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Parent-Child Relationships Following Gray Divorce: Stronger Ties With Mothers, Weaker Ties With Fathers. 灰色离婚后的亲子关系:与母亲的联系更紧密,与父亲的联系更薄弱。
IF 4.8 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2024-05-01 DOI: 10.1093/geronb/gbae004
Zafer Buyukkececi, Thomas Leopold

Objectives: With rising gray divorce rates, older individuals face heightened risk of social isolation, highlighting the significance of adult children as a vital source of solidarity in the absence of a spouse. Simultaneously, gray divorce may undermine parent-adult child relationships and weaken the core of the family safety net of older persons. This study examined the consequences of gray divorce for parent-child relationships.

Methods: We used longitudinal data from the German Family Panel (Pairfam), a large-scale panel study collecting detailed information about family relationships and family structure. We focused on adult children aged 18-49 (n = 9,092) whose parents were married at first observation. During an observation period spanning up to 13 years (2008-2020), 606 individuals experienced parental divorce. Using fixed-effects models, we estimated changes in contact frequency, emotional closeness, and instrumental and emotional support provided to parents.

Results: Consequences of gray divorce varied strongly between mothers and fathers. Adult-child solidarity intensified for mothers but eroded for fathers. This impact was strongest for changes in contact frequency, moderate for changes in emotional closeness, and smaller for changes in support. The persistence of gender role differentiation was evident, as daughters displayed closer ties and provided greater support to their mothers following a gray divorce.

Discussion: Divorce alters relationships with adult children. A gray divorce tilts adult-child solidarity toward mothers and puts fathers at a higher risk of social isolation. Moreover, the observed gender dynamics underscore the continued influence of gender roles on family dynamics in the aftermath of gray divorce.

目的:随着灰色离婚率的上升,老年人面临社会孤立的风险加大,这凸显了成年子女作为配偶不在身边时重要的团结力量的重要性。同时,灰色离婚可能会破坏父母与成年子女之间的关系,削弱老年人家庭安全网的核心。本研究探讨了灰色离婚对亲子关系的影响:我们使用了德国家庭面板(Pairfam)的纵向数据,这是一项大规模面板研究,收集了有关家庭关系和家庭结构的详细信息。我们的研究对象是 18-49 岁的成年子女(n=9,092),他们的父母在首次观察时已婚。在长达 13 年(2008-2020 年)的观察期内,有 606 人经历了父母离婚。利用固定效应模型,我们估算了接触频率、情感亲密程度以及为父母提供的工具和情感支持的变化:母亲和父亲之间灰色离婚的后果差异很大。母亲与成年子女的团结加强了,但父亲的团结却削弱了。这种影响在接触频率的变化中最为明显,在情感亲密度的变化中较为温和,而在支持的变化中则较小。性别角色差异的持续存在是显而易见的,因为在灰色离婚后,女儿与母亲的联系更加紧密,对母亲的支持也更多:讨论:离婚会改变与成年子女的关系。灰色离婚使成年子女的团结倾向于母亲,并使父亲面临更高的社会孤立风险。此外,观察到的性别动态突出表明了性别角色在灰色离婚后对家庭动态的持续影响。
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引用次数: 0
Younger and Older Adults' Health Lies to Close Others. 年轻和年长者的健康谎言与他人关系密切。
IF 4.8 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2024-05-01 DOI: 10.1093/geronb/gbae022
Jessica C Frias, Alison M O'Connor

Objectives: Lying is a common social behavior; however, there is limited research on lying about health and if this differs into later life. This study sought to explore age differences in the frequency of and motivations behind telling health-related lies and if lying differs within romantic and parent/child relationships.

Methods: Younger (N = 158) and older adults (N = 149) reported how often they told general health-related lies, how often they lied about health to their romantic partner and parent or adult child, and why they told health lies.

Results: Compared with older adults, younger adults lied more frequently to conceal sickness and pain as well as to feign sickness. Younger adults also told more health lies to their parent than their romantic partner, but older adults lied to their adult child and partner at similar rates. Younger adults reported lying more about their health because they felt ashamed or embarrassed and they worried about what others would think of them compared with older adults.

Discussion: These results suggest that health-related honesty may increase in later life and that younger and older adults differ in why they tell health lies. Implications for psychological theory on lying about one's health and health interventions are discussed.

目的:撒谎是一种常见的社会行为;然而,关于健康方面的谎言以及这种谎言在晚年是否存在差异的研究却很有限。本研究旨在探讨不同年龄段的人在健康方面撒谎的频率和动机的差异,以及在恋爱关系和亲子关系中撒谎是否有所不同:年轻人(158 人)和老年人(149 人)报告了他们说一般健康相关谎言的频率、他们对恋爱伴侣和父母或成年子女说健康谎言的频率,以及他们说健康谎言的原因:与老年人相比,年轻人为了隐瞒疾病和疼痛以及装病而撒谎的频率更高。年轻人对父母撒健康谎的次数也比对恋爱伴侣多,但老年人对成年子女和伴侣撒谎的比例相近。与老年人相比,年轻人在健康方面撒谎更多是因为他们感到羞愧或尴尬,以及担心别人会怎么看他们:这些结果表明,在晚年生活中,与健康有关的诚实可能会增加,而且年轻人和老年人在健康谎言的原因上有所不同。讨论:这些结果表明,与健康有关的谎言在晚年可能会增加,而且年轻人和老年人在为什么说健康谎言方面存在差异。讨论了有关健康谎言的心理学理论和健康干预措施的意义。
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引用次数: 0
Marital Quality and Depressive Symptoms Among Older Hispanic Adults in the United States. 美国西班牙裔老年人的婚姻质量和抑郁症状。
IF 4.8 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2024-05-01 DOI: 10.1093/geronb/gbae032
Jaminette M Nazario-Acevedo, Takashi Yamashita, Jennifer Roebuck Bulanda, J Scott Brown

Objectives: Despite the cultural importance of marriage as a social support system and its well-established link to mental health, older Hispanic adult populations, which are the largest racial and ethnic minoritized groups, remain understudied. The current study examined how positive and negative dimensions of marital quality are associated with depressive symptoms.

Methods: Data from Hispanic adults aged 51 years and older (n = 1,012) were obtained from the 2016 and 2018 Health and Retirement Study waves. The Center for Epidemiological Studies-Depression scale (0-8 symptoms) was modeled as a function of positive and negative marital quality measures (1-4), as well as the relevant covariates.

Results: Results from a negative binomial regression model showed that a 1-unit change in positive and negative marital quality was associated with a 23.61% reduction and a 23.74% increase, respectively, in depressive symptoms. The interaction terms with marital quality and gender, as well as marital quality and religion, were not statistically significant.

Discussion: In the United States, a large percentage of older Hispanic adults are immigrants, and their extended family tends to reside in their countries of origin. As such, older Hispanic adults may have smaller social networks, and marital quality most likely represents a culturally important social support network in later life. Significant associations between depressive symptoms and marital quality among older Hispanic adults should receive more attention in family and public health policy discussions, particularly given the increasing diversity in U.S. society.

目的:尽管婚姻作为一种社会支持系统在文化上具有重要意义,而且其与心理健康之间的联系也已得到充分证实,但作为最大的少数种族和族裔群体的西班牙裔老年人群仍未得到充分研究。本研究探讨了婚姻质量的积极和消极方面与抑郁症状的关系:从 2016 年和 2018 年健康与退休研究(HRS)波中获得了 51 岁及以上西班牙裔成年人的数据(n = 1,012)。将 CES-D 量表(0-8 个症状)作为积极和消极婚姻质量测量(1-4)以及相关协变量的函数进行建模:负二项回归模型的结果显示,积极和消极婚姻质量每变化一个单位,抑郁症状就会分别减少 23.61% 和增加 23.74%。婚姻质量与性别以及婚姻质量与宗教信仰的交互项在统计学上并不显著:在美国,很大比例的西班牙裔老年人是移民,他们的大家庭往往居住在原籍国。因此,西班牙裔老年人的社会网络可能较小,而婚姻质量很可能是晚年生活中一个具有文化重要性的社会支持网络。在家庭和公共卫生政策讨论中,应更多地关注西班牙裔老年人抑郁症状与婚姻质量之间的重要关联,尤其是考虑到美国社会日益多元化的现状。
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引用次数: 0
Surprising Gendered Age Differences in Rural Malawians' Early COVID-19 Pandemic Prevention Efforts. 马拉维农村居民在早期 COVID-19 大流行预防工作中令人惊讶的性别年龄差异。
IF 4.8 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2024-05-01 DOI: 10.1093/geronb/gbae031
Tyler W Myroniuk, Hans-Peter Kohler, Victor Mwapasa, James Mwera, Iliana V Kohler

Objectives: We assess how age, the presence of mature adults aged 45+ years, and recent deaths in rural households are associated with coronavirus disease 2019 (COVID-19) preventative actions and the likelihood of getting vaccinated against the virus in Malawi during early stages of the pandemic.

Methods: We draw upon data from 2,187 rural Malawians who participated in a 2020 COVID-19 Phone Survey. We estimate the log odds of engaging in "low-cost" and "high-cost" COVID-19 preventative actions based on age, gender, household composition, and recent household deaths. Low-cost prevention efforts were washing hands with soap and water frequently, avoiding close contact with people when going out, and avoiding shaking hands. High-cost actions included staying at home and decreasing time spent close to people not living in their household. We also estimate the chances of acquiring the COVID-19 vaccine in early stages of its availability.

Results: Mature women (45+ years) in general and younger men (<45 years)-living with at least one mature adult in the household-were less likely than others to comply with low-cost actions. Mature men were more likely than younger men (<45 years) to take on high-cost actions. To some extent, individuals who experienced a recent family death were more likely to engage in high-cost COVID-19 preventative actions as well as getting vaccinated.

Discussion: Gendered age differences in preventing the transmission of COVID-19 offer hints of larger social norms affecting protective efforts. The analyses also inform future COVID-19 public health outreach efforts in Malawi and other rural SSA contexts.

目标:我们评估了马拉维农村家庭的年龄、是否有 45 岁以上的成熟成年人以及最近的死亡人数与 COVID-19 预防行动以及在大流行早期接种病毒疫苗的可能性之间的关系:我们利用了参加 2020 年 COVID-19 电话调查的 2,187 名马拉维农村居民的数据。我们根据年龄、性别、家庭组成和近期家庭死亡情况,估算了参与 "低成本 "和 "高成本 "COVID-19 预防行动的对数几率。低成本预防措施包括经常用肥皂和水洗手、外出时避免与人密切接触以及避免握手。高成本预防措施包括待在家里,减少与非同住者的亲密接触时间。我们还估算了在 COVID-19 疫苗上市初期获得该疫苗的几率:结果:一般来说,成熟女性(45 岁以上)和年轻男性(讨论:在预防 COVID-19 传播方面的性别年龄差异暗示了影响保护工作的更大的社会规范。这些分析还为马拉维和其他撒哈拉以南非洲国家农村地区未来的 COVID-19 公共卫生推广工作提供了参考。
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引用次数: 0
Nonkin Carers' Roles and Contributions to the Support of Older People Living Alone: An Analysis of Qualitative Data. 非亲属照护者在支持独居老人方面的角色和贡献:定性数据分析。
IF 4.8 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2024-05-01 DOI: 10.1093/geronb/gbae008
Paulina Wosko, Johanna Pfabigan, Birgit Trukeschitz, Elisabeth Reitinger, Barbara Pichler, Sabine Pleschberger

Objectives: In the Global North, the number of older people living alone who have little or no support from family members is increasing. However, little is known about older people living alone who have basic needs for support but do not have kin living nearby or a sustainable relationship to a relative they can rely on. Thus, this paper focuses on the role of nonkin carers and their contribution to the support arrangements of older people living alone.

Methods: We conducted semistructured interviews with 32 older people living alone aged between 67 and 99 (Ø 84.2 years) in Austria, 23 women, and 9 men. The interviews were analyzed by applying a coding strategy based on grounded theory. In addition, sociograms were created to illustrate relevant relations in each support arrangement.

Results: We identified and characterized 3 groups of nonkins involved in the support arrangements of older people living alone based on the origins of the relationships: (1) friends, (2) neighbors, and (3) acquaintances like members of various communities. The arrangements were classified according to the amount and quality of involvement of nonkin carers, namely manifold, scattered, and little nonkin involvement.

Discussion: Our study highlights the diversity of nonkin support in the support arrangements of older people living alone. This heterogeneity should be considered by policy-makers when promoting informal care and designing policy measures.

目标:在全球北方地区,很少有或没有家庭成员支持的独居老年人数量正在增加。然而,人们对有基本生活需要但附近没有亲属居住或与亲属没有可依赖的持续关系的独居老年人知之甚少。因此,本文重点关注非亲属照顾者的角色及其对独居老年人支持安排的贡献:我们对奥地利年龄在 67 岁至 99 岁(平均 84.2 岁)之间的 32 名独居老人进行了半结构化访谈,其中 23 名女性,9 名男性。我们采用基于基础理论的编码策略对访谈内容进行了分析。此外,我们还绘制了社会图,以说明每种支持安排中的相关关系:根据关系的起源,我们确定并描述了参与独居老年人赡养安排的三类非亲属:(1) 朋友,(2) 邻居,(3) 各社区成员等熟人。根据非亲属照护者参与的数量和质量对这些安排进行分类,即多方面、分散和很少非亲属参与:讨论:我们的研究强调了独居老年人支持安排中的非亲属支持的多样性。政策制定者在促进非正规护理和设计政策措施时应考虑到这种多样性。
{"title":"Nonkin Carers' Roles and Contributions to the Support of Older People Living Alone: An Analysis of Qualitative Data.","authors":"Paulina Wosko, Johanna Pfabigan, Birgit Trukeschitz, Elisabeth Reitinger, Barbara Pichler, Sabine Pleschberger","doi":"10.1093/geronb/gbae008","DOIUrl":"10.1093/geronb/gbae008","url":null,"abstract":"<p><strong>Objectives: </strong>In the Global North, the number of older people living alone who have little or no support from family members is increasing. However, little is known about older people living alone who have basic needs for support but do not have kin living nearby or a sustainable relationship to a relative they can rely on. Thus, this paper focuses on the role of nonkin carers and their contribution to the support arrangements of older people living alone.</p><p><strong>Methods: </strong>We conducted semistructured interviews with 32 older people living alone aged between 67 and 99 (Ø 84.2 years) in Austria, 23 women, and 9 men. The interviews were analyzed by applying a coding strategy based on grounded theory. In addition, sociograms were created to illustrate relevant relations in each support arrangement.</p><p><strong>Results: </strong>We identified and characterized 3 groups of nonkins involved in the support arrangements of older people living alone based on the origins of the relationships: (1) friends, (2) neighbors, and (3) acquaintances like members of various communities. The arrangements were classified according to the amount and quality of involvement of nonkin carers, namely manifold, scattered, and little nonkin involvement.</p><p><strong>Discussion: </strong>Our study highlights the diversity of nonkin support in the support arrangements of older people living alone. This heterogeneity should be considered by policy-makers when promoting informal care and designing policy measures.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":null,"pages":null},"PeriodicalIF":4.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10998341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139572141","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
How Helping You Helps Me: A Longitudinal Analysis of Volunteering and Pathways to Quality of Life Among Older Adults in Singapore. 助你如何助我:对新加坡老年人志愿服务和生活质量途径的纵向分析。
IF 4.8 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2024-05-01 DOI: 10.1093/geronb/gbae013
Shannon Ang, Rahul Malhotra

Objectives: Volunteering is known to be associated with well-being among older adults. However, less is known about the psychosocial pathways (e.g., personal mastery, social support) through which this occurs, with past studies tending to rely on cross-sectional data, which are susceptible to selection biases. This study, using longitudinal data, investigates how formal and informal volunteering may affect older adults' quality of life through personal mastery, perceived social support, and received social support.

Methods: Data are from 2 waves of a nationally representative study of older adults aged 60 years and older in Singapore, conducted between 2016 and 2019 (N = 2,887). We estimate indirect effects using a 2-wave mediation model, relying on bootstrapped confidence intervals for significance testing.

Results: We find indirect effects from volunteering to quality of life through perceived social support and personal mastery, but not through received social support. While any type (formal/informal) and frequency (regular/nonregular) of volunteering promotes quality of life through perceived social support, indirect effects through personal mastery are limited to regular volunteering in formal settings.

Discussion: Results provide longitudinal evidence for perceived social support as a key pathway from volunteering to quality of life. Volunteering may be an effective way to improve quality of life by helping older adults feel more supported, even if it may not affect the actual help that they receive. Further, a structured and sustainable environment may be required for volunteering to promote personal mastery (and through it, quality of life) among older volunteers.

目的:众所周知,志愿服务与老年人的幸福感有关。然而,人们对其产生的社会心理途径(如个人掌握、社会支持)知之甚少,而以往的研究往往依赖于横断面数据,这很容易造成选择偏差。本研究使用纵向数据,调查正式和非正式志愿服务如何通过个人主人翁精神、感知到的社会支持和获得的社会支持影响老年人的生活质量:数据来自 2016 年至 2019 年期间对新加坡 60 岁及以上老年人进行的两波具有全国代表性的研究(N=2887)。我们使用两波中介模型来估计间接效应,并利用引导置信区间进行显著性检验:我们发现志愿服务通过感知到的社会支持和个人主人翁精神对生活质量产生了间接影响,但没有通过获得的社会支持产生间接影响。虽然任何类型(正规/非正规)和频率(定期/不定期)的志愿服务都能通过感知到的社会支持提高生活质量,但通过个人掌握程度产生的间接效应仅限于正规环境中的定期志愿服务:讨论:研究结果提供了纵向证据,证明感知到的社会支持是志愿服务提高生活质量的关键途径。志愿服务可能是提高生活质量的有效途径,它能帮助老年人感受到更多的他人支持,即使它可能不会影响老年人获得的实际帮助。此外,志愿服务可能需要一个结构化和可持续的环境,以促进老年志愿者的个人主人翁意识(并通过这种意识提高生活质量)。
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引用次数: 0
Identity Development and Disruption in Older Adults During COVID-19: A Longitudinal, Mixed-Methods Study. COVID-19 期间老年人的身份发展与中断:一项纵向混合方法研究。
IF 4.8 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2024-05-01 DOI: 10.1093/geronb/gbae017
Lauren L Mitchell, Mary K Burns, Daniel Koch Impellizzeri, Victoria R Falso, Maeve Famularo, Jessica M Finlay

Objectives: Disruptive life events, such as the coronavirus disease 2019 (COVID-19) pandemic, may trigger adjustment and revision of older adults' identities. This mixed-methods study explored how older adults perceived their identities changing as a result of the pandemic, and how such identity dynamics related to pandemic-related events and well-being.

Methods: Participants included 2,248 older adults who participated in the longitudinal COVID-19 Coping Study spanning from April/May 2020 to April/May 2021. Mean age was 67.8 years, 70% were women, and 93% were White. We used qualitative thematic analysis to identify the ways the pandemic affected participants' identities. We then investigated the association between identity themes and testing positive for COVID-19, having a friend or family member hospitalized or dying due to COVID-19, or being vaccinated. Finally, we tested whether identity disruption was associated with 12-month trajectories of well-being (including life satisfaction, loneliness, depressive symptoms, anxiety, and self-rated health) using latent growth curve models.

Results: Some participants reported positive identity themes, such as rethinking and revising priorities and realization of strength and resilience. Others indicated harmful effects, including identity disruption. Individuals reporting identity disruption had worse well-being at baseline and remained consistently worse over time.

Discussion: Findings highlight that identity remains malleable in later life and that stressful events like the COVID-19 pandemic may trigger positive adaptive identity processes, but can also cause identity disruption that is associated with persistently worse well-being over time.

目的:COVID-19大流行病等破坏性生活事件可能会引发老年人身份的调整和修正。这项混合方法研究探讨了老年人如何看待他们的身份因大流行病而发生的变化,以及这种身份动态与大流行病相关事件和福祉之间的关系:参与者包括参加 COVID-19 应对纵向研究的 2248 名老年人,研究时间跨度为 2020 年 4 月/5 月至 2021 年 4 月/5 月。平均年龄为 67.8 岁,70% 为女性,93% 为白人。我们使用定性主题分析来确定大流行对参与者身份的影响方式。然后,我们调查了身份主题与 COVID-19 检测呈阳性、朋友或家人因 COVID-19 而住院或死亡或接种疫苗之间的关联。最后,我们使用潜在增长曲线模型检验了身份破坏是否与 12 个月的幸福感轨迹(包括生活满意度、孤独感、抑郁症状、焦虑和自评健康)相关:一些参与者报告了积极的身份认同主题,如重新思考和修正优先事项以及认识到自己的力量和复原力。另一些人则表示受到了有害影响,包括身份混乱。报告身份混乱的个体在基线时的幸福感较差,并且随着时间的推移持续恶化:讨论:研究结果突出表明,身份认同在晚年生活中仍具有可塑性,像 COVID-19 大流行病这样的压力事件可能会引发积极的适应性身份认同过程,但也可能导致身份认同中断,这种中断与随着时间推移持续恶化的幸福感有关。
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引用次数: 0
Cognitive Functioning and the Quality of Survey Responses: An Individual Participant Data Meta-Analysis of 10 Epidemiological Studies of Aging. 认知功能与调查回答的质量:对 10 项老龄化流行病学研究的个体参与者数据荟萃分析。
IF 4.8 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2024-05-01 DOI: 10.1093/geronb/gbae030
Stefan Schneider, Pey-Jiuan Lee, Raymond Hernandez, Doerte U Junghaenel, Arthur A Stone, Erik Meijer, Haomiao Jin, Arie Kapteyn, Bart Orriens, Elizabeth M Zelinski

Objectives: Self-reported survey data are essential for monitoring the health and well-being of the population as it ages. For studies of aging to provide precise and unbiased results, it is necessary that the self-reported information meets high psychometric standards. In this study, we examined whether the quality of survey responses in panel studies of aging depends on respondents' cognitive abilities.

Methods: Over 17 million survey responses from 157,844 participants aged 50 years and older in 10 epidemiological studies of aging were analyzed. We derived 6 common statistical indicators of response quality from each participant's data and estimated the correlations with participants' cognitive test scores at each study wave. Effect sizes (correlations) were synthesized across studies, cognitive tests, and waves using individual participant data meta-analysis methods.

Results: Respondents with lower cognitive scores showed significantly more missing item responses (overall effect size ρ^ = -0.144), random measurement error (ρ^ = -0.192), Guttman errors (ρ^ = -0.233), multivariate outliers (ρ^ = -0.254), and acquiescent responses (ρ^ = -0.078); the overall effect for extreme responses (ρ^ = -0.045) was not significant. Effect sizes were consistent across studies, modes of survey administsration, and different cognitive functioning domains, although some cognitive domain specificity was also observed.

Discussion: Lower-quality responses among respondents with lower cognitive abilities add random and systematic errors to survey measures, reducing the reliability, validity, and reproducibility of survey study results in aging research.

目的:自我报告的调查数据对于监测人口老龄化过程中的健康和福祉至关重要。要使老龄化研究提供精确、无偏见的结果,自我报告的信息必须符合较高的心理测量标准。在这项研究中,我们探讨了老龄化小组研究中调查回答的质量是否取决于受访者的认知能力:方法:我们对 10 项老龄化流行病学研究中 157844 名 50 岁及以上参与者的 1700 多万份调查回答进行了分析。我们从每位参与者的数据中得出了六种常见的回复质量统计指标,并估算了这些指标与参与者在每个研究波次的认知测试得分之间的相关性。我们使用个体参与者数据(IPD)元分析方法对不同研究、认知测试和研究波次的效应大小(相关性)进行了综合分析:结果:认知分数较低的受试者在缺项回答(总体效应大小 ρ = -.144)、随机测量误差(ρ = -.192)、古特曼误差(ρ = -.233)、多元离群值(ρ = -.254)和默许回答(ρ = -.078)方面的缺失明显较多;极端回答(ρ = -.045)的总体效应不明显。不同研究、调查实施方式和不同认知功能领域的效应大小是一致的,但也观察到一些认知领域的特异性:讨论:认知能力较低的受访者的回答质量较低,这增加了调查测量的随机和系统误差,降低了老龄化研究中调查结果的可靠性、有效性和可重复性。
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引用次数: 0
Sensory Health Among Older Adults in the United States: A Neighborhood Context Approach. 美国老年人的感官健康:邻里情境法》。
IF 4.8 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2024-05-01 DOI: 10.1093/geronb/gbae003
Alyssa W Goldman, Jayant M Pinto

Objectives: Sensory health declines with age but remains critical to the navigation and enjoyment of everyday life. Neighborhoods are key sites of environmental exposure, social engagement, and access to resources that can shape sensory health, yet the residential neighborhood is understudied as a determinant of sensory function.

Methods: We use data from Rounds 1 and 2 of the National Social Life, Health, and Aging Project to examine how subjective and objective measures of older adults' residential areas are associated with sensory health in a series of cross-sectional and multilevel regression models.

Results: In cross-sectional models, higher levels of perceived neighborhood social ties are associated with significantly better self-rated vision. Older adults who reside in more densely populated tracts are more likely to have significantly worse olfactory identification, whereas residing in tracts with higher levels of concentrated disadvantage is associated with significantly lower levels of self-rated vision. In multilevel models, residing in more densely populated tracts is associated with significantly worse olfactory identification, whereas tract-level concentrated disadvantage is associated with significantly worse hearing and vision.

Discussion: We propose that neighborhood characteristics could influence certain environmental exposures, the amount of time that older adults spend out of the home, patterns of social engagement, and access to preventative care that collectively affect sensory health. Residential neighborhoods may be important sites of potential intervention to slow age-related sensory declines and other related conditions.

目标:感官健康会随着年龄的增长而下降,但对日常生活的导航和享受仍然至关重要。邻里是环境接触、社会参与和资源获取的关键场所,可以塑造感官健康,但住宅邻里作为感官功能的决定因素却未得到充分研究:我们利用全国社会生活、健康和老龄化项目(NSHAP)第一轮和第二轮的数据,在一系列横截面和多层次回归模型中研究了老年人居住区的主观和客观指标与感官健康的关系:结果:在横截面模型中,感知到的邻里社会关系水平越高,自我评价的视力就越好。居住在人口更稠密地区的老年人的嗅觉识别能力明显更差,而居住在劣势集中程度更高的地区的老年人的自评视力水平明显更低。在多层次模型中,居住在人口更稠密地区的人的嗅觉识别能力明显更差,而居住在集中劣势地区的人的听力和视力明显更差:我们认为,邻里特征可能会影响某些环境暴露、老年人外出时间、社会参与模式以及预防性保健的获得,从而影响感官健康。居民区可能是潜在干预的重要场所,可以减缓与年龄相关的感官衰退和其他相关疾病。
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引用次数: 0
Racial Disparities in Cognitive Health Among Older Americans: The Role of Debt-Asset Profiles During Preretirement Age. 美国老年人认知健康的种族差异:美国老年人认知健康的种族差异:退休前债务-资产状况的作用》(The Role of Debt-Asset Profiles During Preretirement Age.
IF 4.8 2区 医学 Q1 GERIATRICS & GERONTOLOGY Pub Date : 2024-05-01 DOI: 10.1093/geronb/gbae014
Chioun Lee, Dana A Glei, Soojin Park

Objectives: Low-cost debt can potentially enhance wealth and indirectly benefit health, yet Black Americans disproportionately lack this type of debt, which may constrain their ability to accumulate wealth throughout their lives and across generations. Our objectives are to develop a novel debt-asset measure, use it to quantify the Black-White differential in debt-asset profiles, and estimate its contribution to the racial gap in cognition.

Methods: Using the Health and Retirement Study (1998-2020), we grouped individuals based on debt and asset information during the preretirement period of ages 55-61, including the absence of debt and the relative amount of debt compared to assets. Linear mixed models were used to examine the extent to which cognition in later life (ages 62-80) differs across these debt-asset profiles and its role in explaining the racial disparity in cognition.

Results: Compared with Whites, Blacks were more likely to fall into categories characterized by high debt-to-asset ratio (DAR) or limited asset ownership. Low-asset nonborrowers displayed the poorest cognition, followed closely by high-DAR borrowers. The Black-White differential in debt-asset profiles contributed to the racial gap in cognition.

Discussion: There were 2 unfavorable debt-asset profiles: high debt relative to assets and little or no debt due to a lack of assets, which was more prevalent among Blacks than Whites. We discuss how institutional and structural racism shapes Black-White disparities in debt-asset profiles, such as limited access to borrowing opportunities, thereby contributing to health inequalities, including cognition.

目标:低成本债务有可能增加财富并间接有益于健康,但美国黑人却不成比例地缺乏这种类型的债务,这可能会限制他们一生和跨代积累财富的能力。我们的目标是开发一种新的债务-资产测量方法,用它来量化黑人与白人在债务-资产方面的差异,并估算其对种族认知差距的贡献:方法:我们利用健康与退休研究(1998-2020 年),根据 55 岁至 61 岁退休前期间的债务和资产信息,包括无债务情况和债务与资产的相对数额,对个人进行分组。我们使用线性混合模型研究了不同债务-资产状况的人在晚年(62-80 岁)认知方面的差异程度及其在解释认知方面的种族差异中的作用:与白人相比,黑人更有可能属于高资产负债率(DAR)或拥有有限资产的类别。低资产非借款人的认知能力最差,紧随其后的是高债务资产比借款人。黑人与白人在债务资产状况上的差异造成了认知能力上的种族差距:有两种不利的债务-资产状况:相对于资产的高债务和由于缺乏资产导致的少债务或无债务,这在黑人中比在白人中更为普遍。我们讨论了制度性和结构性种族主义如何形成黑人与白人在债务-资产状况上的差异,如获得借款的机会有限,从而导致包括认知在内的健康不平等。
{"title":"Racial Disparities in Cognitive Health Among Older Americans: The Role of Debt-Asset Profiles During Preretirement Age.","authors":"Chioun Lee, Dana A Glei, Soojin Park","doi":"10.1093/geronb/gbae014","DOIUrl":"10.1093/geronb/gbae014","url":null,"abstract":"<p><strong>Objectives: </strong>Low-cost debt can potentially enhance wealth and indirectly benefit health, yet Black Americans disproportionately lack this type of debt, which may constrain their ability to accumulate wealth throughout their lives and across generations. Our objectives are to develop a novel debt-asset measure, use it to quantify the Black-White differential in debt-asset profiles, and estimate its contribution to the racial gap in cognition.</p><p><strong>Methods: </strong>Using the Health and Retirement Study (1998-2020), we grouped individuals based on debt and asset information during the preretirement period of ages 55-61, including the absence of debt and the relative amount of debt compared to assets. Linear mixed models were used to examine the extent to which cognition in later life (ages 62-80) differs across these debt-asset profiles and its role in explaining the racial disparity in cognition.</p><p><strong>Results: </strong>Compared with Whites, Blacks were more likely to fall into categories characterized by high debt-to-asset ratio (DAR) or limited asset ownership. Low-asset nonborrowers displayed the poorest cognition, followed closely by high-DAR borrowers. The Black-White differential in debt-asset profiles contributed to the racial gap in cognition.</p><p><strong>Discussion: </strong>There were 2 unfavorable debt-asset profiles: high debt relative to assets and little or no debt due to a lack of assets, which was more prevalent among Blacks than Whites. We discuss how institutional and structural racism shapes Black-White disparities in debt-asset profiles, such as limited access to borrowing opportunities, thereby contributing to health inequalities, including cognition.</p>","PeriodicalId":56111,"journal":{"name":"Journals of Gerontology Series B-Psychological Sciences and Social Sciences","volume":null,"pages":null},"PeriodicalIF":4.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139747862","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
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Journals of Gerontology Series B-Psychological Sciences and Social Sciences
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