and mortality were similar across age groups, the pattern of the BMI–mortality relationship was clearly modified by handgrip strength. This suggests that muscle strength should be considered when evaluating the health risks of obesity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253989","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}

引用次数: 0

Comment on: Analgesic and Adjuvant Co-Prescribing in Australian and Finnish Residential Care Homes 评论：澳大利亚和芬兰住宅护理院的镇痛和辅助联合处方。

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2025-10-06 DOI: 10.1111/ajag.70099

Merve Yılmaz Kars, Ilyas Akkar, Orhan Cıcek, Mustafa Hakan Dogan, Zeynep Iclal Turgut, Muhammet Cemal Kızılarslanoglu

引用次数: 0

Changing patterns of referrals in response to a multicomponent rehabilitation program for people with dementia and their care partners 针对痴呆症患者及其护理伙伴的多成分康复计划，改变转诊模式

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2025-09-22 DOI: 10.1111/ajag.70096

Diane Gibson, Stephanie Mulhall, Angela Chau, Georgina Chelberg, Lara Wiseman, Stephen Isbel, Kasia Bail, Nathan M. D'Cunha

Objectives

This article examines referral types and patterns over the first 30 months of a new multicomponent rehabilitation program for people with dementia and care partners, the Sustainable Personalised Intervention for Cognition Care and Engagement (SPICE) program.

Methods

Administrative referral records were analysed from July 2022 to December 2024.

Results

The most common referral sources (n = 239) were private geriatricians (n = 84), self-referral (n = 54), public geriatricians (n = 46) and community organisations (n = 30), with fewer referrals from general practitioners (n = 2) and community care providers (n = 2). Referrals from geriatricians increased over time, while those from community organisations and self-referrals remained stable.

Conclusions

The changes in referral pathways suggest evolving awareness of the SPICE program. As multidisciplinary dementia care services expand under the Australian National Dementia Action Plan, further research is needed to understand referral pathways by health professionals across different sectors to enhance awareness and accessibility.

本文研究了一项针对痴呆症患者及其护理伙伴的新型多组分康复计划的前30个月的转诊类型和模式，即认知护理和参与的可持续个性化干预（SPICE）计划。方法对2022年7月至2024年12月的行政转诊记录进行分析。结果最常见的转诊来源（n = 239）是私立老年病医生（n = 84）、自我转诊（n = 54）、公立老年病医生（n = 46）和社区组织（n = 30），全科医生（n = 2）和社区护理提供者（n = 2）的转诊较少。随着时间的推移，来自老年病医生的转诊人数有所增加，而来自社区组织和自我转诊的人数保持稳定。结论转诊途径的变化表明对SPICE项目的认识在不断发展。随着澳大利亚国家痴呆症行动计划下多学科痴呆症护理服务的扩大，需要进一步研究了解不同部门卫生专业人员的转诊途径，以提高认识和可及性。

{"title":"Changing patterns of referrals in response to a multicomponent rehabilitation program for people with dementia and their care partners","authors":"Diane Gibson, Stephanie Mulhall, Angela Chau, Georgina Chelberg, Lara Wiseman, Stephen Isbel, Kasia Bail, Nathan M. D'Cunha","doi":"10.1111/ajag.70096","DOIUrl":"https://doi.org/10.1111/ajag.70096","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This article examines referral types and patterns over the first 30 months of a new multicomponent rehabilitation program for people with dementia and care partners, the Sustainable Personalised Intervention for Cognition Care and Engagement (SPICE) program.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Administrative referral records were analysed from July 2022 to December 2024.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The most common referral sources (<i>n</i> = 239) were private geriatricians (<i>n</i> = 84), self-referral (<i>n</i> = 54), public geriatricians (<i>n</i> = 46) and community organisations (<i>n</i> = 30), with fewer referrals from general practitioners (<i>n</i> = 2) and community care providers (<i>n</i> = 2). Referrals from geriatricians increased over time, while those from community organisations and self-referrals remained stable.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The changes in referral pathways suggest evolving awareness of the SPICE program. As multidisciplinary dementia care services expand under the Australian National Dementia Action Plan, further research is needed to understand referral pathways by health professionals across different sectors to enhance awareness and accessibility.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70096","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145111379","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}

引用次数: 0

Assessing the impact of ‘Age-Friendly Cities and Communities’ membership: Health and activity outcomes among older adults in urban Japan 评估“老年友好城市和社区”会员资格的影响：日本城市老年人的健康和活动结果。

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2025-09-20 DOI: 10.1111/ajag.70095

Michael Annear, Tianci Li, Dai Sugimoto

Objective

Population ageing and urbanisation are global trends that highlight the importance of cities as a nexus for policy and planning to support healthy ageing. This study assessed whether membership in the World Health Organization's Age-Friendly Cities and Communities (AFCC) Network is associated with improved health behaviours and outcomes among older adults in urban Japan.

Methods

Three geographically diverse Japanese AFCCs (Akita, Takarazuka and Fujisawa) and one non-AFCC (Musashino) were selected. Quota samples of 175 middle-aged and older adults were obtained in each city (n = 700). Validated Japanese-language instruments measured physical activity (IPAQ-SF), environmental perceptions (IPAQ-ENV), health-related quality of life (WHOQOL-BREF) and expectations regarding ageing (ERA-12).

Results

Over 60% of AFCC residents met physical activity guidelines, with walking as the dominant mode. However, AFCCs performed no better than the non-AFCC in terms of physical activity, health status or future health expectations. Akita, Japan's longest-standing AFCC member, recorded significantly lower scores across all health and activity indicators. Environmental features, including walkability and access to services, were not significantly associated with sufficient weekly physical activity. Only physical health status was a significant predictor of adequate activity.

Conclusions

Membership of an AFCC Network was not associated with better physical activity or health outcomes in urban Japan. Findings raise concerns about the implementation and impact of the AFCC framework, highlighting the need for more robust evaluation, greater national coordination and participatory planning. Policy reform may be necessary to ensure that symbolic commitments to age-friendly planning are translated into tangible health benefits for older urban populations.

目标：人口老龄化和城市化是全球趋势，突出了城市作为支持健康老龄化的政策和规划的纽带的重要性。本研究评估了加入世界卫生组织的老年友好城市和社区（AFCC）网络是否与改善日本城市老年人的健康行为和结果有关。方法：选择3个地理位置不同的日本afcc（秋田、宝冢和藤泽）和1个非afcc（武藏野）。在每个城市获得175名中老年人的配额样本（n = 700）。经过验证的日语工具测量了身体活动（IPAQ-SF）、环境感知（IPAQ-ENV）、健康相关生活质量（WHOQOL-BREF）和对衰老的预期（ERA-12）。结果：超过60%的AFCC居民符合身体活动指南，以步行为主导模式。然而，在体力活动、健康状况或未来健康预期方面，afcc的表现并不比非afcc好。秋田是日本历史最悠久的AFCC成员国，在所有健康和活动指标上的得分都明显较低。环境特征，包括可步行性和可获得的服务，与足够的每周身体活动没有显著关联。只有身体健康状况是充分活动的重要预测因素。结论：在日本城市，AFCC网络的成员资格与更好的身体活动或健康结果无关。调查结果引起了对AFCC框架的执行和影响的关注，强调需要更有力的评价、更大的国家协调和参与性规划。可能有必要进行政策改革，以确保对老年人友好规划的象征性承诺转化为对城市老年人口的切实健康福利。

{"title":"Assessing the impact of ‘Age-Friendly Cities and Communities’ membership: Health and activity outcomes among older adults in urban Japan","authors":"Michael Annear, Tianci Li, Dai Sugimoto","doi":"10.1111/ajag.70095","DOIUrl":"10.1111/ajag.70095","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Population ageing and urbanisation are global trends that highlight the importance of cities as a nexus for policy and planning to support healthy ageing. This study assessed whether membership in the World Health Organization's Age-Friendly Cities and Communities (AFCC) Network is associated with improved health behaviours and outcomes among older adults in urban Japan.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Three geographically diverse Japanese AFCCs (Akita, Takarazuka and Fujisawa) and one non-AFCC (Musashino) were selected. Quota samples of 175 middle-aged and older adults were obtained in each city (<i>n</i> = 700). Validated Japanese-language instruments measured physical activity (IPAQ-SF), environmental perceptions (IPAQ-ENV), health-related quality of life (WHOQOL-BREF) and expectations regarding ageing (ERA-12).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Over 60% of AFCC residents met physical activity guidelines, with walking as the dominant mode. However, AFCCs performed no better than the non-AFCC in terms of physical activity, health status or future health expectations. Akita, Japan's longest-standing AFCC member, recorded significantly lower scores across all health and activity indicators. Environmental features, including walkability and access to services, were not significantly associated with sufficient weekly physical activity. Only physical health status was a significant predictor of adequate activity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Membership of an AFCC Network was not associated with better physical activity or health outcomes in urban Japan. Findings raise concerns about the implementation and impact of the AFCC framework, highlighting the need for more robust evaluation, greater national coordination and participatory planning. Policy reform may be necessary to ensure that symbolic commitments to age-friendly planning are translated into tangible health benefits for older urban populations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092827","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}

引用次数: 0

Swallow screening of older adults at hospital admission 老年人住院时的吞咽检查。

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2025-09-16 DOI: 10.1111/ajag.70094

Anna Miles, Amanda Sextus, Becca Hammond, Jacqui Allen

Objectives

The risk of swallowing difficulties increases in older adults due to a combination of factors such as multiple comorbidities and polypharmacy. Swallowing may be further destabilised by the onset of acute illness. At hospital admission, these factors can be identified and combined with a simple screening tool to select patients for additional assessment and intervention. This prospective observational cross-sectional cohort study aimed to screen hospitalised adults age 75 years or older (older than 65 years for Māori and Pasifika) for swallowing risks, regardless of the reason for admission.

Methods

A total of 644 participants were screened with the Eating Assessment Tool (EAT-10) self-report questionnaire from August 2021 to December 2023. Clinical teams were instructed to use the EAT-10 to guide management. Clinical outcomes were monitored for 30 days postdischarge, and the relationship between EAT-10 scores and subsequent clinical management was explored.

Results

Age and ethnicity were not correlated with increased EAT-10 (p > .05), but the number of comorbidities (p < .001) and regular medications on admission were correlated with a higher EAT-10 score (p < .001). Despite the screening process, there were associations between elevated EAT-10 scores and readmission (p < .001), pneumonia (p < .001) and mortality (p < .01).

Conclusions

These results suggest that screening for swallowing difficulties in at-risk older patients is valuable and allows teams to take action to prevent adverse clinical outcomes. Further investigation is required to clarify the timing for screening and to explore optimal clinical pathways for those identified at risk.

目的：由于多种合并症和多种用药等因素的综合作用，老年人吞咽困难的风险增加。吞咽可能因急性疾病的发作而进一步不稳定。在入院时，可以识别这些因素，并结合一个简单的筛选工具来选择患者进行额外的评估和干预。本前瞻性观察横断面队列研究旨在筛查75岁或以上（Māori和Pasifika≥65岁）住院成人的吞咽风险，无论入院原因如何。方法：从2021年8月至2023年12月，使用进食评估工具（EAT-10）自我报告问卷对644名参与者进行筛选。临床小组被指示使用EAT-10来指导管理。出院后30天监测临床结果，并探讨EAT-10评分与后续临床管理之间的关系。结果：年龄和种族与EAT-10升高无关（p < 0.05）。结论：这些结果表明，对有风险的老年患者进行吞咽困难筛查是有价值的，并允许团队采取措施预防不良临床结果。需要进一步的调查来明确筛查的时机，并为那些确定有风险的人探索最佳的临床途径。

{"title":"Swallow screening of older adults at hospital admission","authors":"Anna Miles, Amanda Sextus, Becca Hammond, Jacqui Allen","doi":"10.1111/ajag.70094","DOIUrl":"10.1111/ajag.70094","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The risk of swallowing difficulties increases in older adults due to a combination of factors such as multiple comorbidities and polypharmacy. Swallowing may be further destabilised by the onset of acute illness. At hospital admission, these factors can be identified and combined with a simple screening tool to select patients for additional assessment and intervention. This prospective observational cross-sectional cohort study aimed to screen hospitalised adults age 75 years or older (older than 65 years for Māori and Pasifika) for swallowing risks, regardless of the reason for admission.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 644 participants were screened with the Eating Assessment Tool (EAT-10) self-report questionnaire from August 2021 to December 2023. Clinical teams were instructed to use the EAT-10 to guide management. Clinical outcomes were monitored for 30 days postdischarge, and the relationship between EAT-10 scores and subsequent clinical management was explored.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Age and ethnicity were not correlated with increased EAT-10 (<i>p</i> > .05), but the number of comorbidities (<i>p</i> < .001) and regular medications on admission were correlated with a higher EAT-10 score (<i>p</i> < .001). Despite the screening process, there were associations between elevated EAT-10 scores and readmission (<i>p</i> < .001), pneumonia (<i>p</i> < .001) and mortality (<i>p</i> < .01).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These results suggest that screening for swallowing difficulties in at-risk older patients is valuable and allows teams to take action to prevent adverse clinical outcomes. Further investigation is required to clarify the timing for screening and to explore optimal clinical pathways for those identified at risk.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12439623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071205","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}

引用次数: 0

Physical function versus cognitive status: Which better predicts independence in basic activities among long-lived cognitively preserved older adults 身体功能与认知状态：哪个能更好地预测长寿的认知能力保持良好的老年人在基本活动方面的独立性

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2025-09-15 DOI: 10.1111/ajag.70093

Juliedy Waldow Kupske, Júlia de Mattos, Tainara Steffens, Eduarda Blanco-Rambo, Marcelo Bandeira-Guimarães, Mikel L. Sáez de Asteasu, Mikel Izquierdo, Eduardo Lusa Cadore, Caroline Pietta-Dias

Objectives

This study aimed to compare physical function and cognitive status according to the level of dependence in basic activities of daily living (ADL) and to determine which of these variables better predict functional independence.

Methods

This cross-sectional study included 231 individuals over 90 years of age. Physical function was assessed using the Timed Up and Go (TUG) test and handgrip strength (HGS), and cognitive function was assessed using the Mini-Mental State Examination (MMSE). A binary logistic regression adjusted for age was conducted to identify which variables related to physical performance or cognitive status could predict independence in basic ADL.

Results

The results showed that the model including TUG (OR = 4.3; 95% CI = 2.18–8.34) along with HGS (OR = 2.0; 95% CI = 1.14–3.45) provided the best fit. This indicates that better performance on the TUG test increases the odds of independence by 4.3 times, and each increment in HGS doubles that chance.

Conclusions

We conclude that older individuals with better physical function and greater muscle strength are more likely to be independent in ADL.

目的本研究旨在比较基本日常生活活动（ADL）依赖程度的身体功能和认知状态，并确定哪些变量能更好地预测功能独立性。方法本横断面研究纳入231例90岁以上的个体。身体功能评估采用计时向上和向前（TUG）测试和握力（HGS），认知功能评估采用迷你精神状态检查（MMSE）。采用经年龄调整的二元逻辑回归来确定哪些与身体表现或认知状态相关的变量可以预测基本ADL的独立性。结果采用TUG （OR = 4.3; 95% CI = 2.18 ~ 8.34）和HGS （OR = 2.0; 95% CI = 1.14 ~ 3.45）模型拟合最佳。这表明，在TUG测试中表现更好，独立的几率会增加4.3倍，而HGS的每一次提高都会使这种几率增加一倍。我们的结论是，身体功能更好、肌肉力量更大的老年人在ADL中更有可能独立。

{"title":"Physical function versus cognitive status: Which better predicts independence in basic activities among long-lived cognitively preserved older adults","authors":"Juliedy Waldow Kupske, Júlia de Mattos, Tainara Steffens, Eduarda Blanco-Rambo, Marcelo Bandeira-Guimarães, Mikel L. Sáez de Asteasu, Mikel Izquierdo, Eduardo Lusa Cadore, Caroline Pietta-Dias","doi":"10.1111/ajag.70093","DOIUrl":"https://doi.org/10.1111/ajag.70093","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to compare physical function and cognitive status according to the level of dependence in basic activities of daily living (ADL) and to determine which of these variables better predict functional independence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study included 231 individuals over 90 years of age. Physical function was assessed using the Timed Up and Go (TUG) test and handgrip strength (HGS), and cognitive function was assessed using the Mini-Mental State Examination (MMSE). A binary logistic regression adjusted for age was conducted to identify which variables related to physical performance or cognitive status could predict independence in basic ADL.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results showed that the model including TUG (OR = 4.3; 95% CI = 2.18–8.34) along with HGS (OR = 2.0; 95% CI = 1.14–3.45) provided the best fit. This indicates that better performance on the TUG test increases the odds of independence by 4.3 times, and each increment in HGS doubles that chance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We conclude that older individuals with better physical function and greater muscle strength are more likely to be independent in ADL.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70093","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145062382","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}

引用次数: 0

Development and evaluation of an online program to encourage help-seeking among single middle-aged and older men 开发和评估一个在线项目，鼓励单身中老年男性寻求帮助

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2025-09-13 DOI: 10.1111/ajag.70091

Yoh Murayama, Sachiko Yamazaki, Masami Hasebe, Jun Yamaguchi, Erika Kobayashi

Objective

This study examined the contents of an online program that promotes help-seeking by reducing ‘resignation to the future’ and ‘distrust of others’.

Methods

The online program comprised three sessions focussing on work, health and the economy. Forty-four single middle-aged and older men with a high tendency for social isolation were divided into two groups: intervention (n = 22) and control (n = 22). The program spanned 2 days, with each session lasting 90–110 min. Questionnaire surveys were conducted simultaneously for both groups.

Results

Program participation significantly reduced distrust of others (F(1,39) = 6.42, p < .05, η² = .15), although it had no effect on resignation to the future. Structural equation modelling further showed that distrust of others negatively influenced help-seeking intentions (β = −.50, p < .01) through the program. Moreover, participating likely provided an opportunity to reflect on one's own strengths.

Conclusions

Implementing this program could help prevent isolation and loneliness among single middle-aged and older men.

目的本研究考察了一个在线课程的内容，该课程通过减少“对未来的顺从”和“对他人的不信任”来促进寻求帮助。方法在线课程分为三个部分，重点是工作、健康和经济。将44名具有高度社会孤立倾向的单身中老年男性分为干预组（n = 22）和对照组（n = 22）。该项目为期2天，每次持续90-110分钟。两组同时进行问卷调查。结果参与项目显著降低了对他人的不信任(F(1,39) = 6.42, p <；05、η2 =。15)，虽然它没有影响辞职的未来。结构方程模型进一步表明，对他人的不信任对求助意向产生负向影响（β =−）。50, p <；01)通过这个项目。此外，参与可能提供了一个反思自己优势的机会。结论实施该计划有助于防止单身中老年男性的孤立和孤独。

{"title":"Development and evaluation of an online program to encourage help-seeking among single middle-aged and older men","authors":"Yoh Murayama, Sachiko Yamazaki, Masami Hasebe, Jun Yamaguchi, Erika Kobayashi","doi":"10.1111/ajag.70091","DOIUrl":"https://doi.org/10.1111/ajag.70091","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study examined the contents of an online program that promotes help-seeking by reducing ‘resignation to the future’ and ‘distrust of others’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The online program comprised three sessions focussing on work, health and the economy. Forty-four single middle-aged and older men with a high tendency for social isolation were divided into two groups: intervention (<i>n</i> = 22) and control (<i>n</i> = 22). The program spanned 2 days, with each session lasting 90–110 min. Questionnaire surveys were conducted simultaneously for both groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Program participation significantly reduced distrust of others (<i>F</i>(1,39) = 6.42, <i>p</i> < .05, <i>η</i><sup>2</sup> = .15), although it had no effect on resignation to the future. Structural equation modelling further showed that distrust of others negatively influenced help-seeking intentions (<i>β</i> = −.50, <i>p</i> < .01) through the program. Moreover, participating likely provided an opportunity to reflect on one's own strengths.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Implementing this program could help prevent isolation and loneliness among single middle-aged and older men.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145038125","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}

引用次数: 0

Effect of sleep quality on different aspects of executive function in older Iranians 睡眠质量对伊朗老年人执行功能不同方面的影响

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2025-09-13 DOI: 10.1111/ajag.70092

Roghayeh Saei, Pouya Farokhnezhad Afshar, Rosie Gibson, Fiona Alpass

Objective

Sleep is one of the most important needs for humans and is negatively affected by age. Executive functioning is a key element of cognition that also faces attrition with ageing. Therefore, this study aimed to determine the relationship between sleep quality and different aspects of executive function in older adults using specialised tests for deep assessment.

Methods

This descriptive study sampled 100 older individuals aged 60 years or older enrolled in an adult day care centre. Self-reported sleep status was collected using the Pittsburgh Sleep Quality Index (PSQI). Aspects of executive functioning were recorded using the Tower of London test (TOL), the Wisconsin Card Sorting Test (WCST) and the Trail Making Test (TMT). Performance on these tests was compared by sleep status using hierarchical regression.

Results

Sleep status was independently associated with poorer executive functioning, indicated by perseverative errors, categories and incorrect replacement on the Wisconsin Card Sorting Test, as well as the Trail Making Test B. Additionally there was no significant interaction between the Tower of London Test score and sleep status.

Conclusions

This study indicates a significant association between sleep status and some aspects of executive function. These findings highlight the importance of sleep quality on cognitive performance in older adults.

目的睡眠是人类最重要的需求之一，并受到年龄的负面影响。执行功能是认知的一个关键要素，随着年龄的增长，它也面临着损耗。因此，本研究旨在通过深度评估的专门测试来确定老年人睡眠质量与执行功能不同方面之间的关系。方法本描述性研究抽样100名60岁或以上的老年人在成人日托中心登记。使用匹兹堡睡眠质量指数（PSQI）收集自我报告的睡眠状态。使用伦敦塔测试（TOL）、威斯康辛卡片分类测试（WCST）和轨迹测试（TMT）记录执行功能的各个方面。在这些测试中的表现通过睡眠状态使用层次回归进行比较。结果睡眠状态与较差的执行功能独立相关，表现为威斯康辛卡片分类测试中的持续性错误、分类和不正确替换，以及轨迹制作测试b。此外，伦敦塔测试成绩与睡眠状态之间没有显著的相互作用。结论：本研究表明睡眠状态与执行功能的某些方面存在显著关联。这些发现强调了睡眠质量对老年人认知能力的重要性。

{"title":"Effect of sleep quality on different aspects of executive function in older Iranians","authors":"Roghayeh Saei, Pouya Farokhnezhad Afshar, Rosie Gibson, Fiona Alpass","doi":"10.1111/ajag.70092","DOIUrl":"https://doi.org/10.1111/ajag.70092","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Sleep is one of the most important needs for humans and is negatively affected by age. Executive functioning is a key element of cognition that also faces attrition with ageing. Therefore, this study aimed to determine the relationship between sleep quality and different aspects of executive function in older adults using specialised tests for deep assessment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This descriptive study sampled 100 older individuals aged 60 years or older enrolled in an adult day care centre. Self-reported sleep status was collected using the Pittsburgh Sleep Quality Index (PSQI). Aspects of executive functioning were recorded using the Tower of London test (TOL), the Wisconsin Card Sorting Test (WCST) and the Trail Making Test (TMT). Performance on these tests was compared by sleep status using hierarchical regression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Sleep status was independently associated with poorer executive functioning, indicated by perseverative errors, categories and incorrect replacement on the Wisconsin Card Sorting Test, as well as the Trail Making Test B. Additionally there was no significant interaction between the Tower of London Test score and sleep status.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study indicates a significant association between sleep status and some aspects of executive function. These findings highlight the importance of sleep quality on cognitive performance in older adults.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145038126","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}

引用次数: 0

A qualitative exploration of staff satisfaction in innovative Australian aged care 澳洲创新养老服务中员工满意度的质性探索

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing

Pub Date : 2025-09-08 DOI: 10.1111/ajag.70090

Suzelie G. Connelly, Prudence Millear, Kirsten Tulloch

Objectives

Long-term worker shortages in Australian residential aged care are well-documented. These shortages adversely impact residents' well-being and the morale of staff caring for them. This study aimed to explore staff and management experiences through workplace theories related to worker satisfaction: job demands-resources theory, self-determination theory, moral disengagement and work as calling theory, at NewDirection Care, which provides innovative aged care in Queensland. A further aim was to identify the impact of the innovations on staff satisfaction.

Methods

Semi-structured staff and management interviews (n = 18, 13 females, 5 males) were held on-site. An appreciative inquiry approach identified the under-researched linkages between staff satisfaction in innovative aged care and workplace theories. The NVivo 12.0 qualitative analysis software was used for reflexive thematic analysis of interviews.

Results

Three themes emerged from the interviews: (1) the supportive management culture, (2) the innovative conditions and (3) finding meaningfulness at work. These themes demonstrated how staff attitudes linked to the chosen workplace theories and identified how specific innovations, combined in both the physical environment and models of care, were associated with improved staff satisfaction.

Conclusions

The current study indicates that workplace initiatives may increase staff satisfaction, potentially ameliorating shortages by attracting and retaining staff. Semi-structured interviews identified that specific innovations, combined in both the physical environment and models of care, are associated with improved staff satisfaction. Reflexive thematic analysis of interviews contributed to the literature and suggested future research opportunities, such as examining differences in aged care worker satisfaction between traditional and innovative residences.

澳大利亚养老院的长期工人短缺是有据可查的。这些短缺对居民的福祉和照顾他们的工作人员的士气产生了不利影响。本研究旨在通过与员工满意度相关的工作场所理论：工作需求-资源理论、自我决定理论、道德脱离理论和工作作为召唤理论，在昆士兰提供创新老年护理的NewDirection Care公司探讨员工和管理经验。进一步的目标是确定创新对工作人员满意度的影响。方法采用现场半结构化访谈法对18名员工和管理人员进行访谈，其中女性13人，男性5人。一种欣赏式调查方法确定了创新老年护理和工作场所理论中员工满意度之间的研究不足的联系。采用NVivo 12.0定性分析软件对访谈进行反身性专题分析。结果访谈中出现了三个主题：(1)支持性管理文化；(2)创新条件；(3)在工作中寻找意义。这些主题展示了员工的态度如何与所选择的工作场所理论相联系，并确定了具体的创新，结合物理环境和护理模式，如何与提高员工满意度相关联。目前的研究表明，工作场所的举措可能会提高员工满意度，潜在地通过吸引和留住员工来改善短缺。半结构化访谈发现，具体的创新，结合物理环境和护理模式，与提高员工满意度有关。访谈的反思性专题分析有助于文献研究，并提出了未来的研究机会，例如检查传统和创新住宅之间老年护理人员满意度的差异。

{"title":"A qualitative exploration of staff satisfaction in innovative Australian aged care","authors":"Suzelie G. Connelly, Prudence Millear, Kirsten Tulloch","doi":"10.1111/ajag.70090","DOIUrl":"https://doi.org/10.1111/ajag.70090","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Long-term worker shortages in Australian residential aged care are well-documented. These shortages adversely impact residents' well-being and the morale of staff caring for them. This study aimed to explore staff and management experiences through workplace theories related to worker satisfaction: job demands-resources theory, self-determination theory, moral disengagement and work as calling theory, at NewDirection Care, which provides innovative aged care in Queensland. A further aim was to identify the impact of the innovations on staff satisfaction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Semi-structured staff and management interviews (<i>n</i> = 18, 13 females, 5 males) were held on-site. An appreciative inquiry approach identified the under-researched linkages between staff satisfaction in innovative aged care and workplace theories. The NVivo 12.0 qualitative analysis software was used for reflexive thematic analysis of interviews.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three themes emerged from the interviews: (1) the supportive management culture, (2) the innovative conditions and (3) finding meaningfulness at work. These themes demonstrated how staff attitudes linked to the chosen workplace theories and identified how specific innovations, combined in both the physical environment and models of care, were associated with improved staff satisfaction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The current study indicates that workplace initiatives may increase staff satisfaction, potentially ameliorating shortages by attracting and retaining staff. Semi-structured interviews identified that specific innovations, combined in both the physical environment and models of care, are associated with improved staff satisfaction. Reflexive thematic analysis of interviews contributed to the literature and suggested future research opportunities, such as examining differences in aged care worker satisfaction between traditional and innovative residences.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70090","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145012476","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}

引用次数: 0